Respiratory Syncytial Virus Disease Burden in Community-Dwelling and Long-Term Care Facility Older Adults in Europe and the United States: A Prospective Study

Background. Data on respiratory syncytial virus (RSV) disease burden in adults remain scarce. We assessed the burden of confirmed RSV-acute respiratory infections (cRSV-ARIs) in community-dwelling (CD) adults and those in long-term care facilities (LTCFs).Methods. In this prospective cohort study covering 2 RSV seasons (October 2019-March 2020 and October 2020-June 2021), RSVARIs were identified through active surveillance, in medically stable CD-adults =50 years (Europe) or adults =65 years in LTCFs (Europe and the United States). RSV infection was confirmed by polymerase chain reaction from combined nasal and throat swabs.Results. Of 1981 adults enrolled, 1251 adults in CD and 664 LTCFs (season 1) and 1223 adults in CD and 494 LTCFs (season 2) were included in the analyses. During season 1, overall incidence rates ([IRs] cases/1000 person-years) and attack rates (ARs) for cRSVARIs were 37.25 (95% confidence interval [CI], 22.62-61.35) and 1.84% in adults in CD and 47.85 (CI, 22.58-101.4) and 2.26% in adults in LTCFs. Complications occurred for 17.4% (CD) and 13.3% (LTCFs) of cRSV-ARIs. One cRSV-ARI occurred in season 2 (IR = 2.91 [CI, 0.40-20.97]; AR = 0.20%), without complications. No cRSV-ARIs led to hospitalization or death. Viral pathogens were codetected in =17.4% of cRSV-ARIs.Conclusions. RSV is an important cause of disease burden in adults in CD and LTCFs. Despite the observed low severity of cRSVARI, our results support the need for RSV prevention strategies among adults =50 years old

Una oportunitat per intercanviar bones pràctiques en l’atenció a la cronicitat a nivell europeu: el projecte JA-CHRODIS

Good practices; Chronic patient; JA-CHRODISBuenas prácticas; Paciente crónico; JA-CHRODISBones pràctiques; Pacient crònic; JA-CHRODISEl nombre de persones que pateixen malalties cròniques ha augmentat considerablement durant les últimes dècades. Aquesta situación ha provocat que el sistema sanitari hagi hagut de reorientar-se i desenvolupar diverses pràctiques que pretenen optimitzar l’atenció als pacients crònics. La Comissió Europea va posar en marxa el 2014 una acció conjunta en la qual han participat 60 institucions que pertanyen a 26 països de la Unió Europea; el projecte JA-CHRODIS. L’objectiu de l’acció ha consistit en identificar les millors experiències que s’estan duent a terme actualment a Europa en atenció a la cronicitat, a partir d’uns criteris d’avaluació unificats i consensuats, per tal de posar-les a disposició tant dels professionals com dels gestors i responsables polítics de serveis d’atenció a la salut a través d’un repositori; es permet així l’intercanvi d’informació sobre aquelles experiències més exitoses i es promou la transferència i la implementació de les millors pràctiques.El número de personas que sufren enfermedades crónicas ha aumentado considerablemente durante las últimas décadas. Esta situación ha provocado que el sistema sanitario haya tenido que reorientarse y desarrollar varias prácticas que pretenden optimizar la atención a los pacientes crónicos. La Comisión Europea puso en marcha el 2014 una acción conjunta en la cual han participado 60 instituciones que pertenecen en 26 países de la Unión Europea; el proyecto JA-CHRODIS. El objetivo de la acción ha consistido en identificar las mejores experiencias que se están llevando a cabo actualmente en Europa en atención a la cronicidad, a partir de unos criterios de evaluación unificados y consensuados, para ponerlas a disposición tanto de los profesionales cómo de los gestores y responsables políticos de servicios de atención a la salud a través de un repositorio; se permite así el intercambio de información sobre aquellas experiencias más exitosas y se promueve la transferencia y la implementación de las mejores prácticas.The number of people are living with a chronic disease has increased considerably during the last decades. This situation has caused a change in the health system. It has to reorient itself and develop several practices that aim to optimize the care of chronic patients. The European Commission launched in 2014 a joint action in which 60 institutions that belong in 26 countries of the European Union have participated; the JA-CHRODIS project. The objective of the action has been to identify the best experiences that is being currently carried out in Europe about attention to chronicity, based on unified and agreed evaluation criteria, to make them available to both professionals and managers and policy makers of health care services through a repository; In this way allows the exchange of information on those most successful experiences and promotes the transfer and implementation of best practices

Mesoporous ceramic oxides as humidity sensors: A case study for gadolinium-doped ceria

International audienceMesoporous materials have been studied as high performance sensing materials due to their singular microstructure and extremely high surface-to-volume ratio. However, the lack of stability of these nano-structures is assumed as one of the major drawbacks toward their application in real devices. In this work, this limitation is overcome by the synthesis of thermally stable mesoporous gadolinium doped ceria. Humidity sensors were fabricated and tested under different (i.e. humidity and temperature) conditions. The mesoporous layers were attached to the substrate at 900 • C preserving mesoporous structure intact. This process at high temperature provides the layer with a mechanical strength and allows self-cleaning cycles at high temperatures if required. The humidity sensing mechanism is presented and discussed in detail by means of impedance spectroscopy. An ionic type of conduction mechanism is corroborated. Fast response and recovery, as well as very low hysteresis and no drift are observed. It was also shown that the response of the devices can be straightforwardly tuned by changing layer thickness or pore size, allowing to fulfill sensing needs of different applications. All the mentioned properties joined to the simplicity of the fabrication and the flexibility of the used fabrication route for synthesizing any other metal oxide make this kind of devices a potential group for developing high performance and fast gas sensors

Nuevos hallazgos dirigidos al desarrollo de un control integrado del perforador del corcho Coroebus undatus (Fabricius, 1787) (Coleoptera: Buprestidae)

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