[Intertriginous psoriasis]. / Psoriasis intertriginosa.

Intertriginous psoriasis is a variant of psoriasis that is associated with inflammatory lesions in skin folds. Patients often feel ashamed, are subjected to stigmatization, social isolation, or experience mental health issues. There is no general consensus on the definition of intertriginous psoriasis. Depending on the definition used, the prevalence varies substantially. Due to the particular location of skin lesions, therapeutic management is very challenging. Mild symptoms can be treated with topical corticosteroids or topical immunomodulators. There are encouraging data demonstrating the efficacy of ixekizumab, possibly charting the way for it to become a systemic treatment option.

Above-ground biomass investments and light interception of tropical forest trees and lianas early in succession.

BACKGROUND AND AIMS: Crown structure and above-ground biomass investment was studied in relation to light interception of trees and lianas growing in a 6-month-old regenerating forest. METHODS: The vertical distribution of total above-ground biomass, height, diameter, stem density, leaf angles and crown depth were measured for individual plants of three short-lived pioneers (SLPs), four long-lived pioneers (LLPs) and three lianas. Daily light interception per individual Phi(d) was calculated with a canopy model. The model was then used to estimate light interception per unit of leaf mass (Phi(leaf mass)), total above-ground mass (Phi(mass)) and crown structure efficiency (E(a), the ratio of absorbed vs. available light). KEY RESULTS: The SLPs Trema and Ochroma intercepted higher amounts of light per unit leaf mass (Phi(leaf mass)) because they had shallower crowns, resulting in higher crown use efficiency (E(a)) than the other species. These SLPs (but not Cecropia) were also taller and intercepted more light per unit leaf area (Phi(area)). LLPs and lianas had considerably higher amounts of leaf mass and area per unit above-ground mass (LMR and LAR, respectively) and thus attained Phi(mass) values similar to the SLPs (Phi(mass)=Phi(area)xLAR). Lianas, which were mostly self-supporting, had light interception efficiencies similar to those of the trees. CONCLUSIONS: These results show how, due to the trade-off between crown structure and biomass allocation, SLPs, and LLPs and lianas intercept similar amount of light per unit mass which may contribute to the ability of the latter two groups to persist.

Exposure assessment of environmental organic chemicals at contaminated sites: a multicompartment modelling approach.

For the prevention of future damages from chemicals at large contaminated sites, all transfer pathways leading to the exposure of man and vulnerable ecosystems have to be taken into account. For organic contaminants, the uptake into vegetation is the major entry route for the transfer into the food chains. Lipophilic substances are taken up by roots but are not translocated with the transpiration stream. Atmospheric background concentrations have a significant impact on foliage contamination due to the effective gaseous and particle deposition. Vegetables can also be contaminated after irrigation with contaminated water supplied by groundwater wells. By means of a multicompartment model, the various uptake processes into roots and foliage as well as the transformation and translocation processes are described and the concentration pattern resulting from daily irrigation with methyl-t-butyl ether in the edible parts is simulated. The results demonstrate the advantage of a dynamic multicompartment model over the static environmental quality standard approach in terms of derivation of possible exposure reduction measures for organic chemicals.

Comparison of different life-cycle impact assessment methods for aquatic ecotoxicity.

Human and ecotoxicity impact categories are problematic to quantify within life-cycle impact assessment (LCIA) because their local scope makes them difficult to aggregate with the traditional global-impact categories used in life-cycle assessment (LCA). For being able to assess local impacts such as toxicity, LCIA developers increasingly include fate modeling into LCA. This article follows this development by comparing different LCIA methods for aquatic ecotoxicology and by investigating the importance of fate within LCIA, the necessity of considering freshwater and seawater compartments separately, and the key degradation and intermedia transfer processes involved. The methods are compared by assessing an example study of domestic clothes washing in former West Germany. Four LCIA methods are selected and applied to four substances emitted during the washing process. The conclusion is that the consideration of environmental fate does matter and that aquatic ecotoxic impacts can differ significantly for the same substance in freshwater and in marine ecosystems. The way (bio)degradation, photolysis, volatilization, and transfer from agricultural soils are considered plays an important role as do the system boundaries chosen. This means that the LCIA methodology should remain flexible so that appropriate methods can be chosen for different applications. Fate models being developed in the environmental risk assessment of chemicals can contribute to the further improvement of LCIA methods.

