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In-line filtration of intravenous infusion may reduce organ dysfunction of adult critical patients
(2019)
Background: The potential harmful effects of particle-contaminated infusions for critically ill adult patients are yet unclear. So far, only significant improved outcome in critically ill children and new-borns was demonstrated when using in-line filters, but for adult patients, evidence is still missing.
Methods: This single-centre, retrospective controlled cohort study assessed the effect of in-line filtration of intravenous fluids with finer 0.2 or 1.2 μm vs 5.0 μm filters in critically ill adult patients. From a total of n = 3215 adult patients, n = 3012 patients were selected by propensity score matching (adjusting for sex, age, and surgery group) and assigned to either a fine filter cohort (with 0.2/1.2 μm filters, n = 1506, time period from February 2013 to January 2014) or a control filter cohort (with 5.0 μm filters, n = 1506, time period from April 2014 to March 2015). The cohorts were compared regarding the occurrence of severe vasoplegia, organ dysfunctions (lung, kidney, and brain), inflammation, in-hospital complications (myocardial infarction, ischemic stroke, pneumonia, and sepsis), in-hospital mortality, and length of ICU and hospital stay.
Results: Comparing fine filter vs control filter cohort, respiratory dysfunction (Horowitz index 206 (119–290) vs 191 (104.75–280); P = 0.04), pneumonia (11.4% vs 14.4%; P = 0.02), sepsis (9.6% vs 12.2%; P = 0.03), interleukin-6 (471.5 (258.8–1062.8) ng/l vs 540.5 (284.5–1147.5) ng/l; P = 0.01), and length of ICU (1.2 (0.6–4.9) vs 1.7 (0.8–6.9) days; P < 0.01) and hospital stay (14.0 (9.2–22.2) vs 14.8 (10.0–26.8) days; P = 0.01) were reduced. Rate of severe vasoplegia (21.0% vs 19.6%; P > 0.20) and acute kidney injury (11.8% vs 13.7%; P = 0.11) was not significantly different between the cohorts.
Conclusions: In-line filtration with finer 0.2 and 1.2 μm filters may be associated with less organ dysfunction and less inflammation in critically ill adult patients.
Trial registration: The study was registered at ClinicalTrials.gov (number: NCT02281604).
Background: Zika is of great medical relevance due to its rapid geographical spread in 2015 and 2016 in South America and its serious implications, for example, certain birth defects. Recent epidemics urgently require a better understanding of geographic patterns of the Zika virus transmission risk. This study aims to map the Zika virus transmission risk in South and Central America. We applied the maximum entropy approach, which is common for species distribution modelling, but is now also widely in use for estimating the geographical distribution of infectious diseases.
Methods: As predictor variables we used a set of variables considered to be potential drivers of both direct and indirect effects on the emergence of Zika. Specifically, we considered (a) the modelled habitat suitability for the two main vector species Aedes aegypti and Ae. albopictus as a proxy of vector species distributions; (b) temperature, as it has a great influence on virus transmission; (c) commonly called evidence consensus maps (ECM) of human Zika virus infections on a regional scale as a proxy for virus distribution; (d) ECM of human dengue virus infections and, (e) as possibly relevant socio-economic factors, population density and the gross domestic product.
Results: The highest values for the Zika transmission risk were modelled for the eastern coast of Brazil as well as in Central America, moderate values for the Amazon basin and low values for southern parts of South America. The following countries were modelled to be particularly affected: Brazil, Colombia, Cuba, Dominican Republic, El Salvador, Guatemala, Haiti, Honduras, Jamaica, Mexico, Puerto Rico and Venezuela. While modelled vector habitat suitability as predictor variable showed the highest contribution to the transmission risk model, temperature of the warmest quarter contributed only comparatively little. Areas with optimal temperature conditions for virus transmission overlapped only little with areas of suitable habitat conditions for the two main vector species. Instead, areas with the highest transmission risk were characterised as areas with temperatures below the optimum of the virus, but high habitat suitability modelled for the two main vector species.
