A better shade of black: effects of manufacturing parameters on the development of ancient black bronzes

Alloys with controlled contents of Sn, Ag and Au, were treated with methods and solutions that mimic those used in ancient and traditional procedures for the production of black bronze. Examination of the resulting patinas with colorimetry, SEM-EDS, TEM, Raman Spectroscopy, and XRD revealed no systematic differences according to fabrication method, whereas patina homogeneity and colour in those alloys which did not contain precious metal were affected by superficial work. Patina microstructure determines adherence and coverage, and depends upon solution used irrespective of the alloy composition, but the colour of the patina is mainly related to alloy composition. Gold promotes the development of cuprite, slowing the oxidation to tenorite in the corrosion process. Gold additions produce a more uniform patina as well as a desirable blue-black tone which is likely to have been a factor in alloy selection

Gold parting, iridium and provenance of ancient silver: A reply to Pernicka

We present a detailed response to Professor Pernicka's critique of our paper entitled “Iridium to provenance ancient silver”. We have concluded that Pernicka's hypothesis, which suggests that elevated levels of iridium in ancient silver artefacts is a consequence of silver deriving from the cementation (parting) process, does not account for the available evidence and that his critiques of the analyses we presented seem misplaced. We offer a simpler solution and show that the structure of our transformed data is founded on logical reasoning which is borne out by the empirical results. Essentially, this response supports our view reported in the original paper that the variation in iridium in ancient silver is largely geological rather than a consequence of de-silvering gold

Investigating the production provenance of iron artifacts with multivariate methods

The quest for suitable data, data treatments and statistical methods for identifying the provenance of iron artifacts has led to a variety of analytical strategies. Researchers working on the problem have been slow to develop or adopt the use of multivariate statistical techniques, despite their successful implementation in other archaeomaterials sourcing frameworks. This paper explores the analytical potential of a comprehensive multivariate statistical strategy for identifying the primary production origins of bloomery iron artifacts using bulk chemical analyses of bloomery smelting slag and slag inclusions in iron artifacts. This strategy includes a multivariate model for identifying distinct slag inclusion types introduced during smelting and refining. Principal component analysis and linear discriminant analysis are then applied to smelting slag training sets to create multivariate provenance fields, the chemical distributions of which are defined by kernel density estimation. Single and multi-group evaluation methods are examined. Appropriate data transformations are discussed to facilitate the projection of the chemistry of “unknown” slag inclusions into the multidimensional space generated by the smelting slag groups of known provenance. The efficacy of this strategy is demonstrated through its application to a previously examined data set derived from three iron production experiments and a published archaeological example. Results indicate that an appropriately designed multivariate strategy can be an effective tool for evaluating provenance hypotheses for bloomery iron artifacts

Excess hospitalizations and mortality associated with seasonal influenza in Spain, 2008–2018

Hospitalization; Influenza; MortalityHospitalització; Grip; MortalitatHospitalización; Gripe; MortalidadBackground Influenza may trigger complications, particularly in at-risk groups, potentially leading to hospitalization or death. However, due to lack of routine testing, influenza cases are infrequently coded with influenza-specific diagnosis. Statistical models using influenza activity as an explanatory variable can be used to estimate annual hospitalizations and deaths associated with influenza. Our study aimed to estimate the clinical and economic burden of severe influenza in Spain, considering such models. Methods The study comprised ten epidemic seasons (2008/2009–2017/2018) and used two approaches: (i) a direct method of estimating the seasonal influenza hospitalization, based on the number of National Health Service hospitalizations with influenza-specific International Classification of Diseases (ICD) codes (ICD-9: 487–488; ICD-10: J09-J11), as primary or secondary diagnosis; (ii) an indirect method of estimating excess hospitalizations and deaths using broader groups of ICD codes in time-series models, computed for six age groups and four groups of diagnoses: pneumonia or influenza (ICD-9: 480–488, 517.1; ICD-10: J09–J18), respiratory (ICD-9: 460–519; ICD-10: J00–J99), respiratory or cardiovascular (C&R, ICD-9: 390–459, 460–519; ICD-10: I00–I99, J00–J99), and all-cause. Means, excluding the H1N1pdm09 pandemic (2009/2010), are reported in this study. Results The mean number of hospitalizations with a diagnosis of influenza per season was 13,063, corresponding to 28.1 cases per 100,000 people. The mean direct annual cost of these hospitalizations was €45.7 million, of which 65.7% was generated by patients with comorbidities. Mean annual influenza-associated C&R hospitalizations were estimated at 34,894 (min: 16,546; max: 52,861), corresponding to 75.0 cases per 100,000 (95% confidence interval [CI]: 63.3–86.3) for all ages and 335.3 (95% CI: 293.2–377.5) in patients aged ≥ 65 years. We estimate 3.8 influenza-associated excess C&R hospitalizations for each hospitalization coded with an influenza-specific diagnosis in patients aged ≥ 65 years. The mean direct annual cost of the estimated excess C&R hospitalizations was €142.9 million for all ages and €115.9 million for patients aged ≥ 65 years. Mean annual influenza-associated all-cause mortality per 100,000 people was estimated at 27.7 for all ages. Conclusions Results suggest a relevant under-detected burden of influenza mostly in the elderly population, but not neglectable in younger people.The BARI study was funded by Sanofi. Martinón-Torres F has received support for the present work from the Instituto de Salud Carlos III (Proyecto de Investigación en Salud, Acción Estratégica en Salud): Fondo de Investigación Sanitaria (FIS; PI070069/PI1000540/PI1601569/PI1901090) del plan nacional de I + D + I and ‘fondos FEDER’ and Proyectos GAIN Rescata-Covid_IN845D 2020/23 (GAIN, Xunta de Galicia)

