Case design and flow resistance in high-alpine caddisfly larvae (Insecta, Trichoptera).

For evaluating hydraulic stress reduction strategies of caddisfly larvae, our study has three goals. First, creating a database on Reynolds numbers (Re) and drag coefficients valid for Limnephilidae larvae with cylindrical mineral cases. Second, evaluating the effects of submerged weight and biometry in cases with comparable length/width ratios. And third, collecting field data in an alpine environment for gaining insights into the hydraulic niches occupied by thirteen Drusinae species. Biometric data were subsequently combined with published Reynolds numbers and mean flow velocity data measured immediately upstream of Limnephilidae larvae at the moment of dislodgement. This provides drag coefficients for the range of Reynolds numbers obtained in the field. Data reveal that heavy cases strongly benefit from compensating drag by submerged weight, thereby enabling species to utilize high velocity spots, an important benefit for filtering species. Supplementary Information: The online version contains supplementary material available at 10.1007/s10750-022-04981-y.

Comparing head muscles among Drusinae clades (Insecta: Trichoptera) reveals high congruence despite strong contrasts in head shape.

The subfamily Drusinae (Limnephilidae, Trichoptera) comprises a range of species exhibiting differently shaped head capsules in their larval stages. These correspond to evolutionary lineages pursuing different larval feeding ecologies, each of which uses a different hydraulic niche: scraping grazers and omnivorous shredders sharing rounded head capsules and filtering carnivores with indented and corrugated head capsules. In this study, we assess whether changes in head capsule morphology are reflected by changes in internal anatomy of Drusinae heads. To this end, internal and external head morphology was visualized using µCT methods and histological sections in three Drusinae species-Drusus franzi, D. discolor and D. bosnicus-representing the three evolutionary lineages. Our results indicate that Drusinae head musculature is highly conserved across the evolutionary lineages with only minute changes between taxa. Conversely, the tentorium is reduced in D. discolor, the species with the most aberrant head capsule investigated here. Integrating previous research on Drusinae head anatomy, we propose a fundamental Drusinae blueprint comprising 29 cephalic muscles and discuss significance of larval head capsule corrugation in Trichoptera.

External and internal head anatomy of Drusus monticola (Trichoptera, Limnephilidae).

EXTERNAL AND INTERNAL HEAD ANATOMY OF DRUSUS MONTICOLA TRICHOPTERA LIMNEPHILIDAE: Caddisflies have evolved to a staggering diversity, and their larvae inhabit a wide range of different habitats. Also, the larvae differ in their (feeding) ecology, and hydrological niche preference. Consequently, groups differ in their external morphology, a fact that allows to identify many taxa to species-level in the larval stage. However, a comparative treatise on the internal anatomy of larval Trichoptera remains to be presented. Here, we provide a detailed study on the external and internal head anatomy of Drusus monticola, a member of the limnephilid subfamily Drusinae.We found 26 major muscles using µCT-scans, of which the muscles operating the mandibles were the largest. Overall, we could differentiate four main muscle groups: muscles operating the labrum, muscles operating the mandibles, muscles operating the maxillolabium and muscles operating the alimentary canal.The situation as observed in D. monticola is highly similar to that of D. trifidus, the only other Drusinae in which cephalic anatomy is known. We propose that the configuration (muscle origins and number) observed here is characteristic for an evolutionary lineage within Drusinae in which all known members share a scraping grazer feeding ecology. Other Drusinae, including such with modified head capsules, remain to be investigated. ZUSAMMENFASSUNG EXTERNE UND INTERNE ANATOMIE DES KOPFES VON DRUSUS MONTICOLA TRICHOPTERA LIMNEPHILIDAE: Köcherfliegen haben eine beeindru-ckende Diversität, und ihre Larven besiedeln ein breites Spektrum unterschiedlicher Habitate. Zudem unterscheiden sich diese Larven in ihrer (Ernährungs)-Ökologie und der Präferenz bestimmter hydrologischer Nischen. Folglich unterscheiden sich diese Gruppen in ihrer Morphologie, ein Umstand, durch den sie erst bestimmbar werden. Eine umfassende vergleichende Bearbeitung der internen Anatomie von Köcherfliegenlarven steht allerdings noch aus. Hier legen wir eine genaue Studie der Kopfkapselanatomie von Drusus monticola vor, einer Limnephilidae aus der Unterfamilie der Drusinae.Wir konnten mittels µCT-Scans 26 Muskeln feststellen, wobei die Mandibelmuskeln bei weitem die größten sind. Insgesamt konnten wir vier Muskelgruppen differenzie-ren: Muskeln des Labrums, Muskeln der Mandibeln, Muskeln des Maxillolabiums und Muskeln des Verdauungstrakts.Die Organisation, die bei D. monticola vorgefunden wurde, entspricht weitestgehend der, die anhand von D. trifidus beschrieben wurde - der einzigen anderen daraufhin erforschten Drusinae. Wir schließen daraus, dass die beobachtete Konfiguration für die evolutionäre Linie der schabenden Weidegänger innerhalb der Drusinae typisch ist. Bezüglich der Anatomie anderer Drusinae, insbesondere solcher mit abgewan-delten Kopfkapseln, sollten weitere Forschungen angestellt werden.

