Sinclairthorup8990

Portanini Linnavuori, 1959 is a small tribe of neotropical leafhoppers that includes two genera Portanus Ball, 1932 and Metacephalus DeLong & Martinson, 1973. Herein, a checklist of portanines from Peru is given, including several new species records for the country, elevating the known diversity from nine to 22 species. In addition, four species have their department ranges expanded in Peru. Two new portanine species are also described Metacephalus mamaquillasp. nov. and Portanus tambopatasp. nov. both from Tambopata National Reserve, Madre de Dios, Peru and we make available habitus photos of other Portanini species from this reserve.

Many high school students experience a high degree of anxiety and perceived stress. This study examined whether a classroom-based mindfulness program or a wellness program were acceptable and effective as anxiety and stress reduction interventions based on students' self-reports.

Thirteen health education classes (

=285 students, aged 14-16 years) were randomized by classroom to one of three conditions mindfulness, wellness, or usual health class only (passive control/ waitlist), for 8 weeks.

Pre- and post-intervention scores compared self-reported measures of depression, anxiety and stress.

Complete data were available from nine classes (

=202 students). Post-intervention anxiety scores were reduced in students who received the mindfulness intervention compared to those who received only their usual health class (β=-0.07, SE=0.03,

≤0.001; 95% CI=-0.12, -0.02). No significant between group differences were found for depression or stress (

>0.4). Students' satisfaction with the mindfulness intervention they received withstood baseline credibility and expectancy effects

=0.21,

=67,

=0.17 for credibility;

=-0.001,

=67,

0.99 for expectancy. However, students' satisfaction with the wellness intervention they received was positively correlated with their pre-intervention expectations,

=0.42,

=47,

>0.001. Fifty-two percent of the 68 students assigned to mindfulness (

=35) used the iPad app for mindfulness home practice at least once; of those, 10% used it 10 or more times.

Eight weeks of classroom-based mindfulness, with limited home practice, reduced self-reported anxiety compared to usual health class, and withstood baseline expectancy effects in this group of high school students, a majority who come from high income families.

School- or community-based mindfulness may be an appropriate recommendation for adolescents who experience anxiety.

School- or community-based mindfulness may be an appropriate recommendation for adolescents who experience anxiety.Post-operative adhesions can occur following abdominal or pelvic surgery and are a significant cause of morbidity and mortality. Adhesions are an important cause of abdominal complaints, especially chronic abdominal pain, infertility, and bowel obstruction; responsible for an estimated $2.3 billion annual burden in the United States alone. There is a paucity of literature describing CT findings indicative of the presence of adhesions, however, findings suggestive of this entity may be discovered by a discerning eye. Early recognition and diagnosis may be beneficial for reducing consumption of health-care resources related to abdominal complaints. In addition, these findings may impact surgical planning and facilitate recognition of adhesion-related complications, said to be responsible for a significant number of malpractice claims. The following review discusses various CT findings which may indicate the presence of adhesions. These findings may initially be overlooked, but remain valuable as the clinical presentation evolves to become consistent with adhesive disease. Detection of bowel and peritoneal adhesions can be recognized on imaging modalities based on distortion of bowel loops. This pictorial review illustrates the spectrum of findings related to bowel adhesions encountered on computed tomography imaging.

High-resolution CT (HRCT) temporal bone has emerged as a useful option in pre-operative assessment of tegmen height in chronic otitis media patients.

A total of 60 patients with clinical suspicion of chronic otitis media were enrolled in the study. HRCT evaluation was done using Siemens Somatom Force 384 slice multidetector computed tomography machine. We radiologically assess tegmen height using lateral semicircular canal as a reference point on HRCT. Final result has been based on correlation of radiological and intraoperative findings. Diagnostic efficacy of HRCT temporal bone was evaluated in terms of sensitivity, specificity, PPV, NPV, and accuracy for pre-operative assessment of tegmen height.

The correlation between actual tegmen height and estimated tegmen height (by equation) was 0.457 which is highly significant (

< 0.001). In the study, the mean tegmen height of exposed dura (ED) was 5.81 ± 1.71 (95% CI 4.91-6.70) while the mean tegmen height of non-exposed dura (NED) was 8.40 ± 1.31 (95% CI 8.02- 8.78). Highly significant difference was found in mean tegmen height between ED and NED cases (

< 0.001).

Pre-operative CT assessment of tegmen height is an important parameter in assessing risk of dural injury during tympanomastoid surgeries.

Pre-operative CT assessment of tegmen height is an important parameter in assessing risk of dural injury during tympanomastoid surgeries.Arterial spin labeling (ASL) is a non-contrast, non-invasive method used for the evaluation of cerebral perfusion, which is now increasingly utilized in everyday clinical practice. selleck screening library As a marker of cerebral blood flow at the capillary level, it has particular utility in stroke assessment. One rarer stroke subtype with non-specific symptomatology that can lead to significant morbidity is the posterior circulation (PC) infarct. As with the more common anterior circulation infarcts, ASL has shown benefit in PC infarcts as well, but has not been extensively explored in the literature nor been directly compared to bolus perfusion techniques. This clinical report of selected cases shows the utility of ASL in localization and detection of PC infarcts both in conjunction with and in the absence of bolus perfusion.