Malignant rhabdoid tumor of the orbit in an infant.

We present the case of an infant with rapidly progressing orbital tumor that had initial radiological and clinical features of both rhabdomyosarcoma and capillary hemangioma. The patient was eventually diagnosed with malignant rhabdoid tumor of the orbit. We discuss the salient histological and radiological features of our case and review the literature on orbital malignant rhabdoid tumors.

Society for Endocrinology guidelines for the diagnosis and management of post-bariatric hypoglycaemia.

Post bariatric hypoglycaemia (PBH) is typically a post-prandial hypoglycaemia occurring about 2-4 hours after eating in people who have undergone bariatric surgery. PBH develops relatively late after surgery and often after discharge from post-surgical follow-up by bariatric teams, leading to variability in diagnosis and management in non-specialist centres. AIM: to improve and standardise clinical practice in the diagnosis and management of PBH. OBJECTIVES: (1) to undertake an up-to-date review of the current literature; (2) to formulate practical and evidence-based guidance with regards on the diagnosis and treatment of PBH; (3) to recommend future avenues for research in this condition. METHOD: A scoping review was undertaken after an extensive literature search. A consensus on the guidance and confidence in the recommendations was reached by the steering group authors prior to review by key stakeholders. OUTCOME: We make pragmatic recommendations for the practical diagnosis and management of PBH including criteria for diagnosis and recognition, as well as recommendations for research areas that should be explored.

Emoji use in social media posts: relationships with personality traits and word usage.

Prior research has demonstrated relationships between personality traits of social media users and the language used in their posts. Few studies have examined whether there are relationships between personality traits of users and how they use emojis in their social media posts. Emojis are digital pictographs used to express ideas and emotions. There are thousands of emojis, which depict faces with expressions, objects, animals, and activities. We conducted a study with two samples (n = 76 and n = 245) in which we examined how emoji use on X (formerly Twitter) related to users' personality traits and language use in posts. Personality traits were assessed from participants in an online survey. With participants' consent, we analyzed word usage in posts. Word frequencies were calculated using the Linguistic Inquiry Word Count (LIWC). In both samples, the results showed that those who used the most emojis had the lowest levels of openness to experience. Emoji use was unrelated to the other personality traits. In sample 1, emoji use was also related to use of words related to family, positive emotion, and sadness and less frequent use of articles and words related to insight. In sample 2, more frequent use of emojis in posts was related to more frequent use of you pronouns, I pronouns, and more frequent use of negative function words and words related to time. The results support the view that social media users' characteristics may be gleaned from the content of their social media posts.

Menstrual cycle characteristics, perceived impact on performance, and barriers to communication: Perspectives of high-performance adolescent athletes in Singapore.

The purpose of this study was to examine the menstrual cycle (MC) characteristics, explore the impact on performance, and identify barriers to and facilitators of MC-related communication among high-performance female adolescent athletes in Singapore. Ninety athletes (15.4 ± 1.8 years) from multiple sports completed an online questionnaire. Eighty-four athletes were postmenarcheal (menarcheal age 11.9 ± 1.3 years), including two who were using an oral contraceptive pill (OCP). Secondary amenorrhea, current or history of, was self-reported in 16% of athletes. Sixty-two percent and 67% of non-OCP athletes perceived that the MC affected their ability to train and compete, respectively. Athletes preferred speaking to a parent (85%) and a female figure (67%) about MC-related concerns. Through thematic analysis, three barriers to communication were constructed: (1) pervasive menstrual stigma, (2) constraints of the training environment, and (3) the low value placed on MC-related conversations. Two facilitators of communication were constructed: (1) respect athletes' individual experiences as menstruating girls and (2) foster a safe space for MC-related conversations. Findings demonstrated that menstrual irregularities are common in adolescent athletes and screening for MC disorders, particularly primary amenorrhea should be undertaken in this population, with clear support pathways for management including symptom mitigation. To support athletes in raising MC-related concerns when needed, structured communication pathways that consider individual preferences and involve a (female) point of contact should be established within the training environment. Improving menstrual health literacy among adolescent athletes before any misinformation or negative perceptions are firmly established may contribute to longevity in their athletic careers.

