La población no adulta del asentamiento de la Edad del Cobre de Valencina de la Concepción (Sevilla): una aproximación demográfica, contextual y sociológica

This article draws together work from previous studies and new mortuary evidence in order to describe the non-adult population at the Copper Age settlement of Valencina de la Concepción (Sevilla). In total, we examine 39 non-adult individuals found in a range of burial structures which span the entire chronology of the site. We observed a high variability in both the proportion of the non-adult segment of the population interred in each burial structure, as well as evidence of differentiated funerary treatment related to age. We discuss the distribution of these individuals across different types of burials, as well as their association with adult individuals and grave goods, thus providing the basis for an assessment of their demographic and social significance.A partir de la revisión de estudios previos y de la aportación de datos inéditos se realiza un análisis de la población no adulta del asentamiento de la Edad del Cobre de Valencina de la Concepción (Sevilla). En total se examinan 39 sujetos no adultos inhumados en contenedores funerarios de distinto tipo y repartidos a lo largo de la amplia cronología de este asentamiento. Como resultado se constata la alta variabilidad de la proporción de este segmento de la población en las estructuras funerarias de Valencina así como la existencia de indicios de un tratamiento diferenciado para el mismo. Como parte de la discusión se examina la asociación de estos individuos con tipos de contenedores funerarios, individuos adultos y ajuares, valorándose su significación demográfica y social

Effects of IL-8 up-regulation on cell survival and osteoclastogenesis in multiple myeloma

[EN]IL-8 promotes cancer cell growth, survival, angiogenesis, and metastasis in several tumors. Herein, we investigated the sources of IL-8 production in multiple myeloma (MM) and its potential roles in MM pathogenesis. We found that bone marrow cells from patients with MM secreted higher amounts of IL-8 than healthy donors. IL-8 production was detected in cultures of CD138+ plasma cells and CD138(-) cells isolated from bone marrows of MM patients, and in three of seven human myeloma cell lines (HMCLs) analyzed. Interactions between MM and stromal cells increased IL-8 secretion by stromal cells through cell-cell adhesion and soluble factors. Interestingly, 1L8 expression also increased in HMCLs, stromal cells, and osteoclasts after treatment with the antimyeloma drugs melphalan and bortezomib. In fact, the effect of bortezomib on IL-8 production was higher than that exerted by stromal-MM cell interactions. Addition of exogenous IL-8 did not affect growth of HMCLs, although it protected cells from death induced by serum starvation through a caspase-independent mechanism. Furthermore, IL-8 induced by stromal-MM cell interactions strongly contributed to osteoclast formation in vitro, because osteoclastogenesis was markedly reduced by IL-8 specific neutralizing antibodies. In conclusion, our results implicate IL-8 in myeloma bone disease and point to the potential utility of an anti IL-8 therapy to prevent unwanted effects of IL-8 up-regulation on survival, angiogenesis, and osteolysis in MM.Spanish RTICC, Spanish Association against Cancer (AECC), the INNOCAMPUS Program , Spanish ISCIII-FIS (PI12/02591) and FEDER, Regional Council from Castilla y León (Consejería de Educación) and the Network of Centers for Regenerative Medicine and Cellular Therapy from Castilla y León

Colecciones de referencia y oferta multimedia para la práctica arqueológica.

El Grado de Arqueología ha permitido introducir métodos pedagógicos de mayor calidad y herramientas multimedia. Este proyecto tiene por objetivo suministrar a los estudiantes del Grado de Arqueología las competencias básicas para entender y manejar los datos arqueológicos, a través de métodos de aprendizaje interactivos multimedia, reproducciones de artefactos antiguos y colecciones de referencia que integren la información usual de la investigación real en el campo arqueológic

Healthcare workers hospitalized due to COVID-19 have no higher risk of death than general population. Data from the Spanish SEMI-COVID-19 Registry

