Dermoscopic and Clinical Response Predictor Factors in Nonsegmental Vitiligo Treated with Narrowband Ultraviolet B Phototherapy: A Prospective Observational Study.

INTRODUCTION: Few data on possible local factors that can influence the achievement of response in nonsegmental vitiligo (NSV) treated with narrowband ultraviolet B (Nb-UVB) phototherapy are available. Our objective is to evaluate possible correlations between therapeutic outcomes and dermoscopic and local (lesional) clinical findings of vitiligous lesions undergoing Nb-UVB phototherapy to find positive and/or negative response predictor factors to such treatment. METHODS: For each target patch, we calculated the extension area using a computer-aided method and assessed dermoscopic and local (lesional) clinical findings at baseline. After 30 phototherapy sessions (twice weekly), surface area of the lesions was reevaluated to assess clinical improvement, correlating the therapeutic outcome with initial clinical and dermoscopic features. RESULTS: A total of 70 lesions were finally included in the study. At the end of therapy, 18 patches (25.7%) achieved improvement, and the presence of perifollicular pigmentation on baseline dermoscopic examination was found to be associated with a 12-fold higher probability of having a positive therapeutic outcome. Similarly, face localization was also correlated with clinical amelioration, with a sevenfold higher probability for improvement. No association (p > 0.05) between therapeutic outcomes (either good or poor) and other dermoscopic or local clinical variables (including leukotrichia) was observed. CONCLUSIONS: Therapeutic response of vitiligo to Nb-UVB phototherapy may be positively affected by local features of the lesions, i.e., face localization and presence of perifollicular pigmentation on baseline dermoscopic examination, which might be considered as positive response predictor factors to optimize treatment of vitiligo.

Recovery of phosphorous from industrial waste water by oxidation and precipitation.

This paper describes the development of a method for recovery of phosphorous from one of the waste waters at an Akzo Nobel chemical plant in Ale close to Göteborg. It was found that it is possible to transform the phosphorous in the waste water to a saleable product, i.e. a slowly dissolving fertilizer. The developed process includes oxidation of phosphite to phosphate with hydrogen peroxide and heat. The phosphate is then precipitated as crystalline struvite (ammonium magnesium phosphate) by the addition of magnesium chloride. The environmental impacts of the new method were compared with those of the current method using life cycle assessment. It was found that the methodology developed in this project was an improvement compared with the current practice regarding element resource depletion and eutrophication. However, the effect on global warming would be greater with the new method. There could however be several ways to decrease the global warming effect. Since most of the carbon dioxide emissions come from the production of magnesium chloride from carbonates, changing to utilization of a magnesium chloride from desalination of seawater or from recycling of PVC would decrease the carbon footprint significantly.