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The decision-making process consists of finding the best solution to an analyzed problem. This search is carried out in the face of countless interactions when analyzing an alternative criterion by criterion, under which weights are assigned that distinguish the degree of importance they have for the decision-makers. The definition of weight for each criterion gives rise to three lines of thought on the subject. There are objective, subjective, and hybrid methods. This discussion concerns the degree to which experts define the criteria weights. Based on this discussion, we developed a hybrid method to integrate the Entropy and CRITIC methods with the PROMETHEE method, called EC-PROMETHEE. The innovation of this method is that the combination of the Entropy and CRITIC methods does not result in a single set of weights. In reality, the weights generated by each method are used to define each criterion's upper and lower limits. The range of weights generated for each criterion is emulated "n" times and builds a set of weights that are applied to the ranking definition process. The model generates "n" rankings, defining a single ranking. In this article, we demonstrate a step-by-step application of a tool developed in Python called EC-PROMETHEE and use it as an example of the problem of choosing rotary-wing airplanes for application in the military police service.â¢The method reduces discretion in determining the weights of the criteria;â¢The innovation lies in the use of a range of weights for criteria;â¢Consistency in defining the final ranking.
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The South African flag sign (SAFS) is an acute, dynamic electrocardiographic (ECG) finding typically associated with first diagonal (D1) artery occlusion. We report the case of a 47-year-old woman who exhibited this pattern but subsequently revealed the dreaded "widow-maker" lesion (100% occluded proximal left anterior descending [LAD] artery) and severe multivessel disease (90% stenosis of the posterior left ventricular [PLV] artery and 80% stenosis of the left circumflex artery [LCx]).
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Electrocardiografía , Femenino , Humanos , Persona de Mediana Edad , Constricción Patológica , SudáfricaRESUMEN
BACKGROUND: Latin America, Africa, and Asia have high incidences of syphilis. New approaches are needed to understand and reduce disease transmissibility. In health care, spatial analysis is important to map diseases and understand their epidemiologic aspects. OBJECTIVE: The proposed scoping review will identify and map the use of spatial analysis as a tool for syphilis-related research in health care. METHODS: This protocol was based on the Joanna Briggs Institute manual, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). We will conduct searches in Embase; Lilacs, via the Virtual Health Library (Biblioteca Virtual en Salud; BVS), in Portuguese and English; Medline/PubMed; Web of Science; Cumulative Index to Nursing and Allied Health Literature (CINAHL); and Scopus. Gray literature will be searched for in Google Scholar, the Digital Library of Theses and Dissertations, the Catalog of Theses and Dissertations of the Coordination of Improvement of Higher Education Personnel (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; CAPES), Open Access Theses and Dissertations, ProQuest Dissertations and Theses Global, and the Networked Digital Library of Theses and Dissertations. The main research question is "How has spatial analysis been used in syphilis-related research in health care?" Studies are included if they have the full text available, address syphilis, and use geographic information systems software and spatial analysis techniques, regardless of sample characteristics or size. Studies published as research articles, theses, dissertations, and government documents will also be considered, with no location, time, or language restrictions. Data will be extracted using a spreadsheet adapted from the Joanna Briggs Institute. Quantitative and qualitative data will be analyzed using descriptive statistics and a thematic analysis, respectively. RESULTS: The results will be presented according to the PRISMA-ScR guidelines and will summarize the use of spatial analysis in syphilis-related research in health care in countries with different contexts, factors associated with spatial cluster formation, population health impacts, contributions to health systems, challenges, limitations, and possible research gaps. The results will guide future research and may be useful for health and safety professionals, managers, public policy makers, the general population, the academic community, and health professionals who work directly with people with syphilis. Data collection is projected to start in June 2023 and end in July 2023. Data analysis is scheduled to take place in August and September 2023. We expect to publish results in the final months of 2023. CONCLUSIONS: The review may reveal where syphilis incidence has the highest incidence, which countries most use spatial analysis to study syphilis, and whether spatial analysis is applicable to syphilis in each continent, thereby contributing to discussion and knowledge dissemination on the use of spatial analysis as a tool for syphilis-related research in health care. TRIAL REGISTRATION: Open Science Framework CNVXE; https://osf.io/cnvxe. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/43243.
