A retrospective database analysis of burden of IPD and pneumonia in children <15y in Veneto region

Abstract Background IPD and pneumonia are associated with high mortality and healthcare resource utilization (HCRU). This analysis assessed incidence, HCRU and costs of IPD and pneumonia following PCV13 introduction in 2010 in Veneto. Methods IPD, unspecified invasive disease episodes, outpatient pneumococcal and unspecified pneumonia episodes were identified in Pedianet, a pediatric primary care database from 2010-2017. HCRU includes primary care and specialist visits, antibiotic prescriptions, diagnostics, ER visits and hospitalizations. Incidence rates (IRs) were numbers of episodes/1,000 person-years. Standardized regional incidence rates (SRIRs) were calculated by standardizing IRs with regional population data by age and year. Regional expenditures (€/1,000 person-years) were calculated by multiplying SRIRs with average costs per episode. Interrupted time series (ITS) analyses assessed trends in annual IRs in the early and late PCV13 (2010-2013, 2014-2017) periods. Results During 2010-2017, IPD and unspecified invasive disease incidence decreased from 0.40 to 0.31/1,000 person-years. While incidence was numerically lower in 2017 than in 2010, ITS analysis did not detect a significant trend in the early (coef=1.97; p = 0.63) or late PCV13 (coef=0.50; p = 0.90) periods. Average cost per episode was €4206 and average regional expenditure was €171/1,000 person-year. SRIR for outpatient pneumonia decreased from 13.35 to 5.48/1,000 person-year during 2010 to 2017. Pneumonia episodes were associated with 0.29 ER visits and 0.15 short stay and 0.06 long stay hospitalization. Average cost per episode was €345, majority of which was associated with ER visits (€50.8) and hospitalizations (€243.9). Regional expenditures decreased from €12852.31 to €5351.98/1,000 person-year. Conclusions IPD and unspecified invasive disease burden did not change significantly following PCV13 introduction, while disease burden declined for outpatient pneumococcal and unspecified pneumonia. Key messages IPD and unspecified invasive disease burden did not change significantly following PCV13 introduction. Disease burden declined for outpatient pneumococcal and unspecified pneumonia following PCV13

Carbon based substrates for interfacing neurons: Comparing pristine with functionalized carbon nanotubes effects on cultured neuronal networks

Pristine (as prepared) carbon nanotube (CNT) based substrates have been widely used to grow and interface neurons in culture. Nerve cells normally differentiate on CNTs and the synaptic networks, newly formed at the interface with this material, usually show an improved robustness in signal transfer. However manipulation of pristine CNTs is often prevented by their low dispersibility and tendency to aggregate in most solvents. This issue can be at least partially solved by adding solubilizing groups to the surface of CNT, which also helps improving their biocompatibility. It becomes therefore of crucial importance to determine whether chemically manipulated CNTs may maintain their performance in improving nerve signaling. Here we study and compare the impact in vitro on neuronal signaling of two classes of chemically modified multiwalled CNTs in reference to pristine CNTs, which are known to be a substrate able to boost neuronal growth and communication. We found that the extent of functionalization and the nature of the functional groups on MWNT sidewalls affect the conductivity and the biological effects of the final derivatives. This information is important for the future design of biointegrated devices

Insights into a Protein-Nanoparticle System by Paramagnetic Perturbation NMR Spectroscopy

