Posterior Margin Research Articles

Proposals for the Delineation of Neck Clinical Target Volume Specific to Oral Squamous Cell Cancer Based on Lymph Node Distribution

To establish the regional lymph node (LN) distribution probability map and draw the neck clinical target volume specific to oral squamous cell cancer (OSCC). A total of 293 patients with pathologically proven OSCC were enrolled from Jan 2014 to Jun 2022. The patients were divided into two groups according to the ≤1 cm or>1 cm of minimal distance from the lesion's edge to the midline of body. The center point of the LNs with a minimal axial diameter of ≥10 mm was marked on a single treatment planning computed tomography scan. The neck LN levels I to X were based on 2013 updated international consensus guidelines. LN distribution probability maps were established. The relationships between the LN distribution and consensus guidelines were analyzed to propose modifications for clinical target volume boundaries specific to OSCC. A total of 1033 LNs were marked. Compared with the >1 cm group, The ≤1 cm group has following feature tendencies: strong addiction to smoking and drinking, predilection for tongue and oral floor cancer, larger primary lesion with mainly infiltrative growth pattern, more frequent extra-nodal extension with mainly contralateral LNs. For the ≤1cm group, the distribution probability of LNs was: ipsilateral II (42.67%), ipsilateral Ib (17.35%), contralateral II (11.18%), ipsilateral III (8.74%), contralateral Ib (7.46%), Ia (6.43%). The other group was: ipsilateral Ib (43.14%), ipsilateral II (37.64%), contralateral Ib (4.31%), ipsilateral III (3.92%), contralateral II (3.53%), Ia (0.78%). Accordingly, the proposals for the delineation of neck clinical target volume were: 1. the inferior boundary of level Ia extends until the level of the thyroid cartilage plate; 2. the upper boundary of level Ib descends to the level of the mandibular angle, and the inner posterior boundary only includes the lateral and posterior margin of the submandibular gland within 5mm; 3. the upper boundary of level II changes to the transverse process of the second cervical vertebra, and the posterior boundary retracts to the posterior edge of the levator scapula. 4. the anterior inner border of level IVa contains only the internal jugular arteriovenous sheath. This is the first description of LN topographic spread patterns for OSCC. Optimization of CTV delineation is helpful to improve the treatment outcome and reduce adverse events.

An Euler–Bernoulli-type beam model of the vocal folds for describing curved and incomplete glottal closure patterns

Incomplete glottal closure is a laryngeal configuration wherein the glottis is not fully obstructed prior to phonation. It has been linked to inefficient voice production and voice disorders. Various incomplete glottal closure patterns can arise and the mechanisms driving them are not well understood. In this work, we introduce an Euler–Bernoulli composite beam vocal fold (VF) model that produces qualitatively similar incomplete glottal closure patterns as those observed in experimental and high-fidelity numerical studies, thus offering insights into the potential underlying physical mechanisms. Refined physiological insights are pursued by incorporating the beam model into a VF posturing model that embeds the five intrinsic laryngeal muscles. Analysis of the combined model shows that co-activating the lateral cricoarytenoid (LCA) and interarytenoid (IA) muscles without activating the thyroarytenoid (TA) muscle results in a bowed (convex) VF geometry with closure at the posterior margin only; this is primarily attributed to the reactive moments at the anterior VF margin. This bowed pattern can also arise during VF compression (due to extrinsic laryngeal muscle activation for example), wherein the internal moment induced passively by the TA muscle tissue is the predominant mechanism. On the other hand, activating the TA muscle without incorporating other adductory muscles results in anterior and mid-membranous glottal closure, a concave VF geometry, and a posterior glottal opening driven by internal moments induced by TA muscle activation. In the case of initial full glottal closure, the posterior cricoarytenoid (PCA) muscle activation cancels the adductory effects of the LCA and IA muscles, resulting in a concave VF geometry and posterior glottal opening. Furthermore, certain maneuvers involving co-activation of all adductory muscles result in an hourglass glottal shape due to a reactive moment at the anterior VF margin and moderate internal moment induced by TA muscle activation. These findings have implications regarding potential laryngeal maneuvers in patients with voice disorders involving imbalances or excessive tension in the laryngeal muscles such as muscle tension dysphonia.

