Utility of Thermal Imaging in Predicting Superficial Infections in Transfemoral Osseointegrated Implants.

Background: Superficial infection is a common minor complication of transcutaneous implants that can be challenging to predict or diagnose. Although it remains unclear whether superficial infections progress to deep infections (which may require implant removal), predicting and treating any infection in these patients is important. Given that flap thinning during stage II surgery requires compromising vascularity for stability of the skin penetration aperture, we hypothesized that early skin temperature changes predict long-term superficial infection risk. Methods: We obtained standardized thermal imaging and recorded surface temperatures of the aperture and overlying flaps 2 weeks postoperatively for the first 34 patients (46 limbs) treated with the Osseointegrated Prosthesis for the Rehabilitation of Amputees transfemoral implant system. We used two-sided t tests to compare temperatures surrounding the aperture and adjacent soft tissues in patients with and without subsequent infection. Results: During median follow-up of 3 years, 14 limbs (30.4%) developed 23 superficial infections. At patients' initial 2-week visit, mean skin temperature surrounding the aperture was 36.3ºC in limbs that later developed superficial infections and 36.7ºC in uninfected limbs (P = 0.35). In four patients with bilateral implants who later developed superficial infection in one limb, average temperature was 1.5ºC colder in the infected limb (P = 0.12). Conclusions: Superficial infections remain a frequent complication of transfemoral osseointegration surgery. We did not find differences in early heat signatures between limbs subsequently complicated and those not complicated by superficial infection. Further research should explore more objective measures to predict, diagnose, and prevent infections after osseointegration surgery.

Life Expectancy After Treatment of Metastatic Bone Disease: An International Trend Analysis.

INTRODUCTION: The decision to treat metastatic bone disease (MBD) surgically depends in part on patient life expectancy. We are unaware of an international analysis of how life expectancy among these patients has changed over time. Therefore, we asked (1) how has the life expectancy for patients treated for MBD changed over time, and (2) which, if any, of the common primary cancer types are associated with longer survival after treatment of MBD? METHODS: We reviewed data collected from 2000 to 2022 in an international MBD database, as well as data used for survival model validation. We included 3,353 adults who underwent surgery and/or radiation. No patients were excluded. Patients were grouped by treatment date into period 1 (2000 to 2009), period 2 (2010 to 2019), and period 3 (2020 to 2022). Cumulative survival was portrayed using Kaplan-Meier curves; log-rank tests were used to determine significance at P < 0.05. Subgroup analyses by primary cancer diagnosis were performed. RESULTS: Median survival in period 2 was longer than in period 1 ( P < 0.001). Median survival (at which point 50% of patients survived) had not been reached for period 3. Median survival was longer in period 2 for all cancer types ( P < 0.001) except thyroid. Only lung cancer reached median survival in period 3, which was longer compared with periods 1 and 2 ( P < 0.001). Slow-growth, moderate-growth, and rapid-growth tumors all demonstrated longer median survival from period 1 to period 2; only rapid-growth tumors reached median survival for period 3, which was longer compared with periods 1 and 2 ( P < 0.001). DISCUSSION: Median duration of survival after treatment of MBD has increased, which was a consistent finding in nearly all cancer types. Longer survival is likely attributable to improvements in both medical and surgical treatments. As life expectancy for patients with MBD increases, surgical methods should be selected with this in mind. LEVEL OF EVIDENCE: VI.

Technical Trick: Cryoneurolysis for Subacute Pain Mitigation in Patients With Limb Loss.

SUMMARY: Pain after amputation is often managed by target muscle reinnervation (TMR) with the added benefit that TMR also provides improved myoelectric terminal device control. However, as TMR takes several months for the recipient muscles to reliably reinnervate, this technique does not address pain within the subacute postoperative period during which pain chronification, sensitization, and opioid dependence and misuse may occur. Cryoneurolysis, described herein, uses focused, extreme temperatures to essentially "freeze" the nerve, blocking nociception, and improving pain in treated nerves potentially reducing the chances of pain chronification, sensitization, and substance dependence or abuse.

Is the Lifetime Malignancy Risk in United States Military Personnel Sustaining Combat-related Trauma Increased Because of Radiation Exposure From Diagnostic Imaging?

