27 research outputs found

    Revision of the " Chloritisdelibrata (Benson, 1836)" group (Gastropoda, Stylommatophora, Camaenidae).

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    Chloritisdelibrata (Benson, 1836), known from northeastern India, was believed to have three varietal forms, sometimes mentioned as subspecies: C.delibratavar.khasiensis (Nevill, 1877) and C.delibratavar.fasciata (Godwin-Austen, 1875) from the Khasi Hills, India, and C.delibratavar.procumbens (Gould, 1844) from Dawei in Myanmar. The reproductive anatomy of the latter form is known and does not match with those of any continental camaenid genera, but does with that of the newly examined Chloritisplatytropis Möllendorff, 1894 from Thailand. The latter species is conchologically similar to Bouchetcamaenahuberi Thach, 2018 (synonym of Helixfouresi Morlet, 1886), which is the type species of the genus Bouchetcamaena Thach, 2018. Thus, Bouchetcamaena can provisionally host the entire Chloritisdelibrata -group with the exception of var. fasciata, which is transferred to Burmochloritis Godwin-Austen, 1920 due to the multiple reddish bands on its shell. The examination of shells deposited in the Natural History Museum, London revealed that seven morphologically distinguishable forms are present, which are accepted here as representing distinct species. Four new species are described from India: Bouchetcamaenafoveata Páll-Gergely sp. nov., B.fusca Páll-Gergely sp. nov., B.raripila Páll-Gergely sp. nov., and B.subdelibrata Páll-Gergely sp. nov

    Anti-cholinergic burden and patient related clinical outcomes in an emergency general surgical setting

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    We acknowledge the support of the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London (BC).Peer reviewedPublisher PD

    FMALE score: combining practical risk scales to improve preoperative predictive accuracy in emergency general surgery: a multi-centre prospective cohort study

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    Our increasingly aging population is associated with older people being admitted to surgical wards at a rate surpassing population growth. 1 Although frailty is not exclusive to older adults, its prevalence is positively associated with age. 2 Hewitt et al. observed frailty to independently predict increased length of hospital stay (LOS), 30-day and 90-day mortality for adults aged ≥65 years admitted to emergency general surgery (EGS). 3 Recent evidence has shown that the association between frailty and poor outcomes, is not limited to older adults, but extends to all adult EGS patients. 4 Although risk stratification tools have been derived for EGS patients, none have included a measure for frailty. 5 Previously, Ablett et al. suggested the MALE score to identify older patients at risk of poorer outcomes who may benefit from comprehensive geriatric assessment based on four characteristics obtained at the point of care: Male, Anaemic, Low albumin, and age Eight-five and over. 6 We aimed to investigate whether the accuracy of MALE score could be augmented, through incorporating physical frailty defined by the Clinical Frailty Scale (CFS), and applied to all EGS adults

    SHARP risk score: a predictor of poor outcomes in adults admitted for emergency general surgery: a prospective cohort study

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    Purpose Post-operative complications following emergency abdominal surgery are associated with significant morbidity and mortality. Despite the knowledge of prognostic factors associated with poor surgical outcomes; few have described risks of poor outcomes based on admission information in acute surgical setting. We aimed to derive a simple, point-of-care risk scale that predicts adults with increased risk of poor outcomes. Methods We used data from an international multi-centre prospective cohort study. The effect of characteristics; age, hypoalbuminaemia, anaemia, renal insufficiency and polypharmacy on 90-day mortality was examined using fully adjusted multivariable models. For our secondary outcome we aimed to test whether these characteristics could be combined to predict poor outcomes in adults undergoing emergency general surgery. Subsequently, the impact of incremental increase in derived SHARP score on outcomes was assessed. Results The cohort consisted of 419 adult patients between the ages of 16–94 years (median 52; IQR(39) consecutively admitted to five emergency general surgical units across the United Kingdom and one in Ghent, Belgium. In fully adjusted models the aforementioned characteristics; were associated with 90-day mortality. SHARP score was associated with higher odds of mortality in adults who underwent emergency general surgery, with a SHARP score of five also being associated with an increased length of hospital stay. Conclusions SHARP risk score is a simple prognostic tool, using point-of-care information to predict poor outcomes in patients undergoing emergency general surgery. This information may be used to improve management plans and aid clinicians in delivering more person-centred care. Further validation studies are required to prove its utility

    Figure 2 in Investigating the influence of habitat type and weather conditions on the population dynamics of land snails Vertigo angustior Jeffreys, 1830 and Vertigo moulinsiana (Dupuy, 1849). A case study from western Poland

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    Figure 2. Precipitation in the studied sites in consecutive months of 2009; dashed bars – sampling months. (B) and (C) Abundance of individuals: juveniles (white bars) and adults (black bars) of Vertigo angustior (B) and Vertigo moulinsiana (C) in each sampling event in the Ilanka and Pliszka sites in 2009.Published as part of Książkiewicz-Parulska, Zofia & Ablett, Jonathan D., 2016, Investigating the influence of habitat type and weather conditions on the population dynamics of land snails Vertigo angustior Jeffreys, 1830 and Vertigo moulinsiana (Dupuy, 1849). A case study from western Poland, pp. 1749-1758 in Journal of Natural History 50 on page 1753, DOI: 10.1080/00222933.2016.1156178, http://zenodo.org/record/399221

    Figure 3 in Investigating the influence of habitat type and weather conditions on the population dynamics of land snails Vertigo angustior Jeffreys, 1830 and Vertigo moulinsiana (Dupuy, 1849). A case study from western Poland

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    Figure 3. Diagram of one-way analysis of covariance test comparing a logarithmized number of individuals of Vertigo angustior (F = 92.16; p <0.01) and Vertigo moulinsiana (F = 8.165; p <0.01) in the Ilanka and Pliszka sites in 2009. Middle line: mean; box range: standard error; whiskers: standard deviation.Published as part of <i>Książkiewicz-Parulska, Zofia & Ablett, Jonathan D., 2016, Investigating the influence of habitat type and weather conditions on the population dynamics of land snails Vertigo angustior Jeffreys, 1830 and Vertigo moulinsiana (Dupuy, 1849). A case study from western Poland, pp. 1749-1758 in Journal of Natural History 50</i> on page 1755, DOI: 10.1080/00222933.2016.1156178, <a href="http://zenodo.org/record/3992210">http://zenodo.org/record/3992210</a&gt

    Type material of land snails (Mollusca: Gastropoda) described from New Zealand by taxonomists in Europe and North America between 1830 and 1934, and the history of research on the New Zealand land snail fauna from 1824 to 1917

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    Brook, Fred J., Ablett, Jonathan D. (2019): Type material of land snails (Mollusca: Gastropoda) described from New Zealand by taxonomists in Europe and North America between 1830 and 1934, and the history of research on the New Zealand land snail fauna from 1824 to 1917. Zootaxa 4697 (1): 1-117, DOI: https://doi.org/10.11646/zootaxa.4697.1.

    An ironic twist of fate: replacement name for Stenogyra gracilenta Morelet, 1885, not Achatina gracilenta Morelet, 1867 (Mollusca, Gastropoda, Achatinidae)

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    Breure, Abraham S.H., Ablett, Jonathan D. (2018): An ironic twist of fate: replacement name for Stenogyra gracilenta Morelet, 1885, not Achatina gracilenta Morelet, 1867 (Mollusca, Gastropoda, Achatinidae). Zootaxa 4418 (3): 299-300, DOI: https://doi.org/10.11646/zootaxa.4418.3.
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