Many species-rich ecological communities result from adaptive radiation events. The effects of these explosive speciation events on community assembly remain poorly understood. Here, we explore the well-documented radiations of African cichlid fishes and interactions with their flatworm gill parasites (Cichlidogyrus spp.) including 10529 reported infections and 477 different host-parasite combinations collected through a survey of peer-reviewed literature. We assess the evolutionary, ecological, and morphological parameters on meta-communities partially affected by adaptive radiation evens using network metrics, host repertoire measures, and network link prediction (NLP). The hosts’ evolutionary history mostly determined host repertoires. Ecological and evolutionary parameters predicted host-parasite associations, but many interactions remain undetected according to NLP. Parasite meta-communities under host adaptive radiation are more specialised and stable while ecological opportunity and ecological fitting have shaped interactions elsewhere. The cichlid-Cichlidogyrus network is a suitable eco-evolutionary study system but future studies should validate our findings in other radiating host-parasite systems.

Temporomandibular Joint Ankylosis(TMJA) may manifest in patients with several predisposing systemic conditions. A case of extraarticular TMJA is presented in a patient diagnosed with Fibrodysplasia Ossificans Progressive(FOP) is presented. The features, diagnosis and management of TMJA superimposed on this condition is presented through a qualitative systematic review of literature.

The World Health Organization classifies odontomas as odontogenic tumors.There are two variants of odontomas: complex and compound. Complex odontomas are made of an anarchic assembly of mineralized tissue and dental pulp; while compound odontomas are consisting of a set of rudimentary teeth. They rarely show the features of both ty

Introduction: A number of measures were began due to coronavirus 2019 disease (Covid-19) pandemic in many countries worldwide. A lockdown was applied for aged <18 years, education was continued online, and wearing a mask became mandatory in public places, which created an unprecedented period for children. Real-life data is limited showing how children with asthma are affected due to major changes. This study reveal how asthmatic children are affected by pandemic conditions based on real-life data. Methods: Patients with asthma aged 6–18 years who were followed up in March, April, and May 2019—before the Covid-19 pandemic—were included in the study. Data from March-April-May 2020 and 2019 were compared to reveal the effects of the pandemic-related lifestyle changes on symptoms, frequency of exacerbations, and drug use in asthmatic children. Results: A total of 86 children with asthma aged 6–18 years were included in this study. Time spent inside the home was significantly higher in 2020 than in 2019. Need for rescue medications and emergency department visits were significantly lower in 2020 compared to 2019 (p<0.001). The number of well controlled patients with asthma was higher in 2020 than in 2019 (p < 0.0001). Number of patients using prophylactic drugs within the last 3 months was lower in 2020 compared to 2019 (p = 0.007). Conclusion: The present study provides valuable insights into the condition of children over the age of 6 years during the Covid-19 pandemic based on real-life data. During the pandemic period, the number of asthmatic exacerbations, rescue drug use and asthma control were positively affected in school aged children with asthma.

Conservation of wide-ranging species is a challenge owing to their movement in an increasingly fragmented world. Long-distance dispersal has significant implications for ecosystem functioning, and such movement becomes challenging while navigating through a heterogeneous and human-dominated landscape. Here, we describe one of the longest dispersal journey by a sub-adult male tiger through GPS telemetry in Central India. We analyzed movement metrics, directionality, and space use during three behavioural stages of dispersal. We also used the clustering method to identify resting and kill sites (n = 89). T1-C1 dispersed a straight-line distance of 315 km over 225 days, moving an average 8.4 km/day and covering a cumulative displacement of ̵̴ 3000 km. Movement during post-dispersal was higher (mean = 465.6 m/h) than those during dispersal (mean = 376.6 m/h) and pre-dispersal (mean = 132.2 m/h), respectively. Moreover, movement during the night was significantly faster than during the day in all three phases. Likewise, during dispersal, the movement was faster (mean = 518.2 m/h) and more directional (knight = 0.19) at night than day. The average size of clusters was 1.68 ha and primarily away from human habitation (mean = 1875.6 m). The mean cluster duration (46.31 hr) was higher in the non-forested area but was smaller in size than inside the forest (p< 0.05). The individual crossed roads faster (mean= 1880.9 m/hr) than it travelled during other times. During the post-dispersal phase, T1-C1 established its home range with an area of 319.48 sq. km. (95% dBBMM). The dispersal event highlights the long-distance and multiscale movement behaviour in a heterogeneous landscape. Moreover, small forest patches play a key role in maintaining large carnivore connectivity while dispersing through a human-dominated landscape. Our study underlines how documenting the long-distance movement and integrating it with modern technology can improve conservation management decisions.

