An outbreak of West Nile fever among migrants in Kisangani, Democratic Republic of Congo.

In February 1998, an outbreak of acute febrile illness was reported from the Kapalata military camp in Kisangani, the Democratic Republic of Congo. The illness was characterized by an acute onset of fever associated with severe headache, arthralgia, backache, neurologic signs, abdominal pain, and coughing. In 1 individual, hemorrhagic manifestations were observed. The neurologic signs included an altered level of consciousness, convulsions, and coma. Malaria was initially suspected, but the patients showed negative blood films and failed to respond to antimicrobial drugs. A total of 35 sera collected from the military patients in the acute phase were tested for the presence of IgM against vector-borne agents. Serum IgM antibodies against West Nile fever virus were found in 23 patients (66%), against Chikungunya virus in 12 patients (34%), against dengue virus in 1 patient (3%), and against Rickettsia typhi in 1 patient (3%). All sera were negative for IgM antibody against Rift Valley fever virus, Crimean Congo hemorrhagic fever virus, and Sindbis virus. These data suggest that infections with West Nile fever virus have been the main cause of the outbreak

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Need to increase awareness among family doctors and medical specialists of rickettsiosis as an import disease in non-endemic areas

Europeans travelling to (sub)-tropical countries have an increased risk for infections with Rickettsia. As serious consequences are associated with delay in specific antibiotic therapy, unequivocal diagnosis of this condition is needed. We focus here on the benefits of early, and consequences of late laboratory diagnosis, and emphasise the need of an increased awareness of rickettsioses among family doctors, as well as medical specialists, in non-endemic areas when evaluating patients with travel associated fever

Association of serum total antioxidant capacity and total oxidant status with pain perception in patients with myofacial pain dysfunction

We aimed to find out the association of total antioxidant capacity (TAC) and total oxidant status (TOS) with generalized pressure pain thresholds (PPT) of patients with myofacial pain dysfunction (MPD). PPT scores of patients with MPD (n 37) and healthy individuals (n 43) were measured on the hypothenar region of the hand using a mechanical algometer. Serum samples were collected and TAC and TOS were measured by novel methods. The TAC of patients was significantly lower than that of the control subjects. The difference between the TOS measurements of patients and control subjects was not significant. The PPT scores of the patients were significantly lower than that of control subjects. There may be an association between serum antioxidant capacity and MPD. Low serum TAC might also be related with pain perception. © 2009 Informa UK Ltd All rights reserved

Mechanical, thermal and morphological properties of durian skin fibre reinforced PLA biocomposites

Durian skin waste generated by durian fruit or Durio zibethinus Murray show potential as a new reinforcement basednatural fibre. Similar to other lignocellulosic fibre, durian skin fibre (DSF) is capable in reinforcing polylactic acid (PLA) through extrusion and injection moulding processes for various applications. In current study, the effects of fibre content and pre-treatment using 4% sodium hydroxide (NaOH) on DSF were investigated on impact and thermal properties of PLA biocomposites. Treated DSF significantly enhanced the properties of PLA biocomposites as compared to untreated biocomposite. PLA can be replaced by 30. wt% DSF for similar impact performance. Thermogravimetry analysis (TGA) demonstrated that pre-treated DSF improved the thermal stability of PLA biocomposite. Differential scanning calorimetry (DSC) showed the presence of pre-treated DSF minimally enhanced the glass transition temperature (T ), crystallization temperature (T ) and melting temperature (T ) relative to untreated DSF which suggests on better reinforcement with NaOH pre-treatmen