RESUMO RACIONAL: As lesões de via biliar (LVB) impõem sequelas significativas ao paciente em termos de morbidade, mortalidade e qualidade de vida a longo prazo, devendo ser manejadas em centros especializados. Variantes anatômicas podem contribuir para um maior risco de LVB durante colecistectomia. OBJETIVOS: Relatar paciente com lesão de via biliar associado a situs inversus totalis. MÉTODOS: Paciente do sexo feminino, 42 anos, com histórico prévio de situs inversus totalis e LVB inicialmente reparada simultaneamente à lesão, há 10 anos, por um cirurgião não especializado. Ela foi encaminhada a um centro especializado devido a episódios recorrentes de colangite e um padrão laboratorial colestático. Colangiressonância revelou uma grave estenose anastomótica. Devido à sua idade jovem e colangites recorrentes, foi submetida a uma revisão cirúrgica da hepaticojejunostomia com técnica de Hepp-Couinaud. Até onde sabemos, este é o primeiro relato de reparo de LVB em um paciente com situs inversus totalis. RESULTADOS: A hepaticojejunostomia realizado prèviamente foi desfeita e refeita empregando a técnica de Hepp-Couinaud, alta na placa hilar, com uma ampla abertura na confluência dos ductos biliares em direção ao ducto hepático esquerdo. A alça de roux anterior foi mantida. A recuperação pós-operatória transcorreu sem intercorrências, o dreno foi removido no sétimo dia pós-operatório, e a paciente está agora assintomática, com bilirrubina e enzimas canalículares normais, e sem mais episódios de colestase ou colangite. CONCLUSÕES: Variantes anatômicas podem aumentar a dificuldade tanto da colecistectomia quanto do reparo de LVB, o qual deve ser realizado em um centro especializado por cirurgiões hepatobiliares para garantir um manejo perioperatório seguro e um bom resultado a longo prazo. RACIONAL (LVB morbidade prazo especializados OBJETIVOS MÉTODOS feminino 4 anos 1 colestático anastomótica HeppCouinaud. HeppCouinaud Hepp Couinaud. Couinaud Hepp-Couinaud sabemos RESULTADOS HeppCouinaud, Couinaud, hilar esquerdo mantida pósoperatória pós operatória intercorrências pósoperatório, pósoperatório operatório, operatório pós-operatório assintomática normais CONCLUSÕES

ABSTRACT BACKGROUND: Bile duct injury (BDI) causes significant sequelae for the patient in terms of morbidity, mortality, and long-term quality of life, and should be managed in centers with expertise. Anatomical variants may contribute to a higher risk of BDI during cholecystectomy. AIMS: To report a case of bile duct injury in a patient with situs inversus totalis. METHODS: A 42-year-old female patient with a previous history of situs inversus totalis and a BDI was initially operated on simultaneously to the lesion ten years ago by a non-specialized surgeon. She was referred to a specialized center due to recurrent episodes of cholangitis and a cholestatic laboratory pattern. Cholangioresonance revealed a severe anastomotic stricture. Due to her young age and recurrent cholangitis, she was submitted to a redo hepaticojejunostomy with the Hepp-Couinaud technique. To the best of our knowledge, this is the first report of BDI repair in a patient with situs inversus totalis. RESULTS: The previous hepaticojejunostomy was undone and remade with the Hepp-Couinaud technique high in the hilar plate with a wide opening in the hepatic confluence of the bile ducts towards the left hepatic duct. The previous Roux limb was maintained. Postoperative recovery was uneventful, the drain was removed on the seventh post-operative day, and the patient is now asymptomatic, with normal bilirubin and canalicular enzymes, and no further episodes of cholestasis or cholangitis. CONCLUSIONS: Anatomical variants may increase the difficulty of both cholecystectomy and BDI repair. BDI repair should be performed in a specialized center by formal hepato-pancreato-biliary surgeons to assure a safe perioperative management and a good long-term outcome. BACKGROUND (BDI morbidity mortality longterm long term life expertise AIMS METHODS 42yearold yearold 42 year old nonspecialized non surgeon pattern stricture HeppCouinaud Hepp Couinaud knowledge RESULTS maintained uneventful postoperative post operative day asymptomatic enzymes CONCLUSIONS hepatopancreatobiliary hepato pancreato biliary outcome 4

