A NEW SPECIES OF ACANTHOBOTHRIUM (CESTODA: ONCHOPROTEOCEPHALIDEA) FROM THE SMALLEYE PYGMY SHARK, SQUALIOLUS ALIAE (CHONDRICHTHYES: SQUALIFORMES: DALATIIDAE), FROM TAIWAN.

The cestode fauna of Squaliolus aliae was examined for the first time following the collection of elasmobranch specimens from Taiwan in 2005, 2013, and 2017. This small shark was found to host 2 tapeworm species. These consist of Acanthobothrium katherineae n. sp., which is new to science and is described herein, and a second species, in the genus Scyphophyllidium, which also appears to be new, but which is represented by insufficient material for formal description. Acanthobothrium katherineae is a category 5 species. It can be distinguished from 5 of the 19 other category 5 species in that it is apolytic, retaining proglottids on its strobila until they are gravid. This new species differs from the remaining 14 category 5 species in its combination of the following features: It is a smaller worm, has fewer than 100 proglottids, has a relatively short cephalic peduncle, and differs in bothridial size and loculus ratio. Sequence data for the D1-D3 region of the 28S rDNA gene were generated for one specimen of A. katherineae. This sequence, along with comparable sequence data for adults of 14 described and 2 undescribed species as well as specimens of 6 undescribed larval members of the genus, was included in a maximum likelihood phylogenetic analysis. The resulting tree places the shark-hosted A. katherineae within a clade of stingray-hosted species, with Acanthobothrium romanowi as its sister taxon. Acanthobothrium katherineae is 1 of only 19 Acanthobothrium species known to parasitize sharks. The tree resulting from this study, which is preliminary given the relatively poor taxon sampling of the diversity in the genus, included 3 of the shark-parasitizing Acanthobothrium species and suggests that all 3 represent host-switching events. This is the first report of an Acanthobothrium species from the family Dalatiidae and the first report of a Scyphophyllidium species from the order Squaliformes. These findings suggest that other members of the Squaliformes, many of which have not previously been examined for parasites, may host additional novel cestode taxa.

Elevated intrahepatic pressures and decreased hepatic tissue blood flow prevent gas embolus during limited laparoscopic liver resections.

BACKGROUND: As new techniques are emerging for laparoscopic liver resections, concerns have been raised about the development of gas embolus related to the CO(2) pneumoperitoneum. We hypothesized that elevated intrahepatic vascular pressures and decreased hepatic tissue blood flow (LQB) would prevent gas embolus during laparoscopic liver resections under conventional pneumoperitoneum. METHODS: Intrahepatic vascular pressures and LQB were measured in nine pigs with varying CO(2) pneumoperitoneum. Gas embolus was determined after hepatic incision by monitoring pulmonary arterial pressure (PAP), hepatic venous PCO(2), systemic blood pressure (SBP), and suprahepatic vena cava ultrasound. RESULTS: As the pneumoperitoneum was increased from 0 to 15 mmHg, intrahepatic vascular pressures increased significantly (p < 0.05), while LQB decreased significantly (p < 0.05). A 2.0-cm hepatic incision at 4, 8, 15, and 20mmHg produced no ultrasound evidence of gas embolus and no changes in PAP, SBP, or hepatic venous PCO(2) (p = NS). CONCLUSION: These data suggest that the risk of significant embolus under conventional pneumoperitoneum is minimal during laparoscopic liver resections.

Hand-Assisted laparoscopic Surgery.

Hand-assisted laparoscopic surgery (HALS) has been sporadically described in the past to assist the surgeon during operations of complexity or when operations require specimen removal. The hand will offer the surgeon an advantage in terms of tactile feedback, exposure, retraction, or orientation so that it will enable him or her to operate with greater safety and efficiency. The fundamental pre-requisite for successful HALS is a reliable hand-assist device. We perform HALS for complex advanced laparoscopic surgery where it may save time, increase accuracy and improve safety. Additionally, this approach is considered for any operation that requires specimen removal, since an enlarged incision may be required. Early introduction of the hand may facilitate dissection and specimen removal.

New device for hand-assisted laparoscopic surgery.

Laparoscopic surgery has undergone a rapid evolution since the first laparoscopic cholecystectomy of Erich Mühe in 1985. Many surgeons felt that further technological success would be related not only to increasing experience and skill of surgeons, but also technological advances which would enable surgeons to perform increasingly more difficult and complex tasks. Progress has been rapid for some, but broad acceptance by surgeons has been slow.

Immunoreactivity patterns in neurofibrillary tangles of the inferior temporal cortex in Alzheimer disease.

The distributions of various immunohistochemical markers of neurofibrillary tangles (NFT) were compared to that of a normal nerve cell cytoskeletal marker, SMI32, in the inferior temporal cortex of Alzheimer brains and normal aged controls. NFT markers included antibodies to the microtubule-associated proteins tau, ubiquitin, or amyloid P component (AP). The results showed that, in our group of patients, the decrease of SMI32 immunoreactivity in the Alzheimer temporal cortex is paralleled by an increase in AP immunoreactivity in neurons and neurofibrillary tangles. This suggests that AP may play an important role in NFT formation or evolution in Alzheimer disease.