Predicting adverse events in children with fever and chemotherapy-induced neutropenia: the prospective multicenter SPOG 2003 FN study.

PURPOSE To develop a score predicting the risk of adverse events (AEs) in pediatric patients with cancer who experience fever and neutropenia (FN) and to evaluate its performance. PATIENTS AND METHODS Pediatric patients with cancer presenting with FN induced by nonmyeloablative chemotherapy were observed in a prospective multicenter study. A score predicting the risk of future AEs (ie, serious medical complication, microbiologically defined infection, radiologically confirmed pneumonia) was developed from a multivariate mixed logistic regression model. Its cross-validated predictive performance was compared with that of published risk prediction rules. Results An AE was reported in 122 (29%) of 423 FN episodes. In 57 episodes (13%), the first AE was known only after reassessment after 8 to 24 hours of inpatient management. Predicting AE at reassessment was better than prediction at presentation with FN. A differential leukocyte count did not increase the predictive performance. The score predicting future AE in 358 episodes without known AE at reassessment used the following four variables: preceding chemotherapy more intensive than acute lymphoblastic leukemia maintenance (weight = 4), hemoglobin > or = 90 g/L (weight = 5), leukocyte count less than 0.3 G/L (weight = 3), and platelet count less than 50 G/L (weight = 3). A score (sum of weights) > or = 9 predicted future AEs. The cross-validated performance of this score exceeded the performance of published risk prediction rules. At an overall sensitivity of 92%, 35% of the episodes were classified as low risk, with a specificity of 45% and a negative predictive value of 93%. CONCLUSION This score, based on four routinely accessible characteristics, accurately identifies pediatric patients with cancer with FN at risk for AEs after reassessment.

The presence of Chane Nieto and Guajirolus Flowers (Ephemeroptera, Baetidae) in Brazil with the description of a new species

The related genera Chane and Guajirolus are reported for the first time from Brazil. Guajirolus rondoni, sp. n. is described based on nymphs from Rondônia State and can be differentiated from the other species of the genus by the following combination of characteristics: 1) mandibles with minute spicules on outer margin; 2) maxillary palp three-segmented; 3) hypopharynx lingua with three rounded processes; 4) projection of second segment of labial palp with apex narrower than base; 5) abdominal color pattern; and 6) paraprocts with 13 to 15 organized spines. An updated key to the species of both genera is presented.

Association of different lipid measures for atherogenic lipid fractions and risk of coronary events in patients receiving combination antiretroviral therapy: the Swiss HIV Cohort Study

Background: Evidence for a better performance of different highly atherogenic versus traditional lipid parameters for coronary heart disease (CHD) risk prediction is conflicting. We investigated the association of the ratios of sma11 dense low density lipoprotein(LDL)/apoplipoprotein A, aolipoprotein B/apolipoprotein A-I and total cholesterol! HDL-cholesterol and CHD events in patients on combination antiretroviral therapy (cART).Methods: Case control study nested into the Swiss HIV Cohort Study: for each cART-treated patient with a first coronary event between April 1, 2000 and July 31, 2008 (case) we selected four control patients (1) that were without coronary events until the date of the event of the index case, (2) had a plasma sample within ±30 days of the sample date of the respective case, (3) received cART and (4) were then matched for age, gender and smoking status. Lipoproteins were measured by ultracentrifugation. Conditional logistic regression models were used to estimate the independent effects of different lipid ratios and the occurrence of coronary events.Results: In total, 98 cases (19 fatal myocardial infarctions [MI] and 79 non-fatal coronary events [53 definite MIs, 15 possible MIs and 11 coronary angioplasties or bypassesJ) were matched with 392 controls. Cases were more often injecting drug users, less likely to be virologically suppressed and more often on abacavir-containing regimens. In separa te multivariable models of total cholesterol, triglycerides, HDL-cholesterol, systolic blood pressure, abdominal obesity, diabetes and family history of CHD, small dense-LDL and apolipoprotein B were each statistically significantly associated with CHD events (for 1 mg/dl increase: odds ratio [OR] 1.05, 95% CI 1.00-1.11 and 1.15, 95% CI 1.01-1.31, respectively), but the ratiosof small dense-LDLlapolipoprotein A-I (OR 1.26, 95% CI 0.95-1.67), apolipoprotein B/apolipoprotein A-I (OR 1.02, 95% CI 0.97-1.07) and HDL-cholesterol! total cholesterol (OR 0.99 95% CI 0.98-1.00) were not. Following adjustment for HIV related and cART variables these associations were weakened in each model: apolipoprotein B (OR 1.27, 95% CI 1.00-1.30), sd-LDL (OR 1.04, 95% CI 0.99-1.20), small dense-LDLlapolipoprotein A-I (OR 1.17, 95% CI 0.87-1.58), apolipoprotein B/apolipoprotein A-I (OR 1.02, 95% CI 0.97-1.07) and total cholesterolJHDL- cholesterol (OR 0.99, 95% CI 0.99-1.00).Conclusions: In patients receiving cART, small dense-LDL and apolipoprotein B showed the strongest associations with CHD events in models controlling for traditional CHD risk factors including total cholesterol and triglycerides. Adding small dense LDLlapoplipoprotein A-l, apolipoprotein B/apolipoprotein A-I and total cholesterol! HDL-cholesterol ratios did not further improve models of lipid parameters and associations of increased risk for CHD events.