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BACKGROUND: Genotyping-by-sequencing (GBS) provides affordable methods for genotyping hundreds of individuals using millions of markers. However, this challenges bioinformatic procedures that must overcome possible artifacts such as the bias generated by polymerase chain reaction duplicates and sequencing errors. Genotyping errors lead to data that deviate from what is expected from regular meiosis. This, in turn, leads to difficulties in grouping and ordering markers, resulting in inflated and incorrect linkage maps. Therefore, genotyping errors can be easily detected by linkage map quality evaluations. RESULTS: We developed and used the Reads2Map workflow to build linkage maps with simulated and empirical GBS data of diploid outcrossing populations. The workflows run GATK, Stacks, TASSEL, and Freebayes for single-nucleotide polymorphism calling and updog, polyRAD, and SuperMASSA for genotype calling, as well as OneMap and GUSMap to build linkage maps. Using simulated data, we observed which genotype call software fails in identifying common errors in GBS sequencing data and proposed specific filters to better handle them. We tested whether it is possible to overcome errors in a linkage map using genotype probabilities from each software or global error rates to estimate genetic distances with an updated version of OneMap. We also evaluated the impact of segregation distortion, contaminant samples, and haplotype-based multiallelic markers in the final linkage maps. Through our evaluations, we observed that some of the approaches produce different results depending on the dataset (dataset dependent) and others produce consistent advantageous results among them (dataset independent). CONCLUSIONS: We set as default in the Reads2Map workflows the approaches that showed to be dataset independent for GBS datasets according to our results. This reduces the number of required tests to identify optimal pipelines and parameters for other empirical datasets. Using Reads2Map, users can select the pipeline and parameters that best fit their data context. The Reads2MapApp shiny app provides a graphical representation of the results to facilitate their interpretation.
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Técnicas de Genotipaje , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Genotipo , Técnicas de Genotipaje/métodos , Secuenciación de Nucleótidos de Alto Rendimiento/métodos , Mapeo Cromosómico/métodos , Programas Informáticos , Polimorfismo de Nucleótido SimpleRESUMEN
Innovative strategies are needed to improve the delivery of evidence-informed health interventions. Embedded implementation research (EIR) seeks to enhance the generation and use of evidence for programme improvement through four core features: (1) central involvement of programme/policy decision-makers in the research cycle; (2) collaborative research partnerships; (3) positioning research within programme processes and (4) research focused on implementation. This paper examines how these features influence evidence-to-action processes and explores how they are operationalized, their effects and supporting conditions needed. We used a qualitative, comparative case study approach, drawing on document analysis and semi-structured interviews across multiple informant groups, to examine three EIR projects in Bolivia, Colombia and the Dominican Republic. Our findings are presented according to the four core EIR features. The central involvement of decision-makers in EIR was enhanced by decision-maker authority over the programme studied, professional networks and critical reflection. Strong research-practice partnerships were facilitated by commitment, a clear and shared purpose and representation of diverse perspectives. Evidence around positioning research within programme processes was less conclusive; however, as all three cases made significant advances in research use and programme improvement, this feature of EIR may be less critical than others, depending on specific circumstances. Finally, a research focus on implementation demanded proactive engagement by decision-makers in conceptualizing the research and identifying opportunities for direct action by decision-makers. As the EIR approach is a novel approach in these low-resource settings, key supports are needed to build capacity of health sector stakeholders and create an enabling environment through system-level strategies. Key implications for such supports include: promoting EIR and creating incentives for decision-makers to engage in it, establishing structures or mechanisms to facilitate decision-maker involvement, allocating funds for EIR, and developing guidance for EIR practitioners.
