No abstract

ObjectiveRemission in rheumatoid arthritis (RA) is an increasingly attainable goal, but there is no widely used definition of remission that is stringent but achievable and could be applied uniformly as an outcome measure in clinical trials. This work was undertaken to develop such a definition.MethodsA committee consisting of members of the American College of Rheumatology, the European League Against Rheumatism, and the Outcome Measures in Rheumatology Initiative met to guide the process and review prespecified analyses from RA clinical trials. The committee requested a stringent definition (little, if any, active disease) and decided to use core set measures including, as a minimum, joint counts and levels of an acute-phase reactant to define remission. Members were surveyed to select the level of each core set measure that would be consistent with remission. Candidate definitions of remission were tested, including those that constituted a number of individual measures of remission (Boolean approach) as well as definitions using disease activity indexes. To select a definition of remission, trial data were analysed to examine the added contribution of patient-reported outcomes and the ability of candidate measures to predict later good radiographic and functional outcomes.ResultsSurvey results for the definition of remission suggested indexes at published thresholds and a count of core set measures, with each measure scored as 1 or less (eg, tender and swollen joint counts, C reactive protein (CRP) level, and global assessments on a 0–10 scale). Analyses suggested the need to include a patient-reported measure. Examination of 2-year follow-up data suggested that many candidate definitions performed comparably in terms of predicting later good radiographic and functional outcomes, although 28-joint Disease Activity Score–based measures of remission did not predict good radiographic outcomes as well as the other candidate definitions did. Given these and other considerations, we propose that a patient's RA can be defined as being in remission based on one of two definitions: (1) when scores on the tender joint count, swollen joint count, CRP (in mg/dl), and patient global assessment (0–10 scale) are all ≤1, or (2) when the score on the Simplified Disease Activity Index is ≤3.3.ConclusionWe propose two new definitions of remission, both of which can be uniformly applied and widely used in RA clinical trials. The authors recommend that one of these be selected as an outcome measure in each trial and that the results on both be reported for each trial.

DNA sequence data from plastid matK and trnL-F regions were used in phylogenetic analyses of Diurideae, which indicate that Diurideae are not monophyletic as currently delimited. However, if Chloraeinae and Pterostylidinae are excluded from Diurideae, the remaining subtribes form a well-supported, monophyletic group that is sister to a "spiranthid" clade. Chloraea, Gavilea, and Megastylis pro parte (Chloraeinae) are all placed among the spiranthid orchids and form a grade with Pterostylis leading to a monophyletic Cranichideae. Codonorchis, previously included among Chloraeinae, is sister to Orchideae. Within the more narrowly delimited Diurideae two major lineages are apparent. One includes Diuridinae, Cryptostylidinae, Thelymitrinae, and an expanded Drakaeinae; the other includes Caladeniinae s.s., Prasophyllinae, and Acianthinae. The achlorophyllous subtribe Rhizanthellinae is a member of Diurideae, but its placement is otherwise uncertain. The sequence-based trees indicate that some morphological characters used in previous classifications, such as subterranean storage organs, anther position, growth habit, fungal symbionts, and pollination syndromes have more complex evolutionary histories than previously hypothesized. Treatments based upon these characters have produced conflicting classifications, and molecular data offer a tool for reevaluating these phylogenetic hypotheses.

a b s t r a c tInvasive alien trees and shrubs pose significant threats to biodiversity and ecosystem services in South African fynbos ecosystems. An ambitious initiative, the Working for Water program, commenced in 1995 to reduce the extent and impact of plant invasions. Despite substantial progress, the problem remains immense, and innovative ways of improving the efficiency of control operations are urgently needed. This study sought to develop a robust conceptual framework for effective management of the most important invasive alien plant (IAP) species. Two methods were applied in exploring the complexity of problems, thereby identifying appropriate response strategies. The DPSIR (Driving forces-PressureState-Impacts-Responses) framework and the Analytic Hierarchy Process (AHP) tool were used to design a strategy for prioritizing management actions. This strategy considers explicitly the most influential factors that determine the distribution, abundance, spread and impacts of IAPs. Efficient management of IAPs is constrained by multiple interacting environmental and socio-economic factors. Factors related to the fire-prone nature of the ecosystem and the characteristics of the invasive stands emerged as pivotal features for setting spatially-explicit priorities for management. Results of the analyses provide an objective and quantifiable perspective for improving the management efficiency. We conclude that considerable progress in controlling the spread of IAPs in fynbos ecosystems could be achieved by better coordination of management practices and by improving the quality of species distribution data.

No abstract

No abstract

Measurements of dielectrophoretic collection spectra of Escherichia coli and Staphylococcus aureus suspensions are used for obtaining dielectric characteristics of both types of bacteria. The experiments are interpreted using a numerical method that models the cells as compartmented spherical or rod-like particles. We show the usefulness of this simple method to extract significant information about the electrical properties of Gram-negative and -positive bacteria.

Drakaea Lindley, 1840 is a genus of 10 species of geophytic orchids endemic to the South-west Australian Floristic Region. The genus is renowned for its morphological and chemical adaptations, achieving pollination by sexual deception of male thynnid wasps. The history of taxa in Drakaea has been one of dispute and confusion right to the present day. Here we provide a revision of the genus, the first made by using modern collections and field data, formalising names for undescribed taxa featured by Hoffman and Brown (1992, 1998), several of which are threatened with extinction. We describe six new species: D. andrewsiae, D. concolor, D. confluens, D. gracilis, D. isolata and D. micrantha. Experimental baiting of male wasps has helped show the specific status of some of these new taxa. Molecular phylogenetic research is needed to clarify relationships and patterns of speciation in the genus. Five of the 10 Drakaea species are legally protected under the Western Australian Wildlife Conservation Act and the Commonwealth Environment Protection and Biodiversity Conservation Act, signalling the ongoing need for research and management to ensure the conservation of this unique part of Australia’s orchid heritage. D. andrewsiae has been recorded only three times from the Gnowangerup–Tunney district. Urgent surveys are needed to establish its conservation status.