Epidemiology and Clinical impact of single and multi-viral respiratory infections in post-pandemic era.

Acute respiratory tract infections (ARI) are common diseases in children and adults and could cause severe infections in high-risk patients, like the immunocompromised and elderly, and are the leading cause of morbidity, hospitalization and mortality. This study aimed to explore the prevalence of respiratory viruses and the clinical impact of single- and multi-infection among hospitalized patients in various age groups. 3578 nasopharyngeal swabs (NPS) were analyzed for pathogen detection of acute respiratory tract infections. 930 out of 3578 NPS were diagnosed positive for at least one respiratory virus. The distribution of viral infections, prevalence and pathogen, differed significantly among age groups. Most RTI are observed in the age group over 65 years (50.6%) with a high SARS-CoV2 prevalence, following by group <5 years (25.6%), where the most frequently detected viruses were RSV, Rhinovirus, FluA-H3, MPV, and AdV. The co-infection rate also varies according to age and, in some cases, especially in older adults, could have severe clinical impact. This study emphasizes that it is important to know and analyze, in all age groups of hospitalized patients, the epidemiology of respiratory viruses, the prevalence of coinfections, and the clinical impact of various pathogens. Furthermore, in a clinical setting, the rapid diagnosis of respiratory infections by means of molecular tests is crucial not only to avoid hospital outbreaks, but also to allow early and optimal treatment to reduce morbidity and mortality.

Evaluation of honey authenticity in Lebanon by analysis of carbon stable isotope ratio using elemental analyzer and liquid chromatography coupled to isotope ratio mass spectrometry.

Honey is one of the most valuable sweeteners consumed by humans all over the world. Consequently, it is often a target for adulteration through the addition of different sugar syrups during or after honey production, resulting in a reduction in its nutritive value. For the first time, this study analyzes honey samples of various botanical species collected from different Lebanese regions using element analyzer (EA) and liquid chromatography (LC) coupled with isotope ratio mass spectrometry (IRMS). The δ13 C of bulk honey, its protein fraction, and the main individual sugars (glucose, fructose, disaccharides, and trisaccharide) were determined, in order to characterize and evaluate the authenticity of honey consumed in Lebanon. The results showed that the δ13 C values for bulk honey and its protein range from -26.5‰ to -24.5‰ and from -26.4‰ to -24.7‰, respectively, for authentic samples. δ13 C values for samples adulterated with sugar syrups range from -11.2‰ to -25.1‰ for bulk honey and from -26.6‰ to -23.7‰ for its proteins, with a difference between bulk and protein values between -1 and -8.7‰. Using LC-C-IRMS techniques, the δ13 C of individual sugars provides additional information on the presence of undeclared sugars. We found that all authentic samples had Δδ13 Cf-g and Δδ13 C max values within the naturally occurring range of ±1‰ and ±2.1‰, respectively, while the adulterated samples fall outside the Δδ13 C ranges. The oligosaccharide peak was detected in most adulterated samples.

Exploring mobility in Italian Neolithic and Copper Age communities.

As a means for investigating human mobility during late the Neolithic to the Copper Age in central and southern Italy, this study presents a novel dataset of enamel oxygen and carbon isotope values (δ18Oca and δ13Cca) from the carbonate fraction of biogenic apatite for one hundred and twenty-six individual teeth coming from two Neolithic and eight Copper Age communities. The measured δ18Oca values suggest a significant role of local sources in the water inputs to the body water, whereas δ13Cca values indicate food resources, principally based on C3 plants. Both δ13Cca and δ18Oca ranges vary substantially when samples are broken down into local populations. Statistically defined thresholds, accounting for intra-site variability, allow the identification of only a few outliers in the eight Copper Age communities, suggesting that sedentary lifestyle rather than extensive mobility characterized the investigated populations. This seems to be also typical of the two studied Neolithic communities. Overall, this research shows that the investigated periods in peninsular Italy differed in mobility pattern from the following Bronze Age communities from more northern areas.

Towards a biologically available strontium isotope baseline for Ireland.

Strontium isotopes are used in archaeology, ecology, forensics, and other disciplines to study the origin of artefacts, humans, animals and food items. Strontium in animal and human tissues such as bone and teeth originates from food and drink consumed during life, leaving an isotopic signal corresponding to their geographical origin (i.e. where the plants grew, the animals grazed and the drinking water passed through). To contextualise the measurements obtained directly on animal and human remains, it is necessary to have a sound baseline of the isotopic variation of biologically available strontium in the landscape. In general, plants represent the main source of strontium for humans and animals as they usually contain much higher strontium concentrations than animal products (meat and milk) or drinking water. The observed difference between the strontium isotope composition of geological bedrock, soils and plants from the same locality warrants direct measurement of plants to create a reliable baseline. Here we present the first baseline of the biologically available strontium isotope composition for the island of Ireland based on 228 measurements on plants from 140 distinct locations. The isoscape shows significant variation in strontium isotope composition between different areas of Ireland with values as low as 0.7067 for the basalt outcrops in County Antrim and values of up to 0.7164 in the Mourne Mountains. This variability confirms the potential for studying mobility and landscape use of past human and animal populations in Ireland. Furthermore, in some cases, large differences were observed between different types of plants from the same location, highlighting the need to measure more than one plant sample per location for the creation of BASr baselines.

