Ectopic Pregnancy Diagnosed Post Caesarean Surgery in a Three Year Old Boerboel Bitch

A three year old nulliparous Boerboel bitch presented with complaints of fever and inappetence six weeks after an elective caesarean section was diagnosed with an extrauterine foetus. A per-cutaneous abdominal ultrasound revealed a foetal sac showing a well-developed skeletal structure and the absence of foetal movement or heartbeat. During laparotomy, a foetal sac containing a dead foetus was located between the spleen and the stomach. The foetal sac was excised following ligation of its mesenteric attachment to the spleen. The previously operated uterus was observed to have involuted but revealed a small bud observed on the middle portion of the left uterine horn. The histological findings of the foetal sac revealed fibro-adipose tissue with numerous congested vessels. It was concluded that the Boerboel bitch had a secondary abdominal ectopic pregnancy and recommended that owing to the difficulty of diagnosing the condition before or during routine elective caesarean surgery, post-operative abdominal ultrasound would have been instructive.

New Nasopharyngeal Flap for Posterior Skull-Base Reconstruction: The Upper-Tongue Flap

Introduction Reconstructions of clival resection are still challenging, and additional reconstructive methods may be necessary to achieve full coverage of the skull-base defect in patients with middle- and lower-clivus disease. Objective To describe a new nasopharyngeal flap for the middle and lower clivus. Methods Using nasal endoscopy in a cadaver dissection, we demonstrated a new nasopharygeal flap to cover the lower and middle clival resection. Results We described a new nasopharyngeal flap capable of covering the lower and middle portion of the clivus. Discussion The new nasopharyngeal flap, called the upper-tongue flap, is particularly adequate as an alternative for the reconstruction of middle and lower clivus defects, and it is better used in association with a nasalseptal flap in cases in which the nasalseptal flap alone does not provide enough mucosal coverage. Conclusion The new nasopharyngeal flap can be used in the reconstruction of clival resection.

Preaching from the Whole

Chapter 2 shows how, in preaching, the self comes to be mediated by the whole Christ. The insight about memory and Christ from the Confessions grows into a full-fledged Christological reality wherein the “whole Christ” becomes a route to God. This chapter, especially by attention to exegesis and rhetorical tools in addition to his philosophical and theological interlocutors, shows the development of Augustine’s communal construct called the whole Christ, or totus Christus. The chapter tracks Augustine’s developing understanding of Christ’s mediation through the incarnation, passion, and ascension. In his mature preaching, Augustine describes ongoing Christological mediation as transfiguring human persons into Christ. Chapter 2 concludes the first part of the book, “The Beginning of Memory,” and sets up the method of the middle portion of the book.

Starting Pitch Selection is Precise in Exploratory Study of Collegiate Nonmusic Majors

Starting pitch selection—whether intentional or habitual or otherwise— has been theorized to vary according to multiple variables. The purpose of this study was to explore starting pitch selection in undergraduate nonmusic major singers by using four well known songs and nonsinging tasks. Participants were actively singing in a college choir and majoring in fields outside of music. Performances indicated very small deviations in the median starting pitch for each criterion song (100–200 cents). Data indicated discrimination in starting pitch selection between songs. Active singers may place songs in the middle portion of the vocal range compared with the tendency toward lower range in nonsingers in previous research. A history of voice lessons was significantly associated with a positive response to a follow-up questionnaire item “I chose an intentional range for my voice.”

The ichthyofauna of a poorly known area in the middle-southern Espinhaço mountain range, state of Minas Gerais, Brazil: diagnostics and identification keys

Knowledge about the taxonomy and fish composition from the upper rio Paraúna (rio São Francisco basin) and upper rio Santo Antônio (rio Doce basin) in the middle portion of the Southern Espinhaço mountain range, state of Minas Gerais, Brazil is still incipient. Only few studies focusing on ichthyofaunistic diagnostic and species descriptions in the lower stretches of the rio Santo Antônio are available. Herein the aim was to provide a species list of the freshwater ichthyofauna from the headwaters of both basins in such region, and to verify the occurrence of threatened, exotic, and potentially new species. Sixty species were registered, with 34 associated to the upper rio Paraúna, and 40 to the upper rio Santo Antônio. Two species are included in some threatened category, three are exotics, and 14 represent potentially new species. An identification key of the fish species recorded in the area is also provided.

Ilioinguinal and Iliohypogastric Nerve Blocks

Chapter 8 covers ilioinguinal and iliohypogastric nerve blocks. These techniques involve the injection of local anesthetic into the facial layer between the internal oblique and transversus abdominis muscles, with the goal of anesthetizing the nerves that originate from the L1 spinal root. This block provides analgesia to the skin over the lower abdomen where it joins with the upper pelvis, to the upper pelvis, and along the middle portion of the thigh. Historically, a blind technique was utilized, during which the needle was inserted until a palpable “fascial click” was felt. This approach had an estimated 20 to 30% failure rate as well as a higher risk for iatrogenic small bowel and colonic puncture. An ultrasound guided approach reduces the risk for complications and has been shown to be successful, reducing postoperative analgesia requirements as well as reducing the volume of local anesthetic required.

