Local Endemics Research Articles

Three out of one: revising the species delimitation of the tree fern Gymnosphaera salletii (Cyatheaceae), with particular reference to the foliar nectary

Abstract In Indochina the species diversity of Cyatheaceae remains insufficiently known. Here we demonstrate the scaly tree fern Gymnosphaera salletii in Vietnam to be an assemblage of three distinct species based on molecular and morphological data, and report for the first time the occurrence of foliar nectaries in Gymnosphaera. The true G. salletii is morphologically unique based on the protuberant glands present on the petiole. Gymnosphaera phankelocii sp. nov. and Gymnosphaeravietnamensis sp. nov. are recognized as new species; G. phankelocii is characterized by its distant two-rowed sori and G. vietnamensis by the sub-tripinnate fronds. Our phylogenetic analyses indicated that G. phankelocii is a relatively isolated species, while G. vietnamensis is a member of the G. salletii clade along with G. austroyunnanensis, G. salletii, and G. saxicola. The two new species and members of the G. salletii clade are all local endemics, and provide good examples to understand the frequent local endemics and their evolution in scaly tree ferns. Eleven species of Gymnosphaera are now known from Indochina; we provide a diagnostic key to these species.

Shedding light on dark taxa in sky‐island Appalachian leaf litter: Assessing patterns of endemicity using large‐scale, voucher‐based barcoding

Abstract Developing systematic conservation plans depends on a wealth of information on a region's biodiversity. For ‘dark taxa' such as arthropods, such data are usually very incomplete and in most cases left out from assessments. Sky islands are important and often fragile biodiversity hotspots. Southern Appalachian high‐elevation spruce–fir forests represent a particularly threatened sky‐island ecosystem, hosting numerous endemic and threatened species, but their arthropods remain understudied. Here we use voucher‐based megabarcoding to explore genetic differentiation among leaf‐litter arthropod communities of these highlands, and to examine the extent to which they represent dispersed communities of more or less coherent species, manageable as a distributed unit. We assembled a dataset comprising more than 6000 COI sequences representing diverse arthropod groups to assess species richness and sharing across peaks and ranges. Comparisons were standardised across taxa using automated species delimitation, measuring endemism levels by putative species. Species richness was high, with sites hosting from 86 to 199 litter arthropod species (not including mites or myriapods). Community profiles suggest that around one fourth of these species are unique to single sky islands and more than one third of all species are limited to a particular range. Across major taxa, endemicity was lowest in Araneae, and highest in neglected groups like Isopoda, Pseudoscorpionida, Protura and Diplura. Southern Appalachian sky islands of spruce–fir habitat host significantly distinct leaf‐litter arthropod communities, with high levels of local endemicity. This is the first work to provide such a clear picture of peak and range uniqueness for a taxonomically broad sample. Ensuring the protection of a sizeable fraction of high‐elevation litter species richness will therefore require attention at a relatively fine spatial scale.

Genetic diversity of a short-ranged endemic terrestrial snail.

The factors that influence population structure and connectivity are unknown for most terrestrial invertebrates but are of particular interest both for understanding the impacts of disturbance and for determining accurate levels of biodiversity and local endemism. The main objective of this study was to determine the historical patterns of genetic differentiation and contemporary gene flow in the terrestrial snail, Austrochloritis kosciuszkoensis (Shea & O. L. Griffiths, 2010). Snails were collected in the Mt Buffalo and Alpine National Parks in Victoria, in a bid to understand how populations of this species are connected both within continuous habitat and between adjacent, yet separate environments. Utilising both mitochondrial DNA (mtDNA) and single nucleotide polymorphism (SNP) data, the degree of population structure was determined within and between sites. Very high levels of genetic divergence were found between the Mt Buffalo and Alpine snails, with no evidence for genetic exchange detected between the two regions, indicating speciation has possibly occurred between the two regions. Our analyses of the combined mtDNA and nDNA (generated from SNPs) data have revealed patterns of genetic diversity that are consistent with a history of long-term isolation and limited connectivity. This history may be related to past cycles of changes to the climate over hundreds of thousands of years, which have, in part, caused the fragmentation of Australian forests. Within both regions, extremely limited gene flow between separate populations suggests that these land snails have very limited dispersal capabilities across existing landscape barriers, especially at Mt Buffalo: here, populations only 5 km apart from each other are genetically differentiated. The distinct genetic divergences and clearly reduced dispersal ability detected in this data explain the likely existence of at least two previously unnamed cryptic Austrochloritis species within a 30-50 km radius, and highlight the need for more concentrated efforts to understand population structure and gene flow in terrestrial invertebrates.

