Abstract
Background
The genus
Sparasion
, endoparasitoids of Tettigoniidae, occur in the Nearctic, Palearctic, Afrotropical and Oriental regions. It is absent in the Neotropics and Australasia. Of ...the thirteen species found in the Oriental region only a single species is from India.
Results
Two new species groups -
Sparasion bilahari
species group and
Sparasion manavati
species group - are proposed for species from the Oriental region. Thirty-six species are described and illustrated of which twenty-four are new:
Sparasion albopilosellus
Cameron, 1906 (Pakistan);
S. bhairavi
Veenakumari,
sp. n
. (India);
S
.
bhupali
Veenakumari,
sp. n
. (India);
S
.
bihagi
Veenakumari,
sp. n
. (India);
S
.
bilahari
Veenakumari,
sp. n
. (India);
S. cellularis
Strand, 1913 (Taiwan);
S. coconcu
s Kozlov and Lê, 2000 (Vietnam);
S. coeruleus
Kieffer, 1905 (Sumatra);
S. cullaris
Kozlov and Lê, 2000 (Vietnam);
S
.
darbari
Veenakumari,
sp. n
. (India);
S
.
deepaki
Veenakumari,
sp. n
. (India);
S. domes
Kozlov and Lê, 2000 (Vietnam);
S
.
elbakyanae
Veenakumari,
sp. n
. (India);
S. formosus
Kieffer, 1910 (Taiwan);
S
.
hindoli
Veenakumari,
sp. n
. (India);
S
.
kalyani
Veenakumari,
sp. n
. (India);
S
.
kanakangi
Veenakumari,
sp. n
. (India);
S
.
karivadana
Veenakumari,
sp. n
. (India);
S. lividus
Johnson, Masner & Musetti, 2008 (Philippines);
S
.
manavati
Veenakumari,
sp. n
. (India);
S
.
meghmalhari
Veenakumari,
sp. n
. (India);
S. micromerus
Kozlov and Lê, 2000 (Vietnam);
S
.
pahadi
Veenakumari,
sp. n
. (India);
S. philippinensis
Kieffer, 1913 (Philippines);
S
.
ratnangi
Veenakumari,
sp. n
. (India);
S
.
rupavati
Veenakumari,
sp. n
. (India);
S
.
salagami
Veenakumari,
sp. n
. (India);
S
.
shulini
Veenakumari,
sp. n
. (India);
S. sinensis
Walker, 1852 (China);
S
.
sivaranjini
Veenakumari,
sp. n
. (India);
S
.
syamalangi
Veenakumari,
sp. n
. (India);
S
.
todi
Veenakumari,
sp. n
. (India);
S. travancoricus
Mani and Sharma, 1981 (India);
S
.
vanaspati
Veenakumari,
sp. n
. (India);
S
.
visvambari
Veenakumari,
sp. n
. (India) and
S
.
zeelafi
Veenakumari,
sp. n
. (India). Keys to Oriental species of
Sparasion
are furnished. Intrasexual colour morphs among females of
Sparasion
is reported. Lectotype is designated for
Sparasion cellularis
Strand.
Conclusions
Twenty-four new species are added to the Indian fauna of
Sparasion
. Previously described species of Oriental
Sparasion
are redescribed and illustrated. Keys are furnished for all Oriental species.
Breast surgery is associated with persistent postsurgical pain; usually related to poorly treated acute pain. Paravertebral block has been successfully employed in analgesic protocols for breast ...surgery; its impact on postdischarge pain (PDP) has not been investigated. The aim of this study was to assess characteristics of PDP after breast surgery, the development of chronic postoperative pain (CPP) and its impact on health care costs.
We conducted a retrospective, observational study on a continuous cohort of adult female patients undergoing local breast cancer surgery under combined anesthesia. All patients were interviewed 6 months after hospital discharge. The survey was specifically conceived to assess incidence, features and duration of PDP. The overall cost of additional healthcare resources consumed with a specific relationship to persistent PDP was estimated.
