Redescription of Hedruris mucronifer (Nematoda: Hedruridae) parasite of Telmatobius schreiteri (Anura, Telmatobiidae) from Tucumán, Argentina.

The species Hedruris mucronifer Schuurmans Stekhoven, 1952 parasite of Telmatobius schreiteri from Tafí del Valle, Tucumán, Argentina is herein redescribed. The main morphological characters used for its identification are illustrated. The lectotype and paralectotype are designated, respectively. The specific epithet of the host is rectified.

Daily alcohol consumption and sickness absence in the GAZEL cohort.

Background: : Previous studies that examined the association between daily alcohol consumption and sickness absences (SA) were mostly retrospective and did not take into account the characteristics of SA. : A total of 9907 daily drinkers (8442 men and 1465 women) of the GAZEL prospective cohort were included. Daily alcohol consumption over the three previous years was self-reported at baseline and categorized as low, moderate, high or very high risk according to the World Health Organization. Duration of SA (short: ≤7 days; moderate: 8-28; long: >28) was collected from administrative records as well as causes for long SA. Negative binomial regression models were used to estimate Risk Ratios of SA according to alcohol consumption with low-risk category as reference. : Duration of follow-up (in years) for SA was 8.4 ± 3.7 in men and 11.2 ± 5.4 in women. Increasing alcohol consumption predicted increasing risk of SA with a dose-response relationship ( P < 0.01 for men; P = 0.01 for women). In men, strength of this association increased with SA duration [e.g. RRs from 1.41 (95% CI: 1.12-1.79) to 2.12 (95% CI: 1.49-3.00) in the very high-risk category, for short and long SA, respectively]. In men, even a moderate consumption predicted increased risk of SA whatever their duration (RR = 1.15; 95% CI: 1.07-1.23). In women, a moderate consumption predicted only long SA (RR = 1.22; 95% CI: 1.00-1.50). Daily alcohol consumption was associated with almost all causes of long SA in men, and with respiratory diseases, digestive diseases and injury in women. : We found a dose-response relationship between daily alcohol consumption and the risk of SA. Even moderate consumption could increase this risk, particularly in men.

Thubunaea eleodori sp. nov. (Nematoda: Physalopteridae) from Liolaemus eleodori (Sauria: Liolaemidae) from Argentina.

Thubunaea eleodori sp. nov. is described from the stomach of Liolaemus eleodori (Sauria: Liolaemidae) from San Guillermo National Park, Province of San Juan, Argentina. T. eleodori is most similar to those species lacking spicules, T. cnemidophorus, T. fitsimonsi, T. parkeri, T. schukurovi, and T. smogorzhewskii. T. eleodori is separated from these species based on the papilla pattern. T. eleodori has 12 pedunculate papillae and 14 sessile papillae, T. smogorzhewskii lacks pedunculate papillae, T. fitsimonsi and T. parkeri lack sessile papillae, and T. cnemidophorus has14-16 pedunculate papillae and 12 sessile papillae. T. eleodori represents the first member of the genus to be reported from Argentina.

More than Light Alcohol Consumption Predicts Early Cessation from Employment in French Middle-Aged Men.

AIMS: To investigate the association between alcohol consumption and different causes of work cessation and estimate the loss of occupational activity among high consumers compared with low consumers. METHODS: From the prospective study of men employed in the French gas and electric company, 8442 men during a median follow-up of 8.4 years reported on their alcohol consumption. Information on work cessation was collected from the company administrative records. Hazard Ratios (HRs) by cause of work cessation (death, disability, retirement before or after age 55) were estimated using a competing risk method. RESULTS: An increasing quantity of daily alcohol consumption was associated with an increased risk of death, disability and retirement before age 55 (P trend ≤ 0.01, = 0.03 and ≤ 0.01, respectively), but not of retirement after age 55 (P trend = 0.56). Moreover, compared with low consumption, moderate, high or very high daily intakes were associated with an increased risk of early work cessation (combination of the three causes: death, disability and retirement before age 55) (HR = 1.14, 95% confidence interval (CI) = 1.05-1.25; HR = 1.23, 95% CI = 1.12-1.35 and HR = 1.49, 95% CI = 1.15-1.92 respectively). Between ages 50 and 60, we estimated that high or very high consumers could gain 6.04 months of occupational activity if they drank like low consumers. CONCLUSIONS: Our results provide evidence of a dose-effect relationship between alcohol consumption and early work cessation.

