A new six-pored Amphisbaena (Squamata: Amphisbaenidae) from the coastal zone of northeast Brazil.

We describe a new Amphisbaena from the Brazilian coastal zone at the municipalities of Guamaré and Macau, state of Rio Grande do Norte. The new species, Amphisbaena littoralis sp. nov., is characterized by six precloacal pores, 252-264 body annuli, 30-34 tail annuli with autotomy on the 6th tail annuli, 20-22 dorsal and 21-24 ventral segments to the midbody annulus.

A new species of Amazophrynella (Anura:Bufonidae) from the southwestern part of the Brazilian Guiana Shield.

Amazophrynella is a genus of the family Bufonidae, currently represented by three species. The type species of the genus, Amazophrynella minuta, however, is a complex of species occurring throughout the Amazonian biome. This group remains problematic taxonomically; the difficulty lays principally in the lack of diagnostic characters in the original description of A. minuta, the lack of molecular data and refined taxonomic comparison of individuals through its wide distribution. We describe a new species of the genus Amazophrynella, distributed in the southwestern part of the Guiana Shield of Brazil based on a series of morphological and molecular characters. The new species differs from others of the genus by presenting a slightly truncated triangular snout, ventral texture covered by many fine granules, white belly covered with black spots and by fifteen molecular autapomorphies in the 16S rDNA fragment. Uncorrected p-distances of a fragment of the 16S mitochondrial rDNA gene revealed high divergence among other Amazophrynella species (9%-14%). Additionally we provide a new diagnosis of topotypic material of Amazophrynella minuta including molecular data. Our results show the existence of a subestimated diversity in the genus Amazophrynella. 

A new species of Pseudopaludicola (Anura, Leiuperidae) from western Piauí State, Northeast Brazil.

A new species of Pseudopaludicola from western Piauf State, Brazil, in the Cerrado domain is described. Pseudopaludicola parnaiba sp. nov. is a member of the genus Pseudopaludicola, on the basis of the presence of one hypertrophied antebrachial tubercle, posterolateral process of the hyoid outlined and epicoracoid cartilages slightly overlapped. The new species is characterized by an advertisement call composed of 6-46 non-pulsed notes per call and dominant frequency of 4794 ± 296 Hz, which supports an independent lineage. Additionally, the small size, body slender, toe tips knobbed with central groove, abdominal fold complete, tibio-tarsal articulation reaching the posterior border of the eye, and prepollex and prehallux composed of base and one element are character states that distinguish P. parnaiba from all the members of Pseudopaludicola. We provide its formal description with regard to external morphology, osteological characters and advertisement call.

Methane liquid-gas phase distribution during anaerobic sludge digestion: A thermodynamic approach.

Anaerobic digestion is certainly one of the options that can help solve the dilemma of energy demand, waste management and climate crisis mitigation mainly. Under ideal conditions, it is expected that all biomethane will be transferred from the liquid to the gaseous phase, ensuring maximum recovery. However, for concentrated wastewater or complex organic waste blends composed of functional groups with different sizes, the molecular interactions become important since the system is not only biphasic. Since the formation and transfer of a gas is related to the equilibrium condition, a thermodynamic approach could help to estimate the degree of variation of biomethane between the liquid and gaseous phases. Therefore, this investigation aimed to obtain the distribution between liquid and gaseous phases of the biomethane produced in the sewage sludge anaerobic digestion considering the substrate as a non-ideal solution. The nonlinear differential equations of the ADM1 were integrated with Aspen Plus® to verify the equilibrium conditions and the model was calibrated with data obtained through experiments conducted in a lab scale sequence batch reactor (SBR) fed with synthetic substrate (1500 mgCOD.L-1) and inoculated with flocculent sludge (500 mgSSV.L-1) from a full-scale UASB reactor. Considering the thermodynamic approach, the percentage of dissolved biomethane remains below the 2.97% percentage estimated by using the ADM1. It is possible to state that the principle of ideality is maintained in the system. On the other hand, CO2 phase distribution was considerably affected by the species defined in the equilibrium reactions. Therefore, it can be stated that Henry's Law simplification in ADM1 model is valid to represent the phenomenon investigated.

