This study examines the utility of resistant varieties and their associated resistance genes against brown planthopper, Nilaparvata lugens (Stål), populations from South and South East Asia. A collection of 39 rice accessions that included resistant, tolerant and susceptible varieties and breeding lines were examined for performance against populations of N. lugens from India (4), Bangladesh (1), Myanmar (1), Vietnam (1), Indonesia (1), China (1), Taiwan (1), and the Philippines (2). Planthopper virulence varied between regions; however only 6 varieties were generally less damaged than the susceptible check Taichung Native 1 (TN1) among ≥50% of the test populations. Each of these 6 varieties contained multiple resistance genes. One further variety, also with multiple resistance genes, and a modern cultivar (possibly with the Bph3 gene) were moderately effective against the South Asian populations, whereas a traditional variety with the Bph6 gene was effective against South East Asian populations. Bph1, bph2, bph5, bph7, bph8, Bph9, Bph10 and Bph18 were ineffective against most planthopper populations. Bph20, Bph21, and Bph17 have potential to be used in resistance breeding in both South and South East Asia, whereas BPH25 and BPH26 have potential for use in South Asia. The results indicate that only a few of the currently available resistance genes will be effective in monogenic rice lines; but that pyramiding of two or more genes with strong to weak resistance could improve resistance strength and durability as apparent with the most resistant, traditional varieties. Strategies to avoid planthopper adaptation to resistant rice varieties are discussed.

This study examines aspects of virulence to resistant rice varieties among planthoppers and leafhoppers. Using a series of resistant varieties, brown planthopper, Nilaparvata lugens, virulence was assessed in seedlings and early-tillering plants at seven research centers in South and East Asia. Virulence of the whitebacked planthopper, Sogatella furcifera, in Taiwan and the Philippines was also assessed. Phylogenetic analysis of the varieties using single-nucleotide polymorphisms (SNPs) indicated a clade of highly resistant varieties from South Asia with two further South Asian clades of moderate resistance. Greenhouse bioassays indicated that planthoppers can develop virulence against multiple resistance genes including genes introgressed from wild rice species. Nilaparvata lugens populations from Punjab (India) and the Mekong Delta (Vietnam) were highly virulent to a range of key resistance donors irrespective of variety origin. Sogatella furcifera populations were less virulent to donors than N. lugens; however, several genes for resistance to S. furcifera are now ineffective in East Asia. A clade of International Rice Research Institute (IRRI)-bred varieties and breeding lines, without identified leafhopper-resistance genes, were highly resistant to the green leafhopper, Nephotettix virescens. Routine phenotyping during breeding programs likely maintains high levels of

The purposes of this study were to revisit the utility of ultrasonography (USG) as a primary imaging modality in acute appendicitis (AA) and to establish the role of CT scan as a second-line/problem-solving modality. All cases of suspected AA were referred for urgent USG. USG was done with standard protocol for appendicitis. Limited computed tomographic (CT) scan [NCCT ± CECT (IV contrast only)] was done for the lower abdomen and pelvis where sonographic findings were equivocal. One hundred and twenty-one patients were referred for USG for suspected appendicitis. Eight-four patients underwent surgery for AA based on clinical as well as imaging findings, of whom 76 had appendicitis confirmed at histopathology. Three patients were misdiagnosed (3.6 %) on USG as appendicitis. Of 76 patients of appendicitis confirmed histopathologically, 63 (82.8 %) had features of appendicitis on USG and did not require any additional imaging modality. Of 121 patients, 12 (10 %) needed CT scan because of atypical features on USG. Of these 12 patients, seven had retrocecal appendicitis, and three high-up paracolic appendicitis. USG alone had sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of 81, 88, 92.6, 71.6, and 83 %, respectively. When combined with CT scan in select cases, the sensitivity, specificity, PPV, NPV, and accuracy of combined USG + CT scan were 96 % (P 00.0014), 89 %, 93 %, 93.5 % (P00.0001), and 93 % (P00.0484), respectively. Twentyeight (23 %) patients were given alternative diagnosis on USG. Dedicated appendiceal USG should be used as a primary imaging modality in diagnosing or excluding AA. Appendiceal CT can serve as a problem-solving modality.

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