Disparate kinetics in immune response of two different type b conjugate vaccines: Immunogenicity and safety observations from a randomized controlled phase IV study in healthy infants and toddlers using a 2+1 schedule.

Since the introduction of type b (Hib) conjugate vaccines, invasive Hib disease has strongly declined worldwide, yet continued control of Hib disease remains important. In Europe, currently three different hexavalent combination vaccines containing Hib conjugates are marketed. In this phase IV, single-blind, randomized, controlled, multi-country study (NCT04535037), we aimed to compare, in a 2 + 1 vaccination schedule, the immunogenicity and safety and show non-inferiority, as well as superiority, of DTPa-HBV-IPV/Hib (Ih group) versus DTaP5-HB-IPV-Hib (Va group) in terms of anti-polyribosylribitol phosphate (PRP) antibody geometric mean concentrations (GMCs) and proportion of participants reaching anti-PRP antibody concentrations greater than or equal to a threshold of 5 µg/mL.

Algal-bacterial shortcut nitrogen removal model with seasonal light variations.

The algal-bacterial shortcut nitrogen removal (ABSNR) process can be used to treat high ammonia strength wastewaters without external aeration. However, prior algal-bacterial SNR studies have been conducted under fixed light/dark periods that were not representative of natural light conditions. In this study, laboratory-scale photo-sequencing batch reactors (PSBRs) were used to treat anaerobic digester sidestream under varying light intensities that mimicked summer and winter conditions in Tampa, FL, USA.

What Should Students and Trainees Learn About Patient-Centered Documentation?

What clinicians document about patients can have important consequences for those patients. Paternalistic language in patients' health records is of specific ethical concern because it emphasizes clinicians' power and patients' vulnerabilities and can be demeaning and traumatizing. This article considers the importance of person-centered, trauma-informed language in clinical documentation and suggests strategies for teaching students and trainees documentation practices that express clinical neutrality and respect.

Safety and Immunogenicity of Respiratory Syncytial Virus Prefusion Maternal Vaccine Coadministered With Diphtheria-Tetanus-Pertussis Vaccine: A Phase 2 Study.

Background: Respiratory syncytial virus (RSV) fusion protein stabilized in the prefusion conformation (RSVPreF3) was under investigation as a maternal vaccine.

Methods: This phase 2, randomized, placebo-controlled, single-dose, multicenter study enrolled healthy, nonpregnant women, randomized 1:1:1:1:1 to 5 parallel groups studying RSVPreF3 (60 or 120 µg) coadministered with diphtheria, tetanus, and acellular pertussis vaccine (dTpa) or placebo, and dTpa coadministered with placebo. Safety and humoral immune responses were assessed.

Immunogenicity and safety of reduced-antigen tetanus, diphtheria and acellular pertussis vaccination in adults treated for obstructive airway diseases.

Patients with obstructive airway diseases (OAD), like chronic obstructive pulmonary disease (COPD) and asthma, may be at increased risk of pertussis infection. Pertussis may also trigger COPD and asthma exacerbations. Vaccination against pertussis could help protect OAD patients from the additional burden of pertussis, but there may be hesitancy related to vaccine safety and immunogenicity in such patients.

Homogeneous ferrous iron oxidation in a pilot-scale electrocoagulation system treating municipal wastewater: a model validation and simulation study.

During an iron-electrocoagulation (Fe-EC) process, floc formation is essential for achieving high contaminants removal. Thus, the complete oxidation of the Fe dosed as coagulant is a critical step for ferric oxides flocs formation. Since the fluctuation in the quality of the influent wastewater affects the kinetics of Fe oxidation, the estimation of optimal operating conditions (i.

Seroprevalence of Infection in Patients With Chronic Obstructive Pulmonary Disease in England: Analysis of the AERIS Cohort.

Pertussis is underdiagnosed and underreported in adults and patients with underlying conditions. Patients with chronic obstructive pulmonary disease (COPD) may be at increased risk of severe pertussis. Understanding the true prevalence of pertussis infections in such patients is important.

Evaluation of the effect of reaction time on nutrients removal from secondary effluent of wastewater: Field demonstrations using algal-bacterial photobioreactors.

Real field demonstrations to assess the removal efficiency of nutrients and organic matter from domestic wastewater were carried out using algal-bacterial photobioreactors. The reactors which consisted of three basins of 200 L were fed with secondary effluent of domestic wastewater and operated under natural day light/dark cycles. The results demonstrated that reaction time (RT) has a substantial role on the whole process performance.

