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The evidence‐ and consensus‐based guideline on atopic eczema was developed in accordance with the EuroGuiDerm Guideline and Consensus Statement Development Manual. Four consensus conferences were held between December 2020 and July 2021. Twenty‐nine experts (including clinicians and patient representatives) from 12 European countries participated. This second part of the guideline includes recommendations and detailed information on basic therapy with emollients and moisturizers, topical anti‐inflammatory treatment, antimicrobial and antipruritic treatment and UV phototherapy. Furthermore, this part of the guideline covers techniques for avoiding provocation factors, as well as dietary interventions, immunotherapy, complementary medicine and educational interventions for patients with atopic eczema and deals with occupational and psychodermatological aspects of the disease. It also contains guidance on treatment for paediatric and adolescent patients and pregnant or breastfeeding women, as well as considerations for patients who want to have a child. A chapter on the patient perspective is also provided. The first part of the guideline, published separately, contains recommendations and guidance on systemic treatment with conventional immunosuppressive drugs, biologics and janus kinase (JAK) inhibitors, as well as information on the scope and purpose of the guideline, and a section on guideline methodology. [ABSTRACT FROM AUTHOR]

The evidence‐ and consensus‐based guideline on atopic eczema was developed in accordance with the EuroGuiDerm Guideline and Consensus Statement Development Manual. Four consensus conferences were held between December 2020 and July 2021. Twenty‐nine experts (including clinicians and patient representatives) from 12 European countries participated. This first part of the guideline includes general information on its scope and purpose, the health questions covered, target users and a methods section. It also provides guidance on which patients should be treated with systemic therapies, as well as recommendations and detailed information on each systemic drug. The systemic treatment options discussed in the guideline comprise conventional immunosuppressive drugs (azathioprine, ciclosporin, glucocorticosteroids, methotrexate and mycophenolate mofetil), biologics (dupilumab, lebrikizumab, nemolizumab, omalizumab and tralokinumab) and janus kinase inhibitors (abrocitinib, baricitinib and upadacitinib). Part two of the guideline will address avoidance of provocation factors, dietary interventions, immunotherapy, complementary medicine, educational interventions, occupational and psychodermatological aspects, patient perspective and considerations for paediatric, adolescent, pregnant and breastfeeding patients. [ABSTRACT FROM AUTHOR]

Summary: The objective of this contribution is to design a novel methodology to enforce interface conditions preserving higher‐order continuity across the interface. In recent years, isogeometric methods using NURBS as basis functions have gained increasing attention, especially in the context of higher‐order partial differential equations. They require, in general, higher continuity across interfaces, and thus, new methodologies for domain decomposition constraints capable to deal with those requirements have to be developed. In this contribution, we introduce, in a first step, the coupling constraints using a Euclidean norm on the interface and construct new basis functions. A reformulation as saddle point system allows for a comparison with classical mortar approaches and leads finally to an extended mortar method to enforce Cn continuity. [ABSTRACT FROM AUTHOR]

The chinchilla ( Chinchilla laniger) is a herbivorous hystricomorph South American rodent for which no mean digesta retention times have been reported so far. Six animals (mean body mass ± standard deviation: 513 ± 99 g) on a diet of grass hay and lucerne-based pellets were given a pulse dose of a solute (cobalt- EDTA) and a particle (chromium-mordanted fibre, <2 mm) marker with subsequent frequent faecal collection. Dry matter intake was 45.2 ± 8.0 g/kg0.75/day. Mean retention times were 22.2 ± 5.3 h for solutes and 25.4 ± 5.2 h for particles, with the difference being not significant within individuals. This indicates the presence of a 'mucus-trap' colonic separation mechanism, which is in accord with morphological descriptions of the typical colonic furrow in chinchillas. Corresponding to a strategy of colonic digesta separation and caecotroph formation, secondary marker excretion peaks indicated coprophagic events that were spaced approximately 12 h apart. Given that these retention times appear longer than measures reported for rabbits ( Oryctolagus cuniculus) or guinea pigs ( Cavia procellus), it would be interesting to compare the digestive efficiency of chinchillas on high levels of dietary fibre to other species. [ABSTRACT FROM AUTHOR]

Sloths are renowned for their low metabolic rate, low food intake and low defecation frequency. We investigated factors of digestive physiology and energy metabolism in four captive individuals (mean body mass 10.0 ± SD 3.7 kg) of a hitherto mostly unstudied sloth species, Linné's two-toed sloth ( Choloepus didactylus), in a 2-week digestion recording and 23-h respiration experiment on animals fed a standard zoo diet of vegetables and starchy components. Dry matter intake, defecation frequency and particle mean retention time ( MRT) in the gastrointestinal tract ( GIT) were 12 ± 3 g/(kg0.75 day), once every 5 days and >140 h in three individuals, but 53 g/(kg0.75 day), daily and 82 h in one individual that was apparently compensating for a period of weight loss prior to the experiment. In all animals, solute marker was eliminated at a faster rate than the particle marker, indicating 'digesta washing' in the sloths' GIT. The overall metabolic rate calculated from oxygen consumption matched the metabolisable energy intake in three individuals [173 ± 22 vs. 168 ± 44 kJ/(kg0.75 day)] but not in the fourth one [225 vs. 698 kJ/(kg0.75 day)], supporting the interpretation that this animal was replenishing body stores. In spite of the low food intake and the low-fibre diet (209 ± 26 g neutral detergent fibre/kg dry matter), methane production was rather high accounting for 9.4 ± 0.8% of gross energy intake (2.7% in the fourth individual), which exceeded literature data for ruminants on forage-only diets. These results corroborate literature reports on low intake, low defecation frequency, low metabolic rate and long MRT in other sloth species. The long MRT is probably responsible for the comparatively high methane production, providing more opportunity for methanogenic archaea than in other non-ruminant mammals to produce significant amounts of methane. [ABSTRACT FROM AUTHOR]

The Kuramoto-Sivashinsky equation has emerged as a fundamental evolution equation to describe highly nonlinear physical processes in unstable systems. In general, it constitutes a nonlinear initial-valued problem involving fourth-order spatial derivatives. Finite element solutions for the Kuramoto-Sivashinsky equation are not common because the primal variational formulation of fourth-order operators requires finite element basis functions which are piecewise smooth and globally at least C1-continuous. In this paper a novel B-spline based finite element approach to the solution of the one-dimensional Kuramoto-Sivashinsky equation is presented. Extensive numerical studies of different scenarios in the Kuramoto-Sivashinsky equation will illustrate the quality of our approach. [ABSTRACT FROM AUTHOR]