The spatial scale of organic chemicals in multimedia fate modeling. Recent developments and significance for chemical assessment.

In the last years, the spatial range (SR) or characteristic travel distance (CTD) of organic chemicals has found increasing scientific interest as an indicator of the long-range transport (LRT) potential and, in combination with persistence, as a kind of 'hazard' indicator on the exposure level. This development coincides with European debates about more effective and more preventive approaches to the chemicals assessment, and about an international, legally-binding instrument for the phase out of persistent organic pollutants (POPs). Persistence and LRT potential are important issues in these debates. Here, the development of the concept of assessing the spatial scale from early ideas in the 1970s and 1980s to recent studies in the field of multimedia fate and transport modeling is summarized. Different approaches to the modeling of environmental transport (advective and dispersive) and different methods for quantifying the SR or CTD are compared. Relationships between SR or CTD and different persistence measures are analyzed. Comparison of these relationships shows that conclusions for chemical assessment should be based on an evaluation of different persistence and spatial scale measures. The use of SR or CTD and persistence as hazard indicators in the chemicals assessment is illustrated.

Long-range transport potential of semivolatile organic chemicals in coupled air-water systems.

Ongoing deliberations on the regulation of semivolatile organic chemicals require the assessment of chemical transport in atmospheric and marine systems. The characteristic travel distance was proposed as a measure for the transport potential in air and water. However, the existing definition treats the transport processes separately. It is shown that combined transport in coupled air-ocean systems can accelerate the overall transport into remote regions. Concentration ratios in air and water change with distance from sources depending on the initial concentration ratio and on the difference between the transport velocities. A measure is suggested facilitating the chemical screening with respect to transport potentials in such air-ocean systems. A case study for alpha and gamma-hexachlorocyclohexane shows that the suggested measure qualitatively reveals the transport potentials of these chemicals and exemplifies possible concentration patterns.

Georeferenced regional simulation and aquatic exposure assessment.

A simulation model system of the waste water pathways and the aquatic fate assessment is coupled to a discrete digitized river network. Temporal concentration distributions of down-the-drain chemicals are calculated from variable and uncertain input data and compared to monitoring data. The accuracy of the predictions are within a factor of three for the studied pilot catchments. Spatial distributions of the whole catchment give stochastic information on a regional basis for probabilistic risk assessments.

The effects of changes in hearing status in cochlear implant users on the acoustic vowel space and CV coarticulation.

In order to examine the role of hearing status in controlling coarticulation, eight English vowels in /bVt/ and /dVt/ syllables, embedded in a carrier phrase, were elicited from 7 postlingually deafened adults and 2 speakers with normal hearing. The deaf adults served in repeated recording sessions both before and up to a year after they received cochlear implants and their speech processors were turned on. Each of the two hearing control speakers served in two recording sessions, separated by about 3 months. Measures were made of second formant frequency at obstruent release and at 25 ms intervals until the final obstruent. An index of coarticulation, based on the ratio of F2 at vowel onset to F2 at midvowel target, was computed. Changes in the amount of coarticulation after the change in hearing status were small and nonsystematic for the /bVt/ syllables; those for the /dVt/ syllables averaged a 3% increase--within the range of reliability measures for the 2 hearing control speakers. Locus equations (F2 at vowel onset vs. F2 at vowel midpoint) and ratios of F2 onsets in point vowels were also calculated. Like the index of coarticulation, these measures tended to confirm that hearing status had little if any effect on coarticulation in the deaf speakers, consistent with the hypothesis that hearing does not play a direct role in regulating anticipatory coarticulation in adulthood. With the restoration of some hearing, 2 implant users significantly increased the average spacing between vowels in the formant plane, whereas the remaining 5 decreased that measure. All speakers but one also reduced vowel duration significantly. Four of the speakers reduced dispersion of vowel formant values around vowel midpoint means, but the other 3 did not show this effect.

