Good afternoon,

There are 1059 citations in today’s scan. 471 were considered primary research or review literature.

Highlights today include:

 

CANADA

·         Dozois, D., explored how Canadians are managing with the COVID-19 outbreak and determine the impact of the pandemic on levels of anxiety and depression. The percentage of respondents who indicated that their anxiety was high to extremely high quadrupled and the number of participants with high self-reported depression more than doubled. Although current anxiety levels are expected to remain the same, respondents predicted that depression would worsen if physical distancing and self-isolation continue for another 2 months.

PUBLIC HEALTH INTERVENTION

·         Steyn et al model the testing, isolation and transmission of COVID-19 within quarantine facilities to estimate the risk of community outbreaks being seeded at the New Zealand border. The combination of 14-day quarantine with two tests reduces the risk of releasing an infectious case to around 0.1% per infected arrival. Shorter quarantine periods, or reliance on testing only with no quarantine, substantially increases this risk.

·         Larremore et al. modeled surveillance effectiveness considering test sensitivities, frequency, and sample-to-answer reporting time. Results demonstrate that effective surveillance depends largely on frequency of testing and the speed of reporting, and is only marginally improved by high test sensitivity. Auhors conclude that surveillance should prioritize accessibility, frequency, and sample-to-answer time; analytical limits of detection should be secondary.

IPAC

·         Colnago et al. proposed simple, easy to prepare, low-cost and efficient antiviral films, made with a widely available dishwashing detergent, which can be spread on hands and inanimate surfaces and is expected to maintain virucidal activity for longer periods than the current sanitizers.

TRANSMISSION

·         Lentz et al characterized associations between exposures within and outside the medical workplace with healthcare personnel (HCP) SARS-CoV-2 infection, including the effect of various forms of respiratory protection. HCP infection was associated with non-aerosol-generating contact with COVID-19 patients and extra-occupational exposures including gatherings of ten or more, patronizing restaurants or bars, and public transportation. Respirator use during aerosol-generating procedures (AGPs) was associated with lower odds of HCP infection as was exposure to intensive care and dedicated COVID units, negative pressure rooms, and personal protective equipment (PPE) observers.

EPIDEMIOLOGY

·         van den Broek-Altenburg et al. report prevalence of COVID-19 in the general population of the Northest U.S.; and identifies factors that affect exposure to the virus. We found a positivity rate of 2.2 percent, a hospitalization rate of 1.2 percent and an adjusted IFR of 0.55 percent. The number of contacts with adults and seniors increases the probability of becoming infected. Occupation, living in apartment versus a house, and wearing a facial mask outside work increased probability of COVID-19 infection.  Ozer et al. We report a 39-week-gestational-age infant delivered to a 37-year-old mother diagnosed with SARS-CoV-2 infection at 37 weeks gestation. The placental examination showed the morphological features of VUE. We showed immunohistochemically that macrophages and CD4-positive T cells predominated in the villous tissue, although elevated numbers of CD8-positive cells were also present. We hypothesize that VUE may represent a maternal anti-viral immune response, in this case to SARS-CoV-2.

·         Yoon et al. describe SARS-CoV-2 prevalence among individuals experiencing homelessness and staff servicing the homeless in Atlanta, Georgia. Testing was conducted at two different time points April and May 2020. Infection prevalence was 2.1% among individuals living in shelters, 0.5% among individuals not living in shelters (i.e. unsheltered homeless persons), and 1.3% among tested staff during the initial phase of testing. A decrease in infection rates were noted at the second phase of testing (4 weeks later) due to the implementation of effective infection prevention and control process in homeless shelters.

·         Fouillet et al estimate excess all-cause mortality during the first wave of the COVID-19 epidemic in France, as 25,030 excess deaths, or 16.6% above the baseline for the whole of France, from March 2 to May 31, 2020.

·         Tadiri, et al. found institutionalized gender inequality to be positively associated with the male:female ratio reported cases of coronavirus disease 2019 (COVID-19) among countries that report sex-disaggregated data; males accounted for more cases in countries with higher gender inequality. Institutionalized gender and culturally entrenched roles and norms may influence who is most at risk of acquiring infection or who is able to receive a test.

·         Tu et al. recruited pediatric medical workers (n = 325) in one hospital in Wuhan. They were divided into three groups depending on their level of contact with confirmed and/or suspected COVID-19 cases during the outbreak. Three different immunological detection methods were used to measure SARS-CoV-2 serum antibodies. The overall positive rate for SARS-CoV-2 IgG and IgM antibodies was 43.08 and 5.85%, respectively. Results suggests the colloidal gold detection kit used in this research is not sensitive enough to be useful in accurate antibody detection, whereas the DTFA and ELISA positive rate performed similarly.

CLINICAL DATA

·         Prado-Vivar et al. presented the first confirmed case of SARS-CoV-2 re-infection in Ecuador and South America. The first laboratory-confirmed infection presented with mild symptoms and full recovery, reaffirmed by a negative RT-PCR test result obtained two weeks after symptoms onset. More severe COVID-19-like symptoms presented again four weeks after the first event, and a third RT-PCR test was performed, which was positive.  Different SARS-CoV-2 variants were identified in each event. High levels of both SARS-CoV-2 specific IgM and IgG were observed during the second event.

·         Wang, et al. report the case of a patient with mild symptoms of COVID-19 who achieved clinical recovery but showed persistently positive SARS-CoV-2 nucleic acid test results until Day 92 after disease onset.

·         Wang, et al. report a case of serious neurological damage and mental abnormalities in a patient who was finally confirmed to have COVID-19 based on IgM and IgG antibodies in the cerebrospinal fluid (CSF).

·         Ozer et al. We report a 39-week-gestational-age infant delivered to a 37-year-old mother diagnosed with SARS-CoV-2 infection at 37 weeks gestation. The placental examination showed the morphological features of VUE. We showed immunohistochemically that macrophages and CD4-positive T cells predominated in the villous tissue, although elevated numbers of CD8-positive cells were also present. We hypothesize that VUE may represent a maternal anti-viral immune response, in this case to SARS-CoV-2.

VACCINE RESEARCH

·         Vogel, et al. report the 40 design, preclinical development, immunogenicity and anti-viral protective effect in rhesus 41 macaques of the BNT162b2 vaccine candidate. The BNT162b2 vaccine candidate fully 50 protected the lungs of immunised rhesus macaques from infectious SARS-CoV-2 challenge. 51 BNT162b2 is currently being evaluated in a global, pivotal Phase 2/3 trial (NCT04368728).

CORONAVIROLOGY

·         Latini et al. investigated the variability of genes coding for the proteins involved in the SARS-CoV-2 entry into the cells. They analyzed 131 COVID-19 patients by exome sequencing and examined the genetic variants of TMPRSS2, PCSK3, DPP4, and BSG genes. In total they identified seventeen variants. Genetic variants in these genes could influence the entry of the SARS-CoV-2. These data also support the hypothesis that host genetic variability may contribute to the variability in infection susceptibility and severity.

PUBLIC HEALTH RESPONSE

·         Hammoudi et al. propose a design of a mobile application for permitting everyone having a smartphone and being able to take a picture to verify that his/her protection mask is correctly positioned on his/her face. Experimental results show the potential of this method in the validation of the correct mask wearing

·         Mieth et al.  In the direct questioning group 94.5 % of the participants claimed to practice proper hand hygiene; in the indirect questioning group a significantly lower estimate of only 78.1 % was observed.  These results indicate that estimates of the degree of commitment to measures designed to counter the spread of the disease may be significantly inflated by social desirability in direct questionings.

·         Shiraly et al. establish the frequency of face-touching behavior by the public after quarantine restrictions were lifted in Shiraz, Iran. 92% of people were observed touching their face at least once an hour and averaged 10 touches per hour. Nonmask wearers touched their face significantly more often than mask wearers (11 vs 8 times per hour, P < .001). Nonmask wearers were also 1.5 times more likely to touch their mucosal zone than mask wearers.

·         Tomczyk, et al. aim to identify causes and patterns of non-compliance in the German population to further optimize risk and health communication. With 25% of the sample reporting full compliance, and 51% differing in terms of public and personal compliance, these findings challenge the sustainability of strict regulatory measures. Moreover, young males were most likely to express low compliance, stressing the need for selective health promotion efforts.

HEALTHCARE RESPONSE

·         Goodyear-Smith et al. The aim of this study was to compare perceptions of primary care (PC) experts on PC system strength, pandemic preparedness, and response with COVID-19 mortality rates in countries globally. Countries perceived by expert participants as having a prepared pandemic plan and a strong PC system did not necessarily experience lower COVID-19 mortality rates

ECONOMICS

·         Khurshid et al. analyzed the impact of the COVID-19 shock on GDP, energy consumption, and climate change then forecasted the situation until 2032 using the system dynamic modeling approach. The energy consumption and quarantine situation will improve the climate situation and drop the average temperature by 0.049 and 0.021 degrees C in 2020 and 2021. The decline in oil prices provides an opportunity to cut fossil fuel subsidies and implement a carbon pricing mechanism

 

 

Regards,

Lisa Waddell, Tricia Corrin, Rukshanda Ahmad, Robyn Odell, Maribeth Mitri, Julie Theriault, Dobrila Todoric, Alejandra Dubois, Christina Bancej, Austyn Baumeister, Anam Khan, Musaab Younis, Lien Mi Tien, Dima Ayache, Angela Sloan, Kaitlin Young, Chatura Prematunge, Ainsley Otten

 

 

 Daily Scan of COVID-19 Scientific Publications / Survol journalier des publications scientifiques du COVID-19		10/09/2020

 


Focus areas: Modelling/ prediction, Epidemiology, Transmission, Clinical data, Surveillance, Coronavirology, Diagnostics / Pathogen detection, Therapeutics, Vaccine Research, Public health interventions, Public Health response, Public Health Priorities, IPAC, Health care response, immunology, economics, animal model, zoonoses, Review Literature, Commentary/Editorial, news

Domaines cibles: Modélisation/prédiction, Épidémiologie, Transmission, Données cliniques, Surveillance, Coronavirologie, Diagnostics / Détection d'agents pathogènes, Thérapeutique, Recherche sur les vaccins, Interventions de santé publique, Priorités de santé publique, PCI, Réponse des soins de santé, immunologie, économie, modèle animal, zoonoses, Revue de littérature, Commentaire/Éditorial, journaux

 

PUBLICATIONS

AUTHORS / AUTEURS

SOURCE

FOCI / DOMAINE

SUMMARY / SOMMAIRE

Perceived public stress among Jordanians during the COVID-19 outbreak

Abdel Jalil,  MH,  Alsous, et al

Disaster Med Public Health Prep

Public Health response| Interventions de santé publique

This study aimed to determine the perceived stress level and factors associated with it in the Jordanian population during the COVID-19 outbreak. The mean (standard deviation) of perceived stress score was 19.8 (6.7). Regression analysis reviled that stress was increased in females, young adults, usually being stressed more than others by a health problem, increased perceived severity of the disease, increased overall worry score, and student's worry regarding their studies/graduation. While perceived stress was decreased if participants' self-rated health status score increased.

Convalescent plasma in the management of moderate COVID-19 in India: An open-label parallel-arm phase II multicentre randomized controlled trial (PLACID Trial)

Agarwal,  Anup,  Mukherjee, et al

medRxiv

Clinical data| Données cliniques Therapeutics| Thérapeutique RCT

Convalescent plasma (CP) as a passive source of neutralizing antibodies and immunomodulators is a century-old therapeutic option used for the management of viral diseases. We investigated its effectiveness for the treatment of COVID-19 in an open-label, parallel-arm, phase II, multicentre, randomized controlled trial. Participants were randomized to either control (best standard of care (BSC)) or intervention (CP + BSC) arm. Two doses of 200 mL CP was transfused 24 hours apart in the intervention arm. Main Outcome Measure: Composite of progression to severe disease (PaO2/FiO2<100) or all-cause mortality at 28 days post-enrolment.  Between 22 nd April to 14 th July 2020, 464 participants were enrolled; 235 and 229 in intervention and control arm, respectively. Composite primary outcome was achieved in 44 (18.7%) participants in the intervention arm and 41 (17.9%) in the control arm aOR: 1.09 [95% CI: 0.67, 1.77]. Mortality was documented in 34 (13.6%) and 31 (14.6%) participants in intervention and control arm, respectively aOR 1.06 [95% CI: -0.61 to 1.83].

COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden

Ahmed,  MAM,  Siewe Fodjo, et al

Pathogens

Public Health response| Interventions de santé publique

We assessed adherence to the government recommendations via two consecutive online cross-sectional surveys between April and July 2020. A five-point adherence score was constructed based on self-reported observance of five preventive measures (physical distancing, face mask use, hand hygiene, mouth covering when coughing/sneezing, and avoidance of touching the face). 4124 and 4703 responses were analyzed during the first and second survey, respectively. The mean adherence score decreased from 3.54 ± 1.5 in the first survey to 3.40 ± 1.6 during the second survey; p < 0.001. More participants experienced at least one flu-like symptom during the second survey (38.2%) compared to the first (16.2%); however, the proportion of positive COVID-19 tests in the first (26.9%) and second survey (26.5%) was similar. The ordinal logistic regression model identified the following predictors for high adherence scores: female gender (odds ratio (OR) = 1.715 (1.581-1.861), p < 0.001); being a healthcare worker/student (OR = 2.180 (2.000-2.377), p < 0.001); obtaining COVID-19 information from official sources (OR = 1.460 (1.341-1.589), p < 0.001); and having postgraduate education (OR = 1.679 (1.220-2.307), p < 0.001). Conversely, obtaining COVID-19 information from social media and residing in urban settings were associated with lower adherence. Targeted and context-specific adaptations of the COVID-19 response may be required in Somalia.

Pneumatosis intestinalis in a patient with COVID-19

Aiello,  P,  Johnson, et al

BMJ Case Rep

Clinical data| Données cliniques

A 73-year-old man with significant medical history including renal transplantation and chronic immunosuppression presented to the hospital with acute respiratory failure. His initial treatment included steroids for concern for Pneumocystis jiroveci pneumonia, although this was later excluded as the diagnosis. The patient’s illness was consistent with COVID-19; however, he was not diagnosed with the virus until late in his course.

Surgical tracheostomy in COVID-19 patients: Report of 5 cases

Aissaoui,  O,  Nsiri, et al

Pan African Medical Journal

Clinical data| Données cliniques

Severe acute respiratory distress syndrome (ARDS) related to SARS-COV-2 is resulting in increasing numbers of patients requiring mechanical ventilation. Although tracheostomy may reduce the duration of mechanical ventilation in these patients, it is considered a highly aerosol generating procedure and controversies regarding its safety, time of realization and indications remain to date. We share our experience about 5 cases of surgical tracheostomy in COVID-19 patients performed in our ICU.

In vitro study of BromAc on SARS-CoV-2 spike and envelope proteins shows synergy and disintegration at modest concentrations

Akhter,  Javed,  Pillai, et al

bioRxiv

Coronavirology| Coronavirologie

We sought to determine whether BromAc has activity on the spike and envelope protein specific to SARS-CoV-2 virus. Gel electrophoresis analysis was carried out on recombinant spike and envelope proteins that were treated with a range of concentrations of single agents and BromAc. For UV analysis of disulfide bonds reduction, both spike and envelope protein were treated with Acetylcysteine with the determination of loss of disulfide bonds. Recombinant spike and envelope SARS-CoV-2 protein were fragmented by BromAc whilst single agents had minimal effect. Spike and envelope proteins disulphide bonds were reduced by Acetylcysteine. BromAc disintegrates the spike and envelope protein from SARS-CoV-2 and may render it non-infective. In vitro tests on live virus have been encouraging and clinical testing through nasal administration in patients with early SARS-CoV-2 infection is imminent.

PMC7471760; Radiological and clinical improvement in a patient with COVID-19 pneumonia postconvalescent plasma transfusion: A case report

Al Helali,  AA,  Saeed, et al

Radiol Case Rep

Clinical data| Données cliniques

This is a case report of a 55-year-old male, with COVID-19 pneumonia who has received convalescent plasma as part of a treatment plan which showed significant radiological and clinical improvement post-treatment.

Perceptions, Knowledge, and Behaviors Related to COVID-19 Among Social Media Users: Cross-Sectional Study

Ali,  KF,  Whitebridge, et al

J Med Internet Res

Public Health response| Interventions de santé publique

The aim of this study was to rapidly obtain information on public perceptions, knowledge, and behaviors related to COVID-19 in order to identify deficiencies in key areas of public education.  A total of 5677 subjects completed the survey over the course of 1 week. "Fever or chills" (n=4973, 87.6%) and "shortness of breath" (n=4695, 82.7%) were identified as the main symptoms of COVID-19. Washing and sanitizing hands (n=4990, 87.9%) and avoiding public places and crowds (n=4865, 85.7%) were identified as the protective measures most frequently used against COVID-19. Social media was the most utilized source for information on the disease (n=4740, 83.5%), followed by the World Health Organization (n=2844, 50.1%). Subgroup analysis revealed that younger subjects (<35 years), males, and those working or studying in health care reported a higher perceived likelihood of acquiring COVID-19, whereas older subjects, females, and those working or studying in non-health care areas reported a lower perceived likelihood of acquiring COVID-19. Similar trends were observed for vaccination against COVID-19, with older subjects, females, and those working or studying in non-health care sectors reporting a lower likelihood of vaccinating against COVID-19.

Impact of meteorological parameters on COVID-19 pandemic: A comprehensive study from Saudi Arabia: Impact of weather on COVID-19

Alkhowailed,  M,  Shariq, et al

Informatics in Medicine Unlocked

Epidemiology| Épidémiologie

This study was undertaken to analyse the effect of meteorological parameters such as temperature, humidity, and wind speed on the spread of ongoing COVID-19 in Saudi Arabia. Novel data revealed interesting facts on the spreading of COVID-19 in Saudi Arabia, the data showed that the number of COVID-19 positive cases increases due to the decrease of temperature or humidity, whereas an average decrease in the wind speed was also found to be associated with an elevation of the number of positive cases.

The potential impact of Covid-19 on the Irish housing sector

Allen-Coghlan,  M,  McQuinn, et al

International Journal of Housing Markets and Analysis

Economics | Économie

This paper aims to examine the implications for the Irish housing market of the economic slowdown due to the Covid-19 virus. The scenario analysis presented here indicates that Irish house prices are set to fall over the next 18 months as a result of the Covid-19 downturn. This contraction in prices is due to the decline in household disposable income and the sharp fall-off in mortgage market activity, which will inevitably result from the administrative closedown implemented by the Irish authorities.

Impact of the COVID-19 lockdown on diabetes patients in Jeddah, Saudi Arabia

Alshareef,  R,  Al Zahrani, et al

Diabetes and Metabolic Syndrome: Clinical Research and Reviews

Public Health response| Interventions de santé publique

This study aimed to explore the impact of the coronavirus disease lockdown on diabetes patients living in Jeddah, Saudi Arabia, in terms of their compliance with medication intake and lifestyle habits, and quality of life. In total, 394 patients participated. All of them had type 2 diabetes, and 37.6% had only one comorbidity. Antidiabetic monotherapy was used in 76.4% of the patients, while combination therapy was used in 23.6%. The compliance score before the lockdown was significantly higher (18.49 ± 3.05) than that after it (17.40 ± 3.25) (p-value <0.001). The average psychological assessment score was 9.78 ± 4.14 (range 8–35). Male participants and smokers had a significantly better psychological status than female participants (p-value = 0.002) and non-smokers (p value < 0.001), respectively. The patients’ levels of compliance with medications and healthy lifestyle habits were significantly reduced after the lockdown.

Detection and quantification of SARS-CoV-2 by droplet digital PCR in real-time PCR negative nasopharyngeal swabs from suspected COVID-19 patients

Alteri,  C,  Cento, et al

PLoS One

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

Here we evaluated the performance of a ddPCR-based assay to quantify SARS-CoV-2 titer in 55 suspected COVID-19 cases with negative rtPCR results thanks to in-house ddPCR assay (targeting RdRp and host RNaseP). Samples were collected at ASST-GOM Niguarda between February and May 2020 at hospital admission. In 15 of them (78.9%), chest CT showed a classical COVID-19 bilateral interstitial pneumonia; 14 patients (73.7%) showed severe COVID-19 manifestations. ddPCR did not identify any trace of SARS-CoV-2 genome in the respiratory samples of the remaining 36 patients. The serological assay performed in a subgroup of 34 patients at the later stage of illness (from 3 days to 90 days after) confirmed the presence of SARS-CoV-2 antibodies in all patients tested positive for SARS-CoV-2 in ddPCR (100%). Contrariwise, negative tests were observed in 95.0% ddPCR negative patients (P<0.001). Thanks to a ddPCR-based assay, we achieved a rapid and accurate SARS-CoV-2 diagnosis in rtPCR-negative respiratory samples of individuals with COVID-19 suspect, allowing the rapid taking care and correct management of these patients.

32867287; Covid-19 home confinement negatively impacts social participation and life satisfaction: A worldwide multicenter study

Ammar,  A,  Chtourou, et al

International Journal of Environmental Research and Public Health

Public Health response| Interventions de santé publique

An international online survey was launched in April 2020 to elucidate the behavioral and lifestyle consequences of COVID-19 restrictions. This report presents the preliminary results from more than one thousand responders on social participation and life satisfaction. 1047 participations (54% women) from Asia (36%), Africa (40%), Europe (21%), and others (3%) were included in the analysis. Findings revealed psychosocial strain during the enforced COVID-19 home confinement. Large decreases (p < 0.001) in the amount of social activity through family (−58%), friends/neighbors (−44.9%), or entertainment (−46.7%) were triggered by the enforced confinement. These negative effects on social participation were also associated with lower life satisfaction (−30.5%) during the confinement period. Conversely, the social contact score through digital technologies significantly increased (p < 0.001) during the confinement period with more individuals (+24.8%) being socially connected through digital technology.

