New combination and redescription of Bumba humile, description of four new species and new records from Brazil (Araneae: Theraphosidae: Theraphosinae)

The taxonomic history of Bumba Pérez-Miles, Bonaldo & Miglio, 2014 is mainly based on the inclusion of the new species. Bumba have been characterized by the type IV urticating setae present, retrolateral process on male palpal tibia, palpal bulb resting in a ventral distal excavation of palpal tibia, metatarsus I passes between the two branches of tibial apophysis when flexed, presence of spiniform setae on prolateral and retrolateral sides of maxillae and coxae I-IV. In this paper we include the row of teeth (denticulate row) in the median region of the inferior prolateral keel in all male palps. This structure range from a residual tooth to a ridge of up to five teeth. Both, the denticulate row and the retrolateral process on male palpal tibia in males could be considered as putative synapomorphies for Bumba. Here, Homoeomma humile Vellard, 1924 is transferred to Bumba and redescribed, while the female is described for the first time. Bumba cabocla (Pérez-Miles, 2000) is synonymyzed with B. horrida (Schmidt, 1994). Bumba pulcherrimaklaasi (Schmidt, 1991) is transferred to Cyclosternum Ausserer, 1871. Four new species are described and illustrated: Bumba tapajos sp. nov. from state of Pará, Bumba cuiaba sp. nov. and Bumba rondonia sp. nov., both from states of Rondônia and Mato Grosso, respectively, and Bumba mineiros sp. nov. from Paraguay and the Brazilian states of Goiás, Mato Grosso and Mato Grosso do Sul. Diagnosis of B. horrida and B. lennoni are extended and figures of this species are presented

Migraine in postmenopausal women and the risk of invasive breast cancer.

BACKGROUND: The frequency of migraine headache changes at various times of a woman's reproductive cycle. Menarche, menses, pregnancy, and perimenopause may carry a different migraine risk conceivably because of fluctuating estrogen levels, and in general, migraine frequency is associated with falling estrogen levels. Given the strong relationship between endogenous estrogen levels and breast cancer risk, migraine sufferers may experience a reduced risk of breast cancer. METHODS: We combined data from two population-based case-control studies to examine the relationship between migraine and risk of postmenopausal invasive breast cancer among 1,199 ductal carcinoma cases, 739 lobular carcinoma cases, and 1,474 controls 55 to 79 years of age. Polytomous logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (95% CI). RESULTS: Women who reported a clinical diagnosis of migraine had reduced risks of ductal carcinoma (OR, 0.67; 95% CI, 0.54-0.82) and lobular carcinoma (OR, 0.68; 95% CI, 0.52-0.90). These associations were primarily limited to hormone receptor-positive tumors as migraine was associated with a 0.65-fold (95% CI, 0.51-0.83) reduced risk of estrogen receptor-positive (ER+)/progesterone receptor-positive (PR+) ductal carcinoma. The reductions in risk observed were seen among migraine sufferers who did and did not use prescription medications for their migraines. CONCLUSIONS: These data suggest that a history of migraine is associated with a decreased risk of breast cancer, particularly among ER+/PR+ ductal and lobular carcinomas. Because this is the first study to address an association between migraine history and breast cancer risk, additional studies are needed to confirm this finding

Mygalomorphae spiders (Araneae) recorded by the Sistema de Notificação de Animais Peçonhentos (SINAP) in the state of Paraná

ABSTRACT Despite their large size and intimidating appearance, most mygalomorph spiders do not cause severe envenomation in Brazil. “Programa Estadual de Vigilância de Acidentes por Animais Peçonhentos da Secretaria de Estado da Saúde do Paraná”, through the “Sistema de Notificação de Animais Peçonhentos” (SINAP), documents the occurrence of synanthropic species captured by the public and reported to municipal health services. In this study, we present a list of the mygalomorph species received by Secretaria de Saúde do Estado do Paraná (SESA) and their distribution across the state of Paraná, based on the SINAP reports. A total of 575 mygalomorph specimens were identified, originating from all 22 Regional Health Centers (RS) of SESA-PR. We identified species of four families: Actinopodidae (on species: Actinopus itapitocai); Dipluridae (1 species: Diplura catharinensis; Pycnothelidae (two species: Psalistopoides emanueli, and P. fulvimanus); and Theraphosidae (10 species in four genera: Acanthoscurria paulensis, Eupalaestrus campestratus, Grammostola actaeon, Pterinopelma longisternale, Tekoapora wacketi, Vitalius dubius, V. lucasae, V. paranaensis, V. sorocabae and V. vellutinus). Of the aforementioned species, Vitalius paranaensis has the widest distribution, occurring in all Regional Centers of Health except Paranaguá. The other most frequently collected species were Pterinopelma longisternale, Vitalius sorocabae, and Psalistopoides emanueli. In total, the 575 records resulted in only 12 accidents. The results highlight the broad distribution of some species; contributes to the identification of the main species encountered by the population and reported to SINAP in Paraná; and helps to bring attention to the low number of accidents caused by these large-sized spiders

Evaluation of a field-deployable Nafion (TM)-based air-drying system for collecting whole air samples and its application to stable isotope measurements of CO2