1. Global climate change affects many aspects of biology and has been shown to cause body size changes in animals. However, suitable datasets allowing the analysis of long-term relationships between body size and climate are rare. 2. The size of the skull, often used as a proxy for body size, does not change much in fully grown vertebrates, but some soricine shrews shrink their skull and brain in winter and regrow it in spring. This is thought to be a winter adaptation in these high-metabolic, nonhibernating animals, as a smaller brain size reduces energy requirements. 3. Climate could thus affect not only the overall size but also the pattern of the size change, i.e., Dehnel’s Phenomenon, in these shrews. 4. We assessed the impact of the changes in climate on the overall skull size and the different stages of Dehnel’s phenomenon in skulls of the common shrew, Sorex araneus, collected over 50 years in the Białowieża Forest, NE Poland. 5. Overall skull size decreased, along with increasingly mild winters and decreasing soil moisture, which determined the availability of the shrews’ main food source, earthworms. The magnitude of Dehnel’s phenomenon increased over time, indicating an increasing selection pressure on animals in winter. Overall, climate clearly affected the common shrew’s overall size as well as its seasonal size changes. With the current acceleration in climate change, the effects on the distribution range of this cold-adapted species may be quite severe.

A document by Aastha Singh. Click on the document to view its contents.

Aim: To determine whether the known single nucleotide polymorphisms in adrenoreceptor associated genes affect the hemodynamic response to dobutamine in critically ill neonates. Methods: Alleles in the known genetic single nucleotide polymorphisms in β1 and β2 adrenoceptor (AR) genes and Gs protein α-subunit gene (GNAS) possibly affecting inotropic effect were identified in patients of neonatal dobutamine pharmacokinetic-pharmacodynamic study. Linear mixed-effect models were used to describe the effect of genetic polymorphisms to heart rate (HR), left ventricular output (LVO) and right ventricular output (RVO) during dobutamine treatment. Results: 26 neonates (5 term, 21 preterm) were studied. Dobutamine plasma concentration and exposure time respective HR (adjusted to gestational age) is dependent on β1-AR Arg389Gly polymorphism so that in G/G (Gly) homozygotes and G/C heterozygotes dobutamine increases HR more than in C/C (Arg) homozygotes, with parameter estimate (95% CI) of 38.3 (15.8 – 60.7) bpm per AUC of 100 mg·h, p=0.0005. LVO (adjusted to antenatal glucocorticoid administration and illness severity) and RVO (adjusted to gestational age and illness severity) is dependent on GNAS c.393C>T polymorphism so that in T/T homozygotes and C/T heterozygotes but not in C/C homozygotes LVO and RVO increase with dobutamine treatment, 24.5 (6.2 – 42.9) mL kg-1 min-1 per AUC of 100 mg·h, p=0.0116 and 33.2 (12.1 – 54.3) mL kg-1 min-1 per AUC of 100 mg·h, p=0.0025, respectively. Conclusion: In critically ill neonates, β1-AR Arg389Gly and GNAS c.393C>T polymorphisms may play a role in the haemodynamic response to dobutamine during the first hours and days of life.

Although under-reported, hemolytic anemia is common with dapsone therapy. However, it is prudent to screen underlying G6PD deficiency to prevent potentially life-threatening episode of intravascular hemolysis in leprosy.

Understanding the changes in microbial communities with increasing plantation age will benefit the maintenance of forest health and productivity and the sustainable development of forest ecosystems. Based on MiSeq sequencing, we carried out the first study on the effects of stand age on microbial communities in rhizosphere and bulk soils of pecan plantation. The results suggested that soil bacterial alpha diversity increased significantly with plantation age, while fungal alpha diversity was less influenced. Bacterial and fungal biomarkers differed by age group. The fungal community composition was significantly altered by plantation age as reflected by the increase and decrease in the relative abundances of Basidiomycetes and Ascomycota, respectively. The pH and AP and TK contents drove microbial community structure and composition. The bacterial network was more complex than the fungal network, and simpler and more stable microbial network structures occurred in the rhizosphere soil than in the bulk soil. With increasing plantation age, the risk from plant pathogenic fungi increased, and the functional profile of the microbial community shifted from the nitrogen cycle to carbon utilization.

