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Dyslexia Skelley and Gasca-Álvarez, new genus (Coleoptera: Erotylidae: Erotylinae: Erotylini), is described and illustrated. The genus is comprised of four new species, all described by Skelley and Gasca-Álvarez: D. belamyi, D. dathomirria, D. pulcricolor, and D. tomasi. The unique broad head structures of this genus are characterized and compared with other genera. Problems associated with the taxonomy of Erotylini are discussed.
We honor the life and accomplishments of Michael C. Thomas with a short narrative of his professional life along with appendices listing his scientific artwork, bibliography and patronyms. This paper is the first of a Festschrift with contributed remembrances and separate papers honoring him with additional patronyms.
Antoinettia, new genus (Coleoptera: Erotylidae: Erotylinae: Tritomini), is erected for three species: A. audbala (Skelley), new combination, A. huhnei Skelley, new species, and A. kovariki (Skelley), new combination. A genus complex involving Ischyrus Lacordaire, 1842, and Megischyrus Crotch, 1873, is defined and a preliminary key to neotropical genera of Tritomini with coarsely facetted eyes is presented.
Several taxonomic and nomenclatural issues are reviewed, clarified, and resolved for multiple genera of the Erotylinae (Coleoptera: Erotylidae). Generic-group names discussed: Brachymerus Dejean, 1836, Cypherotylus Crotch, 1873, Cytorea Laporte, 1840, Erotylus Fabricius, 1775, Eudaemonius Lewis, 1887, Eutriplax Lewis,1887, Gibbifer Voet, 1806, Neobarytopus Alvarenga, 1965, Neomorphoides Alvarenga, 1977, Ogcotriplax Heller,1920, Paratritoma Gorham, 1888, Platichna Thomson, 1863, Pseudochrysomela Voet, 1806, Pseudotriplax Heller,1920, Triplax Herbst, 1793, Tritomapara Alvarenga, 1970, Typocephalus Hope,1841, and Xestus Wollaston, 1864. Reviewing these issues resulted in a several nomenclatural actions. Eutriplax Lewis,1887,was found to be an unnecessary replacement name for Eudaemonius Lewis,1887.The genus name is reverted to Eudaemonius,
resulting in one new combination: Eudaemonius quinquepustulatus (Li and Ren, 2006).
The Neotropical Tritomapara Alvarenga,1970,was found to be a new objective synonym of Paratritoma Gorham,1888, which is a synonym of Triplax Herbst,1793,leading to the following eight new combinations:
Triplax atricaudata (Kuhnt,1910),Triplax brasiliensis (Guérin,1946),Triplax bruchi (Kuhnt,1910),Triplax caduca (Gorham,1888),Triplax dimidiata (Gorham,1888),Triplax melanoderes (Kuhnt,1910),Triplax triplacoides
(Crotch,1876), and Triplax vivida (Gorham,1888). Erotylus tibialis Duponchel, 1825, is recognized as the valid type species for Brachymerus Dejean 1836, which moves the name Brachymerus to a different genus-group taxon and renders Neomorphoides Alvarenga, 1977, a new synonym. This revalidates Neobarytopus Alvarenga, 1965, as originally proposed. These genus-group names are presently subgenera in Iphiclus Dejean, 1836, and the move creates 23 new combinations in Iphiclus(Brachymerus) Dejean, 1836: I. (B.) amazonus (Crotch, 1876), I. (B.) atriventris (Mader,1943), I. (B.) bicolor(Lacordaire,1842), I. (B.) clavicornis (Olivier,1792), I. (B.) columbiae (Crotch,1876), I. (B.) costaricensis (Mader,1943), I. (B.) disconigrum (Mader,1942), I. (B.) dorsonotatus (Lacordaire, 1842), I. (B.) fulviventris (Gorham,1888), I. (B.) humeropictus (Mader,1943), I. (B.) lateripunctatus (Crotch,1876), I. (B.) melanopus (Gorham,1888), I. (B.) neglectus (Guérin,1956), I. (B.) nigritarsis (Mader,1942), I. (B.) nigriventris (Crotch, 1876), I. (B.) nigropectus (Mader,1942), I. (B.) posticenigrum (Mader,1942), I. (B.) pyrrhocephalus (Erichson,1847), I. (B.) rubripennis (Lacordaire,1842), I. (B.) signaticollis (Kuhnt,1910), I. (B.) simplex (Lacordaire,1842), I. (B.) spilotus (Gorham,1888), I. (B.) tibialis (Duponchel,1825); and, 75 new combinations in Iphiclus (Neobarytopus) Alvarenga, 1965: I. (N.) adustus (Duponchel,1825), I. (N.) alboniger (Guérin,1956), I. (N.) amictus (Erichson,1847), I. (N.) andicola (Kirsch,1867), I. (N.) assequens (Mader,1942), I. (N.) bajulus (Lacordaire,1842), I. (N.) batesi (Gorham, 1889),I. (N.) bellulus (Lacordaire,1842), I. (N.) bicinctus (Olivier,1807), I. (N.) bistrifoliatus (Gorham,1889), I. (N.) bizonatus (Crotch,1876), I. (N.) bremei (Guérin-Méneville,1841), I. (N.) brongniarti (Lacordaire,1842), I. (N.) brunneostriolatus (Kuhnt, 1910), I. (N.) cerasinus (Lacordaire,1842), I. (N.) conformis (Lacordaire,1842), I. (N.)distinctus (Duponchel, 1825), I. (N.) divisus (Guérin,1956), I. (N.) dorsalis (Olivier,1792), I. (N.) eburneus (Crotch,1876), I. (N.) elegans (Mader,1942), I. (N.) epipleuralis (Crotch,1876), I. (N.) erichsoni (Lacordaire,1842), I. (N.) flavofasciatus (Duponchel,1825), I. (N.) flavosignatus (Duponchel,1825), I. (N.) fragmentatus (Gorham,1888), I.(N.) friedei (Mader,1938), I. (N.) geometra (Lacordaire,1842), I. (N.) hebriacus (Lacordaire,1842), I. (N.) hexastictus (Crotch,1876), I. (N.) incas (Gorham,1889), I. (N.) iris (Guérin,1956), I. (N.) jacinthoi (Alvarenga,1977), I.(N.) laceratus (Mader,1938), I. (N.) lugens (Lacordaire,1842), I. (N.) lunaris (Guérin,1956), I. (N.) luteozonatus (Crotch, 1876), I. (N.) miles (Mader,1942), I. (N.) mirus (Mader,1942), I. (N.) musicalis (Lacordaire,1842), I. (N.) neophyta (Lacordaire, 1842), I. (N.) nigripennis (Demay,1838), I. (N.) nigropictus (Lacordaire,1842), I. (N.) nigrofasciatus (Mader,1942), I. (N.) nitidulus (Oliver,1807), I. (N.) obsoletesignatus (Crotch, 1876), I. (N.) octoguttatus (Olivier,1807), I. (N.) octopustulatus (Guérin,1956), I. (N.) odyneroides (Crotch, 1876), I. (N.) ornatus (Kuhnt,1909), I. (N.) pantherinus (Kuhnt, 1909), I. (N.) pauper (Guérin,1956), I. (N.) peraffinis (Crotch,1876), I. (N.) perplexus (Mader,1942), I. (N.) peruvianus (Mader,1942), I. (N.) planipennis (Kuhnt,1909), I. (N.) puncticollis (Kirsch,1876), I. (N.) quadrifasciatus (Kirsch,1865), I. (N.) quinquefasciatus (Lacordaire,1842), I. (N.) ramosus (Olivier,1807), I. (N.) regularis (Erichson, 1848), I. (N.) rhomboidalis (Guérin,1956), I. (N.) rufipennis (Panzer,1798), I. (N.) salamandra (Erichson,1847), I. (N.) spectabilis (Lacordaire,1842), I. (N.) stramineus (Lacordaire,1842), I. (N.) subsanguineus (Crotch,1876), I. (N.) superbus (Mader,1942), I. (N.) tigrinatus (Guérin,1956), I. (N.) tricinctus (Duponchel,1825), I. (N.) trifasciatus (Olivier,1807), I. (N.) tripartitus (Lacordaire,1842), I. (N.) ucayalensis (Gorham,1889), I. (N.) venezuelae (Crotch, 1876), I. (N.) westwoodi (Guérin-Méneville,1841).