Aim To determine whether healthcare workers (HCW) hospitalized in Spain due to COVID-19 have a worse prognosis than non-healthcare workers (NHCW). Methods Observational cohort study based on the SEMI-COVID-19 Registry, a nationwide registry that collects sociodemographic, clinical, laboratory, and treatment data on patients hospitalised with COVID-19 in Spain. Patients aged 20-65 years were selected. A multivariate logistic regression model was performed to identify factors associated with mortality. Results As of 22 May 2020, 4393 patients were included, of whom 419 (9.5%) were HCW. Median (interquartile range) age of HCW was 52 (15) years and 62.4% were women. Prevalence of comorbidities and severe radiological findings upon admission were less frequent in HCW. There were no difference in need of respiratory support and admission to intensive care unit, but occurrence of sepsis and in-hospital mortality was lower in HCW (1.7% vs. 3.9%; p = 0.024 and 0.7% vs. 4.8%; p<0.001 respectively). Age, male sex and comorbidity, were independently associated with higher in-hospital mortality and healthcare working with lower mortality (OR 0.211, 95%CI 0.067-0.667, p = 0.008). 30-days survival was higher in HCW (0.968 vs. 0.851 p<0.001). Conclusions Hospitalized COVID-19 HCW had fewer comorbidities and a better prognosis than NHCW. Our results suggest that professional exposure to COVID-19 in HCW does not carry more clinical severity nor mortality

The Beaker phenomenon and the genomic transformation of northwest Europe

From around 2750 to 2500 bc, Bell Beaker pottery became widespread across western and central Europe, before it disappeared between 2200 and 1800 bc. The forces that propelled its expansion are a matter of long-standing debate, and there is support for both cultural diffusion and migration having a role in this process. Here we present genome-wide data from 400 Neolithic, Copper Age and Bronze Age Europeans, including 226 individuals associated with Beaker-complex artefacts. We detected limited genetic affinity between Beaker-complex-associated individuals from Iberia and central Europe, and thus exclude migration as an important mechanism of spread between these two regions. However, migration had a key role in the further dissemination of the Beaker complex. We document this phenomenon most clearly in Britain, where the spread of the Beaker complex introduced high levels of steppe-related ancestry and was associated with the replacement of approximately 90% of Britain’s gene pool within a few hundred years, continuing the east-to-west expansion that had brought steppe-related ancestry into central and northern Europe over the previous centuries

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Sobre la infancia en la Prehistoria: un análisis de las sociedades del interior peninsular entre el VI y III milenio AC.

Research about children had been traditionally forgotten by the archaeology due to some factors as their difficult preservation and identification. The literature on Prehistory has mostly forgotten children, who had received a marginal and inappropriate treatment for been considered as passive members of the society. However, immature individuals belong to the community and are determinants for an appropriated reproduction of their social, economic and ideological patterns, through the learning processes, initiation rituals, etc. It appears absolutely necessary to take children into an account if we want to approach past societies. The main goal of this research is to collect and analyze the different funerary evidences of children, as it could provide valuable information to approach their social and economic role in prehistoric societies. In particular, it would be focus on inner Iberia sites from 5500 to 2000 cal AC (Neolithic and Copper Age), as during this period of time, crucial transformations occur in Western Europe prehistoric societies.El estudio de los individuos infantiles en Arqueología ha sido tradicionalmente relegado a un segundo plano debido a ciertos factores, tales como su estado de preservación o la dificultad de identificación y excavación. La bibliografía sobre Prehistoria ha olvidado mayoritariamente a los subadultos, que siempre han recibido un tratamiento marginal e inadecuado por ser considerados miembros pasivos de la sociedad. Sin embargo, los individuos inmaduros forman parte de ella, y son determinantes para la adecuada reproducción de sus patrones sociales, económicos o ideológicos, a través de los procesos de aprendizaje, los rituales de iniciación etc. Si pretendemos aproximarnos a las poblaciones del pasado, es absolutamente necesario tenerlos en cuenta en nuestras interpretaciones. El objetivo de este trabajo es hacer una recopilación y análisis preliminar de diversas evidencias funerarias de individuos infantiles, ya que nos proporcionan una información muy valiosa para abordar su papel en la estructura social y económica de los grupos prehistóricos. En concreto se centrará en los yacimientos del interior peninsular en el periodo comprendido entre el 5500 y el 2000 cal AC (Neolítico y Calcolítico), ya que a lo largo de él se producen cruciales transformaciones en las sociedades prehistóricas de Europa occidental

Anexo 1. Informe antropológico de los restos hallados en San Pelayo IV, Arellano (Navarra)

En este anexo I se presentan los resultados de la excavación del poblado de la Edad del Bronce de San Pelayo IV (Arellano, Navarra). Las dataciones disponibles sitúan la ocupación en el Bronce Medio. Las estructuras descubiertas son 16 depósitos en hoyo y una cista megalítica