Characterizing hepatitis B virus infection in children in the Democratic Republic of Congo to inform elimination efforts.

Objective: Despite global reductions in hepatitis B virus (HBV) prevalence, an estimated 6.2 million children are infected, two-thirds of whom live in the WHO Africa region. We sought to characterize childhood HBV to inform elimination efforts in the Democratic Republic of Congo (DRC), one of the largest and most populous African countries. Methods: Using the most recent (2013-14) nationally representative Demographic and Health Survey in the DRC, we analyzed HBV surface antigen (HBsAg) on dried blood spots and associated survey data from children aged 6-59 months. We estimated HBsAg-positivity prevalence nationally, regionally, and by potential correlates of infection. We evaluated spatial variation in HBsAg-positivity prevalence, overall and by age, sex, and vaccination status. Findings: Using data from 5,679 children, we found national HBsAg-positivity prevalence was 1.3% (95% CI: 0.9%-1.7%), but ranged from 0.0% in DRC's capital city province, Kinshasa, to 5.6% in northwestern Sud-Ubangi Province. Prevalence among boys (1.8%, 95% CI: 1.2%-2.7%) was double that among girls (0.7%, 95%CI: 0.4%-1.3%). Tetanus antibody-negativity, rurality, and lower household wealth were also significantly associated with higher HBsAg-positivity prevalence. We observed no difference in prevalence by age. Children had higher HBsAg-positivity odds if living with ≥1 HBsAg-positive adult household member (OR: 2.3, 95%CI: 0.7-7.8), particularly an HBsAg-positive mother (OR: 7.2, 95%CI:1.6-32.2). Conclusion: In the largest national survey of HBV among children and household contacts in the DRC, we found that childhood HBV prevalence was 10-60 times the global target of 0.1%. We highlight specific regions and populations for further investigation and focused prevention efforts.

Characterisation of the ground X+ 2ΠΩ and first excited A+ 2Σ+ electronic states of MgO+ by high-resolution photoelectron spectroscopy.

Despite the importance of MgO+ for understanding the electronic structure and chemical bonds in alkaline-earth metal oxides and its potential astrophysical relevance, hardly any spectroscopic information is available on this molecular cation. We report on a high-resolution photoelectron spectroscopic study of MgO using a resonant (1 + 1') two-photon excitation scheme in combination with PFI-ZEKE photoelectron spectroscopy. By carrying out the resonant excitation via selected rotational levels of several intermediate states of different electronic configurations, total electronic spins, and internuclear distances, a broad range of vibrational levels of the X+ 2ΠΩ (Ω = 3/2, 1/2) ground and A+ 2Σ+ first excited states of MgO+ were observed for the first time. The new data provide a full characterisation of the rovibronic level structure of MgO+ up to 2 eV (16 000 cm-1) of internal energy. A full set of vibrational, rotational and spin-orbit-coupling molecular constants were extracted for these two electronic states. The adiabatic ionisation energy and the singlet-triplet interval of 24Mg16O were determined to be 64 577.65(20) cm-1 and 2492.4(3) cm-1, respectively.

High-Resolution Photoelectron Spectroscopy of the Ground and First Excited Electronic States of MgXe.

We report on the characterization of the X+ 2Σ+ ground and the A+ 2ΠΩ (Ω = 1/2, 3/2) and B+ 2Σ+ electronically excited states of MgXe+. Rotationally cold MgXe in the a 3Π0(v″ = 0) metastable electronic state was generated in a laser-ablation supersonic-beam source. Following single-photon excitation from the metastable state, the vibrational structure of the X+ state of MgXe+ was measured by pulsed-field-ionization zero-kinetic-energy photoelectron spectroscopy, and the adiabatic ionization energy of the X+ ← a ionizing transition was determined to be EI/(hc) = 37,468.3(6) cm-1. Spectra of the A+ ← X+ and B+ ← X+ transitions were recorded by using the method of isolated-core Rydberg-dissociation spectroscopy. The observation of the Mg+(3p) 2P1/2 + Xe 1S0 dissociation limit enabled the determination of the dissociation energies of the X+ [D0(X+) = 2970(7) cm-1] and A+ states [D0(A1/2+) = 9781(7) cm-1 and D0(A3/2+) = 9603(7) cm-1]. We compare these results with those of earlier experimental studies and ab initio quantum-chemical calculations.

Evaluation of colour vision impairment during acute hypobaric hypoxia in aviation medicine: a randomized controlled trial.

The digitization of aircraft cockpits places high demands on the colour vision of pilots. The present study investigates colour vision changes upon acute exposure to hypobaric hypoxia. The digital Waggoner Computerized Color Vision Test and the Waggoner D-15 were performed by 54 healthy volunteers in a decompression chamber. Respective altitude levels were sea level, 10,000 or 15,000 ft for exposure periods of 15 and 60 min, respectively. As for 60 min of exposure a significant decrease in colour perception was found between subjects at 15,000 ft as compared to the control group as well as between subjects at 15,000 ft as compared to subjects at 10,000 ft. No significant difference was found in the comparison within the 15,000 ft groups across time points pre-, peri-, and post-exposure. Thus, pilots appear to experience only minor colour vision impairment up to an exposure altitude of 15,000 ft over 60 min of exposure.