How quickly should we titrate antihypertensive medication? Systematic review modelling blood pressure response from trial data.

Context There are no evidence syntheses available to guide clinicians on when to titrate antihypertensive medication after initiation. Objective To model the blood pressure (BP) response after initiating antihypertensive medication. Data sources electronic databases including Medline, Embase, Cochrane Register and reference lists up to December 2009. Study selection Trials that initiated antihypertensive medication as single therapy in hypertensive patients who were either drug naive or had a placebo washout from previous drugs. Data extraction Office BP measurements at a minimum of two weekly intervals for a minimum of 4 weeks. An asymptotic approach model of BP response was assumed and non-linear mixed effects modelling used to calculate model parameters. Results and conclusions Eighteen trials that recruited 4168 patients met inclusion criteria. The time to reach 50% of the maximum estimated BP lowering effect was 1 week (systolic 0.91 weeks, 95% CI 0.74 to 1.10; diastolic 0.95, 0.75 to 1.15). Models incorporating drug class as a source of variability did not improve fit of the data. Incorporating the presence of a titration schedule improved model fit for both systolic and diastolic pressure. Titration increased both the predicted maximum effect and the time taken to reach 50% of the maximum (systolic 1.2 vs 0.7 weeks; diastolic 1.4 vs 0.7 weeks). Conclusions Estimates of the maximum efficacy of antihypertensive agents can be made early after starting therapy. This knowledge will guide clinicians in deciding when a newly started antihypertensive agent is likely to be effective or not at controlling BP.

Notes on social wasps of the group of Mischocyttarus(Omega) punctatus (Ducke), with description of six new species (Hymenoptera, Vespidae, Polistinae)

ABSTRACTA revision of the taxonomic status and an identification key for wasp species of the genus Mischocyttarus related to M. punctatus (Ducke, 1904) are presented here. Six new species are proposed (M. tayrona Silveira sp. nov.; M. anchicaya Silveira sp. nov.; M. caxiuana Silveira sp. nov.; M. verissimoi Silveira sp. nov.; M. rodriguesi Silveira sp. nov.; M. ryani Silveira sp. nov.), raising to nine the number of species in the M. punctatus group. The highest diversity of the group concentrates in northern South America, in Andean areas and Amazonia. New information concerning the very peculiar nests of these wasps is also given.

Notes on distributions for Argentinean Pentatomidae (Heteroptera: Pentatomoidea), with new records in the country

ABSTRACTIn this contribution, we present new distributional records from Argentina of 63 pentatomid species; three genera (Caonabo, Cromata and Taurocerus) and 14 species (Marmessulus brasiliensis, Podisus crassimargo, Cromata ornata, Acledra haematopa, Caonabo pseudocylax, Dichelops avilapiresi, Euschistus cribarius, E. paranticus, Mormidea maculata, Rio indistinctus, Banasa lanceolata, B. nigrifrons, Pallantia macunaima, and Taurocerus edessoides) are reported for the first time from Argentina; also we provided 81 new province records of another 49 species.

External morphology of immature stages of Zaretis strigosus (Gmelin) and Siderone galanthis catarina Dottax and Pierre comb. nov., with taxonomic notes on Siderone (Lepidoptera: Nymphalidae: Charaxinae)

ABSTRACT The external morphology of immature stages of Zaretis strigosus (Gmelin, [1790]) and Siderone galanthis catarina Dottax and Pierre, 2009 comb. nov. from southern Brazil are described. Additionally, morphology of the adults and sequences of the mitochondrial gene cytochrome oxidase, subunit I, were analyzed in order to evaluate the taxonomy of Siderone galanthis Hübner, [1823]. Immatures were collected on Casearia sylvestris (Salicaceae) in Curitiba, Paraná, and Balneário Barra do Sul, Santa Catarina, Brazil, and reared at the laboratory. Morphological descriptions and illustrations are provided, based on observations through stereoscopic and optic microscopes attached to camera lucida; results are compared and discussed and immature stages of some other species of Charaxinae. The results indicates that the morphology of the immature stages of the studied species differ greatly from other Anaeini, representing a distinct lineage of leafwings butterflies. Morphology and molecular evidence indicate that S. nemesis mexicana Dottax and Pierre, 2009 and S. nemesis catarina Dottax and Pierre, 2009 are conspecific with S. galanthis (Cramer, 1775); additionally, S. thebais C. Felder and R. Felder 1862, S. nemesis var. confluens Staudinger, 1887, S. nemesis f. leonora Bargmann, 1928 and S. nemesis f. exacta Bargmann, 1929 are synonymized with S. galanthis galanthis (Cramer, 1775).