Interaction of human ACE2 to membrane-bound SARS-CoV-1 and SARS-CoV-2 S glycoproteins

Anand,  Sai Priya,  Chen, et al

bioRxiv

Coronavirology| Coronavirologie

Here, we investigated the degree of cooperativity of ACE2 within both the SARS-CoV-2 and the closely related SARS-CoV-1 membrane-bound S glycoproteins. We show that there exist differential inter-protomer conformational transitions between both Spike trimers. Interestingly, the SARS-CoV-2 spike exhibits a positive cooperativity for monomeric soluble ACE2 binding when compared to the SARS-CoV-1 spike, which might have more structural restrains. Our findings can be of importance in the development of therapeutics that block the Spike/ACE2 interaction.

The impact of the COVID-19 lockdown on stock market performance: evidence from Vietnam

Anh,  DLT,  Gan, et al

Journal of Economic Studies

Economics | Économie

This study explores the effects of the COVID-19 outbreak and its following lockdown on daily stock returns in Vietnam, a fast-growing emerging market that successfully revived after the pandemic lockdown. This study uses panel-data regression models to evaluate the influence of the daily increase in the number of COVID-19 confirmed cases during pre-lockdown and lockdown on daily stock returns of 723 listed firms in Vietnam from 30 January to 30 May 2020. The study confirms the adverse impact of the daily increasing number of COVID-19 cases on stock returns in Vietnam. The study also discloses that the Vietnam stock market before and during the nationwide lockdown performed in opposing ways. Though COVID-19 pre-lockdown had a significant, negative impact on Vietnam's stock returns, the lockdown period had a significant, positive influence on stock performance of the entire market and the different business sectors in Vietnam. The financial sector was hardest hit on the Vietnam stock market during the COVID-19 outbreak.

The impact of COVID-19 lockdown on the air quality of Eastern Province, Saudi Arabia

Anil,  I,  Alagha, et al

Air Quality, Atmosphere and Health

Public health interventions*| Interventions de santé publique

In this work, the possible effects of the lockdown on the air quality were investigated using meteorological and air quality datasets obtained from eight monitoring stations covering the Eastern Province of the KSA. The studied air pollutants include carbon monoxide (CO), sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3), and inhalable particulate matter (PM10). The NO2 was found to be the marker pollutant responding best to the lockdown measures since its concentrations decreased at all sites during- and post-lockdown periods and ranged between 12–86% and 14–81%, respectively. Compared with pre-lockdown period, the Eastern Province also experienced significant concentration reductions at varying rates for PM10 (21–70%), CO (5.8–55%), and SO2 (8.7–30%), while O3 concentrations showed increasing rates ranging between 6.3 and 45%. The consequences of these reductions were reflected in easing the outdoor air quality, which might reduce the impact of COVID-19 pandemic, especially on elderly and sensitive groups.

Communicable Diseases (Including COVID-19)—Induced Global Depression: Caused by Inadequate Healthcare Expenditures, Population Density, and Mass Panic

Anser,  MK,  Yousaf, et al

Frontiers in Public Health

Economics | Économie

The study focused on the following key variables: communicable diseases, healthcare expenditures, population density, poverty, economic growth, and COVID-19 dummy variable in a panel of 76 selected countries from 2010 through 2019. The results show that the impact of communicable diseases on economic growth is positive because the infected countries get a reap of economic benefits from other countries in the form of healthcare technologies, knowledge transfers, cash transfers, international loans, aid, etc., to get rid of the diseases. However, the case is different with COVID-19 as it has seized the whole world together in a much shorter period of time and no other countries are able to help others in terms of funding loans, healthcare facilities, or technology transfers. Thus, the impact of COVID-19 in the given study is negatively impacting countries' economic growth that converts into a global depression. The high incidence of poverty and social closeness increases more vulnerable conditions that spread coronavirus across countries. The momentous increase in healthcare expenditures put a burden on countries' national healthcare bills that stretch the depression phase-out of the boundary. The forecasting relationship suggested the negative impact of the coronavirus pandemic on the global economy would last the next 10 years. Unified global healthcare policies, physical distancing, smart lockdowns, and meeting food challenges are largely required to combat the coronavirus pandemic and escape from global depression.

"I felt what was happening in our country [USA] with race was so much scarier than the [COVID-19] virus." Black Lives Matter protesters’ beliefs and practices during the COVID-19 pandemic

Arana-Chicas,  E

Research Square prepub

Public Health response| Interventions de santé publique

The purpose of this study was to assess COVID-19 prevention practices and beliefs of Black Lives Matter protesters in the USA. Twenty participants completed the study. Participants’ average age was 29 and most participants were female (80%) and black (75%). Most always or almost always properly wore their masks (50% and 25%, respectively) and washed their hands during a protest 2-3 times or more than 3 times (35% and 50%, respectively). Although all believed that COVID-19 testing is important (90%), most had never been tested (85%) and most did not self-quarantine for 14 days after protesting (95%). Moreover, most participants reported never or rarely following social distancing guidelines at a protest (25% and 30%, respectively) and most reported being Not at all or Slightly concerned about COVID-19 while at a protest (25% and 30%, respectively). Qualitative data highlighted the following themes: 1) Fighting for social justice, 2) Protesting being more important than COVID-19, 3) Unable to keep 6 ft distance, 4) Masks worn most of the time, 5) Protests sparked global movement, and 6) Increasing awareness of injustices.

Age and gender distribution of COVID-19 infected cases in Italian population

Arisi,  I,  M

Research Square prepub

Epidemiology| Épidémiologie

Our analysis was devoted to the distribution of the infected cases in the Italian population stratified by age and sex in order to define the differences in gender impact of COVID-19 in each age class. Data on infected cases were extracted from the Italian EpiCentro (ISS) web site from March 12 to May 20, 2020. Data were pooled in ten years’ groups. Odds ratio (OR) men versus women was evaluated by the Fisher exact test. Logistic regression was used to investigate the combined effect of age and sex on infection incidence. Statistical analysis, performed by R-Bioconductor, highlights differences in age-dependent susceptibility to infection between men and women. In elderly class (50+ ) generally man result more infected than women, with the exception of the oldest women (90+). In age classes <50 OR was about 1.0, while an intriguing exception is the age group 20-29 in which the ratio was unbalanced in favour of men. This analysis supports a strong influence of biological sex and environmental factors related to age in COVID-19 infection by SARS-Cov-2.

Clinical manifestations and radiological features by chest computed tomographic findings of a novel coronavirus disease-19 pneumonia among 92 patients in Japan

Asai,  N,  Sakanashi, et al

Journal of Microbiology, Immunology and Infection

Epidemiology| Épidémiologie Clinical data| Données cliniques

For the purpose of identifying clinical manifestations and radiological findings of COVID-19 pneumonia, we reviewed all cases of COVID-19 pneumonia which were published by the homepage of the Japanese Association for Infectious Diseases from Feb 5 2020 until April 30 2020, including our cases. A total of 92 patients were enrolled in this study. The median age was 66 years (range 16–92 years). For all, 50 (54%) were males. The most common underlying disease was hypertension in 32 (36%). Any comorbidity was seen in 60 (67%). The mortality rate was 4 (6%). In terms of clinical symptoms on an initial visit, fever and cough were confirmed in 66 (72%) and 37 (40%). Forty-three (47%) had no respiratory symptoms. As for radiological findings by chest CT scan, ground-glass opacities (GGO)s, peripheral distribution, bilateral lung involvements were seen in 88 (96%), 76 (83%) and 78 (85%), respectively.

Health-related quality of life and behavior-related lifestyle changes due to the COVID-19 home confinement: Dataset from a Moroccan sample

Azizi,  A,  Achak, et al

Data in Brief

Public Health response| Interventions de santé publique

The EQ-5D instrument is a generic questionnaire developed by the Euroqol group for measuring the HRQoL by combining five health dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) 7]. Herein, we used the EQ-5D-5L instrument to assess for the first time the impact of the home confinement on the HRQoL. Also, we evaluated the changes in behaviors by asking some questions related to lifestyle before and during the home confinement. These data can help the Moroccan authorities and other countries to more understand the impact of this crisis on citizens and therefore to set up adequate protocols for managing the post-confinement or possible future crisis. We provided two datasets: (1) data we collected before confinement from a sample of 484 individuals describing their HRQoL and (2) data we collected during the home confinement period from a sample of 537 individuals describing their HRQoL and behavior-related lifestyle.

PMC7471580; Atrioventricular and Sinus Node Dysfunction in Stable COVID-19 Patients

Babapoor-Farrokhran,  S,  Batnyam, et al

SN Compr Clin Med

Clinical data| Données cliniques

We report two patients with no known history of cardiac conduction disease who presented with COVID-19 symptoms, positive SARS-CoV-2 infection, and developed cardiac conduction abnormalities. Cardiac conduction system disease involving the sino-atrial (SA) node and atrioventricular (AV) node could be a manifestation of SARS-CoV-2 infection.

Drug similarity and structure-based screening of medicinal compounds to target macrodomain-I from SARS-CoV-2 to rescue the host immune system: a molecular dynamics study

Babar,  Z,  Khan, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

This study targeted viral macrodomain-I by using drug similarity, virtual screening, docking and re-docking approaches. A total of 64,043 compounds were screened, and potential hits were identified based on the docking score and interactions with the key residues. The top six hits were subjected to molecular dynamics simulation and Free energy calculations and repeated three times each. The per-residue energy decomposition analysis reported that these compounds significantly interact with Asp22, Ala38, Asn40, Val44, Phe144, Gly46, Gly47, Leu127, Ser128, Gly130, Ile131, Phe132 and Ala155 which are the critical active site residues. Here, we also used ADPr as a positive control to compare our results. Our results suggest that our identified hits by using such a complicated computational pipeline could inhibit the SARs-CoV-2 by targeting the macrodomain-1. We strongly recommend the experimental testing of these compounds, which could rescue the host immune system and could help to contain the disease caused by SARs-CoV-2.

Neonatal late-onset infection with SARS CoV-2

Baquero,  H,  Venegas, et al

Biomedica

Clinical data| Données cliniques

We are reporting three cases of newborns who were attended in the course of the mitigation phase in the emergency service of a maternal hospital in Barranquilla, Colombia, for high temperature and general compromised condition. During their clinical course, they developed gastrointestinal symptoms without showing any respiratory manifestations. They were not epidemiologically linked to a contact suspected to be a COVID-19 case and their mothers had had no respiratory symptoms since the public health emergency in our country was declared 45 days before. The absence of clinical respiratory manifestations in this group of patients with COVID-19 should draw clinicians' attention to the need to suspect SARS CoV-2 infection in febrile newborns.

A Romanian survey on the impact of sars-cov-2 pandemic on dystonia patients

Barbu,  MG,  Thompson, et al

Romanian Journal of Legal Medicine

Healthcare Response | Réponse des soins de santé

This study aimed to assess the impact of botulinum toxin (BoNT) injection therapy discontinuation on the physical status and quality of life (QoL) of patients suffering from dystonia. A questionnaire was applied between April 1st and April 15th, 2020 to a group of 50 dystonia patients that met the inclusion criteria for this study. The majority of the respondents (92%) indicated that their greatest issue during SARS-CoV-2 lockdown was the lack of access to regular BoNT injections. Over 50% of respondents stated that they experienced atypical physical pain, followed by the inability to perform usual activities, with further impact on the QoL. Alteration of the physical status due to the inability to follow an in-clinic rehabilitation program was also reported by up to 25% of patients. In 10% of patients, dystonia became more severe, and led to further afflictions, with a great impact on their QoL. Younger dystonia participants registered lower QoL scores than older participants. Furthermore, isolation and income reduction were found to cause a moderate impact on QoL in most patients and may be associated with mild to moderate forms of depression.

Slowly coming out of COVID-19 restrictions in Australia: Implications for working from home and commuting trips by car and public transport

Beck,  MJ,  Hensher, et al

Journal of Transport Geography

Public Health response| Interventions de santé publique

In going from almost no commuting, except for essential workers, to a slow increase in travel activity with working from home (WFH) continuing to be both popular and preferred, this paper draws on two surveys, one in late March at the height of restrictions and one in late May as restrictions are starting to be partially relaxed, to develop models for WFH and weekly one-way commuting travel by car and public transport. We compare the findings as one way to inform us of the extent to which a sample of Australian residents have responded through changes in WFH and commuting. While it is early days to claim any sense of a new stable pattern of commuting activity, this paper sets the context for ongoing monitoring of adjustments in travel activity and WFH, which can inform changes required in the revision of strategic metropolitan transport models as well as more general perspectives on future transport and land use policy and planning.

32788129; Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area

Becq,  A,  Jais, et al

Clinics and Research in Hepatology and Gastroenterology

Healthcare Response | Réponse des soins de santé

The objective of this study was to describe the observed number of acts during the 2020 mandatory period of home isolation, compared to the values in prior years and the expected value for 2020. We performed a multicenter cohort study to investigate the practice of urgent endoscopy acts, outside regular working hours, in Paris and its surrounding suburbs, in the setting of the COVID-19 pandemic. From March 17th to April 17th (during home isolation), the number of acts was respectively of 147 in 2018, 137 in 2019, and 79 in 2020, lower that the expected number of 142 (-44.0%). In 2020, the number of endoscopies for suspected gastrointestinal bleeding (GIB), and findings of variceal and non-variceal bleeding decreased by 52.1%, 69.2% and 43.1% respectively, after a month of home isolation. In-hospital death rate were similar.

32557489; Impact of the COVID-19 pandemic on gastrointestinal endoscopy activity in France

Belle,  A,  Barret, et al

Endoscopy

Healthcare Response | Réponse des soins de santé

We sought to measure the impact of the COVID-19 pandemic on gastrointestinal (GI) endoscopy activity in France. We performed a web-based survey, including 35 questions on the responders and their endoscopic practice, from 23 March to 27 March 2020, sent to the 3300 French gastroenterologists practicing endoscopy. 694 GI endoscopists (21%) provided analyzable data; of these, 29.4% (204/694) were involved in the management of COVID-19 patients outside the endoscopy department. During the study period, 98.7% (685/694) of endoscopists had had to cancel procedures. There were 89 gastroenterologists (12.8%) who reported symptoms compatible with COVID-19 infection, and a positive PCR test was recorded in 12/197 (6.1%) vs. 3/497 (0.6%) endoscopists in the high vs. low prevalence areas, respectively (P<0.001).

32870739; Panuveitis and Optic Neuritis as a Possible Initial Presentation of the Novel Coronavirus Disease 2019 (COVID-19)

Benito-Pascual,  B,  Gegúndez, et al

Ocular immunology and inflammation

Clinical data| Données cliniques

A case of unilateral panuveitis and optic neuritis as initial presentation of COVID-19 is described.

32867123; Using all-atom potentials to refine rna structure predictions of sars-cov-2 stem loops

Bergonzo,  C,  Szakal, et al

International Journal of Molecular Sciences

Coronavirology| Coronavirologie

In this work, we assess the 3D structure of the 5′ untranslated region of its RNA, in the hopes that stable secondary structures can be targeted, interrupted, or otherwise measured. To this end, we have combined molecular dynamics simulations with previous Nuclear Magnetic Resonance measurements for stem loop 2 of SARS-CoV-1 to refine 3D structure predictions of that stem loop. We find that relatively short sampling times allow for loop rearrangement from predicted structures determined in absence of water or ions, to structures better aligned with experimental data. We then use molecular dynamics to predict the refined structure of the transcription regulatory leader sequence (TRS-L) region which includes stem loop 3, and show that arrangement of the loop around exchangeable monovalent potassium can interpret the conformational equilibrium determined by in-cell dimethyl sulfate (DMS) data.

SARS-CoV-2 Infection Induces a Dual Response in Liver Function Tests: Association with Mortality during Hospitalization

Bernal-Monterde,  V,  Casas-Deza, et al

Biomedicines

Epidemiology| Épidémiologie Clinical data| Données cliniques

We hypothesized that early altered liver biochemistries at admission might have different clinical relevance than subsequent changes during hospitalization. A single-center retrospective study was conducted on 540 consecutive hospitalized patients, PCR-diagnosed with SARS-CoV-2. By the end of the follow-up period, 502 patients (94.5%) were discharged (109 (20.5%) died). A total of 319 (64.3%) had at least one abnormal liver test result at admission. More prevalent were elevated AST (40.9%) and GGT (47.3%). Abnormalities were not associated with survival but with respiratory complications at admission. Conversely, LMM models adjusted for age and sex showed that longitudinal increases during hospitalization in ferritin, GGT, and alkaline phosphatase (ALP), as well as a decreased albumin levels, were associated with reduced survival. This dual pattern of liver damage might reconcile previous conflicting reports. GGT and ALP trajectories could be useful to determine who might need more surveillance and intensive care.

Feasibility of Pooled Testing in a Fully Automated High Throughput Platform for Effective Management of SARS-CoV-2 in India

Bhattacharya,  Debdutta,  Dash, et al

SSRN- Lancet prepublication

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

The study assessed the feasibility of pooled testing in the high throughput machine of Roche Cobas 6800 rapidly increasing the testing number for containing the virus spread and management of cases. The Cobas 6800 was able to detect the SARS-COV virus in all the samples, however, the amplified RNA reached the threshold later as the number of negative samples increased in the pool. We demonstrated strategies for pooling, which improve test efficiency and while maintaining high sensitivity in a high-throughput system. The comparison of 1410 samples tested individually and in pools of five samples/pool showed that test results were not significantly affected. Implementing the five-sample Dorfman pooling to test 1410 samples, we identified 42 (2.9%) SARS-CoV-2 positive samples, achieving a 3-fold increase in throughput with one-third of the cost.

32711041; Prevalence and clinical characterization of cancer patients with asymptomatic SARS-CoV-2 infection history

Bi,  J,  Lin, et al

Journal of Infection

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to examine the prevalence and clinical characteristics of asymptomatic COVID-19 in cancer patients versus caregivers with a similar COVID-19 exposure history from the experience of the only cancer hospital in Wuhan, China. A total of 3261 consecutive individuals who visited Hubei Cancer Hospital from March 9, 2020 to April 7, 2020 (comprising 2094 cancer patients and 1167 caregivers) were required to undergo chest computed tomography (CT) and routine bloodwork as well as viral serum antibodies against SARS-CoV-2 by the colloidal gold immunoassay. In our study, 82(2.5%) asymptomatic SARS-CoV-2 infections were detected in 3261 individuals who visited Hubei Cancer Hospital, which is higher than the 1.2% asymptomatic COVID-19 cases from the report by the China CDC.

Combined lymphocyte/monocyte count, D-dimer and iron status predict COVID-19 course and outcome in a long-term care facility

Biamonte,  F,  B

Research Square prepub

Epidemiology| Épidémiologie Clinical data| Données cliniques

In the present study, we retrospectively evaluated and integrated laboratory parameters/variables of 45 elderly subjects from a long-term care facility with Sars-CoV-2 outbreak and spread, to identify potential common patterns of systemic response able to better stratify patients’ clinical course and outcome. Of the 45 patients, 19 were male and 26 were female, with a median age of 81 years. The overall mortality rate was 26.67%. By PCA and clustering approach we identified 3 laboratory patterns of response, renamed as low-risk, intermediate-risk, and high-risk, strongly associated with patients’ survival (p<0.01). D-dimer, iron status, lymphocyte/monocyte count represented the main markers discriminating high- and low-risk groups. Furthermore, patients belonging to the high-risk group presented a significantly longer time to ferritin decrease (p:0.047). Iron-to-ferritin-ratio (IFR) significantly segregated recovered and dead patients in the intermediate-risk group (p:0.012).

Middle cerebral artery ischemic stroke and COVID-19: a case report

Bigliardi,  G,  Ciolli, et al

J Neurovirol

Clinical data| Données cliniques

We present a clinical case of a patient with SARS-CoV-2 infection and respiratory symptoms, complicated with a pro-thrombotic state involving multiple vascular territories and concomitant interleukin-6 increase. This case underlines the possibility to develop a COVID-19-related coagulopathy.

Cold atmospheric plasma inactivation of aerosolized microdroplets containing bacteria and purified SARS-CoV-2 RNA to contrast airborne indoor transmission

Bisag,  A,  Isabelli, et al

Plasma Processes and Polymers

Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI)

One of the major concerns in the COVID-19 pandemic is related to the possible transmission in poorly ventilated spaces of SARS-CoV-2 through aerosol microdroplets, which can remain in the air for long periods of time and be transmitted to others over distances >1 m. Cold atmospheric pressure plasmas can represent a promising solution, thanks to their ability in producing a blend of many reactive species, which can inactivate the airborne aerosolized microorganisms. In this study, a dielectric barrier discharge plasma source is used to directly inactivate suitably produced bioaerosols containing Staphylococcus epidermidis or purified SARS-CoV-2 RNA flowing through it. Results show that for low residence times (<0.2 s) in the plasma region a 3.7 log R on bacterial bioaerosol and degradation of viral RNA can be achieved. © 2020 Wiley-VCH GmbH

Black Lives Matter discourse on US social media during COVID: polarised positions enacted in a new event

Bolsover,  G

ArXiv

Public Health response| Interventions de santé publique

This project collected a sample of data from all trending topics within the US between 25 May and 31 May, 2020. This period therefore captures the initial reaction,
discussion and organisation of the protests, which occurred in the days following Floyd's death on 25 May. Of these 324 trends, 184 were political (57%), 106
were commercial (33%), 30 were informational (9%) and four were personal (1%).  During the period 22 through 26 April, 13% of the top 200 trends on US Twitter
concerned COVID and during the period 27 April through 3 May 19% of the top 200 trends concerned COVID. However, during the weeklong period after the death of George Floyd only 10% of the top 200 trends concerned COVID (almost half that of the week 27 April through 3
May).