Randomized Controlled Trial of Enhanced Recovery After Surgery Protocols in Live Kidney Donors: ERASKT Study.

Background: Enhanced recovery after surgery (ERAS) pathways represent a comprehensive approach to optimizing perioperative management and reducing hospital stay and cost. In living donor kidney transplantation, key impediments to postoperative discharge include pain, and opioid associated complications such as nausea, vomiting, and the return of gastrointestinal function. Methods: In this randomized controlled trial, living kidney transplantation donors were assigned to either the ERAS or control group. The ERAS group patients received 15 preoperative, 17 intraoperative, 19 postoperative element intervention. The control group received standard care. The ERAS group received a multimodal opioid sparing pain management including an intraoperative transverse abdominis plane block. Our primary outcome measure was postoperative opioid consumption. The secondary outcome measures were postoperative pain scores, first oral intake, and hospital length of stay. Results: There were no significant differences in demographics between the 2 groups. The ERAS group had a statistically significant reduction in total postoperative opioid consumption calculated in intravenous morphine equivalents (24.2 ±â€…20.2 versus 71 ±â€…39.5 mg, P < 0.01). Postoperative pain scores were significantly lower (P < 0.001) from 1 h postoperatively to 48 h. Surgical time was 45 min shorter (P = 0.037). Intraoperative PlasmaLyte administration was lower (PlasmaLyte: 1444 ±â€…907 versus 2168 ±â€…1347 mL, P = 0.049). Time to tolerating regular diet was shorter by 2 h (P < 0.008), and length of hospital stay was decreased by 10.1 h. Conclusions: The ERAS group experienced superior postoperative analgesia and a shorter length of hospital stay compared with controls.

Brave new E-world: Medical students' preferences for and usage of electronic learning resources during two different phases of their education.

E-learning strategies have become an important part of biomedical education. However, why and how medical students select hardware tools and software formats during their preclinical education has not been sufficiently evaluated. These aspects should be considered when designing or offering new e-learning modalities to learners. Two medical school classes at a major US medical school were surveyed about their use of e-learning resources during their first year of medical school or their preparation for their first licensing examination (USMLE® Step 1), respectively. Their responses were analyzed for patterns and significant changes. Students' answers indicated that computers and tablets were considered the most important hardware devices to support students' learning. During the first year, students often preferred resources that were tailored to the specific courses in their curriculum. In contrast, some preferences changed when students prepared for the USMLE Step 1, with students shifting almost exclusively to a solitary learning strategy using commercial e-learning resources. Across all phases of medical school education queried, peer advice was the major determinant influencing e-learning resource selection with faculty only playing a minor role. Videos were the most popular e-learning modality, and students cited efficient acquisition of knowledge and preparation for examinations as major reasons for e-learning tool utilization. These factors should be considered when offering e-learning resources to medical students during different phases of their preclinical training.

Possible effect of environmental exposure to asbestos on geographical variation in mesothelioma rates.

BACKGROUND: In population-based mesothelioma studies in industrialised countries, the incidence of mesothelioma without any identified asbestos exposure (IAE) is usually higher among women, while male incidence is mainly attributed to IAE. Through a comparison of the spatial distribution of male and female rates, and IAE and no IAE incidence, this study investigated whether mesotheliomas without IAE are in fact induced by non-recognised asbestos exposure, mostly from environmental sources. METHODS: We calculated mesothelioma mortality (SMR) and incidence (SIR) ratios by district in France, pooling 30 and 10 years of data, respectively. Using correlation coefficients, we compared geographical patterns of male and female mesothelioma ratios, and IAE and no IAE mesothelioma ratios. RESULTS: The raw numbers of male and female mesothelioma cases were equivalent. Mesothelioma SMR (0.76) and SIR (0.80) geographical correlations between men and women were strongly positive. SIR correlation between occupationally IAE and no IAE cases was also positive (0.69). Correlation between occupationally IAE and no IAE cases was positive among women but not among men. CONCLUSIONS: Data analyses of mesothelioma mortality and incidence showed that female cases occur in the same geographical areas as male cases. Female mesotheliomas with no IAE occur in the same geographical areas as exposed cases, suggesting asbestos has a major influence on female mesothelioma, likely through environmental exposure.