Conclusion: Modelling approaches can help estimating the spatial and temporal dynamics of a disease. We focused on the key drivers relevant in the Zika transmission cycle (vector, pathogen, and hosts) and integrated each single component into the model. Despite the uncertainties generally associated with modelling, the approach applied in this study can be used as a tool and assist decision making and managing the spread of Zika.
Sepsis is a serious clinical condition which can cause life-threatening organ dysfunction, and has limited therapeutic options. The paradigm of limiting excessive inflammation and promoting anti-inflammatory responses is a simplified concept. Yet, the absence of intrinsic anti-inflammatory signaling at the early stage of an infection can lead to an exaggerated activation of immune cells, including monocytes and macrophages. There is emerging evidence that endogenous molecules control those mechanisms. Here we aimed to identify and describe the dynamic changes in monocyte and macrophage subsets and lung damage in CL57BL/6N mice undergoing blunt chest trauma with subsequent cecal ligation and puncture. We showed that early an increase in systemic and activated Ly6C+CD11b+CD45+Ly6G− monocytes was paralleled by their increased emigration into lungs. The ratio of pro-inflammatory Ly6ChighCD11b+CD45+Ly6G− to patrolling Ly6ClowCD11b+CD45+Ly6G− monocytes significantly increased in blood, lungs and bronchoalveolar lavage fluid (BALF) suggesting an early transition to inflammatory phenotypes during early sepsis development. Similar to monocytes, the level of pro-inflammatory Ly6ChighCD45+F4/80+ macrophages increased in lungs and BALF, while tissue repairing Ly6ClowCD45+F4/80+ macrophages declined in BALF. Levels of inflammatory mediators TNF-α and MCP-1 in blood and RAGE in lungs and BALF were elevated, and besides their boosting of inflammation via the recruitment of cells, they may promote monocyte and macrophage polarization, respectively, toward the pro-inflammatory phenotype. Neutralization of uteroglobin increased pro-inflammatory cytokine levels, activation of inflammatory phenotypes and their recruitment to lungs; concurrent with increased pulmonary damage in septic mice. In in vitro experiments, the influence of uteroglobin on monocyte functions including migratory behavior, TGF-β1 expression, cytotoxicity and viability were proven. These results highlight an important role of endogenous uteroglobin as intrinsic anti-inflammatory signal upon sepsis-induced early lung injury, which modules the early monocyte/macrophages driven inflammation.
Der Maler und Grafiker Georg Heck (1897-1982) führte ein bewegtes Leben: Seinen unbändigen Schaffensdrang konnten weder zwei Weltkriege noch der Verlust seines rechten Augenlichtes schmälern. Das Museum Giersch der Goethe-Universität präsentiert das Œuvre des Frankfurter Künstlers zwischen "Entartung" und Sezession in einer umfangreichen Retrospektive.
Aims: Patients with aortic stenosis (AS) may have concomitant heart failure (HF) that determines prognosis despite successful transcatheter aortic valve implantation (TAVI). We compared outcomes of TAVI patients with low stroke volume index (SVI) ≤35 ml/m2 body surface area in different HF classes.
Methods and results: Patients treated by transfemoral TAVI at our center (n = 1822) were classified as 1) ‘HF with preserved ejection fraction (EF)’ (HFpEF, EF ≥50%), 2) ‘HF with mid-range EF’ (HFmrEF, EF 40–49%), or 3) ‘HF with reduced EF’ (HFrEF, EF <40%). Patients with SVI >35 ml/m2 served as controls. The prevalence of cardiovascular disease and symptoms increased stepwise from controls (n = 968) to patients with HFpEF (n = 591), HFmrEF (n = 97), and HFrEF (n = 166). Mortality tended to be highest in HFrEF patients 30 days post-procedure, and it became significant after one year: 10.2% (controls), 13.5% (HFpEF), 13.4% (HFmrEF), and 23.5% (HFrEF). However, symptomatic improvement in survivors of all groups was achieved in the majority of patients without differences among groups.
Conclusions: Patients with AS and HF benefit from TAVI with respect to symptom alleviation. TAVI in patients with HFpEF and HFmrEF led to an identical, favorable post-procedural prognosis that was significantly better than that of patients with HFrEF, which remains a high-risk population.