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Política de Salud , Bolivia , Región del Caribe , Colombia , Humanos , América Latina , Investigación CualitativaRESUMEN
OBJECTIVE: To identify caregivers' views on preferred surrogate decision makers for their children. STUDY DESIGN: A respondent-anonymous survey was distributed to a convenience sample of adults who accompanied a child to general and subspecialty pediatric care at 2 different institutions or were at the bedside of a child in the pediatric intensive care unit at a third institution in Chicago. RESULTS: We collected 462 valid surveys. The average age of the legal guardian and accompanying child was 36.8 years and 6.6 years, respectively. Most legal guardians designated "other parent with legal authority" as their first choice surrogate decision maker (70%). Respondent's sex, respondent's age, child's age, and child's ethnicity had no effect on first choice surrogate decision maker. "Other parent with legal authority" was less likely to be first choice surrogate if respondents had Medicaid insurance, less than a college degree, or lived in a non-nuclear household (P<.01 for all factors). The surrogacy ladder selected by 31% of legal guardians was "other parent with legal authority," "child's grandparent(s)," and "child's aunt(s) or uncle(s)." No other sequence received more than 10% designation. Study site had no effect on surrogate preference (P = .30). CONCLUSIONS: A surrogacy priority ladder for minors needs to include relatives who are often not included in state surrogacy statutes (eg, grandparents, aunts and uncles). The most popular surrogacy ladder will not be ideal for many families. Parents need to be informed and empowered to choose alternate surrogates, and documented preferences must be easily and widely accessible.
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Cuidadores , Salud Infantil , Toma de Decisiones , Padres , Adolescente , Adulto , Actitud , Cuidadores/psicología , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Padres/psicología , Autoinforme , Adulto JovenRESUMEN
ABSTRACT The hitherto unknown larva of Lopesia spinosa Maia (Diptera: Cecidomyiidae) is described and the geographical distribution of the species is extended in Brazil to Delfinópolis in Minas Gerais; Altinópolis and Jundiaí in São Paulo. Diagnostic characters of the species and illustration of the larva are presented.
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Herein, we studied the occurrence of insect galls from natural vegetation around the Itambé Cave, Altinópolis, SP, Brazil. A sampling effort of 7.5 hours resulted in 41 gall morphotypes on 21 host plant species from 14 families. The richest families of host plants in morphotypes were Fabaceae (N = 11), Euphorbiaceae (N = 7), and Malpighiaceae (N = 5). Copaifera langsdorffii Desf. (N = 8), Croton floribundus Spreng. (N = 7), Diplopterys pubipetala (A. Juss.) W.R. Anderson & C.C. Davis (N = 5), and Bauhinia holophylla (Bong.) Steud. (N = 4) were the super host plant species. Among the gall makers obtained, cecidomyiids were reared in 81% of cases and Hemiptera (Diaspididae), Hymenoptera (Eurytomidae), Coleoptera (Apion sp./Apionidae), and Lepidoptera in 4.5% of cases, each. The parasitoids belong to the Chalcidoidea superfamily (Hymenoptera). One new species of Camptoneuromyiia (Cecidomyiidae) was found in Smilax oblongifolia Pohl ex Griseb. (Smilacaceae) as inquiline and a new species of Lestodiplosis in Diplopterys pubipetala (Malpighiaceae) was a predator. We also present the first register of Bauhinia holophylla as host plants of Cecidomyiidae. We also present the first register of Bauhinia holophylla as host plants of Cecidomyiidae, and we expand the occurrence of Rochadiplosis tibouchinae Tavares, Lopesia spinosa Maia and Couridiplosis vena Maia to São Paulo State. The results of this paper are a continuation of the description of gall morphotypes from the vegetation in Northeastern São Paulo State, and they also increase knowledge about the diversity of host plant and gall-maker associations in the Neotropical region.(AU)
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Herein, we studied the occurrence of insect galls from natural vegetation around the Itambé Cave, Altinópolis, SP, Brazil. A sampling effort of 7.5 hours resulted in 41 gall morphotypes on 21 host plant species from 14 families. The richest families of host plants in morphotypes were Fabaceae (N = 11), Euphorbiaceae (N = 7), and Malpighiaceae (N = 5). Copaifera langsdorffii Desf. (N = 8), Croton floribundus Spreng. (N = 7), Diplopterys pubipetala (A. Juss.) W.R. Anderson & C.C. Davis (N = 5), and Bauhinia holophylla (Bong.) Steud. (N = 4) were the super host plant species. Among the gall makers obtained, cecidomyiids were reared in 81% of cases and Hemiptera (Diaspididae), Hymenoptera (Eurytomidae), Coleoptera (Apion sp./Apionidae), and Lepidoptera in 4.5% of cases, each. The parasitoids belong to the Chalcidoidea superfamily (Hymenoptera). One new species of Camptoneuromyiia (Cecidomyiidae) was found in Smilax oblongifolia Pohl ex Griseb. (Smilacaceae) as inquiline and a new species of Lestodiplosis in Diplopterys pubipetala (Malpighiaceae) was a predator. We also present the first register of Bauhinia holophylla as host plants of Cecidomyiidae. We also present the first register of Bauhinia holophylla as host plants of Cecidomyiidae, and we expand the occurrence of Rochadiplosis tibouchinae Tavares, Lopesia spinosa Maia and Couridiplosis vena Maia to São Paulo State. The results of this paper are a continuation of the description of gall morphotypes from the vegetation in Northeastern São Paulo State, and they also increase knowledge about the diversity of host plant and gall-maker associations in the Neotropical region.
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Esta revisión bibliográfica presenta el Makey Makey como un dispositivo que forma parte del Maker Movement y que puede utilizarse en las unidades de información. Por ello, se realizó una revisión de literatura que revisa el contexto histórico sobre el surgimiento de este recurso tecnológico; de hecho, en el apartado de Makey Makey se describen las principales características y usos del dispositivo; además, en la sociedad y en las unidades de información, el Makey Makey tiene diferentes características para su utilización en los diversos servicios, en ese sentido, se describe el potencial uso que puede tener por parte de las personas profesionales en la información.
This bibliographical review presents the concept of Makey Makey as a device born from the maker movement that can be used in the information units. Because of this a revision of works and papers took place in which the historical context of the emergence of this technological resource is develop. In the operating section the main characteristics and uses of the device are described. Also in society and in the information units the Makey Makey has different characteristics for its use in various services, for this it describes the potential use that can have on the part of the professionals in the information.
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Abstract The geographical distribution of Machaeriobia machaerii (Kieffer, 1913) (Diptera, Cecidomyiidae), previously known only from Tubarão, Santa Catarina State, Brazil is extended to São Paulo State, Brazil. Illustrations of diagnostic characters of the male, pupa, and larva are provided, and the association with the species of host plant, Machaerium hirtum (Vell.) Stellfeld (Fabaceae) is established.
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Abstract A new species of Lopesia Rübsaamen, 1908 induces leaf galls on Andira humilis (Fabaceae) in the Cerrado biome (Brazilian savanna) of Bahia, Mato Grosso and São Paulo states, Brazil. Larva, pupa, female, and male of this new species of gall midge are described and illustrated in this paper.
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Sycophaginae is a group of non-pollinating fig wasps considered closely related to the fig pollinators (Agaoninae, Tetrapusiinae, and Kradibiinae) in the most recent phylogenetic analyses. They occur in all tropical regions and are associated with Ficus subgenera Urostigma and Sycomorus. There are six described genera of Sycophaginae, and two are native and confined to the Neotropics, namely Idarnes Walker, 1843 and Anidarnes Boucek, 1993. Genus Idarnes is divided into three morphologically distinct groups that were proven to be monophyletic by recent molecular phylogenetic analyses. In this paper we reviewed the Idarnes incertus species-group and provide detailed morphological descriptions and illustrations for the species belonging to this group. Three previously described species were redescribed: I. brasiliensis (Mayr, 1906) comb. nov., I. hansoni Boucek, 1993, and I. incertus (Ashmead, 1900). Seventeen new species are described by Farache and Rasplus: I. amacayacuensissp. n., I. amazonicussp. n., I. americanaesp. n., I. badiovertexsp. n., I. brevissp. n., I. brunneussp. n., I. comptonisp. n., I. cremersiaesp. n., I. dimorphicussp. n., I. flavicrussp. n., I. flaviventrissp. n., I. gibberosussp. n., I. gordhisp. n., I. maximussp. n., I. nigriventrissp. n., I. pseudoflavussp. n. and I. ramirezisp. n. We provided keys for the identification of the species as well as for recognising the different species-groups of Idarnes and a closely related genus (Sycophaga Westwood, 1840). Additionally, phylogenetic relationships among 13 species of the I. incertus species-group were inferred using four molecular markers and discussed in the light of Ficus taxonomy and host specificity.
