To characterize the profile of non-AIDS-related comorbidities (NARC) in the older HIV-1infected population and to explore the factors associated with multiple NARC. Methods: This was a multicentre, cross-sectional study including HIV-1-infected patients aged !50 years, who were virologically suppressed and had been on a stable antiretroviral therapy (ART) regimen for at least 6 months. A multiple regression model explored the association between demographic and clinical variables and the number of NARC. Results: Overall, 401 patients were enrolled. The mean age of the patients was 59.3 years and 72.6% were male. The mean duration of HIV-1 infection was 12.0 years and the median exposure to ART was 10.0 years. The mean number of NARC was 2.1, and 34.7% of patients had three or more NARC. Hypercholesterolemia was the most frequent NARC (60.8%), followed by arterial hypertension (39.7%) and chronic depression/anxiety (23.9%). Arterial hypertension and diabetes mellitus were the most frequently treated NARC (95.6% and 92.6% of cases, respectively). The linear regression analysis showed a positive relationship between age and NARC (B = 0.032, 95% confidence interval 0.015-0.049; p = 0.0003) and between the duration of HIV-1 infection and NARC (B = 0.039, 95% confidence interval 0.017-0.059; p = 0.0005). Conclusions: A high prevalence of NARC was found, the most common being metabolic, cardiovascular, and psychological conditions. NARC rates were similar to those reported for the general population, suggesting a larger societal problem beyond HIV infection. A multidisciplinary approach is essential to reduce the burden of complex multi-morbid conditions in the HIV-1-infected population.

Background Syphilis remains a major challenge and a complex diagnosis. We aim to

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Hyphessobrycon montagi, new species, is described from tributaries of the Rio Arapiuns, a left margin affluent of the lower Rio Tapajós, Amazon basin, Pará, Brazil. The new species can be diagnosed from all its congeners by the possession of a combination of two well-defined humeral blotches, connected by a narrow stripe, and a caudal peduncle blotch. A putatively monophyletic Hyphessobrycon heterorhabdus species-group, restricted to H. heterorhabdus, H. amapaensis, and H. eschwartzae, is herein proposed based on shared derived features of color pattern. Alternative proposals of a "Hyphessobrycon heterorhabdus group" presented in the recent literature are evaluated and criticized.

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