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Background. Arterial ex situ back-table perfusion (BP) reportedly reduces ischemic-type biliary lesion after liver transplantation. We aimed to verify these findings in a prospective investigation.
Methods. Our prospective, randomized, controlled, multicenter study involved livers retrieved from patients in 2 German regions, and compared the outcomes of standard aortic perfusion to those of aortic perfusion combined with arterial ex situ BP. The primary endpoint was the incidence of ischemic-type biliary lesions over a follow-up of 2 years after liver transplantation, whereas secondary endpoints included 2-year graft survival, initial graft damage as reflected by transaminase levels, and functional biliary parameters at 6 months after transplantation.
Results. A total of 75 livers preserved via standard aortic perfusion and 75 preserved via standard aortic perfusion plus arterial BP were treated using a standardized protocol. The incidence of clinically apparent biliary lesions after liver transplantation (n = 9 for both groups; P = 0.947), the 2-year graft survival rate (standard aortic perfusion, 74%; standard aortic perfusion plus arterial BP, 68%; P = 0.34), and incidence of initial graft injury did not differ between the 2 perfusion modes. Although 33 of the 77 patients with cholangiography workups exhibited injured bile ducts, only 10 had clinical symptoms.
Conclusions. Contrary to previous findings, the present study indicated that additional ex situ BP did not prevent ischemic-type biliary lesions or ischemia-reperfusion injury after liver transplantation. Moreover, there was considerable discrepancy between cholangiography findings regarding bile duct changes and clinically apparent cholangiopathy after transplantation, which should be considered when assessing ischemic-type biliary lesions.
New state records for 49 species of Eucnemidae (Coleoptera) are reported throughout the United States and a single species is newly reported from Utah. Diagnostic remarks are offered for Xylophilus crassicornis Muona and distributional observations are discussed for Dirrhagofarsus lewisi. The importance of retaining by-catch from statewide, regional, and national surveys for future studies is also discussed.
A new genus and four new species of false click beetles
(Coleoptera: Eucnemidae) from Southeast Asia
(2015)
A new genus and four new species of false click beetle (Coleoptera: Eucnemidae) are described. Bermilloides new genus is described from Bornean Malaysia. New species are: Calyptocerus iridis new species (Philippines), Bermilloides lumawigi new species (Malaysia), Spinifornax elongatus new species (Malaysia) and Ceratus antennatus new species (Thailand). Dorsal and ventral habitus, as possible, for each species are illustrated.
Male aedeagi are illustrated for Calyptocerus iridis and Ceratus antennatus. A new key is provided for Calyptocerus species in Southeast Asia.
A primitive subfamily of false click beetles (Coleoptera: Eucnemidae: Phlegoninae) distributed primarily in the Neotropical region is revised. Euryphlegon gen. nov. is described from Belize in Central America. New species include: Phlegon chiriquiensis sp. nov. (Panama), Phlegon panamensis sp. nov. (Panama), Euryphlegon jacqueschassaini sp. nov. (Panama) and Euryphlegon parallelus sp. nov. (Belize). Phlegon herculeanus (Lacordaire) stat. res. is resurrected from synonymy with Phlegon buqueti Laporte. One new combination is proposed: Euryphlegon degallieri (Muona) (Phlegon). Based on a number of observed external character traits, Euryphlegon is placed in Orodotini Muona, 1993 within Macraulacinae Fleutiaux, 1922. Identifi cation keys are provided for species of Phlegon and Euryphlegon in the Neotropical region. The relationships among Phlegon, Euryphlegon, Euryptychus LeConte and other groups within Echthrogasterini Cobos, 1964 and Orodotini are discussed.
Six new species of false click beetle (Coleoptera: Eucnemidae) are described. These new species are: Fornax dixiensis sp. nov. (Florida, USA), Dromaeolus comayaguiensis sp. nov. (Honduras), Asiocnemis bicolor sp. nov. (Ecuador), Miruantennus chinensis sp. nov. (Yunnan prov., China), Miruantennus cuneiformis sp. nov. (Malaysia) and Nematodes africanus sp. nov. (Côte d’Ivoire). Identifi cation keys are provided for species of Fornax in the Nearctic ecozone and Miruantennus in the Palearctic and Indo-Malayan ecozones. A new key to include all the genera within the tribe Nematodini Leiler is also provided.
Descriptions and illustrations of the triungulin, 5th instar, and prepupal larval forms for Nematodes penetrans (LeConte, 1852) (Coleoptera: Eucnemidae: Macraulacinae: Nematodini) are given. The descriptions are based on triungulins collected in a plastic vial as well as 5th instars and prepupal larval stages collected from hard sections of sugar maple (Acer saccharum Marshall; Aceraceae) logs and limbs. Adults were reared from those pieces placed in plastic bags. Biological information is provided, based on literature search and personal observations.
Comparative studies between larvae of N. penetrans and the European species, Nematodes fi lum (Fabricius, 1801) along with other Nearctic larval forms are briefl y discussed. This discovery represents the fi rst larval description for the genus in the Nearctic region.
Fifth instars for eight of the nine species of Microrhagus Dejean (Coleoptera: Eucnemidae: Melasinae:
Dirhagini), all endemic in the Nearctic region, are described and illustrated. Biological information is provided, along with a brief discussion of the larval morphology among the eight Nearctic species of Microrhagus. Adult descriptions
are provided for four new species. These new species include Microrhagus breviangularis new species, Microrhagus carinicollis new species, Microrhagus lecontei new species and Microrhagus opacus new species.
A checklist and identifi cation keys for both adults and most known larvae are provided.
Descriptions and illustrations of the fi fth instar and prepupal larval stages of Stethon pectorosus LeConte, 1866 (Coleoptera: Eucnemidae: Eucneminae: Mesogenini) are provided. These are the fi rst larval descriptions for the genus Stethon LeConte within the subfamily Eucneminae in the Nearctic region. Biological information is provided and comparison with larval morphology of other Eucnemidae is briefl y discussed.
Microrhagus brunneus, new species (Coleoptera: Eucnemidae: Melasinae: Dirhagini) is described from Arkansas, Indiana, Kentucky, Louisiana, North Carolina, Oklahoma and Wisconsin. Dorsal, ventral and lateral habitus, along with male aedeagus are illustrated and a new key is provided to distinguish the new species from the four other Microrhagus species in the region.