First record of Anastrepha parishi Stone (Diptera, Tephritidae) and its host in Brazil

Anastrepha parishi Stone, 1942 was reared in fruits of Oenocarpus bacaba Martius, 1823 (Arecaceae) collected in Pracuúba, State of Amapá. This is the first record of an Anastrepha species in a native species of Arecaceae.

New species of Hymenoptera associated with galls on Calliandra brevipes Benth. (Fabaceae, Mimosoidea) in Brazil

Four species of Hymenoptera: Tanaostigmodes ringueleti (Brèthes, 1924), T. mecanga sp.nov. (Chalcidoidea, Tanaostigmatidae), Allorhogas taua sp. nov. (Braconidae, Doryctinae) and Eurytoma sp. (Chalcidoidea, Eurytomidae) were reared from two different types of galls of Calliandra brevipes Benth. (Fabaceae, Mimosoidea) in Juiz-de-Fora, Minas Gerais State, Brazil. The two Tanaostigmatidae species are probably the gall inducers; the Braconidae species probably is phytophagous inquiline in round gall type. The two new species are described and illustrated, including their immature stages.

Three new cecidogenous Palaeomystella Fletcher (Lepidoptera, Coleophoridae, Momphinae) associated with Melastomataceae in Brazil

Three new cecidogenous Palaeomystella Fletcher (Lepidoptera, Coleophoridae, Momphinae), described herein, induce galls on stems and leaves of Melastomataceae species. They include: Palaeomystella tibouchinae sp. n., on Tibouchina barbigera (Naudin) Baillon, P. oligophaga sp. n., on Macairea radula (Bonpland) de Candolle and M. thyrsiflora de Candolle, and P. henriettiphila sp. n., on Henriettea succosa (Aublet) de Candolle. Adults, including male and female genitalia, larva, pupa, and galls are illustrated and described in detail.

Financing local development: Quasi-experimental evidence from municipalities in Brazil, 1980-1991

This paper uses a regression discontinuity design to estimate the impact of additional unrestrictedgrant financing on local public spending, public service provision, schooling, literacy, andincome at the community (municipio) level in Brazil. Additional transfers increased local publicspending per capita by about 20% with no evidence of crowding out own revenue or otherrevenue sources. The additional local spending increased schooling per capita by about 7% andliteracy rates by about 4 percentage points. The implied marginal cost of schooling -accountingfor corruption and other leakages- amounts to about US$ 126, which turns out to be similar tothe average cost of schooling in Brazil in the early 1980s. In line with the effect on human capital,the poverty rate was reduced by about 4 percentage points, while income per capita gains werepositive but not statistically significant. Results also suggest that additional public spending hadstronger effects on schooling and literacy in less developed parts of Brazil, while poverty reductionwas evenly spread across the country.

Feeding and oviposition preferences of Ctenarytaina spatulata Taylor (Hemiptera, Psyllidae) for Eucalyptus spp. and other Myrtaceae in Brazil

Feeding and oviposition preferences of Ctenarytaina spatulata Taylor (Hemiptera, Psyllidae) for Eucalyptus spp. and other Myrtaceae in Brazil. The Australian psyllid, Ctenarytaina spatulata Taylor (Hemiptera, Psyllidae), was first detected in Brazil in 1994, where it was found on drought-affected shoots of Eucalyptus grandis in a plantation located in the northern part of Paraná State. The oviposition and feeding preferences of this psyllid were examined on 19 Eucalyptus species, one Eucalyptus hybrid (Cambiju), three Corymbia species and four native Myrtaceae species (Hexaclames edulis, Marlieria edulis, Plinia trunciflora, and Psydium sp.) under greenhouse conditions. The largest populations of C. spatulata were found on E. robusta and E. pellita, while sizeable infestations were also found on E. urophylla, E. grandis, and the Cambiju hybrid. The plants with the greatest symptoms of damage were E. grandis and E. resinifera. Eucalyptus cinerea, E. benthamii, E. pilularis, and E. dunnii were not infested and E. cloeziana was minimally infested. Among the Corymbia species, the number of eggs of C. spatulata was very low on C. citriodora and C. torelliana. No eggs and nymphs of C. spatulata were found on native Brazilian Myrtaceae. The number of eggs on plants was highly correlated with the subsequent levels of nymphs, suggesting that egg counts can be used as a viable monitoring tool to assist with the integrated management of this pest.