Rhabdias elegans (Nematoda: Rhabdiasidae) in the toad, Rhinella arenarum (Hensel, 1867) from Argentina.

This study describes the morphology of Rhabdias elegans Gutierrez, 1945, isolated from the lungs of the toad Rhinella arenarum (Hensel, 1867) from Lomas de Tafi Tucumán, Argentina. This is the first record of R. elegans in R. arenarum from northwestern Argentina as previously described Rhabdias truncata is a species inquirendae. The distribution of R. elegans is extended since it was previously recorded in Buenos Aires, Chaco and Corrientes Provinces, Argentina. Our light microscopical study of morphological details of R. elegans revealed a few previously unreported structures in the apical region including position of the excretory pore and lateral sessile papillae in the tail. In addition, morphometric variability was observed on comparing present specimens and those described in previous studies. Our study made it possible to validate the occurrence of three Rhabdias species occurring in Argentina: R. elegans, R. füelleborni and R. cf. sphaerocephala. The information presented in this study represents an important contribution to the parasitological knowledge of R. arenarum from northwestern Argentina.

New species of Falcaustra (Nematoda: Kathlaniidae) in Nyctimystes cheesmani (Anura: Hylidae) from Papua New Guinea.

Falcaustra batrachiensis n. sp. (Ascaridida, Kathlaniidae) from the large intestine of Nyctimystes cheesmani (Anura, Hylidae) is described and illustrated. Falcaustra batrachiensis represents the fifth Australo-Papuan species assigned to the genus and is distinguished from other Australo-Papuan species by the distribution pattern of the caudal papillae (8 precloacal, 2 adcloacal, 6 postcloacal, and 1 median), length of spicules (1.4-1.6 mm) and presence of pseudosuckers (5 or 6). Nyctimystes cheesmani was found to harbor 7 additional species of Nematoda, adults of Cosmocerca novaeguineae, Maxvachonia ewersi, Meteterakis crombiei, Physalopteroides milnensis, Pseudorictularia dipsarilis, Seuratascaris numidica, larvae in cysts of Abbreviata sp., and 1 species of Acanthocephala, Acanthocephalus bufonis. Nyctimystes cheesmani represents a new host record for each of these helminth species.

New species of Parathelandros (Nematoda: Pharyngodonidae) in Nyctimystes trachydermis (Anura: Hylidae) from Papua New Guinea.

Parathelandros allisoni n. sp. from the intestines of the frog Nyctimystes trachydermis (Hylidae) from Central Province, Papua New Guinea is described and illustrated. It is the 12th species assigned to the genus and the ninth species of Parathelandros to be reported from the Australo-Papuan region. Parathelandros allisoni n. sp. is most similar to Parathelandros australiensis in that the vulva occurs near the esophageal bulb, but differs in that males lack the spherical postcloacal lobe characteristic of P. australiensis. The description of P. andersoni is amended to include operculate eggs and rosette papillae on the tail of the male.

A new species of Cosmocercidae (Ascaridida) in the worm lizard, Amphisbaena bolivica (Squamata: Amphisbaenidae), from Argentina.

