Rubella in Europe

Postnatal rubella is a mild illness, a disease which was considered to be of only minor importance for many years. The first authors to write about the disease as distinct from other exanthemata were German physicians; they differentiated rubella from measles and scarlet fever in the latter part of the eighteenth century and called the disease Rotheln. Hence the common English language eponym is ‘German measles'. Some consider that the term ‘German' in German measles is probably of literary rather than of geographical significance and that it came from the old French ‘germain' (derived from the Latin ‘germanus‘), meaning ‘closely akin to' measles [1]. That it is not generally called by its German name, Rotheln, is due to Veale, a Scottish physician who in 1866 described 30 cases of rubella in the Edinburgh Medical Journal, and proposed ‘rubella' as a short and euphonius name that could be easily pronounced [2

Structural, magnetic, dielectric and mechanical properties of (Ba,Sr)MnO3_3 ceramics

Ceramic samples, produced by conventional sintering method in ambient air, 6H-SrMnO$_3$(6H-SMO), 15R-BaMnO$_3$(15R-BMO), 4H-Ba$_{0.5}$Sr$_{0.5}$MnO$_3$(4H-BSMO) were studied. In the XRD measurements for SMO the new anomalies of the lattice parameters at 600-800 K range and the increasing of thermal expansion coefficients with a clear maximum in a vicinity at 670 K were detected. The N$\acute{e}$el phase transition for BSMO was observed at $T_N$=250 K in magnetic measurements and its trace was detected in dielectric, FTIR, DSC, and DMA experiments. The enthalpy and entropy changes of the phase transition for BSMO at $T_N$ were determined as 17.5 J/mol and 70 mJ/K mol, respectively. The activation energy values and relaxation times characteristic for relaxation processes were determined from the Arrhenius law. Results of ab initio simulations showed that the contribution of the exchange correlation energy to the total energy is about 30%.Comment: 12 pages, 12 figure

Beyond patient empowerment: clinician-patient advocacy partnerships in wound healing

Background/Aims: Enhanced clinician-patient interactions can offer benefits for patient care through harnessing shared knowledge, which can help to address challenges in healthcare. This study aimed to explore the relationship between wound care clinicians and their patients in order to understand the challenges faced in wound care as well as the innovative strategies that are used to address them. Methods: A qualitative ethnography of three specialist outpatient wound healing clinics in the UK generated 120 hours of observations of consultations as well as 51 interviews with clinicians, patients and their relatives. Findings: The study found that wounds were considered a low-profile condition in healthcare and a taboo by society. In response, clinicians harnessed their interaction with patients to support wound healing research and education – forming clinician-patient partnerships for wound healing advocacy. Conclusions: In addition to encouraging educated participation in self-treatment, advocacy partnerships offered patients a proactive role in increasing the scientific knowledge regarding wound healing

General characteristics and comorbidities in patients with palmoplantar pustulosis

The aim of this prospective study was to analyze comorbidities in patients with palmoplantar pustulosis (PPP). The current study comprised 63 consecutive patients with palmoplantar pustulosis. The control group consisted of 37 patients with psoriasis vulgaris (PSV). The study included a standardized anamnesis, a clinical examination, blood tests for thyroid hormones, as well as calcium, magnesium, antiendomysial antibody, and patch tests. Hypertension was observed in 28/63 (44.44%) patients with PPP. Eight (12.7%) had ischaemic heart disease, and 7/63 (11.11%) had type 2 diabetes mellitus. There was no statistically significant difference between the patients with PPP and those in the control group. Metabolic syndrome was diagnosed in 19/63 (30.16%) patients with PPP and in 12/37 (32.43%) patients with PSV. Thyroid disease was more prevalent among patients with PPP in comparison to patients with PSV (31.75% vs. 13.51%; p=0.0421). Body mass index was statistically significantly higher in patients with PSV (28.25 vs. 25.86 kg/m², p=0.0144). BMI was higher than 25 kg/m2 in 18.03% patients with PPP and 26.47% patients with PSV (p=0.333). Positive patch tests were observed in 12/39 (30.77%) patients with PPP. The most common allergens were nickel chloride (5/12, 41.67%) and fragrances (5/12, 41.67%). In the control group, patch tests were positive in 2/11 (18.18%) cases (p&lt;0.05). Patients with PPP, like patients with PSV, often presented with hypertension and metabolic syndrome. Given that many studies have focused on cardiovascular risk in PSV, there is a need for further research on the association between PPP and cardiovascular risk. In addition, patients resistant to PPP treatment should be screened for contact allergies.</h2

General characteristics and comorbidities in patients with palmoplantar pustulosis