Hydraulic niche utilization by larvae of the three Drusinae clades (Insecta: Trichoptera).

Hydraulic niche descriptors of final instar larvae of nine Drusus species (Trichoptera) were studied in small, spring-fed, first-order headwaters located in the Mühlviertel (Upper Austria), Koralpe (Carinthia, Austria), and in the Austrian and Italian Alps. The species investigated covered all three clades of Drusinae: the shredder clade (Drusus franzi, D. alpinus), the grazer clade (D. biguttatus, D. chauvinianus, D. dudor, D. monticola), and the filtering carnivore clade (D. chrysotus, D. katagelastos, D. muelleri). Flow velocity was measured at front center of 68 larvae, head upstream, on the top of mineral substrate particles at water depths of 10-30 mm, using a tripod-stabilized Micro propeller meter (propeller diameter = 10 mm). Each data series consisted of a sampled measurement lasting 30 s (measuring interval = 1 s). In total, 2040 single velocity measurements were taken. Instantaneous flow velocities and drag at the sites of the 68 larvae varied from 0 to 0.93 m s-1 and 0 to 8346 *10-6 N, respectively. Flow velocities and drag between the three clades were highly significantly different (p < 0.001); mean velocity (± 95% confidence limits) for the three clades were 0.09 ± 0.00 m s-1 for the shredder, 0.25 ± 0.00 m s-1 for the grazer, and 0.31 ± 0.01ms-1 for the filtering carnivore clade; the corresponding data for drag were (85 ± 18)*10-6 N, (422 ± 61)*10-6 N and (1125 ± 83)*10-6 N, respectively. Adhesive friction ranged from (41.07 ± 53.03)*10-6 N in D. franzi to (255.24 ± 216.87)*10-6 N in D. chrysotus. Except in D. franzi and D. dudor adhesive friction was always well below drag force, indicating that submerged weight alone was not sufficient to stabilize the larvae in their hydraulic environment. Reynolds numbers varied between 0 in D. franzi and D. alpinus, and 12,634 in D. katagelastos, with 7% of the total in the laminar (R < 500), 30%in the transitional (R = 500-2000), and 61%in the fully turbulent stage (R > 2000). Froude numbers (Fr) varied from 0 to 2.97. The two Drusus species of the shredder clade and three out of four species of the grazer clade were exposed to subcritical Fr < 1, one species of the grazer clade and two out of three species of the filtering clade to supercritical Froude numbers >1.

Hydraulic stress parameters of a cased caddis larva (Drusus biguttatus) using spatio-temporally filtered velocity measurements.

By studying hydraulic stress parameters of larvae of the cased caddisfly Drusus biguttatus (Pictet, 1834) in a tributary of the Schwarze Sulm (Carinthia, Austria), we aimed on (1) detecting the flow properties of the spatio-temporally filtered velocity measurements taken, and (2) on defining the hydraulic niche of this caddisfly larva. For this, we took 31 measurement series lasting 30 to 300 s, yielding 2176 single velocity measurements. The probability density functions of the 31 data series were Gaussian or sub-Gaussian, and the mean recurrent interval between velocity maxima within a data series was only 15.00 s. As a consequence, the Trichoptera larvae studied have to face strong flow accelerations in short intervals which is a much higher stress than conventional mean velocity measurements would suggest. The hydraulic niche of Drusus biguttatus is defined by instantaneous flow velocities ranging from 0.04 to 0.69 m s-1, by drag forces from 13 × 10-6 to 3737 × 10-6 N, by Froude numbers from 0.13 to 1.20, and mostly by Reynolds numbers > 2000. Under such conditions, only 5.1% of the drag force is compensated by submerged weight, whereas the remainder has to be counterbalanced by the active efforts of the larvae to remain attached to the substrate.