Abstract Objective To characterize the sociodemographic and clinical variables of people with intestinal stomas. Materials and Methods We conducted a cross-sectional study with 47 patients of a Specialized Rehabilitation Center (CER II/APAE) in the municipality of Três Lagoas, state of Mato Grosso do Sul, Midwestern Brazil, from December 2019 to June 2020. Data was analyzed using inferential descriptive statistics (Anderson-Darling, Chi-squared, and Mann-Whitney normality tests). Results Regarding the patients, 87.23% were from Três Lagoas, 51.06% were female, 40.43% were aged from 60 to 69 years, 59.57% were married, 53.19% were brown, 59.57% were catholic, 36.17% finished elementary school, 46.81% were retired, and 57.45% earned a monthly income below 1 minimum wage. Moreover, 61.70% had undergone terminal colostomy (61.70%), 61.70% had received guidance about its placing, 57.45% had it placed due to situations of urgency, 74.47% had a stoma installed due to a neoplasia, 38.30% were permanent, with 46.81% located in the inferior left quadrant (ILQ), 59.57% presented pasty effluent, 63.83% had a circular diameter, 53.19% had pouches with 2 pieces and 57.45%, with a flexible base, 87.23% had other adjunct equipment, and 95.74% had been trained in self-care. The most common complication was skin/peristomal irritant contact dermatitis (59,57%), and 65,95% of these cases were solved by teaching self-care. The type of stoma was significantly associated with the consistency of the effluent and the size of the protrusion (p> 0.05). Conclusion The results found can support strategies to implement practices to promote health, develop new public policies, to provide training in self-care, and prevent and treat complications.

Resumo O artigo explora as raízes intelectuais das narrativas construídas pelo VOX. O foco de atenção está nas continuidades e rupturas ideológicas que são apreciáveis no imaginário político VOXista em relação aos seus precedentes ideológicos dos séculos XIX e XX. Nesse sentido, identificam-se duas genealogías essenciais quefazem parte do arco desse nacionalismo populista: o tradicionalismo antiliberal e o liberalismo conservador, e o catolicismo nacional. Pretendemos expbrar a questão de até que ponto o radicalismo de direita do VOX está enraizado nas culturas políticas do tradiáonalismo espanhol e até queponto é uma resposta síncrona aos desafios específicos que a democracia espanhola enfrentou na última década. A hipótese é que o discurso VOXista éfruto de múltiplas hibridizações, e constitui uma adaptação palimpsesto ao cânone da democracia liberal contemporânea.

Abstract This article analyzes the intellectual roots of the narratives built by VOX. The focus is on ideological continuities and ruptures that are noticeable in VOX's political imaginary concerning its ideological precedents in the 19th and 20th centuries. In this sense, we identify two essential genealogies that are part of the arc of populist nationalism: anti-liberal traditionalism, conservative liberalism and national-catholicism. Our aim is to explore the extent to which VOX's right-wing radicalism is rooted in the imagery of the political cultures of Spanish traditionalism and the extent to which it is a synchronous response to the specific challenges that the Spanish democracy has faced in the last decade. Our hypothesis is that VOX's discourse is the result of multiple hybridizations, and that it constitutes an adaptation -much like a palimpsest- to the liberal democratic canon.

Resumen El artículo explora las raíces intelectuales de las narrativas construidaspor VOX. El foco de atención se sitúa en las continuidades y rupturas ideológicas que son apreciables en el imaginario político VOXista con respecto a susprecedentes ideológicos de los siglos XIX y XX. En este sentido, se identifican dos genealogías esenciales que forman parte del arco de este nacionalismo populista: el tradicionalismo antiliberal y el liberalismo conservador, y el nacionalcatolicismo. Se pretende explorar la cuestión de hasta qué punto está enraizado el radicalismo de derechas del VOX en las culturas políticas del tradicionalismo español y hasta qué punto es una respuesta sincrónica a los desfíos específicos que ha enfrentado la democracia española en la última década. la hipótesis es que el discurso VOXista es resultado de múltiples hibridaciones, y constituye una adaptación en clave de palimpsesto al canon de la democracia liberal contemporánea.