Clinical and economic burden of respiratory syncytial virus in Spanish children: the BARI study

Respiratory syncytial virus (RSV) infection is a major cause of morbidity in children. However, its disease burden remains poorly understood, particularly outside of the hospital setting. Our study aimed to estimate the burden of medically attended acute lower respiratory infection (ALRI) cases potentially related to RSV in Spanish children. Longitudinal data from September 2017 to June 2018 of 51,292 children aged < 5 years old from the National Health‑ care System (NHS) of two Spanish regions were used. Three case definitions were considered: (a) RSV‑specific; (b) RSV‑specific and unspecified acute bronchiolitis (RSV‑specific and Bronchiolitis), and; (c) RSV‑specific and unspecified ALRI (RSV‑specific and ALRI). A total of 3460 medically attended ALRI cases potentially due to RSV were identified, of which 257 (7.4%), 164 (4.7%), and 3039 (87.8%) coded with RSV‑specific, unspecific bronchiolitis, and unspecific ALRI codes, respectively. Medically attended RSV‑specific and ALRI cases per 1000 children was 134.4 in the first year of life, 119.4 in the second, and 35.3 between 2 and 5 years old. Most cases were observed in otherwise healthy children (93.1%). Mean direct healthcare cost per medically attended RSV‑specific and ALRI case was €1753 in the first year of life, €896 in the second, and €683 between 2 and 5 years old. Hospitalization was the main driver of these costs, accounting for 55.6%, 38.0% and 33.4%, in each respective age group. In RSV‑specific cases, mean direct healthcare cost per medically attended case was higher, mostly due to hospitalization: €3362 in the first year of life (72.9% from hospitalizations), €3252 in the second (72.1%), and €3514 between 2 and 5 years old (74.2%). These findings suggest that hospitalization data alone will underestimate the RSV infections requiring medical care, as will relying only on RSV‑specific codes. RSV testing and codification must be improved and preventive solutions adopted, to protect all infants, particularly during the first year of life.The BARI study was funded by Sanofi.Medicin

Transcriptomic Profiling in Childhood H1N1/09 Influenza Reveals Reduced Expression of Protein Synthesis Genes

We compared the blood RNA transcriptome of children hospitalized with influenza A H1N1/09, respiratory syncytial virus (RSV) or bacterial infection, and healthy controls. Compared to controls, H1N1/09 patients showed increased expression of inflammatory pathway genes and reduced expression of adaptive immune pathway genes. This was validated on an independent cohort. The most significant function distinguishing H1N1/09 patients from controls was protein synthesis, with reduced gene expression. Reduced expression of protein synthesis genes also characterized the H1N1/09 expression profile compared to children with RSV and bacterial infection, suggesting that this is a key component of the pathophysiological response in children hospitalized with H1N1/09 infection

Early metallurgy in SE Iberia. The workshop of Las Pilas (Mojacar, Almeria, Spain)

Big narratives on the role of metallurgy in social change and technological innovations are common in archaeology. However, informed discussion of these issues requires a contextualised characterisation of metallurgical technology at the local level in its specific social and technological context. This paper approaches early metallurgy in Iberia from a technological perspective. We focus on the site of Las Pilas in the Vera Basin (Mojácar, Almería, Spain), where the whole metallurgical chaîne opératoire has been documented in situ through archaeological excavation of a 3rd Millennium BC context. The study includes microstructural, mineralogical and chemical analyses of ores, slag, technical ceramics and finished artefacts, as well as domestic pottery used for comparative purposes. These results are discussed with reference to the archaeological context and evidence for other domestic activities and crafts. Our aim is to contribute to better characterise the early metallurgical tradition of Southeast Iberia, paying particular attention to specific technological tools, knowledge and recipes that may allow future comparative approaches to knowledge transmission or independent innovation debates. For this particular case, we demonstrate the direct production of arsenical copper in a low-scale, low-specialisation, low-efficiency set up that involved the crucible smelting of complex oxidic ores in a context that suggests associations with cereal roasting and, indirectly, with basket and pottery making

Prevention of new respiratory episodes in children with recurrent respiratory infections: An expert consensus statement

In healthy infants and young children, the development of respiratory tract infections (RTIs) is extremely common. In this paper, we present an international consensus of the available approaches for the prevention of recurrent RTIs in children, including the atopic/allergic ones as well as those with asthma. Few convincing measures for reducing the frequency and clinical relevance of recurrent respiratory episodes in RTI-prone children have been developed until now. Among the most recently suggested measures, immunotherapy is attractive, but only for OM-85 is there a sufficient number of well-conducted clinical trials confirming efficacy in RTIs prevention with an adequate safety profile. In the case of probiotics, it is not clear which bacteria can offer the best results and which dosage and schedule of administration are the most effective. The problems of dosage and the schedule of administration are not solved also for vitamin D, despite some promising efficacy results. While we wait for new knowledge, the elimination or reduction as much as possible of the environmental factors that favor RTIs, vaccination when available and/or indicated, and the systematic application of the traditional methods for infection prevention, such as hand washing, remain the best measures to prevent recurrent infections in RTI-prone children