Convergent adaptation of true crabs (Decapoda: Brachyura) to a gradient of terrestrial environments.

For much of terrestrial biodiversity, the evolutionary pathways of adaptation from marine ancestors are poorly understood, and have usually been viewed as a binary trait. True crabs, the decapod crustacean infraorder Brachyura, comprise over 7,600 species representing a striking diversity of morphology and ecology, including repeated adaptation to non-marine habitats. Here, we reconstruct the evolutionary history of Brachyura using new and published sequences of 10 genes for 344 tips spanning 88 of 109 brachyuran families. Using 36 newly vetted fossil calibrations, we infer that brachyurans most likely diverged in the Triassic, with family-level splits in the late Cretaceous and early Paleogene. By contrast, the root age is underestimated with automated sampling of 328 fossil occurrences explicitly incorporated into the tree prior, suggesting such models are a poor fit under heterogeneous fossil preservation. We apply recently defined trait-by-environment associations to classify a gradient of transitions from marine to terrestrial lifestyles. We estimate that crabs left the marine environment at least seven and up to 17 times convergently, and returned to the sea from non-marine environments at least twice. Although the most highly terrestrial- and many freshwater-adapted crabs are concentrated in Thoracotremata, Bayesian threshold models of ancestral state reconstruction fail to identify shifts to higher terrestrial grades due to the degree of underlying change required. Lineages throughout our tree inhabit intertidal and marginal marine environments, corroborating the inference that the early stages of terrestrial adaptation have a lower threshold to evolve. Our framework and extensive new fossil and natural history datasets will enable future comparisons of non-marine adaptation at the morphological and molecular level. Crabs provide an important window into the early processes of adaptation to novel environments, and different degrees of evolutionary constraint that might help predict these pathways.

Geographic Distribution and Genetic Structures of the Tideland Snails Pirenella nipponica and P.asiatica in Taiwan and Japan.

The tideland snails Pirenellanipponica and Pirenellaasiatica are distributed north of the central Ryukyu Islands and in South Ryukyu, respectively, in Japan. To reveal their distribution and genetic characteristics in Taiwan, we sampled Pirenella snails along the western coast of Taiwan Island and analyzed the nucleotide sequences of their mitochondrial DNAs. Pirenella nipponica and P. asiatica inhabit the northern and southern parts of the western coast of Taiwan, respectively, and coexist only in the central part. Taiwanese and Japanese populations of P. asiatica showed significant genetic differentiation. The former showed higher genetic diversity and a larger effective population size than the latter. However, the Taiwanese population of P. nipponica was not genetically deviated from the local Japanese population on Kyushu Island. Both the Taiwan and Kyushu populations of P. nipponica showed significant genetic differences from local populations in other regions of Japan, namely, Honshu Island (the Japanese mainland) and Central Ryukyu. They also showed higher genetic diversity and a larger effective population size than the others. The Taiwanese populations of both species might be part of a large panmictic population with individuals from the Asian continent and Kyushu Island.

New records of the squat lobster genus Munidopsis Whiteaves, 1874 (Crustacea, Decapoda, Munidopsidae) from the deep sea off Taiwan.

Two species of the squat lobster family Munidopsidae, Munidopsisalbatrossae Pequegnat & Pequegnat, 1973 and M.pycnopoda Baba, 2005, are reported from Taiwan for the first time based on specimens collected from lower bathyal depths. The Taiwanese material of M.pycnopoda also represents the first record of the species from the Pacific Ocean and greatly extends this species' geographical range from the western Indian Ocean to western Pacific. The giant Munidopsis specimen from Taiwan is identified as M.albatrossae mainly by DNA barcoding even though M.albatrossae and M.aries (A. Milne-Edwards, 1880) are both morphologically and genetically extremely similar.