Comparing representations of the environmental spatial scale of organic chemicals.

Long-range transport potential is one of the criteria proposed to identify chemicals as persistent organic pollutants. Here, different approaches to determine the spatial scale of an environmental area or region that can be impacted by an emitted chemical are investigated. A ranking of chemicals according to the spatial range R on a limited scale, as suggested by Scheringer, is equivalent to the characteristic travel distance L according to Bennett et al. on a linear, open scale. However, the methods are different with respect to the weighting of differences between the chemicals and according to their comparability with persistence. The characteristic travel distance L and the overall persistence are both plotted on open log-linear scales, whereas the spatial range R is represented on a limited scale. Various approaches of how to account for the mode of entry of chemicals are compared, and it is argued that relative measures are more appropriate to describe the long-range transport potential of chemicals than absolute numbers.

GREAT-ER: a new tool for management and risk assessment of chemicals in river basins. Contribution to GREAT-ER #10.

The GREAT-ER (Geo-referenced Regional Exposure Assessment Tool for European Rivers) project team has developed and validated an accurate aquatic chemical exposure prediction tool for use within environmental risk assessment schemes. The software system GREAT-ER 1.0 calculates the distribution of predicted environmental concentrations (PECs) of consumer chemicals in surface waters, for individual river stretches as well as for entire catchments. The system uses an ARC/INFO-ArcView (ESRI) based Geographical Information System (GIS) for data storage and visualization, combined with simple mathematical models for prediction of chemical fate. At present, the system contains information for four catchments in Yorkshire, one catchment in Italy, and two in Germany, while other river basins are being added. Great-ER 1.0 has been validated by comparing simulations with the results of an extensive monitoring campaign for two 'down-the-drain' chemicals, i.e. the detergent ingredients boron and Linear Alkylbenzene Sulphonate (LAS). GREAT-ER 1.0 is currently being expanded with models for the terrestrial (diffuse input), air and estaurine compartments.

Variation in anticipatory coarticulation with changes in clarity and rate.

This study tests the hypothesis that the relative timing, or coarticulation, of articulatory movements at VC and CV boundaries is influenced by both the listener's requirement for clarity and the speaker's strategy to economize effort. Movement and acoustic data were collected from 7 subjects who spoke in three conditions: normal, clear, and fast. It was predicted that fast speech would show more coarticulation and clear speech would show less coarticulation than normal speech. The speech materials were designed to investigate coarticulation in the movements of the upper lip and tongue. They consisted of repetitions of [iC(n)u] utterances embedded in carrier phrases, where the number of consonants, n, ranged from 1 to 3. Analyses focused on kinematic measures and the amount of coarticulation (overlap) of the /i-u/ transition movement with the acoustic interval of the /i/. The consonant-string duration was longest in the clear speaking condition and shortest in the fast condition. Compared to the normal condition, peak velocities were higher in the fast and clear speaking conditions, indicating increased effort. The influences of speaking condition on coarticulation and on the formants of the /i/ were small. Thus, even though there was evidence of increased effort in the clear and fast conditions, the hypothesized effects of a trade-off between clarity and economy of effort were minimally evident in formant values for /i/ and measures of coarticulation.

Georeferenced aquatic fate simulation of cleaning agent and detergent ingredients in the river Rur catchment (Germany).

The Geography-referenced regional exposure assessment tool for European rivers (GREAT-ER) 1.0 was developed in the context of environmental risk assessment of chemicals to calculate the aquatic fate of 'down-the-drain' chemicals in surface waters due to point release. As a follow-up project, the river Rur catchment in Germany was incorporated into the system. This included aspects of data collection, modelling and monitoring. Investigated substances are the four detergent and cleaning agent ingredients boron, linear alkylbenzene sulfonate (LAS), nitrilotriacetate (NTA) and ethylenediaminetetraacetate (EDTA). Results of the catchment's incorporation into the system and a comparison of GREAT-ER simulations with different monitoring results are both given. It is shown that data sets derived from a literature review can be used to calculate concentration profiles that are in the range of measured values. Since the model establishes a causal relationship between emission sites and data on the one hand, and observed concentrations in the receiving surface waters on the other, the simulation results can be used to explain monitoring data.

