Interdisciplinary Rendez-Vous Approach in Endovascular Stroke Treatment: A New Concept to Accelerate Mechanical Thrombectomy in Primary Stroke Centers

PURPOSE

Prompt endovascular treatment of patients with stroke due to intracranial Large Vessel Occlusion (LVO) is a major challenge in rural areas because neurointerventionalists are usually not available. As a result, treatment is delayed, and clinical outcomes are worse compared with patients primarily treated in comprehensive stroke centers (CSC). To address this problem, we present a concept in which interdisciplinary, on-site endovascular treatment is performed in a Primary Stroke Center (PSC) by a team of interventional neuroradiologists and cardiologists: the Rendez-Vous approach.

METHODS

Thirty-five patients with LVO who underwent interdisciplinary thrombectomy on-site at the PSC as part of the Rendez-Vous concept were compared with 72 patients who were transferred from a PSCs to the CSC for thrombectomy when diagnosed with LVO in terms of temporal sequences and clinical outcomes.

RESULTS

Patients treated on-site at the PSC as part of the Rendez-Vous approach were managed as successfully and without an increase in complication rates compared with patients treated secondarily at a CSC (91.7% successful interventions in Rendez-Vous vs. 87.3% in control group, p = 0.57). The time from diagnosis of LVO to groin puncture was reduced by mean 74.3 min with the Rendez-Vous concept (p < 0.01). Regarding the clinical outcome, a functionally independent status was achieved in 45.5% in the Rendez-Vous group and in 22.6% in the control group (p = 0.029).

CONCLUSION

Thanks to interdisciplinary teamwork between cardiology and interventional neuroradiology in local PSCs, times to successful reperfusion can be reduced. This has a potentially positive impact on the clinical outcome of stroke patients.

A new species of Anisophya (Orthoptera: Tettigoniidae: Phaneropterinae) from Argentina, its ultrasound male-female communication, life history and ecology

Anisophya arreguii sp. nov. is added as third species of the genus in Buenos Aires Province. A population living in humid meadows near La Plata, regularly observed during the last five years, was found to be different from A. punctinervis. It appears in two distinct annual generations. The male produces a continuous ultrasound calling song, to which the female responds with short signals after particular syllables. The verification of all Anisophya observations from Argentina on iNaturalist helped clarifying the distinctiveness of the new species. Some ecological aspects are briefly discussed, such as a vulnerable population in the city of La Plata.

Mikrischyrum musicum, a new katydid species from montane rainforest in southern Ecuador with complex pure-tone calling song (Orthoptera: Tettigoniidae: Pseudophyllinae: Platyphyllini)

The katydid Mikrischyrum musicum sp. nov. is described as third species of the genus, along with the remarkable low-ultrasound musical calling song of the male. It is the first species of the genus with known females, which are considerably larger than males and lack the conspicuous white spots on the pronotum. Pure-tone songs among pseudophyllines and development of pronotum markings of Platyphyllini are briefly discussed.

An interesting new record of the almost unknown brachypterous phaneropterine katydid Xenicola dohrni (Orthoptera: Tettigoniidae) from Argentina, and its high-ultrasound male-female communication

The southernmost record of the neotropical genus Xenicola is documented. An apparently tiny population of X. dohrni, a species described long ago from southern Brazil without other published records, lives at the shore of the Río de la Plata, 1000 km further south. Perhaps it has been established there by means of floating vegetation. The acoustic communication of this species is also very interesting: The male produces with its minuscule tegmina brief signals with a carrier frequency range between 80 and 100 kHz. The female responds, and the male modifies its song when engaged in a duet. It modifies it further, when the female responds from very close. The paper includes a review of the records of Xenicola species on biodiversity observation platforms.