New Stage and Species Description on Brazilian Thraulodes Ulmer, 1920 (Ephemeroptera, Leptophlebiidae).

We examined material from two poorly documented areas in Brazil concerning the mayfly genus Thraulodes: Minas Gerais, the largest state in Southeastern Brazil, but also the least studied regarding mayflies; and Tocantins, located in the North-Central area of the country. As a consequence of these efforts, we describe a new species from Minas Gerais based on imagos and nymphs, as well as the nymphs of Thraulodes solstitium Orlando, Salles, Boldrini & Krolow, 2021. Thraulodes viola sp. nov. is characterized by the femora translucid with brown maculae and blackish stripe in distal half, and a light brown maculae in proximal half; abdominal terga II-VI translucent white with transversal reddish mark on posterior margins, one antero-lateral reddish dot, one antero-sublateral blackish spot, and one postero-submedian brown spot; penis lobes sinuous sideways, with lateral pouch present and very developed, and apico-lateral area with an ear-like projection; nymph with galea-lacinia dark brown, 14-16 medium-sized pectinate setae in subapical-ventral row. The nymph of T. solstitium nymph is characterized by the galea-lacinia dark brown, 11 medium-sized pectinate setae in a subapical-ventral row.

Topical Spironolactone in the Treatment of Ocular Graft-Versus-Host Disease.

This two-part study aimed to investigate the therapeutic potential of topical spironolactone in ocular graft-versus-host disease (oGVHD). While off-label use of topical spironolactone has been described in dry eye, its efficacy in managing signs and symptoms of oGVHD remains unstudied. Preclinically, we tested the hypothesis that spironolactone induces corneal lipid synthesis in a mouse model. Clinically, we assessed patient response to spironolactone with a retrospective observational design. Both immortalized and primary human corneal epithelial cells were stained with oil red O after 9 days of treatment with spironolactone. C57BL/6 mice were dosed thrice daily with one drop in each eye for 18 days. Corneal tissue was stained with oil red O and BODIPY™. Twenty eyes with oGVHD, as defined by the International Chronic oGVHD Consensus Group, were studied. Corneal fluorescein staining, lid margin vascularity, meibomian gland obstruction, meibum turbidity, zone A posterior lid margin vascularity, and oGVHD diagnostic criteria severity grading were compared in a pre-post study. Follow-up times ranged from 7 to 21 weeks, with a median time of 12 weeks. Statistical analysis was done with STATA 17 by fitting data to a non-parametric model. In vitroresults showed an increased number and density of oil red O staining granules in the treatment group versus control in both primary and immortalized human corneal epithelium.In vivo, results showed translation to the mouse model with increased corneal epithelial BODIPY™ signal compared to untreated control. oGVHD patients had improved lid margin vascularity (p= 0.046), corneal fluorescein staining (p= 0.021), and International oGVHD Consensus Group severity scores (p= 0.011) after treatment with topical spironolactone. Minimal adverse effects were noted, the most common being mild stinging lasting less than a minute after instillation. The improved severity scores, lid margin inflammation, and corneal fluorescein staining after weeks of treatment support the rationale that topical spironolactone may benefit oGVHD. The observed lipid production by the corneal epithelium is thought to contribute to this protective effect against ocular surface erosive disease in oGVHD. A mineralocorticoid receptor antagonist, spironolactone may offer therapeutic benefits in oGVHD while avoiding undesirable side effects of topical or systemic glucocorticoids.

A new species of Simulium (Asiosimulium) (Diptera: Simuliidae) from northeastern Thailand, with its phylogenetic relationships with related species in the subgenus Asiosimulium.