The works of Voet (1766–1778,1806) do not follow binominal nomenclature and are therefore unavailable by the International Code of Zoological Nomenclature, Article 11.4.Thus, Voet’s (1806) generic names “Pseudochrysomela” and “Gibbifer”, and the species names proposed in each, are unavailable. Removing them from nomenclatural considerations resulted in the following nomenclatural acts: the resurrection of Erotylus rufipennis Panzer,1798, now Iphiclus (Neobarytopus) rufipennis (Panzer) new combination; the proposal of a new name, Iphiclus (Brachymerus) fabricii Skelley for Erotylus rufipennis Fabricius, 1801, not Erotylus rufipennis Panzer, 1798; new combinations for the two species, Cypherotylus adrianae (Alvarenga, 1976) and Cypherotylus borgmeieri (Alvarenga, 1976); and revalidated status for the five species names, Erotylus variegatus Fabricius,
1781, Barytopus gronovii (Herbst, 1783), Prepopharus notatus (Olivier, 1792), Iphiclus (Iphiclus) sedecimguttatus (Olivier, 1792), and Cypherotylus duponcheli Arrow, 1937.
Despite the success of immune checkpoint blockade in cancer, the number of patients that benefit from this revolutionary treatment option remains low. Therefore, efforts are being undertaken to sensitize tumors for immune checkpoint blockade, which includes combining immune checkpoint blocking agents such as anti-PD-1 antibodies with standard of care treatments. Here we report that a combination of chemotherapy (doxorubicin) and immune checkpoint blockade (anti-PD-1 antibodies) induces superior tumor control compared to chemotherapy and immune checkpoint blockade alone in the murine autochthonous polyoma middle T oncogene-driven (PyMT) mammary tumor model. Using whole transcriptome analysis, we identified a set of genes that were upregulated specifically upon chemoimmunotherapy. This gene signature and, more specifically, a condensed four-gene signature predicted favorable survival of human mammary carcinoma patients in the METABRIC cohort. Moreover, PyMT tumors treated with chemoimmunotherapy contained higher levels of cytotoxic lymphocytes, particularly natural killer cells (NK cells). Gene set enrichment analysis and bead-based ELISA measurements revealed increased IL-27 production and signaling in PyMT tumors upon chemoimmunotherapy. Moreover, IL-27 signaling improved NK cell cytotoxicity against PyMT cells in vitro. Taken together, our data support recent clinical observations indicating a benefit of chemoimmunotherapy compared to monotherapy in breast cancer and suggest potential underlying mechanisms.
Background: Persistent pain in breast cancer survivors is common. Psychological and sleep-related factors modulate perception, interpretation and coping with pain and may contribute to the clinical phenotype. The present analysis pursued the hypothesis that breast cancer survivors form subgroups, based on psychological and sleep-related parameters that are relevant to the impact of pain on the patients’ life.
Methods: We analysed 337 women treated for breast cancer, in whom psychological and sleep-related parameters as well as parameters related to pain intensity and interference had been acquired. Data were analysed by using supervised and unsupervised machine-learning techniques (i) to detect patient subgroups based on the pattern of psychological or sleep-related parameters, (ii) to interpret the detected cluster structure and (iii) to relate this data structure to pain interference and impact on life.
Results: Artificial intelligence-based detection of data structure, implemented as self-organizing neuronal maps, identified two different clusters of patients. A smaller cluster (11.5% of the patients) had comparatively lower resilience, more depressive symptoms and lower extraversion than the other patients. In these patients, life-satisfaction, mood, and life in general were comparatively more impeded by persistent pain.
Conclusions: The results support the initial hypothesis that psychological and sleep-related parameter patterns are meaningful for subgrouping patients with respect to how persistent pain after breast cancer treatments interferes with their life. This indicates that management of pain should address more complex features than just pain intensity. Artificial intelligence is a useful tool in the identification of subgroups of patients based on psychological factors.
Rodrigues Ridge connects the Réunion hotspot track with the Central Indian Ridge (CIR) and has been suggested to represent the surface expression of a sub-lithospheric flow channel. From global earthquake catalogues, the seismicity in the region has been associated mainly with events related to the fracture zones at the CIR. However, some segments of the CIR appear void of seismic events. Here, we report on the seismicity recorded at a temporary array of 10 seismic stations operating on Rodrigues Island from September 2014 to June 2016. The array analysis was performed in the time domain by time shifting and stacking the complete waveforms. Event distances were estimated based on a 1-D velocity model and the travel time differences between S and P wave arrivals. We detected and located 63 new events that were not reported by the global networks. Most of the events (51) are located off the CIR and can be classified as intraplate earthquakes. Local magnitudes varied between 1.6 and 3.7. Four seismic clusters were observed that occurred to the west of the spreading segment of the CIR. The Rodrigues Ridge appeared to be aseismic during the period of operation. The lack of seismic activity along both Rodrigues Ridge and the sections of the CIR to the east of Rodrigues may be explained by partially molten upper-mantle material, possibly in relation to the proposed material flow between the Réunion plume and the CIR.