Aplectana tucumanensis n. sp., from the large intestine of Amphisbaena bolivica, is described and illustrated. Of the 43 nominal species of Aplectana, A. tucumanensis n. sp. represents the fourth species reported in Amphisbaena spp. These 4 species are separated on the basis of male characters: spicules of Aplectana alba approximately 60 micro in length, Aplectana pusilla and A. tucumanensis approximately 100 micro, Aplectana raillieti greater than 230 micro; papillae pattern of A. pusilla with 3 preanal pairs, 2 adanal pairs, 6 postanal pairs, and 1 median papilla compared to 9 preanal pairs, 1 adanal pair, 6 postanal, and no median papilla for A. tucumanensis.

New species of Aplectana (Ascaridida: Cosmocercidae) in the toads, Rhinella granulosa and Rhinella schneideri (Anura: Bufonidae) from northern Argentina.

Aplectana adaechevarriae n. sp., from the large intestine of Rhinella granulosa and Rhinella schneideri, is described and illustrated. Of the 43 nominal species of Aplectana, A. adaechevarriae n. sp. represents the 23rd Neotropical species and the third species reported from Argentina. Of the Neotropical species, only 4, Aplectana elenae, Aplectana hylambatis, Aplectana raillieti, and A. adaechevarriae n. sp., have 8 pairs of preanal papillae. Aplectana adaechevarriae lacks a median preanal papilla; the other 3 species possess a median preanal papilla.

[REACH: a European programme for renewed management of health risks]. / REACH: un programme européen de gestion renouvelée des risques sanitaires.

The new European directive REACH constitutes a potential step forward for the prevention of health risks linked to industrial chemical production. The conflicts of interest expressed throughout its development and the compromises resulting from those opposing interest situate this directive at the cross-roads of the multiple rationales operating in the occupational health field. The precautionary principal, risk assessment, prevention, regulation, and corporate responsibility will have a role to play in the practical implementation of REACH.

A new species of Aplectana (Nematoda, Cosmocercidae) in Goniurosaurus bawanglingensis (Squamata, Eublepharidae), from Hainan Province, China.

Aplectana hainanensis sp. nov. (Ascaridida, Cosmocercidae) from the intestines of Goniurosaurus bawanglingensis (Squamata, Eublepharidae) is described and illustrated. Aplectana hainanensis sp. nov. represents the 52nd species assigned to the genus and the 5th species reported from the Sino-Japanese region. It is easily separated from the 4 species previously reported from the region by the distribution pattern of male caudal papillae: A. macintoshii has an irregular pattern; A. hylae has no precloacal papillae; A. fujianae has 1 pair of precloacal papillae; A paucipapillosa has 3 pairs of precloacal papillae; Aplectana hainanensis sp. nov. has 7 pairs of precloacal papillae.

Endoparasites in Limnonectes magnus (Anura, Dicroglossidae) from Samar Island, Philippines with description of a new species of Aplectana (Nematoda, Cosmocercidae).

Aplectana samarensis sp. nov. (Ascaridida, Cosmocercidae) from the intestines of Limnonectes magnus (Anura, Dicroglossidae) is described and illustrated. Aplectana samarensis sp. nov. represents the 53rd species assigned to the genus and the 6th species reported from the Oriental region. It is easily separated from the 5 species previously reported from the region by the presence of a gubernaculum and the distribution pattern of male caudal papillae: A. macintoshii has an irregular pattern, no precloacal papillae in rows; both A. akhrami and A. dubrajpuri lack a gubernaculum; A. duttaphryni has 3 pairs of precloacal papillae forming 2 rows; A. ranae has 7 pairs of precloacal papillae forming 2 rows; A. samarensis sp. nov. has 4 pairs of precloacal papillae in 2 rows. In addition to the new species, individuals of Falcaustra dubia and Pseudoacanthocephalus bufonis as well as cestode plerocercoids were also found.

Anatomic and physiological characteristics of the ferret lateral rectus muscle and abducens nucleus.