Two new surprising species of leaf-litter toad of the Rhinella margaritifera species group (Anura: Bufonidae) from the Peruvian Amazon, LoretoPeru.

We describe two new species of Rhinella (Anura: Bufonidae) from the department of Loreto, Peru. We integrate morphological and phylogenetic analyses to provide evidence of new species. R. angeli sp. nov. is diagnosable from all congeners by its pronounced fleshy proboscis and R. unapensis sp. nov. by the small size (mean snout-vent length=37.7 4.1 mm) of adult males, snout pointed in dorsal view, nearly acute in lateral view, and small bony protrusion at the angle of jaws among other characters. The two species are allopatric, where the first species is known to be associated inhabits upland (=terra firme) forests, while the second white sand forests (=varillales) around Iquitos city. The two new species represent the 20th and 21st species of the Rhinella margaritifera species group.

A New Species of Cosmocercoides (Ascaridida: Cosmocercidae) Parasitic in Tree Frogs from Southern Amazonia.

Cosmocercoides meridionalis n. sp. is described from the large and small intestines of 5 species of tree frogs belonging to the families Hylidae and Phyllomedusidae collected from 2 localities in Southern Amazonia. The new species is allocated to the genus Cosmocercoides Wilkie, 1930, due to the presence of papillae in rosettes, which are complex caudal papillae surrounded by punctuations. Cosmocercoides meridionalis n. sp. differs from its congeners by a combination of the following characters: the absence of the gubernaculum, the total length of the female (twice the size of the male), and the presence of 26 rosette papillae with a unique arrangement and distribution pattern: 11 pre-cloacal pairs, 1 ad-cloacal pair, and 1 post-cloacal pair. This is the first species of the genus described from the Amazonia region.

Phylogenetic relationships of the poorly known treefrog Boana hobbsi (Cochran amp; Goin, 1970) (Anura: Hylidae), systematic implications and remarks on morphological variations and geographic distribution.

Boana hobbsi is a poorly known hylid frog currently placed within the Boana punctata group. Yet, morphological, ecological and bioacoustic traits do not support this placement, with no molecular data being available to date to test this hypothesis. Based on newly collected mitochondrial DNA sequences, morphological data review and field observations, we provide new insight into the phylogenetic relationships, morphological variations and geographic distribution of B. hobbsi. Our findings reveal that B. hobbsi is nested (with strong support) within the Boana benitezi group, recovering once more a polyphyletic Boana punctata group. Supported by this new genetic, morphological and ecological evidence, we propose a new taxonomic arrangement which includes B. hobbsi as a member of the Boana benitezi group. Furthermore, we emphasize the importance of conducting biological inventories in remote Amazonian areas, where many taxonomic and geographic knowledge gaps persist with regards to Amphibian diversity.

Diagnosis of prostate cancer by detection of minichromosome maintenance 5 protein in urine sediments.

BACKGROUND: The accuracy of prostate-specific antigen (PSA) testing in prostate cancer detection is constrained by low sensitivity and specificity. Dysregulated expression of minichromosome maintenance (Mcm) 2-7 proteins is an early event in epithelial multistep carcinogenesis and thus MCM proteins represent powerful cancer diagnostic markers. In this study we investigate Mcm5 as a urinary biomarker for prostate cancer detection. METHODS: Urine was obtained from 88 men with prostate cancer and from two control groups negative for malignancy. A strictly normal cohort included 28 men with complete, normal investigations, no urinary calculi and serum PSA <2 ng ml(-1). An expanded control cohort comprised 331 men with a benign final diagnosis, regardless of PSA level. Urine was collected before and after prostate massage in the cancer patient cohort. An immunofluorometric assay was used to measure Mcm5 levels in urine sediments. RESULTS: The Mcm5 test detected prostate cancer with 82% sensitivity (confidence interval (CI)= 72-89%) and with a specificity ranging from 73 (CI=68-78%) to 93% (CI=76-99%). Prostate massage led to increased Mcm5 signals compared with pre-massage samples (median 3440 (interquartile range (IQR) 2280 to 5220) vs 2360 (IQR <1800 to 4360); P=0.009), and was associated with significantly increased diagnostic sensitivity (82 vs 60%; P=0.012). CONCLUSIONS: Urinary Mcm5 detection seems to be a simple, accurate and noninvasive method for identifying patients with prostate cancer. Large-scale prospective trials are now required to evaluate this test in diagnosis and screening.