Stichelia pelotensis (Lepidoptera, Riodinidae): conservation, notes, and rediscovery of an endangered butterfly from southern Brazil

ABSTRACT Stichelia pelotensis (Lepidoptera, Riodinidae) is an endemic and threatened butterfly from the Pampa biome in southern Brazil, and has not been recorded in its type locality in the last 56 years. Recently, a population was found in two sites from extreme south Brazil, Pelotas, Rio Grande do Sul state. These records are an important find given the conservation status of S. pelotensis, since all the information gathered is new and involve the natural history of this species. The information obtained is useful for the management, monitoring and conservation priorities of this species and its associated habitats, since its known distribution is restricted to a narrow area in the Rio Grande do Sul Coastal Plain inside this threatened biome in southern Brazil.

Is atherosclerosis screening by noninvasive imaging effective in cardiovascular prevention? a systematic review

Texte intégral: http://www.springerlink.com/content/3q68180337551r47/fulltext.pdf

Una Cort italianitzant a València. Notes sobre la recepció d’Ariosto a Espanya

Aquest estudi pretén mostrar com una cort perifèrica dins de la monarquia espanyola com la dels Centelles, comtes d’Oliva, tot imitant fil per randa la dels Este de Ferrara i la seva brillant presència en la Itàlia renaixentista mitjançant el mecenatge de Boiardo i d’Ariosto, va importar aquells esquemes i es va envoltar d’un grup d’escriptors que van constituir el nucli inicial de la recepció, difusió i continuació castellana de l’èpica d’Ariosto a la península Ibèrica. Gairebé es podria afirmar que la propagació en castellà de l’Orlando furioso a la península Ibèrica estava monopolitzada en gran part pel clan dels Centelles. Un cercle en el qual localitzem, segons tots els indicis, el traductor de Gli asolani de Bembo al castellà: Lluís Santàngel

La philosophie juive. Notes en marge de l'exposé de Madame Starobinski-Safran

(Résumé de l'ouvrage) Prolongement d'un colloque organisé par la Faculté de théologie de l'Université de Lausanne, cet ouvrage rassemble les travaux d'une équipe de chercheurs et d'universitaires suisses et français sur la signification, les contenus et les objectifs d'un enseignement universitaire du judaïsme. Ils engagent dans ces pages un dialogue fructueux et stimulant, garantissant la pleine intégration des études juives dans le cadre large d'un projet universitaire interdisciplinaire à vocation comparatiste.

Notes sobre la tradició textual del Llibre dels àngels de Francesc Eiximenis

L’edició completa de les obres de Francesc Eiximenis és una empresa filològica que presenta dificultats objectives, no només perquè les obres tenen un pes material més que considerable, sinó també per la gran quantitat de testimonis manuscrits i impresos que cal col·lacionar. Amb l’objectiu d’ajudar a superar aquestes dificultats, ja fa alguns anys que l’Institut de Llengua i Cultura Catalanes de la Universitat de Girona ha emprès la publicació de les Obres de Francesc Eiximenis, i avui afortunadament podem afirmar que les obres d’Eiximenis, especialment les inèdites, ja tenen equips de treball que s’ocupen de la preparació de les edicions corresponents. Paral·lelament, i en la mateixa línia de treball, s’ha iniciat una nova descripció integral dels testimonis manuscrits i impresos de Francesc Eiximenis, els primers resultats de la qual es podran consultar en línia ben aviat. En el marc que acabo de descriure fa temps que un equip treballa en l’edició crítica del Llibre dels àngels (en endavant LA), escrit a València el 1392