Immunogenicity of the hepatitis A vaccine 20 years after infant immunization

To determine the duration of immunity provided by the Hepatitis A vaccination (HepA), we evaluated a cohort of participants in Alaska 20 years after being immunized as infants. At recruitment, participants received two doses of inactivated HepA vaccine on one of three schedules. We conducted hepatitis A antibody (anti-HAV) testing for participants at the 20-year time-point. Seventy-five of the original 183 participants (41%) were available for follow-up. The overall anti-HAV geometric mean concentration was 29.9 mIU/mL (95% CI 22.4 mIU/mL, 39.7 mIU/mL) and 50 participants (68%) remained seropositive (titer ≥ 20 mIU/mL). Using a fractional polynomial model, the predicted percent seropositive at 25 years was 55.3%, 49.8% at 30 years and 45.7% at 35 years, suggesting that the percent sero-positive could drop below 50% earlier than previously expected. Further research is necessary to understand if protection continues after seropositivity diminishes or if a HepA booster dose may become necessary.

Inferring Cortical Connectivity from ECoG Signals Using Graph Signal Processing

A novel method to characterize connectivity between sites in the cerebral cortex of primates is proposed in this paper. Connectivity graphs for two macaque monkeys are inferred from Electrocorticographic (ECoG) activity recorded while the animals were alert. The locations of ECoG electrodes are considered as nodes of the graph, the coefficients of the auto-regressive (AR) representation of the signals measured at each node are considered as the signal on the graph and the connectivity strengths between the nodes are considered as the edges of the graph. Maximization of the graph smoothness defined from the Laplacian quadratic form is used to infer the connectivity map (adjacency matrix of the graph). The cortical evoked potential (CEP) map was obtained by stimulating different electrodes and recording the evoked potentials at the other electrodes. The maps obtained by the graph inference and the traditional method of spectral coherence are compared with the CEP map. The results show that the proposed method provides a description of cortical connectivity that is more similar to the stimulation-based measures than spectral coherence. The results are also tested by the surrogate map analysis in which the CEP map is randomly permuted and the distribution of the errors is obtained. It is shown that error between the two maps is comfortably outside the surrogate map error distribution. This indicates that the similarity between the map calculated by the graph inference and the CEP map is statistically significant.

Tuberculosis makes a comeback

Tuberculosis (TB) has plagued mankind for many centuries. In the past, the number of people affected with this potentially deadly disease declined, but there has been a recent dramatic increase in TB incidence. This increase is attributed largely to people who are coinfected with TB and HIV and to the development of resistant strains of Mycobacterium tuberculosis during the last decade. The US social infrastructure also has contributed to a rapid rise in TB cases due to adverse socioeconomic factors and an increase in the number of immigrants and people infected with HIV. This article gives a historical overview of TB; discusses its diagnosis, transmission and prevention modalities; and provides a case study about a TB-infected patient who required emergent surgical intervention.