A new species of Bruggmanniella (Diptera, Cecidomyiidae, Asphondyliini) associated with Doliocarpus dentatus (Dilleniaceae) in Brazil

Bruggmanniella doliocarpi, a new galling species associated with Doliocarpus dentatus (Dilleniaceae) is described and illustrated (male, female, pupa, larva and gall) based on material from Minas Gerais, Brazil. The new species is compared to the other known Neotropical species. This is the first report of Bruggmanniella for Minas Gerais and in association with Dilleniaceae.

A new species of Dichanthidium (Hymenoptera, Megachilinae) and first records of the genus in Brazil

The second species of Dichanthidium, D. veredicola sp. nov., is herein described and illustrated from specimens collected in Berizal, Minas Gerais, in southeastern Brazil. Dichanthidium exile Moure is reported for the first time in Brazil, from Corumbá, Mato Grosso do Sul. A diagnosis and a key for the species of the genus are provided.

Two new species of Lopesia Rübsaamen (Diptera, Cecidomyiidae) associated with Mimosa hostilis (Mimosaceae) in Brazil

Two new species of Lopesia Rübsaamen (Diptera, Cecidomyiidae) associated with Mimosa hostilis (Mimosaceae) in Brazil Two new species of Lopesia Rübsaamen (Diptera, Cecidomyiidae, Lopesiini), L. mimosae Maia, sp. nov. and L. pernambucensis Maia, sp. nov., that induce galls on Mimosa hostilis Benth. (Mimosaceae) are described and illustrated based on material from "caatinga" in Pernambuco, Brazil.

Survey of ear flies (Diptera, Ulidiidae) in maize (Zea mays L.) and a new record of Euxesta mazorca Steyskal in Brazil

Survey of ear flies (Diptera, Ulidiidae) in maize (Zea mays L.) and a new record of Euxesta mazorca Steyskalin Brazil. Species of Euxesta (Diptera, Ulidiidae), known as silk flies or ear flies, are becoming increasingly important as maize insect pests in South America, although very little is known about them in Brazil. The larvae of some species of this genus initially damage female reproductive tissues, and then the developing kernels on the ear. As a result of feeding, fermentation and associated odors cause complete loss of the grain because it is no longer fit for human or livestock consumption. The main objective of this work was to evaluate the incidence of Euxesta spp. in Brazilian maize fields and to determine the most prevalent species using two different hydrolyzed protein foods attractants, BioAnastrepha® (hydrolyzed maize protein) and Torula, placed inside McPhail traps. The two species identified were E. eluta Loew and E. mazorca Steyskal, the latter being a new record from Brazil. Between the two species, E. eluta was the more abundant in maize fields. Both attractants were efficient in capturing the two species. However, BioAnastrepha® captured significantly more insects than Torula.

First record of larvae of Allograpta exotica Wiedemann (Diptera, Syrphidae) preying on Aphis gossypii Glover (Hemiptera, Aphididae) in watermelon in Brazil

First record of larvae of Allograpta exotica Wiedemann (Diptera, Syrphidae) preying on Aphis gossypii Glover (Hemiptera, Aphididae) in watermelon in Brazil. Brazil is one of the largest world producers of watermelon (Citrullus lanatus Thumb. Mansf.) and Aphis gossypii Glover, 1877 (Hemiptera, Aphididae) is among the most important pest on this crop. Larvae of Allograpta exotica Wiedemann, 1830 (Diptera, Syrphidae) were found preying on A. gossypii in watermelon crop, in Santa Maria, Rio Grande do Sul State, what represents the first report of this tritrophic association in Brazil.

First report and morphological redescription of Teleonemia morio (Stål) (Hemiptera, Tingidae) in Annona squamosa L. (Annonaceae) in Brazil

First report and morphological redescription of Teleonemia morio (Stål) (Hemiptera, Tingidae) in Annona squamosa L. (Annonaceae) in Brazil. This is the first report of a severe attack of Teleonemia morio (Stål, 1855) (Hemiptera, Heteroptera, Tingidae) on Annona squamosa L. (custard apple), causing up to 80% of losses of infested trees. In order to facilitate the identification of this insect pest, the adult female of T. morio is redescribed based on specimens collected in Palmeira dos Índios, Alagoas, Brazil.

A new species of Symbra (Hymenoptera, Eurytomidae, Heimbrinae) from dry forest in Brazil and new occurrence records for other Heimbrinae

The geographic ranges of Heimbra opaca (Ashmead, 1894), H. bicolor Subba Rao, 1978 and H. parallela Stage & Snelling, 1986 are extended based on study of material deposited in the entomological collections of the Laboratório de Sistemática e Bioecologia de Parasitoides e Predadores da APTA (Ribeirão Preto, SP, Brazil) of the Instituto Brasileiro de Geografia e Estatística (Brasília, DF, Brazil). Symbra potiguara Perioto & Fernandes sp. nov. (Hymenoptera, Eurytomidae) is described, illustrated and compared with S. cordobensis Stage & Snelling, 1986, the single species previously known for this genus. A key to the genera of Heimbrinae and to the species of Symbra is provided.