A new species of Hastospiculum Skrjabin (Spirurida: Diplotriaenidae) parasite of Xenodon merremii (Walger in Spix) (Serpentes: Dipsadidae) from Northeastern Brazil.

A new nematode species of the Diplotriaenidae is described from the Neotropical region. The species was found infecting the body cavity of the snake Xenodon merremii (Wagler in Spix) collected in the municipality of Barbalha, Ceará State, Northeastern Brazil. Hastospiculum nordestinum n. sp. differs from the congeners by combining the following characters: caudal end ornamented with lateral alae not surrounding the tail end and not connected, supported by eight pairs of pedunculated papillae (three precloacal, one paracloacal, and four postcloacal pairs) and three adcloacal sessile papillae, and left spicule length 719.6-902.4 µm. Besides the description of Hastospiculum nordestinum n. sp., a species list and a dichotomous key to Hastospiculum are provided.

Sepsis: a need for prehospital intervention?

Prehospital staff have made a significant contribution in recent years to improving care for patients with acute coronary syndrome, multiple trauma and stroke. There is, however, another group of patients that is not currently being targeted, with a similar time-critical condition. This group of patients is those with severe sepsis and septic shock and they could also benefit greatly from timely prehospital care. This article will consider how prehospital staff can improve the outcome of patients with severe sepsis, and in particular how they can aid emergency departments in identifying and initiating treatment in patients with severe sepsis.

Influence of habitat heterogeneity on anuran diversity in Restinga landscapes of the Parnaíba River delta, northeastern Brazil.

Anurans have close associations with environmental conditions and therefore represent an interesting vertebrate group for examining how resource availability and environmental variables influence species diversity. Associations between habitat heterogeneity and anuran species diversity were tested in the Restinga landscapes of the Parnaíba River delta in northeastern Brazil. Twenty-one anuran species were sampled in the rainy season during monthly excursions (December 2015 to June 2016) into areas of Restinga on two islands in the Parnaíba River delta. The fourth highest anuran diversity was found in this type of environment in Brazil and is the third in northeastern Brazil. Microenvironments, characterized by a combination of vernal pools with different vegetational and physical structures, better explained anuran species composition in the Parnaíba River delta.

Description of the advertisement calls of four species of Amazophrynella (Anura:Bufonidae).

Amazophrynella comprises 11 small bufonid species with a pan-Amazonian distribution (Fouquet et al. 2012a, b; Rojas et al. 2016, Rojas et al. 2018). All species inhabit the forest leaf litter, breed in seasonal puddles and are diurnally and nocturnally active (Fouquet et al. 2012b; Rojas et al. 2014; 2015; 2016). Until now only one nominal species, A. javierbustamantei, and two putative lineages-A. moisesii (Rio Yuyapichis, Peru) and A. siona (Santa Cecilia, Ecuador)-had their advertisement calls formally described (Duellman 1978; Schlüter 1981; Rojas et al. 2016). Herein, we described for the first time the advertisement calls from additional four species of Amazophrynella.

Redescription of the Amazonian tiny tree toad Amazophrynella minuta (Melin, 1941) (Anura: Bufonidae) from its type locality.

