International clinical recommendations on scar management

Many techniques for management of hypertrophic scars and keloids have been proven through extensive use, but few have been supported by prospective studies with adequate control groups. Several new therapies showed good results in small-scale trials, but these have not been repeated in larger trials with long-term follow-up. This article reports a qualitative overview of the available clinical literature by an international panel of experts using standard methods of appraisal. The article provides evidence-based recommendations on prevention and treatment of abnormal scarring and, where studies are insufficient, consensus on best practice. The recommendations focus on the management of hypertrophic scars and keloids, and are internationally applicable in a range of clinical situations. These recommendations support a move to a more evidence-based approach in scar management. This approach highlights a primary role for silicone gel sheeting and intralesional corticosteroids in the management of a wide variety of abnormal scars. The authors concluded that these are the only treatments for which sufficient evidence exists to make evidence-based recommendations. A number of other therapies that are in common use have achieved acceptance by the authors as standard practice. However, it is highly desirable that many standard practices and new emerging therapies undergo large-scale studies with long-term follow-up before being recommended conclusively as alternative therapies for scar management.     

CEP290 mutations are frequently identified in the oculo-renal form of Joubert syndrome-related disorders

Joubert syndrome–related disorders (JSRDs) are a group of clinically and genetically heterogeneous conditions that share a midbrain-hindbrain malformation, the molar tooth sign (MTS) visible on brain imaging, with variable neurological, ocular, and renal manifestations. Mutations in the CEP290 gene were recently identified in families with the MTS-related neurological features, many of which showed oculo-renal involvement typical of Senior-Löken syndrome (JSRD-SLS phenotype). Here, we performed comprehensive CEP290-mutation analysis on two nonoverlapping cohorts of JSRD-affected patients with a proven MTS. We identified mutations in 19 of 44 patients with JSRD-SLS. The second cohort consisted of 84 patients representing the spectrum of other JSRD subtypes, with mutations identified in only two patients. The data suggest that CEP290 mutations are frequently encountered and are largely specific to the JSRD-SLS subtype. One patient with mutation displayed complete situs inversus, confirming the clinical and genetic overlap between JSRDs and other ciliopathies.     

Estimating Stem Volume Using QuickBird Imagery and Allometric Relationships for Open Populus xiaohei Plantations

There has been a great deal of interest in studying the crown of trees using remote sensing data.In this study,crownwidth was extracted from high-resolution QuickBird images for open Populus xiaohei plantations.Regression modelsfor predicting the individual stem volumes of Populus xiaohei were established using extracted crown width,as well asestimated tree parameters(i.e.diameter at breast height[DBH]and tree height)as predictors.Our results indicated thatcrown width could be accurately extracted from QuickBird images using a multi-scale segmentation approach with a meanrelative error of 5.74%,especially for wide-spacing stands.Using either extracted crown width alone or with estimatedDBH and tree height can successfully estimate individual stem volume of Populus xiaohei with the R~2 value ranging from0.87 to 0.92 depending on different model forms.In particular,the two second-order polynomial models(model2 andmodel 6),based on QuickBird image-derived crown widths and estimated DBH and tree heights,respectively,were the bestat describing the relationship between stem volume and tree characteristics.