New subgeneric names for the most commercially important shrimp genus Penaeus Fabricius, 1798 (Crustacea, Decapoda, Penaeidae).

Although a recent comprehensive molecular phylogenetic study on Penaeus Fabricius, 1798 reinstated a single genus for these economically important shrimps, several clades in the molecular phylogenetic tree do not have formal names. Subgeneric names are given herein to five of these clades if Penaeus is to be split. A key to the subgenera in Penaeus is also provided.

On the penaeid shrimps of the genus Parapenaeopsis Alcock, 1901 (Crustacea, Decapoda) from Taiwan.

Five species in the penaeid shrimp genus Parapenaeopsis Alcock, 1901 are reported from Taiwan. Parapenaeopsis amicus V.C. Nguyn, 1971 and P. venusta De Man, 1907 are formally recorded in Taiwan for the first time. Taxonomic problems related to the species reported from Taiwan are discussed, and a key to the species of Parapenaeopsis in Taiwan is provided.

On the penaeid shrimps of the genus Metapenaeus Wood-Mason in Wood-Mason amp; Alcock, 1891 (Crustacea, Decapoda, Penaeidae) of Taiwan.

Seven speceis in the penaeid shrimp genus Metapenaeus Wood-Mason in Wood-Mason Alcock, 1891 are reported from Taiwan. Metapenaeus elegans De Man, 1907 is formerly recorded in Taiwan for the first time. A neotype is selected for the subspecies M. joyneri formosus Lee Yu, 1977 and this action synonymizes this subspecies with the nominotypical form. A key to the species of Metapenaeus in Taiwan is provided.

A new species of the deep-sea shrimp genus Glyphocrangon A. Milne-Edwards, 1880 (Decapoda: Caridea: Glyphocrangonidae) from the South China Sea off Pratas Island.

A new species of the deep-sea caridean genus Glyphocrangon A. Milne-Edwards, 1880, G. obtusis n.sp., is described and illustrated on the basis of the material collected in the South China Sea off the Pratas Island. It appears close to G. hakuhoae Takeda Hanamura, 1994 and G. robusta Komai, 2004 among the 93 described species in Glyphocrangon. From G. hakuhoae, the new species is distinguished by the rostrum with less developed convexity on the dorsolateral margin and lacking transverse septa, and the less elevated median carinae on the pleomeres 15. From G. robusta, the new species differs in lacking transverse septa at the rostrum, the fourth carina on the carapace with the two anterior parts unaligned and the posterior part divided into four lobes. Molecular genetic analysis using the barcoding segment of the mitochondrial COI gene supports the establishment of the new species.

Autochthony and isotopic niches of benthic fauna at shallow-water hydrothermal vents.

The food webs of shallow-water hydrothermal vents are supported by chemosynthetic and photosynthetic autotrophs. However, the relative importance of these two basal resources for benthic consumers and its changes along the physicochemical gradient caused by vent plumes are unknown. We used stable carbon and nitrogen isotopes (i.e., δ13C and δ15N) and Bayesian mixing models to quantify the dietary contribution of basal resources to the benthic fauna at the shallow-water vents around Kueishan Island, Taiwan. Our results indicated that the food chains and consumer production at the shallow-water vents were mainly driven by photoautotrophs (total algal contribution: 26-54%) and zooplankton (19-34%) rather than by chemosynthetic production (total contribution: 14-26%). Intraspecific differences in the trophic support and isotopic niche of the benthic consumers along the physicochemical gradient were also evident. For instance, sea anemone Anthopleura sp. exhibited the greatest reliance on chemosynthetic bacteria (26%) and photoautotrophs (66%) near the vent openings, but zooplankton was its main diet in regions 150-300 m (32-49%) and 300-700 m (32-78%) away from the vent mouths. The vent-induced physicochemical gradient structures not only the community but also the trophic support and isotopic niche of vent consumers.

