The resistance to submersion of terrestrial Acari (Acari: Oribatida) from flooded and non-flooded forests of Central Amazonia in experimental laboratorial conditions

Specimens of Rostrozetes foveolatus were obtained from two inundated forest areas várzea" and "igapó") and from two nonflooded secondary forests in the Central Amazon Region. The survival rates of their populations under submerged and nonsubmerged conditions were compared in laboratory conditions. The "igapó" population was sampled during three periods in 1992: before (February: litter nonsubmerged), in the beginning (April: litter submerged) and in the peak of the inundation phase (July: litter submerged). At "igapó", the animals survived better when submitted to nonsubmerged conditions, meaning that submersion is a stress factor. The same result did not occur at "várzea", signifying a better adaptation of this population to the submersion stress. The lowest flood resistance (27 days) was found in animals from "terra firme" secondary forest, away from the igapó. A considerable submersion resistance in the population sampled in the secondary forest, near the igapó forest, was comparable to the populations of the inundated areas and greater than the resistence at "terra-firme", far away from the "igapó". Animals sampled in February of 1996 (reared individually in plastic containers), from the flooded forests had significantly higher survival rates than those from secondary forests. Three situations in relation to the submersion period were registered: a) one of "várzea", with a more resistant population, b) one of "igapó", with a intermediate resistance and c) one of "terra-firme", away from the "igapó", with a lower resistant population. In twelve of the fifteen species studied, a high resistance to submersion was also registered.Espécimens de Rostrozetes foveolatus foram obtidos de duas florestas inundáveis (várzea e igapó) e de duas florestas secundárias (terra firme) da Amazônia Central. As populações foram comparadas para a obtenção da taxa de sobrevivência em experimentos de laboratório nas condições submersas e não submersas. As coletas no igapó foram efetuadas em três períodos de 1992antes (fevereiroserapilheira não submersa), no início (abrilserapilheira submersa) e no pico da inundação (julhoserapilheira submersa). No igapó, os animais sobreviveram melhor em condição não submersa, significando que a submersão é um fator de estresse. O mesmo não ocorreu na várzea, indicando que esta população está melhor adaptada ao estresse da submersão. A menor resistência à submersão (27 dias) foi registrada nos animais de uma floresta secundária da terra firme, situada longe do igapó. Na população da terra firme próxima ao igapó, a resistência a submersão foi comparável à registrada para as populações das áreas inundáveis e maior do que a registrada em terra firme longe do igapó. Em experimentos com animais coletados em fevereiro de 1996 (mantidos individualmente em recipientes plásticos), as populações das florestas inundáveis tiveram taxa de sobrevivência significativamente maior em relação aos das florestas não inundáveis. Três situações foram registradas quanto a resistência à submersãoa) a da várzea, com população mais resistente, b) a do igapó, com uma população intermediária e c) a da terra-firme longe do igapó, com uma população menos resistente. Em doze das outras quinze espécies estudadas foi registrada alta resistência às condições de submersão

The effects of baseline characteristics, glycaemia treatment approach, and glycated haemoglobin concentration on the risk of severe hypoglycaemia: post hoc epidemiological analysis of the ACCORD study

Objectives To investigate potential determinants of severe hypoglycaemia, including baseline characteristics, in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial and the association of severe hypoglycaemia with levels of glycated haemoglobin (haemoglobin A1C) achieved during therapy

Identification of Disparities in Personalized Cancer Care—A Joint Approach of the German WERA Consortium

(1) Background: molecular tumor boards (MTBs) are crucial instruments for discussing and allocating targeted therapies to suitable cancer patients based on genetic findings. Currently, limited evidence is available regarding the regional impact and the outreach component of MTBs; (2) Methods: we analyzed MTB patient data from four neighboring Bavarian tertiary care oncology centers in Würzburg, Erlangen, Regensburg, and Augsburg, together constituting the WERA Alliance. Absolute patient numbers and regional distribution across the WERA-wide catchment area were weighted with local population densities; (3) Results: the highest MTB patient numbers were found close to the four cancer centers. However, peaks in absolute patient numbers were also detected in more distant and rural areas. Moreover, weighting absolute numbers with local population density allowed for identifying so-called white spots—regions within our catchment that were relatively underrepresented in WERA MTBs; (4) Conclusions: investigating patient data from four neighboring cancer centers, we comprehensively assessed the regional impact of our MTBs. The results confirmed the success of existing collaborative structures with our regional partners. Additionally, our results help identifying potential white spots in providing precision oncology and help establishing a joint WERA-wide outreach strategy

Health Care Utilization and Burden of Diabetic Ketoacidosis in the U.S. Over the Past Decade: A Nationwide Analysis

