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  1. Lim LH, Gibson DI
    Syst Parasitol, 2007 Jun;67(2):101-17.
    PMID: 17143570
    Two known and two new species of Diplectanocotyla Yamaguti, 1953 (D. gracilis Yamaguti, 1953, D. megalopis Rakotofiringa & Oliver, 1987, D. langkawiensis n. sp. and D. parva n. sp.) were collected from Megalops cyprinoides (Megalopidae) off Langkawi, Kedah and Matang, Perak, Peninsular Malaysia. All four species possess similar types of sclerotised male and female reproductive structures and similar soft anatomical features. The squamodisc sclerites of all four species have spine-like projections with varying degrees of visibility and shapes (sharp-pointed to triangular). In D. megalopis and D. langkawiensis n. sp. the spines are sharp-pointed and distinct on sclerites from rows 5-6 onwards. In D. gracilis and D. parva n. sp. the sclerite spines are triangular, lightly sclerotised and occur on almost all of the sclerites. D. parva n. sp. has comparatively the smallest set of anchors, bars, squamodiscs and squamodisc suckers. The anchors and bars of the other three species are almost similar in overall size, and the main distinguishing feature is the relative lengths of the inner and outer roots of the ventral anchors. In D. gracilis the outer root is very much smaller than the inner root and they are disposed almost at a right angle to each other. In D. megalopis the outer root is usually about half the length of the inner root and the roots are inclined at c.60 degrees to each other. In D. langkawiensis n. sp. the roots are inclined at c.40 degrees degrees and the outer root is of a similar length or only slightly shorter than the inner root. The openings of the two squamodisc suckers of all four Diplectanocotyla species are surrounded by tiny scale-like spines. Bifid tegumental spines are found in the posterior region of all four species, differing only in their extent: in D. parva n. sp. the tegumental spines are only distributed in the peduncular region and not beyond, whilst in the other three species the tegumental spines extend from the posterior level of the testis to the end of the peduncle. An amended diagnosis of Diplectanocotyla and a key to its species are appended.
  2. Lim LH, Timofeeva TA, Gibson DI
    Syst Parasitol, 2001 Nov;50(3):159-97.
    PMID: 11590306
    This is a catalogue and discussion of the known dactylogyridean monogenean genera of siluriform fishes of the Old World. Of a total of 38 nominal genera, only 19 are considered valid. Seventeen of these 19 genera are currently in the Ancyrocephalidae (containing the Ancyrocephalinae and Ancylodiscoidinae), whilst the other two (Neocalceostoma and Neocalceostomoides) are in the Neocalceostomatidae. The 17 genera are Anchylodiscus, Ancylodiscoides, Bagrobdella, Bifurcohaptor, Bychowskyella, Chauhanellus, Cornudiscoides, Hamatopeduncularia, Mizelleus, Paraquadriacanthus, Pseudancylodiscoides, Protoancylodiscoides, Quadriacanthus, Schilbetrema, Schilbetrematoides, Synodontella and Thaparocleidus. Clariotrema Long, 1981 and Neobychowskyella Ma, Wang & Li, 1983 are considered synonyms of Bychowskyella Akhmerov, 1952, Anacornuatus Dubey, Gupta & Agarwal, 1992 is considered a synonym of Quadriacanthus Paperna, 1961, Mizellebychowskia Gupta & Sachdeva, 1990 is considered a synonym of Neocalceostoma Tripathi, 1959 and Hargitrema Tripathi, 1959 is treated as a synonym of Hamatopeduncularia Yamaguti, 1953. It is proposed that the Ancylodiscoidinae be raised to family status within the order Dactylogyridea to accommodate these 17 'ancyrocephalid' genera from siluriforms, together with Malayanodiscoides and Notopterodiscoides from notopterids. A key and the diagnostic characteristics of the 19 recognised dactylogyridean genera from catfishes plus two from notopterids, together with a list of species and synonyms, are included. New combinations made in this work are Thaparocleidus avicularia (Chen, 1987) n. comb., T. calyciflorus (Chen, 1987) n. comb., T. choanovagina (Luo & Lang, 1981) n. comb., T. dissimilis (Chen, 1988) n. comb., T. leiocassis (Reichenbach-Klinke, 1959) n. comb., T. meticulosa (Chen, 1987) n. comb., T. parasoti (Zhao & Ma, 1999) n. comb., T. persculpus (Chen, 1987) n. comb., T. valga (Chen, 1987) n. comb. and T. wulingensis (Yao & Wang, 1997) n. comb. [all from Silurodiscoides] and Bychowskyella glyptothoraci (Ma, Wang & Li, 1983) n. comb. [from Neobychowskyella].
  3. Botto F, Alonso-Coello P, Chan MT, Villar JC, Xavier D, Srinathan S, et al.
    Anesthesiology, 2014 Mar;120(3):564-78.
    PMID: 24534856 DOI: 10.1097/ALN.0000000000000113
    BACKGROUND: Myocardial injury after noncardiac surgery (MINS) was defined as prognostically relevant myocardial injury due to ischemia that occurs during or within 30 days after noncardiac surgery. The study's four objectives were to determine the diagnostic criteria, characteristics, predictors, and 30-day outcomes of MINS.

    METHODS: In this international, prospective cohort study of 15,065 patients aged 45 yr or older who underwent in-patient noncardiac surgery, troponin T was measured during the first 3 postoperative days. Patients with a troponin T level of 0.04 ng/ml or greater (elevated "abnormal" laboratory threshold) were assessed for ischemic features (i.e., ischemic symptoms and electrocardiography findings). Patients adjudicated as having a nonischemic troponin elevation (e.g., sepsis) were excluded. To establish diagnostic criteria for MINS, the authors used Cox regression analyses in which the dependent variable was 30-day mortality (260 deaths) and independent variables included preoperative variables, perioperative complications, and potential MINS diagnostic criteria.

    RESULTS: An elevated troponin after noncardiac surgery, irrespective of the presence of an ischemic feature, independently predicted 30-day mortality. Therefore, the authors' diagnostic criterion for MINS was a peak troponin T level of 0.03 ng/ml or greater judged due to myocardial ischemia. MINS was an independent predictor of 30-day mortality (adjusted hazard ratio, 3.87; 95% CI, 2.96-5.08) and had the highest population-attributable risk (34.0%, 95% CI, 26.6-41.5) of the perioperative complications. Twelve hundred patients (8.0%) suffered MINS, and 58.2% of these patients would not have fulfilled the universal definition of myocardial infarction. Only 15.8% of patients with MINS experienced an ischemic symptom.

    CONCLUSION: Among adults undergoing noncardiac surgery, MINS is common and associated with substantial mortality.

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