Analysis of posterior reversible encephalopathy syndrome in a patient with HIV/AIDS and schistosomiasis

We present the case of a patient from South Africa who had HIV and posterior reversible encephalopathy syndrome. Despite the fact that schistosomiasis and PRES have common pathophysiological molecular processes, there have been no earlier descriptions relating the two illnesses. This lecture emphasises the importance of additional inquiry into this probable link. In endemic locations, the interaction between HIV and schistosomiasis remains a significant research topic.

Association between Sickle Cell Anemia and Malaria: A Systematic Review of Previous Literature

Background: Sickle cell disease (SCD) is a hereditary illness that is prevalent in malaria-prone locations. In these endemic locations, it has historically been linked to high rates of childhood death. This shows that SCD patients with malaria should start effective anti-malarial medication very away. Proguanil was a suitable chemoprophylaxis treatment for these individuals to reduce the prevalence of asymptomatic parasitization and avoid malaria. Sulphadoxine-Pyrimethamine Intermittent Preventive Treatment (IPT) has also demonstrated significant promise in lowering malaria and anemia incidence. Additionally, hydroxyurea is a successful therapy for sickle cell anemia. This article generally discusses the main association between sickle cell anemia and malaria and outlines the related therapies. Method: For pertinent information, PubMed, Web of Science, Science Direct, Cochrane Library, and Google Scholar were scoured in-depth. The Rayyan QRCI was employed throughout this thorough procedure. Results: our study article included 18 studies, in which the effect of sickle cell anemia in the presence of malaria was explained. The main parameters like age, sex, type of drug and time to use were obtained. Clinical studies were required to determine the relation between sickle cell anemia and malaria and determine the effective therapy. Conclusion: people with sickle cell anemia (SCA), the most severe type of SCD, are more likely to die from malaria than persons with SCT or no hemoglobin gene variation.

Metabolic Characterization of Four Members of the Genus Stachys L. (Lamiaceae)

Several members of Stachys L. (among the largest Lamiaceae genera) have been traditionally used as medicinal plants. With 54 Stachys taxa (species and subspecies) occurring in mainland and/or insular Greece, the present study aimed to investigate the metabolic profiling of four range-restricted local Stachys members: Stachys candida and S. chrysantha (protected and endangered local Greek endemics), S. leucoglossa subsp. leucoglossa (local Balkan endemic), and S. spinulosa (local Balkan subendemic). In this investigation, the infusions of their above-ground parts were characterized using NMR and HPLC-PDA-MS techniques. Thus, 1D- and 2D-NMR spectra were obtained to compare the chemical fingerprints of these plants. Furthermore, previously isolated compounds from Stachys spp. were used to identify specific constituents. NMR screening revealed the presence of: (i) phenylethanoid glycosides, mainly acteoside in S. candida and S. chrysantha (section Candida, Swainsoniana phyloclade), and (ii) flavone 7-O-allosylglucoside (isoscutellarein 7-O-[6‴-O-acetyl-β-D-allopyranosyl]-(1→2)-β-D-glucopyranoside) and iridoids (monomelittoside or/and melittoside) in S. leucoglossa subsp. leucoglossa (section Olisia, Swainsoniana/Olisia phyloclade, Swainsoniana phyloclade) and caffeoylquinic acid (chlorogenic acid) in S. spinulosa (section Campanistrum, Stachys phyloclade). In total, 26 compounds were detected by HPLC-PDA-MS belonging to flavonoids, phenylethanoid glycosides, and phenolic acids. Among them, chlorogenic acid was identified in all samples as one of their main metabolites. The present study complements previous studies with first reports of constituents detected in the studied taxa, reports for the first time on the metabolic characterization of S. spinulosa, and discusses the chemotaxonomic significance of such findings.

