Acupuncture in Multidisciplinary Treatment for Post-COVID-19 Syndrome.

Background: Post-COVID syndrome (PCS) is a complex, multisystem illness that may follow SARS-CoV-2/COVID-19 infection. As there is limited evidence for individual therapies and no singular treatment for PCS, guidelines endorse a multidisciplinary approach. This is a case report of a patient with PCS benefiting from a comprehensive approach including acupuncture with symptom-titrated physical activity (STPA). Case: A 50-year-old woman presented from a Long-COVID Clinic referral to an outpatient hospital-affiliated acupuncturist. She had 8 months of fatigue, anosmia, chest pressure, palpitations, and other symptoms following mild assay-confirmed COVID-19. Prior/concurrent medical testing revealed multisystem-inflammatory involvement (pericardial effusion, thyroid dysfunction, and elevated d-dimers). Cardiology/pulmonology cleared the patient for exercise to tolerance considering that serious pathology was absent. The acupuncturist's Traditional Chinese Medicine impression was of Qi Deficiency of the Heart, Lung, Spleen, and Kidney. This patient received 7 sessions of scalp, auricular, and body acupuncture. Physical-therapist (PT)-led STPA began 1-week post-acupuncture, involving 6 30-minute exercise sessions while monitoring her heart rate, with as-needed rest. Results: The patient's chest pressure and palpitations resolved after 1 acupuncture treatment. With 6 additional treatments, spanning 9 weeks, overlapping with PT-led SPTA, she recovered completely and resumed her normal exercise. Conclusions: Acupuncture appeared to facilitate PCS recovery. However, the independent effects of acupuncture are less clear, given the concurrent STPA/exercise therapy, and should be explored using large study designs. Acupuncture is an attractive potential PCS therapy, considering its holistic approach and that it may be added to a multidisciplinary, guideline-concordant regimen.

Threes Company: discovery of a third syntype of Stegonotus lividus, a species of colubrid snake from Pulau Semau, Lesser Sunda Islands, Indonesia, with comments on an unpublished 19th Century manuscript by the naturalist Salomon Mller.

We report on the discovery of a third, male specimen of Stegonotus lividus in the collection of the Musum National dHistoire Naturelle in Paris, France, and demonstrate that it is not only a member of the original type series but the only one of the three syntypes, whose morphology was detailed in the original description. We herein identify it as a paralectotype. In their description of S. lividus, Dumril et al. (1854) attributed authorship of the name to the German zoologist Salomon Mller, whose work was never published. By the rules of zoological nomenclature, author attribution solely via an unpublished manuscript is inadmissible, and the species is therefore properly listed as Stegonotus lividus (Dumril et al., 1854). The recent discovery of Mllers handwritten manuscript, along with an unpublished drawing of one of these snakes by the Dutch artist Pieter van Oort, allows a better assessment of color and pattern for a species that remains known from only three preserved vouchers, as well as improved differentiation from other taxa occurring in the Lesser Sundas and Moluccas.

A new species of Stegonotus (Serpentes: Colubridae) from the remnant coastal forests of southern Timor-Leste.

During the first amphibian and reptile survey of Timor-Leste, we discovered a population of groundsnakes, genus Stegonotus, in the last remnant of lowland coastal forest along the countrys southern coast, which represents a new species. This sexually dimorphic species can be differentiated from all other Wallacean Stegonotus by a combination of 17-17-15 dorsals, ventrals (female 206; males 197207), paired subcaudals (female 61; males 7175), the gull wing + condition of the rostral, large squared prefrontals that each are 2.5 times the area of the internasals and two-thirds the size of the frontal, a snout-scale ratio of near 0.4 and a frontal-parietal suture ratio of ≤ 1.0, a labial scale formula of 73+4 | 94, five gulars separating the posterior genial and the anteriormost ventral, and an overall brown body coloration that lightens progressively from the vertebral scale row in a dorsallateral direction and features color gradients of dark brown posterior edges to lighter brown anterior edges on individual scales. The species is most similar in overall morphology to S. modestus from the central Moluccas and to S. lividus, a species known only from tiny Semau Island that lies off the western end of Timor Island, in close proximity to Kupang, the capital of the Indonesian province of East Nusa Tenggara.

Carefully examining Bornean Stegonotus (Serpentes, Colubridae): the montane groundsnake population in Sabah is a new and distinct species.

During a taxonomic revision of species in the genus Stegonotus Duméril et al., 1854, we re-examined over 90% of all known museum specimens from this taxon. Of the five specimens available to us from the island of Borneo, three are clearly distinct from the other two. The latter are from the lowland rainforest in Sarawak, Malaysia, which includes the type locality of S. borneensis, and therefore these specimens retain that name. We here describe the other three, which include the paratype of S. borneensis, as a new species from Sabah, Malaysia. The new species can be differentiated from S. borneensis and all other species of Stegonotus by the combination of a high number of ventrals ( 210) combined with a low number of subcaudals ( 70), a short tail (indicated by a low subcaudal ratio of 0.25), 17-17-15 dorsal scale rows, a snout-scale ratio of 1/4-1/3, the "gull wing +" condition of the rostral, the number of supralabials touching the eye, and a dorsal color pattern featuring a dark gray-brown head offset from a lighter-brown rest of the body. The number of subcaudals in the holotype of the new species is only 21% of the number of ventrals, the lowest proportion in the genus. The new species is found at elevations above 1000 m in the cool, montane habitats of the Crocker Range and around the foot of Mt. Kinabalu, Southeast Asia's tallest mountain, from where it has been known but taxonomically unrecognized since at least the 1880s.