Entwicklung und Inbetriebnahme zweier supraleitender 217 MHz CH-Strukturen für das HELIAC-Projekt
(2019)
Im Rahmen der hier vorgestellten Arbeit wurden zwei baugleiche CH-Strukturen für das im Bau befindliche HELIAC-Projekt (HELmholtz LInear ACcelerator) entwickelt und während der Produktion bis hin zu den finalen Kalttests bei 4.2 K begleitet. Zusammen mit der CH-Struktur des Demonstrator-Projektes ermöglichen sie die vollständige Inbetriebnahme und den ersten Strahltest des ersten Kryomoduls des HELIAC's, welcher aus vier Kryomodulen mit insgesamt 12 CH-Strukturen besteht. Im Vergleich zu bisherigen CH-Strukturen wurde das Design der Kavitäten im Rahmen dieser Dissertation grundlegend überarbeitet und optimiert. Durch die Entfernung der Girder und die konisch geformten Endkappen konnte die Stabilität der neuen CH-Strukturen deutlich erhöht werden, sodass die Drucksensitivität im Vergleich zur ersten CH-Kavität des Demonstrator-Projektes um ca. 80% reduziert werden konnte. Durch die nach außen gezogenen Lamellen der dynamischen Tuner konnte die mechanische Spannung sowie die benötigte Anzahl an Lamellen und damit das Risiko für das Auftreten von Multipacting reduziert werden. Das verringerte Risiko für Multipacting durch die entsprechenden Optimierungen der Kavitäten konnte durch die dauerhafte Überwindung aller Multipacting-Barrieren in den späteren Messungen verifiziert werden. Die Optimierung beider Kavitäten erfolgte dabei mit Hilfe der Simulationsprogramme CST Studio Suite und Ansys Workbench.
Beide Kavitäten wurden von der Firma Research Instruments (RI) gefertigt und während der gesamten Konstruktion durch diverse Zwischenmessungen überwacht. Nach jedem einzelnen Produktionsschritt wurden alle Einflüsse auf die Resonanzfrequenz so präzise ermittelt, dass die Zielfrequenz bei 4.2 K auf mehr als 1‰ genau erreicht werden konnte. Sowohl während der Zwischenmessungen als auch während den finalen Messungen bei 4.2 K wurden automatisierte Aufzeichnungsroutinen verwendet, welche eine sekundengenaue Auslese der Messdaten und damit eine hohe Messgenauigkeit ermöglichten. Im Hinblick auf die Komplexität der CH-Strukturen sind die geringen Abweichungen von der Zielfrequenz der direkte Beweis dafür, wie erfolgreich und präzise die Auswertungen und daraus folgenden Abschätzungen der einzelnen Zwischenmessungen waren. Insgesamt konnten bis auf die mechanischen Eigenmoden alle Ergebnisse der Simulationen durch entsprechende Messungen in guter Näherung verifiziert werden. In jeder Kavität wurden zwei dynamische Tuner verbaut, welche statische und dynamische Frequenzabweichungen im späteren Betrieb ausgleichen können. Die dynamischen Tuner wurden hinsichtlich ihrer mechanischen Stabilität und der erzeugbaren Frequenzänderung sowie ihrer mechanischen Eigenfrequenzen ausführlich mit Hilfe der Simulationsprogramme CST Studio Suite und Ansys Workbench untersucht und optimiert. Um die Ergebnisse der Simulationen zu überprüfen wurden ein eigens dafür entworfener und in der Werkstatt des Instituts für Angewandte Physik gefertigter Messaufbau verwendet, welcher es ermöglichte alle entscheidenden Eigenschaften der dynamischen Tuner präzise zu vermessen. Insgesamt stellen die ausführlichen Messungen mit Hilfe des entworfenen Aufbaus die bisher umfassendsten Messungen dynamischer Balgtuner innerhalb supraleitender CH-Strukturen dar und zeigen, mit welchen Abweichungen zwischen Simulationen und Messungen bei zukünftigen Kavitäten zu rechnen ist. Auch die Feldverteilung entlang der Strahlachse wurde während der Produktion der Kavitäten mit Hilfe der Störkörpermessmethode überprüft. Die dadurch ermittelten Werte stimmten mit einer maximalen Diskrepanz von 9% sehr gut mit den Simulationen überein.