Resumo: O efeito do ciclo hidrológico sobre a abundância de adultos e larvas dos curculionídeos Cyrtobagous salviniae e Cyrtobagous singularis do Pantanal foi testado e relacionado com a abundância das plantas hospedeiras, variáveis limnológicas e conectividade hidrológica de 10 baías do rio Cuiabá. Os adultos e larvas de C. salviniae foram mais abundantes do que C. singularis, e a abundância de larvas e adultos diferiu significativamente intra e interespecificamente. Adultos e larvas de ambas espécies foram mais abundantes em baías conectadas, mas apenas C. salviniae respondeu ao ciclo hidrológico, com a maior abundância de adultos durante o período de cheia, e maior abundância de larvas na enchente. A abundância de C. singularis foi relacionada negativamente com a predominância de C. salviniae, e a abundância de adultos e larvas de ambas espécies foi fraca e negativamente relacionada com as variáveis limnológicas e abundância das plantas hospedeiras. Os resultados demonstraram que a variação temporal na abundância de larvas e adultos e a dominância de C. salviniae foram influenciadas pela conectividade e ciclo hidrológico, mas não pelas variáveis limnológicas e abundância das macrófitas aquáticas.

Abstract: The effect of the hydrological cycle on the abundance of adults and larvae of the weevils Cyrtobagous salviniae and Cyrtobagous singularis in the Pantanal was tested and related to the host-plant abundance, limnological variables, and hydrological connectivity of 10 “bays” (lakes and ponds) along the Cuiabá River. Adults and larvae of C. salviniae were more abundant than C. singularis, and larvae and adult abundance differed significantly both within and between the two species. Adults and larvae of both species were more abundant in connected bays, but only C. salviniae responded to both connectivity and hydrological cycle, with the highest abundances during the high-water and rising-water periods for adults and larvae, respectively. Abundance of C. singularis was negatively related to the predominance of C. salviniae, and populations of adults and larvae of both species were slightly and negatively related to the limnological variables and host-plant abundance. The results showed that the temporal variation in larval and adult abundance and dominance of C. salviniae is influenced by hydrological cycle and connectivity, but not by limnological variables and host-plant abundance.

Resumen: La hispanidad se constituyó en un principio político durante buena parte del siglo XX español. Desde el cuño liberal conservador que proponía el ejercicio dialógico horizontal entre países que usaban la misma lengua para comunicarse, hasta el nacionalcatolicismo franquista, interesado de romper el cerco del aislacionismo internacional, el concepto hispanista ha seguido un sinuoso camino entre pragmatismo y voluntarismo. Este artículo propone que la Cumbre Iberoamericana, creada en 1991, y las propuestas de VOX para revisitar el concepto, y sus medidas migratorias, así como el término “hispanósfera”, constituyen capítulos del citado derrotero.

Abstract: Hispanic Community became a political principle for much of the Spanish 20th century. From the liberal conservative stamp that proposed the horizontal dialogical exercise between countries that used the same language to communicate, to Franco's national Catholicism, interested in breaking the fence of international isolationism, the Hispanic concept has followed a winding path between pragmatism and voluntarism. This article proposes that the Ibero-American Summit, created in 1991, and VOX's proposals to revisit the concept, and its migratory measures, as well as the term "Hispanic sphere", constitute chapters of the aforementioned course.

ABSTRACT Objective: The aim of this study was to evaluate long-term results of degenerative mitral valve regurgitation (MR) repair. Methods: Between January 2008 and December 2019, 457 patients (mean age 64.9±12.2 years; 61.1% men) with severe MR underwent MV repair surgery. Median follow-up was 3.0 years (IQR 4.1 years) and was completed in 98.7% of patients. Periodic echocardiographic studies were performed, and long-term survival, the recurrence rate of moderate-severe MR and the need for reintervention were analyzed. Results: At 10-year follow-up, long-term survival was high without significant differences according to the affected leaflet: between posterior leaflet 95±2.1%, and anterior leaflet 94±2.2% (p=0.54). Patients with preoperative functional class III/IV (n=142) presented higher mortality at follow-up: 13.9±4.1% vs. 2.7%±1.2% (p=0.001). The risk of recurrence for moderatesevere MR at the end of follow-up for the total group of patients was 14.6±4.3% and freedom from recurrence according to the affected leaflet was high without significant difference: posterior leaflet 90±3.4% and anterior leaflet 80 ± 8.5 (p=0.97). Finally, the need for reoperation in post-repair follow-up was 4.7±3.3% Conclusions: Long-term survival after MV repair is high and the need for reoperation is infrequent. There is a progressive increase in MR recurrence at the long-term follow-up.