Immunogenicity and safety of the adjuvanted recombinant zoster vaccine in adults with haematological malignancies: a phase 3, randomised, clinical trial and post-hoc efficacy analysis.

Background: The adjuvanted recombinant zoster vaccine (Shingrix) can prevent herpes zoster in older adults and autologous haemopoietic stem cell transplant recipients. We evaluated the safety and immunogenicity of this vaccine in adults with haematological malignancies receiving immunosuppressive cancer treatments.

Methods: In this phase 3, randomised, observer-blind, placebo-controlled study, done at 77 centres worldwide, we randomly assigned (1:1) patients with haematological malignancies aged 18 years and older to receive two doses of the adjuvanted recombinant zoster vaccine or placebo 1-2 months apart during or after immunosuppressive cancer treatments, and stratified participants according to their underlying diseases.

Medical conditions at enrollment do not impact efficacy and safety of the adjuvanted recombinant zoster vaccine: a pooled post-hoc analysis of two parallel randomized trials.

In two pivotal efficacy studies (ZOE-50; ZOE-70), the adjuvanted recombinant zoster vaccine (RZV) demonstrated >90% efficacy against herpes zoster (HZ).Adults aged ≥50 or ≥70 years (ZOE-50 [NCT01165177]; ZOE-70 [NCT01165229]) were randomized to receive 2 doses of RZV or placebo 2 months apart. Vaccine efficacy and safety were evaluated post-hoc in the pooled (ZOE-50/70) population according to the number and type of selected medical conditions present at enrollment.

Advances in algal-prokaryotic wastewater treatment: A review of nitrogen transformations, reactor configurations and molecular tools.

The synergistic activity of algae and prokaryotic microorganisms can be used to improve the efficiency of biological wastewater treatment, particularly with regards to nitrogen removal. For example, algae can provide oxygen through photosynthesis needed for aerobic degradation of organic carbon and nitrification and harvested algal-prokaryotic biomass can be used to produce high value chemicals or biogas. Algal-prokaryotic consortia have been used to treat wastewater in different types of reactors, including waste stabilization ponds, high rate algal ponds and closed photobioreactors.

Photo-oxygenation for nitritation and the effect of dissolved oxygen concentrations on anaerobic ammonium oxidation.

Removal of nitrogen from wastewater without using electricity consuming aerators was previously observed in photo-bioreactors with a mixed algal-bacterial biomass. Algammox is the particular process based on algae, ammonium oxidizing organisms and anammox bacteria. In this research the activity of anammox bacteria in such an oxygen-producing environment was tested, as well as the effect of short-duration increase in dissolved oxygen (DO) to values potentially inhibiting anammox activity.

Immune Responses to a Recombinant Glycoprotein E Herpes Zoster Vaccine in Adults Aged 50 Years or Older.

Background: The herpes zoster subunit vaccine (HZ/su), consisting of varicella-zoster virus glycoprotein E (gE) and AS01B Adjuvant System, was highly efficacious in preventing herpes zoster in the ZOE-50 and ZOE-70 trials. We present immunogenicity results from those trials.

Methods: Participants (ZOE-50: ≥50; ZOE-70: ≥70 years of age) received 2 doses of HZ/su or placebo, 2 months apart.

Microbial Risk Assessment of Tidal-Induced Urban Flooding in Can Tho City (Mekong Delta, Vietnam).

Public health risks from urban flooding are a global concern. Contaminated floodwater may expose residents living in cities as they are in direct contact with the water. However, the recent literature does not provide much information about this issue, especially for developing countries.

Immunogenicity and Safety of an Adjuvanted Herpes Zoster Subunit Vaccine Coadministered With Seasonal Influenza Vaccine in Adults Aged 50 Years or Older.

Background: The immunogenicity and safety of an adjuvanted herpes zoster subunit (HZ/su) vaccine when coadministered with a quadrivalent seasonal inactivated influenza vaccine (IIV4) was investigated in a phase 3, open-label, randomized clinical trial in adults aged ≥50 years.

Methods: Subjects were randomized 1:1 to receive either HZ/su (varicella zoster virus glycoprotein E; AS01B Adjuvant System) and IIV4 at day 0 followed by a second HZ/su dose at month 2 (coadministration group), or IIV4 at month 0 and HZ/su at months 2 and 4 (control group). The primary objectives were the HZ/su vaccine response rate in the coadministration group and the noninferiority of the antibody responses to HZ/su and IIV4 in the coadministration compared with the control group.

Modelling shortcut nitrogen removal from wastewater using an algal-bacterial consortium.