Um eine möglichst gute Oberflächenqualität zu garantieren wurden an der Innenfläche beider Strukturen mindestens 200µm mit einer Mischung aus Fluss-, Salpeter und Phosphorsäure in mehreren Schritten abgetragen. Durch das Aufteilen der Behandlung in einzelne Schritte konnte der Einfluss der Oberflächenbehandlung auf die Resonanzfrequenz besser abgeschätzt und vorausgesehen werden. Dies führte, zusammen mit den Messungen zur Bestimmung der Drucksensitivität und der thermischen Kontraktion der Kavität beim Abkühlen, zu der hohen Übereinstimmung der gemessenen finalen Resonanzfrequenz mit der Zielfrequenz.
Die abschließenden Kalttests der beiden Kavitäten, ohne Heliummantel, wurden am Institut für Angewandte Physik der Johann Wolfgang Goethe Universität in einem vertikalen Bad-Kryostaten durchgeführt. Die erste CH-Struktur konnte erfolgreich bis zu einem maximalen Feldgradienten von 9.2 MV/m getestet werden, was einer effektiven Spannung von 3.37 MV entspricht. Die unbelastete Güte fiel dabei von anfangs 1.08 ∙ 109 auf 2.6 ∙ 108 ab. Die Vorgaben des HELIAC-Projektes liegen bei einem Beschleunigungsgradienten von 5.5 MV/m mit einer unbelasteten Güte von mindestens 3 ∙ 108. Diese Werte wurden von der ersten Kavität deutlich übertroffen, sodass sie für den Betrieb innerhalb des ersten Kryomoduls uneingeschränkt verwendet werden kann.
Bei der zweiten Kavität trat beim Abkühlen auf 4.2 K ein Vakuumleck auf, welches unter Raumtemperatur nicht detektierbar war. Aufgrund der schlechten Vakuumbedingungen innerhalb der Kavität konnten somit keine Messungen hinsichtlich der Leistungsfähigkeit durchgeführt werden, solange das Kaltleck vorhanden war. Ein erneuter Kalttest der Kavität nach Beseitigung des Lecks konnte zeitlich nicht mehr im Rahmen dieser Arbeit durchgeführt werden und ist aus diesem Grund Gegenstand nachfolgender Untersuchungen.
Insgesamt stellen die Entwicklungen, Untersuchungen und Messungen im Rahmen der hier vorgestellten Dissertation einen entscheidenden Schritt zur Inbetriebnahme des ersten Kryomoduls des HELIAC's sowie der Entwicklung weiterer CH-Kavitäten dar. Das überarbeitete Design der CH-Strukturen hat sich als erfolgreich erwiesen, weswegen es als Ausgangspunkt für die Entwicklung aller nachfolgenden CH-Strukturen des HELIAC, bis hin zur Fertigstellung des kompletten Beschleunigers, verwendet wird.
Von November 2018 bis April 2019 hat die Arbeitsstelle »Medizinethik in der Klinikseelsorge« am Fachbereich Katholische Theologie der Goethe Universität Frankfurt am Main eine partizipative Studie über Herausforderungen und Kompetenzprofile der Medizinethik in der Klinikseelsorge durchgeführt.
Im Zentrum dieser Broschüre stehen die Ergebnisse, die eine Gruppe von 19 Klinikseelsorger*innen erarbeitet hat. Welche Kompetenzen benötigen Klinikseelsorger*innen, um medizinethisch tätig zu sein? Welche Herausforderungen erleben sie im Alltag? Wie sehen sie die Zukunft der Medizinethik? Diese Broschüre präsentiert einige der Ergebnisse in aufbereiteter Form.