BACKGROUND: Patients with complex polytrauma in the military and civilian settings are often exposed to substantial diagnostic medical radiation because of serial imaging studies for injury diagnosis and subsequent management. This cumulative radiation exposure may increase the risk of subsequent malignancy. This is particularly true for combat-injured servicemembers who receive care at a variety of facilities worldwide. Currently, there is no coordinated effort to track the amount of radiation exposure each servicemember receives, nor a surveillance program to follow such patients in the long term. It is important to assess whether military servicemembers are exposed to excessive diagnostic radiation to mitigate or prevent such occurrences and monitor for carcinogenesis, when necessary. The cumulative amount of radiation exposure for combat-wounded and noncombat-wounded servicemembers has not been described, and it remains unknown whether diagnostic radiation exposure meets thresholds for an increased risk of carcinogenesis. QUESTIONS/PURPOSES: We performed this study to (1) quantify the amount of exposure for combat-wounded servicemembers based on medical imaging in the first year after injury and compare those exposures with noncombat-related trauma, and (2) determine whether the cumulative dose of radiation correlates to the Injury Severity Score (ISS) across the combat-wounded and noncombat-wounded population combined. METHODS: We performed a retrospective study of servicemembers who sustained combat or noncombat trauma and were treated at Walter Reed National Military Medical Center from 2005 to 2018. We evaluated patients using the Department of Defense Trauma Registry. After consolidating redundant records, the dataset included 3812 unique servicemember encounters. Three percent (104 of 3812) were excluded because of missing radiation exposure data in the electronic medical record. The final cohort included 3708 servicemembers who had combat or noncombat injury trauma, with a mean age at the time of injury of 26 ± 6 years and a mean ISS of 18 ± 12. The most common combat trauma mechanisms of injury were blast (in 65% [2415 of 3708 patients]), followed by high-velocity gunshot wounds (in 22% [815 of 3708 patients]). We calculated the cumulative diagnostic radiation dose exposure at 1 year post-traumatic injury in patients with combat-related trauma and those with noncombat trauma. We did this by multiplying the number of imaging studies by the standardized effective radiation dose for each imaging study type. We then performed analysis of variance for four data subsets (battle combat trauma, nonbattle civilian trauma, high ISS, and high radiation exposure [> 50 mSv]) independently. To evaluate whether the total number of imaging studies, radiation exposure, and ISS values differed between battle-wounded and nonbattle-wounded patients, we performed a pairwise t-test. RESULTS: The mean radiation exposure for combat-related injuries was 35 ± 26 mSv while the mean radiation exposure for noncombat-related injuries was 22 ± 33 mSv in the first year after injury. In the first year after trauma, 44% of patients (1626 of 3708) were exposed to high levels of radiation that were greater than 20 mSv, and 23% (840 of 3708) were exposed to very high levels of radiation that were greater than 50 mSv. Servicemembers with combat trauma-related injuries had eight more imaging studies than those who sustained noncombat injuries. Servicemembers with combat trauma injuries (35 ± 26 mSv) were exposed to more radiation (approximately 4 mSv) than patients treated for noncombat injuries (22 ± 33 mSv) (p = 0.01). We found that servicemembers with combat injuries had a higher ISS than servicemembers with noncombat trauma (p < 0.001). We found a positive correlation between radiation exposure and ISS for servicemembers. The positive relationship between radiation exposure and ISS held for combat trauma (r 2 = 0.24; p < 0.001), noncombat trauma (r 2 = 0.20; p < 0.001), servicemembers with a high ISS (r 2 = 0.10; p < 0.001), and servicemembers exposed to high doses of radiation (r 2 = 0.09; p < 0.001). CONCLUSION: These data should be used during clinical decision-making and patient counseling at military treatment facilities and might provide guidance to the Defense Health Agency. These recommendations will help determine whether the benefits of further imaging outweigh the risk of carcinogenesis. If not, we need to develop interdisciplinary clinical practice guidelines to reduce or minimize radiation exposure. It is important for treating physicians to seriously weigh the risk and benefits of every imaging study ordered because each test does not come without a cumulative risk. LEVEL OF EVIDENCE: Level III, therapeutic study.

A hidden gem from Northeastern Brazil: A new species of Metaphotina Piza, 1964 (Mantodea, Acontistidae) ecologically linked to the Caatinga.

