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•Two large scale molecular epidemiology studies performed in Italy and Spain.•The population dynamics trends differed between the two countries.•Relevant association between changes in vaccination strategies and viral population.•Strong association between viral population dynamics and outbreak frequency.•Hill’s criteria for causation were accomplished. The extreme variability and rapid evolution of Infectious bronchitis virus (IBV) has always represented the key challenge for its control because of the limited cross-protection among different strains. Several experimental trials have proven a broadening of the protection spectrum when animals are vaccinated with multiple genotypes. Nevertheless, the conditions of vaccine administration in field are so different that the generalization of experimental results is, at least, questionable. In the present study a large scale epidemiological-phylodynamic approach was used to reconstruct the demographic history of the major field genotype (i.e. the QX one) circulating in Italy and Spain. These two countries were selected because, even if they share a comparable epidemiological scenario, the implemented vaccination protocols did not vary in Spain while changed dramatically in Italy over the time period considered. One hundred and ninety-five Italian and 98 Spanish non-recombinant sequences of the hyper-variable region of the S1 gene obtained between 2012 and 2016 were analyzed using a serial coalescent-based approach to reconstruct viral population history over time. While the IBV QX population dynamics remained constant in Spain, a much more complex pattern was evidenced in Italy; both in terms of viral population size and clinical outbreak frequency. Remarkably, a strong association with changes in vaccination strategies was recognized. This allowed demonstrating, by accomplishing all Hill’s criteria for causation, the cause-effect relationship between the vaccine administration/withdrawal and the variation in viral population dynamics and, above all, IBV related outbreaks. Thus, a robust confirmation about the efficacy of IBV vaccination in field conditions was provided. Additionally, the history herein reported testifies the primary importance of rigorously planning not only the intervention strategies but also their monitoring and evaluation.

Objective: The objective of this study was to analyze respiratory muscle function in children and adolescents with cystic fibrosis (CF) treated with Elexacaftor/Tezacaftor/Ivacaftor (ETI) compared to healthy individuals, based on the hypothesis that CFTR modulators may improve respiratory muscle strength. Methods: A descriptive, observational, cross-sectional study was conducted with patients with CF treated with ETI aged 6–18 years. Lung function, maximal expiratory and inspiratory pressures (MIP and MEP), diet quality (KIDMED), and physical activity levels (PAQ) were assessed. The student’s t-test or the Mann–Whitney U-test was used to compare differences between groups. The effect size was calculated with Cohen’s d. Significance level was set as a p-value < 0.05. Results: A total of 48 children and adolescents (60.4% male) were analyzed in this study (24 healthy and 24 with CF). The participants with CF had mild pulmonary involvement. No significant differences were found in respiratory muscle strength between groups (MEPmax p = 0.440, MIPmax p = 0.206). Patients with CF showed lower KIDMED (p = 0.022) and PAQ (p = 0.010) scores. However, the MIP and MEP values observed in CF participants were higher than those reported in previous studies conducted before the introduction of ETI modulators. Conclusions: Children and adolescents with CF treated with ETI showed respiratory muscle strength comparable to that of healthy controls. Despite differences in lifestyle factors, these findings may reflect a positive impact of CFTR modulators on respiratory muscle function, although further longitudinal and controlled studies are needed.

The temperature distribution of shallow sectors of coastal aquifers are highly influenced by the atmospheric temperature and recharge. However, geothermal heat or vertical fluxes due to the presence of the saline wedge have more influence at deeper locations. In this study, using numerical models that account for variable density, periodic oscillations of temperature have been detected, and their origin has been attributed to the influence exerted by recharge and tides. The combined analysis of field data and numerical models showed that the alternation of dry and wet periods modifies heat distribution in deep zones (>100 m) of the aquifer. Oscillations with diurnal and semidiurnal frequencies have been detected for groundwater temperature, but they show differences in terms of amplitudes and delay with electrical conductivity (EC). The main driver of the temperature oscillations is the forward and backward displacement of the freshwater–saltwater interface, and the associated thermal plume generated by the upward flow from the aquifer basement. These oscillations are amplified at the interfaces between layers with different hydraulic conductivity, where thermal contours are affected by refraction.