Infectious diseases, market uncertainty and oil market volatility

Bouri,  E,  Demirer, et al

Energies

Economics | Économie

We examine the predictive power of a daily newspaper-based index of uncertainty associated with infectious diseases (EMVID) for oil-market volatility. Using the heterogeneous autoregressive realized volatility (HAR-RV) model, we document a positive effect of the EMVID index on the realized volatility of crude oil prices at the highest level of statistical significance, within-sample. Importantly, we show that incorporating EMVID into a forecasting setting significantly improves the forecast accuracy of oil realized volatility at short-, medium-, and long-run horizons. Our findings comprise important implications for investors and risk managers during the unprecedented episode of high uncertainty resulting from the COVID-19 pandemic. © 2020 by the authors.

Oral lesions in patients with SARS-CoV-2 infection: could the oral cavity be a target organ?

Brandão,  TB,  Gueiros, et al

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

Clinical data| Données cliniques

Here, we report a series of 8 cases of COVID-19 infection, with oral necrotic ulcers and aphthous-like ulcerations which developed early in the course of disease after the development of dysgeusia and affected the tongue, lips, palate, and oropharynx. A short review of the literature regarding the important role of ACE2 in SARS-CoV-2 cellular entry is also provided, bringing new insights into oral keratinocytes and minor salivary glands as potential targets.

A coronavirus disease 2019 (COVID-19) patient with bilateral orchitis: A case report

Bridwell,  RE,  Merrill, et al

American Journal of Emergency Medicine

Clinical data| Données cliniques

We describe a novel case of SARS-CoV2 bilateral orchitis in a previously healthy 37-year-old male who presented for testicular pain with constitutional symptoms. Additionally, there was no epididymitis associated with the bilateral orchitis. Based on both data in SARS-CoV2 infected males and previous data from prior SARS infections, spermatocyte function may be compromised secondary to this infection. With the various symptoms associated with this virulent pathogen, we characterize the potential complications and importance of fertility follow up.

Not all who wander are lost: evaluation of the Hull York medical school longitudinal integrated clerkship

Brown,  MEL,  Crampton, et al

Educ Prim Care

Public Health response| Interventions de santé publique

In 2019-20, the Hull York Medical School ran a pilot Longitudinal integrated clerkships (LIC) for 6 fourth-year medical students. This work describes the longitudinal qualitative programme evaluation. LIC students participated in two focus groups, one after four months, and another at the end of the programme. In total, 16 faculty were also interviewed regarding their experiences in developing, implementing and running the LIC. Students' GP supervisors were difficult to engage in detailed evaluation due to the COVID-19 pandemic, and so were briefly surveyed at the end of the LIC.

Challenges in Diagnosing Multisystem Inflammatory Syndrome Related to SARS-CoV-2 in a Child With Severe Neurocognitive Impairment and Social Isolation

Buonsenso,  D,  Lazzareschi, et al

J Clin Rheumatol

Clinical data| Données cliniques

This case report describes a 14-year old boy with Aicardi syndrome due to fever for 5 days. He was diagnosed with pediatric multisystem inflammatory syndrome related to SARS-CoV-2.

32865137; Surfactant replacement might help recovery of low-compliance lung in severe COVID-19 pneumonia

Busani,  S,  Dall’Ara, et al

Therapeutic Advances in Respiratory Disease

Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

We here report five cases of critically ill COVID-19 patients undergoing exogenous surfactant instillation though the airways.

Molecular docking, validation, dynamics simulations, and pharmacokinetic prediction of natural compounds against the SARS-CoV-2 main-protease

C,  S,  S, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The study aims to evaluate the potency of two hundred natural antiviral phytocompounds against the active site of the SARS-CoV-2 Main-Protease (M(pro)) using AutoDock 4.2.6. The compounds theaflavin-3-3'-digallate, rutin, hypericin, robustaflavone, and (-)-solenolide A with respective binding energy of -12.41 (Ki = 794.96 pM); -11.33 (Ki = 4.98 nM); -11.17 (Ki = 6.54 nM); -10.92 (Ki = 9.85 nM); and -10.82 kcal/mol (Ki = 11.88 nM) were ranked top as COVID-19 M(pro) inhibitors. The interacting amino acid residues were visualized using Discovery Studio 3.5 to elucidate the 2-dimensional and 3-dimensional interactions. The study was validated by i) re-docking the N3-peptide inhibitor-M(pro) and superimposing them onto co-crystallized complex and ii) docking decoy ligands to M(pro). The ligands that showed low binding energy were further predicted for and pharmacokinetic properties and Lipinski's rule of 5 and the results are tabulated and discussed. Molecular dynamics simulations were performed for 50 ns for those compounds using the Desmond package, Schrödinger to assess the conformational stability and fluctuations of protein-ligand complexes during the simulation.

Associations between chronic health conditions and COVID-19 preventive behaviors among a nationally representative sample of U.S. Adults: An analysis of the COVID impact survey

Camacho-Rivera,  M,  Islam, et al

Health Equity

Public Health response| Interventions de santé publique

We utilized data from a sample of 2190 U.S. adults from the COVID-19 Impact Survey to examine associations between the presence of underlying chronic health conditions and COVID-19-related preventive behaviors (e.g., use of face masks, hand washing, social distancing, etc.). Adults with cardiometabolic disease were more likely to report staying home because they felt unwell, compared with individuals without cardiometabolic disease. Individuals with underlying respiratory conditions were more likely to work from home, compared with individuals without a respiratory condition. Adults with immune conditions were twice more likely to report wearing a face mask when compared with individuals without immune conditions.

Social capital and perceived stress related to coronavirus disease in Colombia

Campo-Arias,  A,  Perdomo-Rojas, et al

J Epidemiol Community Health

Public Health response| Interventions de santé publique

An online cross-sectional study was carried out with the participation of adults residing in Colombia. A total of 700 adults answered the questionnaire, in ages between 18 and 76 years (mean =37.1, SD =12.7), 68% female, 52% without a permanent partner, 60% reside in low or medium socioeconomic status (Colombian classification of six status) and 90% with higher education (college or more). Also, 24.0% (n=168) participants scored low social capital and 7.6% (n=53) reported high perceived stress related to COVID-19. Low social capital was associated with high perceived stress related to COVID-19, crude (OR 2.23, 95% CI 1.25 to 2.99) and adjusted for age, gender and working in the health sector (OR 1.99, 95% CI 1.10 to 3.61).

32872336; Determinants of the lifestyle changes during covid-19 pandemic in the residents of northern italy

Cancello,  R,  Soranna, et al

International Journal of Environmental Research and Public Health

Public Health response| Interventions de santé publique

We conducted a self-reported survey in northern Italy to observe the lockdown effects on lifestyle changes and to assess their determinants. 490 adults (84% female) completed the survey: 13% and 43% reported improved and unchanged sleep quality, respectively, while 43% had insomnia symptoms. Among the 272 active subjects in pre-lockdown, 14% continued habitual exercising, 18% increased it and 68% reduced it; 27% of sedentary subjects started physical exercise; 34% reported an improvement in diet quality; 42% increased food intake and 13% decreased it; and 38% of the smokers increased cigarette consumption. Age and the pre-lockdown habit of regular physical exercising were the mainly determinants of lifestyle changes whereas BMI, gender, and the presence of chronic diseases did not. Living with other people increased the likelihood of increasing the food intake (p = 0.002).

Evaluation of COVID19 surveillance strategy in Ecuador

Cañizares Fuentes,  R,  Aroca, et al

Disaster Med Public Health Prep

Epidemiology| Épidémiologie Surveillance

This study aimed to evaluate the relevance of the COVID 19 positive case detection policy or model implemented by the Ministry of Public Health (MPH) of Ecuador and to compare it with the experiences of other countries. The probability of detecting positive cases of COVID-19 in Ecuador was higher than Iceland and South Korea, since the diagnostic tests were aimed at symptomatic patients, without identifying asymptomatic or mild symptomatic, who play an important role in the transmission of the disease. In addition, many symptomatic patients were examined but will remain undiagnosed due to the unavailability of tests and the low quality of many of them.

32863952; Myocardial injury and COVID-19: Serum hs-cTnI level in risk stratification and the prediction of 30-day fatality in COVID-19 patients with no prior cardiovascular disease

Cao,  J,  Zheng, et al

Theranostics

Epidemiology| Épidémiologie Clinical data| Données cliniques

We investigated whether myocardial injury occurred in COVID-19 patients and assessed the performance of serum high-sensitivity cardiac Troponin I (hs-cTnI) levels in predicting disease severity and 30-day in-hospital fatality. We included 244 COVID-19 patients, who were admitted to Renmin Hospital of Wuhan University with no preexisting cardiovascular disease or renal dysfunction. In this retrospective observational study, 11% of COVID-19 patients had increased hs-cTnI levels (>40 ng/L) on admission. Of note, serum hs-cTnI levels were positively associated with the severity of medical conditions (median interquartile range (IQR)]: 6.00 6.00-6.00] ng/L in 91 patients with moderate conditions, 6.00 6.00-18.00] ng/L in 107 patients with severe conditions, and 11.00 6.00-56.75] ng/L in 46 patients with critical conditions, P for trend=0.001). Besides empirical prognostic factors, serum hs-cTnI levels upon admission provided independent prediction to both the severity of the medical condition and 30-day in-hospital fatality. These findings may shed important light on the clinical management of COVID-19.

32870738; Ocular Features and Associated Systemic Findings in SARS-CoV-2 Infection

Cavalleri,  M,  Brambati, et al

Ocular immunology and inflammation

Clinical data| Données cliniques

This study aimed to describe the prevalence of ocular features among COVID-19 patients and their relationship with clinical data, inflammatory markers and respiratory support therapy (including CPAP); to investigate SARS-CoV-2 in ocular secretions of symptomatic patients. 172 COVID-19 patients were evaluated for presence of ocular manifestations. Forty-five patients (26.2%) reported ocular manifestations. Patients treated with CPAP were more likely to have ocular abnormalities (p <.01). The presence of ocular symptoms was not associated with more significant alterations on blood tests. Conjunctival swabs from patients with suspect conjunctivitis yielded negative results for SARS-CoV-2.

The potential impact of enhanced hygienic measures during the COVID-19 outbreak on hospital-acquired infections: A pragmatic study in neurological units

Cerulli Irelli,  E,  Orlando, et al

Journal of the neurological sciences

Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI) Healthcare Response | Réponse des soins de santé

This study aimed to investigate if enhanced hygienic measures, including the systematic use of personal protective equipment (PPE), determined a decrease in hospital-acquired infections (HAI) during the recent COVID-19 outbreak in “COVID-free” neurological units. Patients hospitalized in neurology and stroke units of Policlinico Umberto I Hospital in Rome from March 8, 2020 and discharged prior to May 31, 2020 were included in the study and compared with patients hospitalized during the same period in 2019. A total of 319 patients were included in the study (n = 103 in 2020, n = 216 in 2019). Among patients hospitalized in 2019, the incidence of HAIs was 31.5% (95% CI: 0.25–0.38), compared with 23.3% (95% CI: 0.15–0.32) in 2020 (p = 0.12). Multivariable logistic regression showed that hospitalization during 2020 was independently associated with a lower risk of HAIs (OR: 0.34, 95% CI:0.16–0.71, p = 0.004). Poisson regression models showed that hospitalization during 2020 was also independently associated with both a lower number of HAIs (relative risk RR]: 0.56, 95% CI:0.38–0.81, p = 0.01) and a lower number of prescribed antibiotics per patient (RR: 0.66, 95% CI: 0.49–0.87, p = 0.02).

Neurological complications in a predominantly African American sample of COVID-19 predict worse outcomes during hospitalization

Chachkhiani,  D,  Soliman, et al

Clinical neurology and neurosurgery

Epidemiology| Épidémiologie Clinical data| Données cliniques

We reviewed the electronic medical records (EMR) of patients hospitalized during the peak of the pandemic, March 1st through March 31st, to document the type and frequency of neurological problems seen in patients with COVID-19 at presentation to the emergency room. A large proportion of our sample (80 %) was African American and had hypertension (79 %). Out of 250 patients, 56 (22 %) patients died, and 72 (29 %) patients required intubation. Thirty-four (14 %) had a neurological chief complaint at presentation; the most common neurological chief complaints in the entire sample were altered mental status (AMS) (8 %), headache (2 %), and syncope (2 %). We used a competing risk model to determine whether neurological symptoms at presentation or during hospital stay were predictors of prolonged hospital stay and death. Age was the only significant demographic predictor of death and hospital stay. Neurological complaints at presentation and during the hospital stay are associated with a higher risk of death, prolonged hospital stay, and intubation. More work is needed to determine whether the cause of the neurological complaints was direct CNS involvement by the virus or the other systemic complications of the virus.

Estimation of Infection Rate and Predictions of Disease Spreading Based on Initial Individuals Infected With COVID-19

Chae,  SY,  Lee, et al

Frontiers in Physics

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

We estimated the infection rate and the initial individuals infected with COVID-19 by using officially reported data from the early stages of the epidemic for a model of susceptible (S), infectible (I), quarantined (Q), and officially confirmed recovered (Rk) populations (the so-called SIQRk model). In the officially reported data, we know the number of quarantined cases and the officially reported number of recovered cases. We cannot know about recovered cases from asymptomatic patients. In the SIQRk model, we can estimate the parameters and the initial infections (confirmed cases + asymptomatic cases) from fitted values. We obtained an infection rate in the range β = 0.233 ~ 0.462, a basic reproduction number of Ro = 1.8 ~ 3.5, and the initial number of infected individuals, I (0) = 10 ~ 8409, for selected countries. By using fitting parameters, we estimated that the maximum time span of the infection was around 50 days in Germany when the government invoked the quarantine policy. The disease is expected to subside about 6 months after the first patients are found.

Silent hypoxia: a frequently overlooked clinical entity in patients with COVID-19

Chandra,  A,  Chakraborty, et al

BMJ Case Rep

Clinical data| Données cliniques

We present a case of a 56-year-old man with COVID-19 who presented to the fever clinic of our institution with fever and cough without any respiratory distress but low oxygen saturation. The patient deteriorated over the next 2 days but eventually recovered of his illness in due course of time. This case demonstrates 'silent hypoxia' as a possible presentation in COVID-19 and emphasises the importance of meticulous clinical examination including oxygen saturation measurements in suspected or confirmed patients.

Coronavirus disease (COVID-19) detection in Chest X-Ray images using majority voting based classifier ensemble

Chandra,  TB,  Verma, et al

Expert Systems with Applications

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

The study reveals that infected patients exhibit distinct radiographic visual characteristics along with fever, dry cough, fatigue, dyspnea, etc. Chest X-Ray (CXR) is one of the important, non-invasive clinical adjuncts that play an essential role in the detection of such visual responses associated with SARS-COV-2 infection. In this study, we present an automatic COVID screening (ACoS) system that uses radiomic texture descriptors extracted from CXR images to identify the normal, suspected, and nCOVID-19 infected patients. The proposed system uses two-phase classification approach (normal vs. abnormal and nCOVID-19 vs. pneumonia) using majority vote based classifier ensemble of five benchmark supervised classification algorithms. The training-testing and validation of the ACoS system are performed using 2088 (696 normal, 696 pneumonia and 696 nCOVID-19) and 258 (86 images of each category) CXR images, respectively. The obtained validation results for phase-I (accuracy (ACC) = 98.062%, area under curve (AUC) = 0.956) and phase-II (ACC = 91.329% and AUC = 0.831) show the promising performance of the proposed system. Further, the Friedman post-hoc multiple comparisons and z-test statistics reveals that the results of ACoS system are statistically significant.

Liquid-liquid phase separation by SARS-CoV-2 nucleocapsid protein and RNA

Chen,  H,  Cui, et al

Cell Res

Coronavirology| Coronavirologie

The exact molecular mechanism by which N protein packs up the viral genome still remains elusive. We hypothesized that N protein may also undergo LLPS with viral genome RNA and potentially facilitate viral assembly. To test this hypothesis, we directly mixed the Alexa-488-labeled recombinant full-length N protein (488-N) with 20-nt single strand RNA (ssRNA; A20). We revealed that N protein and RNA underwent LLPS. The LLPS is dependent on the length and concentration of ssRNA. N protein forms typical sphere-like droplets with short ssRNAs, but solid-like structures with long ssRNAs. We further identified that the LLPS could be enhanced by Zn2+. Our findings suggest that N protein/RNA LLPS may be essential for SARS-CoV-2 viral assembly, which may shed light on developing intervention strategies to prevent COVID-19 pandemic by disrupting the LLPS and viral assembly.

32851063; Changes in the Clinical Characteristics of 62 Patients Who Died from Coronavirus Disease 2019

Chen,  J,  Ye, et al

BioMed Research International

Clinical data| Données cliniques

We retrospectively analyzed the clinical characteristics of 62 patients who died from COVID-19 at the Central Hospital of Wuhan between January 26 and February 17, 2020. Of the 62 patients with COVID-19, 41 (66%) patients were male, and 21 (34%) were female. The median age was 72 years (interquartile range (IQR), 54-88), and 45 (72.5%) patients had preexisting conditions. The median time from symptom onset to the first visit at the clinic was three days, while the median time from symptom onset to death was 18.5 days. During disease progression, the amounts of arterial gases worsened, and liver, renal, and heart dysfunction was observed. Due to the cytokine storm, infection-related biomarkers, including lactic acid, C-reactive protein, and interleukine-6, gradually worsened during hospitalization.

Surface electrocardiographic characteristics in coronavirus disease 2019: repolarization abnormalities associated with cardiac involvement

Chen,  L,  Feng, et al

ESC Heart Fail

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aims to describe electrocardiographic (ECG) characteristics of COVID-19 patients and to identify ECG parameters that are associated with cardiac involvement. The study included patients who were hospitalized with COVID-19 diagnosis and had cardiac biomarker assessments and simultaneous 12-lead surface ECGs. Sixty-three hospitalized patients (median 53 inter-quartile range, 43-65] years, 76.2% male) were enrolled, including patients with (n = 23) and without (n = 40) cardiac injury. Patients with cardiac injury were older, had more pre-existing co-morbidities, and had higher mortality than those without cardiac injury. They also had prolonged QTc intervals and more T wave changes. Logistic regression model identified that the number of abnormal T waves (OR), 2.36 95% CI, 1.38-4.04], P = 0.002) and QTc interval (OR, 1.31 95% CI, 1.03-1.66], P = 0.027) were independent indicators for cardiac injury. The combination model of these two parameters along with age could well discriminate cardiac injury (area the under curve 0.881, P < 0.001) by receiver operating characteristic analysis. Cox regression model identified that the presence of T wave changes was an independent predictor of mortality (hazard ratio, 3.57 1.40, 9.11], P = 0.008) after adjustment for age.

32867425; Typical case analysis of COVID-19 cluster epidemic in Shaanxi, 2020

Chen,  S,  Zhang, et al

Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi

Epidemiology| Épidémiologie Transmission

In this study, the transmission patterns of 4 out of the 51 COVID-19 cluster cases in Shaanxi province were analyzed to provide evidences for the COVID-19 control and prevention. Transmission chain was drawn and the transmission process was analyzed. Cluster case 1 contained 13 cases and was caused by a family of 5 who traveled by car to Wuhan and returned to Shaanxi. Cluster case 2 had 5 cases and caused by initial patient who participated family get-together right after back from Wuhan while under incubation period. Cluster case 3 contained 10 cases and could be defined as nosocomial infection. Cluster case 4 contained 4 cases and occurred in work place.

SARS-CoV-2 Entry Factors: ACE2 and TMPRSS2 Are Expressed in Peri-Implantation Embryos and the Maternal–Fetal Interface

Chen,  W,  Yuan, et al

Engineering

Clinical data| Données cliniques

In order to investigate the potential risk of SARS-CoV-2 vertical transmission, we explored ACE2 and TMPRSS2 (encoding transmembrane protease serine 2) expression patterns in peri-implantation embryos and the maternal–fetal interface using previously published single-cell transcriptome data. The results showed that day 6 (D6) trophectoderm cells (TE) in peri-implantation embryos, as well as syncytiotrophoblast (STB) at 8 weeks of gestation (STB_8W) and extravillous trophoblasts cells (EVT) at 24 weeks of gestation (EVT_24W) in the maternal–fetal interface, strongly co-expressed ACE2 and TMPRSS2, indicating a SARS-CoV-2 infection susceptibility. The ACE2 positive-expressing cells in the three cell types mentioned above were found to share common characteristics, which were involved in autophagy and immune-related processes. ACE2 showed no gender bias in post-implantation embryos but showed a significant gender difference in D6_TE, D6 primitive endoderm cells (PE), and ACE2 positive-expressing STBs. These findings suggest that there may be different SARS-CoV-2 infection susceptibilities of D6 embryos of different genders and during the gestation of different genders. Our results reveal potential SARS-CoV-2 infection risks during embryo transfer, peri-implantation embryo development, and gestation.