Shipping amphorae and shipping sheep? Livestock mobility in the north-east Iberian peninsula during the Iron Age based on strontium isotopic analyses of sheep and goat tooth enamel.

Animal mobility is a common strategy to overcome scarcity of food and the related over-grazing of pastures. It is also essential to reduce the inbreeding rate of animal populations, which is known to have a negative impact on fertility and productivity. The present paper shows the geographic range of sheep provisioning in different phases of occupation at the Iron Age site of Turó de la Font de la Canya (7th to 3rd centuries BC). Strontium isotope ratios from 34 archaeological sheep and goat enamel, two archaeological bones and 14 modern tree leaves are presented. The isotopic results suggest that sheep and goats consumed at the site were reared locally (within a few kilometres radius) during the whole period of occupation. The paper discusses the isotopic results in light of the socio-political structure of this period, as complex, strongly territorial societies developed during the Iron Age in the north-east Iberian Peninsula.

Tooth enamel oxygen "isoscapes" show a high degree of human mobility in prehistoric Britain.

A geostatistical model to predict human skeletal oxygen isotope values (δ18Op) in Britain is presented here based on a new dataset of Chalcolithic and Early Bronze Age human teeth. The spatial statistics which underpin this model allow the identification of individuals interpreted as 'non-local' to the areas where they were buried (spatial outliers). A marked variation in δ18Op is observed in several areas, including the Stonehenge region, the Peak District, and the Yorkshire Wolds, suggesting a high degree of human mobility. These areas, rich in funerary and ceremonial monuments, may have formed focal points for people, some of whom would have travelled long distances, ultimately being buried there. The dataset and model represent a baseline for future archaeological studies, avoiding the complex conversions from skeletal to water δ18O values-a process known to be problematic.

A comparison of pretreatment methods for the analysis of phosphate oxygen isotope ratios in bioapatite.

RATIONALE: The integrity of the biological phosphate oxygen isotope (δ(18)O(p) ) signal is thought to be contingent upon the complete removal of competing sources of oxygen such as associated organic matter. A range of pretreatment methods to purify phosphate material from competing sources of oxygen has been reported, with contradictory evidence on the usefulness and efficiency of one or another. Yet, a systematic comparison of these techniques for bioapatite phosphate has not been conducted. METHODS: Chemical and thermal pretreatment techniques were tested for their effectiveness at removing organic matter and the likelihood that they modify original δ(18)O values. The test was performed in inorganic (synthetic apatite and a phosphorite rock) and organic (bone and tooth tissues) phosphate materials for which we had an expectation of the actual original δ(18)O(p) value. Analysis of nitrogen content (wt.%), scanning electron microscopy (SEM) and Fourier transform infrared (FTIR) spectroscopy were employed. RESULTS: We detected variable efficiency at removing organic matter between pretreatment methods with no correlation to any specific structural change. The δ(18)O(p) results showed considerable variation between samples pretreated with the different methods and the untreated samples, with a compositional range of up to 4.5 ‰ in the bone samples. Variations of the δ(18)O(p) values within error were found for tooth enamel, phosphorite rock and inorganic apatite. CONCLUSIONS: We recommend a cautious approach when interpreting and comparing δ(18)O(p) data from bone samples treated with different pretreatment protocols. In general, the untreated samples seem to show δ(18)O(p) values closer to the expected ones. According to our results, pretreatment is completely unnecessary in highly mineralized tissues.

Faunal migration in late-glacial central Italy: implications for human resource exploitation.

The hunter-gatherer transhumance model presents foragers as specialised hunters of migratory ungulates, which moved seasonally between coastal lowlands and interior uplands. We studied six animal teeth of horse (Equus hydruntinus) and red deer (Cervus elaphus) from four different archaeological sites: the Grotta di Vado all'Arancio, Grotta di Settecannelle, Grotta Polesini and Grotta di Pozzo, in central Italy to test whether the migratory patterns and seasonal variations recorded in their teeth were consistent with expectations of the transhumance model for this region during the late Upper Palaeolithic. Sequential sub-samples of enamel were analysed from each tooth for oxygen, carbon and strontium isotope ratios to reconstruct mobility and yearly seasonal variations. The results show little evidence that these animals were moving over different geological terrains throughout the year, although small variations in Sr isotope ratios and concentrations were detected that corresponded to probable seasonal variations as shown by variability in oxygen isotope sequences. The results do, however, demonstrate that Cervus elaphus and Equus hydruntinus had different ranging behaviours, with the former moving over wider areas than the latter. This methodology produces results appropriate to assess animal migratory behaviour and, in turn, to test the consistency of proposed models of hunter-gatherer subsistence and mobility strategies.