A set of experimental field single-borehole dilution tests were completed in the Motril–Salobreña detrital aquifer (Spain) in a sector with coarse material in four different moments under variable hydrological conditions. The comparative study of the tracer washing, and the temperature profile patterns for the tests carried out in two wells located hundreds of m from each other, revealed the presence of ascending vertical flows in one of the wells (not detected by other means) that compromises the reliability of the tracer test. The values of both the apparent horizontal velocity and hydraulic conductivity obtained in the affected well were less than half of those estimated in the well not affected by the upward vertical flows. The repetition of the test eight times during different seasons showed that the hydraulic conductivity calculated from the apparent horizontal velocity can vary; therefore, to approximate to a representative hydraulic conductivity value, using this method is recommended to carry out tests under different hydrological conditions and average the results. The difference generated by the changes in conditions for the specific setting of the study area was 25%. Taking this into account, it was considered that an approximation to the more representative value would be an average under variable hydrological conditions, resulting in a horizontal velocity of 6.7 m/d and hydraulic conductivity of 337 m/d. This information is critical for the management of the aquifer as it has strategic resources against droughts that are becoming more frequent in the Mediterranean area.

A surge in fowl adenovirus (FAdV) causing inclusion body hepatitis (IBH) outbreaks has occurred in several countries in the last two decades. In Spain, a sharp increase in case numbers in broilers and broiler breeder pullets arose since 2011, which prompted the vaccination of breeders in some regions. Our retrospective study of IBH cases in Spain from 2011 to 2021 revealed that most cases were reported in broilers (92.21%) and were caused by serotypes FAdV-8b and -11, while cases in broiler breeder pullets were caused by serotypes FAdV-2, -11, and -8b. Vertical transmission was the main route of infection, although horizontal transmission likely happened in some broiler cases. Despite the inconsistent and heterogeneous use of vaccines among regions and over time, the number of cases mirrored the use of vaccines in the country. While IBH outbreaks were recorded year-long, significantly more cases occurred during the cooler and rainier months. The geographic distribution suggested a widespread incidence of IBH and revealed the importance of a highly integrated system. Our findings contribute to a better understanding of FAdV infection dynamics under field conditions and reiterate the importance of surveillance, serological monitoring of breeders, and vaccination of breeders against circulating serotypes to protect progenies.

Infectious bronchitis virus (IBV) is a pathogen causing respiratory, renal and reproductive clinical forms in chickens of all ages and productive categories. Its proneness to mutation and recombination gave rise to a plethora of variants differing in terms of pathogenicity, antigenicity, and distribution, with relevant implications for disease control, mainly pursued by routine vaccination, and diagnosis, requiring a steady update of molecular and serological methods. Among the most recent additions to the current phylogenetic classification, based on S1 gene sequencing, is the discovery of an eighth genotype (GVIII), further divided into lineages GVIII-1 and GVIII-2. GVIII-2, whose best-known representative is IB80, has been reported since 2015 in Europe, the Middle East and Asia. Most detections occurred in layers and breeders and were possibly associated to egg production drops. However, experimental reproduction of its pathogenicity could not be achieved. The significant genetic divergence of GVIII from other genogroups prevents its detection by many of the commonly applied biomolecular tests, hampering the understanding of its spread and impact. This study describes the validation of a GVIII-specific RT-PCR assay and its application to analyze samples collected from layer farms in Italy, where the presence of this genotype has never been investigated. The in-house assay proved highly reliable and allowed to establish the circulation of GVIII-2 in the country: between April and June 2024, 11 out of 84 flocks (13.1%) in 5 out of 24 farms (20.8%) tested positive. Phylogenetically, all Italian strains clustered together, whereas their identity with IB80 was 96.8–97.7%. Reproductive signs were reported in one farm and respiratory signs in another, whereas no clinical findings were recorded in the remaining positive cases. Although no definitive conclusions are possible on their prevalence and clinical relevance, the obtained results suggest that the presence of GVIII-2 strains in Italy is neither novel nor sporadic, highlighting the need to revise diagnostic approaches and shed light on the epidemiology of this novel lineage.