Updates in the Management of Dengue Shock Syndrome: A Comprehensive Review.

Dengue is a very serious public health problem that can manifest a wide range of symptoms from asymptomatic to fatal conditions, such as dengue shock syndrome (DSS). It is a life-threatening mosquito-borne viral infection widely spread in tropical areas. Dengue virus transmission occurs from an infected Aedes mosquito to humans. Various factors are responsible for the occurrence of the disease, such as viral load, age of the host, immune status of the host, and genetic variability. Dengue infection occurs in three phases: febrile, critical, and recovery. The febrile phase lasts for seven daysand manifests symptoms such as high-grade fever, headache, arthralgia, and backache, andin some cases, the upper respiratory tract and gastrointestinal tract are also involved. Severe dengue is characterized by endothelial dysfunction that causes vascular permeability and plasma leakage. The fundamental mechanisms of these immune pathologies are not yet known. Dengue manifests various complications such as dengue encephalopathy, encephalitis, stroke, ocular involvement, acute transverse myelitis, myalgia, and cerebellar syndrome, but the most commonly seen is liver involvement. Dengue is managed supportively because there are no proven curative treatments. The cornerstone of care during the critical period of dengue is prudent fluid resuscitation. The first fluid of preference is a crystalloid. Prophylactic transfusion of platelets is not advised. The occurrence of four antigenically different dengue virus serotypes, each able to elicit a cross-reactive and disease-enhancing antibody response against the other three serotypes, has made the creation of the dengue vaccine a difficult undertaking. The development of a dengue vaccine has faced significant challenges due to a lack of the best animal models and a variety of immunological conditions in people, particularly in endemic locations. Dengvaxia is a live attenuated vaccine, which was developed by Sanofi. It is made up of four chimeric vaccine viruses produced by Vero cells.

Mutations Linked to Insecticide Resistance Not Detected in the Ace-1 or VGSC Genes in Nyssorhynchus darlingi from Multiple Localities in Amazonian Brazil and Peru.

Indoor residual spray (IRS), mainly employing pyrethroid insecticides, is the most common intervention for preventing malaria transmission in many regions of Latin America; the use of long-lasting insecticidal nets (LLINs) has been more limited. Knockdown resistance (kdr) is a well-characterized target-site resistance mechanism associated with pyrethroid and DDT resistance. Most mutations detected in acetylcholinesterase-1 (Ace-1) and voltage-gated sodium channel (VGSC) genes are non-synonymous, resulting in a change in amino acid, leading to the non-binding of the insecticide. In the present study, we analyzed target-site resistance in Nyssorhynchus darlingi, the primary malaria vector in the Amazon, in multiple malaria endemic localities. We screened 988 wild-caught specimens of Ny. darlingi from three localities in Amazonian Peru and four in Amazonian Brazil. Collections were conducted between 2014 and 2021. The criteria were Amazonian localities with a recent history as malaria hotspots, primary transmission by Ny. darlingi, and the use of both IRS and LLINs as interventions. Fragments of Ace-1 (456 bp) and VGSC (228 bp) were amplified, sequenced, and aligned with Ny. darlingi sequences available in GenBank. We detected only synonymous mutations in the frequently reported Ace-1 codon 280 known to confer resistance to organophosphates and carbamates, but detected three non-synonymous mutations in other regions of the gene. Similarly, no mutations linked to insecticide resistance were detected in the frequently reported codon (995) at the S6 segment of domain II of VGSC. The lack of genotypic detection of insecticide resistance mutations by sequencing the Ace-1 and VGSC genes from multiple Ny. darlingi populations in Brazil and Peru could be associated with low-intensity resistance, or possibly the main resistance mechanism is metabolic.