The course of facial corticobulbar tract fibers in the dorsolateral medulla oblongata

Background The course of the corticobulbar tract (CBT) to the facial nucleus has been investigated by some previous studies. However, there are some unclear points of the course of the CBT to the facial nucleus. This study aimed to elucidate the detailed course of the CBT to the facial nucleus through the analysis of lateral medullary infarction (LMI) cases. Methods The neurological characteristics and magnetic resonance imaging findings of 33 consecutive patients with LMI were evaluated. The location of the lesions was classified rostro-caudally (upper, middle, or lower) and horizontally. Further, we compared the neurological characteristics between the groups with and without central facial paresis (FP). Results Eight (24%) patients with central FP ipsilateral to the lesion were identified. Dysphagia and hiccups were more frequently observed in the group with central FP than in the group without central FP. In patients with central FP, middle medullary lesions and those including the ventral part of the dorsolateral medulla were more frequently observed. Contrastingly, patients with lesions restricted to the lateral and dorsal regions of the dorsolateral medulla did not present with central FP. Conclusion The results of this study indicate that the CBT to the facial nucleus descends with the corticospinal tract at least to the middle portion of the medulla, and then ascends to the facial nucleus through the medial and ventral areas of the dorsolateral medulla after decussation.

KARYOMORPHOLOGICAL AND STOMATAL STUDIES OFALLIUM HOOKERITHWAITES

AlliumhookeriThwaites belongs toAmaryllidaceae family is one of the most important medicinal plants, enormously used in cancer or inflammation because it contains large amounts of sulfonylmethane.It is also used to treat coughs, colds, fatigue and to recover immunity. Karyotypic study showed that somatic chromosome number is 2n = 22. Only nearly sub median and nearly median chromosomes are found in the complement. Karyotype formula = 1 nsm(-)+ 10 nm=2n=22. The total length of long arms is 60.36 µm, ranging from 3.16µm to 8.23µm. Total length of short arms is 31.57µm, ranging from 1.75µm to 4.11µm. The total length of the chromosome is 92.17µm, ranging from 4.78µm to 12.35µm. Relative chromosome length ranges from38.70µm to 100 µm. Arm ratio ranges from1.70 to2.38.Tf %= 41.63.Centromeric index ranges from 0.40 to 0.28 and The total chromatin index is 100, ranging from 5.18 to 13.40. Anomocytic type of stomata is observedStomatal index and stomatal size were calculated. The maximum length (53.6±2.06µm) was observed in basal portion of the adaxial surface and the minimum length (45.2 ± 1.40µm) was observed in the middle portion of abaxial surface. The maximum width size (24.8±1.11µm) was observed in the basal portion of the adaxial surface and the minimum width was (18.8 ± 1.14µm) at the middle portion of the abaxial surface. Stomatal index 12.63±0.5) maximum and minimum (6.13±0.40) was observed.

Molecular phylogeny of the Austrolebias adloffi group (Cyprinodontiformes, Rivulidae), with description of two new endangered and highly endemic species of annual killifishes from the Laguna dos Patos system, southern Brazil

The Austrolebias adloffi species group encompasses a diverse lineage of annual killifishes that occurs along the Laguna dos Patos/Lagoa Mirim system, in both Brazilian and Uruguayan territories. We herein employ an integrative taxonomy approach to describe two new species of the group, inferring their phylogenetic relationships and evaluating their conservation status. Austrolebias cheffei sp. nov. and Austrolebias lourenciano sp. nov. are herein described from the western portion of the Laguna dos Patos system. Austrolebias cheffei is distinguished from the remaining species of the A. adloffi species group by presenting a yellowish green or yellowish blue dorsal fin, with wide black to dark brown bars extending from the base to the middle portion of the dorsal and anal fins in the males. Austrolebias lourenciano is distinguished from the remaining species of the A. adloffi species group by presenting a yellowish green dorsal fin, with light yellow or light bluish bars forming small triangles, interspersed with small dark brown rows of blotches in the dorsal fin base, and greenish blue anal fin, sometimes with lighter elongated yellowish iridescent blotches, limited to the basal region. According to mitochondrial cytb sequences, both species are reciprocally monophyletic relative to other species of the A. adloffi species group, and present positive barcoding gap values. Interestingly, both new species form a grade that is closely related to Austrolebias aff. minuano 1, an undescribed species that occurs at the opposite margin of the Laguna dos Patos. Among the other evaluated species, A. bagual, A. aff. minuano 1, A. nigrofasciatus, A. pelotapes, A. pongondo, A. arachan, and A. viarius also revealed to be reciprocally monophyletic, whereas A. minuano and A. adloffi revealed to be paraphyletic in regard to A. charrua and A. aff. minuano 2, respectively, and A. nachtigalli is subdivided in two clades, one of which including A. reicherti, which points to the need of a taxonomic review of the group. In addition, we discussed the conservation status of the new species, corrected the type locality of A. pongondo, and provided a dichotomous identification key of the A. adloffi species group.