Immunogenicity and safety of a live attenuated varicella vaccine in healthy Indian children aged 9 - 24 months

Objectives. To investigate the safety of live attenuated varicella vaccine (aka strain) and the optimal virus titre/ dose required for immunogenicity in healthy South African children.Design. Double-blind randomised clinical study using two different lots of varicella vaccine, each at two different titres. Subjects were randomly allocated to groups 1, 2, 3 and 4 to receive vaccine containing a mean virus titre of 104,5, 103,1, 103,9 and 102,7 PFUs per dose respectively. Clinical signs and symptoms were followed up for 42 days post-vaccination. Specific varicella antibodies were measured by an indirect immunofluorescence method in sera obtained on day 0 and day 42.Setting. City Health Clinic, Chatsworth, Durban.Participants. A total of 200 healthy 9 - 24-month-old children were vaccinated, of whom 189 (44,5%) completed the study.Main outcome measures. Pre- and post-vaccination varicella antibody levels. Adverse events following varicella vaccination..Results. The vaccine was safe and well tolerated. No local symptoms were reported. Skin reactions were specifically solicited in this study: 21 reactions were reported in 8,5% (17/200) of children. Vesicles were reported in 2 vaccines (,,;: 10 vesicles in both cases). One serious adverse event was reported: hospitalisation for bronchopneumonia on day 16 post-vaccination which resolved without sequelae. Around day 42 postvaccination (range 35 - 63 days) all the 176 initially seronegative subjects had seroconverted for varicella antibodies. Post-vaccination geometric mean titres (GMTs) were 104,1, 66,2, 69,5 and 77,0 for groups 1 - 4 respectively. Six subjects who were initially seropositive maintained or increased their titres post-vaccination; 3 of the 6 showed a booster response (a ;:;, 4-fold increase from the pre-vaccination titre).Conclusions. Varicella vaccine was found to be safe, immunogenic and well tolerated. No difference in seroconversion rates or GMTs, either between groups receiving the two vaccine lots or between groups receiving the different titres of each lot, was shown

A User-Friendly Hybrid Sparse Matrix Class in C++

When implementing functionality which requires sparse matrices, there are numerous storage formats to choose from, each with advantages and disadvantages. To achieve good performance, several formats may need to be used in one program, requiring explicit selection and conversion between the formats. This can be both tedious and error-prone, especially for non-expert users. Motivated by this issue, we present a user-friendly sparse matrix class for the C++ language, with a high-level application programming interface deliberately similar to the widely used MATLAB language. The class internally uses two main approaches to achieve efficient execution: (i) a hybrid storage framework, which automatically and seamlessly switches between three underlying storage formats (compressed sparse column, coordinate list, Red-Black tree) depending on which format is best suited for specific operations, and (ii) template-based meta-programming to automatically detect and optimise execution of common expression patterns. To facilitate relatively quick conversion of research code into production environments, the class and its associated functions provide a suite of essential sparse linear algebra functionality (eg., arithmetic operations, submatrix manipulation) as well as high-level functions for sparse eigendecompositions and linear equation solvers. The latter are achieved by providing easy-to-use abstractions of the low-level ARPACK and SuperLU libraries. The source code is open and provided under the permissive Apache 2.0 license, allowing unencumbered use in commercial products

Knowledge and attitudes about vaccinations among adolescents

Purpose. The aim of this study was to investigate among adolescents in Antwerp their knowledge about vaccination and to describe their information sources, motives and barriers for vaccination. Methods. In March 2009, adolescents aged between 14 and 17 years from three schools with a mixed Belgian and immigrant population in Antwerp completed a written questionnaire concerning vaccination. The questionnaire was already used and validated in a study in five European countries: France, Italy, Spain, Germany and the United Kingdom. Results. In total 186 adolescents completed the questionnaire. Most of them (93%) knew that vaccination is a method to prevent disease. Most adolescents knew about the existence of vaccines against tetanus (94%), hepatitis B (91%) and human papillomavirus (87%). The most important sources for information were the family physician (83%), the school (79%) and the parents (70%). Their knowledge about vaccinations was not related to courses about vaccination at school. Conclusions. The physician, the school and the parents play a key role in the vaccination of adolescents. Our results are in many aspects similar to those in the other European countries