Metformin Is Associated with Higher Incidence of Acidosis, but Not Mortality, in Individuals with COVID-19 and Pre-existing Type 2 Diabetes

Cheng,  X,  Liu, et al

Cell Metabolism

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this study, we retrospectively enrolled 15,451 confirmed COVID-19 cases that were admitted among 16 hospitals from Hubei Province, China, among which 2,563 individuals had pre-existing type 2 diabetes (T2D), to investigate the relationship between in-hospital use of metformin and the clinical outcomes in those individuals with COVID-19 and pre-existing T2D. Our findings indicate that metformin use is associated with increased incidence of acidosis, but not 28-day all-cause mortality, in individuals with COVID-19 and pre-existing T2D. Furthermore, metformin use was significantly associated with reduced heart failure as well as an inflammatory response.

Prevalence and Psychosocial Correlates of Mental Health Outcomes Among Chinese College Students During the Coronavirus Disease (COVID-19) Pandemic

Chi,  X,  Becker, et al

Frontiers in Psychiatry

Public Health response| Interventions de santé publique

This study aimed to investigate the prevalence and risk factors for poor mental health of Chinese university students during the Corona Virus Disease 2019 (COVID-19) pandemic. Of 2,500 invited Chinese university students, 2,038 completed the survey. Prevalence of clinically-relevant PTSD, anxiety, and depressive symptoms, and post traumatic growth (PTG) was 30.8, 15.5, 23.3, and 66.9% respectively. Older age, knowing people who had been isolated, more ACEs, higher level of anxious attachment, and lower level of resilience all predicted primary outcome (all p < 0.01).

Analyzing the Effect of Social Distancing for Novel Coronavirus Disease 2019(COVID-19) in South Korea

Choi,  S,  Ki, et al

Epidemiol Health

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

This study aimed to estimate the reproductive numbers(R) for each epidemic stage to analyze the effects of the preventive measures and to predict the COVID-19 transmission trends. We estimated the transmission rates for each epidemic stage by fitting a COVID-19 transmission model, based on a deterministic mathematical model, to the data on confirmed cases. The value of R was 3.53 from February-18 to February-28, and the mean R reduced to 0.45 from March-14 to April-30, but it significantly increased to 2.69 from April-30 to May-13 and it was maintained at 1.03 from May-14 to July-23.

32771219; Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Associated with Rhabdomyolysis and Acute Kidney Injury (AKI)

Chong,  WH,  Saha, et al

American Journal of the Medical Sciences

Clinical data| Données cliniques

Case report of a 37 year old male  with COVID-19  associated with Rhabdomyolysis and Acute Kidney Injury

Experiential Education during the COVID-19 Pandemic: A Reflective Process

Christian,  DD,  McCarty, et al

Journal of Constructivist Psychology

Public Health response| Interventions de santé publique

This article describes experiential education and outlines how educators can use a model that integrates the adventure wave and experiential learning cycle to guide online instruction. The proposed model is useful for enhancing the learning process and promoting wellbeing by providing students the needed time to construct new knowledge about course content within the context of the pandemic. Case examples demonstrating the application of experiential education using the proposed model in a counseling theories course and basic skills course are included. Emphasis is placed on ensuring student welfare so that learning can continue during the disruption of COVID-19.

Online learning readiness among university students in Malaysia amidst Covid-19

Chung,  E,  Subramaniam, et al

Asian Journal of University Education

Public Health response| Interventions de santé publique

This paper sets out to examine online learning readiness among university students who have been thrown in at the deep end. It aims to investigate if demographic factors make any difference in their readiness to learn, online learning experiences and intention to continue using online learning. It also examines their preferred methods of online learning and challenges they face. Data collected from 399 students in two different online learning courses in Malaysia showed that respondents are generally ready for online learning. However, females are found to be more ready than male, degree students are more ready than diploma students while female students and degree students are more satisfied with online learning and have better learning experiences compared to male and diploma students. More than half of the respondents indicated that if given a choice, they do not want to continue with online learning in the future. Most respondents preferred online learning via pre-recorded lectures uploaded to Google Classroom and YouTube.

COVID-19 pneumonia in an HIV-positive woman on antiretroviral therapy and undetectable viral load in Porto Alegre, Brazil

Cipolat,  MM,  Sprinz, et al

Brazilian Journal of Infectious Diseases

Clinical data| Données cliniques

Case report of a 63 year old female with HIV and hospitalized due to COVID-19

MIS-C After ARDS Associated With SARS-COV-2

Clouser,  K,  Baer, et al

Pediatr Infect Dis J

Clinical data| Données cliniques

Case report of an 11 year old female with COVID-19 and diagnosed with MIS-C

COVID-19 in Grade 4-5 Chronic Kidney Disease Patients

Collado,  S,  Arenas, et al

Kidney Blood Press Res

Clinical data| Données cliniques

Here we present 7 patients with grade 4-5 CKD who developed symptomatic COVID-19.

Simple, Low-Cost and Long-Lasting Film for Virus Inactivation Using Avian Coronavirus Model as Challenge

Colnago,  LA,  Trevisol, et al

Int J Environ Res Public Health

Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI)

We are proposing simple, easy to prepare, low-cost and efficient antiviral films, made with a widely available dishwashing detergent, which can be spread on hands and inanimate surfaces and is expected to maintain virucidal activity for longer periods than the current sanitizers. Avian coronavirus (ACoV) was used as model of the challenge to test the antivirus efficacy of the proposed films. Polystyrene petri dishes were covered with a thin layer of detergent formula. After drying, the films were exposed to different virus doses for 10 min and virus infectivity was determined using embryonated chicken eggs, and RNA virus quantification in allantoic fluids by RT-qPCR. The films inactivated the ACoV (ranging from 10(3.7) to 10(6.7) EID(50)), which is chemically and morphologically similar to SARS-CoV-2, and may constitute an excellent alternative to minimize the spread of COVID-19.

The spread of social distancing

Cook,  J,  Newberger, et al

Economics Letters

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique Public Health response| Interventions de santé publique

We analyze multiple datasets constructed from cellphone location data and find that social distancing is affected by the policies of neighboring counties. People may infer that there is less risk in an area from the policies of neighboring counties or the actions of residents in neighboring counties. A stay-at-home order in a neighboring county reduces social distancing by more than half as much as implementing an order in that county. This implies that, to increase social distancing in hard-hit counties, stay-at-home orders need to be implemented in a regionally or federally coordinated response. We also find that estimates of the efficacy of stay-at-home orders that do not control for policies in neighboring counties overstate the effect of these orders by about 50%.

32792137; Hazardous mismatch between pulmonary pathogens and antibiotic treatments in COVID-19 patients

Coppola,  S,  Ciabattoni, et al

British journal of anaesthesia

Epidemiology| Épidémiologie Clinical data| Données cliniques

Herein, we report data from 53 COVID-19 patients admitted to the ICU and on mechanical ventilation in a single-centre study with a median age of 57 (9) yr. Among these, 26 (49%) received empiric antibiotic therapy upon hospital admission. As recommended for patients with community-acquired pneumonia,7 empirical therapy comprised ceftriaxone plus a macrolide or levofloxacin (in 17 patients, 32%), but also piperacillin-tazobactam, oxacillin, and linezolid (in nine patients, 16%). Moreover, 43 (81%) received steroids, 18 (34%) hydroxychloroquine, and three (6%) humanized monoclonal antibody against the interleukin-6 receptor. Routine tracheal surveillance cultures were obtained after a median of 2 days from tracheal intubation. Among 53 tracheal aspirates, 16 (30%) were positive and 37 (70%) negative. The causative pathogens most commonly found were Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus influenzae; in five cases, Pseudomonas aeruginosa and Acinetobacter baumannii were identified.

Athletes and adversities: athletic identity and emotional regulation in time of COVID-19

Costa,  S,  Santi, et al

Sport Sciences for Health

Public Health response| Interventions de santé publique

Objectives: The objectives of our investigation were to: (a) validate the athletic identity measurement scale (AIMS) for use in Italian language; and (b) explore differences by gender, typology of sport (individual vs. team), and competitive level (elite vs. non-elite) in athletic identity and in cognitive emotion regulation during the Covid-19 lockdown period. Methods: To achieve these objectives, the reliability and construct validity of the Italian version of the AIMS have been tested in Study 1. Multivariate and univariate analyses were run to evaluate differences between different groups of athletes in Study 2. Results: Results from Study 1 suggest a 3-factor higher order model of athletic identity. Results from Study 2 highlight that, during this lockdown period, elite athletes and team sports athletes show higher athletic identity. Cognitive emotion regulation strategies are different for gender and for competitive level. Finally, athletes with higher athletic identity tend to ruminate and catastrophize more.

COVID-19 pneumonia: The impact of coagulopathy

Costanzo,  L,  Failla, et al

Acta Phlebologica

Clinical data| Données cliniques

Autoptic analysis in deaths fore severe COVID-19 disease revealed fibrin exudation in alveoli, blood vessel wall edema and hyaline thrombi in small vessels in other organs and tissues. Heparin is an anticoagulant molecule that also showed anti-inflammatory properties and a potential antiviral effect. The use of low molecular weight heparin could prevent thromboembolic complications in COVID-19 pneumopathy. However, the correct timing of prophylaxis according to the stage of COVID-19 disease and the appropriate therapeutic dosage to use in severe cases need further research.

A role for Biofoundries in rapid development and validation of automated SARS-CoV-2 clinical diagnostics

Crone,  MA,  Priestman, et al

Nat Commun

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

Here, we present a reagent-agnostic automated SARS-CoV-2 testing platform that can be quickly deployed and scaled. Using an in-house-generated, open-source, MS2-virus-like particle (VLP) SARS-CoV-2 standard, we validate RNA extraction and RT-qPCR workflows as well as two detection assays based on CRISPR-Cas13a and RT-loop-mediated isothermal amplification (RT-LAMP). In collaboration with an NHS diagnostic testing lab, we report the performance of the overall workflow and detection of SARS-CoV-2 in patient samples using RT-qPCR, CRISPR-Cas13a, and RT-LAMP. The validated RNA extraction and RT-qPCR platform has been installed in NHS diagnostic labs, increasing testing capacity by 1000 samples per day.

PMC7471856; A case of corticosteroid-responsive SARS-CoV-2 related massive rhabdomyolysis

Cunha,  M,  Pinho, et al

IDCases

Clinical data| Données cliniques

Case report of a 46 year old female with breast cancer and is positive for COVID-19

Cause for concerns: gender inequality in experiencing the COVID-19 lockdown in Germany

Czymara,  CS,  Langenkamp, et al

European Societies

Public Health response| Interventions de santé publique

Using topic modeling on over 1,100 open reports from a survey fielded during the first four weeks of the lockdown in Germany, we shed light on how personal experiences of the lockdown differ between women and men. Our results show that, in general, people were most concerned about social contacts and childcare. However, we find clear differences among genders: women worried more about childcare while men were more concerned about paid work and the economy. We argue that the COVID-19 pandemic is affecting women more heavily than men not only at the physical level of work (e.g. women are reducing more paid work hours than men), but also through increasing the division regarding the cognitive level of work (e.g. women are more worried about childcare work while men are about paid work).

COVID-19 in a patient with advanced Merkel cell carcinoma receiving immunotherapy

da Costa,  CM,  de Souza, et al

Immunotherapy

Clinical data| Données cliniques

Case report of a 66 year old male with with a metastatic Merkel cell carcinoma  and is positive for COVID-19

Spatial Bayesian Hierarchical Modelling with Integrated Nested Laplace Approximation

D'Angelo,  N,  Abbruzzo, et al

ArXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

We report the study of two spatial datasets, referring both to the continuous and discrete domain models, according to the nature of data. The dataset analysed in this section refers to the number of people infected by the Covid-19 in the 47 Northern Italian provinces from February 24th to April 26th, 2020. The aim of this application is to investigate the incidence of the cases. The results confirms that, while before the lock-down the spread of the Covid-19 could be attributable to the spatial displacement of provinces, the same conclusion does not hold after the lock-down, since from that time, the number of people moving among provinces has largely
decreased.

Early diagnosis of COVID-19-affected patients based on X-ray and computed tomography images using deep learning algorithm

Dansana,  D,  Kumar, et al

Soft Computing

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

In this study, convolution neural networks method is used for binary classification pneumonia-based conversion of VGG-19, Inception_V2 and decision tree model on X-ray and CT scan images dataset, which contains 360 images. It can infer that fine-tuned version VGG-19, Inception_V2 and decision tree model show highly satisfactory performance with a rate of increase in training and validation accuracy (91%) other than Inception_V2 (78%) and decision tree (60%) models.

32755653; Impact of medical care, including use of anti-infective agents, on prognosis of COVID-19 hospitalized patients over time

Davido,  B,  Boussaid, et al

International journal of antimicrobial agents

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

Methods: Single center, retrospective study in adults hospitalized in a medicine ward for COVID-19 from March 5th to April 25th 2020. Patient characteristics were compared between two periods (before/after March 19th) considering French guidelines. The aim of the study was to evaluate how medical care impacted unfavorable outcome, namely admission to intensive care unit (ICU) and/or death. Results: There was a significant decrease in ICU admission, from 43% to 12%, between the two periods. Delays until transfer to ICU were similar between periods. Pulmonary computerized tomography (CT)-scans were performed significantly more often with time, and oxygen-dependency and prescription of AZI±HCQ were also greater over time. Multivariate analyses showed a reduction of unfavorable outcome in patients receiving AZI±HCQ

Impact of the pandemic on surgical activity in colorectal cancer in Spain. Results of a national survey

de la Portilla de Juan,  F,  Reyes Díaz, et al

Cirugia Espanola

Healthcare Response | Réponse des soins de santé

We conducted a survey in colorectal surgery units to assess the impact on colorectal cancer surgery waiting lists. Method: All personnel in charge of colorectal surgery units nationwide received a survey (from February to April, 2020) with eight questions divided into three sections—cessation date of colorectal cancer surgeries, number of patients waiting for treatment, and use of neoadjuvant therapy to postpone surgery. Results: Sixty-seven units participated in the study, with 79.1% of units ceasing some type of activity (32.8% total and 46.3% partial cessation) and 20.9% continuing all surgical activity. In addition, 65% of units used or prolonged neoadjuvant therapy in rectal cancer patients and 40% of units performed at least five emergency colorectal cancer surgeries. It was estimated that at least one month of intense surgical activity will be required to catch up.

32858068; Disparities in the excess risk of mortality in the first wave of COVID-19: Cross sectional study of the English sentinel network

de Lusignan,  S,  Joy, et al

Journal of Infection

Epidemiology| Épidémiologie

We report the absolute excess risk (AER) of mortality and excess mortality rate (EMR) from a nationally representative COVID-19 sentinel surveillance network including known COVID-19 risk factors in people aged 45 years and above. Methods: Pseudonymised, coded clinical data were uploaded from contributing primary care providers (N = 1,970,314, ≥45years). We calculated the AER in mortality by comparing mortality for weeks 2 to 20 this year with mortality data from the Office for National Statistics (ONS) from 2018 for the same weeks. Results: The AER of mortality was 197.8/10,000 person years. The EMR for male gender, compared with female, was 1.4 ; for our oldest age band (≥75 years) 10.09 compared to 45–64 year olds; Black ethnicity's EMR was 1.17, reference white; and for dwellings with ≥9 occupants 8.01. Presence of all included comorbidities significantly increased EMR. Ranked from lowest to highest these were: hypertension, chronic kidney disease, chronic respiratory and heart disease, and cancer or immunocompromised. Conclusions: The absolute excess mortality was approximately 2 deaths per 100 person years in the first wave of COVID-19.

Early use of low dose tocilizumab in patients with COVID-19: A retrospective cohort study with a complete follow-up

De Rossi,  N,  Scarpazza, et al

EClinicalMedicine

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

Methods: A retrospective cohort study at the Montichiari Hospital, Brescia, Italy, was conducted. We included consecutive patients with COVID-19 related pneumonia at the early stage of respiratory failure, all treated with a standard protocol (hydroxychloroquine 400 mg daily, lopinavir 800 mg plus ritonavir 200 mg per day). We compared survival rate and clinical status in a cohort of patients who received additional treatment with tocilizumab once (either 400 mg intravenous or 324 mg subcutaneous) with a retrospective cohort of patients who did not receive tocilizumab (referred to as the standard treatment group).  All outcomes were assessed at the end of the follow-up, that correspond to death or complete recovery and discharge from the hospital. Findings: 158 patients were included, 90 of which received tocilizumab. 34 out of 68 (50%) patients in the standard treatment group and 7 out of 90 (7.7%) in the tocilizumab group died. Tocilizumab significantly improved survival compared to standard care. No differences between the two administration routes of tocilizumab were observed. No tocilizumab-related infections and/or side effects were observed.

Neuromyelitis optica spectrum disorder after presumed coronavirus (COVID-19) infection: A case report

de Ruijter,  NS,  Kramer, et al

Multiple Sclerosis and Related Disorders

Clinical data| Données cliniques

Case report of a 15 year old male with COVID-19 presenting with subacute visual los.

32473193; Single cell RNA sequencing analysis did not predict hepatocyte infection by SARS-CoV-2

De Smet,  V,  Verhulst, et al

Journal of hepatology

Epidemiology| Épidémiologie Clinical data| Données cliniques

We analyzed 3 publicly available human liver datasets published by Aizarani et al.,7 Macparland et al.8 and Ramachandran et al.9 The latter includes cirrhotic livers from patients undergoing orthotopic liver transplantation, caused by non-alcoholic liver disease, alcohol-related liver disease and primary biliary cholangitis. Using these 3 datasets, we verified ACE2 and TMPRSS2 expression in healthy and diseased human livers, In conclusion, scRNAseq analyis does not point towards hepatocytes as a likely point of entry for SARS-CoV-2 infection. Cholangiocytes are among the highest expressors of ACE2 in all datasets, which is in line with previous scRNAseq reports. The low expression of ACE2 seen in this data presumably represents technical limitations of the scRNAseq technique, rather than an absolute absence of ACE2 in these cells, leading to an underestimation of ACE2 expressing hepatocytes.

32865072; Epistaxis in hospitalized patients with COVID-19

Dell’Era,  V,  Dosdegani, et al

Journal of International Medical Research

Clinical data| Données cliniques

We herein present the data of 30 patients with COVID-19 who developed spontaneous epistaxis while hospitalized at Eastern Piedmont Hospital during March and April 2020. All patients received low-molecular-weight heparin during their hospital stay and required supplementary oxygen therapy either by a nasal cannula or continuous positive airway pressure. Both conditions can represent risk factors for developing epistaxis. Prevention of crust formation in patients with rhinitis using a nasal lubricant should be recommended.

Analysis of type I IFN response and T cell activation in severe COVID-19/HIV-1 coinfection: A case report

d'Ettorre,  G,  Recchia, et al

Medicine (Baltimore)

Clinical data| Données cliniques

Case report of the 52 year old female with coinfection of COID-19 and HIV.

Changing Pattern of Orthopaedic Trauma Admissions During COVID-19 Pandemic: Experience at a Tertiary Trauma Centre in India

Dhillon,  MS,  Kumar, et al

Indian Journal of Orthopaedics

Healthcare Response | Réponse des soins de santé

To see if there was significant change in the pattern and management of trauma in our region, we evaluated data from our centre for the lockdown period and compared it with data from the previous year, and also with some available international data. Methods: We collated data from our Tertiary care hospital for two periods, i.e. from 25th March 2020 to 3rd May 2020 signifying strict lockdown and then from 4th May to 31st May during which some conditional relaxations were given. This was compared to data from similar periods in 2019. Results: Significant reductions in caseloads were noted; open injuries were less, road accidents were infrequent, but cases due to falls, especially children and the elderly were still seen, although slightly reduced.

Acute kidney injury in COVID-19: a case-report

Di Mauro,  M,  Migliaccio, et al

Int Urol Nephrol

Clinical data| Données cliniques

Case report of an 81 year old female with COVID-19  who developed hypotension, oliguria and impaired renal function, with the lower glomerular filtration rate

32851183; Epithelial cell-specific loss of function of Miz1 causes a spontaneous COPD-like phenotype and up-regulates Ace2 expression in mice

Do-Umehara,  H,  Chen, et al

Science advances

Coronavirology| Coronavirologie Animal model | Modèle animal

Here we show that mice with lung epithelial cell-specific loss of function of Miz1, which we identified as a negative regulator of nuclear factor κB (NF-κB) signaling, spontaneously develop progressive age-related changes resembling COPD. Furthermore, loss of Miz1 up-regulates the expression of Ace2, the receptor for SARS-CoV-2. Our data suggest that Miz1 down-regulation-induced sustained activation of NF-κB-dependent inflammation in the lung epithelium is sufficient to induce progressive lung and airway destruction that recapitulates features of COPD, with implications for COVID-19.

Impact of COVID-19 Pandemic on Colorectal Cancer Screening Program

D'Ovidio,  V,  Lucidi, et al

Clinical Colorectal Cancer

Healthcare Response | Réponse des soins de santé

We carried out a retrospective controlled cohort study in our “COVID-free” hospital to compare data of the CRCS colonoscopies of the lockdown period (March 9 to May 4, 2020) with those of the same period of 2019 (control group). A pre/post endoscopic sanitary surveillance for COVID-19 infection was organized for patients and sanitary staff. Results: In the lockdown group, 60 of 137 invited patients underwent endoscopy, whereas in the control group, 238 CRCS colonoscopies (3.9-fold) were performed. In the lower number of examinations during the lockdown, we found more colorectal cancers. The “high-risk” adenomas detection rate was also significantly higher in the “lockdown group” than in controls.