Transport mechanism of a multidrug resistance protein investigated by pulsed EPR spectroscopy
(2019)
In human several diseases result from malfunctions of ATP-binding cassette (ABC) systems, which form one of the largest transport system superfamily. Many ABC exporters contain asymmetric nucleotide-binding sites (NBSs) and some of them are inhibited by the transported substrate.1 For the active transport of diverse chemically substrates across biological membranes, ABC transport complexes use the energy of ATP binding and subsequent hydrolysis. In this thesis, the heterodimeric ABC exporter TmrAB2,3 from Thermus thermophilus, a functional homolog of the human antigen translocation complex TAP, was investigated by using pulsed electron-electron double resonance (PELDOR/DEER) spectroscopy. In the presence of ATP, TmrAB exists in an equilibrium between inward- and outward-facing conformations. This equilibrium can be modulated by changing the ATP concentration, showing asymmetric behaviour in the open-to-close equilibrium between the consensus and the degenerate NBSs. At the degenerate NBS the closed conformation is more preferred and closure of one of the NBSs is sufficient to open the periplasmic gate at the transmembrane domain (TMD).3 By determining the temperature dependence of this conformational equilibrium, the thermodynamics of the energy coupling during ATP-induced conformational changes in TmrAB were investigated. The results demonstrate that ATP-binding alone drives the global conformational switching to the outward-facing state and allows the determination of the entropy and enthalpy changes for this step. With this knowledge, the Gibbs free energy of this ATP induced transition was calculated. Furthermore, an excess of substrate, meaning trans-inhibition of the transporter is resulting mechanistically in a reverse transition from the outward-facing state to an occluded conformation predominantly.3 This work unravels the central role of the reversible conformational equilibrium in the function and regulation of an ABC exporter. For the first time it is shown that the conformational thermodynamics of a large membrane protein complex can be investigated. The presented experiments give new possibilities to investigate other related medically important transporters with asymmetric NBSs or other similar protein complexes.
The dissertation studied reused Roman coins (AD 100 – 400) that were found in medieval cemeteries (AD 400 – 1400) in the territory of Serbia. The evaluation process was traced through three different periods and cultural contexts: (1) in the period of Roman domination in the central Balkans (AD 1 – 400), i.e. the “primary context” of their use and circulation; (2) in the time of transition from the late antiquity to early medieval period (AD 400 – 700); and (3) in the high and late Middle Ages (AD 900 – 1400), where the last two were considered to be a “secondary context” in which the Roman coins were no longer a valid currency.
It was observed that the reused Roman coins, as a distinctive category of archaeological finds, impose a necessity for reconsideration of the relationship between the disciplines of archaeology and numismatics; encouraging a greater cooperation and discussion between the two. Considering the use and evaluation of Roman coins in their “primary context”, it is possible to presume that the strength of the political Roman system was the crucial factor in the formation and maintaining the stability of the value of Roman coins. The act of reuse should not be automatically equalized with recycling; implying only to use value, but at the same time it was not possible to assume that the value was formed only on a purely symbolical level. The (re)use of Roman coins in the funeral practices from c. AD 400 to 700 was considered to be a part of wider and occasional practice of incorporating older Roman issues in the coin pool by the “barbarian” or Byzantine authorities. It could be then concluded that the value of Roman coins was understood more as a potential attribute than as a fixed category; enabling one to simultaneously “overvalue “ and “undervalue” these objects. In the period from c. AD 900 to 1400, the reuse of Roman coins was detected only within the cemeteries of the peasantry and in a context of gradual increase of general coin use in the central Balkan communities of the Middle Ages. This was understood as an indicator that the Roman coins were not perceived as particularly valuable per se, but since the were recognized as category of objects that became more important in defining social relationships they were then incorporated in the funeral rituals and reinterpreted by the medieval population.
Objective: Studies using diffusion tensor imaging (DTI) to investigate white matter (WM) microstructure in youths with conduct disorder (CD) have reported disparate findings. We investigated WM alterations in a large sample of youths with CD, and examined the influence of sex and callous-unemotional (CU) traits.
Method: DTI data were acquired from 124 youths with CD (59 female) and 174 typically developing (TD) youths (103 female) 9 to 18 years of age. Tract-based spatial statistics tested for effects of diagnosis and sex-by-diagnosis interactions. Associations with CD symptoms, CU traits, a task measuring impulsivity, and the impact of comorbidity, and age- and puberty-related effects were examined.