Hepatitis E Virus: Epidemiology, Clinical Aspects, and Its Significance as a Major Pregnancy Risk

HEV is a single-stranded, positive RNA virus. The hepatitis E virus (HEV) is the causing agent of hepatitis, with a high prevalence rate in low-income countries due to poor sanitary conditions. It can exhibit acute, continuous, or extrahepatic consequences in immunocompromised individuals such as those undergoing organ transplantation and having HIV infection. HEV infection is either self limiting (silent), meaning the patient will possibly recover on his own, or symptomatic, causing acute liver injury or fulminant hepatitis and may eventually cause death. It can also cause chronic hepatitis that can progress to cirrhosis or recovery. Pregnancy-related HEV infection has an incidence rate of 30%. HEV escape from innate immunity, hormonal imbalances, defective monocyte–macrophage function, downregulation of the T-cell-mediated immune system, high cytokine production, nutritional factors, and socioeconomic conditions may play fundamental roles in the prevalence of HEV infection. It is necessary to take particular measures to reduce the incidence burden of HEV infection in high endemic locations as the incidence data, not the prevalence data, is more accurate at estimating disease dynamics. The purpose of this study is to throw light on several aspects of the hepatitis E virus and to discuss the incidence of HEV infection concerning other diseases. HEV molecular features, clinical features, epidemiology, extrahepatic manifestations, and multiple available diagnostics and treatment strategies for HEV are debated in the current review.

Assessment of the threat status of reptile species from Vietnam - Implementation of the One Plan Approach to Conservation

Since the world is currently in the midst of a major biodiversity crisis, scientists have assigned high conservation priority to 36 biodiversity hotspots around the world. As part of one of the leading hotspots in terms of species richness and local endemism, Vietnam is considered a country with high conservation priority. The reptile fauna of Vietnam is known for its high level of diversity and an outstanding number of endemic species. Vietnamese reptiles are highly threatened due to habitat loss and overharvesting for domestic and international trade, traditional medicine and food, making them a group of great conservation concern. As a baseline for improved reptile conservation in Vietnam, we conducted a conservation assessment of Vietnamese reptile species by evaluating data from a variety of sources. Our study results show that approximately 32.9% (n = 159) of the total reptile species (n = 484) present in Vietnam are endemic to the country, of which more than half are only known from their type locality and about one-third restricted to a particular subregion, making the species particularly vulnerable to threats. Furthermore, 33.5% (n = 53) of 158 endemic taxa included in the protected area analysis have not yet been recorded from any protected area. Among all 418 Vietnamese reptile species listed on the IUCN Red List, 17.7% (n = 74) are threatened with extinction, 46.0% (n = 34) of the total 74 threatened species are endemic to Vietnam. The fact that 135 species are either listed as DD or have not yet been evaluated by the IUCN highlights the urgency of further research. Moreover, only very few species are protected by national or international legislation, and further assessments are needed to protect reptiles of particular concern. A Zoological Information Management System (ZIMS) analysis revealed that 22.5% (n = 109) of all reptiles occurring in Vietnam and only 6.3% (n = 10) of the endemic Vietnamese reptiles are currently kept in zoos worldwide. Although 60.8% (n = 45) of the threatened reptiles (n = 74) from Vietnam are currently held in zoos, only 23.5 (n = 8) of the endemic threatened species (n = 34) are held there. Following the IUCNCPSG`s One Plan Approach to Conservation, it is therefore recommended to increase the number of threatened and endemic species in breeding stations and zoos to maintain assurance populations, suitable for restocking measures. Despite ongoing efforts in Vietnam, further conservation measures are required. We therefore also identify areas of highest reptile diversity and with the largest number of threatened species and provide a list of 50 most threatened species (10% of total species) as a guide for further research and conservation action in Vietnam.

Molecular identification and infection pathology of Mycobacterium spp. in captive wild animals in Pakistan.

Animal tuberculosis is an infectious, chronic, granulomatous, and debilitating disease affecting animals as well as humans. However, in recent decades, there have been many endemic geographic localities where animal tuberculosis has been identified in wildlife reservoirs, limiting the eradication program in cattle. This study aimed to identify animal tuberculosis in captive zoo animals in Pakistan. In total, 185 morbid zoo animals were brought for postmortem examination at a veterinary postmortem facility. During the macroscopic examination, these animals were thoroughly examined for the presence of suggestive gross lesions of animal tuberculosis (granulomas/tubercles), and the pattern and distribution of these lesions in different organs. The Ziehl-Neelsen (ZN) staining was performed on smears prepared from granulomatous lesions of lung tissue followed by molecular identification of M. bovis and M. tuberculosis DNA using polymerase chain reaction (PCR). The postmortem examination revealed that 8.1% (15/185) of animals had gross tuberculosis lesions on the lungs and lymph nodes. The ZN staining of tissue smears showed 5.40% positivity while M. bovis and M. tuberculosis DNA was identified in 3.78 % and 1.1% of investigated animals, respectively. The study showed that animal tuberculosis is prevalent among wildlife in Pakistan and it may pose serious public health concerns to the people visiting these zoos and wildlife parks.