Self-referencing circular dichroism ion yield measurements for improved statistics using femtosecond laser pulses

The combination of circular dichroism with laser mass spectrometry via the measurement of ion yields is a powerful tool in chiral recognition, but the measured anisotropies are generally weak. The method presented in this contribution reduces the measurement error significantly. A common path optical setup generates a pair of counter-rotating laser foci in the interaction region of a time-of-flight spectrometer. As the space focus condition is fulfilled for both foci individually, this becomes a twin-peak ion source with well separated and sufficiently resolved mass peaks. The individual control of polarization allows for in situ correction of experimental fluctuations measuring circular dichroism. Our robust optical setup produces reliable and reproducible results and is applicable for dispersion sensitive femtosecond laser pulses. In this contribution, we use 3-methyl-cyclopentanone as a prototype molecule to illustrate the evaluation procedure and the measurement principle.

Strong Differential Photoion Circular Dichroism in Strong-Field Ionization of Chiral Molecules

We investigate the differential ionization probability of chiral molecules in the strong-field regime as a function of the helicity of the incident light. To this end, we analyze the fourfold ionization of bromochlorofluoromethane (CHBrClF) with subsequent fragmentation into four charged fragments and different dissociation channels of the singly ionized methyloxirane. By resolving for the molecular orientation, we show that the photoion circular dichroism signal strength is increased by 2 orders of magnitude.

Studies in Neotropical Pseudophyllinae: A new genus of Cocconotini from the Colombian Andes and new subfamily assignment of the Dominican genus Anacaona (Tettigoniidae: Pseudophyllinae: Cocconotini)

Acuscercus eudaldoleondiazi n. gen et n. sp. from the Eastern slopes of the Colombian Andes is described, a typical long-winged member of the tribe Cocconotini, distinguished by peculiar morphology of male cerci. On the other hand, the Dominican genus Anacaona is moved from Cocconotini to the tribe Copiphorini (Conocephalinae). The status and tribal boundaries of Cocconotini and Eucocconotini are briefly discussed.

Clarifying the identity of the Uruguayan meadow katydid Conocephalus doryphorus (Orthoptera: Tettigoniidae: Conocephalini)

Conocephalus doryphorus (Karny, 1907), a member of the lesser meadow katydids, with around 150 recognized species in this genus with worldwide distribution, and around 25 of them living in South America, has been described from a unique immature female from an unknown locality in Uruguay.

Genetic Gains for Grain Yield in CIMMYT's Semi-Arid Wheat Yield Trials Grown in Suboptimal Environments

Wheat (Triticum aestivum L.) is a major staple food crop grown worldwide on >220 million ha. Climate change is regarded to have severe effect on wheat yields, and unpredictable drought stress is one of the most important factors. Breeding can significantly contribute to the mitigation of climate change effects on production by developing drought-tolerant wheat germplasm. The objective of our study was to determine the annual genetic gain for grain yield (GY) of the internationally distributed Semi-Arid Wheat Yield Trials, grown during 2002-2003 to 2013-2014 and developed by the Bread Wheat Breeding program at the CIMMYT. We analyzed data from 740 locations across 66 countries, which were classified in low-yielding (LYE) and medium-yielding (MYE) environments according to a cluster analysis. The rate of GY increase (GYC) was estimated relative to four drought-tolerant wheat lines used as constant checks. Our results estimate that the rate of GYC in LYE was 1.8% (38.13 kg ha-1 yr-1), whereas in MYE, it was 1.41% (57.71 kg ha-1 yr-1). The increase in GYC across environments was 1.6% (48.06 kg ha-1 yr-1). The pedigrees of the highest yielding lines through the coefficient of parentage analysis indicated the utilization of three primary sources-'Pastor', 'Baviacora 92', and synthetic hexaploid derivatives-to develop drought-tolerant, high and stably performing wheat lines. We conclude that CIMMYT's wheat breeding program continues to deliver adapted germplasm for suboptimal conditions of diverse wheat growing regions worldwide.