A new species of Indo-Papuan groundsnake, genus Stegonotus Duméril et al., 1854 (Serpentes, Colubridae), from the Bird's Head Peninsula of West Papua, Indonesia, with comments on differentiating morphological characters.

We describe a new species of Indo-Papuan groundsnake (Stegonotus) from a single adult male specimen collected in 1953 near Kamro, a village in Maybrat Regency, West Papua, Indonesia. The specimen had been considered a member of S. batjanensis, a well-defined species from the northern Maluku Islands over 500 km to the northwest with which it shares the key characteristic of having the 3rd, 4th, and 5th supralabial scales touching the eyes. The new species can be differentiated from S. batjanensis as well as all other species of Stegonotus by having its 5th supralabial scale projecting forward from behind the eye to form a narrow contact zone with the eye. In addition, it is differentiated by the combination of the following characteristics: seven supralabials, the 3rd-5th touching the eye; eight infralabials, the 1st-4th touching the anterior genial; four scales separating the posterior genial and the first gastrostege; dorsal scales in 17 rows, diminishing to 15 posteriorly; a low number of ventrals (181 in the holotype) combined with a high number of subcaudals (105 in the holotype), the latter comprising 37% of the scales on the ventral surface, the highest proportion in the genus. The description of this species is of interest beyond adding to the species diversity of Stegonotus: it allowed us to explore additional characteristics to resolve taxonomic questions in a morphologically conservative genus, it illustrates the need for additional herpetological survey work on the Bird's Head Peninsula, and its initial misidentification serves as a reminder of the continued relevance and importance of natural history collections as repositories for specimens and data that influence our knowledge today by reaching out from the past.

Corrigenda and Addenda to the Article "The taxonomic history of Indo-Papuan groundsnakes, genus Stegonotus Duméril et al., 1854 (Colubridae), with some taxonomic revisions and the designation of a neotype for S. parvus (Meyer, 1874)" by Kaiser et al. (2018).

Kaiser et al. (2018) recently presented a comprehensive history of snakes in the genus Stegonotus Duméril et al., 1854 that included substantial taxonomic revisions. Given the scope and production of this work a few issues remained uncorrected during several proof stages, which we correct herein. Furthermore, after the paper was published some relevant information emerged that we do not want to leave unexposed, and which we hereby add to our discussion.

The taxonomic history of Indo-Papuan groundsnakes, genus Stegonotus Duméril et al., 1854 (Colubridae), with some taxonomic revisions and the designation of a neotype for S. parvus (Meyer, 1874).

Since its conceptualization in 1854, 29 species of the colubrid genus Stegonotus have been recognized or described, of which 15 (admiraltiensis, batjanensis, borneensis, cucullatus, derooijae, diehli, florensis, guentheri, iridis, heterurus, melanolabiatus, modestus, muelleri, parvus, poechi) are still considered valid today. Original species descriptions for the members of this genus were published in Dutch, English, French, German, and Italian and, perhaps as a consequence of these polyglot origins, there has been a considerable amount of confusion over which species names should be applied to which populations of Stegonotus throughout its range across Borneo, the Philippines, Wallacea, New Guinea, Australia, and associated archipelagos. In addition, the terminology used to notate characteristics in the descriptions of these forms was not uniform and may have added to the taxonomic confusion. In this paper, we trace in detail the history of the type specimens, the species, and the synonyms currently associated with the genus Stegonotus and provide a basic, species-specific listing of their characteristics, derived from our examination of over 1500 museum specimens. Based on our data, we are able to limit the distribution of S. modestus to the islands of Ambon, Buru, and Seram in the central Moluccas of Indonesian Wallacea. We correct the type locality of S. cucullatus to the Manokwari area on the Bird's Head Peninsula of West Papua, Indonesian New Guinea and designate a neotype for S. parvus, a species likely to be a regional endemic in the Schouten Archipelago of Cenderawasih Bay (formerly Geelvink Bay), Indonesian New Guinea. We unequivocally identify and explain the problematic localities of the type specimens of S. muelleri and Lycodon muelleri, which currently reside in the same specimen jar. We remove L. aruensis and L. lividum from the synonymy of S. modestus and recognize them as S. aruensis n. comb. and S. lividus n. comb., respectively. We remove S. keyensis and Zamenophis australis from the synonymy of S. cucullatus and recognize them as S. keyensis n. comb. and S. australis n. comb., respectively. We further remove S. reticulatus from the synonymy of S. cucullatus, S. dorsalis from the synonymy of S. diehli, and S. sutteri from the synonymy of S. florensis. We designate lectotypes for S. guentheri, S. heterurus, S. lividus, and S. reticulatus. Lastly, we introduce S. poechi, a valid species not mentioned in the scientific literature since its description in 1924. This brings the diversity in the genus Stegonotus to 22 species. We also caution that in a complex group of organisms like Stegonotus any rush to taxonomic judgment on the basis of molecular and incomplete morphological data sets may perpetuate errors and introduce incongruities. Only through the careful work of connecting type material with museum specimens and molecular data can the taxonomy and nomenclature of complex taxa be stabilized.