A new Drusinae species from the western Alps with comments on the subfamily and an updated key to filtering carnivore larvae of Drusinae species (Insecta: Trichoptera: Limnephilidae).

A new Drusinae species, Drusus katagelastos sp. nov., of the Drusus chapmani Species Complex, is described based on a male and associated larvae. Adult-larval association was achieved through DNA barcoding. The male of the new species differ from that of its congeners in the formation of the intermediate appendages and parameres. Information on the morphology of the larva is given, and important diagnostic features are discussed. In the context of filtering carnivore Drusinae, the larva of the new species can be separated from other filtering carnivore species by the dense cover of long translucent bristles within the frontal cavity surrounded by a circular corona of long bristles. Drusus katagelastos sp. nov. is known from only northwestern Italy (Piemonte).

The larva of Drusus dudor Oláh, 2017, including an updated key to larval Drusinae Banks, 1916 (Insecta, Trichoptera, Limnephilidae).

The caddisfly Drusus dudor Oláh, 2017 (Limephilidae: Drusinae) was described from the Northwestern Italian Alps. We provide a detailed description of the larva, based on material from the Italian Province of Piemonte. Information on the morphology of the 5th larval instar is given, and the most important diagnostic features are illustrated. The larva is included in an updated key to larval Drusinae where D. dudor keys together with Drusus aprutiensis Moretti, 1981, D. camerinus Moretti, 1981, D. croaticus Marinkovic-Gospodnetic, 1971, D. mixtus (Pictet, 1834), and D. nigrescens Meyer-Duer, 1875. The species can be reliably separated by the morphology of the pronotum, the shape of the metanotal sclerites, and by morphological details of abdominal sternum I.

Project overview: Intricate bodies in the boundary layer - bridging fluid mechanics, morphology and ecology in larval Drusinae (Insecta: Trichoptera).

This paper summarizes the layout, the three work packages and the intended outcome of the project 'Intricate bodies in the boundary layer P 31258-B29', funded by the Austrian Science Fund (FWF ; project start: October 2018).

Fonoaudiologia e Odontologia na Atenção Básica: Relato de Experiência de Educação em Saúde / Speech-language Pathology and Audiology and Dentistry in Primary Care: Experience Report on Health Education / Fonoaudiología y Odontología en la Atención Primaria: Reporte de Experiencia de Educación en la Salud

A atenção básica no Sistema Único de Saúde brasileiro engloba diversos tipos de ações de promoção da saúde e prevenção de doenças ou agravos. Ações de promoção, prevenção e educação em saúde são de suma importância para a autonomia e o empoderamento da população. A interdisciplinaridade presente na atenção básica pode potencializar tais ações e gerar mudanças ainda mais efetivas quanto à educação em saúde das coletividades. Objetivo: descrever aspectos relativos ao grupo de saúde bucal Infantil desenvolvido por profissionais de fonoaudiologia e odontologia no Centro da Saúde Saco Grande, Florianópolis, Santa Catarina, Brasil. Método: Foram realizados 12 encontros semanais com crianças de um mês a nove anos de idade e seus responsáveis. Aspectos relacionados à higiene oral, hábitos orais deletérios e desenvolvimento infantil foram apresentados aos participantes a fim de suscitar questionamentos e propiciar a construção de um conhecimento ativo e significativo por parte das crianças e de seus responsáveis. Resultados: Houve maior procura da população para os grupos na faixa etária de cinco a nove anos, principalmente em crianças que já apresentavam algum sinal de alteração dentária. Conclusão: Nesta experiência, a fonoaudiologia e a odontologia se mostraram aliadas na educação em saúde da criança, destacando-se a saúde bucal e o desenvolvimento das funções orais.