A database of 244 patients was preliminarily analyzed. Of these, 188 were included in the following statistical analysis; 123 patients (65.2%) reported significant PDP, with a median intensity on NRS of 6 (IQR=2), more frequently described as burning and associated with paresthesia and/or hyperalgesia (87 patients, 46%). One hundred and six patients (56.5%) reported this pain as interfering with their normal daily activities, work and sleep. In 26.8% of cases (50 patients) symptoms lasted more than 1 month and in 28 patients (15.0%) pain became chronic. The majority of patients self-treated their pain with non-steroideal anti-inflammatory drugs, but in 50 patients (26.8%) this therapy was reported as ineffective. This additional consumption of healthcare resources led to a significant economical impact.
PDP and CPP seem to be common complications after breast cancer surgery, even if a combined anesthesia technique with a thoracic paravertebral block is performed, leading to severe consequences on patients' quality of life and increasing consumption of healthcare resources after discharge.
NCT03618459 (www.clinicaltrials.gov).
Si riferisce sulla donazione al Museo Civico di Storia Naturale “G. Doria” di Genova della collezione entomologica del Prof. Augusto Vigna Taglianti (1943-2019), sul suo riordinamento e, ...sinteticamente, sui suoi contenuti (Coleoptera Carabidae e Dermaptera).
Si rendono note le località italiane di raccolta di Alfieriella naxiana (Reitter, 1884), che figurava già citata per l’Italia, ma senza dati precisi. Con l’occasione si presenta una piccola revisione ...di tutte e tre le specie del genere rinvenibili lungo le coste del Mediterraneo centro- orientale, illustrando in particolare i caratteri edeagici che permettono una sicura identificazione dei taxa.
Si riproducono 68 ritratti, datati tra il 1860 e il 1883, riferibili per la massima parte ai primi soci iscritti alla Società e pervenuti tra il 1869 (anno della fondazione) e gli anni ottanta ...dell’ottocento. Per ogni persona fotografata si forniscono sintetici dati biografici.
Henri de Saussure described 54 species and one subspecies currently placed in the family Blattidae, five of them in collaboration with Leo Zehntner. These species are listed alphabetically with an ...account of the type specimens found in the Muséum d'histoire naturelle de Genève. The location of type specimens in other museums is given where known. The current binominal combination for each species is provided. Photographs of six type specimens found in the Muséum d'histoire naturelle de Genève are presented with the labels associated with each.
Sulla base della scarna documentazione disponibile per il periodo 1938-1945, vengono sinteticamente analizzate l’applicazione delle leggi razziali del 1938 e la sua ricaduta sui soci della Società ...entomologica italiana.
Purpose
Hospital discharge after colorectal resection within an Enhanced Recovery After Surgery (ERAS) program occurs earlier compared to standard-care postoperative pathways but often later than ...what objective criteria of “readiness for discharge” could allow. The aim of this study was to analyse reasons and risk factors of such discharge delay.
Methods
All elective patients admitted for colorectal resection at the regional Hospital of Lugano in 2014 and 2015 were included. The postoperative day on which patients fulfilled consensus agreed criteria (according to Fiore) for readiness for discharge (POD-F) and the effective day of discharge (POD-D) were determined. We analysed the reasons for discharge delay (POD-D>POD-F) and performed univariate and multivariate analysis to determine risk factors.
Results
One hundred thirty-eight patients were included in the study. Median POD-F was 5 (2–48) days, POD-D was 6 (3–50) days. In 94 patients, POD-D occurred later than POD-F with a median delay of 1 (1–11) days. Reasons for discharge delay were insufficient social support in 13 (14%), patient’s preference in 39 (41%) and medical team preference in 41 (44%). Private insurance (OR 2.61, 95%CI 1.08–6.34,
p
= 0.034) and patient discharged on a day other than Monday (OR 2.94, 95%CI 1.16–7.14,
p
= 0.023) were independent predictors for discharge delay.
Conclusion
Even when objective criteria for readiness for discharge have been fulfilled, patients and/or doctors often do not feel comfortable with hospital discharge at this time point. Length of stay, even within an ERAS program, is still influenced by several non-medical factors and is therefore not a precise surrogate marker of outcomes.