A new species of praying mantis, Metaphotina austri sp. n., is described from the Caatinga biome in Brazil. The species can be easily distinguished from its congeners by its small body size and diagnostic characters found on the head, wings, and male genitalia. Distributional data compiled from specimen labels, historical literature, and the citizen science platform iNaturalist showed that M. austri sp. n. is mainly associated with the northernmost and driest region of the Caatinga, known as the Depresso Sertaneja Setentrional. Ecological and geographical data about the new species, as well as comments on the diversity of Mantodea in the Caatinga, are provided, highlighting the importance of crowdsourced data for a more comprehensive understanding of praying mantis species distribution and their natural history.

The recombination landscapes of spiny lizards (genus Sceloporus).

Despite playing a critical role in evolutionary processes and outcomes, relatively little is known about rates of recombination in the vast majority of species, including squamate reptiles-the second largest order of extant vertebrates, many species of which serve as important model organisms in evolutionary and ecological studies. This paucity of data has resulted in limited resolution on questions related to the causes and consequences of rate variation between species and populations, the determinants of within-genome rate variation, as well as the general tempo of recombination rate evolution on this branch of the tree of life. In order to address these questions, it is thus necessary to begin broadening our phylogenetic sampling. We here provide the first fine-scale recombination maps for two species of spiny lizards, Sceloporus jarrovii and Sceloporus megalepidurus, which diverged at least 12 Mya. As might be expected from similarities in karyotype, population-scaled recombination landscapes are largely conserved on the broad-scale. At the same time, considerable variation exists at the fine-scale, highlighting the importance of incorporating species-specific recombination maps in future population genomic studies.

Information out of the blue: phenotypic correlates of abdominal color patches in Sceloporus lizards.

Colorful ornaments are important visual signals for animal communication that can provide critical information about the quality of the signaler. In this study, we focused on different color characteristics of the abdominal patches of males of six lizard species from the genus Sceloporus. We addressed three main objectives. First, we examined if size, brightness, saturation, and conspicuousness of these ornaments are indicative of body size, condition, immune function, or levels of testosterone and corticosterone. Second, we evaluated if the distinct components of these abdominal patches (blue or green patches and black stripes) transmit similar information about the signaler, which would support the redundant signal hypothesis, or if these components are related to different phenotypic traits, which would support the multiple message hypothesis. Third, we compared the phenotypic correlates of these ornaments among our six species to understand the degree of conservatism in the signaling patterns or to find species-specific signals. Using data collected from males in natural conditions and a multi-model inference framework, we found that in most species the area of the patches and the brightness of the blue component are positively related to body size. Thus, these color characteristics are presumably indicative of the physical strength and competitive ability of males and these shared signals were likely inherited from a common ancestor. In half of the species, males in good body condition also exhibit relatively larger blue and black areas, suggesting that the expression of these ornaments is condition-dependent. Abdominal patches also provide information about immunocompetence of the males as indicated by different correlations between certain color characteristics and ectoparasite load, counts of heterophils, and the heterophil:lymphocyte ratio. Our findings reveal that area and brightness of the abdominal patches signal the size and body condition of males, whereas blue saturation and conspicuousness with respect to the surrounding substrate are indicative of immune condition, thus supporting the multiple message hypothesis. However, some of these correlations were not shared by all species and, hence, point to intriguing species-specific signals.

Occurrence data uncover patterns of allopatric divergence and interspecies interactions in the evolutionary history of Sceloporus lizards.

As shown from several long-term and time-intensive studies, closely related, sympatric species can impose strong selection on one another, leading to dramatic examples of phenotypic evolution. Here, we use occurrence data to identify clusters of sympatric Sceloporus lizard species and to test whether Sceloporus species tend to coexist with other species that differ in body size, as we would expect when there is competition between sympatric congeners. We found that Sceloporus species can be grouped into 16 unique bioregions. Bioregions that are located at higher latitudes tend to be larger and have fewer species, following Rapoport's rule and the latitudinal diversity gradient. Species richness was positively correlated with the number of biomes and elevation heterogeneity of each bioregion. Additionally, most bioregions show signs of phylogenetic underdispersion, meaning closely related species tend to occur in close geographic proximity. Finally, we found that although Sceloporus species that are similar in body size tend to cluster geographically, small-bodied Sceloporus species are more often in sympatry with larger-bodied Sceloporus species than expected by chance alone, whereas large-bodied species cluster with each other geographically and phylogenetically. These results suggest that community composition in extant Sceloporus species is the result of allopatric evolution, as closely related species move into different biomes, and interspecies interactions, with sympatry between species of different body sizes. Our phyloinformatic approach offers unique and detailed insights into how a clade composed of ecologically and morphologically disparate species are distributed over large geographic space and evolutionary time.