Objective: Physical exercise is associated with several benefits in the treatment of cystic fibrosis (CF), associated with a reduction in patient mortality. The aim of this systematic review was to determine the effectiveness of exercise interventions on physical condition and lung function in children and adults with CF to establish the most appropriate type and dose of physical exercise used so far. Methods: The studies included were randomized controlled trials with physical exercise interventions performed with children or adults with CF, analyzing the effects on pulmonary function, cardiorespiratory capacity, and muscle strength. The variables analyzed in at least four studies in the same population (children or adults) with the same measuring test were included in the meta-analysis. Results:Pulmonary function: There were no changes in the forced expiratory volume 1 s, but mouth expiratory/inspiratory pressures were improved in some studies. Physical fitness: In children, the interventions did not manage to improve the VO2peak (SMD = 0.22; 95%CI: −0.25 to 0.68; p = 0.73) but improved muscle strength. In adults, physical exercise interventions based on high-intensity aerobic training showed positive results in the VO2peak, and in some muscle strength outcomes. Conclusions: Exercise interventions in children and adults with CF are effective in improving muscle strength, cardiovascular capacity, and respiratory muscle function. However, they do not achieve improvements in lung function. The most effective programs are those using strength training or cardiovascular high-intensity interval training, although to date there have been few such interventions.

La Charca de Suárez (LCS) is a Protected Nature Reserve encompassing 4 lagoons located 300 m from the Mediterranean coast in southern Spain. LCS is a highly anthropized area, and its conservation is closely linked to the human use of water resources in its surroundings and within the reserve. Different methodologies were applied to determine the hydrodynamics of the lagoons and their connection to the Motril-Salobreña aquifer. Fieldwork was carried out to estimate the water balance of the lagoon complex, the groundwater flow directions, the lagoons-aquifer exchange flow and the hydrochemical characteristics of the water. The study focussed on the changes that take place during dry-wet periods that were detected in a 7-month period when measurements were collected. The lagoons were connected to the aquifer with a flow-through functioning under normal conditions. However, the predominant inlet to the system was the anthropic supply of surface water which fed one of the lagoons and produced changes in its flow pattern. Sea wave storms also altered the hydrodynamic of the lagoon complex and manifested a future threat to the conservation status of the wetland according to predicted climate change scenarios. This research presents the first study on this wetland and reveals the complex hydrological functioning of the system with high spatially and temporally variability controlled by climate conditions and human activity, setting a corner stone for future studies.

Background Detection of epidermal growth factor receptor ( EGFR) mutations in exons 18–21 is recommended in all patients with advanced Non-small-cell lung carcinoma due to the demonstrated efficiency of the standard therapy with tyrosine kinase inhibitors in EGFR -mutated patients. Therefore, choosing a suitable technique to test EGFR mutational status is crucial to warrant a valid result in a short turnaround time using the lowest possible amount of tissue material. The Idylla™ EGFR Mutation Test is a simple, fast and reliable method designed for the detection of EGFR mutations from formalin-fixed paraffin-embedded samples. The aim of this study was the Clinical Performace Evaluation of the Idylla™ EGFR Mutation Test on the Idylla™ System. Methods EGFR mutational status was determined on 132 archived formalin-fixed paraffin-embedded tissue sections with Idylla™ technology. Results were compared with the results previously obtained by routine method in the reference lab (Therascreen® EGFR RGQ PCR v2, Qiagen in Molecular Pathology lab, Hospital Universitario Virgen del Rocío de Sevilla). Results The overall agreement between results obtained with the Idylla™ EGFR Mutation Test and the Comparator test method was 95.38% (with 1-sided 95% lower limit of 91.7%) showing Positive Diagnostic Agreement of 93.22% and Negative Diagnostic Agreement of 97.18%, with a Limit Of Detection ≤5%. Conclusions The Idylla™ EGFR Mutation Test passed its clinical validity performance characteristics for accuracy.