RESUMEN Introducción: El objetivo del estudio es evaluar los resultados alejados de la reparación de la válvula mitral (VM) con insuficiencia de tipo degenerativo. Material y Métodos: Entre enero 2008 y diciembre 2019 se efectuó cirugía reparadora de la VM en 457 pacientes con insuficiencia mitral grave (IM). La edad promedio fue 64,9 ± 12,2 años, y 61,1% eran de sexo masculino. El seguimiento clínico mediana 3,0 (RIC 4,1 años) se completó en el 98,7% de los pacientes. Se efectuaron estudios ecocardiográficos de seguimiento en forma periódica, se analizó la sobrevida, la recurrencia de IM moderada-grave en forma global y según el tipo de valva afectada, y la necesidad de re intervención en el seguimiento alejado. Resultados: A 10 años de seguimiento la sobrevida alejada fue elevada sin diferencias significativas según la valva afectada: valva posterior 95 ± 2,1%, y valva anterior 94 ± 2,2% (p=0,54). El grupo de pacientes con clase funcional preoperatoria III/IV (n = 142) presentó mayor mortalidad al seguimiento: 13,9 ± 4,1% vs. 2,7% ± 1,2% (p = 0,001). El porcentaje de recurrencia de IM moderada-grave al finalizar el seguimiento para el grupo total de pacientes fue del 14,6 ± 4,3% y el periodo de libertad de recurrencia según valva afectada fue elevado sin diferencia significativas: valva posterior 90 ± 3,4% y valva anterior 80 ± 8,5 (p = 0,97). Por último, la necesidad de reintervención en el seguimiento post reparación fue del 4,7 ± 3,3 % Conclusiones: la sobrevida alejada post reparación de IM es elevada y la necesidad de reintervención poco frecuente. Existe un aumento progresivo en la recurrencia de IM en el seguimiento alejado.

ABSTRACT Due to the important ecological role of Nymphalidae as consumers of fermented fruits, excrement, exudates of decomposed plants and animals, as well as bioindicators of environmental quality that attract the interest of the general public, this study aimed to characterize the fauna of frugivorous butterflies at the Serra Azul State Park - PESA (Mato Grosso, Brazil) with regards to composition, taxonomic richness and spatial distribution. Collections were carried out in 2014 from six 250 m plots in a RAPELD module (5x5 km). We defined five sampling points in each plot and placed a Van Someren-Rydon trap (VSR), with a bait made from banana fermented in cane juice, positioned 1 m above the ground for 24 hours. We collected 204 specimens of Nymphalidae from five subfamilies, 22 genera, and 40 species. Satyrinae was the most abundant and species-rich subfamily. The community structure varied spatially, with the gallery forest presenting the greatest richness, diversity, and equitability, while ‘cerrado ralo’ presented higher abundance and less diversity and equitability. Therefore, according to the pattern of abundance in the PESA, species were best adapted to the log series model. Yphthimoides renata (Stoll, 1780) (Satyrinae), Hamadryas feronia (Linnaeus, 1758), and Callicore sorana (Godart, 1824) (Biblidinae) were the most abundant species, 19 species were singletons, and eight were doubletons. Richness estimators showed that 63% of all species were sampled. Our results indicate that the frugivorous butterfly community is structured according to phytophysiognomies, and the dominance of species that are tolerant to disturbances indicates landscape fragmentation within the PESA, which interferes with species substitution pattern and their abundances in different environments of the park.

Abstract: Background: Early education program (EEP) was created to support parents with 1 to 3 year olds living in poverty situation in Mexico, and includes education and child daycare for 8 h five days per week. The objective of this study was to evaluate the association between length of stay in EEP and the level of development in children. Methods: Cross sectional, population-based study conducted in two Mexican states. All children aged between 12 to 48 months enrolled in EEP from November 2014 to January 2015 were included. Child Development Evaluation (CDE) test was used to screen early development in every child. Normal early development prevalence odds ratio (OR) was calculated adjusted by gender, impairment and state, using as a reference those children with less than 30 days in the program. Results: The study included 3,387 children from 177 EEP nurseries, from which 53% were male; age by group was divided in 12-24 months (22.3%), 25-36 months (37.6%) and 37-42 months (40.1%). Normal development adjusted OR by age was 1.9 (CI95%: 1.30-2.78) for 6-11 months, 2.36 (CI95%: 1.60-3.50) for 12-17 months, 2.78 (CI95%: 1.65-4.65) for 18-23 months and 3.46 (CI95%: 2.13-5.60) for >24 months. By area of development, a greater probability of having a normal result for language and social areas was observed after 6 months in the program, and for motor (both gross and fine) and knowledge areas after 12 months. Conclusion: The length of the stay in the EEP after 6 months significantly and progressively increases the probability of normal development regardless of gender and age.

