What's Old Is New Again: The Re-emergence of Yellow Fever in Brazil and Vaccine Shortages.

Yellow fever outbreaks have continued to occur and caused infection and deaths in travelers from non-endemic regions. Yellow fever vaccine has proven effective, but vaccination decisions require balancing benefits with risks. Of concern is the continued vaccine shortage worldwide, including of the YF-VAX® stockout in North America, which has presented many challenges.

A Heterozygous NDUFV1 Variant Aggravates Mitochondrial Complex I Deficiency in a Family with a Homoplasmic ND1 Variant.

We demonstrate that a heterozygous nuclear variant in the gene encoding mitochondrial complex I subunit NDUFV1 aggravates the cellular phenotype in the presence of a mitochondrial DNA variant in complex I subunit ND1. Our findings suggest that heterozygous variants could be more significant in inherited mitochondrial diseases than hitherto assumed.

Zika virus infection in 18 travellers returning from Surinam and the Dominican Republic, The Netherlands, November 2015-March 2016.

PURPOSE: We report 18 cases of confirmed Zika virus (ZIKV) infection in travellers returning to the Netherlands from Surinam (South America, bordering northern Brazil) and the Dominican Republic. METHODS: In a multi-centre study, we collected epidemiological, virological and clinical characteristics, as well as data on travel history, underlying illness and laboratory results of the 18 imported ZIKV infection cases using a standardised form. RESULTS: Most cases had a self-limiting course of disease, two patients developed complications, one had Guillain-Barré and another had severe thrombocytopenia. Four patients had underlying illness. One of the reported cases was pregnant. Three of 13 patients tested had a weak-positive result for dengue IgM. The majority of patients were born in Suriname and/or visiting friends and relatives (VFR). CONCLUSIONS: Providing pre-travel advice among travellers, especially VFR travellers, is needed to enhance the use of preventive measures against ZIKV infection. Further evidence on health risks associated with ZIKV infection is urgently needed.

Short-term effect of strontium- and zinc-containing toothpastes and mouthrinses on volatile sulphur compounds in morning breath: a randomized, double-blind, cross-over clinical study.

Zinc (Zn) reduces the formation of volatile sulphur compounds (VSCs) associated with oral malodour. Although strontium (Sr) is included in some products for reducing dental hypersensitivity, it may also have anti-halitosis properties. This randomized, double-blind, cross-over clinical study compared the anti-VSC effect of brushing with commercial toothpastes and rinses containing Zn and Sr. The volunteers (n = 30) either brushed/rinsed with/without tongue brushing using Zn-containing toothpaste/rinse, Sr-containing toothpaste/rinse, or placebo (control). Volatile sulphur compounds [hydrogen sulphide (H2 S) and methyl mercaptan (CH3 SH)] were measured, in morning breath, using gas chromatography. The anti-VSC effects of the test toothpastes and test rinses were significantly better than the anti-VSC effects of the respective controls. Toothbrushing with test toothpastes gave median reductions, compared with the control, of 70% for H2 S and 55-57% for CH3 SH. Rinsing with the Sr- and Zn-containing solutions had the same anti-VSC effect as toothbrushing and tooth- and tongue brushing with the Sr- and Zn-containing toothpastes. Zinc-containing rinse resulted in a significantly higher median salivary level of Zn compared with brushing with Zn-containing toothpaste, although this effect did not correlate with the anti-VSC effect. It can be concluded that the Sr- and Zn-containing toothpastes and the Zn- and Sr-containing rinses, when used in the evening, are equally effective in reducing morning-breath VSCs the following day.

Prevalence of actinic cheilitis in a population of agricultural sugarcane workers.

Actinic cheilitis (AC) is a pre-malignant inflammatory reaction of the lips caused by continuous exposure to solar rays. The aim of this study was to assess the prevalence of AC in a population of sugarcane workers in Brazil. 1,539 individuals who were exposed to the sun during working hours and 150 individuals who were not exposed were screened for clinical signs of AC. The sample was classified according to years of exposure to the sun, ethnicity, gender smoking and severity of the lesion. A 9.16% (n= 141) prevalence of AC was observed among the population which had been exposed to the sun. The prevalence of AC lesions was significantly higher among individuals who had been exposed to the sun for more than 10 years than among those who had been exposed for less than 10 years, and among Caucasians and males than non-Caucasians and females. It was concluded that the severity of the lesions was associated with time of exposure to the sun.

Nocturnal and diurnal activity of armored suckermouth catfish (Loricariidae: Pterygoplichthys) associated with wintering Florida manatees (Trichechus manatus latirostris)

Several Pterygoplichthys species, members of the Neotropical catfish family Loricariidae, have been widely introduced outside their native ranges. In this paper, I present observations on the diel activity pattern of non-native Pterygoplichthys, tentatively identified as P. disjunctivus, with respect to their attachment and grazing on endangered Florida manatees, Trichechus manatus latirostris. The study was conducted in December 2009 at Volusia Blue Spring, an artesianal spring system in the St. Johns River basin, Florida (USA). Supplemented by information gathered during previous visits to the spring site, this study revealed that adult Pterygoplichthys are active throughout the diel period (day, twilight and night). However, juvenile Pterygoplichthys were largely nocturnal and only at night did they consistently join adults in attaching to manatees. The juveniles generally remain hidden during the day, probably responding to presence of diurnal predators, mainly birds. Differences in diel behaviors among different Pterygoplichthys size classes in Florida are consistent with published observations on loricariids inhabiting clearwater streams within their native ranges.