Towards the implementation of a DNA barcode library for the identification of Peruvian species of Anastrepha (Diptera: Tephritidae).

The genus Anastrepha is a diverse lineage of fruit-damaging tephritid flies widespread across the Neotropical Region. Accurate taxonomic identification of these flies is therefore of paramount importance in agricultural contexts. DNA barcoding libraries are molecular-based tools based on a short sequence of the mitochondrial COI gene enabling rapid taxonomic identification of biological species. In this study, we evaluate the utility of this method for species identification of Peruvian species of Anastrepha and assemble a preliminary barcode profile for the group. We obtained 73 individual sequences representing the 15 most common species, 13 of which were either assigned to previously recognized or newly established BINs. Intraspecific genetic divergence between sampled species averaged 1.01% (range 0-3.3%), whereas maximum interspecific values averaged 8.67 (range 8.26-17.12%). DNA barcoding was found to be an effective method to discriminate between many Peruvian species of Anastrepha that were tested, except for most species of the fraterculus species group, which were all assigned to the same BIN as they shared similar and, in some cases, identical barcodes. We complemented this newly produced dataset with 86 published sequences to build a DNA barcoding library of 159 sequences representing 56 Peruvian species of Anastrepha (approx. 58% of species reported from that country). We conclude that DNA barcoding is an effective method to distinguish among Peruvian species of Anastrepha outside the fraterculus group, and that complementary methods (e.g., morphometrics, additional genetic markers) would be desirable to assist sensu stricto species identification for phytosanitary surveillance and management practices of this important group of pestiferous flies.

Two-dimensional hydrogenated buckled gallium arsenide: an ab initio study.

First-principles calculations have been carried out to investigate the stability, structural and electronic properties of two-dimensional (2D) hydrogenated GaAs with three possible geometries: chair, zigzag-line and boat configurations. The effect of van der Waals interactions on 2D H-GaAs systems has also been studied. These configurations were found to be energetic and dynamic stable, as well as having a semiconducting character. Although 2D GaAs adsorbed with H tends to form a zigzag-line configuration, the energy differences between chair, zigzag-line and boat are very small which implies the metastability of the system. Chair and boat configurations display a [Formula: see text]-[Formula: see text] direct bandgap nature, while pristine 2D-GaAs and zigzag-line are indirect semiconductors. The bandgap sizes of all configurations are also hydrogen dependent, and wider than that of pristine 2D-GaAs with both PBE and HSE functionals. Even though DFT-vdW interactions increase the adsorption energies and reduce the equilibrium distances of H-GaAs systems, it presents, qualitatively, the same physical results on the stability and electronic properties of our studied systems with PBE functional. According to our results, 2D buckled gallium arsenide is a good candidate to be synthesized by hydrogen surface passivation as its group III-V partners 2D buckled gallium nitride and boron nitride. The hydrogenation of 2D-GaAs tunes the bandgap of pristine 2D-GaAs, which makes it a potential candidate for optoelectronic applications in the blue and violet ranges of the visible electromagnetic spectrum.

Productive behavior in growing kid goats and methane production with the inclusion of chokecherry leaf (Prunus salicifolia).