The description of Amazophrynella minuta was published in 1941 by the Swedish naturalist Douglas Melin based on material from Taracuá (Amazonas state, Brazil). This description was very brief and based on the morphology of few specimens with diagnostic characters and color variation not well defined. Moreover, the type series is currently in poor state of conservation. Consequently, taxonomic ambiguity surrounds the nominal taxon A. minuta, which hampers the description of many unnamed congeneric species. Herein, we redescribe A. minuta based on recently collected specimens from the type locality, designate a lectotype, formulate a new diagnosis, provide patterns of morphological variation, measurements and body proportions.

A Pan-Amazonian species delimitation: high species diversity within the genus Amazophrynella (Anura: Bufonidae).

Amphibians are probably the most vulnerable group to climate change and climate-change associate diseases. This ongoing biodiversity crisis makes it thus imperative to improve the taxonomy of anurans in biodiverse but understudied areas such as Amazonia. In this study, we applied robust integrative taxonomic methods combining genetic (mitochondrial 16S, 12S and COI genes), morphological and environmental data to delimit species of the genus Amazophrynella (Anura: Bufonidae) sampled from throughout their pan-Amazonian distribution. Our study confirms the hypothesis that the species diversity of the genus is grossly underestimated. Our analyses suggest the existence of eighteen linages of which seven are nominal species, three Deep Conspecific Lineages, one Unconfirmed Candidate Species, three Uncategorized Lineages, and four Confirmed Candidate Species and described herein. We also propose a phylogenetic hypothesis for the genus and discuss its implications for historical biogeography of this Amazonian group.

Febrile seizures.

Febrile seizures are the most frequent of seizure disorders in childhood. Febrile seizures are most common in children between 6 months and 3 years of age, with a peak incidence at about 18 months. Approximately 30% to 40% of children who experience a febrile seizure will have a recurrence. The majority of febrile seizures occur within 24 hours of the onset of the fever. Febrile seizures can be simple or complex. Diagnostic studies are usually not necessary. Febrile seizures usually are self-limited, and intervention to stop the seizure often is unnecessary. When possible, the cause of the fever should be treated. Continuous preventative anticonvulsant therapy is not recommended for children with either simple or complex febrile seizures. The use of intermittent anticonvulsant therapy is not routinely indicated. Parental educational and counseling is important. The prognosis is excellent.

Tuberous sclerosis complex: a review.

Tuberous sclerosis complex (TSC) is an inherited neurocutaneous disorder characterized by the potential for hamartoma formation in almost every organ. The inheritance is autosomal dominant with almost complete penetrance but variable expressivity. The two gene loci that code for TSC are TSC1, located on chromosome 9q34, and TSC2 on 16p13.3. TSC complex may affect the skin, central nervous system, kidneys, heart, eyes, blood vessels, lungs, bone, and gastrointestinal tract. The diagnosis of TSC is based on the identification of hamartomas in more than one organ system. Treatment should be symptomatic and organ specific. A multidisciplinary management approach is necessary.

A giant congenital nevus spilus in an 8-year-old girl.

Congenital nevus spilus is rare, and the lesion is usually small. This report describes an 8-year-old girl with a giant congenital nevus spilus that involved the left side of her abdomen, perineal area, and left upper thigh. The patient also had a Mongolian spot in the lumbosacral area.

Herpes zoster in childhood.

Herpes zoster is caused by reactivation of latent varicella-zoster virus that resides in a dorsal root ganglion. Herpes zoster can develop any time after a primary infection. Because varicella vaccine is a live attenuated virus, herpes zoster can develop in a vaccine recipient. The incidence of herpes zoster among vaccine recipients is about 14 cases per 100,000 person-years. In young children, herpes zoster has a predilection for areas supplied by the cervical and sacral dermatomes. The most common complications are secondary bacterial infection, depigmentation, and scarring. Although the diagnosis of herpes zoster is based on a distinct clinical appearance, viral DNA analysis of the lesion by polymerase chain reaction or restriction fragment length polymorphism is necessary to differentiate wild from vaccine-type viruses. Acyclovir is the treatment of choice for herpes zoster.