Results: Youths with CD exhibited higher axial diffusivity in the corpus callosum and lower radial diffusivity and mean diffusivity in the anterior thalamic radiation relative to TD youths. Female and male youths with CD exhibited opposite changes within the internal capsule, fornix, posterior thalamic radiation, and uncinate fasciculus. Within the CD group, CD symptoms and callous traits exerted opposing influences on corpus callosum axial diffusivity, with callous traits identified as the unique clinical feature predicting higher axial diffusivity and lower radial diffusivity within the corpus callosum and anterior thalamic radiation, respectively. In an exploratory analysis, corpus callosum axial diffusivity partially mediated the association between callous traits and impulsive responses to emotional faces. Results were not influenced by symptoms of comorbid disorders, and no age- or puberty-related interactions were observed.
Conclusion: WM alterations within the corpus callosum represent a reliable neuroimaging marker of CD. Sex and callous traits are important factors to consider when examining WM in CD.
Faul sein. Den Sonntag gemütlich auf der Couch verbringen. Die To-Do-Liste zur Seite legen. Mal keinem getakteten Tagesablauf folgen. Die Zeit einfach vorbeiziehen lassen. Zur Ruhe kommen und nichts tun geht häufig mit einem negativen Gefühl einher. Von Vorwürfen der Unproduktivität bis hin zu rassistischen Ressentiments, die mit dem Nichtstun verknüpft werden: Faulheit gehört zu den Dingen, die in der kapitalistischen Gesellschaft keinerlei Wertschätzung erfahren. Neu ist die negative Konnotation des Begriffs allerdings nicht. Bereits im vierten Jahrhundert verpönt die christliche Theologie die "Trägheit" als eine der sieben Todsünden. Die abschätzige Bewertung überdauerte den christlichen Glauben, wurde sozusagen profanisiert und ist heute – in Zeiten von Überstunden, Zweit- oder auch gleich Drittjobs und ständiger Verfügbarkeit – ein No-Go. ...
Utility of the new cobas HCV test for viral load monitoring during direct-acting antiviral therapy
(2019)
Background: The COBAS AmpliPrep/COBAS TaqMan assay HCV (CAP/CTM) is widely used in clinical routine for HCV testing. Recently, the new cobas HCV test was established for high throughput testing with minimal operator intervention. As different assays may yield different quantitative/qualitative results that possibly impact treatment decisions, the aim of this study was to externally evaluate the cobas HCV test performance in comparison to CAP/CTM in a clinically relevant setting.
Methods: Serum samples were obtained from 270 patients who received direct acting antiviral therapy with different treatment regimens at two study sites (Hannover and Frankfurt) in 2016. Overall, 1545 samples (baseline, on-treatment and follow-up) were tested in parallel by both assays.
Results: The mean difference between cobas HCV and CAP/CTM for the quantification of HCV RNA was 0.008 log10 IU/ml HCV RNA (95% limits of agreement: -0.02–0.036) showing excellent agreement of both assays. With respect to clinical cut offs (HCV RNA detectable vs. target not detected and HCV RNA above the lower limit of quantification (LLOQ) vs. <LLOQ), discordant results were obtained in 9.5% and 4.6%, respectively; the greatest differences were observed during early stages of antiviral therapy (week 1, week 2 and week 4), but none were statistically significant. Overall percent agreement for SVR between cobas HCV and CAP/CTM at the 15 IU/ml cutoff was 99.2% (95%CI 92.7%-100%).
Conclusion: The performance of the new cobas HCV test was comparable to CAP/CTM in a clinical setting representing a large patient population with HCV GT 1 and 3 treated with DAAs.
leporello #2
(2019)
Diverse Quellen zu Stefan George (1868-1933) berichten von einer Geheimsprache, die der exzentrische Dichter noch in seiner Schulzeit erfunden und über Jahre hinweg weiterentwickelt haben soll. Zweck war neben dem poetischen Aspekt vor allem die Verschlüsselung von Informationen.