Trichoderma harzianum: Inhibition of mycotoxin producing fungi and toxin biosynthesis

A quarter of the world-wide crop is spoiled by filamentous fungi and their mycotoxins and weather extremes associated with the climate change lead to further deterioration of the situation. The ingestion of mycotoxins causes several health issues leading in the worst case to cancer in humans and animals. Common intervention strategies against mycotoxin producing fungi, such as the application of fungicides, may result in undesirable residues and in some cases to a stress induction of mycotoxin biosynthesis. Moreover, development of fungicide resistances has greatly impacted pre- and postharvest fungal diseases. Hence there is the need to develop alternative strategies to reduce fungal infestation and thus mycotoxin contamination in the food chain. Such a strategy for natural competition of important plant-pathogenic and mycotoxin producing fungi could be Trichoderma harzianum, a mycoparasitic fungus. Especially in direct comparison to certain tested fungicides, the inhibition of different tested fungal species by T. harzianum was comparable, more sustainable and in some cases more effective, too. Besides substantially reduced growth rates, a transcriptional based inhibition of mycotoxin biosynthesis in the competed Aspergillus species could be shown. Furthermore it could be clearly observed by high-resolution Scanning Electron Microscopy (SEM) that T. harzianum actively attaches to the competitor species followed by subsequent enzymatic lysis of those mycelial filaments. The analyzed isolate of T. harzianum MRI349 is not known to produce mycotoxins. In this study it could be successfully proven that T. harzianum as a biological competitor is an effective complement to the use of fungicides.

Meadow katydids (Orthoptera: Tettigoniidae: Conocephalini) from the Central-West Region of Brazil: Morphological, bioacoustic and cytogenetic study

Three species of Conocephalus and two of Euxiphidion from several localities of the Central-West Region of Brazil were studied. Conocephalus goianus Piza, 1977, C. saltator (Saussure, 1859) and C. versicolor (Redtenbacher, 1891) are recorded for the first time from Mato Grosso do Sul, one new species Euxiphidion veroni sp. nov. is described, and a new combination, Euxiphidion caizanum comb. nov. is proposed. The calling songs of C. saltator, C. versicolor, and E. veroni sp. nov. are described. All these three species call very continuously, also in the daytime. The three species of Conocepha-lus have mitotic metaphases with 2n♂ = 33 = 32 + X and 2n♀ = 34 = 32 + XX. Euxiphidion caizanum comb. nov. and    E. veroni sp. nov. have 2n♂ = 31 = 30 + X and 2n♀ = 32 = 30 + XX. Most of the autosomes of C. saltator and C. versicolor are meta/submetacentric, differing from C. goianus that has seven biarmed and nine monoarmed autosomes. Both Euxiphidion species present mostly telo/subtelocentric autosomes. The X chromosome is metacentric, and the largest element of the karyotype in the five species. No interstitial telomeric site (ITS) was observed in mitotic metaphases submitted to telomeric fluorescent in situ hybridization. Ecological aspects of the studied species are discussed.

Combined SPECT Imaging of Regional Cerebral Blood Flow (99mTc-HexamethylPropyleneamine Oxime, HMPAO) and Blood Volume (99mTc-RBC) to Assess Regional Cerebral Perfusion Reserve in Patients with Cerebrovascular Disease

In 53 patients with cerebrovascular disease (CVD), regional cerebral blood flow (CBF) and blood volume (CBV) were imaged by SPECT within one session. Slice division (CBF: CBV) yielded distribution of regional cerebral perfusion reserve (CPR). Semiquantitative evaluation was obtained from manually set ROIs by interhemispherical ratios (for CBF, CBV and CPR), using 2 SD from a normal group (n = 10) as a threshold. Sensitivities were 59% for CBF, 94% for CBV and 83% for CPR. Combined sensitivity was 98%. Establishing three constellations for CBF, CBV and CPR, regionally normal CBFs but quantitatively increased CBVs (+69%) and decreased CPRs (−31 %) were found in relatively early stages of CVD. Very advanced cases showed decreased CBFs (−65%), CBVs (−40%), CPRs (−49%) and a surrounding penumbra. In 87% (46/53 patients), such Theologically postulated constellations could be demonstrated. We conclude that combined CBF and CBV SPECT, assisted by CPR images, is a promising tool to detect CVD and to assess its individual regional severity.