Changes in speech intelligibility of postlingually deaf adults after cochlear implantation.

OBJECTIVE: This study examines changes in the intelligibility of CVC words spoken by postlingually deafened adults after they have had 6 to 12 mo of experience with a cochlear implant. The hypothesis guiding the research is that the intelligibility of these speakers will improve after extended use of a cochlear implant. The paper also describes changes in CVC word intelligibility analyzed by phoneme class and by features. DESIGN: The speech of eight postlingually deaf adults was recorded before activation of the speech processors of their cochlear implants and at 6 mo and 1 yr after activation. Seventeen listeners with no known impairment of hearing completed a word identification task while listening to each implant user's speech in noise. The percent information transmitted by the speakers in their pre- and postactivation recordings was measured for 11 English consonants and eight vowels separately. RESULTS: An overall improvement in word intelligibility was observed: seven of the eight speakers showed improvement in vowel intelligibility and six speakers showed improvement in consonant intelligibility. However, the intelligibility of specific consonant and vowel features varied greatly across speakers. CONCLUSIONS: Extended use of a cochlear implant by postlingually deafened adults tends to enhance their intelligibility.

Covariation of cochlear implant users' perception and production of vowel contrasts and their identification by listeners with normal hearing.

This study investigates covariation of perception and production of vowel contrasts in speakers who use cochlear implants and identification of those contrasts by listeners with normal hearing. Formant measures were made of seven vowel pairs whose members are neighboring in acoustic space. The vowels were produced in carrier phrases by 8 postlingually deafened adults, before and after they received their cochlear implants (CI). Improvements in a speaker's production and perception of a given vowel contrast and normally hearing listeners' identification of that contrast in masking noise tended to occur together. Specifically, speakers who produced vowel pairs with reduced contrast in the pre-CI condition (measured by separation in the acoustic vowel space) and who showed improvement in their perception of these contrasts post-CI (measured with a phoneme identification test) were found to have enhanced production contrasts post-CI in many cases. These enhanced production contrasts were associated, in turn, with enhanced masked word recognition, as measured from responses of a group of 10 normally hearing listeners. The results support the view that restoring self-hearing allows a speaker to adjust articulatory routines to ensure sufficient perceptual contrast for listeners.

Aquatic fate assessment of the polycyclic musk fragrance HHCB. Scenario and variability analysis in accordance with the EU risk assessment guidelines.

By means of the environmental fate and distribution models laid down in the Technical Guidance Documents (TGD) and implemented in the European Union System for the Evaluation of Substances (EUSES) environmental concentrations of the polycyclic musk fragrance HHCB (1,3,4,6,7,8-hexahydro-4,6,6,7,8,8-hexamethyl-cyclopenta-[g]-2- benzopyrane; trade name: e.g. Galaxolide) were calculated for the aquatic environment under consideration of various scenarios. The results were then compared to monitoring data from the region of North Rhine-Westphalia (River Ruhr). An uncertainty analysis was carried out to determine sensitive parameters, to integrate environmental variability and to confirm the model's calculations. The standard scenario of EUSES overestimates the measured concentrations, which confirms the conservative nature of the calculations. The regional-specific scenarios lead to lower deviations from the measured values than the standard scenario. Deviations range from one to two orders of magnitude in the effluent of sewage treatment plants; they amount to one order of magnitude for surface water concentrations on a local scale and conform to monitoring data on a regional scale. The use of measured bioconcentration factors for fish instead of estimated ones reduces deviations remarkably. The investigation reveals that unrealistic worst-case calculations of HHCB can at best be ameliorated by the application of more realistic emission rates and measured bioconcentration factors. The use of regional-specific parameters also diminishes the deviations of the calculations from the measured concentrations.