Anxiety and Depression in Canada During the COVID-19 Pandemic: A National Survey

Dozois,  DJA,  Mental Health Research, et al

Canadian Psychology

Public Health response| Interventions de santé publique

The objective is this research was to explore how Canadians are managing with the COVID-19 outbreak and determine the impact of the pandemic on levels of anxiety and depression. A nationally representative sample of 1,803 participants completed an online survey that was offered in both official languages. The percentage of respondents who indicated that their anxiety was high to extremely high quadrupled (from 5% to 20%) and the number of participants with high self-reported depression more than doubled (from 4% to 10%) since the onset of COVID-19. Although current anxiety levels are expected to remain the same, respondents predicted that depression would worsen if physical distancing and self-isolation continue for another 2 months. One-third of Canadians with anxiety and depression also report an increase in alcohol and cannabis use during the pandemic.

Association of contact to small children with mild course of COVID-19

Dugas,  M,  Schrempf, et al

Int J Infect Dis

Epidemiology| Épidémiologie Clinical data| Données cliniques

If a childhood-related infection would be protective against severe course of COVID-19, it would be expected that adults with intensive and regular contact to small children also may have a mild course of COVID-19 more frequently. To test this hypothesis, a survey among 4,010 recovered COVID-19 patients was conducted in Germany. 1,186 complete answers were collected. 6.9% of these patients reported frequent and regular job-related contact to children below 10 years of age and 23.2% had own small children, which is higher than expected. In the relatively small subgroup with intensive care treatment (n = 19), patients without contact to small children were overrepresented.

Detection of coronavirus in tear samples of hospitalized patients with confirmed SARS-CoV-2 from oropharyngeal swabs

Dutescu,  RM,  Banasik, et al

Cornea

Clinical data| Données cliniques

PURPOSE: This study was designed to detect CoV-RNA in the tears of PCR confirmed SARS-CoV-2 positive patients. METHODS: We performed a prospective case-series study of hospitalized patients that have been confirmed SARS-CoV-2 positive by oropharyngeal swab within the previous 5 days. Tear samples obtained with a laboratory capillary and oropharyngeal swabs were analyzed by RT-PCR using the Altona SARS-CoV-2-Assay or the Roche SARS-CoV-2 LightMix PCR, depending on availability. Patients history was documented, ophthalmoscopy was used to assess for ocular surface disease. RESULTS: Of all 18 patients recruited in April 2020, 5 suffered from respiratory failure and were submitted to an intensive care unit. None of our patients had signs of viral conjunctivitis although all patients in intensive care showed chemosis and conjunctival hyperemia due to third-spacing or fluid overload. Presence of Coronavirus RNA was confirmed by PCR in 5 out of 18 patients (28%) in tears and 72% for oropharyngeal swabs. CONCLUSIONS: Using a tear fluid sampling technique similar to oropharyngeal lavage presents a higher percentage of SARS-CoV-2 positive tears in contrast to earlier reports which used a conjunctival swab. This does not automatically indicate viral shedding in ocular tissue, or contagiousness of tear fluid.

Systemic inflammation as fuel for acute liver injury in COVID-19

Effenberger,  M,  Grander, et al

Digestive and Liver Disease

Epidemiology| Épidémiologie Clinical data| Données cliniques

Aims: We explored a link between systemic IL-6, related acute phase proteins and liver injury in hospitalized COVID-19 patients. Methods: 655 patients with suspected COVID-19 were screened in the emergency department at the University Hospital of Innsbruck, Austria, between February and April 2020. 96 patients (15%) were hospitalized with COVID-19. 15 patients required intensive-care treatment (ICT). Results: Of all hospitalized COVID-19 patients, 41 (42%) showed elevated aspartate aminotransferase (AST) concentration. COVID-19 patients with elevated AST exhibited significantly higher IL-6, ferritin, LDH and CRP serum concentrations compared to patients with normal AST. Liver injury correlated with systemic IL-6, CRP, ferritin and LDH concentration.

COVID-19-FAKES: A Twitter (Arabic/English) dataset for detecting misleading information on COVID-19

Elhadad,  MK,  Li, et al

 

Public Health response| Interventions de santé publique

This paper aims to aid the ongoing research efforts for combating the Infodemic related to COVID-19. We provide an automatically annotated, bilingual (Arabic/English) COVID-19 Twitter dataset (COVID-19-FAKES). This dataset has been continuously collected from February 04, 2020, to March 10, 2020. For annotating the collected dataset, we utilized the shared information on the official websites and the official Twitter accounts of the WHO, UNICEF, and UN as a source of reliable information, and the collected COVID-19 pre-checked facts from different fact-checking websites to build a ground-truth database. This work will help researchers in understanding the dynamics behind the COVID-19 outbreak on Twitter.

An Ensemble Deep Learning Technique to Detect COVID-19 Misleading Information

Elhadad,  MK,  Li, et al

 

Public health interventions*| Interventions de santé publique Surveillance Public Health response| Interventions de santé publique

This paper aims to combat the Infodemic related to COVID-19. We propose an ensemble deep learning system for detecting misleading information related to COVID-19. This system depends on the shared COVID-19-related information from the official websites and Twitter accounts of the WHO, UNICEF, and UN, as well as the COVID-19 pre-checked facts from different fact-checking websites, as a source of reliable information to train the detection model. We use these collected data to build an ensemble system that uses several deep learning techniques to detect misleading information. To improve the performance of the proposed ensemble detection system, we implement a data preparation and preprocessing step, along with a features engineering step. We deploy Word Embedding based on a pre-trained word embedding list in addition to the existing word impeding in the input layer of the employed techniques. The experimental results are examined using fourteen performance measures (Accuracy, Error Rate, Loss, Precision, Recall, F1-Score, Area Under the Curve, Geometric-Mean, Specificity, Miss Rate, Fall-Out Rate, False-Discovery Rate, False-Omission Rate, and the Total Training Time). The obtained results are promising and indicate the quality and validity of the trusted information collected, for building misleading-information detection systems. It is worth noting that, in this paper, we use the terms “misleading information”, “misinformation”, and “fake news” interchangeably. © 2021, Springer Nature Switzerland AG.

Increased Odds of Death for Patients with Interstitial Lung Disease and COVID-19: A Case-Control Study

Esposito,  AJ,  Menon, et al

Am J Respir Crit Care Med

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this letter, we present the results of a multicenter retrospective case-control study examining outcomes from COVID-19 in patients with pre-existing interstitial lung diseases (ILD) .

Fulminant encephalitis as a sole manifestation of COVID-19

Etemadifar,  M,  Salari, et al

Neurol Sci

Clinical data| Données cliniques

Novel coronavirus (SARS-CoV-2) occurred in December 2019 in Wuhan, China, and has become a global health emergency. Coronavirus primarily is a respiratory virus, but it has been detected in the brain and cerebrospinal fluid of infected individuals. The present report describes a case of fulminant encephalitis in a patient affected by COVID-19.

The impact of COVID-19 infection on hip fractures 30-day mortality

Fadulelmola,  A,  Gregory, et al

Trauma (United Kingdom)

Epidemiology| Épidémiologie Clinical data| Données cliniques

Introduction: A novel virus, SARS-CoV-2 has caused a fatal global pandemic which particularly affects the elderly and those with co-morbidities. Hip fractures affect elderly populations, necessitate hospital admissions, and place this group at particular risk from COVID-19 infection. This study investigates the effect of COVID-19 infection on 30-day hip fracture mortality. Method: Data related to seventy-five adult hip fractures admitted to two units during March and April 2020 was reviewed. The mean age was 83.5 years (range 65-98 years) and most (53, 70.7%) were females. The primary outcome measure was 30-day mortality associated with COVID-19 infection. Results: The COVID-19 infection rate was 26.7% (20 patients), with a significant difference in the 30-day mortality rate in COVID-19 positive group (10/20, 50%) compared to COVID-19 negative group (4/55, 7.3%), with mean time to death of 19.8 days (95% confidence interval 17.0-22.5). The mean time from admission to surgery was 43.1 hours and 38.3 hours, in COVID-19 positive and COVID-19 negative groups, respectively. All COVID-19 positive patients had shown symptoms of fever and cough, and all ten cases who died were from hypoxia. Seven (35%) cases had radiological lung findings consistent with viral pneumonitis which resulted in mortality (70% of mortality). 30% (n = 6) contracted the COVID-19 infection in the community and 70% (n = 14) developed symptoms after hospital admission. Conclusion: Hip fractures associated with COVID-19 infection have a high 30-day mortality. COVID-19 testing and chest x-ray for patients presenting with hip fractures, helps in early planning of high-risk surgeries and allows counselling of the patients and family using realistic prognosis. © The Author(s) 2020.

Obese communities among the best predictors of COVID-19-related deaths

Fakhry Abdelmassih,  A,  Ghaly, et al

Cardiovascular Endocrinology and Metabolism

Epidemiology| Épidémiologie

Introduction Coronavirus disease 2019 (COVID-19) is the largest outbreak to strike the world since the Spanish flu in 1918. Visual examination of the world map shows a wide variation of death tolls between countries. The main goal of our series is to determine the best predictors of such discrepancy. Methods This is a retrospective study in which the rate of COVID-19 deaths was correlated with each of the following independent variables: total tests per 1 million population, gross domestic product (GDP), average temperatures per country, ultraviolet index, median age, average BMI per country, food supply, Bacille Calmette-Guerin compulsory status, and passenger traffic. Results BMI per country proved to be the second best predictor of death rate with an R value of 0.43, and GDP being the best predictor with R = 0.65. Conclusion This article shows a tight correlation between average BMI, food supply per country, and COVID-19-related deaths. Such predisposing factors might operate by upregulating the inflammation pathway in heavily struck countries, leading to easier triggering of the infamous cytokine storm syndrome. Obesity also increases cardiovascular and respiratory morbidities, which are coupled to increased ICU demand and deaths among infected cases. Video abstract: http://links.lww.com/CAEN/A25. © 2020 BMJ Publishing Group. All rights reserved.

Nomogram for Predicting COVID-19 Disease Progression Based on Single-Center Data: Observational Study and Model Development

Fan,  T,  Hao, et al

JMIR Med Inform

Epidemiology| Épidémiologie Clinical data| Données cliniques

BACKGROUND: In late December 2019, a pneumonia caused by SARS-CoV-2 was first reported in Wuhan and spread worldwide rapidly. Currently, no specific medicine is available to treat infection with COVID-19. OBJECTIVE: The aims of this study were to summarize the epidemiological and clinical characteristics of 175 patients with SARS-CoV-2 infection who were hospitalized in Renmin Hospital of Wuhan University from January 1 to January 31, 2020, and to establish a tool to identify potential critical patients with COVID-19 and help clinical physicians prevent progression of this disease. METHODS: In this retrospective study, clinical characteristics of 175 confirmed COVID-19 cases were collected and analyzed. Univariate analysis and least absolute shrinkage and selection operator (LASSO) regression were used to select variables. Multivariate analysis was applied to identify independent risk factors in COVID-19 progression. We established a nomogram to evaluate the probability of progression of the condition of a patient with COVID-19 to severe within three weeks of disease onset. The nomogram was verified using calibration curves and receiver operating characteristic curves. RESULTS: A total of 18 variables were considered to be risk factors after the univariate regression analysis of the laboratory parameters (P<.05), and LASSO regression analysis screened out 10 risk factors for further study. The six independent risk factors revealed by multivariate Cox regression were age (OR 1.035, 95% CI 1.017-1.054; P<.001), CK level (OR 1.002, 95% CI 1.0003-1.0039; P=.02), CD4 count (OR 0.995, 95% CI 0.992-0.998; P=.002), CD8 % (OR 1.007, 95% CI 1.004-1.012, P<.001), CD8 count (OR 0.881, 95% CI 0.835-0.931; P<.001), and C3 count (OR 6.93, 95% CI 1.945-24.691; P=.003). The areas under the curve of the prediction model for 0.5-week, 1-week, 2-week and 3-week nonsevere probability were 0.721, 0.742, 0.87, and 0.832, respectively. The calibration curves showed that the model had good prediction ability within three weeks of disease onset. CONCLUSIONS: This study presents a predictive nomogram of critical patients with COVID-19 based on LASSO and Cox regression analysis. Clinical use of the nomogram may enable timely detection of potential critical patients with COVID-19 and instruct clinicians to administer early intervention to these patients to prevent the disease from worsening.

32872261; How did distribution patterns of particulate matter air pollution (Pm2.5 and pm10) change in china during the covid-19 outbreak: A spatiotemporal investigation at chinese city-level

Fan,  Z,  Zhan, et al

International Journal of Environmental Research and Public Health

Public health interventions*| Interventions de santé publique

Due to the suspension of traffic mobility and industrial activities during the COVID-19, particulate matter (PM) pollution has decreased in China. However, rarely have research studies discussed the spatiotemporal pattern of this change and related influencing factors at city-scale across the nation. In this research, the clustering patterns of the decline rates of PM2.5 and PM10 during the period from January 20 to April 8 in 2020, compared with the same period of 2019, were investigated using spatial autocorrelation analysis. Four meteorological factors and two socioeconomic factors, i.e., the decline of intra-city mobility intensity (dIMI) representing the effect of traffic mobility and the decline rates of the secondary industrial output values (drSIOV), were adopted in the regression analysis. Then, multi-scale geographically weighted regression (MGWR), a model allowing the particular processing scale for each independent variable, was applied for investigating the relationship between PM pollution reductions and influencing factors. For comparison, ordinary least square (OLS) regression and the classic geographically weighted regression (GWR) were also performed. The research found that there were 16% and 20% reduction of PM2.5 and PM10 concentration across China and significant PM pollution mitigation in central, east, and south regions of China. As for the regression analysis results, MGWR outperformed the other two models, with R2 of 0.711 and 0.732 for PM2.5 and PM10, respectively. The results of MGWR revealed that the two socioeconomic factors had more significant impacts than meteorological factors. It showed that the reduction of traffic mobility caused more relative declines of PM2.5 in east China (e.g., cities in Jiangsu), while it caused more relative declines of PM10 in central China (e.g., cities in Henan). The reduction of industrial operation had a strong relationship with the PM10 drop in northeast China. The results are crucial for understanding how the decline pattern of PM pollution varied spatially during the COVID-19 outbreak, and it also provides a good reference for air pollution control in the future. © 2020, MDPI AG. All rights reserved.

Co-infection of SARS-CoV-2 and Bordetella bronchiseptica in a young man with idiopathic non-cystic bronchiectasis and vitamin D3 deficiency

Faqihi,  F,  Alharthy, et al

Respiratory Medicine Case Reports

Epidemiology| Épidémiologie Clinical data| Données cliniques

This is the first reported case, to our knowledge, of co-infection of Bordetella bronchiseptica and SARS-CoV-2 in a young patient with underlying idiopathic bronchiectasis and vitamin D3 deficiency that was treated successfully with a combination therapeutic regime integrating doxycycline, empiric therapies for COVID-19, vitamin D supplementation, and supportive ICU care. Large prospective studies are required to investigate further the role of co-infections in COVID-19 patients with bronchiectasis. Randomized control trials should examine the putative beneficial role of vitamin D supplementation in patients with COVID-19. © 2020 The Author(s)

32798533; Medical features of COVID-19 and influenza infection: A comparative study in Paris, France

Faury,  H,  Courboulès, et al

Journal of Infection

Epidemiology| Épidémiologie Clinical data| Données cliniques

This retrospective study included 200 inpatients from the Pitié-Salpêtrière University Hospital (Paris, France) with SARS-CoV-2 (n = 100, ‘COVID-19 group’) or influenza (n = 100, ‘influenza group’) laboratory-confirmed infections on respiratory specimens between January 1st-March 25th, 2020. Comorbidities were present in the majority of patients (>89%) with diabetes, hypertension, and overweight/obesity as most common comorbidities. However, influenza patients were more likely to have chronic pulmonary diseases (p = 0.01). Overweight/obesity rate (p = 0.02) and median BMI (p = 0.04) were significantly higher in COVID-19. At the time of diagnosis, the most frequent symptoms were fever (p = 0.63) and cough (p = 1.00) in both groups. COVID-19 patients complained more significantly about fatigue, faintness, diarrhea, and anosmia/ageusia.

In severe COVID-19, SARS-CoV-2 induces a chronic, TGF-β-dominated adaptive immune response

Ferreira-Gomes,  Marta,  Kruglov, et al

medRxiv

Clinical data| Données cliniques Immunology | Immunologie

Here we have analyzed the dynamics of the adaptive immune response triggered by SARS-CoV-2 in severely affected COVID-19 patients, as reflected by activated B cells egressing into the blood, at the single cell level. Early on, before seroconversion in response to SARS-CoV-2 spike protein, activated peripheral B cells displayed a type 1 interferon-induced gene expression signature. After seroconversion, activated B cells lost this signature, expressed IL-21- and TGF-β-induced gene expression signatures, and mostly IgG1 and IgA1. In the sustained immune reaction of the COVID-19 patients, until day 59, activated peripheral B cells shifted to expression of IgA2, reflecting instruction by TGF-β. Despite the continued generation of activated B cells, those cells were not found in the lungs of deceased COVID-19 patients, nor did the IgA2 bind to dominant antigens of SARS-CoV-2. In severe COVID-19, SARS-CoV-2 thus triggers a chronic immune reaction distracted from itself and instructed by TGF-β.

Successful Use of Extracorporeal Membrane Oxygenation Postpartum as Rescue Therapy in a Woman With COVID-19

Fiore,  A,  Piscitelli, et al

Journal of cardiothoracic and vascular anesthesia

Clinical data| Données cliniques

Clinical manifestations of coronavirus disease 2019 in pregnant women, in contrast to previous outbreaks, seem to be similar to those of nonpregnant women. During severe acute respiratory syndrome (SARS), SARS influenza A, and Middle East respiratory syndrome outbreaks, an increased severity of disease among pregnant women was observed. In some pregnant women, respiratory failure can occur and progress quickly to acute respiratory distress syndrome requiring extracorporeal membrane oxygenation (ECMO) as a rescue therapy. Despite a lack of current guidelines on the use of ECMO in pregnant or postpartum women, this support therapy is an effective salvage therapy for patients with cardiac and/or respiratory failure, and is associated with favorable maternal and fetal outcomes. Herein, the authors report a case of severe COVID-19 disease in a pregnant patient after urgent cesarean delivery, who was treated successfully with ECMO during the postpartum. Extracorporeal membrane oxygenation should be considered early when conventional therapy is ineffective, and it is essential to refer to ECMO expert centers. © 2020 Elsevier Inc.

COVID-19 pandemic in the United Kingdom

Flynn,  D,  Moloney, et al

Health Policy and Technology

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique Economics | Économie

Objectives: To describe epidemiological data on cases of COVID-19 and the spread of Severe Acute Respiratory Syndrome Coronavirus 2 in the United Kingdom (UK), and the subsequent policy and technological response to the pandemic, including impact on healthcare, business and the economy. Methods: Epidemiological, business and economic data were extracted from official government sources covering the period 31st January to 13th August 2020; healthcare system data up to end of June 2019. Results: UK-wide COVID-19 cases and deaths were 313,798 and 46,706 respectively (472 cases and 70 deaths per 100,000 population) by 12th August. There were regional variations in England, with London and North West (756 and 666 cases per 100,000 population respectively) disproportionately affected compared with other regions. As of 11th August, 13,618,470 tests had been conducted in the UK. Increased risk of mortality was associated with age (≥60 years), gender (male) and BAME groups. Since onset of the pandemic, emergency department attendance, primary care utilisation and cancer referrals and inpatient/outpatient referrals have declined; emergency ambulance and NHS111 calls increased. Business sectors most impacted are the arts, entertainment and recreation, followed by accommodation and food services. Government interventions aimed at curtailing the business and economic impact have been implemented, but applications for state benefits have increased. Conclusions: The impact of COVID-19 on the UK population, health system and economy has been profound. More data are needed to implement the optimal policy and technological responses to preventing further spikes in COVID-19 cases, and to inform strategic planning to manage future pandemics. © 2020 Elsevier Ltd

32856584; Excess all-cause mortality during the first wave of the COVID-19 epidemic in France, March to May 2020

Fouillet,  A,  Pontais, et al

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

Epidemiology| Épidémiologie

Through a weekly all-cause mortality surveillance system, we observed in France a major all-cause excess mortality from March to May 2020, concomitant with the coronavirus disease (COVID-19) epidemic. The excess mortality was 25,030 deaths, mainly among elderly people. Five metropolitan regions were the most affected, particularly Île-de-France and the Grand-Est regions. Assessing the excess mortality related to COVID-19 is complex because of the potential protective effect of the lockdown period on other causes of mortality.

Covid-19 Belgium: Extended SEIR-QD model with nursery homes and long-term scenarios-based forecasts from school opening

Franco,  N

ArXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

We model the evolution of the covid-19 epidemic in Belgium with an age-structured extended SEIR-QD epidemic model with separated consideration for nursery homes. All parameters of the model are estimated using a MCMC method, except integrated data on social contacts. The model is calibrated on hospitals' data, number of deaths, nursery homes' tests and serological tests. We present the current situation on September 2020 as well as long-term scenarios-based forecasts with the possibility of a second wave in function of new transmissions from contacts at school.

32831341; Symptoms of anxiety, depression and self-care behaviors during the COVID-19 pandemic in the general population

Galindo-Vázquez,  O,  Ramírez-Orozco, et al

Gaceta medica de Mexico

Public Health response| Interventions de santé publique

The objective of the study was to determine the levels of anxiety, depression and self-care symptoms during the COVID-19 pandemic in the general Mexican population.
A larger number of individuals with moderate to severe anxiety and depression symptoms were observed than in other pandemics.