Anna Simon-Sickley zeigt in ihrem Beitrag die historischen Verflechtungen des Begriffs des 'Anthropozäns' mit den Diskursen von Energie und Entropie. Die Gefahren einer semantischen Rückprojektion reflektierend, kann sie deutlich machen, wie die heute 'totalisierende Metapher' des Anthropozäns bis in die Diskurse der Energie und Entropie zurückreicht. Energie erscheint dabei begrifflich als Einheitswährung, mittels deren Natur einzig als auszubeutende Ressource (fossile Brennstoffe) thematisiert wird. Mit der Thermodynamik legt die Umweltforschung den Schwerpunkt auf Effizienz, Produktion und Abfall. Das wachsende Bewusstsein, dass Energie Geschichte strukturiert, erweist sich als eine Perspektive, die für die Geschichtsschreibung des Anthropozäns von entscheidender Bedeutung geworden ist. Mit ihm soll sich das wissenschaftliche Thema des Menschen vom Kontext der Geisteswissenschaften zum Kontext der Wissenschaften verschoben haben. Menschliche Systeme und Kulturen werden im Anthropozändiskurs als geologische Kräfte verstanden und erscheinen als geochronologische Epochen naturwissenschaftlich exakt berechenbar.
Safety requirements and the need of low‐migration UV inks have received increasing attention in the packaging industry. Crucial for the development and design of low‐migration UV inkjet inks for migration‐sensitive applications is the polymerization degree. In this study, curing‐behavior of a black, high purity packaging ink (HPP‐ink) was monitored using ATR‐FTIR spectroscopy. UV irradiation of HPP‐ink led to changes in specific absorption bands of the FTIR spectra due to crosslinking reaction of double bonds. Changes in absorptions bands at 1,408 and 1,321 cm−1 permitted the determination of CC conversion of acrylic and vinyl double bond, independently of one another. In addition, a method was developed which allows the investigation of surface‐cure and deep‐cure behavior, separately.
The tremendous diversity of life in the ocean has proven to be a rich source of inspiration for drug discovery, with success rates for marine natural products up to 4 times higher than other naturally derived compounds. Yet the marine biodiscovery pipeline is characterized by chronic underfunding, bottlenecks and, ultimately, untapped potential. For instance, a lack of taxonomic capacity means that, on average, 20 years pass between the discovery of new organisms and the formal publication of scientific names, a prerequisite to proceed with detecting and isolating promising bioactive metabolites. The need for “edge” research that can spur novel lines of discovery and lengthy high-risk drug discovery processes, are poorly matched with research grant cycles. Here we propose five concrete pathways to broaden the biodiscovery pipeline and open the social and economic potential of the ocean genome for global benefit: (1) investing in fundamental research, even when the links to industry are not immediately apparent; (2) cultivating equitable collaborations between academia and industry that share both risks and benefits for these foundational research stages; (3) providing new opportunities for early-career researchers and under-represented groups to engage in high-risk research without risking their careers; (4) sharing data with global networks; and (5) protecting genetic diversity at its source through strong conservation efforts. The treasures of the ocean have provided fundamental breakthroughs in human health and still remain under-utilised for human benefit, yet that potential may be lost if we allow the biodiscovery pipeline to become blocked in a search for quick-fix solutions.
This article studies whether people want to control what information on their own past pro-social behavior is revealed to others. Participants are assigned a color that depends on their past pro-social behavior. They can spend money to manipulate the probability with which their color is revealed to another participant. The data show that participants are more likely to reveal colors with more favorable informational content. This pattern is not found in a control treatment in which colors are randomly assigned, thus revealing nothing about past pro-social behavior. Regression analysis confrms these fndings, also when controlling for past pro-social behavior. These results complement the existing empirical evidence, confrming that people strategically and, therefore, consciously manipulate their social image.