Atmospheric flask samples are either collected at atmospheric pressure by opening a valve of a pre-evacuated flask or pressurized with the help of a pump to a few bar above ambient pressure. Under humid conditions, there is a risk that water vapor in the sample leads to condensation on the walls of the flask, notably at higher than ambient sampling pressures. Liquid water in sample flasks is known to affect the CO2 mixing ratios and also alters the isotopic composition of oxygen (17O and 18O) in CO2 via isotopic equilibration. Hence, for accurate determination of CO2 mole fractions and its stable isotopic composition, it is vital to dry the air samples to a sufficiently low dew point before they are pressurized in flasks to avoid condensation. Moreover, the drying system itself should not influence the mixing ratio and the isotopic composition of CO2 or that of the other constituents under study. For the Airborne Stable Isotopes of Carbon from the Amazon (ASICA) project focusing on accurate measurements of CO2 and its singly substituted stable isotopologues over the Amazon, an air-drying system capable of removing water vapor from air sampled at a dew point lower than -2 °C, flow rates up to 12 L min-1 and without the need for electrical power was needed. Since to date no commercial air-drying device that meets these requirements has been available, we designed and built our own consumable-free, power-free and portable drying system based on multitube Nafion™ gas sample driers (Perma Pure, Lakewood, USA). The required dry purge air is provided by feeding the exhaust flow of the flask sampling system through a dry molecular sieve (type 3A) cartridge. In this study we describe the systematic evaluation of our Nafion™-based air sample dryer with emphasis on its performance concerning the measurements of atmospheric CO2 mole fractions and the three singly substituted isotopologues of CO2 (16O13C16O, 16O12C17O and 16O12C18O), as well as the trace gas species CH4, CO, N2O and SF6. Experimental results simulating extreme tropical conditions (saturated air at 33 °C) indicated that the response of the air dryer is almost instantaneous and that approximately 85 L of air, containing up to 4 % water vapor, can be processed staying below a -2 °C dew point temperature (at 275 kPa). We estimated that at least eight flasks can be sampled (at an overpressure of 275 kPa) with a water vapor content below -2 °C dew point temperature during a typical flight sampling up to 5 km altitude over the Amazon, whereas the remaining samples would stay well below 5 °C dew point temperature (at 275 kPa). The performance of the air dryer on measurements of CO2, CH4, CO, N2O, and SF6 and the CO2 isotopologues 16O13C16O and 16O12C18O was tested in the laboratory simulating real sampling conditions by compressing humidified air from a calibrated cylinder, after being dried by the air dryer, into sample flasks. We found that the mole fraction and the isotopic composition difference between the different test conditions (including the dryer) and the base condition (dry air, without dryer) remained well within or very close to, in the case of N2O, the World Meteorological Organization recommended compatibility goals for independent measurement programs, proving that the test condition induced no significant bias on the sample measurements

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Robot-assisted hand-sewn intrathoracic anastomosis after esophagectomy

Background: In two-stage minimally invasive esophagectomy (MIE), most surgeons use a stapling device to avoid the challenges of thoracoscopic suturing in the upper mediastinum. However, in robot-assisted minimally invasive esophagectomy (RAMIE), the surgeon benefits from increased dexterity that facilitates the construction of a hand-sewn intrathoracic anastomosis. This study aimed to evaluate the outcomes of a refined technique for the robot-assisted hand-sewn intrathoracic anastomosis in RAMIE, which was introduced in 2016 in our center. Methods: Patients who underwent RAMIE with a robot-assisted hand-sewn intrathoracic anastomosis between 1 November 2019 and 1 November 2020 were included in the current retrospective study. During this time frame, the technique was uniform and no more refinements were made. Data were extracted from a prospectively maintained database. Main elements of the anastomotic technique included supportive stay-stitches to keep esophageal mucosa to the muscular wall, manual barbed suturing of the posterior and anterior wall, placement of tension releasing stitches and covering of the anastomosis with omentum. The primary outcome was anastomotic leakage and secondary outcomes included the duration of anastomosis construction. Results: During the inclusion period, 22 patients were included in the study. Anastomotic leakage occurred in 3 patients (14%), which involved a grade I leak in 2 patients (9%) and grade 3 leakage in 1 patient (5%). The total duration of anastomosis construction was 37 minutes (range, 25-48 minutes). Conclusions: This study shows that a robot-assisted hand-sewn intrathoracic anastomosis can yield good outcomes in RAMIE

Management of anastomotic leakage after robot-assisted minimally invasive esophagectomy with an intrathoracic anastomosis

Anastomotic leakage is a feared complication after esophagectomy and associated with increased post-operative morbidity and mrotality. The aim of this study was to evaluate the management of leakage after robot-assisted minimally invasive esophagectomy (RAMIE) with intrathoracic anastomosis. From a single center prospectively maintained database, all patients with anastomotic leakages defined by the Esophageal Complications Consensus Group between 2016 and 2021 were included. Contained leakage was defined as presence of air or fluid at level of the anastomosis without the involvement of the mediastinum or thorax. Non-contained leakage was defined as mediastinitis and/or mediastinal/pleural fluid collections. The primary outcome was 90-day mortality and the secondary outcome was successful recovery. In this study, 40 patients with anastomotic leakage were included. The 90-day mortality rate was 3% (n = 1). Leakage was considered contained in 29 patients (73%) and non-contained in 11 patients (27%). In the contained group, the majority of the patients were treated non-surgically (n = 27, 93%) and management was successful in 22 patients (76%). In the non-contained group, all patients required a reoperation with thoracic drainage and management was successful in seven patients (64%). Management failed in 11 patients (28%) of whom 7 developed an esophagobronchial fistula, 3 had a disconnection of the anastomosis and 1 died of a septic bleeding. In conclusion, this study demonstrates that the management anastomotic leakage in patients who underwent RAMIE with an intrathoracic anastomosis was successful in 73% of the patients with a 90-day mortality rate of 3%. A differentiated approach for the management of intrathoracic anastomotic leakage is proposed