BACKGROUND: The interaction between proteins and nanoparticles is a very relevant subject because of the potential applications in medicine and material science in general. Further interest derives from the amyloidogenic character of the considered protein, \u3b22-microglobulin (\u3b22m), which may be regarded as a paradigmatic system for possible therapeutic strategies. Previous evidence showed in fact that gold nanoparticles (AuNPs) are able to inhibit \u3b22m fibril formation in vitro. METHODS: NMR (Nuclear Magnetic Resonance) and ESR (Electron Spin Resonance) spectroscopy are employed to characterize the paramagnetic perturbation of the extrinsic nitroxide probe Tempol on \u3b22m in the absence and presence of AuNPs to determine the surface accessibility properties and the occurrence of chemical or conformational exchange, based on measurements conducted under magnetization equilibrium and non-equilibrium conditions. RESULTS: The nitroxide perturbation analysis successfully identifies the protein regions where protein-protein or protein-AuNPs interactions hinder accessibility or/and establish exchange contacts. These information give interesting clues to recognize the fibrillation interface of \u3b22m and hypothesize a mechanism for AuNPs fibrillogenesis inhibition. CONCLUSIONS: The presented approach can be advantageously applied to the characterization of the interface in protein-protein and protein-nanoparticles interactions

Modeling rhizosphere carbon and nitrogen cycling in <i>Eucalyptus</i> plantation soil

Vigorous Eucalyptus plantations produce 105 to 106&thinsp;km&thinsp;ha−1 of fine roots that probably increase carbon (C) and nitrogen (N) cycling in rhizosphere soil. However, the quantitative importance of rhizosphere priming is still unknown for most ecosystems, including these plantations. Therefore, the objective of this work was to propose and evaluate a mechanistic model for the prediction of rhizosphere C and N cycling in Eucalyptus plantations. The potential importance of the priming effect was estimated for a typical Eucalyptus plantation in Brazil. The process-based model (ForPRAN – Forest Plantation Rhizosphere Available Nitrogen) predicts the change in rhizosphere C and N cycling resulting from root growth and consists of two modules: (1) fine-root growth and (2) C and N rhizosphere cycling. The model describes a series of soil biological processes: root growth, rhizodeposition, microbial uptake, enzymatic synthesis, depolymerization of soil organic matter, microbial respiration, N mineralization, N immobilization, microbial death, microbial emigration and immigration, and soil organic matter (SOM) formation. Model performance was quantitatively and qualitatively satisfactory when compared to observed data in the literature. Input variables with the most influence on rhizosphere N mineralization were (in order of decreasing importance) root diameter&thinsp; &gt; &thinsp;rhizosphere thickness&thinsp; &gt; &thinsp;soil temperature&thinsp; &gt; &thinsp;clay concentration. The priming effect in a typical Eucalyptus plantation producing 42&thinsp;m3&thinsp;ha−1&thinsp;yr−1 of shoot biomass, with assumed losses of 40&thinsp;% of total N mineralized, was estimated to be 24.6&thinsp;% of plantation N demand (shoot&thinsp;+&thinsp;roots&thinsp;+&thinsp;litter). The rhizosphere cycling model should be considered for adaptation to other forestry and agricultural production models where the inclusion of such processes offers the potential for improved model performance.</p

Drug use in children: cohort study in three European countries

Objective To provide an overview of drug use in children in three European countries

The CRACK programme: a scientific alliance for bridging healthcare research and public health policies in Italy

Healthcare utilisation databases, and other secondary data sources, have been used with growing frequency to assess health outcomes and healthcare interventions worldwide. Their increased popularity as a research tool is due to their timely availability, the large patient populations covered, low cost, and applicability for studying real-world clinical practice. Despite the need to measure Italian National Health Service performance both at regional and national levels, the wealth of good quality electronic data and the high standards of scientific research in this field, healthcare research and public health policies seem to progress along orthogonal dimensions in Italy. The main barriers to the development of evidence-based public health include the lack of understanding of evidence-based methodologies by policy makers, and of involvement of researchers in the policy process. The CRACK programme was launched by some academics from the Lombardy Region. By extensively using electronically stored data, epidemiologists, biostatisticians, pharmacologists and clinicians applied methods and evidence to several issues of healthcare research. The CRACK programme was based on their intention to remove barriers that thwart the process of bridging methods and findings from scientific journals to public health practice. This paper briefly describes aim, articulation and management of the CRACK programme, and discusses why it might find articulated application in Italy