Perspectives on participation in continuous vocational education training - an interview study
(2020)
In European industrialized countries, a large number of companies in the healthcare, hotel, and catering sectors, as well as in the technology sector, are affected by demographic, political, and technological developments resulting in a greater need of skilled workers with a simultaneous shortage of skilled workers (CEDEFOP, 2015, 2016). Consequently, employers have to address workers who have not been taken into account such as low-skilled workers, workers returning from a career break, people with a migrant background, older people, and jobseekers and train them, in order to guarantee the professionalization of this workforce (Festing and Harsch, 2018). Continuing vocational education and training (CVET) is seen as an indispensable tool; because CVET has advantages for both employers and employees, it helps to increase the productivity of companies (Barrett and O’Connell, 2001), to prevent the widening of socioeconomic disparities (Dieckhoff, 2007), and to open up career opportunities for the workforce (Rubenson and Desjardins, 2009). However, participation rate on CVET seems to differ, depending on institutional factors (such as sector and size of the company) and individual characteristics (such as qualification level, migration background, age and time of absence from work) (e.g., Rubenson and Desjardins, 2009; Wiseman and Parry, 2017). In contrast to previous research, our study aims to provide a holistic view of reasons for and against CVET, combining the different perspectives of employers and (potential) employees. The analysis of reasons and barriers was carried out based on semi-structured interviews. Fifty-seven employers, 73 employees, and 42 jobseekers (potential employees) from the sectors retail, healthcare and social services, hotels and catering, and technology were interviewed. Results point to considerable differences in the reasons and barriers mentioned by the disadvantaged groups. These differences are particularly significant between employees on the one side and employers, as well as jobseekers, on the other side, while the reasons to attend CVET of jobseekers are more similar to those of employers. The results can be used to tailor CVET more closely to the needs of (potential) employees and thus strengthen both the qualification and career opportunities of (potential) employees and the competitiveness and productivity of companies.
Risk evaluations for agricultural chemicals are necessary to preserve healthy populations of honey bee colonies. Field studies on whole colonies are limited in behavioural research, while results from lab studies allow only restricted conclusions on whole colony impacts. Methods for automated long-term investigations of behaviours within comb cells, such as brood care, were hitherto missing. In the present study, we demonstrate an innovative video method that enables within-cell analysis in honey bee (Apis mellifera) observation hives to detect chronic sublethal neonicotinoid effects of clothianidin (1 and 10 ppb) and thiacloprid (200 ppb) on worker behaviour and development. In May and June, colonies which were fed 10 ppb clothianidin and 200 ppb thiacloprid in syrup over three weeks showed reduced feeding visits and duration throughout various larval development days (LDDs). On LDD 6 (capping day) total feeding duration did not differ between treatments. Behavioural adaptation was exhibited by nurses in the treatment groups in response to retarded larval development by increasing the overall feeding timespan. Using our machine learning algorithm, we demonstrate a novel method for detecting behaviours in an intact hive that can be applied in a versatile manner to conduct impact analyses of chemicals, pests and other stressors.
Simple Summary: Glioblastomas are very malignant and essentially incurable brain tumors. One problem is the extensive penetration of tumor cells into the adjacent normal brain tissue. Thus, the testing of novel drugs requires appropriate tumor models, preferentially avoiding animal studies. This paper describes so-called brain tissue slice tandem-culture systems. They consist of a slice of normal brain tissue and a second layer of tumor tissue. The microscopic analysis of these slice tandem-cultures allows for the simultaneous assessment of single cells invading into the normal brain tissue and the space occupying growth of the total tumor mass. It is shown that the direct application of test drugs onto the slices exerts inhibitory effects on both mechanisms. We thus describe a system mimicking the situation in glioblastoma patients. It reduces animal studies, allows for the direct application of test drugs and the precise quantitation of their inhibitory effects on tumor growth and invasion.