Host competence of Algerian Gerbillus amoenus for Leishmania major

Cutaneous leishmaniasis (CL) is the most important neglected disease reported in North Africa, Algeria ranks second in the world with more than 5000 cases per year. In Algeria, two rodent species Psammomys obesus and Meriones shawi, are so far known as proven reservoirs of Leishmania major, however, they are absent in several endemic localities. In this study, we experimentally infected Gerbillus rodents trapped around human dwellings in Illizi, Algeria to assess their susceptibility to L. major. Seven gerbils, morphologically and molecularly identified as Gerbillus amoenus, were intradermally inoculated with 104 parasites derived from culture, monitored for six months and their infectiousness for sand flies was tested by xenodiagnosis. The study revealed that G. amoenus was susceptible to L. major and was able to maintain and transmit the parasites to sand flies tested six months after infection, suggesting the role of this gerbil as a potential reservoir for L. major.

Mechanistic neutral models show that sampling biases drive the apparent explosion of early tetrapod diversity

Estimates of deep-time biodiversity typically rely on statistical methods to mitigate the impacts of sampling biases in the fossil record. However, these methods are limited by the spatial and temporal scale of the underlying data. Here we use a spatially explicit mechanistic model, based on neutral theory, to test hypotheses of early tetrapod diversity change during the late Carboniferous and early Permian, critical intervals for the diversification of vertebrate life on land. Our simulations suggest that apparent increases in early tetrapod diversity were not driven by local endemism following the ‘Carboniferous rainforest collapse’. Instead, changes in face-value diversity can be explained by variation in sampling intensity through time. Our results further demonstrate the importance of accounting for sampling biases in analyses of the fossil record and highlight the vast potential of mechanistic models, including neutral models, for testing hypotheses in palaeobiology.

Dengue Fever: Etiology, Diagnosis, Prevention and Treatment

Dengue fever (break-bone fever) is a viral disease transmitted by Aedes mosquitoes. It is caused by the Dengue virus, which is a single positive-stranded RNA virus belonging to the Flaviviridae family. Dengue fever is prevalent in tropical and subtropical areas and is a significant public health concern in many countries, including`g Nigeria. The disease is characterized by symptoms such as high fever, headache, body aches, nausea, vomiting, swollen glands, and rash. In severe cases, dengue fever can lead to complications such as bleeding, organ impairment, and dengue shock syndrome. Diagnosing dengue fever can be challenging, especially in areas where it is endemic. In endemic locations, diagnosis is often made clinically based on the patient's reported symptoms and a physical examination. Tourniquet testing, which involves applying a blood pressure cuff and counting any petechial hemorrhages, can help in the diagnosis. Laboratory methods, including full blood count, cell culture, nucleic acid identification (PCR), and serology, can be used to confirm the diagnosis. Preventing dengue fever involves controlling the mosquito vector and protecting oneself from mosquito bites. Measures such as eliminating mosquito breeding sites, using insect repellents, wearing protective clothing, and using bed nets can help prevent mosquito bites. Vaccination against dengue is also available, with the Dengvaxia vaccine being used in some countries. There is no specific antiviral treatment for dengue fever. Management focuses on supportive care, maintaining a healthy fluid balance, and relieving symptoms such as fever and pain. Severe cases may require hospitalization and intensive medical care. In Nigeria, dengue fever is often misdiagnosed or overlooked due to similarities with other febrile illnesses like malaria. This can lead to underreporting and inadequate management of dengue cases. Increasing awareness among healthcare professionals and the general population is crucial for early detection and appropriate management of dengue fever in Nigeria. In conclusion dengue fever is a viral disease transmitted by mosquitoes, primarily Aedes species. It is a significant global health concern, including in Nigeria. Early diagnosis, prevention measures, and supportive care are essential in managing dengue fever and reducing its impact on public health. This review is aimed at discussing the current issues of Dengue fever with focus on Nigeria.