Simulium (Asiosimulium) khongchiamense sp. nov. is described based on females, males, pupae, and mature larvae collected from Khong Chiam District, Ubon Ratchathani Province, northeastern Thailand. It is characterized in the female by the medium-long sensory vesicle, scutum with 3 dark longitudinal vittae and elongate cercus; in the male by the number of upper-eye (large) facets in 17 or 18 vertical rows and 18 or 19 horizontal rows, hind basitarsus moderately enlarged and ventral plate with the posterior margin moderately concave medially; in the pupa by the head and thoracic integument sparsely covered with tubercles and gill of arborescent type with 32 or 33 filaments; and in the larva by the postgenal cleft deep, reaching the posterior margin of the hypostoma and sheath of the subesophageal ganglion dark pigmented. DNA analysis based on COI gene of all known species of the subgenus Asiosimulium, except for S. shanense and S. suchitrae, indicated that this new species can be clearly differentiated from all other related species (S. phurueaense, S. oblongum, S. saeungae, S. furvum, and S. wanchaii) with interspecific genetic distances ranging between 4.79% and 19.18%. This is the eighth species of the subgenus Asiosimulium. Taxonomic notes are given to distinguish this new species from the 7 known species members in its same subgenus. Additionally, keys to species of all members in the subgenus Asiosimulium are provided.

A Morphologic and Morphometric Study of the Vermian Fossa and Internal Occipital Crest in Adult Indian Human Skulls

Introduction: The inner surface of the squamous part of occipital bone shows a prominent internal occipital crest that descends and bifurcates close to foramen magnum to enclose a small depression called vermian fossa. It has been reported that the internal occipital crest and vermian fossa affect the dural venous sinuses close to it and influence the cerebrospinal fluid flow. Few studies have reported morphology the morphology and morphometric features of vermian fossa. There is a paucity of literature regarding the morphology and morphometry of the internal occipital crest. Hence, the present study evaluated the morphological and morphometric details of the vermian fossa and internal occipital crest. Objectives: To provide morphologic & morphometric data of the vermian fossa and internal occipital crest in the Indian population. Materials and Methods: This was a cross-sectional study, with a sample size of 64, carried out for a period of three months in the Department of Anatomy. The fossa's morphometric dimensions and the vermian fossa's different shapes observed were documented. The internal occipital crest was observed for shape & length. All data was tabulated, analyzed, and summarized using mean and standard deviation. Results: The vermian fossa was present in 56(82.35%) bones. The type 1 variety was observed in 48(70.6%), type 2 variety in 1 (1.1%) bone and type 3 - atypical variety in 10.3%. The mean length and width of the vermian fossa was 8.9 ±4.41 mm and 8.02±3.50 mm, respectively. The internal occipital crest was sharp in 37(54.4%) bones, rounded in 24(35.3%) bones and wide in 6(8.8%) bones and ill-defined in one bone. The mean length of the internal occipital crest from the internal occipital protuberance to the posterior margin of the foramen magnum was 4.16±0.56 cm. Conclusion: An accurate knowledge of morphology and morphometry of vermian fossa and internal occipital crest and their variations is of significance in diagnostic and therapeutic performance of clinicians and radiologists. Variations in normal anatomical features need to be explored. Hence, this is of importance to anatomists and morphologists. KEY WORDS: occipital crest, vermian fossa, morphology, morphometry, cerebellum.

Posteromedial Portal Technique With Bone–Patellar Tendon–Bone Graft for Inside-Out Revision of Anterior Cruciate Ligament Reconstruction

Bone–patellar tendon–bone (BTB) is a graft material used in anterior cruciate ligament (ACL) reconstruction. We describe creating a femoral tunnel using an inside-out posteromedial (PM) portal technique during anatomic double-bundle ACL reconstruction with a hamstring graft. We hypothesized that applying this femoral tunnel creation method to the revision ACL reconstruction using BTB would enable reconstruction in 1 stage. In this technique, an anteromedial, an anterolateral, and a PM portal are created to confirm the original ACL footprint and location and direction of the bone tunnel during primary reconstruction. The surgeon then drills from the PM portal, so that the femoral tunnel opening touches the posterior proximal articular cartilage margin in the ACL footprint. Even if the opening partially overlaps with the primary tunnel, it is possible to create a new tunnel with a different direction. Finally, the BTB graft is guided from the tibial tunnel to the femoral tunnel and fixed with interference screws. Intraoperative PM arthroscopic views can confirm that the femoral tunnel has been created, avoiding overlap, and that the revision ACL has been reconstructed. This procedure may be useful for 1-stage revision ACL reconstruction for reinjury after primary ACL reconstruction by other conventional procedures.

The clinical results of bi-cruciate vs posterior stabilized total knee arthroplasty for flexion contracture in osteoarthritic knee.

The improvement of flexion contracture is important in knee arthroplasty since residual flexion contracture postoperatively is associated with decreased quality of life and patient satisfaction. In this study, we investigated the effect of bi-cruciate stabilized (BCS)-type total knee arthroplasty (TKA) as compared to posterior stabilized (PS)-type TKA on osteoarthritic primary knees with flexion contractures. 59 TKAs from January 2014 to December 2020, of which 30 were PS-type TKAs (NexGen LPS-flexⓇ; 76.3years, BMI 27.5) and 29 BCS-type TKAs (Journey IIⓇ; 72.5years, BMI 28.6), were performed for knee osteoarthritis with preoperative flexion contracture of 15° or greater. Full extension was obtained intraoperatively during all TKAs. Clinical outcomes, radiological evaluations, and the amount of additional distal femoral osteotomy during TKA were evaluated in a retrospective study design. The range of motion improved in the both groups. Postoperative flexion contracture was significantly improved in the BCS group. Knee Society Score improved significantly in both groups, with no difference between the two groups. The amount of additional distal femoral osteotomy was 2.5 ± 1.3mm for the PS group, and 1.8 ± 1.5mm for the BCS group, showing a significant difference (p = 0.04). The BCS-type TKA significantly improved preoperative flexion contracture and reduced the amount of additional distal femoral osteotomy compared to PS-type TKA. This is attributed to the anterior cam in the BCS-type TKA, which leads to a smaller amount of protrusion of the posterior femoral condyle from the posterior margin of the tibial component in the BCS-type in knee extension, as compared to the PS-type.

Revision ACL-R With Contralateral BTB Autograft and Iliotibial Band Lateral Extra-Articular Tenodesis With Interference Screw Fixation: A Technique Video

Background: Lateral extra-articular tenodesis (LET) is a reproducible and reliable technique to assist in control of rotational stability of the knee and decrease forces across an anterior cruciate ligament (ACL) graft in the setting of ACL reconstruction. Bone-tendon-bone (BTB) autograft is a common graft choice in revision ACL reconstruction. We present a technique for combining contralateral BTB autograft with LET in revision ACL reconstruction. Indications: This technique is indicated in patients undergoing ACL reconstruction who are at increased risk of graft failure, including revision cases, high-grade rotational instability, return to pivoting/cutting sports, ligamentous laxity, young age, meniscal deficiency, and hyperextension/recurvatum. Technique Description: The contralateral BTB autograft is harvested through standard fashion. We begin with the LET dissection prior to fluid infiltration in the soft tissues. A 1-cm strip of iliotibial (IT) band is harvested and whipstitched. The IT band strip is passed from anterior to posterior deep to the lateral collateral ligament (LCL). The LET socket is aimed 10° proximal and 10° anterior to limit tunnel convergence with the ACL. The LET is fixed with a tenodesis screw with the knee in neutral rotation and 30° of flexion. The ACL femoral socket is then placed, and care is taken to avoid convergence. A 10-mm tibial tunnel is drilled near the level of the posterior margin of the anterior horn of the lateral meniscus. The ACL is subsequently fixed with standard techniques. Results: The addition of LET to revision ACL has been shown to improve failure rate and outcomes. The use of contralateral patella tendon graft reduces morbidity on the operated leg. Notably, the position of the femoral LET tunnel is less important than the ACL tunnel position on the femur. If the LET is passed under the LCL, then the fixation point on femur becomes less relevant. The technique presented is a time-efficient way for combining tenodesis with revision ACL. Discussion/Conclusion: Performing a revision ACL reconstruction utilizing contralateral donor tissue with the addition of LET is a viable and reliable option for competitive athletes. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form.