The aim of this prospective study was to analyze comorbidities in patients with palmoplantar pustulosis (PPP). The current study comprised 63 consecutive patients with palmoplantar pustulosis. The control group consisted of 37 patients with psoriasis vulgaris (PSV). The study included a standardized anamnesis, a clinical examination, blood tests for thyroid hormones, as well as calcium, magnesium, antiendomysial antibody, and patch tests. Hypertension was observed in 28/63 (44.44%) patients with PPP. Eight (12.7%) had ischaemic heart disease, and 7/63 (11.11%) had type 2 diabetes mellitus. There was no statistically significant difference between the patients with PPP and those in the control group. Metabolic syndrome was diagnosed in 19/63 (30.16%) patients with PPP and in 12/37 (32.43%) patients with PSV. Thyroid disease was more prevalent among patients with PPP in comparison to patients with PSV (31.75% vs. 13.51%; p=0.0421). Body mass index was statistically significantly higher in patients with PSV (28.25 vs. 25.86 kg/m², p=0.0144). BMI was higher than 25 kg/m2 in 18.03% patients with PPP and 26.47% patients with PSV (p=0.333). Positive patch tests were observed in 12/39 (30.77%) patients with PPP. The most common allergens were nickel chloride (5/12, 41.67%) and fragrances (5/12, 41.67%). In the control group, patch tests were positive in 2/11 (18.18%) cases (p&lt;0.05). Patients with PPP, like patients with PSV, often presented with hypertension and metabolic syndrome. Given that many studies have focused on cardiovascular risk in PSV, there is a need for further research on the association between PPP and cardiovascular risk. In addition, patients resistant to PPP treatment should be screened for contact allergies.</h2

Growth Techniques for Bulk ZnO and Related Compounds

ZnO bulk crystals can be grown by several methods. 1) From the gas phase, usually by chemical vapor transport. Such CVT crystals may have high chemical purity, as the growth is performed without contact to foreign material. The crystallographic quality is often very high (free growth). 2) From melt fluxes such as alkaline hydroxides or other oxides (MoO3, V2O5, P2O5, PbO) and salts (PbCl2, PbF2). Melt fluxes offer the possibility to grow bulk ZnO under mild conditions (<1000 deg. C, atmospheric pressure), but the crystals always contain traces of solvent. The limited purity is a severe drawback, especially for electronic applications. 3) From hydrothermal fluxes, usually alkaline (KOH, LiOH) aqueous solutions beyond the critical point. Due to the amphoteric character of ZnO, the supercritical bases can dissolve it up to several per cent of mass. The technical requirements for this growth technology are generally hard, but this did not hinder its development as the basic technique for the growth of {\alpha}-quartz, and meanwhile also of zinc oxide, during the last decades. 4) From pure melts, which is the preferred technology for numerous substances applied whenever possible, e.g. for the growth of silicon, gallium arsenide, sapphire, YAG. The benefits of melt growth are (i) the high growth rate and (ii) the absence of solvent related impurities. In the case of ZnO, however, it is difficult to find container materials that are compatible from the thermal (fusion point Tf = 1975 deg. C) and chemical (required oxygen partial pressure) point of view. Either cold crucible (skull melting) or Bridgman (with reactive atmosphere) techniques were shown to overcome the problems that are inherent to melt growth. Reactive atmospheres allow to grow not only bulk ZnO single crystals, but also other TCOs such as {\beta}-Ga2O3 and In2O3.Comment: 10 pages, 7 figures, talk on MRS Fall 2011 Bosto

Social partners’ bargaining strategies in Germany and Spain after the introduction of the Euro: a morphogenetic perspective on corporate agency

This article addresses how far wage imbalances in the Eurozone can be imputable to intentional agency by collective bargaining organisations. Using Archer’s morphogenetic approach, we explain the agentic role of social partners in core (Germany) and periphery (Spain) cases, in relation with the respective collective bargaining regimes. We show that the capacity of macro- and meso-level organisations to effect wage-setting practices can be constrained inadvertently by contextual influences with morphostatic properties, generating constrained modes of corporate agency. Yet wage moderation is best understood as a form of agency itself, functioning ‘by being’ rather than ‘doing’, which over time can become more innovative. We contrast this finding with the less constrained capacity of more institutionalized corporate agents, such as transnational business corporations and central state agencies

The Possible Correlation between the Patient's Immune Tolerance Level During Cesaerean Section and the Incidence of Subsequent Emergency Peripartum Hysterectomy

Introduction. Cesarean section is an independent risk factor for peripartum hysterectomy. As a method of delivery, cesarean section may interfere with a number of molecular changes that occur at the maternal-fetal interface during the course of labor. Methods. The level of CD3, CD56, CD25, and CD69 antigen immunoreactivity was assessed by immunohistochemistry in 26 decidual tissue samples. The tissue samples were obtained from 18 women who underwent cesarean sections at term and from 8 women who underwent cesarean hysterectomies. Results. An increase in the activity and infiltration of immune cells in the decidua sampled during the spontaneous beginning of labor was observed. The further progression of labor was accompanied by a decrease in the number and activity of immune cells. The number of CD56+ and CD3+ cells in the decidua was statistically significantly lower in patients who had undergone cesarean hysterectomies than in those who had had cesarean sections at term. Conclusion. Abnormal immune response during labor may increase the risk for peripartum hysterectomy