Abstract: Glioblastomas (GBMs) are the most malignant brain tumors and are essentially incurable even after extensive surgery, radiotherapy, and chemotherapy, mainly because of extensive infiltration of tumor cells into the adjacent normal tissue. Thus, the evaluation of novel drugs in malignant glioma treatment requires sophisticated ex vivo models that approach the authentic interplay between tumor and host environment while avoiding extensive in vivo studies in animals. This paper describes the standardized setup of an organotypic brain tissue slice tandem-culture system, comprising of normal brain tissue from adult mice and tumor tissue from human glioblastoma xenografts, and explore its utility for assessing inhibitory effects of test drugs. The microscopic analysis of vertical sections of the slice tandem-cultures allows for the simultaneous assessment of (i) the invasive potential of single cells or cell aggregates and (ii) the space occupying growth of the bulk tumor mass, both contributing to malignant tumor progression. The comparison of tissue slice co-cultures with spheroids vs. tissue slice tandem-cultures using tumor xenograft slices demonstrates advantages of the xenograft tandem approach. The direct and facile application of test drugs is shown to exert inhibitory effects on bulk tumor growth and/or tumor cell invasion, and allows their precise quantitation. In conclusion, we describe a straightforward ex vivo system mimicking the in vivo situation of the tumor mass and the normal brain in GBM patients. It reduces animal studies and allows for the direct and reproducible application of test drugs and the precise quantitation of their effects on the bulk tumor mass and on the tumor’s invasive properties
Purpose: Auditory functional MRI (fMRI) often uses silent inter-volume delays for stimulus presentation. However, maintaining the steady-state of the magnetization usually requires constant delays. Here, a novel acquisition scheme dubbed “pre-Saturated EPI using Multiple delays in Steady-state” (SEPIMS) is proposed, using spin saturation at a fixed delay before each volume to maintain steady-state conditions, independent of previous spin history. This concept allows for variable inter-volume delays and thus for flexible stimulus design in auditory fMRI. The purpose was to compare the signal stability of SEPIMS and conventional sparse EPI (CS-EPI). Methods: The saturation module comprises two non-selective adiabatic saturation pulses. The efficiency of the saturation and its effect on the SEPIMS signal stability is tested in vitro and in vivo. Results: Data show that SEPIMS yields the same signal stability as CS-EPI, even for extreme variations between inter-volume delay durations. However, dual saturation pulses are required to achieve sufficiently high saturation efficiency in compartments with long T1 values. Importantly, spoiler gradient pulses after the EPI readout have to be optimized to avoid eddy-current-induced image distortions. Conclusion: The proposed SEPIMS sequence maintains high signal stability in the presence of variable inter-volume durations, thus allowing for flexible stimulus design.
A question of striking the right balance : how do digital media influence how we think and act?
(2020)
What influence do digital technologies have on human perception, thinking and action? Do computer games harm the development of young brains? And is there really such a thing as »digital dementia«, an increasing forgetfulness caused by the use of modern technologies? For some of these questions, answers are available that are empirically corroborated.
The extensive scholarship devoted to the congruence of mass-elite policy preferences lacks consensus about the meaning, comparison, and measurement across political settings. This makes comparisons difficult and raises obstacles to advancing the debates. This symposium aims to identify the diversity of methodological choices and to reflect systematically on several key choices of particular importance in understanding the congruence. The contributions to the symposium compare and contrast how several types of measurement fare in diverse political contexts in Eastern Europe, Latin America, North Africa, and East Asia, and what we can learn from those methodological choices.
Background: The prevalence of multimorbidity is increasing in recent years, and patients with multimorbidity often have a decrease in quality of life and require more health care. The aim of this study was to explore the evolution of multimorbidity taking the sequence of diseases into consideration.
Methods: We used a Belgian database collected by extracting coded parameters and more than 100 chronic conditions from the Electronic Health Records of general practitioners to study patients older than 40 years with multiple diagnoses between 1991 and 2015 (N = 65 939). We applied Markov chains to estimate the probability of developing another condition in the next state after a diagnosis. The results of Weighted Association Rule Mining (WARM) allow us to show strong associations among multiple conditions.
Results: About 66.9% of the selected patients had multimorbidity. Conditions with high prevalence, such as hypertension and depressive disorder, were likely to occur after the diagnosis of most conditions. Patterns in several disease groups were apparent based on the results of both Markov chain and WARM, such as musculoskeletal diseases and psychological diseases. Psychological diseases were frequently followed by irritable bowel syndrome.
Conclusions: Our study used Markov chains and WARM for the first time to provide a comprehensive view of the relations among 103 chronic conditions, taking sequential chronology into consideration. Some strong associations among specific conditions were detected and the results were consistent with current knowledge in literature, meaning the approaches were valid to be used on larger data sets, such as National Health care Systems or private insurers.