Gudgeon from the Emel River and Problems of the Gudgeon Taxonomy (Genus Gobio, Cyprinidae) in Kazakhstan and Siberia

A comparative morphological analysis of the gudgeons from the genus Gobio from the collection of the Zoological Museum of Lomonosov Moscow State University enables to describe the gudgeon specimens from the Emel River (Basin of Lake Alakol, south-eastern part of Kazakhstan) as a new species. The new species differs from other gudgeon species distributed in Kazakhstan and neighboring territories by the set of characters and is characterized by a short snout, the length of which is usually less than the postorbital distance; long barbels, usually extending beyond the posterior margin of the eye (always extending beyond the middle of the eye); the absence of scales on the breast, the presence of usually 12 or more black spots along the side, a low body, and a relatively short head. The validity of Gobio latus inhabiting the basin of Lake Issyk-Kul has been restored. The key for diagnosing species of the genus Gobio in Kazakhstan is provided.

Discovery of a new Afrotropical genus of flat wasps Ifrika gen. n. (Hymenoptera: Bethylidae)

ABSTRACT A new Afrotropical genus (Ifrika gen. n.) and three new species (Ifrika mnyama sp. n., Ifrika nyigu sp. n. and Ifrika wadudu sp. n.) are described and illustrated. A fourth species, Ifrika pauculihirta comb. n., is transferred from Dissomphalus. The males of this genus are easily recognised among the other genera of Pristocerinae by having the following combination of characteristics: the median clypeal lobe indistinct from the lateral ones, the dorsal pronotal area very short, the hypopygium with an inner membrane and a posterior margin deeply excavated, the genitalia with the harpe strongly incurved, almost fully divided, the aedeagus with a basal cover plate, the mediodorsal fold, and the median projection ventrally curved and apodeme dorsally curved. A key to all species and some comments on the Afrotropical Bethylidae fauna are also provided. http://www.zoobank.org/urn:lsid:zoobank.org:pub:76C9CD41-F991-4F4E-9E4C-C16E2F62ECC3

Effectiveness analysis of posterolateral approach lumbar interbody fusion assisted by one-hole split endoscope for L4, 5 degenerative lumbar spondylolisthesis