The Impact of Covid-19 Experiences and Associated Stress on Anxiety, Depression, and Functional Impairment in American Adults

Gallagher,  MW,  Zvolensky, et al

Cognitive Therapy and Research

Public Health response| Interventions de santé publique

This study examined how experiences related to COVID-19 and associated stress impact, anxiety, depression, and functional impairment in a convenience sample of American adults recruited through MTURK.
The findings highlight that personal experiences related to the diagnosis of COVID-19, mortality in acquaintances, and COVID-19 associated stress is associated with a greatly elevated risk of emotional disorder symptomatology and that the COVID-19 pandemic may result in increased demand for mental health services.

32854414; Sedentary Behaviors and Physical Activity of Italian Undergraduate Students during Lockdown at the Time of CoViD-19 Pandemic

Gallè,  F,  Sabella, et al

International journal of environmental research and public health

Public Health response| Interventions de santé publique

This study, carried out among Italian undergraduates, explored their sedentary and physical activities (PA) during the lockdown with respect to their previous habits.
This study highlights the reduction of PA among Italian undergraduates in the course of home-confinement due to the CoViD-19 pandemic.

Safety Protocols for Videolaryngoscopy During the COVID-19 Pandemic: A Prospective Review of 196 Cases

Gandhi,  S,  Bhatta, et al

Indian Journal of Otolaryngology and Head and Neck Surgery

Healthcare Response | Réponse des soins de santé

To prepare safety protocols for performing videolaryngoscopy (VLS) during COVID-19 pandemic, that would be feasible for patients, hospital and the health care providers. This was a prospective study performed from March 01, 2020 to June 30, 2020. It analyzed the precautions adapted for VLS initially and subsequently describes modifications with the time. The VLS was performed with the personal protective equipment (PPE), including the face shield mask and head cover. The PPE was re-used after sterilization with ethylene oxide. For local anesthesia, the oropharynx was sprayed with 15% xylocaine and nose packed with 4% xylocaine soaked pledget. Following the VLS, the scope was wiped three times with 80% alcohol and then immersed in 5.25% sodium hypochlorite and 0.55% ortho-phthalaldehyde for 10 min each. Each VLS was spaced by at least 15 min gap. The endoscopy suite maintained with laminar air flow. It can be concluded that during the COVID-19 pandemic, the VLS must be performed using PPE with proper sterilization of the scope and the endoscopy suite after the procedure.

Online Case Intelligent Interaction System based on Virtual Reality Technology under the Background of Novel Coronavirus

Gao,  X,  Zhang, et al

 

Modelling/ prediction| Modélisation/prédiction Clinical data| Données cliniques

Online case intelligent interaction system based on virtual reality technology under the background of the novel coronavirus is designed and implemented in this paper. It provides more information for the application of virtual reality technology to realize the 3D animation system. In the process of the model itself, the 3D animation model usually retains the deformation process of the object so that it can be observed. Besides, staff should use 3D scanners to scan objects and also store 3D data accurately, which requires technicians to use computers to operate very similar structures and to use 3D coordinates to enhance authenticity. With this technology support, this paper integrates the VR for constructing the system. The experiment has proven the effectiveness which will be necessary. © 2020 IEEE.

Preliminary Exploration of the Cause of Liver Disorders During Early Stages in COVID-19 Patients

Gao,  Y,  Li, et al

Frontiers in Medicine

Clinical data| Données cliniques

Authors investigated the role played by these to determine the cause of liver abnormality in the early stages of COVID-19.
Of the 44 COVID-19 patients analyzed, there were no differences in the clinical symptoms and signs, disease severity, or computed tomography (CT) image features between the two groups.

32831324; Cutaneous susceptibility to SARS-CoV-2 infection according to the expression of viral entry factors in the skin

Garduño-Soto,  M,  Choreño-Parra, et al

Gaceta medica de Mexico

Clinical data| Données cliniques

The objective of this study was to determine the susceptibility of the skin to SARS-CoV-2 infection based on the expression of viral entry factors ACE2 and TMPRSS2 in this organ.
Results suggest that cutaneous manifestations in patients with COVID-19 cannot be directly attributed to the virus.

Decrease of exercise endurance in critically ill COVID-19 survivors: 4 case reports

Geng,  Q,  Y

Research Square prepub

Clinical data| Données cliniques

Authors describe the pulmonary function test (PFT) and cardiopulmonary exercise test (CPET) of critically ill COVID-19 in four cases with severe acute respiratory distress syndrome (ARDS) after discharge.
They found reduced exercise endurance in all four COVID-19 survivors, even parts of them with normal or slightly abnormal static lung function.

Impact of the COVID-19 pandemic on sleep medicine in the Czech Republic and Slovakia

Genzor,  S,  Sova, et al

Ceska a Slovenska Neurologie a Neurochirurgie

Public Health response| Interventions de santé publique

The aim of this study was to assess the pandemics effect on sleep medicine in the Czech Republic (CZE) and Slovakia (SVK).
Sleep medicine in the CZE and SVK was heavily affected by COVID-19 and the loss of diagnostic and therapeutic procedures may be considered as one of pandemic “collateral damages”.

A data-driven understanding of COVID-19 dynamics using sequential genetic algorithm based probabilistic cellular automata

Ghosh,  S,  Bhattacharya, et al

Applied Soft Computing Journal

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In this work, a probabilistic cellular automata based method has been employed to model the infection dynamics for a significant number of different countries.
Elaborate analyses for COVID-19 statistics of forty countries from different continents have been performed, with markedly divergent time evolution of the infection spreading because of demographic and socioeconomic factors.

32812055; Similarities in Cutaneous Histopathological Patterns between COVID-19-positive and COVID-19 High-risk Patients with Skin Dermatosis

Gianotti,  R,  Coggi, et al

Acta Dermato-Venereologica

Clinical data| Données cliniques

Authors examined the histological features of 30 skin biopsies from two groups of patients: Ten specimens of patients tested positive for COVID-19 with an active systemic infection and associated dermatosis.
The histopathological features of the two groups present similar features that may help to identify an ongoing COVID-19 infection even in asymptomatic carriers with dermatosis.

Decision-making for receiving paid home care for dementia in the time of COVID-19: a qualitative study

Giebel,  C,  Hanna, et al

BMC Geriatr

Healthcare Response | Réponse des soins de santé

The aim of this study was to explore the decision-making processes of continued paid home care support for dementia in the time of COVID-19 in the UK.
Findings raise implications for providing better Personal Protective Equipment for paid carers, and to support unpaid carers better in their roles, with the pandemic likely to stay in place for the foreseeable future.

A multicomponent oxygen delivery strategy for COVID-19 patients in a step-down intensive care unit: A case series

Giron,  F,  Rao, et al

Respiratory Medicine Case Reports

Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

Coronavirus disease 2019 (COVID-19) is the cause of the pandemic that has affected millions of people worldwide with pulmonary manifestations ranging from mild pneumonia to ARDS and characterized by hypoxia. This has led to questions regarding the most efficacious and least harmful oxygen delivery strategies that minimize exposure to health care workers. In this case series, we present the hospital course of 4 patients that were managed with a multi-component oxygen delivery method in a COVID-19 step down unit. © 2020

32758308; Tracheostomy in the coronavirus disease 2019 patient: Evaluating feasibility, challenges and early outcomes of the 14-day guidance

Glibbery,  N,  Karamali, et al

Journal of Laryngology and Otology

Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

The objective of this study was to report feasibility, early outcomes and challenges of implementing a 14-day threshold for undertaking surgical tracheostomy in the critically ill coronavirus disease 2019 patient. Performing a tracheostomy in coronavirus disease 2019 positive patients at 8-14 days following intubation is compatible with favourable outcomes.

Preventing epidemics by wearing masks: An application to COVID-19

Gondim,  JAM

ArXiv

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de santé publique

The goal of this work is to consider widespread use of face masks as a non-pharmaceutical control strategy for the Covid-19 pandemic. A SEIR model that divides the population into individuals that wear masks and those that do not is considered. After calculating the basic reproductive number by a next generation approach, a criterion for determining when an epidemic can be prevented by the use of masks only and the critical percentage of mask users for disease prevention in the population are derived. The results are then applied to real world data from the United States, Brazil and Italy.

Relationship between the perceived strength of countries' primary care system and COVID-19 mortality: an international survey study

Goodyear-Smith,  F,  Kinder, et al

BJGP Open

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

The aim of this study was to compare perceptions of primary care (PC) experts on PC system strength, pandemic preparedness, and response with COVID-19 mortality rates in countries globally. Countries perceived by expert participants as having a prepared pandemic plan and a strong PC system did not necessarily experience lower COVID-19 mortality rates.

Kawasaki Disease Outbreak in Children During COVID-19 Pandemic

Gowin,  E,  W

Research Square prepub

Clinical data| Données cliniques Public Health response| Interventions de santé publique

Authors present a group of six patients hospitalized from March to May 2020 with an inflammatory disease similar to Kawasaki disease (KD).
Observation may broaden the knowledge of new inflammatory syndrome, which is not necessarily caused by SARS-Cov-2 but may be worsened by co-infection.

Potential role of subcutaneous tocilizumab injections in patients with COVID-19 associated pneumonia

Greco,  G,  Ripamonti, et al

J Med Virol

Clinical data| Données cliniques Therapeutics| Thérapeutique

Guaraldi et al. found a significant reduction in risk of invasive mechanical ventilation or death in patients with severe COVID-19 pneumonia who were treated with either I.V. or S.C. tocilizumab and standard of care, compared with those treated with standard of care only. This article is protected by copyright. All rights reserved.

Standardization of Reporting Criteria for Lung Pathology in SARS-CoV-2 Infected Hamsters - What Matters?

Gruber,  AD,  Osterrieder, et al

Am J Respir Cell Mol Biol

Animal model | Modèle animal

In this letter to the editor, authors propose a catalog for the reporting of histopathology in SARS-CoV-2 infected hamsters which is based on their previous observations and systematic comparisons with other reports on SARS-CoV-2 infected hamsters, macaques and lesions considered relevant in humans .
The application of a structured, evidence-based catalog of relevant diagnostic criteria will certainly increase the value of information that can be obtained from animal models.

Survey of prevalence of anxiety and depressive symptoms among 1124 healthcare workers during the coronavirus disease 2019 pandemic across India

Gupta,  S,  Prasad, et al

Medical Journal Armed Forces India

Healthcare Response | Réponse des soins de santé

A prospective study was conducted during the second phase of the COVID-19 pandemic in India to assess the prevalence of anxiety and depressive symptoms among healthcare workers (HCWs) and factors that influence the outcome.
Approximately one-third of the HCWs reported anxiety and depressive symptoms.

Evaluation of SARS-CoV-2 3C-like protease inhibitors using self-assembled monolayer desorption ionization mass spectrometry

Gurard-Levin,  Z,  Liu, et al

Antiviral Res

Therapeutics| Thérapeutique

This study describes the evaluation of SARS-CoV-2 3CLpro inhibitors in a novel self-assembled monolayer desorption ionization mass spectrometry (SAMDI-MS) enzymatic assay.
The SAMDI-MS 3CLpro assay, combined with antiviral and cytotoxic assessment, provides a robust platform to evaluate antiviral agents directed against SARS-CoV-2.

[Not Available]

Hahn,  M,  Condori, et al

Tidsskr Nor Laegeforen

Clinical data| Données cliniques

*Translated from Norwegian* Patient with severe covid-19 treated with recovery plasma. This is a case report of the first COVID-19 patient treated with convalescent plasma in Norway.  A SARS-CoV-2 test was not performed immediately before transfusion and the complexity of intensive care treatment makes it difficult to draw any conclusions on the potential effectiveness of this treatment.

Validating the correct wearing of protection mask by taking a selfie: Design of a mobile application “CheckYourMask” to limit the spread of COVID-19

Hammoudi,  K,  Cabani, et al

CMES - Computer Modeling in Engineering and Sciences

Public Health response| Interventions de santé publique

In this paper, authors propose a design of a mobile application for permitting everyone having a smartphone and being able to take a picture to verify that his/her protection mask is correctly positioned on his/her face. Experimental results show the potential of this method in the validation of the correct mask wearing.

32867037; Air quality change in Seoul, South Korea under covid-19 social distancing: Focusing on pm2.5

Han,  BS,  Park, et al

International Journal of Environmental Research and Public Health

Public health interventions*| Interventions de santé publique

Fine particulate matter (PM2.5) and other air pollutants measured in Seoul over the two 30 day periods before and after the start of social distancing are analyzed to assess the change in air quality during the period of social distancing. Results show that social distancing, a weaker forcing toward reduced human activity than a strict lockdown, can help lower pollutant emissions.

The Post-Coronavirus World in the International Tourism Industry: Application of the Theory of Planned Behavior to Safer Destination Choices in the Case of US Outbound Tourism

Han,  H,  Al-Ansi, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

The major aim of this study is to develop a conceptual framework that clearly explains the US international tourists' post-pandemic travel behaviors by expanding the theory of planned behavior (TPB). Overall, the findings of this study considerably enhanced our understanding of US overseas tourists' post-pandemic travel decision-making processes and behaviors.

32768451; Clinical and CT imaging features of SARS-CoV-2 patients presented with diarrhea

Han,  J,  Gong, et al

Journal of Infection

Clinical data| Données cliniques

Here, we reported the clinical and compute tomography (CT) imaging features of SARS-CoV-2 patients presented with diarrhea at admission, to familiarize clinicians with clinical features of pa- tients with this atypical symptom.

Resilience Moderates Negative Outcome from Stress during the COVID-19 Pandemic: A Moderated-Mediation Approach

Havnen,  A,  Anyan, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

This study investigated if resilience moderated the effect of stress on symptoms of depression and if anxiety symptoms mediated the association with negative emotional outcome like depressive symptoms..
The study shows that stress exposure is associated with symptoms of depression, and anxiety mediates this association.

Simulating normalised constants with referenced thermodynamic integration: application to COVID-19 model selection

Hawryluk,  I,  M

ArXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

Authors discuss model selection; a fundamental part of Bayesian statistical inference; a widely used tool in the field of epidemiology.
They illustrate the implementation of the algorithm on informative 1- and 2-dimensional examples, and apply it to a popular linear regression problem, and use it to select parameters for a model of the COVID-19 epidemic in South Korea.

The impact of COVID-19 on relative changes in aggregated mobility using mobile-phone data

Heiler,  G,  H

ArXiv

Public Health response| Interventions de santé publique

Evaluating relative changes leads to additional insights which would remain hidden when only evaluating absolute changes. We analyze a dataset describing mobility of mobile phones in Austria before, during COVID-19 lock-down measures until recent. By applying compositional data analysis we show that formerly hidden information becomes available: we see that the elderly population groups increase relative mobility and that the younger groups especially on weekends also do not decrease their mobility as much as the others.

PCR test for SARS-CoV-2 persistently positive. Virus detection is not always COVID-19

Herrero Hernando,  C,  Álvarez Serra, et al

Anales de Pediatria

Clinical data| Données cliniques

Article in Spanish. This case report describes a 4-year-old girl who, on March 31, 2020, was diagnosed with SARS-CoV-2 infection by PCR due to a fever of 5 days of evolution, with no other accompanying symptoms.

Results of a national web-based survey on the SARS-CoV-2 infectious state of otorhinolaryngologists in Germany

Herzog,  M,  Beule, et al

Eur Arch Otorhinolaryngol

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

In the course of the COVID-19 pandemic, otorhinolaryngologists (ORL) are assumed to be at high risk due to close contact with the mucosa of the upper airways.
German ORLs were invited via e-mail through the German Society of ORL, Head and Neck Surgery and the German ENT Association to participate in a web-based survey about infection with SARS-CoV-2 and development of COVID-19. German ORLs have an almost 3.7-fold risk of contracting SARS-CoV-2 compared to the population baseline level.

Two serological approaches for detection of antibodies to SARS-CoV-2 in different scenarios: a screening tool and a point-of-care test

Hoste,  ACR,  Venteo, et al

Diagnostic microbiology and infectious disease

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes Immunology | Immunologie

Two serological tools based on a double recognition assay enzyme-linked immunosorbent assay (DR-ELISA) and lateral flow assay (DR-LFA)] to detect total antibodies to SARS-CoV-2 have been developed based on the recombinant nucleocapsid protein. A total of 1065 serum samples, including positive for COVID-19 and negative samples from healthy donors or infected with other respiratory pathogens, were analyzed. The results showed values of sensitivity between 91.2% and 100%, and specificity of 100% and 98.2% for DR-LFA and DR-ELISA, respectively.

Predictive value of five early warning scores for critical novel coronavirus disease

Hu,  H,  Yao, et al

Disaster Med Public Health Prep

Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

This study aimed to evaluate the predictive value of five early warning scores based on the admission data of critical COVID-19 patients.
Four out of five systems demonstrated moderate discriminatory power and therefore, offer potential utility as prognostic tools for screening severely ill COVID-19 patients.

Dynamic modeling and analysis of COVID-19 in different transmission process and control strategies

Hu,  L,  Nie, et al

Mathematical Methods in the Applied Sciences

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

Based on the control measures at different stages of COVID-19 and its transmission characteristics, authors propose a dynamical model to describe the transmission of this virus among wild animals, human population, and the environment, where the migration of humans, asymptomatic infected humans, and the self-protection awareness of susceptible humans are also introduced.

An empirical analysis of association between socioeconomic factors and communities' exposure to natural hazards

Ilbeigi,  M,  Jagupilla, et al

Sustainability (Switzerland)

Epidemiology| Épidémiologie

The objective of this study was to compare the associations between communities' socioeconomic characteristics and exposure to dierent types of natural hazards in New York City (NYC) to examine whether commonly accepted indicators of social vulnerability are associated with similar levels of exposure across various natural hazards. The outcomes showed that the significance and direction of the associations depend on the type of natural hazard. Particularly, the results indicated that zip codes with lower socioeconomic factors and greater percentage of minority ethnicities are exposed disproportionately to extreme heat and COVID-19. On the other hand, zip codes with higher percentage of areas prone to flooding have relatively higher socioeconomic factors. Furthermore, the results did not show any statistically significant association between socioeconomic factors and exposure to coastal storm inundations. The outcomes of this study will help decision makers design and implement better optimized and eective emergency preparedness plans by prioritizing their target areas based on socioeconomic factors in order to enhance social justice.

Clinical course and findings of 14 patients with COVID-19 compared with 5 patients with conventional human coronavirus pneumonia

Ishiguro,  T,  Takano, et al

Respiratory Medicine Case Reports

Epidemiology| Épidémiologie Clinical data| Données cliniques

Objective: To clarify what future problems must be resolved and how clinical findings of SARS-CoV-2 infection differ from those of cHCoV infection. Methods: Patients and Methods Clinical characteristics of 14 patients with laboratory-confirmed Coronavirus disease 2019 (COVID-19) and 5 patients with cHCoV pneumonia admitted to our institution and treated up to March 8, 2020, were retrospectively analyzed. Results: On admission, 10 patients had pneumonia, 5 of whom had pulmonary shadows detectable only via computed tomography (CT). During hospitalization, another patient with no pulmonary shadows on admission developed pneumonia. In total, 11 (78.6%) of the 14 patients developed pneumonia, indicating its high prevalence in COVID-19. During hospitalization, the patients' symptoms spontaneously relapsed and resolved, and gastrointestinal symptoms were frequently found. C-reactive protein values showed correlation with the patients’ clinical courses. Ritonavir/lopinavir were administered to 5 patients whose respiratory conditions worsened during admission, all of whom improved. However, the pneumonia in the 6 other patients improved without antivirals. None of the 14 patients died, whereas 5 other patients with cHCoV pneumonia were in respiratory failure on admission, and one patient (20%) died. Conclusion: Both SARS-CoV-2 and cHCoV can cause severe pneumonia. Problems for future resolution include whether antiviral agents administered in cases of mild or moderate severity can reduce the number of severe cases, and whether antivirals administered in severe cases can reduce mortality. © 2020 The Author(s)

PMC7467904; Analyzing COVID-19 virus based on enhanced fragmented biological Local Aligner using improved Ions Motion Optimization algorithm

Issa,  M,  Elaziz, et al

Appl Soft Comput

Coronavirology| Coronavirologie

SARS-CoV-2 (COVID-19) virus is a havoc pandemic that infects millions of people over the world and thousands of infected cases dead. So, it is vital to propose new intelligent data analysis tools and enhance the existed ones to aid scientists in analyzing the COVID-19 virus. Fragmented Local Aligner Technique (FLAT) is a data analysis tool that is used for detecting the longest common consecutive subsequence (LCCS) between a pair of biological data sequences. FLAT is an aligner tool that can be used to find the LCCS between COVID-19 virus and other viruses to help in other biochemistry and biological operations. In this study, the enhancement of FLAT based on modified Ions Motion Optimization (IMO) is developed to produce acceptable LCCS with efficient performance in a reasonable time. The proposed method was tested to find the LCCS between Orflab poly-protein and surface glycoprotein of COVID-19 and other viruses. The experimental results demonstrate that the proposed model succeeded in producing the best LCCS against other algorithms using real LCCS measured by the SW algorithm as a reference.