Currently for the reduction of methane (CH4) emissions are using fodder rich in condensed tannins, however, not yet known exactly how they act in the rumen is not yet clear. The objective of this study was to evaluate the effect of the inclusion of leaves of Prunus salicifolia (PS, 0%, 15%, and 30%) on the productive behavior of growing kid goats, methane production, nutritional value, fermentation, and ruminal digestibility through an in vivo and in vitro study was performed. Diets were administered ad libitum to 6 Saanen kids with live weight (LW) of 12.25 ± 2.25 kg. Three levels of inclusion were used in a diet based on ground corn grain, soybean meal, corn stover, and oat hay in substitution with P. salicifolia leaves. The in vivo productive behavior was determined, as well as the fermentation kinetics, in vitro gas production, CH4 and hydrogen (H2) in an in vitro system was determined. For the in vivo study, we used a 3 × 3 Latin square design in in vivo study and an analysis of variance with three replications for in vitro gas production. The inclusion of 30% increased (P = 0.0011) dry matter intake (DMI 589.33 g/day) compared to the control group (418.80 g/day). The highest N excretion (feces and urine) (P < 0.001) was for T0, in addition to presenting a negative nitrogen balance compared with T15 and T30. The production of CH4 (mM)/g DM incubated, and CH4 (mM)/g DM fermented, CH4 (mM/day), and H2 was lower (P < 0.05) in T30 than T0 and T15. CH4 (mM)/day was lower (P < 0.036) in T130 (283 mM/day) compared with T0 (407 mM/day) P. salicifolia is a forage that helps to reduce the production of methane and can be included in the diets of growing kid goats in amounts less than 30% without affecting production performance.

Losing the trait without losing the signal: Evolutionary shifts in communicative colour signalling.

Colour signalling traits are often lost over evolutionary time, perhaps because they increase vulnerability to visual predators or lose relevance in terms of sexual selection. Here, we used spectrometric and phylogenetic comparative analyses to ask whether four independent losses of a sexually selected blue patch are spectrally similar, and whether these losses equate to a decrease in conspicuousness or to loss of a signal. We found that patches were lost in two distinct ways: either increasing reflectance primarily at very long or at very short wavelengths, and that species with additional colour elements (UV, green and pink) may be evolutionary intermediates. In addition, we found that patch spectral profiles of all species were closely aligned with visual receptors in the receiver's retina. We found that loss of the blue patch makes males less conspicuous in terms of chromatic conspicuousness, but more conspicuous in terms of achromatic contrast, and that sexual dimorphism often persists regardless of patch loss. Dorsal surfaces were considerably more cryptic than were ventral surfaces, and species in which male bellies were the most similar in conspicuousness to their dorsal surfaces were also the most sexually dimorphic. These results emphasize the consistent importance of sexual selection and its flexible impact on different signal components through evolutionary time.

Vibrational properties of germanane and fluorinated germanene in the chair, boat, and zigzag-line configurations.

The electronic and vibrational properties of germanane and fluorinated germanene are studied within density functional theory (DFT) and density functional perturbation theory frameworks. Different structural configurations of germanane and fluorinated germanene are investigated. The energy difference between the different configurations are consistently smaller than the energy of thermal fluctuations for all the analyzed DFT functionals LDA, GGA, and hybrid functionals, which implies that, in principle, it is possible to find these different configurations in different regions of the sample as minority phases or local defects. We calculate the Raman and infrared spectra for these configurations by using ab initio calculations and compare it with available experimental spectra for germanane. Our results show the presence of minority phases compatible with the configurations analyzed in this work. As these low energy configurations are metastable the present work shows that the synthesis of these energy competing phases is feasible by selectively changing the synthesis conditions, which is an opportunity to expand in this way the availability of new two-dimensional compounds.

Aislamiento y producción de basidiomas de cepas nativas de Volvariella bombycina (Schaeff) Singer, utilizando desechos agrícolas / Isolation and production of basidiomes from native strains of Volvariella bombycina (Schaeff) Singer, using agro-industrial wastes