To compare the effectiveness of posterolateral approach lumbar interbody fusion assisted by one-hole split endoscope (OSE) and traditional posterior lumbar interbody fusion (PLIF) in the treatment of L4, 5 degenerative lumbar spondylolisthesis (DLS). The clinical data of 58 patients with DLS who met the selection criteria admitted between February 2020 and March 2022 were retrospectively analyzed, of which 26 were treated with OSE-assisted posterolateral approach lumbar interbody fusion (OSE group) and 32 were treated with PLIF (PLIF group). There was no significant difference between the two groups in terms of gender, age, body mass index, Meyerding grade, lower limb symptom side, decompression side, stenosis type, and preoperative low back pain visual analogue scale (VAS) score, leg pain VAS score, Oswestry disability index (ODI), and the height of the anterior and posterior margins of the intervertebral space (P>0.05). The operation time, intraoperative blood loss, postoperative hospital stay, and complications were compared between the two groups. The low back pain and leg pain VAS scores and ODI before operation, at 1 month, 6 months after operation, and last follow-up, the height of anterior and posterior margins of the intervertebral space before operation, at 6 months after operation, and last follow-up, the modified MacNab criteria at last follow-up after operation were used to evaluate the effectiveness; and the Bridwell method at last follow-up was used to evaluate the interbody fusion. Both groups successfully completed the operation. Compared with the PLIF group, the OSE group showed a decrease in intraoperative blood loss and postoperative hospital stay, but an increase in operation time, with significant differences (P<0.05). In the OSE group, no complication such as nerve root injury and thecal sac tear occurred; in the PLIF group, there were 1 case of thecal sac tear and 1 case of epidural hematoma, which were cured after conservative management. Both groups of patients were followed up 13-20 months with an average of 15.5 months. There was no complication such as loosening, sinking, or displacement of the fusion cage. The low back pain and leg pain VAS scores, ODI, and the height of anterior and posterior margins of the intervertebral space at each time point after operation in both groups were significantly improved when compared with those before operation (P<0.05). Except for the VAS score of lower back pain in the OSE group being significantly better than that in the PLIF group at 1 month after operation (P<0.05), there was no significant difference in all indicators between the two groups at all other time points (P>0.05). At last follow-up, both groups achieved bone fusion, and there was no significant difference in Bridwell interbody fusion and modified MacNab standard evaluation between the two groups (P>0.05). OSE-assisted posterolateral approach lumbar interbody fusion for L4, 5 DLS, although the operation time is relatively long, but the postoperative hospitalization stay is short, the complications are few, the operation is safe and effective, and the early effectiveness is satisfactory.

Population variation and sexual dimorphism in the deep-sea crab Parilia alcocki (Brachyura, Leucosiidae)

ABSTRACT Parilia alcocki is a deep-sea crab inhabiting the continental shelves and slopes of the eastern Arabian Sea and western Bay of Bengal at a depth of 128–457 m. No published information is available on its population characteristics and sexual dimorphism. The present study provides the first-ever insight into the population differentiation and sexual dimorphism in P. alcocki using Geometric Morphometric Analysis (GMA) of carapace and chela shapes. The Arabian Sea population possessed carapaces with a more pointed anterior and a rounded posterior margin as compared with the Bay of Bengal population. When chela shapes are compared, the Arabian Sea crabs possess an elongated, narrower arm, and shorter pollex. The observed shape variations could be attributed to heterogeneous habitat conditions in these regions which influence feeding and predation. Sexual dimorphism in carapace shapes was indiscernible. However, males exhibited wider intra-specific variations in carapace shape and show a larger average and maximum size for linear carapace measurements. Also, male crabs possess elongated and narrow arms and shorter pollex, whereas the females have a broader and shorter arm and longer pollex, indicative of classical sexual size dimorphism. Our study confirmed the suitability of GMA to understand the ecological and biological characteristics and trait-habitat linkages of P. alcocki.

Clinicopathological features of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma

Objective: To investigate the clinicopathological features, immunophenotype and gene alterations of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA). Methods: Fifteen case of TL-LGNPPA diagnosed at Zhejiang Cancer Hospital (5 cases) and the First Affiliated Hospital, Zhejiang University School of Medicine (10 cases) from November 2011 to August 2020 were collected. Clinical and pathological examinations, immunohistochemical staining and next-generation sequencing were performed. The clinicopathological and molecular characteristics were summarized, and relevant literature was reviewed. Results: Fifteen patients were identified and included. Their median age was 36 years (range, 20-60 years). The male-female ratio was 1.0∶1.1. The most common symptoms were epistaxis and nasal obstruction. The neoplasms were located on the roof of the nasopharynx or the posterior margin of the nasal septum. The pathological features included complex papillary and glandular structures mainly composed of single or pseudostratified cubic and columnar cells, with mild to moderate cytological atypia. In some cases, spindle cell features, nuclear grooves, ground glass nuclei, squamous metaplasia, or scattered psammoma bodies were identified. In addition, nuclear polar reversal cells, hobnail cells and micropapillary structures were found, but have not been reported in previous literature. Immunohistochemistry showed that the tumor cells were diffusely positive for TTF1, CK7, vimentin and CKpan; focally positive for p40, CK5/6 and p16; and negative for Tg, NapsinA, CK20, CDX2, S-100 and PAX8. The Ki-67 positive rates ranged from 1% to 20% and were≤10% in thirteen cases (13/15). EBER in situ hybridization was negative in all cases. DNA sequencing of 6 specimens was performed and all specimens were found harboring gene mutations (EWSR1, SMAD2, ROS1, JAK3, GRIN2A, ERRCC5, STAT3, and TET2), but no hot spot gene alterations were found. No MSI-H and MMR related gene changes were detected. All tumors showed low tumor mutation burden. All 15 patients underwent endoscopic surgery, and only 1 of them underwent radiotherapy postoperatively. All patients were recurrence free and alive at the end of follow-up periods (range: 23 to 129 months). Conclusions: TL-LGNPPA is a rare indolent tumor of the nasopharynx and exhibits a unique morphology and immunophenotype. Endoscopic resection is an effective treatment for TL-LGNPPA with excellent overall prognosis.

A new species of genus Probaisselcana (Orthoptera: Elcanidae) from mid-Cretaceous Burmese amber

A new species of family Elcanidae (Orthoptera: Elcanoidea), Probaisselcana oculata sp. nov., is described from mid-Cretaceous Burmese amber with well-preserved body and wing venation. It characterizes prominent compound eyes, metatibia with three pairs of broad leaf-like dorsal spurs and a proximal unpaired small leaf-like dorsal spur, metabasitarsus without a row of stiff, setae-like spines ventrally, vein of CuPa and CuPaα in the same length, vein of MP with five simply curve branches reaching posterior margin, two dark spots on forewings. These body features and combination of wing-venation characteristics differ it from all other known species of Probaisselcana and species from Burmese amber. A key to genus Probaisselcana is provided.

Two new species of the genus Anilocra Leach, 1818 (Isopoda: Cymothoidae) parasitic on reef fishes from the western Pacific.

Anilocra harazakii sp. nov. and Anilocra boucheti sp. nov. are described from specimens collected from Pterocaesio marri (Caesionidae) in the northern Ryukyu Islands, Japan and Myripristis kuntee (Holocentridae) off Madang, Papua New Guinea, respectively. Anilocra harazakii sp. nov. is characterized by the combination of the following characters in the female: the elongate narrow body dorsally vaulted; the pleonite 1 concealed by the pereonite 7; the uropod extending that of the angled pleotelson, and its endopod longer than the exopod; and the dactyli of only pereopods 2 and 3 with one nodule on anterior margins. Anilocra boucheti sp. nov. is characterized by the following: body with convex lateral margins; almost part of the pleonite 1 not concealed by the pereonite 7; pleonite 5 with posterolateral acute angle strongly produced; coxa 3 clearly smaller than coxae 1 and 2; the uropod not extending past the posterior margin of the pleotelson with the tip of one of the rami not exceeding the other; and the dactyli of pereopods 1-4 without nodules. Furthermore, the coloration, i.e., the orange body with black margins, of A. boucheti sp. nov. is unique. Bayesian inference tree using partial mitochondrial cytochrome c oxidase subunit I (COI) genes supported the monophyletic clade composed of the members of the genus Anilocra including the two new species. Since the wounds caused by A. harazakii sp. nov. are often hemorrhagic, the isopod might have severe negative effects on the host.

Effects on the Human Tear Film of Applying Skin Lipids to the Ocular Surface.