32758438; Risk of COVID-19 in health-care workers in Denmark: an observational cohort study

Iversen,  K,  Bundgaard, et al

The Lancet Infectious Diseases

Epidemiology| Épidémiologie

Background: Health-care workers are thought to be highly exposed to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We aimed to investigate the prevalence of antibodies against SARS-CoV-2 in health-care workers and the proportion of seroconverted health-care workers with previous symptoms of COVID-19. Methods: In this observational cohort study, screening was offered to health-care workers in the Capital Region of Denmark, including medical, nursing, and other students who were associated with hospitals in the region. Screening included point-of-care tests for IgM and IgG antibodies against SARS-CoV-2. Test results and participant characteristics were recorded. Results were compared with findings in blood donors in the Capital Region in the study period. Findings: Between April 15 and April 23, 2020, we screened 29 295 health-care workers, of whom 28 792 (98·28%) provided their test results. We identified 1163 (4·04% 95% CI 3·82–4·27]) seropositive health-care workers. Seroprevalence was higher in health-care workers than in blood donors (142 3·04%] of 4672; risk ratio RR] 1·33 95% CI 1·12–1·58]; p<0·001). Seroprevalence was higher in male health-care workers (331 5·45%] of 6077) than in female health-care workers (832 3·66%] of 22 715; RR 1·49 1·31–1·68]; p<0·001). Frontline health-care workers working in hospitals had a significantly higher seroprevalence (779 4·55%] of 16 356) than health-care workers in other settings (384 3·29%] of 11 657; RR 1·38 1·22–1·56]; p<0·001). Health-care workers working on dedicated COVID-19 wards (95 7·19%] of 1321) had a significantly higher seroprevalence than other frontline health-care workers working in hospitals (696 4·35%] of 15 983; RR 1·65 1·34–2·03]; p<0·001). 622 53·5%] of 1163 seropositive participants reported symptoms attributable to SARS-CoV-2. Loss of taste or smell was the symptom that was most strongly associated with seropositivity (377 32·39%] of 1164 participants with this symptom were seropositive vs 786 2·84%] of 27 628 without this symptom; RR 11·38 10·22–12·68]). The study is registered at ClinicalTrials.gov, NCT04346186. Interpretation: The prevalence of health-care workers with antibodies against SARS-CoV-2 was low but higher than in blood donors. The risk of SARS-CoV-2 infection in health-care workers was related to exposure to infected patients. More than half of seropositive health-care workers reported symptoms attributable to COVID-19. Funding: Lundbeck Foundation. © 2020 Elsevier Ltd

Analysis of SARS-CoV-2 genomes from across Africa reveals potentially clinically relevant mutations

Iweriebor,  BensonC,  Egbule, et al

bioRxiv

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

SARS-CoV-2 is a betacoronavirus, the etiologic agent of the novel Coronavirus disease 2019 (COVID-19). In December 2019, an outbreak of COVID-19 began in Wuhan province of the Hubei district in China and rapidly spread across the globe. On March 11th, 2020, the World Health Organization officially designated COVID-19 as a pandemic. Across the continents and specifically in Africa, all index cases were travel related. Thus, it is crucial to compare COVID-19 genome sequences from the African continent with sequences from COVID-19 hotspots (including China, Brazil, Italy, United State of America and the United Kingdom). To identify if there are distinguishing mutations in the African SARS-CoV-2 genomes compared to genomes from other countries, including disease hotspots, we conducted in silico analyses and comparisons. Complete African SARS-CoV-2 genomes deposited in GISAID and NCBI databases as of June 2020 were downloaded and aligned with genomes from Wuhan, China and other SARS-CoV-2 hotspots. Using phylogenetic analysis and amino acid sequence alignments of the spike and replicase (NSP12) proteins, we searched for possible targets for vaccine coverage or potential therapeutic agents. Our results showed a similarity between the African SARS-CoV-2 genomes and genomes in countries including China, Brazil, France, the United Kingdom, Italy, France and the United States of America. This study shows for the first time, an in-depth analysis of the SARS-CoV-2 landscape across Africa and will potentially provide insights into specific mutations to relevant proteins in the SARS-CoV-2 genomes in African populations.Competing Interest StatementThe authors have declared no competing interest.

Electrochemical Behavior and LC-MS Analysis of Anthocyanin's in Vaccinium Arctostaphylos L. Extract: The Molecular Modelling of Potential Inhibition to COVID-19 and ROS Generation Receptors

Jamshidi,  M,  Torabi, et al

Journal of the Electrochemical Society

Therapeutics| Thérapeutique

Caucasian whortleberry (Vaccinium Arctostaphylos L.) is rich in anthocyanins, which possesses a wide range of biological and pharmaceutical activities. Electrochemical behavior of V. Arctostaphylos extract of dried fruit was performed by cyclic voltammetry and differential pulse voltammetry in aqueous solution. The results show that the level of delphinidin 3-O-glucoside (D3-OG) compound is higher than petunidin 3-O-glucoside (P3-OG) and malvidin 3-O-glucoside (M3-OG) level. This extract has a high solubility in water, and the potential-pH diagram indicates that the D3-OG capable oxidized to D3-OGOX with two electron/two proton process. D3-OG compound has a high antioxidant power because of the oxidation peak potential is low. Furthermore, total antioxidant capacity (1.475 C g-1) was determined by charges under of first oxidation peak. The antioxidant activity of three anthocyanins against Xanthine oxidase, Myeloperoxidase, NADPH oxidase, cytochrome P450 3A4 and 2B4 (ROS generation enzymes) has been performed through molecular docking studies. The results indicated that all the anthocyanins (D3-OG, P3-OG and M3-OG) bound exclusively to the binding site of ROS generation enzymes and have a remarkable role in suppressing the destructive effects of oxidative stress in the biological system of the human body. Also, D3-OG as a major anthocyanin of Vaccinium Arctostaphylos L. extract has an inhibition effect against the COVID-19 outbreak. Electrochemical approaches provided a simple, fast, low cost, green, and high sensitivity methods for investigation of electroactive compounds in plant extracts. © 2020 The Author(s). Published on behalf of The Electrochemical Society by IOP Publishing Limited.

PMC7471593; Accounting for Global COVID-19 Diffusion Patterns, January-April 2020

Jinjarak,  Y,  Ahmed, et al

Econ Disaster Clim Chang

Epidemiology| Épidémiologie Public Health response| Interventions de santé publique

Key factors in modeling a pandemic and guiding policy-making include mortality rates associated with infections; the ability of government policies, medical systems, and society to adapt to the changing dynamics of a pandemic; and institutional and demographic characteristics affecting citizens' perceptions and behavioral responses to stringent policies. This paper traces the cross-country associations between COVID-19 mortality, policy interventions aimed at limiting social contact, and their interactions with institutional and demographic characteristics. We document that, with a lag, more stringent pandemic policies were associated with lower mortality growth rates. The association between stricter pandemic policies and lower future mortality growth is more pronounced in countries with a greater proportion of the elderly population and urban population, greater democratic freedoms, and larger international travel flows. Countries with greater policy stringency in place prior to the first death realized lower peak mortality rates and exhibited lower durations to the first mortality peak. In contrast, countries with higher initial mobility saw higher peak mortality rates in the first phase of the pandemic, and countries with a larger elderly population, a greater share of employees in vulnerable occupations, and a higher level of democracy took longer to reach their peak mortalities. Our results suggest that policy interventions are effective at slowing the geometric pattern of mortality growth, reducing the peak mortality, and shortening the duration to the first peak. We also shed light on the importance of institutional and demographic characteristics in guiding policy-making for future waves of the pandemic.

Resolving the tension between full utilization of contact tracing app services and user stress as an effort to control the COVID-19 pandemic

Joo,  J,  Shin, et al

Service Business

Public Health response| Interventions de santé publique

Although contact tracing apps can be effective for controlling COVID-19, the app usage can be stressful for users. This study identifies countermeasures for users’ stress while maximizing full utilization of the apps. This study presents the relationships among the stress factors, users’ appraisal, users’ emotion focus coping, and the infusion to exert the full potential of the app through a structural equation model. The research model is validated by surveying Health Code app users. Given the results of the study, the contact tracing apps could become a valuable tool to control COVID-19 by removing app users’ privacy concerns. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.

The landscape of host genetic factors involved in immune response to common viral infections

Kachuri,  Linda,  Francis, et al

medRxiv

Clinical data| Données cliniques Coronavirology| Coronavirologie Immunology | Immunologie

Introduction: Humans and viruses have co-evolved for millennia resulting in a complex host genetic architecture. Understanding the genetic mechanisms of immune response to viral infection provides insight into disease etiology and informs public health interventions. Methods: We conducted a comprehensive study including genome-wide and transcriptome-wide association analyses to identify genetic loci associated with immunoglobulin G antibody response to 28 antigens for 16 viruses using serological data from 7924 European ancestry participants in the UK Biobank cohort. Results: Signals in human leukocyte antigen (HLA) class II region dominated the landscape of viral antibody response, with 40 independent loci and 14 independent classical alleles, 7 of which exhibited pleiotropic effects across viral families. We identified specific amino acid (AA) residues that are associated with seroreactivity, the strongest associations presented in a range of AA positions within DRβ1 at positions 11, 13, 71, and 74 for Epstein-Barr Virus (EBV), Varicella Zoster Virus (VZV), Human Herpes virus 7, (HHV7) and Merkel cell polyomavirus (MCV). Genome-wide association analyses discovered 7 novel genetic loci associated with viral antibody response (P<5.0×10-8), including FUT2 (19q13.33) for human polyomavirus BK (BKV), STING1 (5q31.2) for MCV, as well as CXCR5 (11q23.3) and TBKBP1 (17q21.32) for human herpesvirus 7. Transcriptome-wide association analyses identified 114 genes associated with response to viral infection, 12 outside of the HLA region, including ECSCR: P=5.0×10-15 (MCV), NTN5: P=1.1×10-9 (BKV), and P2RY13: P=1.1×10-8 (Epstein-Barr virus nuclear antigen). We also demonstrated pleiotropy between viral response genes and complex diseases, such as C4A expression in varicella zoster virus and schizophrenia. Conclusions: Our study confirms the importance of the HLA region in host response to viral infection and elucidates novel genetic determinants beyond the HLA that contribute to host-virus interaction.

Utility of the FebriDx point-of-care test for rapid triage and identification of possible coronavirus disease 2019 (COVID-19)

Karim,  N,  Ashraf, et al

Int J Clin Pract

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes Healthcare Response | Réponse des soins de santé

OBJECTIVES: The Coronavirus disease 2019 (COVID-19) pandemic is straining healthcare resources. Molecular testing turnaround time precludes having results at the point-of-care (POC) thereby exposing COVID-19/Non-COVID-19 patients while awaiting diagnosis. We evaluated the utility of a triage strategy including FebriDx, a 10-minute POC fingerstick blood test that differentiates viral from bacterial acute respiratory infection through detection of Myxovirus-resistance protein A (MxA) and C-reactive protein (CRP), to rapidly isolate viral cases requiring confirmatory testing. METHODS: This observational, prospective, single-center study enrolled patients presenting to/within an acute care hospital in England with suspected COVID-19 between March-April 2020. Immunocompetent patients ≥16 years requiring hospitalization with pneumonia or acute respiratory distress syndrome or influenza-like illness (fever and ≥1 respiratory symptom within 7 days of enrolment, or inpatients with new respiratory symptoms, fever of unknown cause or pre-existing respiratory condition worsening). The primary endpoint was diagnostic performance of FebriDx to identify COVID-19 as a viral infection; secondary endpoint was SARS-CoV-2 molecular test diagnostic performance compared to the reference standard COVID-19 Case Definition (molecular or antibody detection of SARS-CoV-2). RESULTS: Valid results were available for 47 patients. By reference standard, 35 had viral infections (34/35 COVID-19; 1/35 non-COVID-19; overall FebriDx viral sensitivity 97.1% (95%CI 83.3-99.9)). Of the COVID-19 cases, 34/34 were FebriDx viral positive (sensitivity 100%; 95%CI 87.4-100); 29/34 had an initial SARS-CoV-2 positive molecular test (sensitivity 85.3%; 95%CI 68.2-94.5). FebriDx was viral negative when the diagnosis was not COVID-19 and SARS-Cov-2 molecular test was negative (negative predictive value (NPV) 100% (13/13; 95%CI 71.7-100)) exceeding initial SARS-CoV-2 molecular test NPV 72.2% (13/19; 95%CI 46.4-89.3). The diagnostic specificity of FebriDx and initial SARS-CoV-2 molecular test was 100% (13/13; 95%CI 70-100 and 13/13; 95%CI 85.4-100, respectively). CONCLUSIONS: FebriDx could be deployed as part of a reliable triage strategy for identifying symptomatic cases as possible COVID-19 in the pandemic.

Moderators of change in physical activity levels during restrictions due to COVID-19 pandemic in young urban adults

Karuc,  J,  Sorić, et al

Sustainability (Switzerland)

Public Health response| Interventions de santé publique

This study aimed to investigate moderators of change in physical activity (PA) levels after 30 days (30-d) of restrictions due to the COVID-19 pandemic in young adults. This research is an extension of the CRO-PALS study and analyses for this study were performed on young adults (20-21 y.o., n = 91). Moderate-to-vigorous physical activity (MVPA), sport participation, student and socioeconomic status were assessed pre- and post-30-d restrictions. Differences in MVPA levels were examined using repeated-measures ANOVAs. After 30-d of restrictions, the drop in MVPA in females (-64.8 min/day, p = 0.006) and males was shown (-57.7 min/day, p < 0.00). However, active participants decreased, while non-active peers increased their MVPA level (-100.7 min/day, p < 0.00, and +48.9 min/day, p = 0.051, respectively). Moreover, students and non-students decreased their MVPA level (-69.0 min/day, p < 0.00, and -35.0 min/day, p = 0.22, respectively) as well as sport participants and non-sport participants (-95.3 min/day, p < 0.001, and -53.9 min/day, p < 0.00, respectively). Our results suggest that 30-d of restrictions equally affect females and males where the evident drop in MVPA is seen in both genders. However, active people decreased their PA level during lockdown and the opposite pattern was seen in non-active peers, where restrictions for them can represent an opportunity to change their behavior in a positive direction in order to gain better health status. © 2020 by the authors.

ECMO support in SARS-CoV2 multisystem inflammatory syndrome in children in a child

Kaushik,  S,  Ahluwalia, et al

Perfusion

Clinical data| Données cliniques

In this report, we describe the case of a 5-year-old male with SARS-CoV-2 associated MIS-C with progressive respiratory failure and vasoplegic shock requiring extracorporeal support. At presentation, reverse transcription-polymerase chain reaction (RT-PCR) testing for SARS-CoV-2 was negative, however, SARS-CoV2 antibody testing was positive. Multiple inflammatory markers and cardiac biomarkers were elevated. Echocardiogram demonstrated mildly depressed left ventricular function and no coronary anomalies noted. The patient required mechanical ventilation, vasopressors, and eventually extracorporeal membrane oxygenation (ECMO) for profound circulatory shock and progressive respiratory failure. During his clinical course, recovery of cardiac function was demonstrated however, a middle cerebral artery infarct and left frontal subarachnoid hemorrhage was suffered which ultimately the patient succumbed to. To the best of our knowledge, this is the youngest previously healthy child who had multi-system hyperinflammatory syndrome requiring ECMO support and the first case of SARS-CoV-2 related pediatric stroke.Clinical Trial Registration: None.

Immune response against SARS-CoV-2 in pediatric patients including young infants

Kawamura,  Y,  Higashimoto, et al

J Med Virol

Clinical data| Données cliniques Immunology | Immunologie

Here, the clinical and virological characteristics of 4 children with COVID-19 including two young infants were investigated. One- and 4-month-old boys with COVID-19 were both asymptomatic, and seroconversion was demonstrated. These findings suggest that even young infants can mount an immune response against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), despite having weaker immune defenses than adolescents and adults.

Consumer panic in the COVID-19 pandemic

Keane,  M,  Neal, et al

Journal of Econometrics

Public Health response| Interventions de santé publique

We develop an econometric model of consumer panic (or panic buying) during the COVID-19 pandemic. Using Google search data on relevant keywords, we construct a daily index of consumer panic for 54 countries from January 1st to April 30th 2020. We also assemble data on government policy announcements and daily COVID-19 cases for all countries. Our panic index reveals widespread consumer panic in most countries, primarily during March, but with significant variation in the timing and severity of panic between countries. Our model implies that both domestic and world virus transmission contribute significantly to consumer panic. But government policy is also important: Internal movement restrictions – whether announced by domestic or foreign governments – generate substantial short run panic that largely vanishes in a week to ten days. Internal movement restrictions announced early in the pandemic generated more panic than those announced later. Stimulus announcements had smaller impacts, and travel restrictions do not appear to generate consumer panic. © 2020 Elsevier B.V.

Machine learning-based mortality rate prediction using optimized hyper-parameter

Khan,  YA,  Abbas, et al

Computer methods and programs in biomedicine

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

Objective and background: The current scenario of the Pandemic of COVID-19 demands multi-channel investigations and predictions. A variety of prediction models are available in the literature. The majority of these models are based on extrapolating by the parameters related to the diseases, which are history-oriented. Instead, the current research is designed to predict the mortality rate of COVID-19 by Regression techniques in comparison to the models followed by five countries. Methods: The Regression method with an optimized hyper-parameter is used to develop these models under training data by Machine Learning Technique. Results: The validity of the proposed model is endorsed by considering the case study on the data for Pakistan. Five distinct models for mortality rate prediction are built using Confirmed cases data as a predictor variable for France, Spain, Turkey, Sweden, and Pakistan, respectively. The results evidenced that Sweden has a fewer death case over 20,000 confirmed cases without observing lockdown. Hence, by following the strategy adopted by Sweden, the chosen entity will control the death rate despite the increase of the confirmed cases. Conclusion: The evaluated results notice the high mortality rate and low RMSE for Pakistan by the GPR method based Mortality model. Therefore, the morality rate based MRP model is selected for the COVID-19 death rate in Pakistan. Hence, the best-fit is the Sweden model to control the mortality rate. © 2020

How COVID-19 shock will drive the economy and climate? A data-driven approach to model and forecast

Khurshid,  A,  Khan, et al

Environ Sci Pollut Res Int

Economics | Économie

The pandemic shock puts the world on quarantine and paused economic operations that affected energy consumption and economic output. This study analyzed the impact of the COVID-19 shock on GDP, energy consumption, and climate change then forecasted the situation until 2032 using the system dynamic modeling approach. The outcomes reveal that the pandemic shock will decrease the growth by 1.3% in 2020 and 1.32% in 2021. The current shortfall, low energy consumption, and delay in completion of energy-related projects can reduce the GDP by 5.2% in 2020. The effect will penetrate the system and will cause further losses in the upcoming years. The energy consumption and quarantine situation will improve the climate situation and drop the average temperature by 0.049 and 0.021 (o)C in 2020 and 2021. The aggregate demand and supply side measures such as national spending, lowering the lending rate, and cuts in income taxes can help in diffusing the situation. The government should start operations on ongoing energy projects, give relaxation to SME's with tight SOPs to secure jobs, and prevent possible GDP losses. The decline in oil prices provides an opportunity to cut fossil fuel subsidies and implement a carbon pricing mechanism.

Androgen Deprivation Therapy in Men With Prostate Cancer Does Not Affect Risk of Infection With SARS-CoV-2

Klein,  EA,  Li, et al

J Urol

Epidemiology| Épidémiologie Clinical data| Données cliniques

BACKGROUND: TMPRSS2 is a host co-receptor for cell entry of SARS-CoV-2. One prior report suggested that use of androgen deprivation therapy (ADT), which downregulates TMPRSS2, may protect men with prostate cancer from infection. PATIENTS AND METHODS: Cohort study of a prospective registry of all patients tested for SARS-CoV-2 between March 12 and June 10, 2020, with complete follow-up until disease recovery or death. The main exposure examined was the use of ADT, and the outcome measures were the rate of SARS-CoV-2 positivity and disease severity as a function of ADT use. RESULTS: The study cohort consisted of 1,779 men with prostate cancer from a total tested population of 74,787, of whom 4,885 (6.5%) were positive for SARS-CoV-2. Of those with prostate cancer, 102 (5.7%) were SARS-CoV-2 positive and 304 (17.1%) were on ADT. Among those on ADT, 5.6% were positive as compared to 5.8% not on ADT. Men on ADT were slightly older (75.5 vs. 73.8 years, p=.009), more likely to have smoked (68.1% vs. 59.3%, p =.005), and more likely to report taking steroids (43.8% vs. 23.3%, p < .001). Other factors known to increase both risk of infection and disease severity were equally distributed (asthma, diabetes mellitus, hypertension, coronary artery disease, heart failure, and immune suppressive disease). Multivariable analysis did not indicate a difference in infection risk for those with prostate cancer on ADT (OR 0.93, 95% CI 0.54-1.61, p = 0.8). CONCLUSIONS: ADT does not appear to be protective against SARS-CoV-2 infection.

32872179; Health behavior changes during covid-19 pandemic and subsequent “stay-at-home” orders

Knell,  G,  Robertson, et al

International Journal of Environmental Research and Public Health

Public Health response| Interventions de santé publique

The purpose of this study was to investigate how these health behaviors changed (increased/improved or decreased/worsened) at the early stages of the pandemic, what participant characteristics were associated with health behavior changes, and why these behavioral changes may have occurred. A convenience sample of 1809 adults residing in the United States completed a 15-min self-report questionnaire in April and May 2020. Participants were primarily female (67.4%), aged 35–49 years (39.8%), college graduates (83.3%), non-tobacco users (74.7%), and had previously used marijuana (48.6%). Overall, participants primarily reported a decrease in physical activity, while sleep and all of the negative health behaviors remained the same. Changes in negative health behaviors were related (p < 0.05) to sex, age, parental status, educational status, job status, BMI, and depression scores. Changes in positive health behaviors were related (p < 0.05) to sex, parental status, job status, and depression scores.