Ich werde im Folgenden anhand des einzig erhaltenen Fragments, zweier Verse am Ende des Gedichts "Ursprünge" von 1904, zeigen, dass das Vokabular vor allem altgriechisch mit romanischen Elementen ist. Weiterhin lässt sich nachweisen, dass die Grammatik an das damals beliebte Esperanto, eine Kunstsprache auf der Basis v.a. romanischer Sprachen (Latein) mit vereinfachter Grammatik, angelehnt ist.
Description of Hemicordulia tuiwawai sp. nov. from Kadavu Island, Fiji (Odonata: Corduliidae)
(2019)
Hemicordulia tuiwawai sp. nov. (Odonata: Corduliidae) is described and diagnosed based on material collected from Kadavu Island, Fiji; holotype: Wainitayuki River about 750 m above Baidamudamu village, -19.0916, 178.1038; 37 m a.s.l., 06 June 2016, M. Marinov leg. This species is distinguished from its congeners in the field by the contrasting colouration – dark green metallic body with bright yellow spots on the synthorax and base of the abdomen. This pattern is comparable to H. pacifica Selys, 1871. However, Hemicordulia tuiwawai sp. nov. can be recognised by the larger size and unique shape of the caudal appendages and genital hamule (in males) and vulvar scale (in females).
Records of Odonata from the southwest of Sri Aman Division and the extreme east of Serian Division in Sarawak are presented. The sampled areas are interesting not only because they are poorly known for Odonata but also because many are just to the south and west of the Lupar Line which is a division between the ancient Sunda shelf and more recent geological formations. Differences between the odonate faunas on either side of the Lupar Line are discussed. Eightyfive species of Odonata were recorded during the surveys reported on. The single most notable record is that of Coeliccia southwelli Dow & Reels, 2011, which represents a considerable extension to the known range of this species. Other interesting records include Telosticta dupophila (Lieftinck, 1933), T. species cf longigaster Dow & Orr, 2012, Podolestes parvus Dow & Ngiam, 2019 and Heliogomphus species cf olivaceous Lieftinck, 1961. Variation in the markings of Stenagrion dubium (Laidlaw, 1912) across its range is discussed and a gene tree using the COI marker is presented to illustrate the high variability of this species in this marker. However the variability in COI does not appear to be correlated with other characters.
Odonatological results of a trip across the southern Far East of Russia, from nearly the border of North Korea to Khabarovsk from July 1st to 16th, 2014, are presented. In total, 50 species were recorded, including those with limited presence in Russia, such as Paracercion calamorum, P. hieroglyphicum, P. plagiosum (for this species the 3rd Russian locality is reported), Pseudocopera tokyoensis, Stylurus annulatus (2nd Russian locality), Sinictinogomphus clavatus; Trigomphus citimus, Macromia daimoji (3rd Russian locality), M. manchurica, Deielia phaon, Lyriothemis pachygastra (2nd Russian locality). For S. annulatus, M. manchurica and D. phaon the northernmost known localities in the world are reported. D. phaon, earlier reported from one locality in Russia, have been found in five localities in Primorye and for the first time reported for Khabarovskiy Kray in general and Bol'shekhekhtsirskiy State Nature Reserve in particular. A trend of mutual exclusion of two abundant Shaogomphus postocularis epophthalmus and S. schmidti is supposed: the lowermost Ussuri River / Amur River, respectively. Variation in Paracercion spp. and Macromia amphigena fraenata is discussed.
During four field trips in Georgia, Armenia and Azerbaijan from 2010 to 2018, the author collected data of a total of 55 species (see Tab. 2 in Appendix). This study provides first insights into new or rare species in this ecoregion. Ischnura fountaineae and Cordulia aenea were found for the first time in Armenia. We also highlight the rediscovery of some species that were mentioned in the older literature but had not been confirmed since. An autochthonous population of Lestes macrostigma was discovered in Azerbaijan sixteen years after the single previous record by Dumont (2004). Original information is provided on the distribution of some rare species encountered in these countries. Finally, the identification of a puzzling Cordulegaster sp. observed in south Armenia is discussed briefly.