Intradermal and virosomal influenza vaccines for preventing influenza hospitalization in the elderly during the 2011–2012 influenza season: A comparative effectiveness study using the Valencia health care information system

AbstractBackgroundThe use of intradermal vaccination or virosomal vaccines could increase protection against influenza among the vulnerable population of older adults. Studies assessing the comparative effectiveness of these two influenza vaccine types in this age group are lacking.MethodsWe conducted a retrospective cohort study to estimate the comparative effectiveness of intradermal seasonal trivalent-influenza vaccine (TIV) delivered by a microneedle injection system and a virosomal-TIV intramuscularly delivered for prevention of influenza hospitalization in non-institutionalized adults aged ≥65 years. We obtained administrative data on immunization status and influenza hospitalization for the 2011–2012 influenza season, and used Cox regression models to assess comparative effectiveness. We estimated crude and adjusted (age, sex, comorbidity, pharmaceutical claims, recent pneumococcal vaccination and number of hospitalizations for all causes other than influenza between the previous and current influenza seasons) hazard ratios (HR).ResultsOverall, 164,021 vaccinated subjects were evaluated. There were 127 hospitalizations for influenza among 62,058 subjects, contributing 914,740 person-weeks at risk in the virosomal-TIV group, and 133 hospitalizations for influenza among 101,963 subjects, contributing 1,504,570 person-weeks at risk in the intradermal-TIV group. The crude HR of intradermal-TIV relative to virosomal-TIV was 0.64 (95% confidence interval (CI): 0.50–0.81), and the adjusted Cox estimated HR was 0.67 (95% CI: 0.52–0.85).ConclusionsDuring the 2011–2012 influenza season the risk of hospitalization for influenza was reduced by 33% in non-institutionalized elderly adults who were vaccinated with intradermal-TIV compared with virosomal-TIV

Optimizing periprosthetic fracture management and in-hospital outcome: insights from the PIPPAS multicentric study of 1387 cases in Spain

Background: The incidence of all periprosthetic fractures (PPF), which require complex surgical treatment associated with high morbidity and mortality, is predicted to increase. The evolving surgical management has created a knowledge gap regarding its impact on immediate outcomes. This study aimed to describe current management strategies for PPF and their repercussions for in-hospital outcomes as well as to evaluate their implications for the community. Methods: PIPPAS (Peri-Implant PeriProsthetic Survival Analysis) was a prospective multicentre observational study of 1387 PPF performed during 2021. Descriptive statistics summarized the epidemiology, fracture characteristics, management, and immediate outcomes. A mixed-effects logistic regression model was employed to evaluate potential predictors of in-hospital mortality, complications, discharge status, and weight-bearing restrictions. Results: The study encompassed 32 (2.3%) shoulder, 4 (0.3%) elbow, 751 (54.1%) hip, 590 (42.5%) knee, and 10 (0.7%) ankle PPF. Patients were older (median 84 years, IQR 77-89), frail [median clinical frailty scale (CFS) 5, IQR 3-6], presented at least one comorbidity [median Charlson comorbidity index (CCI) 5, IQR 4-7], were community dwelling (81.8%), and had outdoor ambulation ability (65.6%). Femoral knee PPF were most frequently associated with uncemented femoral components, while femoral hip PPF occurred equally in cemented and uncemented stems. Patients were managed surgically (82%), with co-management (73.9%), through open approaches (85.9%) after almost 4 days (IQR, 51.9-153.6 h), with prosthesis revision performed in 33.8% of femoral hip PPF and 6.5% of femoral knee PPF. For half of the patients, the discharge instructions mandated weight-bearing restrictions. In-hospital mortality rates were 5.2% for all PPF and 6.2% for femoral hip PPF. Frailty, age > 84 years, mild cognitive impairment, CFS > 3, CCI > 3, and non-geriatric involvement were candidate predictors for in-hospital mortality, medical complications, and discharge to a nursing care facility. Management involving revision arthroplasty by experienced surgeons favoured full weight-bearing, while an open surgical approach favoured weight-bearing restrictions. Conclusions: Current arthroplasty fixation check and revision rates deviate from established guidelines, yet full weight-bearing is favoured. A surgical delay of over 100 h and a lack of geriatric co-management were related to in-hospital mortality and medical complications. This study recommends judicious hypoaggressive approaches. Addressing complications and individualizing the surgical strategy can lead to enhanced functional outcomes, alleviating the economic and social burdens upon hospital discharge. Level of Evidence Level IV case series.Funding: The study was funded by grants from the AO Trauma Foundation (Spain) (grant number: 20–2041) and SACYL (Sanidad de Castilla y León) (grant number: GRS: 2371/A/21). No funding entity had a role in the design or conduct of the study, the collection or analyses of data, or manuscript preparation. Acknowledgments: We thank Dasha Gorbenko del Blanco (PhD, medical illustrator, dasha.blanco@ gmail.com) for her artwork when producing the fgures and graphical abstract for the PIPPAS study. Group authorship: “The PIPPAS Study group” The PIPPAS Study Group Member

