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We describe the advertisement call, tadpole, karyotype, and additional information on the natural history of Cycloramphus lutzorum from southern Brazil. Sonograms were generated from digitally recorded calls. Tadpoles were collected in the field for description in the lab, and an adult was collected for karyotyping. Data on seasonal activity were gathered monthly from November 2005 to November 2007. All tadpoles (N = 21), juveniles (N = 18), and adults (N = 52) were found exclusively in streams. Reproduction, as identified by calling frogs, occurred from July through November. Frogs call all day long, but mostly at dusk, from rock crevices inside the stream edges near the splash zone. The call is short and loud, with 11 pulsed notes, of 491-641 ms, with a dominant frequency of 0.98-1.39 kHz. We describe the exotrophic and semiterrestrial tadpoles, always found in constantly humid vertical rock walls in the stream. Tadpoles of C. lutzorum are recognized by differences in labial tooth row formula, eye diameter, body shape, position of nares, and development of tail. Like congeneric species, the karyotype of C. lutzorum comprises 26 metacentric and submetacentric chromosomes. Cycloramphus lutzorum is restricted to and adapted for living in fast flowing streams, many of which are threatened by deforestation, pollution, and habitat loss. Therefore, we recommend the status of C. lutzorum be changed from its current "Data Deficient" to "Near Threatened (NT)" in the IUCN species red list.

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The Dendropsophus marmoratus group is composed of eight species known for their explosive breeding habits and morphologically characterized by a bark-like dorsum, warty skin around the lower lips and an extremely large vocal sac. Within this group, D. nahdereri is the only species with distribution restricted to the southern region of Brazil. Apart from the original description and its tadpole, nothing else is known about this species. Using a mechanistic definition of note, we describe the advertisement call of D. nahdereri, which is similar to the advertisement calls of other species of the group and frequently has "final pulseclusters" as defined in the text.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Leptodactylus dantasi Bokermann is redescribed from adult specimens collected in Parque Nacional da Serra do Divisor, State of Acre, Brazil, near the border between the Brazilian state of Acre and Peru. We propose the inclusion of this species in the genus Hydrolaetare. A new diagnostic character observed for the genus is the presence of fringes of fingers, and fringes and webbing of toes, finely serrate; the serrate edge of the fringe and webbing can be keratinized in males, females, and subadults. Hydrolaetare dantasi (Bokermann) is characterized by robust body and limbs, a broad and depressed head, slightly shorter than wide, and long, pointed and basally webbed toes. Hydrolaetare dantasi differs from the only other species in this genus, Hydrolaetare schmidti (Cochran and Goin), mainly by having toes webbed basally (fully webbed in H. schmidti). The advertisement call of H. dantasi is composed of two components; an initial note produced by the impact of the vocal sac against the ground and a second note corresponding to a long whistle of ascending frequency. The initial note is a percussive sound and represents an unusual form of sound emission in anurans; the second note is a vocalization.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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A new species of Pseudopaludicola is described from the Cerrado of southeastern Brazil. The new taxon is diagnosed from the P. pusilla species group by the absence of either T-shaped terminal phalanges or toe tips expanded, and promptly distinguished from all (13) recognized taxa currently assigned to Pseudopaludicola by possessing isolated (instead of regular call series), long (117-187 ms) and non-pulsed advertisement calls.

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Colorectal cancer (CRC) is the most common tumour type in both sexes combined in Western countries. Although screening programmes including the implementation of faecal occult blood test and colonoscopy might be able to reduce mortality by removing precursor lesions and by making diagnosis at an earlier stage, the burden of disease and mortality is still high. Improvement of diagnostic and treatment options increased staging accuracy, functional outcome for early stages as well as survival. Although high quality surgery is still the mainstay of curative treatment, the management of CRC must be a multi-modal approach performed by an experienced multi-disciplinary expert team. Optimal choice of the individual treatment modality according to disease localization and extent, tumour biology and patient factors is able to maintain quality of life, enables long-term survival and even cure in selected patients by a combination of chemotherapy and surgery. Treatment decisions must be based on the available evidence, which has been the basis for this consensus conference-based guideline delivering a clear proposal for diagnostic and treatment measures in each stage of rectal and colon cancer and the individual clinical situations. This ESMO guideline is recommended to be used as the basis for treatment and management decisions.

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The finished version of the human genome sequence was completed in 2003, and this event initiated a revolution in medical practice, which is usually referred to as the age of genomic or personalized medicine. Genomic medicine aims to be predictive, personalized, preventive, and also participative (4Ps). It offers a new approach to several pathological conditions, although its impact so far has been more evident in mendelian diseases. This article briefly reviews the potential advantages of this approach, and also some issues that may arise in the attempt to apply the accumulated knowledge from genomic medicine to clinical practice in emerging countries. The advantages of applying genomic medicine into clinical practice are obvious, enabling prediction, prevention, and early diagnosis and treatment of several genetic disorders. However, there are also some issues, such as those related to: (a) the need for approval of a law equivalent to the Genetic Information Nondiscrimination Act, which was approved in 2008 in the USA; (b) the need for private and public funding for genetics and genomics; (c) the need for development of innovative healthcare systems that may substantially cut costs (e.g. costs of periodic medical followup); (d) the need for new graduate and postgraduate curricula in which genomic medicine is emphasized; and (e) the need to adequately inform the population and possible consumers of genetic testing, with reference to the basic aspects of genomic medicine.