Wiselib: A Generic Algorithm Library for Heterogeneous Sensor Networks

One unfortunate consequence of the success story of wireless sensor networks (WSNs) in separate research communities is an ever-growing gap between theory and practice. Even though there is a increasing number of algorithmic methods for WSNs, the vast majority has never been tried in practice; conversely, many practical challenges are still awaiting efficient algorithmic solutions. The main cause for this discrepancy is the fact that programming sensor nodes still happens at a very technical level. We remedy the situation by introducing Wiselib, our algorithm library that allows for simple implementations of algorithms onto a large variety of hardware and software. This is achieved by employing advanced C++ techniques such as templates and inline functions, allowing to write generic code that is resolved and bound at compile time, resulting in virtually no memory or computation overhead at run time. The Wiselib runs on different host operating systems, such as Contiki, iSense OS, and ScatterWeb. Furthermore, it runs on virtual nodes simulated by Shawn. For any algorithm, the Wiselib provides data structures that suit the specific properties of the target platform. Algorithm code does not contain any platform-specific specializations, allowing a single implementation to run natively on heterogeneous networks. In this paper, we describe the building blocks of the Wiselib, and analyze the overhead. We demonstrate the effectiveness of our approach by showing how routing algorithms can be implemented. We also report on results from experiments with real sensor-node hardware.Comment: 16 pages, 1 figure, 7 tables. Appears in European Conference on Wireless Sensor Networks (EWSN 2010

Growing bone cysts in long-term hemodialysis

All patients with chronic renal failure undergoing hemodialysis for more than 10 years in the university hospitals of Leuven were selected for this study. The medical records and radiographs of these 21 patients were studied retrospectively. Skeletal surveys were examined for the presence and location of subchondral cysts. The predialysis films and the films taken after 5, 10, 15 and 20 years of dialysis were reviewed. Subchondral cysts that grew in size and number were found in the wrist, humeral head, hip, and patella. Accurate measurements were made of cysts in the wrist and compared with a control group. In the dialysis group, cystic involvement of the wrist was more common and the size and number of the cysts were larger. Soft tissue swelling was seen in the dialysis group but not in controls. Soft tissue swelling was assessed on shoulder radiographs by measuring the acromiohumeral distance (ACD) and in the knees by ultrasonic measurement of synovial thickness [25]. In 11 patients synovial or bone biopsies or aspirated synovial fluid were available. All these patients had swollen joints and multiple subchondral periarticular cysts. Amyloid deposition was found in ten of these patients, and this proved to be composed of B2 microglobulins in seven (Table 1).Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46797/1/256_2004_Article_BF00197929.pd

FUMEPOC: Early detection of chronic obstructive pulmonary disease in smokers

<p>Abstract</p> <p>Background</p> <p>Currently is not feasible using conventional spirometry as a screening method in Primary Care especially among smoking population to detect chronic obstructive pulmonary disease in early stages. Therefore, the FUMEPOC study protocol intends to analyze the validity and reliability of Vitalograph COPD-6 spirometer as simpler tool to aid screening and diagnosis of this disease in early stages in primary care surgery.</p> <p>Methods / Design</p> <p>Study design: An observational, descriptive study of diagnostic tests, undertaken in Primary Care and Pneumology Outpatient Care Centre at San Juan Hospital and Elda Hospital. All smokers attending the primary care surgery and consent to participate in the study will undergo a test with Vitalograph COPD-6 spirometer. Subsequently, a conventional spirometry will be performed in the hospital and the results will be compared with those of the Vitalograph COPD-6 test.</p> <p>Discussion</p> <p>It is difficult to use the spirometry as screening for early diagnose test in real conditions of primary care clinical practice. The use of a simpler tool, Vitalograph COPD-6 spirometer, can help in the early diagnose and therefore, it could improve the clinical management of the disease.</p