SARS-CoV-2 RNAemia and clinical outcomes in children with COVID-19

The burden of COVID-19 in children represents a fraction of cases worldwide, yet a subset of those infected are at risk for severe disease. We measured plasma SARS-CoV-2 RNA in a cohort of 103 children hospitalized with COVID-19 with diverse clinical manifestations. SARS-CoV-2 RNAemia was detected in 27 (26%) of these children, lasted for a median of 6 [2-9] days, and it was associated with higher rates of oxygen administration, admission to the intensive care unit, and longer hospitalization.

RSV Specific Antibodies in Pregnant Women and Subsequent Risk of RSV Hospitalization in Young Infants

Background

The fusion (F) glycoprotein of respiratory syncytial virus (RSV) represents the major neutralizing antigen, and antibodies against the pre-F conformation have the most potent neutralizing activity. This study aimed to assess the correlation between maternal antibody titers against the pre-F, post-F, and G glycoproteins and the child’s risk of developing severe RSV bronchiolitis early in infancy.

Methods

We identified previously healthy term infants <3 months of age hospitalized with RSV bronchiolitis from December 2015 to March 2016. We measured IgG antibody titers to pre-F, post-F, and G proteins in maternal sera obtained at 9–12 weeks of pregnancy of these hospitalized infants’ mothers (n = 94) and compared them with serum antibody titers of control pregnant mothers (n = 130) whose children were not hospitalized.

Results

All maternal samples (n = 224) had detectable pre-F antibodies. Pre-F antibody titers were significantly lower in mothers whose infants were hospitalized with RSV bronchiolitis compared with those mothers whose infants were not hospitalized (23.9 [range (or antibody titer range), 1.4–273.7] µg/L vs 30.6 [XXX, 3.4–220.0] µg/L; P = .0026). There were no significant differences in maternal post-F and G antibody titers between hospitalized and nonhospitalized infants.

Conclusions

Our findings indicate that maternal pre-F antibodies are fundamental for providing immune protection to the infant.

Imagined body orientation and perception of the visual vertical

The existence of body orientation mental imagery was tested by examining whether self roll tilt imagery affects the subjective visual vertical (SVV). Twenty healthy subjects judged the orientation of a dim luminous bar with respect to gravitational vertical, while normally seated in complete darkness with their head firmly restrained earth vertically. SVV was measured in three conditions: a reference condition with no imagery, and a left and a right imagery condition, during which the bar orientation was to be judged while the subjects imagine themselves roll-tilted towards left or right, respectively. The imagined roll tilts were of the same magnitude as roll tilts which generally induce an E-effect, i.e., an SVV lean toward the side opposite to those of body tilt. If imagery and perception of self roll tilt share common processes, self roll tilt imagery should induce an E-like effect. Results show an imagery-induced E-like effect, which strongly supports the idea that humans can perform mental imagery of body orientation about gravity.

Evidence of imagined passive self-motion through imagery-perception interaction

The existence of whole-body passive self-motion mental imagery was investigated by examining whether the perception of passive body accelerations can be affected by passive self-motion imagery. Twenty healthy subjects recognised target passive body acceleration. This recognition task was performed under three conditions: (1) a baseline condition without imagery; (2) a compatible imagery condition during which subjects imagined themselves passively moving in the same direction as the target acceleration; (3) a non-compatible imagery condition during which subjects imagined themselves passively moving in the direction opposite to that of the target acceleration. The recognition of the target acceleration was improved under compatible and degraded under non-compatible imagery. This interaction implies that perception and imaginary share common representations, and supports the existence of passive self-motion imagery.

Vestibular sensitivity and vection chronometry along the spinal axis in erect man

A study is reported of the relations between vestibular sensitivity and vection chronometry in healthy human adults. Twenty-three subjects were examined. For both vestibular and vection investigations, the subjects were seated in an armchair with the spinal axis aligned with the earth vertical and the head normally erect. The subjects' vestibular thresholds for detection of vertical upward accelerations were assessed by a double-staircase psychophysical method. The subjects' vection onset latencies were measured for both upward and downward directions. Since the vection onset latencies are presumed to be shortened by the decrease of the conflict between visual and vestibular afferents, the less-vestibular-sensitive subjects were hypothesised to have shorter vection onset latencies than the more-vestibular-sensitive ones. As expected, the results indicate a negative correlation between vestibular thresholds and vection onset latencies: the higher the vestibular thresholds, the lower the vection onset latencies.