Acute Liver Failure Secondary to Hemophagocytic Lymphohistiocytosis during Pregnancy.

Hemophagocytic lymphohistiocytosis (HLH) is a syndrome of excessive immune activation that mimics and occurs with other systemic diseases. A 35-year-old female presented with signs of viral illness at 13 weeks of pregnancy and progressed to acute liver failure (ALF). We discuss the diagnosis of HLH and Kikuchi-Fujimoto (KF) lymphadenitis in the context of pregnancy and ALF. HLH may respond to comorbid disease-specific therapy, and more toxic treatment can be avoided

Seasonal Movements and Habitat Use of Juvenile Smooth Hammerhead Sharks in the Western North Atlantic Ocean and Significance for Management

Upper trophic level predators dramatically impacted by fisheries include the large-bodied hammerhead sharks, which have become species of conservation concern worldwide. Implementing spatial management for conservation of hammerhead populations requires knowledge of temporal distribution patterns and habitat use, identification of essential habitat for protection, and quantification of interactions with human activities. There is little such information for the smooth hammerhead shark, Sphyrna zygaena. We used fin-mounted satellite tags to examine the movements and habitat use of juvenile smooth hammerheads, a demographic segment particularly threatened by exploitation. Six sharks were tagged off the US mid-Atlantic and tracked for 49–441 days (mean 187 ± 136 days). Sharks consistently showed area-restricted movements within a summer core area in waters of the New York Bight and a winter core area off Cape Hatteras, North Carolina, with directed movements between them in autumn. There was high overlap of shark winter core area use and the Mid-Atlantic Shark Area (MASA) – a 7 month per year, bottom-longline fishery closure – indicating that this area closure offers seasonal reduction in fishing pressure for this species. Based on timing of shark movements and the MASA closure, protection for juvenile smooth hammerheads may be increased by beginning the closure period 1 month earlier than currently scheduled. Generalized additive mixed models revealed that area-restricted movements of sharks in their summer and winter core areas coincided with high primary productivity, and elevated sea surface temperature. Consistency in use of summer and winter core areas suggests that the coastal waters of the New York Bight and Cape Hatteras, North Carolina could be considered for Essential Fish Habitat designation for this species. This study reveals the first high resolution movements and habitat use for smooth hammerheads in the western North Atlantic to inform management planning for this population

Seasonal Movements and Habitat Use of Juvenile Smooth Hammerhead Sharks in the Western North Atlantic Ocean and Significance for Management

Upper trophic level predators dramatically impacted by fisheries include the large-bodied hammerhead sharks, which have become species of conservation concern worldwide. Implementing spatial management for conservation of hammerhead populations requires knowledge of temporal distribution patterns and habitat use, identification of essential habitat for protection, and quantification of interactions with human activities. There is little such information for the smooth hammerhead shark, Sphyrna zygaena. We used fin-mounted satellite tags to examine the movements and habitat use of juvenile smooth hammerheads, a demographic segment particularly threatened by exploitation. Six sharks were tagged off the US mid-Atlantic and tracked for 49–441 days (mean 187 ± 136 days). Sharks consistently showed area-restricted movements within a summer core area in waters of the New York Bight and a winter core area off Cape Hatteras, North Carolina, with directed movements between them in autumn. There was high overlap of shark winter core area use and the Mid-Atlantic Shark Area (MASA) – a 7 month per year, bottom-longline fishery closure – indicating that this area closure offers seasonal reduction in fishing pressure for this species. Based on timing of shark movements and the MASA closure, protection for juvenile smooth hammerheads may be increased by beginning the closure period 1 month earlier than currently scheduled. Generalized additive mixed models revealed that area-restricted movements of sharks in their summer and winter core areas coincided with high primary productivity, and elevated sea surface temperature. Consistency in use of summer and winter core areas suggests that the coastal waters of the New York Bight and Cape Hatteras, North Carolina could be considered for Essential Fish Habitat designation for this species. This study reveals the first high resolution movements and habitat use for smooth hammerheads in the western North Atlantic to inform management planning for this population