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Clinodiplosis bellum sp. nov. associated with Diplopterys pubipetala (A.Juss.) Anderson and Davis (Malpighiaceae) from Brazil are described. This is the first species of Clinodiplosis described to State of São Paulo and the first formal description of Diplopterys pubipetala (Malpighiaceae) as host plant of Cecidomyiidae species. Description and illustration of the Clinodiplosis bellum sp. nov. (Diptera: Cecidomyiidae) are given.(AU)
Clinodiplosis bellum sp. nov. associada a Diplopterys pubipetala (A.Juss.) Anderson and Davis (Malpighiaceae) do Brasil é descrita. Esta é a primeira espécie de Clinodiplosis descrita para o Estado de São Paulo e a primeira descrição formal de Diplopterys pubipetala (Malpighiaceae) como planta hospedeira de uma espécie de Cecidomyiidae. Descrição e ilustrações de Clinodiplosis bellum sp. nov. (Diptera: Cecidomyiidae) são apresentadas.(AU)
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Animales , Chironomidae/fisiología , Malpighiaceae/parasitología , Tumores de Planta/parasitología , Brasil , /clasificación , Interacciones Huésped-ParásitosRESUMEN
Clinodiplosis bellum sp. nov. associated with Diplopterys pubipetala (A.Juss.) Anderson and Davis (Malpighiaceae) from Brazil are described. This is the first species of Clinodiplosis described to State of São Paulo and the first formal description of Diplopterys pubipetala (Malpighiaceae) as host plant of Cecidomyiidae species. Description and illustration of the Clinodiplosis bellum sp. nov. (Diptera: Cecidomyiidae) are given.
Clinodiplosis bellum sp. nov. associada a Diplopterys pubipetala (A.Juss.) Anderson and Davis (Malpighiaceae) do Brasil é descrita. Esta é a primeira espécie de Clinodiplosis descrita para o Estado de São Paulo e a primeira descrição formal de Diplopterys pubipetala (Malpighiaceae) como planta hospedeira de uma espécie de Cecidomyiidae. Descrição e ilustrações de Clinodiplosis bellum sp. nov. (Diptera: Cecidomyiidae) são apresentadas.
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Animales , Chironomidae/fisiología , Malpighiaceae/parasitología , Tumores de Planta/parasitología , Brasil , Chironomidae/clasificación , Interacciones Huésped-ParásitosRESUMEN
The sycophagines are strictly associated with two subgenera of Ficus L. (Moraceae), namely Sycomorus and Urostigma. They mostly oviposit through the fig wall and lay their eggs within the fig flowers, being either gall-makers or parasitoids of other fig wasps. In this contribution, a new genus of Sycophaginae, Conidarnes Farache & Rasplus, gen. n., is described with seven new species: Conidarnes achterbergi Farache & Rasplus, sp. n.; Conidarnes bergi Farache & Rasplus, sp. n.; Conidarnes laevis Farache & Rasplus, sp. n.; Conidarnes santineloi Farache & Rasplus, sp. n.; Conidarnes subtectae Farache & Rasplus, sp. n.; Conidarnes sulcata Farache & Rasplus, sp. n.; and Conidarnes sumatranae Farache & Rasplus, sp. n. Illustrations, morphological diagnoses, dichotomous keys and multi-entry online keys to species are provided. Conidarnes species strictly occur in the oriental region, and their distribution does not overlap with the distribution of the two other genera belonging to the same clade. Due to their relative rarity, we encourage extensive sampling of Conosycea figs to improve our knowledge of the genus.
