Reversions of QuantiFERON-TB Gold Plus in tuberculosis contact investigation: A prospective multicentre cohort study.

Background: Interferon-y Release Assays (IGRA) reversions have been reported in different clinical scenarios for the diagnosis of tuberculosis (TB) infection. This study aimed to determine the rate of QuantiFERON-TB Gold Plus (QFT-Plus) reversions during contact investigation as a potential strategy to reduce the number of preventive treatments.

Methods: Prospective, multicentre cohort study of immunocompetent adult contacts of patients with pulmonary TB tested with QFT-Plus.

Optimization and Stability of Heat Engines: The Role of Entropy Evolution.

Local stability of maximum power and maximum compromise (Omega) operation regimes dynamic evolution for a low-dissipation heat engine is analyzed. The thermodynamic behavior of trajectories to the stationary state, after perturbing the operation regime, display a trade-off between stability, entropy production, efficiency and power output. This allows considering stability and optimization as connected pieces of a single phenomenon.