The effect of skin lipids on the formation and stability of the human tear film was investigated. Skin swab substances (SSSs) were applied to the eyes of volunteers and studied using fluorescein or with TearView, which records infrared emissivity showing tear film integrity in real time. Results were compared with similar experiments using castor oil, freshly collected meibum, or acetic acid, which simulated the low pH of the skin. Fluorescein and TearView results were comparable. TearView showed the natural unaltered tear film over the whole eye, instant changes to the tear film, and meibomian gland activity. Minimal amounts of SSS destroyed the integrity of the film and caused pain. Corneal epithelial damage could be detected. TearView showed that SSS stimulated meibomian gland secretion if applied directly to the posterior eyelid margin. Excess meibum had no effect on the tear film spread or integrity. Castor oil formed floating lenses on the tear film which were spread by a blink but then condensed back toward themselves. There was no pain or surface damage with these oils. SSS contamination of the ocular surface disrupts the tear film, causes stinging, and fluorescein staining of the corneal epithelial cells after a blink. SSS stimulates meibomian gland activity. It is possible that various ocular conditions associated with dry eye, such as blepharitis and ocular rosacea, may compromise a meibomian lipid barrier of the eye lid margin. Skin lipids would then have access to the ocular surface and cause dry eye symptoms.

Anatomical study of the bone morphology of the anterior talofibular ligament attachment.

Anterior talofibular ligament (ATFL) injuries are the most common cause of ankle sprains. To ensure anatomically accurate surgery and ultrasound imaging of the ATFL, anatomical knowledge of the bony landmarks around the ATFL attachment to the distal fibula is required. The purpose of the present study was to anatomically investigate the ATFL attachment to the fibula with respect to bone morphology and attachment structures. First, we analyzed 36 feet using microcomputed tomography. After excluding 9 feet for deformities, the remaining 27 feet were used for chemically debrided bone analysis and macroscopic and histological observations. Ten feet of living specimens were observed using ultrasonography. We found that a bony ridge was present at the boundary between the attachments of the ATFL and calcaneofibular ligament (CFL) to the fibula. These two attachments could be distinguished based on a difference in fiber orientation. Histologically, the ATFL was attached to the anterodistal part of the fibula via fibrocartilage anterior to the bony ridge indicating the border with the CFL attachment. Using ultrasonography in living specimens, the bony ridge and hyperechoic fibrillar pattern of the ATFL could be visualized. We established that the bony ridge corresponded to the posterior margin of the ATFL attachment itself. The ridge was obvious, and the superior fibers of the ATFL have directly attached anteriorly to it. This bony ridge could become a valuable and easy-to-use landmark for ultrasound imaging of the ATFL attachment if combined with the identification of the fibrillar pattern of the ATFL.

Molecular identification and morphological description of an unrecorded goby Bathygobius coalitus (Perciformes: Gobiidae), from Jeju-do, Korea

A single specimen of the whitespotted frillgoby, Bathygobius coalitus (Bennett, 1832), was collected from Jeju-do, Korea, in October 2020. The species is characterized by the absence of a flap on the nostril, the extension of the anterior tip of the predorsal scale beyond the posterior margin of the preopercle, and a pectoral fin with four upper rays free from membrane, each divided into two branches. Mitochondrial DNA cytochrome oxidase subunit I analysis revealed that the specimen corresponds to B. coalitus (99.8% similarity) rather than any of the three previously known congeneric Korean species. The species is newly recorded in the Korean fish fauna, and the proposed Korean name for the species is “Heuin-jeom-mu-nui-mang-dug”.

The genus Sofiella gen. nov. (Hemiptera, Cicadellidae, Cicadellini) with description of two new species from Brazil.

The Neotropical sharpshooter Sofiella gen. nov. is described and illustrated from the Araucaria moist forest in Southern and Southeastern Brazil (States of Paraná, Rio Grande do Sul and São Paulo) based on two new species, S. takiyae sp. nov. (type-species) and S. nicolasi sp. nov. The new genus shares features with Exogonia but can be differentiated by the pronotal width slightly narrower than the transocular width of the head; pygofer without setose processes; aedeagus bearing a pair of apical processes; female sternite VII with posterior margin convex; and second valvula with few long, not prominent teeth and a well developed preapical prominence.