Collagen-laponite nanoclay hydrogels for tumor spheroid growth

The extracellular matrix (ECM) plays an important regulatory role in the development and progression of tumoral tissue. Its functions and properties are crucial in determining tumor cell behavior such as invasion, migration, and malignancy development. Our study explores the role of collagen type I in cancer development and spread using engineered tumor models like multicellular spheroids grown in collagen-based hydrogels to simulate early tumor formation. We employ microfluidic techniques to test the hypothesis that (i) adding Laponite nanoclay to collagen hydrogels modifies mechanical and rheological properties and (ii) changing the stiffness of the collagen microenvironment affects tumor spheroid growth. Our findings support our theories and suggest the use of ECM components and engineered tumor models in cancer research, offering a biocompatible and biomimetic method to tailor the mechanical properties of conventional collagen hydrogels

Efecto alelopático de especies invasoras de ribera sobre la germinación de especies del sotobosque

9 páginas. -- Trabajo presentado en la 50ª Reunión Científica de la SEEPLa producción de sustancias alelopáticas por las especies vegetales contribuye a incrementar su éxito competitivo frente a otras especies coexistentes dentro de un mismo hábitat, pudiendo llegar incluso a eliminarlas. Las sustancias alelopáticas pueden inhibir la germinación y el crecimiento de otras especies de la comunidad. En los bosques de ribera se ha detectado la presencia de árboles exóticos con potencial invasor en otros ecosistemas pero se desconoce su efecto sobre las especies autóctonas herbáceas. Nuestra hipótesis es que las especies invasoras podrían utilizar la producción de aleloquímicos de una manera eficiente para desplazar a las especies herbáceas autóctonas, pudiendo llegar a eliminarlas. El objetivo del presente trabajo fue estudiar el efecto extractos de hojarasca de especies alóctonas arbóreas (Ulmus pumila, Robinia pseudoacacia, Ailanthus altissima) y autóctonas (Populus alba) sobre la germinación de cuatro especies herbáceas frecuentes en el sotobosque del bosque de ribera del rio Henares (Madrid). Los resultados mostraron una disminución de la velocidad de germinación de B. phoenicoides y B. sylvaticum con los extractos de las especies alóctonas y autóctonas excepto para el olmo siberiano. Chenopodium album no se vio perjudicada por los extractos de las especies alóctonas pero sí por lo de la especie autóctona. La velocidad de germinación de Dactylis glomerata fue afectada por los extractos de todas las especies alóctonas. Se concluye que no existe un efecto consistente de los extractos de las hojas de árboles exóticos sobre las herbáceas nativas, sino que éstos dependen tanto de la naturaleza del árbol donante como de la herbácea receptora.Plants produce allelopathic substances increasing their competitive success over other species coexisting within the same habitat, being able to eliminate them. Allelopathic substances inhibit germination and growth of other species in the community. In the riverside forests, it has been detected, the presence of invasive tree species with demonstrated invasive potential in other ecosystems. Our hypothesis is that invasive species could use the production of allelochemicals in an efficient way to compete against native herbaceous species. The aim of this work was to assess the effects of leaf extracts of invasive species (Ulmus pumila, Robinia pseudoacacia, Ailanthus altissima) and native (Populus alba) on the germination of four grass species frequent in the forest understory bank of the river Henares (Madrid). The results showed that extracts of alien and native species (except Siberian elm) decreased the germination speed of B. phoenicoides and B. sylvaticum. The effect of extracts in Chenopodium album was not clear. The extracts of all alien species affected the germination speed of Dactylis glomerata.Agradecemos la ayuda de la Dra. Teodora Martínez en la localización de las zonas de campo. Este trabajo ha sido financiado por los proyectos POII10-0179-4700 de la Junta de Castilla La Mancha y CGL2010-16388/BOS del Ministerio de Ciencia e Innovación.Peer reviewe

Effects of transcranial static magnetic field stimulation over the left dorsolateral prefrontal cortex on random number generation

OBJECTIVE: Focal application of transcranial static magnetic field stimulation (tSMS) is a neuromodulation technique, with predominantly inhibitory effects when applied to the motor, somatosensory or visual cortex. Whether this approach can also transiently interact with dorsolateral prefrontal cortex (DLPFC) function remains unclear. The suppression of habitual or competitive responses is one of the core executive functions linked to DLPFC function. This study aimed to assess the impact of tSMS on the prefrontal contributions to inhibitory control and response selection by means of a RNG task. METHODS: We applied 20 min of tSMS over the left DLPFC of healthy subjects, using a real/sham cross-over design, during performance of a RNG task. We used an index of randomness calculated with the measures of entropy and correlation to assess the impact of stimulation on DLPFC function. RESULTS: The randomness index of the sequences generated during the tSMS intervention was significantly higher compared to those produced in the sham condition. CONCLUSIONS: Our results indicate that application of tSMS transiently modulates specific functional brain networks in DLPFC, which indicate a potential use of tSMS for treatment of neuropsychiatric disorders. SIGNIFICANCE: This study provides evidence for the capacity of tSMS for modulating DLPFC function