The ferret has become a popular model for physiological and neurodevelopmental research in the visual system. We believed it important, therefore, to study extraocular whole muscle as well as single motor unit physiology in the ferret. Using extracellular stimulation, 62 individual motor units in the ferret abducens nucleus were evaluated for their contractile characteristics. Of these motor units, 56 innervated the lateral rectus (LR) muscle alone, while 6 were split between the LR and retractor bulbi (RB) muscle slips. In addition to individual motor units, the whole LR muscle was evaluated for twitch, tetanic peak force, and fatigue. The abducens nucleus motor units showed a twitch contraction time of 15.4 ms, a mean twitch tension of 30.2 mg, and an average fusion frequency of 154 Hz. Single-unit fatigue index averaged 0.634. Whole muscle twitch contraction time was 16.7 ms with a mean twitch tension of 3.32 g. The average fatigue index of whole muscle was 0.408. The abducens nucleus was examined with horseradish peroxidase conjugated with the subunit B of cholera toxin histochemistry and found to contain an average of 183 motoneurons. Samples of LR were found to contain an average of 4,687 fibers, indicating an LR innervation ratio of 25.6:1. Compared with cat and squirrel monkeys, the ferret LR motor units contract more slowly yet more powerfully. The functional visual requirements of the ferret may explain these fundamental differences.

Effects of artificial rearing on contractile properties of genioglossus muscle in Sprague-Dawley rat.

Mammals suckle from a nipple during the early neonatal period to obtain nourishment. The genioglossus muscle helps position and move the tongue for efficient suckling. The purpose of this study was to examine the contractile properties and myosin heavy chain (MHC) phenotype of the genioglossus following an early period of artificial rearing, which reduced nutritive suckling. Beginning at 3 days of age, rats were fed via gastric cannula until postnatal day 14 (P14). At P14, artificially reared rat pups were either allowed to grow to postnatal day 42 (P42) or anaesthetised and prepared for experimentation. Comparisons were made between artificially reared and dam reared groups at P14 and P42. At P14 maximum tetanic tension and fatigue index were lower in the artificially reared group than the dam reared group. By P42, artificially reared rats had a higher fatigue index and lower percentage of MHCIIa than dam reared rats. The artificial rearing technique employed in this study was adequate to produce chronic changes in fatigue resistance and MHC distribution in genioglossus muscle of rat; the changes observed here may be similar to changes that occur in premature human infants requiring early artificial feedings.

New species of Skrjabinodon (Nematoda: Pharyngodonidae) in Uracentron flaviceps (Squamata: Iguanidae) from Ecuador and Peru.

Skrjabinodon dixoni n. sp. from the large intestine of Uracentron flaviceps (Squamata: Iguanidae) from Peru is described and illustrated. It is also reported in the same host from Ecuador. Skrjabinodon dixoni n. sp. differs from other species assigned to Skrjabinodon by morphology of tail filament and number of tail filament spines.

Two new species of cosmocercids (Ascaridida) in the toad Chaunus arenarum (Anura: Bufonidae) from Argentina.

Aplectana tarija n. sp. and Cosmocercoides lilloi n. sp., intestinal parasites of the toad Chaunus arenarum, are described. Of the 41 nominal species of Aplectana, A. tarija n. sp. represents the 22nd Neotropical species and the second species reported from Argentina. Of the 14 nominal species of Cosmocercoides, C. lilloi n. sp. represents the 15th species and the first species reported from South America.

New species of Rhabdias (Nematoda: Rhabdiasidae) and other helminths from Norops capito (Sauria: Polychrotidae) from Nicaragua.

Rhabdias nicaraguensis n. sp. (Rhabditida: Rhabditidae) from the lungs of Norops capito (Sauria: Polychrotidae) is described and illustrated. Rhabdias nicaraguensis n. sp. represents the 54th species assigned to the genus and the 12th from the Neotropical realm. Of the 12 Neotropical Rhabdias species, nicaraguensis is most similar to tobagoensis and vellardi. These 3 species have equatorial placement of the vulva, inflated cuticle, and 6 small circumoral lips. Rhabdias nicaraguensis is easily separated from R. tobagoensis by the shape of the buccal cavity and from R. vellardi by body size and shape of the tail. Rhabdias nicaraguensis differs from both species by host preference, the amount of inflated cuticle covering the body, and the phasmids situated posterior to the midpoint of the tail.