Resumen: Introducción: El Programa de Estancias Infantiles (PEI) se enfoca en padres de niños de 1-3 años en situación de pobreza. Incluye educación y cuidado de los niños por 8 h, 5 días por semana. El objetivo del estudio fue evaluar la asociación entre el tiempo de permanencia en el PEI y el nivel de desarrollo infantil. Métodos: Estudio transversal de base poblacional en dos estados de México. Se incluyeron todos los niños de 12-48 meses inscritos al PEI de noviembre de 2014 a enero de 2015. Se evaluó el nivel de desarrollo con la prueba EDI. Se calculó la razón de momios de prevalencia (RMP) para desarrollo normal por tiempo de estancia, ajustado por sexo, edad y discapacidad, teniendo como referencia a los niños que tenían < 30 días en el PEI. Resultados: Se incluyeron 3387 niños de 177 estancias infantiles: 53% de sexo masculino; 22.3% de 12-24 meses, 37.6% de 25-36 meses y 40.1% de 37-42 meses de edad. El RMP ajustado para desarrollo normal fue de 1.90 (IC95%:1.30-2.78) para 6-11 meses, 2.36 (IC95%:1.60-3.50) para 12-17 meses, 2.78 (IC95%:1.65-4.65) para 18-23 meses y 3.46 (2.13-5.60) para > 24 meses. Por área de desarrollo, se observó una mayor probabilidad de desarrollo normal a partir de 6 meses de estancia para lenguaje y social, y a partir de 12 meses para motor grueso, fino y conocimiento. Conclusiones: El tiempo de permanencia en el PEI a partir de 6 meses incrementa, de forma significativa y progresiva, la probabilidad de tener un desarrollo normal independiente del sexo y edad.

RESUMO Mutilídeos são parasitóides de formas imaturas de outros insetos, especialmente Hymenoptera aculeados. Eles são caracterizados pelo seu acentuado dimorfismo sexual: todas as fêmeas são ápteras, enquanto a maioria dos machos é alada. A família compreende cerca de 4.200 espécies e sua maior diversidade é encontrada nas regiões tropicais e subtropicais do mundo. Apesar do tamanho da família na Região Neotropical (cerca de 1.500 espécies, sendo 560 no Brasil), levantamentos da fauna de Mutillidae são escassos. O objetivo deste trabalho é apresentar uma lista atualizada das espécies de Mutillidae presentes no estado de Mato Grosso do Sul, Brasil, incluindo registros retirados da literatura, de coleções científicas e de coletas realizadas recentemente no estado. Um total de 114 espécies (incluindo 22 morfoespécies), distribuídas em 23 gêneros, três tribos e duas subfamílias foram registradas. Os gêneros com o maior riqueza foram Traumatomutilla André, 1901 (36 espécies), Timulla Ashmead, 1899 (14 spp.), Ephuta Say, 1836 (11 spp.) e Hoplomutilla Ashmead, 1899 (10 spp.).

ABSTRACT Mutillid wasps are parasitoids of mature larvae or pre-pupae of other insects, especially other aculeate Hymenoptera. They are characterized by a strong sexual dimorphism: all females are wingless, while males of most species have wings. The family comprises about 4,200 species and their greatest diversity occurs in the tropical and subtropical regions of the world. Despite the size of the family in the Neotropical Region (about 1,500 species, 560 in Brazil), surveys of the Mutillidae fauna are scarce. The purpose of this work is to present an updated list of Mutillidae species recorded for the state of Mato Grosso do Sul, Brazil, based on literature, museum records and new data. A total of 114 species (including 22 morphospecies) distributed in 23 genera, three tribes and two subfamilies were recorded. The richest genera were Traumatomutilla André, 1901 (36 species), Timulla Ashmead, 1899 (14 spp.), Ephuta Say, 1836 (11 spp.) and Hoplomutilla Ashmead, 1899 (10 spp.).