Hypersensitivity Test of Insect-Carried Bacteria in Chilli Crop at Banyumas Regency

As a horticultural crop with high economic and cultural values, the productivity of chili (Capsicum annum L.) fluctuates from time to time. This is influenced by changes in weather and climate which lead to the low resistance of chili plants to pests and diseases. Climate change can affect the existence of pests and diseases in plants and even reduce yields between 10-28% on a global scale. Bacteria, in association with plants, can be both pathogenic and non-pathogenic. While pests tend to have a negative relationship with plants because they can cause damage to plants. Banyumas Regency (Central Java) is one of the districts that contribute to the supply of chili which is important to increase production. This study aims to distinguish pathogenic and non-pathogenic bacteria, which are carried by insects in chili planting fields in 3 (three) endemic locations for pest attacks, namely Sumbang, Sokaraja, and Karanglewas Districts. The research was conducted from March to November 2021. As many as 83.33% of the total grown isolates did not show hypersensitive reactions while the others showed positive results. However, further research needs to be carried out for further research (characterization, identification, and other potential of the isolated insect-borne bacteria).

A new species of Homonota (Squamata: Phyllodactylidae) from the Uruguayan Savanna

AbstractCryptic diversity is frequent among lizards from the Neotropical region. In particular, geckos belonging to the genus Homonota exhibit high levels of phenotypic and ecological conservatism. Homonota uruguayensis is endemic to rocky outcrops in the Uruguayan Savanna, and a previous study based on mitochondrial DNA (mtDNA) revealed a highly divergent clade in an isolated population. In this study, we used a set of two mitochondrial (Cytb and 12S) and six autosomal (DMLX, MXRA, PRLR, SNCAIP, H19B and H30B) genetic markers to evaluate the taxonomic status of different populations of H. uruguayensis. We then used morphological data to further check the favoured coalescent model of species delimitation. A careful re‐evaluation of meristic and continuous morphological traits within the H. uruguayensis complex indicated that the new species can be morphologically distinguished. The species tree confirmed the deep divergence times associated with the new species previously reported for mtDNA and indicated congruence among independent gene trees. Overall, the results clearly support the recognition of a new species, based on deep genetic divergence and morphological differentiation. While the full geographic range of the new species has not been thoroughly characterized, the localized endemism in a patch of rocky outcrops surrounded by intense silviculture activity strongly suggest that the new species should be considered to be under some degree of threat.

Integrated Community Approach for Successful Management Of White Grubs in Groundnut: Success Story

“C-shaped” white grubs or root grubs are commonly occurring, soil-inhabiting polyphagous insects and they cause economic losses in several crops. The species of white grub those are endemic to Saurashtra region of Gujarat are, Apogonia rauca, Schizonycha ruficollis and Adoretus sp. Since 2010, sporadic outbreaks of white grubs noted in Saurashtra and in severe form in the year 2016. Up to 90% of surveyed groundnut fields in Saurashtra were infested with white grub, complete crop failures were also observed at some endemic locations. Community-level integrated pest management (IPM) approaches were formulated by ICAR-Directorate of Groundnut Research, Junagadh to tackle the white grub menace during 2017 and 2018. Sensitization of farmers in the white grub-prone villages i.e., Samadhiyala and Mithapur of Mendarada (Taluka), Junagadh (District) was initiated before and during the monsoon season. Information on white grub life cycle, weak links in the life cycle, damage symptoms, management strategies and need for community approach were repeatedly emphasized through pamphlets, posters, field visits, interactive meetings, kisan-mela/ goshti and demonstration of white grub management practices. These interventions resulted in successful implementation of community-level IPM approaches for white grub management during 2017 and 2018. Since 2018, farmers witnessed reduction in per cent groundnut damage caused by white grubs post interventions made by ICAR-DGR and thus saved an estimated monetary loss of around Rs. 10,000-15,000 rupees per ha.