Volvariella bombycina es una especie de hongo saprófito comestible que crece en troncos de árboles muertos y sobre la cual existe abundante información acerca de su sabor y propiedades nutricionales y medicinales. En Guatemala esta especie se consume en diversas regiones templado-cálidas del país, pero a la fecha no existe ningún estudio sobre su cultivo a nivel local. La presente investigación se realizó con el fin de conocer el comportamiento de tres cepas guatemaltecas de V. bombycina cultivadas en desechos agroindustriales. Las cepas fueron aisladas de basidiomas recolectados en bosques cercanos a la Ciudad de Guatemala, utilizándose medio PDA para el aislamiento y temperatura de 30 ºC para incubación. En la producción de inóculo se calculó la tasa de extensión radial (RER) sobre granos de sorgo y trigo en cajas de Petri. Para la obtención de basidiomas se evaluaron seis sustratos de desechos agrícolas: pasto jaraguá, caña y olote de maíz, rastrojo de frijol, paja de trigo, paja de arroz y tronco de tonché (Ipomoea murucoides), en frascos de vidrio. Se encontró que no hubo diferencia estadística significativa en el análisis de la RER entre las cepas VNPNU-01 y AADM-01 (p > .05), pero sí con la cepa VNPNU-02 (p < .05). Se obtuvieron basidiomas de V. bombycina en los seis sustratos evaluados, siendo la cepa AADM-01 la más productiva. De acuerdo con este estudio, las tres cepas guatemaltecas de V. bombycina pueden ser utilizadas en la producción de basidiomas en desechos agrícolas, lo que permitiría obtener un alimento nutritivo y generar ingresos a quienes deseen cultivar este hongo.

Volvariella bombycina is a species of edible saprophyte fungus that grows on logs of dead trees and about which there is information about its taste and nutritional and medicinal properties. In Guatemala this species is consumed in several warm regions of the country, but there is still no study on its cultivation locally. The present investigation was carried out in order to know the behavior of three Guatemalan strains of V. bombycina when cultivated in agricultural wastes. The strains were isolated from basidiomata collected in forests close to Guatemala City, using PDA medium and a temperature of 30ºC for incubation. In the inoculum production, the radial extension rate (RER) was calculated using sorghum and wheat grains in Petri dishes. For obtaining basidiomata, six agricultural wastes substrates were analyzed: grazing grass, cane and corn cob, stubble of bean, wheat straw, rice straw and tonché trunk (Ipomoea murucoides), in glass jars. There was found no significant difference in the statistical analysis of the RER with the VNPNU-01 and AADM-01 strains (p > .05), but it was significant with the VNPNU-02 strain (p > .05). Basidiomata of V. bombycina were obtained in the six substrates evaluated, being the AADM-01 strain the most productive. According to this evaluation, the three Guatemalan strains of V. bombycina can be used in the production of basidiomas using agricultural wastes, what would allow the production of a nutritious food and generate another income for those who want to grow this mushroom.

The impact of a rapid imaging protocol in acute cholecystitis-prospective cohort study.

INTRODUCTION: In this study we assess the impact of a "rapid imaging protocol" (RIP) on outcomes in patients with suspected acute cholecystitis (AC). METHODS: From January 2017 to January 2018, a prospective cohort study was implemented using a RIP with hepatoscintigraphy (HIDA) or CT scan (first available, goal within 4 h) in patients (n = 52) presenting with highly suspected AC and a clinical feature score of ≥1. For the latter, the following presenting features were scored as follows: 1 point for WBC count ≥10,000 (109/L), 1.5 points for glucose ≥140 (mg/dl), and/or 1 point for age ≥50 yrs. The historical control was all patients admitted with suspected AC in a 1.5-year period (n = 117) under our previous "delayed imaging protocol" (DIP), which used US ± HIDA (post-admission) in select patients. Primary end points included: compare outcome and quality measures between the groups, evaluate diagnostic imaging performance for AC, and evaluate our proposed clinical feature score in the setting of AC. RESULTS: Histopathologic features consistent with AC was more frequent in patients in the RIP (64% vs 39%, p = 0.008). The pooled positive predictive value of HIDA and CT scan for AC were 85% vs 94%, respectively. The RIP was associated with a significant reduction in time to surgery, length of stay, and conversions to open (p < 0.001, respectively). A clinical feature score of 3.5 predicted the likelihood of AC in 95% of the cases (x2 for linear trend = 42, p < 0.001). CONCLUSION: A protocol centered around rapid identification, defined clinical criteria (i.e. clinical feature score), and confirmation with non-user dependent imaging modalities has resulted in favorable outcomes. CT may be the study of choice when the likelihood of AC is high because it is superior at identifying severity.

Manual of praying mantis morphology, nomenclature, and practices (Insecta, Mantodea).