Introduction: Primary care in the Brazilian Unified Health System includes innumerous types of actions regarding health promotion and prevention. Promotion, prevention and health education are highly important to the autonomy and empowerment of the population. The presence of Interdisciplinary work in primary care can enhance these actions and generate even more effective changes regarding the health education in communities. Objective: to describe aspects of the Children's Oral Health group developed by professionals of the area of speech, language and hearing sciences and dentistry at the Center of Health of Saco Grande, Florianópolis, Santa Catarina, Brazil. Method: A total of 12 weekly meetings with children from one month to nine years of age and their caregivers were performed. Aspects related to oral hygiene, deleterious oral habits and child development were presented to participants. This was meant to raise questions and encourage the construction of an active and meaningful knowledge by children and/or their caregivers. Results: There was increased demand of the population for the groups aged five to seven years, especially in children who already had some dental abnormalities. Conclusion: In this experience, the speech, language and hearing sciences and dentistry professionals were perceived as important allies in children health education, especially in oral health and in the development of oral functions.

Introducción: La atención primaria en el Sistema Único de Salud incluye varios tipos de acciones para promoción de la salud y prevención de enfermedades o agravas. Acciones de promoción, prevención y educación en salud son muy importantes para la autonomía y el empoderamiento de la población. La interdisciplinariedad presente en la atención primaria puede mejorar estas acciones y generar aún más eficaces cambios con respecto a la educación para la salud de las colectividades. Objetivo: describir aspectos relativos al grupo de Salud Bucodental Infantil desarrollado por profesionales de fonoaudiología y odontología en el Centro de Salud Saco Grande, Florianópolis, Santa Catarina, Brasil. Método: Se realizaron 12 reuniones semanales con niños de un mes a nueve años de edad y sus cuidadores. Aspectos relacionados con la higiene bucal, hábitos orales nocivos y el desarrollo infantil fueron presentados a los participantes con el objetivo de evocar cuestiones y posibilitar la construcción de un conocimiento activo y significativo para los niños y/o sus cuidadores. Resultados: Hubo mayor demanda de la población para los grupos de niños con edades de cinco a nueve años, sobre todo en niños que ya tenían alguna señal de alteración dentaria. Conclusión: En esta experiencia, la fonoaudiología y la odontología han demostrado ser aliadas en la educación para la salud del niño, en especial en la salud bucal y en el desarrollo de las funciones orales.

Prevalence and staging of chronic kidney disease in renal transplant recipients.

INTRODUCTION: Diagnosis and staging of chronic kidney disease (CKD) is important for management and prevention of renal disease progression. It is unclear whether K/DOQI guidelines of the National Kidney Foundation are applicable to diagnosis of CKD in renal transplant recipients (RTRs) and which method is most appropriate for estimating glomerular filtration. OBJECTIVES: To determine the prevalence and staging of CKD in RTRs, according to K/DOQI guidelines, and the prevalence of complications of CKD. SUBJECTS AND METHODS: This cross-sectional study included RTRs at least six months post-transplantation followed at a single out-patient service. The glomerular filtration rate (GFR) was estimated with two different equations: the MDRD equation (Modification of Diet in Renal Disease) with four variables (age, creatinine level, gender, and race) and the Cockcroft-Gault (CG) formula. Patients with GFR more than 60 mL/min/1.73 m2 were diagnosed with CKD only in the presence of renal damage (hematuria, proteinuria, or evidence of injury in renal biopsy). CKD staging was compared to the two equations and the prevalence of complications was determined. RESULTS: The study evaluated 241 RTRs (average age: 40.6 +/- 12.5 yr, 62.2% male; 4.5% black, 50.6% from cadaveric donors). Average follow-up time was 6.8 +/- 6.1 yr and the average baseline creatinine level was 1.48 +/- 0.72 mg/dL. CKD was diagnosed in 70.5% of RTRs, of whom 52.9% (MDRD)/47.6% (CG) were classified as Stage III (GFR: 30-59 mL/min/1.73 m2). The agreement between the two methods was very close with regard to CKD diagnosis (kappa = 0.92) and close for stage-dependent prevalence (kappa = 0.68). The prevalence of anemia, hypocalcemia, hyperphosphatemia (HF), hyperuricemia (HU), and systemic arterial hypertension (SAH) was 10.6%, 7.6%, 10.3%, 54%, and 73.4% for patients with CKD. Significant differences were observed for HU, HF and SAH in patients without CKD. Anemia, HU and SAH were associated with CKD stage (p < 0.001). CONCLUSION: The prevalence of CKD in the study population was high (70.5%). The two equations tested correlated closely when used for GFR estimation. Routine CKD staging in RTRs would provide patients with safer and more appropriate management.