A shortcut nitrogen removal process was investigated for treatment of high ammonium strength wastewater using an algal-bacterial consortium in photo-sequencing batch reactors (PSBRs). In this process, algae provide oxygen for nitritation during the light period, while denitritation takes place during the dark (anoxic) period, reducing overall energy and chemical requirements. Two PSBRs were operated at different solids retention times (SRTs) and fed with a high ammonium concentration wastewater (264 mg NH-N L), with a '12 hour on, 12 hour off' light cycle, and an average surface light intensity of 84 μmol m s.

Flexible engineering designs for urban water management in Lusaka, Zambia.

Urban water systems are often designed using deterministic single values as design parameters. Subsequently the different design alternatives are compared using a discounted cash flow analysis that assumes that all parameters remain as-predicted for the entire project period. In reality the future is unknown and at best a possible range of values for design parameters can be estimated.

A novel shortcut nitrogen removal process using an algal-bacterial consortium in a photo-sequencing batch reactor (PSBR).

Removal of nitrogen from anaerobically digested swine manure centrate was investigated in a photo-sequencing batch reactor (PSBR) with alternating light and dark periods. Microalgal photosynthesis was shown to provide enough oxygen for complete nitritation during the light period. With addition of an organic carbon source during the dark period, the reactor removed over 90% total nitrogen (TN) without aeration other than by mixing.

A new photo-activated sludge system for nitrification by an algal-bacterial consortium in a photo-bioreactor with biomass recycle.

Wastewater treatment technologies requiring large areas may be less feasible in urbanizing regions of developing countries. Therefore, a new technology, named photo-activated sludge (PAS), was investigated to combine the advantages of regular activated sludge systems with those of algae ponds for the removal of ammonium. The PAS consisted of a mixed photo-bioreactor, continuously fed with BG-11 medium, adjusted to 66 mgN-NH4⁺/l.

Dioxin photoproducts of triclosan and its chlorinated derivatives in sediment cores.

Triclosan, a widely used antimicrobial, is known to undergo phototransformation in aqueous solution to form 2,8-dichlorodibenzo-p-dioxin (2,8-DCDD). Two sediment cores from a wastewater-impacted depositional zone of the Mississippi River were analyzed for triclosan by ultra performance liquid chromatography-triple quadrupole mass spectrometry (UPLC-MS-Q(3)) and for a suite of polychlorinated dioxins and furans by high resolution gas chromatography-mass spectrometry (HRGC-MS) to provide evidence of this photoreaction in the environment. 2,8-DCDD was detected at levels that trended with the historical use of triclosan since its introduction in the 1960s.

Quantitative Microbial Risk Analysis to evaluate health effects of interventions in the urban water system of Accra, Ghana.

A quantitative microbial risk assessment was applied to evaluate the microbial risks of the Accra Urban Water System (AUWS). The exposure assessment was based on the count of indicator organisms in waste water from open roadside drains and in water and sand samples from the beach. The predicted total disease burden generated in a representative catchment of the AUWS (Odaw Catchment) was 36,329 Disability Adjusted Life Years (DALYs) per year, of which 12 and 88% are caused by, respectively, shortcomings in the water supply system and inappropriate sanitation.

Photochemical formation of halogenated dioxins from hydroxylated polybrominated diphenyl ethers (OH-PBDEs) and chlorinated derivatives (OH-PBCDEs).

The potential photochemical formation of polybrominated and mixed halogenated dibenzo-p-dioxins (PBDDs and PXDDs) from hydroxylated polybrominated and polybrominated/ chlorinated diphenyl ethers (OH-PBDEs and OH-PBCDEs) in aqueous solution was studied. The ortho-hydroxylated BDE47 derivative 6-OH-BDE47, and chlorinated derivatives 3-Cl-6-OH-BDE47, 5-Cl-6-OH-BDE47, and 3,5-Cl-6-OH-BDE47 were photolyzed under sunlight at 45 degrees N latitude in buffered waters, Mississippi River water, Lake Josephine water, and ultrapure water adjusted to the pH of the natural waters. Chemical actinometry was used to determine reactant quantum yields which were calculated to be between 0.

Nutrient recovery from domestic wastewater using a UASB-duckweed ponds system.

The pilot-scale wastewater treatment system used in this study comprised a 40-l UASB reactor (6-h HRT) followed by three duckweed ponds in series (total HRT 15 days). During the warm season, the treatment system achieved removal values of 93%, 96% and 91% for COD, BOD and TSS, respectively. Residual values of ammonia, TKN and total phosphorus were 0.