Title: “Close But No Cigar”: Successful Aortic Valve Repair Using Autologous Pericardium

A PRIMARILY CLINICIAN’S RESPONSIBILITY

Background. A staged thoracotomy unifocalization approach has not been the dominant option over the past 20 years primarily due to the introduction of midline one-stage complete unifocalization. Methods. In this issue of the Journal of Cardiac Surgery, van de Woestijne and colleagues publish their experience over the past 30 years in 39 consecutive patients with “consistent” staged unifocalization through a lateral thoracotomy in patients with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries (PA/VSD/MAPCA). Results. They report definitive repair completion in 76.3% of the patients and an overall survival after definitive repair of 96% at 20 years despite the study period ranging from 1989 to the present. Conclusion. Given the multiple variations one could have with PA/VSD/MPACA, a midline unifocalization approach may not always be possible. Surgeons should be familiar with the lateral thoracotomy unifocalization staged approach to PA/VSD/MAPCA.

Recently receiving FDA approval, the Amplatzer Amulet™ LAA occluder device (Abbott Medical Inc) provides a dual seal mechanism alternative to the commercially available Watchman FLX or Watchman 2.5 device for embolic stroke prevention in patients with non-valvular atrial fibrillation (NVAF). This Step-by-Step review will cover patient selection, pre-procedure imaging assessment, device sizing, device preparation, implant target position assessment, implant technique and troubleshooting, and immediate post implant follow-up.

A document by Matthew Hanson. Click on the document to view its contents.

Background: Uncomplicated type B aortic dissection (un-TBAD) has been managed conservatively with medical therapy in order to control the heart rate and blood pressure to limit disease progression, in addition to radiological follow-up. However, several trials and observational studies have investigated the use of thoracic endovascular aortic repair (TEVAR) in un-TBAD and suggested that TEVAR provides a survival benefit over medical therapy. Outcomes of TEVAR have also been linked with the timing of intervention. Aims: The scope of this review is to collate and summarise all the evidence in the literature on the mid- and long-term outcomes of TEVAR in un-TBAD, confirming its superiority. We also aimed to investigate the relationship between timing of TEVAR intervention and results. Methods: We carried out a comprehensive literature search on multiple electronic databases including PubMed, Scopus and EMBASE in order to collate and summarise all research evidence on the mid- and long-term outcomes of TEVAR in un-TBAD, as well as its relationship with intervention timing. Results: TEVAR has proven to be a safe and effective tool in un-TBAD, offering superior mid- and long-term outcomes including all-cause and aorta-related mortality, aortic-specific adverse events, aortic remodelling, and need for reintervention. Additionally, performing TEVAR during the subacute phase of dissection seems to yield optimal results. Conclusion: The evidence demonstrating a survival advantage in favour TEVAR over medical therapy in un-TBAD means that with further research, particular trials and observational studies, TEVAR could become the gold-standard treatment option for un-TBAD patients.

Secondary contact of species that have evolved partial reproductive isolation in allopatry may result in several outcomes, which range from rampant hybridization to barrier reinforcement. Reinforcement arises from reduced hybrid fitness, which promotes assortative mating and hence speciation. In plants, self-fertilization and disjunction in reproductive phenology are often cited as evidence of reinforcement. However, local adaptation and pleiotropic effects during colonization can also lead to reproductive isolation without reinforcement. We explored these competing possibilities in a fir species complex (Abies flinckii - A. religiosa) distributed in ‘sky-islands’ along the Trans-Mexican Volcanic Belt (TMVB), in central Mexico. Despite co-occurring in two independent sympatric regions (west and center), these two taxa seem to rarely interbreed because of disjunct reproductive phenologies. We genotyped 1,147 SNPs, generated by GBS across 23 populations, and compared multiple demographic scenarios, built based on the geological history of the TMVB. The best-fitting model revealed one of the most rapid and complete speciation cases for a conifer species-pair, dating back to ~1.2 Ma, which included an early asymmetric gene flow (mostly from A. flinckii into A. religiosa) limited to the most ancient sympatric region. Coupled with the lack of support for colonization models, our demographic inferences point to an early development of reinforcement, as a putative mechanism for avoiding hybridization. Reinforcement should be considered as a key player for originating and maintaining species diversity in the tropics and subtropics and incorporated in studies with other model systems.

The dynamics of cyclic populations distributed in space result from the relative strength of synchronising influences and the limited dispersal of destabilising factors (activators and inhibitors), known to cause multi-annual population cycles. However, while each of these have been well studied in isolation, there is limited empirical evidence about how the processes of synchronisation and activation-inhibition act together, largely owing to the scarcity of datasets with sufficient spatial and temporal scale. We assessed a variety of models that could be underlying the spatio-temporal pattern, designed to capture both theoretical and empirical understandings of travelling waves using large-scale (> 35,000 km2), multi-year (2011-2017) field monitoring data on abundances of common vole (Microtus arvalis), a cyclic agricultural rodent pest. We found most support for a pattern formed from the summation of two radial travelling waves with contrasting speeds that together describe population growth rates across the region.