Validação de um escore de alerta precoce pré-admissão na unidade de terapia intensiva / Validation of an early warning score in pre-intensive care unit

JUSTIFICATICA E OBJETIVOS: O prognóstico dos pacientes admitidos em unidade de terapia intensiva (UTI) tem relação com sua gravidade nos momentos que precedem a internação. O objetivo deste estudo foi avaliar a gravidade dos pacientes 12, 24 e 72h antes da admissão na UTI, bem como qual o parâmetro mais prevalente nesses pacientes e correlacionar o Modified Early Warning Score (MEWS) no pré-UTI com o desfecho (sobrevivência versus óbito), respectivo. MÉTODO: Análise retrospectiva de 65 pacientes, nas 72 horas que antecederam a admissão na UTI, no perío-do de julho a outubro de 2006. RESULTADOS: O APACHE II médio foi 22,2 ± 7,9 pontos, a mortalidade real de 54,6 por cento e a taxa de mortalidade padronizada foi 1,24. O MEWS médio foi 3,7 ± 0,2; 4,0 ± 0,2 e 5,1 ± 0,2 pontos, calculado 72, 48 e 24h antes da admissão na UTI, respectivamente. Registrou-se um percentual crescente de pacientes com MEWS > 3 pontos nas 72, 48 e 24h antes da admissão - 43,8 por cento, 59,4 por cento e 73,4 por cento, respectivamente. Dentre os parâmetros fisiológicos, a freqüência respiratória foi a que mais contribuiu para a pontuação do MEWS. A mortalidade foi maior entre os pacientes com MEWS > 3 pontos já 72 horas antes da admissão. Entre os pacientes que faleceram, verificou-se um aumento significativo no MEWS médio, 24 horas antes da admissão à UTI (em relação ao registrado, 72 horas antes), fato não identificado nos sobreviventes. CONCLUSÕES: O MEWS identificou com fidelidade a gravidade dos pacientes admitidos na UTI, sugerindo ser um escore confiável à aplicação nas instancias que precedem a UTI.

BACKGROUND AND OBJECTIVES: Prognosis of patients in the intensive care unit (ICU) has a relation with their severity just before admission. The Modified Early Warning Score (MEWS) was used to evaluate the severe condition of patients 12, 24 and 72 hours before admission in the ICU, assess the most prevalent parameters and correlate the MEWS before ICU with the outcome (survival versus death). METHODS: Retrospective analyses of 65 patients consecutively admitted to the ICU from July to October, 2006 evaluating the physiological parameters 72 hours prior to admission. RESULTS: APACHE II mean was 22.2 ± 7.9 points, mortality was 54.6 percent and standardized mortality ratio means was 1.24. MEWS means were 3.7 ± 0.2; 4.0 ± 0.2 and 5.1 ± 0.2 points, calculated 72, 48 and 24 hours previous to ICU admission, respectively. An increasing percentage of patients with MEWS > 3 points within 72, 48 and 24 hours before admission - 43.8 percent, 59.4 percent and 73.4 percent, respectively was recorded. Among the included physiological parameters respiratory rate contributed the most to the MEWS. Highest mortality was found in patients with MEWS > 3 points already found 72 hours before admission. Patients who died presented with a significant increase in the MEWS 24 hours prior to admission to the ICU (in relation to the MEWS recorded 72 hours before) but the situation was not identified in survivors. CONCLUSIONS: MEWS closely identified the severity of patients admitted to the ICU, suggesting that it can be a reliable score, useful in the situations preceding the ICU.

Validation of an early warning score in pre-intensive care unit. / Validação de um escore de alerta precoce pré-admissão na unidade de terapia intensiva.

