Sarcophaga (Liosarcophaga) tibialis Macquart 1851 (Diptera: Sarcophagidae): micromorphology of preimaginal stages of a fly of medical and veterinary interest.

Sarcophagids are a large family of Diptera, with a worldwide distribution. They are related to decomposing organic matter and are very interesting for health science and in forensic cases since many species produce myiasis and occur in human corpses. This family is considered difficult to study, particularly with regard to their immature stages, to which little attention has been paid. Genus Sarcophaga Meigen, 1826 is composed of species of very similar morphology, making very difficult to distinguish. Knowledge of the immature stages of this genus is important because such stages occupy the greater part of the life cycle, so that establishing a basis for their identification will increase their usefulness in systematic and applied sciences. This contribution presents a detailed study of the morphological features, both external and internal, of the preimaginal stages of Sarcophaga (Liosarcophaga) tibialis Macquart, 1851, providing a taxonomical context for the correct identification of Liosarcophaga species of forensic interest in the Iberian Peninsula. Both light and scanning electron microscopy were applied. Complete descriptions of every stage are provided and illustrated, and their usefulness for species comparison, taking into account our uneven knowledge of morphologically immature stages of this subgenus, is indicated. Features of the cephalopharyngeal skeleton, such as the shape of the mouth hook and the intermediate and basal sclerites, and external morphology, such as the pattern of spinose band and anterior and posterior spiracles, proved useful for separating species. Finally, tentative identification keys based on light microscopy observation to distinguish S. (L.) tibialis from other species of forensic interest belonging to Liosarcophaga subgenus are proposed for every immature stage.

Do Herbal Supplements and Probiotics Complement Antibiotics and Diet in the Management of SIBO? A Randomized Clinical Trial.

Small intestinal bacterial overgrowth (SIBO) arises from dysbiosis in the small intestine, manifesting with abdominal symptoms. This study aims to assess the efficacy of combined antibiotic therapy, herbal supplements, probiotics, and dietary modifications in SIBO management. A total of 179 SIBO-diagnosed patients underwent clinical evaluation and breath testing. Patients were categorized into hydrogen (H2-SIBO) and methane (CH4-SIBO) groups. The control group received standard antibiotic therapy and a low-FODMAP diet, while the intervention group received additional herbal antibiotics, probiotics, and prebiotics. After treatment, both groups exhibited reduced gas levels, particularly in CH4-SIBO. Clinical remission rates were higher in the intervention group, especially in CH4-SIBO cases. Logistic regression analysis showed gas concentrations at diagnosis as significant predictors of treatment success. In conclusion, adjunctive herbal supplements and probiotics did not significantly impact gas levels, but showed potential for clinical improvement, especially in CH4-SIBO.