ABSTRACT The species-area relationship is one of the most consistent patterns in ecology, and fragmentation is a major cause of habitat loss. Environmental changes in a site can affect the spatial distribution of organisms. Knowledge of Mutillidae ecology is still scarce due to the lack of standardized sampling. Our aim was to: (1) determine the effect of habitat fragmentation on the Mutillidae community and (2) establish a standard method for sampling Mutillidae in ecological studies. Sampling was conducted in four fragments of Brazilian Savanna in an urbanized matrix. We used quadrats with different areas: 25 m2, 100 m2 and 400 m2 to verify sampling effort. Male and female Mutillidae were collected from each of these three treatments. Males were collected using Malaise traps while females were collected through active search. Ecological index, richness, abundance, and percent similarity between fragments were used to analyze the communities. The Kruskal-Wallis test was performed to verify differences between treatments. Nonparametric multivariate analysis of variance was used to determine community composition. Analysis of direct ordination of community with respect to the sample area size was performed. Three hundred individuals were collected; of which 201 were female, 99 male; belonging to 42 species distributed in 13 genera and two subfamilies. The richness, abundance and composition of the community were different between treatments. It was found that a 100 m2 quadrat was sufficient for comparison and application of ecological concepts and theories for the group.

Abstract:Background: The backbone of food allergy treatment is the restriction of causative foods. These interventions have shown that children who restrict the consumption of basic foods have a higher risk of malnutrition.The aim of the study was to identify the nutritional status of patients with elimination diet, characterizing their anthropometric indexes and identifying the percentage of patients in the group with true food allergies.Methods: A cross-sectional study was carried out from January to October 2014 at the Hospital Infantil de Mexico Federico Gomez. Patients 1 to 11 years of age with a history of elimination of at least one of five foods (eggs, milk, wheat, corn, soybeans) for a minimum of 6 months were included. Full nutritional assessment was performed by comparing the anthropometric indexes to z score for age. Data analysis used descriptive statistics. Kruskal-Wallis and Spearman correlation were performed.Results: The most frequent eliminated foods were milk, soy, eggs, corn, and wheat. Comparing the number of foods eliminated with different anthropometric indexes, with a greater amount of eliminated food, the z-score of weight/age (W/A), height/age (H/A) and weight/height (W/H) were lower and the most affected index was fat reserve. Only in 5% of children was food allergy confirmed.Conclusions The study confirms the need for nutrition counseling for patients who have elimination diets and overdiagnosis of food allergy.

Resumen:Introducción: La piedra angular del tratamiento de alergia alimentaria es la eliminación de los alimentos causantes. Sin embargo, los niños que restringen el consumo de alimentos básicos tienen un mayor riesgo de desnutrición.El objetivo del estudio fue identificar el estado nutricional de pacientes con dieta de eliminación e identificar la proporción de pacientes del grupo con verdadera alergia alimentaria.Métodos: Se realizó un estudio transversal de enero a octubre de 2014 en el Hospital Infantil de México Federico Gómez. Se incluyeron pacientes de 1 a 11 años con historia de eliminación de, al menos, uno de cinco alimentos (huevo, leche, trigo, maíz, soya) por un mínimo de 6 meses. Se realizó la valoración nutricional completa y se compararon los índices antropométricos con tablas de Z score para la edad. Se analizaron los datos por medio de estadística descriptiva, y posteriormente con prueba de Kruskal-Wallis y correlación de Spearman.Resultados: Los alimentos más frecuentemente eliminados fueron leche, soya, huevo, maíz y trigo. Al comparar el número de alimentos eliminados de la dieta con los distintos índices antropométricos evaluados, se encontró que entre mayor cantidad de alimentos eliminados, el score Z de peso para la edad (PE) y talla para la edad (TE), así como peso para la talla (PT) fueron menores, y el más afectado fue la reserva grasa. Solamente en el 5% de los niños se corroboró alergia alimentaria.Conclusiones: Nuestro estudio confirma la necesidad de una correcta asesoría nutricional en aquellos pacientes que cuenten con dietas de eliminación, así como el sobrediagnóstico que existe de alergia alimentaria.

Registramos duas espécies de Timulla Ashmead parasitando ninhos de Exomalopsis fulvofasciata (Hymenoptera: Apidae) em mata ciliar na região do Pantanal de Miranda, Mato Grosso do Sul, Brasil. Foram observados comportamentos das espécies de Timulla e primeiro registro de T. intermissa para o Pantanal Brasileiro.

Two species of Timulla Ashmead that parasitize nests of Exomalopsis fulvofasciata (Hymenoptera: Apidae) in riparian vegetation in the Miranda Pantanal, Mato Grosso do Sul, Brazil were recorded. Also, the behavior of Timulla species, and first report of T. intermissa in the Brazilian Pantanal was reported.