Várias espécies de Pterygoplichthys, siluriformes Neotropicais da família Loricariidae, tem sido largamente introduzidos além de suas áreas naturais de ocorrência. Neste artigo, eu apresento observações dos padrões de atividade diária de uma população não nativa de Pterygoplichthys, identificada tentativamente como P. disjunctivus, associados com a espécie ameaçada de peixe-boi nativa da Flórida, Trichechus manatus latirostris. O estudo foi conduzido em dezembro de 2009 em Volusia Blue Spring um sistema artesiano na bacia do rio St. John, Flórida (USA). Suplementado por informações reunidas durante visitas prévias ao sítio em análise, este estudo revelou que Pterygoplichthys adultos estiveram ativos durante a maioria dos períodos (dia, crepúsculo e noite). No entanto, jovens foram principalmente noturnos e somente a noite eles uniram-se aos adultos sobre os peixes-boi. No sistema estudado na Flórida, jovens de Pterygoplichthys geralmente permanecem escondidos durante o dia, provavelmente respondendo a presença de predadores visuais diurnos, principalmente aves. As diferenças observadas na atividade diária entre diferentes classes de tamanho são semelhantes ao descrito para certos loricariídeos que habitam cursos d'água de águas límpidas em suas áreas nativas de ocorrência.

Nocturnal and diurnal activity of armored suckermouth catfish (Loricariidae: Pterygoplichthys) associated with wintering Florida manatees (Trichechus manatus latirostris)

Several Pterygoplichthys species, members of the Neotropical catfish family Loricariidae, have been widely introduced outside their native ranges. In this paper, I present observations on the diel activity pattern of non-native Pterygoplichthys, tentatively identified as P. disjunctivus, with respect to their attachment and grazing on endangered Florida manatees, Trichechus manatus latirostris. The study was conducted in December 2009 at Volusia Blue Spring, an artesianal spring system in the St. Johns River basin, Florida (USA). Supplemented by information gathered during previous visits to the spring site, this study revealed that adult Pterygoplichthys are active throughout the diel period (day, twilight and night). However, juvenile Pterygoplichthys were largely nocturnal and only at night did they consistently join adults in attaching to manatees. The juveniles generally remain hidden during the day, probably responding to presence of diurnal predators, mainly birds. Differences in diel behaviors among different Pterygoplichthys size classes in Florida are consistent with published observations on loricariids inhabiting clearwater streams within their native ranges.(AU)

Várias espécies de Pterygoplichthys, siluriformes Neotropicais da família Loricariidae, tem sido largamente introduzidos além de suas áreas naturais de ocorrência. Neste artigo, eu apresento observações dos padrões de atividade diária de uma população não nativa de Pterygoplichthys, identificada tentativamente como P. disjunctivus, associados com a espécie ameaçada de peixe-boi nativa da Flórida, Trichechus manatus latirostris. O estudo foi conduzido em dezembro de 2009 em Volusia Blue Spring um sistema artesiano na bacia do rio St. John, Flórida (USA). Suplementado por informações reunidas durante visitas prévias ao sítio em análise, este estudo revelou que Pterygoplichthys adultos estiveram ativos durante a maioria dos períodos (dia, crepúsculo e noite). No entanto, jovens foram principalmente noturnos e somente a noite eles uniram-se aos adultos sobre os peixes-boi. No sistema estudado na Flórida, jovens de Pterygoplichthys geralmente permanecem escondidos durante o dia, provavelmente respondendo a presença de predadores visuais diurnos, principalmente aves. As diferenças observadas na atividade diária entre diferentes classes de tamanho são semelhantes ao descrito para certos loricariídeos que habitam cursos d'água de águas límpidas em suas áreas nativas de ocorrência.(AU)

Cross-cultural evaluation of two drinking assessment instruments: alcohol timeline followback and inventory of drinking situations.

This article describes the psychometric characteristics of two major assessment instruments used in a World Health Organization (WHO) clinical trial: (a) Alcohol Timeline Followback (TLFB, which assesses daily drinking patterns), and (b) Inventory of Drinking Situations (IDS, which assesses antecedents to "heavy" drinking). Clients (N = 308) were outpatient alcohol abusers from four countries (Australia, Canada, Mexico, and Sweden). Generally, the Alcohol TLFB and IDS were shown to be reliable and valid with outpatient alcohol abusers in four countries, and in three languages. These results suggest that the Alcohol TLFB and the IDS can be used in clinical and research settings with Swedish-, Spanish-, and English-speaking alcohol abusers.