Permethrin-impregnated bednets reduce nuisance arthropods in Gambian houses

The prevalence of bedbugs (Cimex hemipterus L.), chicken ticks (Argas persicus Oken) and headlice (Pediculus capitis De Geer) was surveyed in a rural area of The Gambia. At the beginning of the study 37.5% of children's beds were infested with bedbugs and 3.9% with chicken ticks, whilst the prevalence rate of pediculosis in children under 10 years old was 28.8%. Both bedbugs and headlice were clustered within compounds. Headlice prevalence increased with hair length and they were more common on girls than boys. Following this cross-sectional survey all bednets in the sixteen hamlets were either dipped in permethrin or a placebo. About 4 months later it was found that bedbugs and chicken ticks had disappeared from homes in which the bednets had been impregnated with permethrin. There was no reduction in hamlets with placebo-treated bednets. The rate of acquiring headlice between the two surveys was reduced by 91.1% in children who slept under insecticide-treated bednets compared with children with placebo-treated bednets. There were also significantly fewer day-flying and crawling insects, except earwigs, in homes of children who slept under insecticide-treated bednets compared with those with placebo-treated nets. These additional benefits of permethrin-treated bednets should contribute to their widespread acceptance and utilization by the community for personal protection.     

The hatching stimulus for eggs of Aedes punctor (Diptera: Culicidae)

ABSTRACT.

• 1 Eggs of the British woodland mosquito, Aedes punctor (Kirby), were subjected to a variety of media in an attempt to determine the hatching stimulus.
• 2 It was found that continuous immersion in distilled water evoked almost no hatching (0.2%); intermittent removal from the water gave low hatching (8.9%).
• 3 Slow deoxygenation of the medium by either bacterial growth or the introduction of nitrogen produced the highest level of hatching (26.0–90.0%). Eggs of A.punctor were shown to hatch within a 4 h period of the oxygen concentration in the medium reaching zero.

     

The germination of mould spores at controlled humidities

Observations have been made on the influence of humidity on spore germination, the rate of elongation of the germ tubes and the production of asexual and sexual fructifications of various mould fungi. The humidity range at which the different species developed is given. Some of the Mucorales and certain pathogenic moulds required high humidities (100-93%) for their successful growth. Penicillium spp. had a wider humidity range (100-80%). Aspergillus spp. were able to grow under conditions of even more restricted moisture supply. Spores of members of the A. glaucus group, particularly, germinated and developed at humidities as low as 70-64%. The reasons for variations in the humidity range of the different species are discussed. The influence of the supply of nutrients on spore germination and subsequent mould growth is considered.     

Role of ultrasonography in diagnosing early rheumatoid arthritis and remission of rheumatoid arthritis - a systematic review of the literature

Introduction

Ultrasonography (US) might have an added value to clinical examination in diagnosing early rheumatoid arthritis (RA) and assessing remission of RA. We aimed to clarify the added value of US in RA in these situations performing a systematic review.

Methods

A systematic literature search was performed for RA, US, diagnosis and remission. Methodological quality was assessed; the wide variability in the design of studies prohibited pooling of results.

Results

Six papers on the added value of US diagnosing early RA were found, in which at least bilateral metacarpophalangeal (MCP), wrists and metatarsophalangeal (MTP) joints were scanned. Compared to clinical examination, US was superior with regard to detecting synovitis and predicting progression to persistent arthritis or RA. Eleven papers on assessing remission were identified, in which at least the wrist and the MCP joints of the dominant hand were scanned. Often US detected inflammation in patients clinically in remission, irrespective of the remission criteria used. Power Doppler signs of synovitis predicted X-ray progression and future flare in patients clinically in remission.

Conclusions

US appears to have added value to clinical examination for diagnosing of RA when scanning at least MCP, wrist and MTP joints, and, when evaluating remission of RA, scanning at least wrist and MCP joints of the dominant hand. For both purposes primarily power Doppler US might be used since its results are less equivocal than those of greyscale US.     

The relation between cartilage biomarkers (C2C,C1,2C,CS846, and CPII) and the long-term outcome of rheumatoid arthritis patients within the CAMERA trial

Introduction  

The aim of this study was to investigate whether serum biomarker levels of C2C, C1,2C, CS846, and CPII can predict the long-term course of disease activity and radiographic progression early in the disease course of rheumatoid arthritis (RA).