A new record of the spiny lobster, Panulirusfemoristriga (von Martens, 1872) from the coastal waters of Malaysia, with revision of global distribution.

BACKGROUND: Spiny lobsters of the family Palinuridae Latreille, 1802 are known to be industrial crustaceans in the global fishing market amongst other crustacean marine species. Panulirusfemoristriga has been reported in the Maldives, Japan, Taiwan, Vietnam, the Philippines, Indonesia (Ambon, Irian Jaya, Celebes Island, Seram Island), the Polynesian Islands, Solomon Islands, New Hebrides, Wallis and Futuna and off the coast of northern Australia, but there is uncertainty about their distributions due to the morphological similarity with Panulirusfemoristriga, Panuliruslongipesbispinosus and Panulirusbrunneiflagellum. However, the identification on P.femoristiga can only be confirmed if the morphological descriptions are mentioned in literature. NEW INFORMATION: A specimen of the spiny lobster Panulirusfemoristriga Von Martens, 1872 was discovered in Semporna, located on the west coast of Sabah State, Malaysia Borneo. While the status of P.femoristriga has been classified as "least concern" on the International Union for Conservation of Nature Red List, studies on the species' population size, habitat and distribution are still inadequate. This study adopted both morphological and molecular approaches for species delimitation.The phylogenetic position of the Sabah P.femoristriga was revealed by the mitochondrial cytochrome c oxidase gene (COI) marker. This represents the first record of the species in the coastal waters of Sabah, despite its wide geographical distribution in the Indo-West Pacific. A revision on the species global distribution was also conducted by harvesting all literature with species named Panuliruslongipesfemoristriga and Panulirusfemoristriga which were available online including those prior to year 2001 before the presence of P.femoristriga is confirmed. Due to the uncertainties on the morphological distribution in previous literature, further studies are required to fill in the missing data for confirmation.

New records of spongicolid shrimps (Crustacea, Decapoda, Stenopodidea) from Taiwan.

Spongicolid shrimps of the three genera, Engystenopus Alcock & Anderson, 1894, Spongicola De Haan, 1844 and Spongicoloides Hansen, 1908 are recorded from Taiwan for the first time. The newly recorded species are Engystenopus palmipes Alcock & Anderson, 1894, Spongicola andamanicus Alcock, 1901, S. goyi Saito & Komai, 2008, S. levigatus Hayashi & Ogawa, 1987 and Spongicoloides iheyaensis Saito, Tsuchida & Yamamoto, 2006. A total of six genera and nine species of stenopodidean shrimps are now known from Taiwan. A key to the Taiwanese species of stenopodideans is provided.

A new species of the congrid eel genus Bathycongrus (Order Anguilliformes) from eastern Taiwan.

A new species of the congrid eel genus Bathycongrus is described on the basis of three specimens collected from the deep waters of eastern Taiwan. Bathycongrus melanostomus sp. nov., belongs to the few vertebrae species complex and is distinct in having a short and broad snout; a much reduced caudal fin; abdomen, mouth cavity and gill chamber blackish; small conical blunt teeth on vomer forming an elongate patch; total vertebrae 133-135, and total lateral-line pores 108-109.

Distinct suites of pre- and post-adaptations indicate independent evolutionary pathways of snapping claws in the shrimp family Alpheidae (Decapoda: Caridea).

