The two-sex life table and predation rate of Oenopia conglobata contaminata (Col.: Coccinellidae) feeding on pomegranate green aphid, Aphis punicae (Hem.: Aphididae), under laboratory conditions

The ladybird species Oenopia conglobata contaminata (Menetries) is one of the major predators of pests in the orchards across Iran. The life history and predation rate of this predator were studied under laboratory conditions with 27.5 ± 2oC, 55 ± 5 RH and 16: 8 h (L: D) photoperiod to 6-cm petri dishes. To study the demography, a cohort containing about 100 eggs with less than 24h of age was chosen. Ladybeetle larvae were fed daily on the immature stages of pomegranate green aphids, Aphis punicae Pass. The daily fertility, immature developmental time, mortality and predation rate data were analyzed using age-stage, two-sex life table analysis - MSChart software. Means and standard errors of population growth parameters were calculated by bootstrap method. To determine the predation rate, the first-instar beetle larvae were fed on the third and forth developmental stages of A. punicae. The adult ladybirds were grouped in pairs of opposite sexes to investigate their predation rates on daily basis. The intrinsic rate of increase (rm), finite rate of increase(λ) , mean generation time (T0) and net reproductive rate )R0( were 0.181 d-1, 1.198 d-1, 30.58 d and 251.65 offspring per individual respectively. Predation rate of different stages of forth-instar larvae and both adult sexes were 49.56, 95 and 125, aphids respectively, and the average predation rate (C0) was 118 aphids that shows a high rate of predation on the aphid population

Effect of temperature on life table parameters of Diaphania indica (Lep.: Pyralidae) under laboratory conditions

The cucumber moth, Diaphania indica (Saunders), is a tropical and sub-tropical pest on cucurbits and a key pest of greenhouse crops in Jiroft region of Iran. The effect of temperature on life table parameters of this pest was investigated in a growth chamber at four constant temperatures i.e. 20, 25, 30 and 35 ºC on Cucumis sativus L. The net reproductive rates (R0) were found to be 68.19, 120.977, 64.05 and 21.23, respectively. The intrinsic rates of increase (rm) were 0.0619, 0.1746, 0.1934 and 0.1491, and mean generation times (T) were 69.063, 27.45, 21.49 and 20.44, respectively. According to the results, for the intrinsic rate of increase (rm), finite rate of increase (λ) and intrinsic birth rate (b), the optimum temperature was 30 ºC and the least suitable temperature was 20 ºC

Predatory efficiency of Hippodamia variegata (Col.: Coccinellidae) on common pistachio psylla, Agonoscena pistaciae (Hem.: Aphalaridae), under laboratory conditions

Common pistachio psylla, Agonoscena pistaciae Burckhardt & Lauterer, is the most economically important species among the psyllid pests of pistachio in Iran. Hence, the possibility of using nonchemical control methods against A. pistaciae and the existence of its natural enemies need to be investigated. The spotted amber ladybird, Hippodamia variegata (Goeze), is one of the most effective predators in pistachio orchards. It is a highly polyphagous coccinellid that preys mainly on aphid and psyllid pests of pistachio trees. This study is intended to improve the knowledge about the predation capacity of A. pistaciae. The experiment was conducted under laboratory conditions of 25oC and 30oC, 55 ± 5 RH and 16: 8 L: D. Logistic regression was used to determine the type of functional response and nonlinear regression calculated the parameters of the rate of searching efficiency (a) and handling time (Th). The functional response on different density of prey at both temperatures was type II. The attack rate and handling time were 0.088 ± 0.012 h-1 and 0.0647 ± 0.011 h at 25ºC and 0.195 ± 0.031 h-1 and 0.0698 ± 0.056 h at 30ºC, respectively. The density and temperature affected the predation rate significantly. The data suggests that the H. variegata is a viable biological agent against A. pistaciae

Developmental periods of Oenopia conglobata contaminata (Col.: Coccinellidae) reared on eggs of Sitotroga cerealella (Lep.: Gelechiidae) and Ephestia kuehniella (Lep.: Pyralidae) at constant temperatures

The coccinellid Oenopia conglobata contaminata (Menteries) is one of the most important predators of orchard pests in Iran. The effect of eggs of Sitotroga cereallela Olivier (Lep.: Gelechiidae) and Ephestia kuehniella Zeller (Lep.: Pyralidae) on development and survival of this beetle was studied and compared under laboratory conditions (five constant temperatures i.e., 22.5 ± 1, 25 ± 1, 27.5 ± 1, 30 ± 1 and 32.5 ± 1 °C 55 ± 5% relative humidity (R. H.) and a 16:8 h light: dark photoperiod). Total developmental time at the above-mentioned temperatures were 28.83 ± 0.17, 24.52 ± 0.37, 21,39 ± 0.21 17.92 ± 0.16 and 18.22 ± 0.29 days on S. cereallelaand27 ± 0.38, 23.32 ± 0.14, 19.57 ± 0.28, 16.14 ± 0.17 and 16.33 ± 0.05 days on E. kuehniella. The lower developmental thresholds (T0) of egg, larva, pupa and egg to adult on E. kuehniella were estimated15.02, 8.6, 7.48 and 8.55 ºC and the thermal constant for these periods calculated as 38.16, 222.22, 71.9 and 370.37 DD. The lower developmental thresholds on S. cereallela were found to be 13.79, 5.6, 5.82 and 6.54 ºC andthermal constant for the mentioned periods were 41.15, 277.77, 91.7, 454.54 DD, respectively. Although significant differences between developmental times at different temperatures exist, no significant differences was observed between 30 and 32.5 °C for two prey species. The results suggest that E. kuehniella serves as a more effective host than S. cereallela for rearing of coccinellid O. conglobata

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Heparanase Levels Are Elevated in the Urine and Plasma of Type 2 Diabetes Patients and Associate with Blood Glucose Levels

Heparanase is an endoglycosidase that specifically cleaves heparan sulfate side chains of heparan sulfate proteoglycans. Utilizing an ELISA method capable of detection and quantification of heparanase, we examined heparanase levels in the plasma and urine of a cohort of 29 patients diagnosed with type 2 diabetes mellitus (T2DM), 14 T2DM patients who underwent kidney transplantation, and 47 healthy volunteers. We provide evidence that heparanase levels in the urine of T2DM patients are markedly elevated compared to healthy controls (1162±181 vs. 156±29.6 pg/ml for T2DM and healthy controls, respectively), increase that is statistically highly significant (P<0.0001). Notably, heparanase levels were appreciably decreased in the urine of T2DM patients who underwent kidney transplantation, albeit remained still higher than healthy individuals (P<0.0001). Increased heparanase levels were also found in the plasma of T2DM patients. Importantly, urine heparanase was associated with elevated blood glucose levels, implying that glucose mediates heparanase upregulation and secretion into the urine and blood. Utilizing an in vitro system, we show that insulin stimulates heparanase secretion by kidney 293 cells, and even higher secretion is observed when insulin is added to cells maintained under high glucose conditions. These results provide evidence for a significant involvement of heparanase in diabetic complications

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks