Description of evandromyia spelunca, a new phlebotomine species of the cortelezzii complex, from a cave in Minas Gerais State, Brazil (Diptera: Psychodidae: Phlebotominae)

<p>Abstract</p> <p>Background</p> <p>The cave fauna of the Brazil is poorly documented, and among the insects those live or frequent caves and their adjacent environments phlebotomine sand flies call for special attention because several species are vectors of pathogens among vertebrates hosts. A new species of sand fly from Minas Gerais is described based in females and males collected in a cave of the municipality of Lassance.</p> <p>Results</p> <p>The morphological characters of the new species permit to include in the Evandromyia genus, cortelezzii complex. This complex consists of three species: Evandromyia corumbaensis (Galati, Nunes, Oshiro & Rego, 1989), Evandromyia cortelezzii (Brethes, 1923) and Evandromyia sallesi (Galvao & Coutinho, 1940).</p> <p>Conclusions</p> <p>The new species can be separate from the others of the cortelezzii complex through morphological characters of the male terminalia and female spermathecae.</p

Family care conferences in long-term care: Exploring content and processes in end-of-life communication

© Cambridge University Press 2017. Objective: End-of-life (EoL) communication in long-term care (LTC) homes is often inadequate and delayed, leaving residents dying with unknown preferences or goals of care. Poor communication with staff contributes to families feeling unprepared, distressed, and dissatisfied with care. Family care conferences (FCCs) aim to increase structured systematic communication around goals and plans for the end of life. As part of the Strengthening a Palliative Approach to Care (SPA-LTC) project, FCCs were implemented in four LTC sites in Ontario, Canada. The purpose of this substudy was to examine FCC content and such guiding processes as documentation and multidisciplinary staff participation.Method: A total of 24 FCCs were held for residents with a Palliative Performance Scale score of 40% (nearing death). Data were collected from conference forms (i.e., Family Questionnaires, Care Plan Conference Summaries), site-specific electronic chart documents, and fieldnotes. Directed content analysis of data was informed by the Canadian Hospice Palliative Care Association's Square of Care Model, which describes eight domains of care: disease management, physical, psychological, social, practical, spiritual, EoL, and loss/bereavement.Results: The FCCs addressed an average of 71% of the content domains, with physical and EoL care addressed most frequently and loss/bereavement addressed the least. Two goals and five interventions were documented and planned on average per FCC. Examination of the processes supporting EoL communication found: (1) advantages to using FCC forms versus electronic charts; and (2) high levels of multidisciplinary participation overall but limited participation of personal support workers (PSWs) and physicians.Significance of Results: Communication around the end of life in LTC can be supported through the use of FCCs. Description of content and FCC processes provides guidance to persons implementing FCCs. Recommendations for tailoring conferences to optimize communication include use of specific conference forms, increased bereavement discussion, and further engagement of PSWs and physicians

Perennial Warm-Season Grass Forages Impact on Cow-Calf Profitability in the Fescue Belt

Incorporating a perennial warm- season grass (WSG) into tall fescue (Lolium arundina-ceum [Schreb.] Darbysh.) forage systems in the fescue belt can help avoid the effects of fescue toxicosis on beef cattle (Bos taurus) reproduction and animal performance and provide forage during summer when fescue production is low. However, little information is available on the economics of incorporating WSG into fescue-based forage systems. We developed a simulation model to compare profitability of three forage systems—100% tall fescue, 70% tall fescue/30% bermudagrass (Cynodon dactylon), and 70% tall fescue/ 30% switchgrass (Panicum virgatum)—while also comparing spring- and fall-calving sea-sons on model beef cattle cow-calf operations in the fescue belt. Incorporating switch-grass increased profitability of tall fescue forage systems in both spring- and fall- calving herds, while adding bermudagrass increased profitability in spring-calving herds but not fall-calving herds. Spring-calving herds benefited the most from incorporating WSG, with profitability increases of $877 and$372 per hectare for switchgrass and bermudagrass, respectively, over the 100% tall fescue system. The order of profitability of forage systems did not change with randomly simulated decreases in rainfall and associated increased hay- feeding days, but with annual rainfall \u3e88% of the long- term average, fall- calving 100% tall fescue was more profitable than fall- calving 70% tall fescue/30% bermuda grass. Of the scenarios modeled, the results of the simulation suggest that a profit-maximizing producer would utilize a 70% tall fescue/30% switchgrass forage system