BACKGROUND AND OBJECTIVES: Prognosis of patients in the intensive care unit (ICU) has a relation with their severity just before admission. The Modified Early Warning Score (MEWS) was used to evaluate the severe condition of patients 12, 24 and 72 hours before admission in the ICU, assess the most prevalent parameters and correlate the MEWS before ICU with the outcome (survival versus death). METHODS: Retrospective analyses of 65 patients consecutively admitted to the ICU from July to October, 2006 evaluating the physiological parameters 72 hours prior to admission. RESULTS: APACHE II mean was 22.2 ± 7.9 points, mortality was 54.6% and standardized mortality ratio means was 1.24. MEWS means were 3.7 ± 0.2; 4.0 ± 0.2 and 5.1 ± 0.2 points, calculated 72, 48 and 24 hours previous to ICU admission, respectively. An increasing percentage of patients with MEWS > 3 points within 72, 48 and 24 hours before admission - 43.8%, 59.4% and 73.4%, respectively was recorded. Among the included physiological parameters respiratory rate contributed the most to the MEWS. Highest mortality was found in patients with MEWS > 3 points already found 72 hours before admission. Patients who died presented with a significant increase in the MEWS 24 hours prior to admission to the ICU (in relation to the MEWS recorded 72 hours before) but the situation was not identified in survivors. CONCLUSIONS: MEWS closely identified the severity of patients admitted to the ICU, suggesting that it can be a reliable score, useful in the situations preceding the ICU.

Estudo de toxicologia clínica de um fitoterápico a base de associações de plantas, mel e própolis / Clinical toxicology study of a phytomedicine syrup composed of plants, honey and propolis

O estudo objetivou avaliar a segurança clínica do uso de uma formulação fitoterápica composta da associação de Mikania glomerata, Mentha piperita, Eucalyptus globulus e Copaifera multijuga, incorporadas à própolis e mel para tratar doenças respiratórias. O ensaio clínico consistiu de um estudo aberto, com 26 voluntários adultos de ambos os sexos, que receberam quatro doses orais de 15 mL de Saratosse®, durante 28 dias ininterruptos. Os voluntários foram incluídos somente se considerados saudáveis, após exames clínico e complementares que antecederam o estudo. A avaliação laboratorial incluía análises hematológicas, bioquímicas e sorológicas. A mesma avaliação foi repetida após cada semana de tratamento e no pós-estudo, sete dias após a última administração. Os resultados foram submetidos à Análise de Variância (teste de Dunnett), obtendo-se, a menor diferença significante (p < 0,05). O xarope foi bem tolerado. Alguns eventos adversos foram relatados, sendo classificados como possivelmente ou não atribuídos ao fitoterápico. Os índices de hemoglobina, TGO, TGP, creatinina e leucócitos não apresentaram diferenças significativas em relação ao pré-estudo. Todos os parâmetros laboratoriais estiveram dentro das suas respectivas faixas de normalidade. Os exames clínicos, eletrocardiográficos e laboratoriais não evidenciaram sinais de toxicidade nos órgãos e sistemas avaliados.

The aim of this study is to evaluate the safety of the use of a phytomedicine syrup (Saratosse®) composed of several medicinal plants: Mikania glomerata, Mentha piperita, Eucalyptus globulus and Copaifera multijuga, along with honey and propolis to treat respiratory diseases. The clinical trial consisted of an open study with 26 adult volunteers of both sexes, who were given an oral dose of 15 mL of Saratosse® for 28 consecutive days, four times a day. Only volunteers who were found healthy after a clinical and physical examination were included. The laboratory tests included: hematological, biochemical and serological analysis. This evaluation was repeated after each week of treatment and seven days after the last administration. ANOVA analysis (Dunnett's test) showed a significant difference, albeit at low statistical level (p < 0.05). Significant differences to the pre-study were not shown by hemoglobin, SGOT, SGPT, creatinine and leukocytes analysis. Laboratorial tests results were within their maximum and minimum reference values. On the whole the medicine was well tolerated. Some side effects were related, which may or not be attributed to the phytomedicine. Clinical, electrocardiographic and laboratory tests did not show any evidence of toxic signs in the organs and systems studied.