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The species of Pseudidarnes are revised, and six species are described: P. acaudus Farache & Rasplus, sp. n.; P. astridae Farache & Rasplus, sp. n.; P. badiogeminus Farache & Rasplus, sp. n.; P. cooki Farache & Rasplus, sp. n.; P. kjellbergi Farache & Rasplus, sp. n.; P. laevis Farache & Rasplus, sp. n. Pseudidarnes minerva Girault, 1927 and P. flavicollis Boucek, 1988 are redescribed. A key to the species is provided as well as illustrations for all females and all known males (except the wingless male of P. minerva). We also provided further discussion on ecology, morphological patterns, and host taxonomy. Online dichotomous and multi-access interactive LUCID keys to all Pseudidarnes species are available at http://www.figweb.org/.
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A new species of gall midge, Lopesia eichhorniae sp. nov. (Cecidomyiidae, Diptera), associated with rhizomes of Eichhornia azurea (Sw.) Kunth (Pontederiaceae) is described. This is the first record of Lopesia galls in this species of macrophyte, quite common in natural and artificial lakes in Southeast Brazil. Illustrations of the adults (male and female), pupa, larva, and gall of the new species are presented.(AU)
Uma espécie nova de cecidomiídeo galhador, Lopesia eichhorniae sp. nov. (Cecidomyiidae, Diptera), associada a rizomas de Eichhornia azurea (Sw.) Kunth (Pontederiaceae) está sendo descrita neste trabalho. Esse é o primeiro registro de galhas de Lopesia nessa espécie de macrófita, muito comum em lagos naturais e artificiais na região Sudeste do Brasil. Ilustrações de adultos e imaturos da espécie nova e de suas galhas são apresentadas.(AU)
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Animales , Dípteros/clasificación , Insectos , Tumores de Planta/parasitología , Especificidad de la EspecieRESUMEN
A new species of gall midge, Lopesia eichhorniae sp. nov. (Cecidomyiidae, Diptera), associated with rhizomes of Eichhornia azurea (Sw.) Kunth (Pontederiaceae) is described. This is the first record of Lopesia galls in this species of macrophyte, quite common in natural and artificial lakes in Southeast Brazil. Illustrations of the adults (male and female), pupa, larva, and gall of the new species are presented.
Uma espécie nova de cecidomiídeo galhador, Lopesia eichhorniae sp. nov. (Cecidomyiidae, Diptera), associada a rizomas de Eichhornia azurea (Sw.) Kunth (Pontederiaceae) está sendo descrita neste trabalho. Esse é o primeiro registro de galhas de Lopesia nessa espécie de macrófita, muito comum em lagos naturais e artificiais na região Sudeste do Brasil. Ilustrações de adultos e imaturos da espécie nova e de suas galhas são apresentadas.
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Animales , Dípteros/clasificación , Especificidad de la Especie , Insectos , Tumores de Planta/parasitologíaRESUMEN
A tritrophic relationship involving the plant Croton floribundus Spreng (Euphorbiaceae), an unidentified gall-midge belonging to either Clinodiplosis Kieffer 1895 or Alycaulus Rübsaamen 1916 (Diptera: Cecidomyiidae), and a new species of parasitic wasp belonging to Omphale Haliday 1833 (Hymenoptera: Eulophidae) is described. The gall and Omphale japii sp. nov., are described and illustrated. This is the third record of Omphale from Brazil and the new species is compared to other Omphale species from the Neotropical region.
Neste estudo foi descrita a relação tritrófica envolvendo a planta Croton floribundus Spreng (Euphorbiaceae), um galhador não-identificado pertencente à Clinodiplosis Kieffer 1895 ou Alycaulus Rübsaamen 1916 (Diptera: Cecidomyiidae), e uma nova espécie de vespa parasitoide pertencente à Omphale Haliday 1833 (Hymenoptera: Eulophidae). A galha e Omphale japii sp. nov., foram descritas e ilustradas. Este é o terceiro registro de Omphale no Brasil e a nova espécie foi comparada a outras espécies de Omphale da região Neotropical.