Empowerment and women in adventure tourism : a negotiated journey

Women’s participation in adventure tourism is growing, yet few studies have explored this group of tourists. This conceptual paper seeks to extend our understanding of female adventure tourists by examining the empowering journey women can take through constraint negotiation to enjoy the benefits of adventure tourism. Using content analysis to review the literature on women’s adventure experiences in tourism and recreation settings reveals prominent themes that have been consolidated to propose constraint, negotiation and benefit categories. A conceptual model is presented that illustrates the opportunities for women’s empowerment within these categories and examines the interrelationships and interdependency between them. The model shows that constraints, negotiations and benefits can be experienced simultaneously, at different points in a woman’s adventure tourism journey and used as a vehicle for empowerment. Women will also re-evaluate these categories before, during and after their adventure tourism experience. Therefore, the categories are not fixed and evolve each time a woman participates in adventure tourism throughout her life. Suggestions are made for further study in this under-researched area

Multiple reassortment events in the evolutionary history of H1N1 influenza A virus since 1918

The H1N1 subtype of influenza A virus has caused substantial morbidity and mortality in humans, first documented in the global pandemic of 1918 and continuing to the present day. Despite this disease burden, the evolutionary history of the A/H1N1 virus is not well understood, particularly whether there is a virological basis for several notable epidemics of unusual severity in the 1940s and 1950s. Using a data set of 71 representative complete genome sequences sampled between 1918 and 2006, we show that segmental reassortment has played an important role in the genomic evolution of A/H1N1 since 1918. Specifically, we demonstrate that an A/H1N1 isolate from the 1947 epidemic acquired novel PB2 and HA genes through intra-subtype reassortment, which may explain the abrupt antigenic evolution of this virus. Similarly, the 1951 influenza epidemic may also have been associated with reassortant A/H1N1 viruses. Intra-subtype reassortment therefore appears to be a more important process in the evolution and epidemiology of H1N1 influenza A virus than previously realized

Effects Of Length, Complexity, And Grammatical Correctness On Stuttering In Spanish-Speaking Preschool Children

Purpose: To explore the effects of utterance length, syntactic complexity, and grammatical correctness on stuttering in the spontaneous speech of young, monolingual Spanish-speaking children. Method: Spontaneous speech samples of 11 monolingual Spanish-speaking children who stuttered, ages 35 to 70 months, were examined. Mean number of syllables, total number of clauses, utterance complexity (i.e., containing no clauses, simple clauses, or subordinate and/or conjoined clauses), and grammatical correctness (i.e., the presence or absence of morphological and syntactical errors) in stuttered and fluent utterances were compared. Results: Findings revealed that stuttered utterances in Spanish tended to be longer and more often grammatically incorrect, and contain more clauses, including more subordinate and/or conjoined clauses. However, when controlling for the interrelatedness of syllable number and clause number and complexity, only utterance length and grammatical incorrectness were significant predictors of stuttering in the spontaneous speech of these Spanish-speaking children. Use of complex utterances did not appear to contribute to the prediction of stuttering when controlling for utterance length. Conclusions: Results from the present study were consistent with many earlier reports of English-speaking children. Both length and grammatical factors appear to affect stuttering in Spanish-speaking children. Grammatical errors, however, served as the greatest predictor of stuttering.Communication Sciences and Disorder

Genetic diversity of Brazilian isolates of feline immunodeficiency virus

We isolated Feline immunodeficiency virus (FIV) from three adult domestic cats, originating from two open shelters in Brazil. Viruses were isolated from PBMC following co-cultivation with the feline T-lymphoblastoid cell line MYA-1. All amplified env gene products were cloned directly into pGL8MYA. The nucleic acid sequences of seven clones were determined and then compared with those of previously described isolates. The sequences of all of the Brazilian virus clones were distinct and phylogenetic analysis revealed that all belong to subtype B. Three variants isolated from one cat and two variants were isolated from each of the two other cats, indicating that intrahost diversity has the potential to pose problems for the treatment and diagnosis of FIV infection