OBJECTIVE: Diabetes is one of the most common chronic diseases and a leading cause of morbidity and mortality in the U.S. Although our ability to treat diabetes and its associated complications has significantly improved, presentation with uncontrolled diabetes leading to ketoacidosis remains a significant problem. RESEARCH DESIGN AND METHODS: We aimed to determine the incidence and costs of hospital admissions associated with diabetic ketoacidosis (DKA). We reviewed the National Inpatient Sample Database for all hospitalizations in which DKA (ICD-9 codes 250.10, 250.11, 250.12, and 250.13) was the principal discharge diagnosis during 2003-2014 and calculated the population incidence by using U.S. census data. Patients with ICD-9 codes for diabetic coma were excluded because the codes do not distinguish between hypoglycemic and DKA-related coma. We then analyzed changes in temporal trends of incidence, length of stay, costs, and in-hospital mortality by using the Cochrane-Armitage test. RESULTS: There were 1,760,101 primary admissions for DKA during the study period. In-hospital mortality for the cohort was 0.4% (n = 7,031). The total number of hospital discharges with the principal diagnosis of DKA increased from 118,808 in 2003 to 188,965 in 2014 (P \u3c 0.001). The length of stay significantly decreased from an average of 3.64 days in 2003 to 3.24 days in 2014 (P \u3c 0.01). During this period, the mean hospital charges increased significantly from $18,987 (after adjusting for inflation) per admission in 2003 to$26,566 per admission in 2014. The resulting aggregate charges (i.e., national bill) for diabetes with ketoacidosis increased dramatically from $2.2 billion (after adjusting for inflation) in 2003 to$ 5.1 billion in 2014 (P \u3c 0.001). However, there was a significant reduction in mortality from 611 (0.51%) in 2003 to 620 (0.3%) in 2014 (P \u3c 0.01). CONCLUSIONS: Our analysis shows that the population incidence for DKA hospitalizations in the U.S. continues to increase, but the mortality of this condition has significantly decreased, indicating advances in early diagnosis and better inpatient care. Despite decreases in the length of stay, the costs of hospitalizations have increased significantly, indicating opportunities for value-based care intervention in this vulnerable population

Ácaros oribatídeos (Acari: Oribatida) arborícolas de duas florestas inundáveis da Amazônia Central.

Populations of arboricolous oribatids mites (Acari: Oribatida) were studied in two inundation forests (varzea and igapo) particularly their reactions to the effects of the flood cycle and abiotic factors. Representative species of trees typical for each forest type were chosen for monthly collections using the Bark-brushing Method. Differences were found between the arboricolous fauna of the two forests. The ecological indices, density and the species diversity of the arboricolous fauna, were low in the varzea in comparison to the igapo. Distinct differences were observed in the two areas with respect to dominant groups. The data indicate that the varzea is more subject to perturbation by both, environmental pressure and human intervention, than the igapo. The reactions of the oribatid mites fauna was more related with the absence of food during the terricolous phase caused by the long period of submersion of the trunks, than with the flood cycle

Stathmin-Deficient Mice Develop an Age-Dependent Axonopathy of the Central and Peripheral Nervous Systems

Stathmin is a cytosolic protein that binds tubulin and destabilizes cellular microtubules, an activity regulated by phosphorylation. Despite its abundant expression in the developing mammalian nervous system and despite its high degree of evolutionary conservation, stathmin-deficient mice do not exhibit a developmental phenotype.(1) Here we report that aging stathmin(-/-) mice develop an axonopathy of the central and peripheral nervous systems. The pathological hallmark of the early axonal lesions was a highly irregular axoplasm predominantly affecting large, heavily myelinated axons in motor tracts. As the lesions progressed, degeneration of axons, dysmyelination, and an unusual glial reaction were observed. At the functional level, electrophysiology recordings demonstrated a significant reduction of motor nerve conduction velocity in stathmin(-/-) mice. At the molecular level, increased gene expression of SCG 10-like protein, a stathmin-related gene with microtubule destabilizing activity, was detected in the central nervous system of aging stathmin(-/-) mice. Together, these findings suggest that stathmin plays an essential role in the maintenance of axonal integrity

Pancreatic Cancer Heralded by Worsening Glycemic Control: A Report of Two Cases

Pancreatic ductal adenocarcinoma is the third leading cause of cancer-related death in the United States. Since it is usually diagnosed at an advanced stage, its prognosis remains poor. The initial presentation varies according to the tumor location. The most common presenting signs are weight loss, jaundice, and pain. Several epidemiological, clinical, and experimental studies over the past 2 decades have shown that long-standing diabetes is a modest risk factor for pancreatic cancer. However, new-onset diabetes has also been observed to be an early manifestation of pancreatic cancer. We report 2 cases where worsening glycemic control led to the diagnosis of pancreatic cancer