Add-on therapy options in asthma not adequately controlled by inhaled corticosteroids: a comprehensive review

Many patients with persistent asthma can be controlled with inhaled corticosteroids (ICS). However, a considerable proportion of patients remain symptomatic, despite the use of ICS. We present systematically evidence that supports the different treatment options. A literature search was made of Medline/PubMed to identify randomised and blinded trials. To demonstrate the benefit that can be obtained by increasing the dose of ICS, dose-response studies with at least three different ICS doses were identified. To demonstrate whether more benefit can be obtained by adding long-acting β₂-agonist (LABA), leukotriene antagonist (LTRA) or theophylline than by increasing the dose of ICS, studies comparing these options were identified. Thirdly, studies comparing the different "add-on" options were identified. The addition of a LABA is more effective than increasing the dose of ICS in improving asthma control. By increasing the dose of ICS, clinical improvement is likely to be of small magnitude. Addition of a LTRA or theophylline to the treatment regimen appears to be equivalent to doubling the dose of ICS. Addition of a LABA seems to be superior to an LTRA in improving lung function. However, addition of LABA and LTRA may be equal with respect to asthma exacerbations. However, more and longer studies are needed to better clarify the role of LTRAs and theophylline as add-on therapies.     

An automated PCR platform with homogeneous time-resolved fluorescence detection and dry chemistry assay kits

We have developed a novel instrument platform, GenomEra, for small-scale analysis of nucleic acids. The platform combines a rapid thermal cycler, an integrated time-resolved fluorescence measurement unit, and user-friendly software for the analysis of results. Disposable low-cost plastic reaction vessels are designed specifically for the instrument and contain all of the assay-specific reagents in dry form. The appropriate assay protocol is specified on barcodes printed under the vessels and is automatically initiated by the software. Detection is based on the use of sequence-specific probes labeled with intrinsically fluorescent europium or terbium chelates and complementary quencher probes, which enable sensitive, homogeneous closed-tube assays without the risk of carryover contamination. The detection limit of the instrument (background + 3 SD) is approximately 20 pmol/L for both chelates with a dynamic range of nearly four orders of magnitude. The functionality of the platform is demonstrated with a dual-label homogeneous polymerase chain reaction (PCR) assay for the detection of Salmonella using a Magda CA Salmonella assay kit. An internal amplification control is included in each reaction to eliminate false negative results caused by PCR inhibition. Qualitative assay results are automatically interpreted by the software and are available 45 min after sample addition.     

Habitat characteristics and macroinvertebrate assemblages in boreal forest streams: relations to catchment silvicultural activities

We compared the stream habitat characteristics and macroinvertebrate assemblages of boreal headwater streams in both the Finnish and the Russian parts of a single river basin, the Koitajoki River. Over the last 50 years, the Finnish side of the catchment has been managed using modern forestry techniques, whereas Russian side has remained nearly unexploited and is near to its natural state. Differences in silvicultural activities were observed to contribute to differences in habitat structure. The channel habitats were in fairly natural state in the Russian reference streams, whereas the impacted Finnish sites were cleared and straightened. In comparison with the impacted channels, the abundance of coarse woody debris (CWD) was 10–100-fold higher in the reference streams. Implications on the forestry-induced deterioration of water quality were also observed. On the contrary, only small differences in macroinvertebrate assemblages were detected. Despite the lower amount of retentive structures (CWD), significantly higher relative abundance of shredders was observed in the forestry-impacted streams. Otherwise the zoobenthic communities were quite similar in the two subcatchments. We suggest that several mechanisms may explain this similarity: (1) community structure is controlled by naturally acidic conditions, (2) the adverse impacts of forestry on habitat structure and water quality of streams may be compensated by increased input of deciduous litter and organic compounds from drained, structurally young riparian forests and (3) macroinvertebrate species have flexible feeding habits and may thus readily adapt to changing conditions.     

Ability to assess nest predation risk in secondary hole-nesting birds: an experimental study

Because nest predation is the major source of nesting mortality in birds, site-specific predation risk may play an important role in determining birds' ability to select nest sites that reduce predation risk. This possibility has not been adequately tested. Here we report on 5-year experiments by which we studied, independently from birds' earlier experience with specific nest boxes, both the selection and predation risk of nest sites in the common goldeneye (Bucephala clangula). New, previously unoccupied nest boxes were erected in two habitat types on three study areas. Experimentally measured predation risk in the nest boxes varied between 0 and 1.0, i.e. goldeneye females could select a nest site along a wide gradient of possible predation-risk values. We did not find a difference in predation risk between occupied and unoccupied nest boxes, nor was the order of nest box occupation associated with predation risk. A power analysis revealed that our test had reasonably high power to reject a false null hypothesis. Our results suggest that common goldeneye females likely have not evolved an ability to assess predation risk of new, previously unoccupied nest sites.     

State of Lake Sysmäjärvi,Eastern Finland,after loading with mine water and municipal waste water for several decades

Hydrobiologia - The deep mining of copper and nickel at Outokumpu, Eastern Finland, lasted from 1910 to the late 1980s, during which period metalliferous waste water of high conductivity and...     

Effect of experimental nitrogen load on methane and nitrous oxide fluxes on ombrotrophic boreal peatland

Methane (CH₄) and nitrous oxide (N₂O) dynamics were studied in a boreal Sphagnum fuscum pine bog receiving annually (from 1991 to 1996) 30 or 100 kg NH₄NO₃-N ha^–1. The gas emissions were measured during the last three growing seasons of the experiment. Nitrogen treatment did not affect the CH₄ fluxes in the microsites where S. fuscum and S. angustifolium dominated. However, addition of 100 kg NH₄NO₃-N ha^–1 yr^–1 increased the CH₄ emission from those microsites dominated by S. fuscum. This increase was associated with the increase in coverage of cotton grass (Eriophorum vaginatum) induced by the nitrogen treatment. The differences in the CH₄ emissions were not related to the CH₄ oxidation and production potentials in the peat profiles. The N₂O fluxes were negligible from all microsites. Only minor short-term increases occurred after the nitrogen addition.     

Costs and benefits of female-biased natal philopatry in the common goldeneye

Sex-biased natal dispersal in long-lived species may resultin interactions between parents and mature young of the philopatricsex. To investigate the evolutionary basis of natal philopatryin a noncooperative species, the common goldeneye Bucephalaclangula, we studied possible costs and benefits of simultaneousbreeding of females and philopatric daughters. We did not find any fitness consequences of a daughter's breeding on their mother'sbreeding in terms of nest-site selection, body weight, clutchsize, hatching date, or hatching success. Our results, therefore,did not support the assumption of the local resource competitionhypothesis, that the natally philopatric sex should be morecostly to a breeding parent. As possible benefits for daughters returning to their natal area, we tested inheritance of nestsites from mothers and explored whether daughters utilize thepresence of their mother by parasitically sneaking into hermother's nest. Daughters' nest-site selection was not associatedwith the presence of their mothers. A comparison between daughtersand control females revealed that daughters chose their nestsite closer to their natal nest than expected by nest-siteavailability alone. Daughters could not expect to inherit anest site from their mother, and we did not find other indicationsof cooperation between relatives either. The mother's clutchsize did not increase in the year breeding with the daughter, indicating daughters do not parasitize their mother's nest.We suggest that benefits such as decreased nest predation riskassociated with nesting close to the natal nest site may beimportant in the natal philopatric behavior of the species.     

Effect of space allowance and earthen flooring on behaviour of farmed blue foxes

This study sought to evaluate the effect of cage space and earthen flooring on the behaviour of individually caged, farmed blue foxes (Alopex lagopus). Three different cage sizes [80 cm long (CL80), 120 cm long (CL120), 240 cm long (CL240); each 105 cm wide×70 cm high] with wire-mesh flooring, and one two-level cage (CL240E) with both wire-mesh (240 cm long×105 cm wide×70 cm high) and earthen flooring (80 cm long×105 cm wide×70 cm high) were employed. Quantitative ethograms were obtained from ten males in each group by videotaping the animals for 144 h monthly from August through November. Altogether 30 different behaviours were described. These were rather similar in all study groups. Examples of behavioural differences included pacing around with a neighbour and the incidence of scratching, which both declined with increasing cage space. Only the foxes in the cage with an earthen flooring (CL240E) exhibited digging behaviour, which averaged 11 min/24 h. The wire-mesh section was distinctly preferred to the earthen-floor section for most behaviours. Foxes in all groups were at their most active from 0800 to 1600 hours. Total activity, including several separate behaviours, declined as winter approached. Locomotor and oral stereotypies were infrequent, and no significant differences were found between the various cage options. For several hours before feeding, the foxes showed increasing levels of stereotypies, but afterwards, stereotypies abruptly declined. Received in revised form: 28 March 2001 Electronic Publication     

Urban biodiversity in local newspapers: a historical perspective

Due to rapid urbanization the conservation and values of urban wildlife are becoming increasingly important study objects. Unfortunately, the lack of historical data makes it difficult to assess the effects of long-term urban land-use changes and human attitudes on local biodiversity. In this paper we show that old newspapers may in some cases provide useful historical data on both urban wildlife and local attitudes towards it. In the city of Turku, southwest Finland, the leading newspaper published 316 observations or reports on local urban mammals, birds and reptiles in 1890–1920, and in addition to these a lot of information on contemporary attitudes towards urban wildlife. At least 12 species of noncaptive mammals, 32 species of birds, and three reptile species were documented in newspapers. The newspaper data seem fairly reliable, and provide valuable information on the development of urban biodiversity. In the study period animals visiting urban areas were often persecuted, in which both adults and children (mainly schoolboys) participated actively. Birds were persecuted less frequently than mammals or reptiles. Some bird species, especially 'song-birds', were actively supported by winter-feeding and by constructing nest-boxes. According to newspapers local people were interested in local biodiversity, especially on phenological events, and benefited from it by getting esthetic pleasure, pet animals, and information on seasonal changes.