[Characteristics of Nutrition in Competitive Sports, Ranging from Leisure Activities to High-Performance Athletics]

Nutrition has a crucial influence on physical and mental performance ability and is an important measure along sidetraining in high-performance athletes. However, this form of nutritionis not applicable for every athlete and in every situation. The question of optimal nutrition requires involvement with the particular type of sports, an athlete's current training stage, and athletes' individual requirements and objectives. Implementation takes time and individual motivation on the part of athletes and the specialist staff who engage intensively with the nutritional needs of athletes. In addition to adequate energy provision, it is important to divide the energy sensibly among the energy sources carbohydrates, fats, and protein. Performance athletes' higher need for protein can usually be covered in their regular diet; supplements are needed only in exceptional cases. Studies have shown that small amounts of 15 - 25 g protein are sensible after weight training, in order to stimulate muscle protein synthesis. The need for carbohydrates increases dynamically with the intensity and duration of physical exertion. A sufficient supply is crucial for achieving maximum performance. Low carb diets are unsuitable for performance athletes. So called low-glycogen training, however, can lead to better adjustment/adaptation processes in selected training stages and can increase performance ability.

Phlugis ocraceovittata and its ultrasonic calling song (Orthoptera, Tettigoniidae, Phlugidini)

Some observations on the small predatory katydid Phlugis ocraceovittata Piza 1960 from southern Brazil are presented. A male was calling both day and night, producing long uniformly structured sequences with maximum energy between 40 and 60 kHz. According to anecdotal and indirect evidence the species is not exclusively predacious and can live partly also on vegetable food.

Little walking leaves from southeast Ecuador: biology and taxonomy of Typophyllum species (Orthoptera, Tettigoniidae, Pterochrozinae)

Eight katydid species of the leaf-mimicking specialist genus Typophyllum were found in the southeast of Ecuador in an area comprising part of the eastern Andean cordillera and foothills toward the Cordillera del Cóndor in elevations between 850 and 3000 m. They are described along with the peculiar calling songs and other interesting aspects of their biology. Three of these species are new: T. morrisi sp. nov., T. onkiosternum sp. nov. and T. vignoni sp. nov. A fourth species represented by a single male is possibly new as well. In males and females of a species considered as identical with T. egregium Hebard 1924, which was previously known from a unique female specimen, was found a remarkable variation of coloration, in addition to the striking sexual dimorphism typical for the genus, with the females being twice as large as the small males. The latter is related to the curious mating behaviour, which is documented for this species and T. erosifolium Walker 1870. The two other species found in the region are T. bolivari Vignon 1925 and T. mortuifolium Walker 1870. The calling songs of four species were recorded. In T. erosifolium and T. morrisi sp. nov. the sounds are almost pure sine waves at the lower boundary of ultrasound. In T. egregium and T. onkiosternum sp. nov. the spectrum of the carrier frequency is broader, which might be related to lower and denser vegetation at higher elevation. Based on the intraspecific variety found in T. egregium and T. erosifolium, which includes variation in tegmina shape and venation pattern, are established several syonymies among Typophyllum species from western South America. T. erosifolium is found to be identical with T. peruvianum Pictet 1888 syn. nov. Additionally are considered identical T. inflatum Vignon 1925 and T. gibbosusm Vignon 1925 syn. nov., T. trigonum Vignon 1925 and T. quadriincisum Vignon 1925 syn. nov., and finally T. lacinipenne Enderlein 1917 and T. acutum Vignon 1925 syn. nov. and T. undulatum Caudell 1918 syn. nov. The discussion treats the problematic taxonomy of the little walking leaves, bioacoustics, the pre-copulatory riding behaviour, the sophisticated mimesis, and very briefly the uncertain position within the katydid phylogeny.