EU risk assessment guidelines, Part III. Scenario analysis of a Level III multimedia model using generic and regional data.

Regional PECs (Potential Environmental Concentrations) calculated with the software EUSES were compared with measured values using different emission and environmental distribution scenarios. The environmental data set recommended in EUSES (default data set) represents a generic standard region. In different scenarios the parameters of the generic region are replaced by concrete values, and estimated parameters (emissions, degradation rates and partition coefficients) are substituted by measured or investigated values. Deviations with regard to the measured values can be up to three orders of magnitude. Despite the basically conservative approximations, underestimations can occur. However, these are usually due to poor monitoring data or inappropriate input values. The use of regional data instead of default parameters only slightly ameliorates the results. The use of real emission and degradation rates alone can improve the results significantly.

Articulatory tradeoffs reduce acoustic variability during American English /r/ production.

The American English phoneme /r/ has long been associated with large amounts of articulatory variability during production. This paper investigates the hypothesis that the articulatory variations used by a speaker to produce /r/ in different contexts exhibit systematic tradeoffs, or articulatory trading relations, that act to maintain a relatively stable acoustic signal despite the large variations in vocal tract shape. Acoustic and articulatory recordings were collected from seven speakers producing /r/ in five phonetic contexts. For every speaker, the different articulator configurations used to produce /r/ in the different phonetic contexts showed systematic tradeoffs, as evidenced by significant correlations between the positions of transducers mounted on the tongue. Analysis of acoustic and articulatory variabilities revealed that these tradeoffs act to reduce acoustic variability, thus allowing relatively large contextual variations in vocal tract shape for /r/ without seriously degrading the primary acoustic cue. Furthermore, some subjects appeared to use completely different articulatory gestures to produce /r/ in different phonetic contexts. When viewed in light of current models of speech movement control, these results appear to favor models that utilize an acoustic or auditory target for each phoneme over models that utilize a vocal tract shape target for each phoneme.

Visualisation of the complexity of EUSES.

The interdependencies of parameters applied in the models of EUSES are visualised in a directed connectivity graph. The parameters (inputs, defaults, state variables, outputs) are represented by boxes (nodes) and their relations by lines (edges). The visualisation, on the one hand, clarifies the complexity of the models in EUSES and, on the other hand, creates an overview and transparency. The parameters' relations to each other can be recognised faster, and the models can be better understood. The complexity was quantified by the number (variety), kind (substance parameter, physico-chemical parameter, concentration, other parameters), and depth (dimension) of the parameter and the number of relations (connectivity). The variety of EUSES (without the models Simple Treat and Simple Box whose interior structure is not documented and without the effect and risk characterisation) amounts to 466, the connectivity to 961, and the maximal dimension is 21.

The effect of changes in hearing status on speech sound level and speech breathing: a study conducted with cochlear implant users and NF-2 patients.

According to a dual-process theory of the role of hearing in speech production, hearing helps maintain an internal model used by the speech control mechanism to achieve phonemic goals. It also monitors the acoustic environment and guides relatively rapid adjustments in postural parameters, such as those underlying average speech sound level and rate, in order to achieve suprasegmental goals that are a compromise between intelligibility and economy of effort. In order to obtain evidence bearing on this theory, acoustic and aerodynamic measures were collected from seven adventitiously deaf speakers who received cochlear implants, three speakers who had severe reduction in hearing following surgery for Neurofibromatosis-2, and one hard of hearing speaker. These speakers made recordings of the Rainbow Passage and an English vowel inventory before and after intervention. All but one of the postlingually deaf speakers who received prosthetic hearing reduced speech sound level, SPL. Three of these significantly increased a measure of inferred glottal aperture, H1-H2, and their session means for these two parameters were inversely correlated longitudinally. All but one of the speakers terminated respiratory limbs closer to functional residual capacity (FRC) once prosthetic hearing was supplied. Finally, the implant users' average values of air expenditure moved toward normative values with prosthetic hearing. These results are attributed to the mediation of changes in respiratory and glottal posture aimed at reducing speech sound level and economizing effort.