Dengue: updates for dermatologists on the world's fastest-growing vector-borne disease.

Dengue is the world's fastest-growing vector borne disease and has significant epidemic potential in suitable climates. Recent disease models incorporating climate change scenarios predict geographic expansion across the globe, including parts of the United States and Europe. It will be increasingly important in the next decade for dermatologists to become familiar with dengue, as it commonly manifests with rashes, which can be used to aid diagnosis. In this review, we discuss dengue for general dermatologists, specifically focusing on its cutaneous manifestations, epidemiology, diagnosis, treatment, and prevention. As dengue continues to spread in both endemic and new locations, dermatologists may have a larger role in the timely diagnosis and management of this disease.

Extraordinary concentrations of local endemism associated with arid-land springs

Introduction: While the biodiversity value of springs is recognised, it has not been systematically compiled. The aim of the current study is to highlight the extraordinary endemism associated with the isolated habitat of arid-land springs at three locations in two continents.Methods: The habitat endemism of the eukaryote species associated with the aquatic and terrestrial habitats at Ash Meadows in the USA, Byarri in Australia and Cuatro Ciénegas in Mexico was assembled based on their geographic distribution.Results: The currently-known aquatic and semi-aquatic endemic species number 27 at Ash Meadows, 31 at Byarri and 34 at Cuatro Ciénegas. Terrestrial endemic species are represented by two species at Ash Meadows, five at Byarri and 26 at Cuatro Ciénegas. The terrestrial endemics are associated with the scalded areas surrounding the springs impregnated with soda and gypsum. The persistence of the endemics is astonishing given that the wetlands represent tiny islands of habitat (216 small wetlands over 40 km2 in the case of Byarri).Discussion: A key factor for the persistence and radiation of endemic species is the stability and permanence of the wetlands over evolutionary time-scales. Genetic evidence indicates the presence of both paleo-endemics, species that persisted in spring wetlands as relics of previous mesic climates; and neo-endemics that have dispersed from more mesic environments and subsequently radiated in the spring wetlands as distinct forms. The former evolved from their relatives greater than 106 ya and the latter less than 106 ya. The concentration of endemic species in and around arid-land springs is among the highest concentrations of endemic organisms specialised to a particular habitat and substantiates the paramount conservation significance of desert springs.

Delays in Lung Cancer Diagnosis: Observations from a Tertiary Care Centre in Kerala, India.

Merin YohannanIntroduction Timely diagnosis of lung cancer is critical because treatment outcomes correspond to the stage of disease. This study identified patient and physician determined reasons for diagnostic delays. Materials and Method s This was an observational cross-sectional study, conducted at a tertiary care institution in South India, for 12 months. From 207 consecutively selected patients, with a presumptive lung cancer diagnosis, 150 were enrolled utilizing a prefixed questionnaire. The time intervals from appreciation of initial respiratory symptoms to a final tissue diagnosis were defined sequentially as approach interval, referral interval, and diagnostic interval and factors causing delay in each interval were identified. Results In a state with 100% literacy, the mean time to approach a doctor was 8 weeks (range: 0-336 days; SD: 7.95) with a delay seen in 52% of the study group. Referring a suspect lung cancer diagnosis to a specialist, took an average of 4.98 weeks (range: 1-26 weeks; SD: 5.64) with referral delays in 47.3% of patients. The mean diagnostic interval was 9.21 days (range: 3-41 days; SD: 7.18) and 16.7% of cases had diagnostic delays in spite of a definite procedure. Conclusion In a tuberculosis endemic location, empirical treatment with anti-tuberculosis therapy and prolonged antibiotic courses without serially monitoring the course of disease are responsible for referral delays. Also, 88.2% of the total females studied, presented late due to family and work pressures, fear of being stigmatized and being on prolonged home remedies. A wider dissemination and awareness on lung cancer are needed especially among females. A low threshold to reinvestigate and an early referral to a pulmonary or lung cancer specialist, when expected clinicoradiological improvement is lacking, in microbiologically negative tuberculosis should be highlighted.