Two new species of Zetzellia Oudemans (Acari: Stigmaeidae) that threaten the concept of genera: Disgeneric marriage?

Two new species of Zetzellia Oudemans, Z. agistzellia sp. n. and Z. quasagistemas sp. n., are described from rubber trees of northwestern São Paulo State, Brazil. Females have clear features of Zetzellia, whereas males resemble Agistemus in some characters. Immatures are also described. The discovery of these species raises some problems concerning generic concepts in Stigmaeidae. Since features of different genera are present in the same species, the authors suggest that the scope of those genera should be reviewed. Copyright © 2005 Magnolia Press.

Influence of clinical therapy and nutritional counseling on the recurrence of urolithiasis

PURPOSE: To evaluate the influence of combined clinical therapy and nutritional guidance on the recurrence of urolithiasis. METHODS: From our registry of patients with recurrent urolithiasis we selected 57 who had at least 5-years of follow-up. We collected 24h urine samples in order to analyze Ca, Na, uric acid, citrate, oxalate, and Mg concentrations and to assess urine volume. Patients filled out a clinical questionnaire before treatment, and abdominal radiographs and/or ultrasound were performed both before treatment and during the follow-up period. During follow-up, specific and individualized dietary advice was given based on the individual's metabolic disorders. Patients also received specific pharmacological treatment for their metabolic alterations. Outcome measures were metabolites in urine and the urolith recurrence rate. Pre- and post- intervention values were compared using tests as appropriate. RESULTS: Fifty six of the patients were male and the majority of patients were overweight. The mean BMI was 27 kg/m2. Urinary excretion of calcium, uric acid and sodium decreased significantly over the five year follow-up period. The number of uroliths that formed during the 5-year follow-up also decreased significantly compared to pre-treatment values. CONCLUSION: Individualized dietary advice combined with pharmacological treatment significantly reduces long-term urolithiasis recurrence.