This study provides a comprehensive review of historical morphological nomenclature used for praying mantis (Mantodea) morphology, which includes citations, original use, and assignment of homology. All referenced structures across historical works correspond to a proposed standard term for use in all subsequent works pertaining to praying mantis morphology and systematics. The new standards are presented with a verbal description in a glossary as well as indicated on illustrations and images. In the vast majority of cases, originally used terms were adopted as the new standard. In addition, historical morphological topographical homology conjectures are considered with discussion on modern interpretations. A new standardized formulation to present foreleg femoral and tibial spines is proposed for clarity based on previous works. In addition, descriptions for methods of collection, curation, genital complex dissection, and labeling are provided to aid in the proper preservation and storage of specimens for longevity and ease of study. Due to the lack of consistent linear morphometric measurement practices in the literature, we have proposed a series of measurements for taxonomic and morphological research. These measurements are presented with figures to provide visual aids with homologous landmarks to ensure compatibility and comparability across the Order. Finally, our proposed method of pinning mantises is presented with a photographical example as well as a video tutorial available at http://mantodearesearch.com.

A checklist of the praying mantises of Peru: new records, one new genus (Piscomantis gen. n.) and biogeographic remarks (Insecta, Mantodea).

We present a preliminary checklist of the praying mantises (Insecta: Mantodea) of Peru. A total of 67 species are reported, nine of which constitute new records from that country. The following new nomenclatural procedures are introduced: Musoniella margharethae Battiston and Picciau, 2008 is transferred to Musonia as Musonia margharethae (Battiston and Picciau, 2008) (comb. n.), and Phyllovates brevicollis Orofino, Ippolito and Lombardo, 2006 is considered a new synonym (syn. n.) of Pseudovates peruviana (Rehn, 1911). A new genus, Piscomantis gen. n., is established to accommodate Galapagia peruana Beier, 1935, which is now referred to as Piscomantis peruana (Beier, 1935) (comb. n.). Ten species are removed from the Peruvian mantis fauna and two nomina nuda are proposed. An overview of the biogeography and ecology of Peruvian praying mantises is presented.

Learning curve in single-level minimally invasive tlif: experience of a neurosurgeon / Curva de aprendizagem em tlif minimamente invasiva em um nível: experiência de um neurocirurgião / Curva de aprendizaje en tlif por mínima invasión de un nivel: experiencia de un neurocirujano

ABSTRACT Objective: To describe the learning curve that shows the progress of a single neurosurgeon when performing single-level MI-TLIF. Methods: We included 99 consecutive patients who underwent single-level MI-TLIF by the same neurosurgeon (JASS). Patient's demographic characteristics were analyzed. In addition, surgical time, intraoperative blood loss and hospital stay were evaluated. The learning curves were calculated with a piecewise regression model. Results: The mean age was 54.6 years. The learning curves showed an inverse relationship between the surgical experience and the variable analyzed, reaching an inflection point for surgical time in case 43 and for blood loss in case 48. The mean surgical time was 203.3 minutes (interquartile range [IQR] 150-240 minutes), intraoperative bleeding was 97.4ml (IQR 40-100ml) and hospital stay of four days (IQR 3-5 days). Conclusions: MI-TLIF is a very frequent surgical procedure due to its effectiveness and safety, which has shown similar results to open procedure. According to this study, the required learning curve is slightly higher than for open procedures, and is reached after about 45 cases.

RESUMO Objetivo: Descrever a curva de aprendizagem que mostra o progresso de um único neurocirurgião na realização de MI-TLIF em um só nível. Métodos: Foram incluídos 99 pacientes consecutivos submetidos a MI-TLIF de um só nível pelo mesmo neurocirurgião (JASS). Foram analisadas as características demográficas dos pacientes. Além disso, avaliou-se o tempo operatório, a perda de sangue intraoperatória e o tempo de internação hospitalar. As curvas de aprendizagem foram realizadas com um modelo de regressão segmentada. Resultados: A média de idade foi 54,6 anos. As curvas de aprendizagem mostraram uma relação inversa entre a experiência cirúrgica e a variável analisada, atingindo um ponto de inflexão para o tempo de cirurgia no caso 43 e da perda sanguínea no caso 48. O tempo médio de cirurgia foi de 203,3 minutos (amplitude interquartil [IQR] 150 - 240 minutos), de sangramento intraoperatório foi 97,4 ml (IQR 40-100 ml) e de internação hospitalar foi de quatro dias (IQR 3-5 dias). Conclusões: O MI-TLIF é um procedimento realizado com muita frequência devido à sua eficácia e segurança, que tem mostrado resultados comparáveis com o procedimento aberto. De acordo com este estudo, a curva de aprendizagem necessária é ligeiramente maior do que para os procedimentos abertos, sendo que é atingida depois de cerca de 45 casos.