One of the most notable evolutionary innovations of marine invertebrates is the snapping claw of alpheid shrimps (Alpheidae), capable of generating a powerful water jet and a shock wave, used for defense, aggression, excavation, and communication. Evolutionary analysis of this character complex requires the study of a suite of complementary traits to discern pre-adaptations or post-adaptations of snapping behavior. A comprehensive phylogenetic analysis of the Alpheidae based on two mitochondrial and four nuclear markers, covering 107 species from 38 genera (77.6% generic coverage), is presented. Ancestral state reconstruction analyses revealed five independent origins of snapping, two of which relate to the morphologically similar but phylogenetically distant genera Alpheus and Synalpheus, highlighting significant convergence. The evolution of the five complementary traits (adhesive plaques, tooth-cavity system, dactylar joint type, chela size enlargement, and orbital hood) did not always show a significant correlation with the evolution of snapping overall, sometimes only in a few lineages, suggesting different evolutionary pathways were involved and demonstrating the versatility in the evolution of the snapping mechanisms.

Is Image Guidance Essential for External Ventricular Drain Insertion?

BACKGROUND: This study aimed to compare the external ventricular drain (EVD) placement accuracy and complication rates, between neuronavigation-guided, ultrasound-guided, and freehand techniques in our single-center cohort, and through an additional meta-analysis of the currently available literature. METHODS: A retrospective review of patients who underwent EVD insertion from January 2016 to April 2019 was conducted. Information regarding demographics, indication, Evans index, use of image guidance, accuracy of catheter tip placement, and procedural complications was extracted from electronic records and imaging systems. The accuracy of the EVD tip placement was classified according to the Kakarla grading system into optimal, or suboptimal based on its proximity to the Foramen of Monro and involvement of noneloquent/eloquent structures. RESULTS: In total, 294 patients (median age of 54 years) underwent EVD insertion during the study period. A total of 183 catheters were placed freehand, 66 neuronavigation-guided, and 45 ultrasound-guided; the mean Evans ratios were 0.33, 0.29, and 0.31, respectively. Whilst there was a tendency for lower rates of suboptimal placement were guidance was used, with rates of 10.6% and 15.6% for neuronavigation- and ultrasound-guidance, respectively, compared to 20.8% in freehand placement, this did not reach statistical significance (P = 0.168). However, pooling this data with two additional studies on meta-analysis found a significant reduction in the risk of suboptimal placement for image-guided vs. freehand EVDs (odds ratio: 0.50, 95% CI: 0.32-0.77, P = 0.002). Surgeon seniority and other procedure-related factors had no significant impact on EVD placement accuracy or complications. CONCLUSIONS: Our results, pooled with those of previous studies, suggest image-guided EVD placement significantly reduced the rate of suboptimally placed EVDs. We conclude in appropriately selected cases that image-guided EVD insertions may improve accuracy of catheter placements and reduce associated complications of the procedure.

Rediscovery of Orientotlosiishibai Sakai, 1980 (Crustacea, Decapoda, Brachyura, Leucosiidae) in Taiwan.

The leucosiid crab Orientotlosiishibai Sakai, 1980 was described from one female collected off western Japan and had never been reported since. The species is now recorded from southwestern Taiwan for the first time, and is redescribed and figured at length. Although Sakai argued that Orientotlos Sakai, 1980, is closely related to Oreophorus Rüppell, 1830 and Atlantotlos Doflein, 1904, the genus is actually morphologically most similar to Merocryptus A. Milne-Edwards, 1873. The two genera, however, still differ markedly in a number of key carapace and cheliped characters.

Morphology of the first three zoeal stages of the deep-sea caridean shrimp Heterocarpus fascirostratus Yang, Chan & Kumar, 2018 (Crustacea, Decapoda, Pandalidae).

The larvae of the deep-sea pandalid shrimp Heterocarpus fascirostratus Yang, Chan & Kumar, 2018 were successfully hatched and cultured to the third zoeal stage. The larvae reached the third zoeal stage nine days after hatching at a water temperature of 21 ± 1 °C. Although members of Heterocarpus A. Milne-Edwards, 1881 have rather diverse body forms and are often separated into many species groups, the early zoeal morphology of H. fascirostratus follows the general developmental pattern of the species in Heterocarpus. The main differences amongst these larvae are body size, spines on the anteroventral margin of the carapace, and the endopod setation of the third maxilliped.