Coupling Strongly, Discretely PHYSICS

PERSPECTIVES tein p53 for degradation, show that Mdm2 inhibition can be attained by blocking interaction with its substrate. Yang et al. show that a stable complex forms between TRAF6 and Akt, suggesting that this approach may be a good way to block TRAF6-mediated Akt activation. The potential effectiveness of this approach for tumor therapy is highlighted by the point in the signaling cascade at which TRAF6 contributes to Akt activation-downstream of common mutations observed in the clinic that affect phosphatidylinositol 3-kinase (PI3K) or the phosphatase PTEN, both of which cause hyperactivation of Akt. In support of this, the tumor cell line depleted of TRAF6 that was injected into mice by Yang et al. did not express PTEN and displayed strong Akt activation. TRAF6 could be used to augment the effectiveness of rapamycin analogs (rapalogs), drugs that inhibit the mammalian target of rapamycin complex 1 (mTORC1). Rapalogs are approved for limited antitumor therapy because they may temporarily stabilize tumors in clinical trials but rarely elicit a full response in terms of tumor ablation. Preclinical studies indicate that rapalogs have a cytostatic effect on tumors, due at least in part to increased Akt activation, because a negative feedback loop that normally prevents PI3K signaling is lost. As Yang et al. show, cells lacking TRAF6 display increased spontaneous apoptosis (programmed cell death). Thus, TRAF6 inhibition in conjunction with rapalogs could shift the response of tumors to rapalogs from cytostatic to cytotoxic, increasing the effi cacy of these drugs in cancer therapy. LoPiccolo et al., Drug Resist. Updat. 11, 32 (2008). 4. S. Klein, A. Levitzki, Curr. Opin. Cell Biol. 21, 185 (2009). 5. W.-L. Yang et al., Science 325, 1134). 6. N. Filippa, C. L. Sable, B. A. Hemmings, E. Van Obberghen, Mol. Cell. Biol. 20, 5712 (2000. 7. C. C. Thomas et al., Curr. Biol. 12, 125

Hydroxychloroquine and short-course radiotherapy in elderly patients with newly diagnosed high-grade glioma: a randomized phase II trial

Background: Effective treatment for patients at least 70 years with newly diagnosed glioblastoma remains challenging and alternatives to conventional cytotoxics are appealing. Autophagy inhibition has shown promising efficacy and safety in small studies of glioblastoma and other cancers. Methods: We conducted a randomized phase II trial to compare radiotherapy with or without hydroxychloroquine (2:1 allocation). Patients aged at least 70 years with newly diagnosed high-grade glioma deemed suitable for short-course radiotherapy with an ECOG performance status of 0–1 were included. Radiotherapy treatment consisted of 30 Gy, delivered as 6 fractions given over 2 weeks (5 Gy per fraction). Hydroxychloroquine was given as 200 mg orally b.d. from 7 days prior to radiotherapy until disease progression. The primary endpoint was 1-year overall survival (OS). Secondary endpoints included progression-free survival (PFS), quality of life, and toxicity. Results: Fifty-four patients with a median age of 75 were randomized between May 2013 and October 2016. The trial was stopped early in 2016. One-year OS was 20.3% (95% confidence interval [CI] 8.2–36.0) hydroxychloroquine group, and 41.2% (95% CI 18.6–62.6) radiotherapy alone, with a median survival of 7.9 and 11.5 months, respectively. The corresponding 6-month PFS was 35.3% (95% CI 19.3–51.7) and 29.4% (95% CI 10.7–51.1). The outcome in the control arm was better than expected and the excess of deaths in the hydroxychloroquine group appeared unrelated to cancer. There were more grade 3–5 events in the hydroxychloroquine group (60.0%) versus radiotherapy alone (38.9%) without any clear common causation. Conclusions: Hydroxychloroquine with short-course radiotherapy did not improve survival compared to radiotherapy alone in elderly patients with glioblastoma

Habitat use by Siberian warbler species at a stopover site in Far Eastern Russia

Knowledge of the routes and habitat use of Siberian songbird species during migration is very limited. The goal of our study was to describe the autumnal habitat use of seven Siberian warbler species in the genera Phylloscopus, Acrocephalus, Iduna and Locustella in Far Eastern Russia. A total of 2283 individuals were trapped in mist nets placed within different habitat types between 2012 and 2014 as part of the Amur Bird Project at Muraviovka Park in Far Eastern Russia. We studied the effect of habitat type and vegetation height on the occurrence of each species, and compared our results to published information on habitat use on the breeding grounds. Our results demonstrate that most species exhibit species-specific preferences for habitat type, and that these stopover habitats were similar to habitats used on the breeding grounds. © 2018 British Trust for Ornitholog