Magnetic and morphological characterization of Nd2Fe14B magnets with different quality grades at low temperature 5-300 K

An increasing number of cryogenic devices may benefit from the use of Nd2Fe14B permanent magnets. However, it is necessary to precisely know their behavior because magnetization varies significantly due to Spin Reorientation Transition. In this work, magnetic and morphological characterization of Nd2Fe14B commercial polycrystalline magnets with different quality grades from 5 to 300 K is provided. A set of magnets ranging from N35 to N52 quality have been analyzed. Mean grain dimension as well as material composition elements are provided. Higher quality magnets show smaller mean grain dimensions. Regarding cryogenic temperatures, the well know spin transition effect appears in all the magnets as expected, however, the transition temperature occurs at different temperatures in a range from 112 to 120 K which is lower than those obtained for single crystal samples. Moreover, the relative variation of the remanence from 300 to 5 K is lower than 4% while the maximum expected variation is in average 11%. As extra information, the same analyzes are provided for additional quality grades N40M, N40S, N40SH and N40UH.The research leading to these results has received funding from the European Community's Seventh Framework Programme ([FP7/2007-2013]) under grant agreement n° 263014

The relevance of biomaterials to the prevention and treatment of osteoporosis

Osteoporosis is a worldwide disease with a very high prevalence in humans older than 50. The main clinical consequences are bone fractures, which often lead to patient disability or even death. A number of commercial biomaterials are currently used to treat osteoporotic bone fractures, but most of these have not been specifically designed for that purpose. Many drug- or cell-loaded biomaterials have been proposed in research laboratories, but very few have received approval for commercial use. In order to analyze this scenario and propose alternatives to overcome it, the Spanish and European Network of Excellence for the Prevention and Treatment of Osteoporotic Fractures, ‘‘Ageing’’, was created. This network integrates three communities, e.g. clinicians, materials scientists and industrial advisors, tackling the same problem from three different points of view. Keeping in mind the premise ‘‘living longer, living better’’, this commentary is the result of the thoughts, proposals and conclusions obtained after one year working in the framework of this network

Clonal hematopoiesis is not prevalent in Hutchinson-Gilford progeria syndrome.

Clonal hematopoiesis of indeterminate potential (CHIP), defined as the presence of somatic mutations in cancer-related genes in blood cells in the absence of hematological cancer, has recently emerged as an important risk factor for several age-related conditions, especially cardiovascular disease. CHIP is strongly associated with normal aging, but its role in premature aging syndromes is unknown. Hutchinson-Gilford progeria syndrome (HGPS) is an ultra-rare genetic condition driven by the accumulation of a truncated form of the lamin A protein called progerin. HGPS patients exhibit several features of accelerated aging and typically die from cardiovascular complications in their early teens. Previous studies have shown normal hematological parameters in HGPS patients, except for elevated platelets, and low levels of lamin A expression in hematopoietic cells relative to other cell types in solid tissues, but the prevalence of CHIP in HGPS remains unexplored. To investigate the potential role of CHIP in HGPS, we performed high-sensitivity targeted sequencing of CHIP-related genes in blood DNA samples from a cohort of 47 HGPS patients. As a control, the same sequencing strategy was applied to blood DNA samples from middle-aged and elderly individuals, expected to exhibit a biological age and cardiovascular risk profile similar to HGPS patients. We found that CHIP is not prevalent in HGPS patients, in marked contrast to our observations in individuals who age normally. Thus, our study unveils a major difference between HGPS and normal aging and provides conclusive evidence that CHIP is not frequent in HGPS and, therefore, is unlikely to contribute to the pathophysiology of this accelerated aging syndrome.This work was supported by Fundación “la Caixa” (grant number LCF/PR/HR17/52150007 to VF, and JJF). JJF is supported by a Ramón y Cajal award (RYC2016–20026) from the Spanish Ministerio de Ciencia e Innovación (MICIN)/Agencia Estatal de Investigación (AEI)/10.13039/501100011033 and Fondo Social Europeo “El FSE invierte en tu futuro”. VA’s lab is supported by MICIN/ AEI/10.13039/501100011033 and Fondo Social Europeo “El FSE invierte en tu futuro” (grant number PID2019-108489RBI00), the Progeria Research Foundation (Award PRF 2019–77), and a donation from Asociación Progeria Alexandra Peraut. LBG is supported by The Progeria Research Foundation. MDD is supported by a predoctoral FPI fellowship from the Spanish MICIN/AEI/10.13039/501100011033 and Fondo Social Europeo “El FSE invierte en tu futuro” (PRE2019-087463), and MA-P is supported by a predoctoral FPU contract from the Ministerio de Educación, Cultura y Deporte (FPU18/02913). The CNIC is supported by the MICIN, the Instituto de Salud Carlos III, the Pro-CNIC Foundation, and is a Severo Ochoa Center of Excellence (grant number CEX2020-001041-S funded by MICIN/AEI/10.13039/501100011033).S