RESUMEN Objetivo: Describir la curva de aprendizaje que muestre el progreso de un sólo neurocirujano para la realización de MI-TLIF de un sólo nivel. Métodos: Se incluyeron 99 pacientes consecutivos sometidos a MI-TLIF en un solo nivel por un mismo neurocirujano (JASS). Se analizaron las características demográficas de los pacientes. Además se evaluó el tiempo quirúrgico, sangrado transoperatorio y tiempo de estancia hospitalaria. Las curvas de aprendizaje se realizaron con un modelo de regresión dividida en segmentos. Resultados: Se obtuvo un promedio de edad de 54,6 años. Las curvas de aprendizaje mostraron una relación inversa entre la experiencia quirúrgica y la variable analizada, alcanzando un punto de inflexión para tiempo quirúrgico en el caso 43 y para el sangrado en el caso 48. El promedio de tiempo quirúrgico fue de 203,3 minutos (amplitud intercuartil [IQR] 150 - 240 minutos), del sangrado transoperatorio fue 97,4 ml (IQR 40 - 100 ml) y de la estancia hospitalaria fue de cutro días (IQR 3 - 5 días). Conclusiones: El MI-TLIF es un procedimiento realizado con gran frecuencia debido a su efectividad y seguridad y que ha demostrado resultados equiparables con el procedimiento abierto. De acuerdo a este estudio la curva de aprendizaje requerida es discretamente mayor que para procedimientos abiertos, alcanzándola aproximadamente tras 45 casos.

An elusive Neotropical giant, Hondurantemna chespiritoi gen. n. & sp. n. (Antemninae, Mantidae): a new lineage of mantises exhibiting an ontogenetic change in cryptic strategy.

We present the description of a new genus and new species of praying mantis, Hondurantemna chespiritoigen. n. & sp. n. This species of cryptic mantis, collected in National parks in Mexico and Honduras, remained unknown despite its considerable body size. Based on a phylogenetic analysis with molecular data and traditional morphological analysis, we place this new genus within Antemninae, a monotypic Mantidae subfamily. We update the subfamily concept for Antemninae and provide a key to the two genera. We describe the external morphology of immatures and adults of the new species as well as the genital complexes of both sexes and the ootheca of Antemna rapax. The observed morphological changes between immature and adult females suggests that the selection for an alternate strategy for crypsis is a response to size increase of the abdomen during development. Immatures exploit a stick/branch habitat based on their morphological appearance while adult females appear as a leaf to disguise the profile of the body.

ResumenSe presenta la descripción de un nuevo género y una nueva especie de mantis religiosa, Hondurantemna chespiritoigen. n. & sp. n. Esta nueva especie de mantis críptica, colectada en ciertos parques nacionales de México y Honduras, había permanecido hasta ahora desconocida para la ciencia a pesar de su gran tamaño corporal. Utilizando un análisis filogenético con datos moleculares y junto con análisis tradicional de morfología, se logró clasificar a este nuevo género dentro de la subfamilia monotípica Antemninae que pertenece a la familia Mantidae. Como resultado se actualiza el concepto taxonómico de Antemninae y se presenta una clave para identificar los dos géneros atribuidos a esta subfamilia. Se describe la morfología externa de los juveniles y adultos de la nueva especie, así como el complejo genital de ambos sexos y la ooteca de Antemna rapax. La diferencia morfológica observada entre juveniles y adultos sugiere que existen fuerzas selectivas divergentes, posiblemente en respuesta al aumento del tamaño del abdomen durante el desarrollo, para así mantener su camuflaje a lo largo de su ciclo de vida. Sobre la base de su apariencia general, los juveniles utilizarían una estrategia críptica asemejando ramas, mientras que las hembras adultas asemejan hojas verdes para ocultar el contorno corporal.