The impact of the COVID-19 pandemic on mental health in the general population: a comparison between Germany and the UK

Knolle,  Franziska,  Ronan, et al

medRxiv

Epidemiology| Épidémiologie Public Health response| Interventions de santé publique

In this study, we compare the impact of the pandemic on two European countries: the UK and Germany, which reported their first cases within a week. 241 residents of the UK and 541 residents of Germany filled in an online survey, including questions on COVID-19 exposure, impact on financial situation and work, substance and media consumption, self-reported mental and physical health, as well as including two clinical questionnaires, the general mental health Symptom Check List-27 (SCL-27) and the Schizotypal Personality Questionnaire. Data collection was completed between 27/04/20-31/05/20. We found distinct differences between the two countries. UK responders reported a stronger direct impact on their health, financial situation and their families. UK responders had higher clinical scores on the SCL-27, with a higher percentage being above cut-off. Interestingly, however, we found that German responders were less hopeful for an end of the pandemic and more concerned about their life-stability. Generally, we found that a younger age, being female, lower education, poorer mental and physical health before the pandemic, as well as more social media and substance consumption was associated with a higher clinical risk.

32864101; Prediction of local COVID-19 spread in Heidelberg

Koeppel,  L,  Gottschalk, et al

F1000Research

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

Since the first identified case of COVID-19 in Wuhan, China, the disease has developed into a pandemic, imposing a major challenge for health authorities and hospitals worldwide. Mathematical transmission models can help hospitals to anticipate and prepare for an upcoming wave of patients by forecasting the time and severity of infections. Taking the city of Heidelberg as an example, we predict the ongoing spread of the disease for the next months including hospital and ventilator capacity and consider the possible impact of currently imposed countermeasures. Copyright: © 2020 Koeppel L et al.

Binding mechanism of SARS-CoV-2 spike protein with human ACE2 receptor

Koirala,  RP,  T

Research Square prepub

Coronavirology| Coronavirologie

SARS-CoV-2 virus interacts via C-terminal domain of spike protein to human cell receptor protein hACE2. Amino acid residues residing at the interface play vital role in binding of SARS-CoV-2 CTD to hACE2. The detailed atomic level inves- tigation of interactions at binding interface of SARS-CoV-2 CTD/hACE2 provides indispensable information on better understanding of location for drug target. In the present work, we have studied the dynamical behaviour of the complex by ana- lyzing the molecular dynamics (MD) trajectories. The major interacting residues of SARS-CoV-2 CTD and hACE2 have been identified by analyzing the non-bonded interactions such as hydrogen bondings, salt bridges, hydrophobic interactions, van der Waals interactions etc. Umbrella sampling method has been used to estimate the binding free energy for in-depth understanding of binding mechanism between virus protein and host receptor. The binding free energy difference, key residues at the interface, important atomic interactions and contact surface areas have been compared with the molecular complex of SARS-CoV and hACE2. Relatively larger contact surface area, more non-bonded interactions as well as greater binding free energy provide the evidence for favorable binding of SARS-CoV-2 with hACE2 receptor than SARS-CoV.

Forecasting COVID-19 cases in Saudi Arabia using machine learning SEIR and LSTM

Kola,  S,  Veena, et al

Journal of Green Engineering

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

COVID-19 has spread out as an undescribable bug affecting civilizations. Economies of umpteen governments of the world are strained. Virus is selfpostulating affecting many cultures of the world.Incarnated as a tumultuous pandemic changing many governments’walks and expectations. Cases in number uncountable and unaccountable resulted as burden on security and healthcare systems. As data sets are tender and virus reflecting many behavioural qualities, predicting the loss and behaviour of the virus appears as biased. We have shown in this article information-driven methods of forecasting the numbers of COVID-19 cases in Saudi Arabia 60 days ahead and impacts of protective steps such as social isolations or lockout of COVID-19 in the future, using the different machine learning models such as Sigmoid fitting, SEIR model and LSTM. The affected states are analysed in the model as susceptible (S), exposed (E), infected (I), and resistant (R) and a model is developed which is tested with intervention and without intervention. An SEIR model is a family of factor models for the purposes of time series analysis and forecasting. Usage of raw data by separating an event from the preceding event to render the time series set. The estimation of different parameters achieved by the suggested method (number of positives, number of re-referred events, etc.) is accurate within a specified range and is a resource for health authorities and officials to gain. © 2020 Alpha Publishers. All rights reserved.

COVID-19 variant radiological findings with high lightening other coronavirus family (SARS and MERS) findings: radiological impact and findings spectrum of corona virus (COVID-19) with comparison to SARS and MERS

Kolta,  MF,  Ghonimy, et al

Egyptian Journal of Radiology and Nuclear Medicine

Clinical data| Données cliniques

The purpose is to investigate the wide spectrum of radiological pulmonary changes in COVID-19 patients and compare them to the variable CT findings reported in MERS and SARS. From March 15 to May 12, 2020, 50 patients in Cairo, Egypt, who have positive RT-PCR tests, were included in our study. The most imminent radiological finding was patchy peripheral subpleural ground glass opacity found in 42 patients (84% of cases), followed by consolidation found in 30 patients (60% of cases) and ground glass and consolidation together found in 22 patients (44% of cases). Unlike SARS, where initial chest imaging abnormalities are more frequently unilateral, COVID-19 is more likely to involve both lungs on initial imaging presented as bilateral peripheral subpleural scattered ground-glass opacities. Pleural effusion is absent in COVID-19 patients while it is not rare in MERS and might be observed in 20–33% of affected individuals.

32865490; The Pathology of Severe COVID-19-Related Lung Damage

Kommoss,  FKF,  Schwab, et al

Deutsches Arzteblatt international

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this article, we describe the sequence of pathological changes in COVID-19 and discuss the implications for approaches to treatment. Standardized autopsies were performed on thirteen patients who had died of COVID-19. The findings were analyzed together with clinical data from the patients' medical records. Most (77%) of the deceased patients were men. Their median age at death was 78 years (range, 41-90). Most of them had major pre-existing chronic diseases, most commonly arterial hypertension. The autopsies revealed characteristic COVID-19-induced pathological changes in the lungs, which were regarded as the cause of death in most patients. The main histological finding was sequential alveolar damage, apparently due in large measure to focal capillary microthrombus formation. Alveolar damage leads to the death of the patient either directly or by the induction of pulmonary parenchymal fibrosis. Diffuse lung damage was seen exclusively in invasively ventilated patients.

Spontaneous pneumomediastinum in an elderly COVID-19 patient: A case report

Kong,  N,  Gao, et al

World Journal of Clinical Cases

Clinical data| Données cliniques

Here we report the case of an elderly patient diagnosed with coronavirus disease 2019 (COVID-19) who neither got mechanical ventilation nor had chest trauma but were found to develop SPM for unknown reason.

Assessing oligonucleotide designs from early lab developed PCR diagnostic tests for SARS-CoV-2 using the PCR_strainer pipeline

Kuchinski,  KS,  Jassem, et al

Journal of Clinical Virology

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

Introduction: During the first month of the SARS-CoV-2 outbreak, rapid development of PCR-based diagnostic tests became a global priority so that timely diagnosis, isolation, and contact tracing could minimize the advancing pandemic surge. Designing these tests for broad, long-term detection was complicated by limited information about the novel virus’ genome sequence and how it might mutate during global spread and adaptation to humans. Methods: We assessed eight widely adopted lab developed PCR tests for SARS-CoV-2 against 15,001 SARS-CoV-2 genome sequences. Using a custom bioinformatic pipeline called PCR_strainer, we identified all mismatches and sequence variants in genome locations targeted by 15 sets of primer/probe oligonucleotides from these assays. Results: For 12 out of 15 primer/probe sets, over 98 % of SARS-CoV-2 genomes had no mismatches. Two primer/probe sets contained a single mismatch in the reverse primer that was present in over 99 % of genomes. One primer/probe set targeted a location with extensive polymorphisms with 23 sequence observed variants at the forward primer location. One of these variants, which contains three nucleotide mismatches, arose in February as part of the emergence of a viral clade and was present in 18.8 % of the genomes we analyzed. Discussion: Most early PCR diagnostic tests for SARS-CoV-2 remain inclusive of circulating viral diversity, but three assays with extensive mismatches highlight assay design challenges for novel pathogens and provide valuable lessons for PCR assay design during future outbreaks. Our bioinformatics pipeline is also presented as a useful general-purpose tool for assessing PCR diagnostics assays against circulating strains. © 2020

COVID-19: Severity of the pandemic and responses of Indian states

Kujur,  SK,  Goswami, et al

Journal of Public Affairs

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

Do Indian states with comprehensive labor measures experience low fatality due to COVID-19? An analysis of the relationship between labor measures of the state government in India and the severity of the pandemic reveals that states such as Uttar Pradesh, Delhi, Kerala, Odisha, and Bihar that have adopted inclusive labor measures have witnessed lesser case fatality ratios. In contrast, states like West Bengal, Gujarat, Punjab, Madhya Pradesh, and Maharashtra with inadequate labor measures have experienced high levels of COVID-19-related fatalities. The impressive approach adopted by the successful states can be considered as a model to deal with the despairing labor force during the global pandemic. © 2020 John Wiley & Sons Ltd

Coronavirus disease-19 (COVID-19) associated with acute necrotising pancreatitis (ANP)

Kumaran,  NK,  Karmakar, et al

BMJ Case Rep

Clinical data| Données cliniques

Coronavirus is a severe infectious disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and has led to increased mortality worldwide. Multiple reports have been published citing that gastrointestinal symptoms are common in patients with COVID-19 infection. It has also been found that the ACE2 receptor of SARS-CoV-2 is expressed more in the pancreas than the lungs. Despite this, little attention has been paid to the extent and details of pancreatic injury caused by COVID-19. Lack of awareness regarding the COVID-19 status of patients presenting with pancreatitis may expose healthcare workers to SARS-CoV-2 while performing interventions to manage complications of pancreatitis such as necrosis. We report a case of COVID-19-induced acute necrotising pancreatitis in the absence of any known risk factors.

Anosmia and Ageusia as Predictive Signs of COVID-19 in Healthcare Workers in Italy: A Prospective Case-Control Study

La Torre,  G,  Massetti, et al

J Clin Med

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

BACKGROUND: The aim of this study was to investigate the diagnostic accuracy of symptoms and signs in healthcare workers (HCW) with Sars-CoV-2. METHODS: This was a case-control study. Cases consisted of symptomatic healthcare workers who had a positive SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) test, while controls were symptomatic healthcare workers with a negative RT-PCR test. For each symptom, ROCs were plotted. Diagnostic accuracy was calculated using the sensitivity, specificity, and positive and negative predictive values. A logistic regression analysis was carried out for calculating the OR (95% CI) for each symptom associated to the SARS-CoV-2 positivity. RESULTS: We recruited 30 cases and 75 controls. Fever had the best sensitivity while dyspnea, anosmia, and ageusia had the highest specificity. The highest PPVs were found again for dyspnea (75%), anosmia (73.7%), and ageusia (66.7%). Lastly, the highest NPVs were related to anosmia (81.4%) and ageusia (79.3%). Anosmia (OR = 14.75; 95% CI: 4.27-50.87), ageusia (OR = 9.18; 95% CI: 2.80-30.15), and headache (OR = 3.92; 95% CI: 1.45-10.56) are significantly associated to SARS-CoV-2 positivity. CONCLUSIONS: Anosmia and ageusia should be considered in addition to the well-established fever, cough, and dyspnea. In a resource-limited setting, this method could save time and money.

32768693; Early identification of COVID-19 cytokine storm and treatment with anakinra or tocilizumab

Langer-Gould,  A,  Smith, et al

International Journal of Infectious Diseases

Clinical data| Données cliniques Therapeutics| Thérapeutique

Objective: To examine outcomes among patients who were treated with the targeted anti-cytokine agents, anakinra or tocilizumab, for COVID-19 -related cytokine storm (COVID19-CS). Methods: We conducted a retrospective cohort study of all SARS-coV2-RNA-positive patients treated with tocilizumab or anakinra in Kaiser Permanente Southern California. Local experts developed and implemented criteria to define COVID19-CS. All variables were extracted from electronic health records. Results: At tocilizumab initiation (n = 52), 50 (96.2%) were intubated, and only seven (13.5%) received concomitant corticosteroids. At anakinra initiation (n = 41), 23 (56.1%) were intubated, and all received concomitant corticosteroids. Fewer anakinra-treated patients died (n = 9, 22%) and more were extubated/never intubated (n = 26, 63.4%) compared to tocilizumab-treated patients (n = 24, 46.2% dead, n = 22, 42.3% extubated/never intubated). Patients who died had more severe sepsis and respiratory failure and met COVID-CS laboratory criteria longer (median = 3 days) compared to those extubated/never intubated (median = 1 day). After accounting for differences in disease severity at treatment initiation, this apparent superiority of anakinra over tocilizumab was no longer statistically significant (propensity score-adjusted hazards ratio 0.46, 95% confidence interval 0.18–1.20). Conclusions: Prompt identification and treatment of COVID19-CS before intubation may be more important than the specific type of anti-inflammatory treatment. Randomized controlled trials of targeted anti-cytokine treatments and corticosteroids should report the duration of cytokine storm in addition to clinical severity at randomization. © 2020 Southern California Permanente Medical Group

Test sensitivity is secondary to frequency and turnaround time for COVID-19 surveillance

Larremore,  DanielB,  Wilder, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de santé publique

The COVID-19 pandemic has created a public health crisis. Because SARS-CoV-2 can spread from individuals with pre-symptomatic, symptomatic, and asymptomatic infections, the re-opening of societies and the control of virus spread will be facilitated by robust surveillance, for which virus testing will often be central. After infection, individuals undergo a period of incubation during which viral titers are usually too low to detect, followed by an exponential viral growth, leading to a peak viral load and infectiousness, and ending with declining viral levels and clearance. Given the pattern of viral load kinetics, we model surveillance effectiveness considering test sensitivities, frequency, and sample-to-answer reporting time. These results demonstrate that effective surveillance depends largely on frequency of testing and the speed of reporting, and is only marginally improved by high test sensitivity. We therefore conclude that surveillance should prioritize accessibility, frequency, and sample-to-answer time; analytical limits of detection should be secondary.

32867305; COVID-19 and Genetic Variants of Protein Involved in the SARS-CoV-2 Entry into the Host Cells

Latini,  A,  Agolini, et al

Genes

Coronavirology| Coronavirologie

The recent global COVID-19 public health emergency is caused by SARS-CoV-2 infections and can manifest extremely variable clinical symptoms. Host human genetic variability could influence susceptibility and response to infection. It is known that ACE2 acts as a receptor for this pathogen, but the viral entry into the target cell also depends on other proteins. The aim of this study was to investigate the variability of genes coding for these proteins involved in the SARS-CoV-2 entry into the cells. We analyzed 131 COVID-19 patients by exome sequencing and examined the genetic variants of TMPRSS2, PCSK3, DPP4, and BSG genes. In total we identified seventeen variants. In PCSK3 gene, we observed a missense variant (c.893G>A) statistically more frequent compared to the EUR GnomAD reference population and a missense mutation (c.1906A>G) not found in the GnomAD database. In TMPRSS2 gene, we observed a significant difference in the frequency of c.331G>A, c.23G>T, and c.589G>A variant alleles in COVID-19 patients, compared to the corresponding allelic frequency in GnomAD. Genetic variants in these genes could influence the entry of the SARS-CoV-2. These data also support the hypothesis that host genetic variability may contribute to the variability in infection susceptibility and severity.

Prioritizing COVID-19 tests based on participatory surveillance and spatial scanning

Leal-Neto,  O,  Santos, et al

International journal of medical informatics

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

This study aimed to identify, describe and analyze priority areas for COVID-19 testing combining Participatory Surveillance (PS) and Traditional Surveillance (TS) in the city of Caruaru, Brazil.  PS had 861 active users, presenting an average of 1.2 reports per user per week while TS had 1588 individuals were positive for this clinical outcome. The spatial scanning analysis detected 18 clusters and 6 of them presented statistical significance (p-value < 0.1). Clusters 3 and 4 presented an overlapping area that was chosen by the local authority to deploy the COVID-19 serology, where 50 individuals were tested. From there, 32 % (n = 16) presented reagent results for antibodies related to COVID-19.

32858233; A survey of genetic variants in SARS-CoV-2 interacting domains of ACE2, TMPRSS2 and TLR3/7/8 across populations

Lee,  IH,  Lee, et al

Infection, Genetics and Evolution

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

Here we investigated whether genetic variation in the key genes for viral entry to host cells—ACE2 and TMPRSS2—and sensing of viral genomic RNAs (i.e., TLR3/7/8) could explain the variation in incidence across diverse ethnic groups. Overall, these genes are under strong selection pressure and have very few nonsynonymous variants in all populations. Genetic determinant for the binding affinity between SARS-CoV-2 and ACE2 does not show significant difference between populations. Non-genetic factors are likely to contribute differential population characteristics affected by COVID-19. Nonetheless, a systematic mutagenesis study on the receptor binding domain of ACE2 is required to understand the difference in host-viral interaction across populations.

32780793; Clinical Course and Molecular Viral Shedding among Asymptomatic and Symptomatic Patients with SARS-CoV-2 Infection in a Community Treatment Center in the Republic of Korea

Lee,  S,  Kim, et al

JAMA Internal Medicine

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of this study was to quantitatively describe SARS-CoV-2 molecular viral shedding in asymptomatic and symptomatic patients in a community treatment center in Cheonan, Republic of Korea. We found that 110 (36.3%) out of 303 patients were asymptomatic at the time of isolation and 21 of these (19.1%) developed symptoms during isolation. The cycle threshold values of reverse transcription–polymerase chain reaction for SARS-CoV-2 in asymptomatic patients were similar to those in symptomatic patients.

32652254; Monitoring environmental contamination caused by SARS-CoV-2 in a healthcare facility by using adenosine triphosphate testing

Lee,  YM,  Kim, et al

American Journal of Infection Control

Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI)

The objective of this study was to determine the contamination degree of an isolation room of a patient with COVID-19 using additional ATP monitoring, before and after cleaning, to determine the proper approach to prevent the hospital spread of SARS-CoV-2. SARS-CoV-2 was not detected in any surface sample in our study and post cleaning ATP values was significantly decreased indicating that routine cleaning may be enough to manage the hospital environment for preventing the outbreak of COVID-19.

Non-pharmaceutical interventions used to control COVID-19 reduced seasonal influenza transmission in China

Lei,  H,  Xu, et al

J Infect Dis

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

In this study, the extent to which non-pharmaceutical interventions (NPIs) targeting COVID-19 have affected seasonal influenza transmission was explored. Indicators of seasonal influenza activity in the epidemiological year 2019/20 were compared with those in 2017/18 and 2018/19. Results show that the incidence rate of seasonal influenza reduced by 64% in 2019/20 (p&0.001).

Assessing COVID-19 Transmission to Healthcare Personnel: the Global ACT-HCP Case-Control Study

Lentz,  RJ,  Colt, et al

Infect Control Hosp Epidemiol

Epidemiology| Épidémiologie Transmission

The objective of this case-control study was to characterize associations between exposures within and outside the medical workplace with healthcare personnel (HCP) SARS-CoV-2 infection, including the effect of various forms of respiratory protection. HCP infection was associated with non-aerosol-generating contact with COVID-19 patients (adjusted OR 1.4, 95% CI 1.04–1.9, p=0.03) and extra-occupational exposures including gatherings of ten or more, patronizing restaurants or bars, and public transportation (adjusted ORs ranging 3.1-16.2). Respirator use during aerosol-generating procedures (AGPs) was associated with lower odds of HCP infection (adjusted OR 0.4, 0.2 to 0.8, p=0.005), as was exposure to intensive care and dedicated COVID units, negative pressure rooms, and personal protective equipment (PPE) observers (adjusted ORs ranging 0.4-0.7).

Coronavirus Disease 2019 Induced Inflammatory Response are Associated with Changes in Lipid Profiles

Li,  C,  Z

Research Square prepub

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of this retrospective study of patients in China was to investigate the relationships between lipid profiles and inflammation markers among patients with Covid-19. Results indicate that patients with Covid-19 are associated with decreased lipid and lipoprotein levels. Covid-19 infection induced inflammation response and cytokine storm were associated with a shift of lipids, lipoproteins toward a more atherogenic lipid profile.

32867323; Development and Implementation of Societal Influences Survey Questionnaire (SISQ) for Peoples during COVID-19 Pandemic: A Validity and Reliability Analysis

Li,  DJ,  Kao, et al

International journal of environmental research and public health

Public Health response| Interventions de santé publique

We aimed to develop a beneficial survey tool with favorable quality and availability, the Societal Influences Survey Questionnaire (SISQ), to evaluate social influences on people during this pandemic. The SISQ was developed with 15 items and 4-point Likert scales consisting of five factors. These include social distance, social anxiety, social desirability, social information, and social adaptation. The questionnaire was deployed on 1912 Taiwanese  and construct validity and reliability were performed to verify the SISQ. The results demonstrated that the SISQ has acceptable reliability. As for multiple comparison, females scored higher than males in factor of social distance. Unemployed participants and those without partners scored higher in several domains of factors.

32851093; Clinical Characteristics of Diabetic Patients with COVID-19

Li,  G,  Deng, et al

Journal of diabetes research

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study is aimed at describing the characteristics of COVID-19 patients (n = 199) in Wuhan. The cases were divided into diabetic and nondiabetic groups according to the history of taking antidiabetic drugs or by plasma fasting blood glucose level at admission, and the difference between groups were compared. Compared with nondiabetics, patients with diabetes had an older age, high levels of fasting plasma glucose (FPG), D-dimer, white blood cell, blood urea nitrogen (BUN) and total bilirubin (TBIL), lower levels of lymphocyte, albumin and oxygen saturation (SaO2), and higher mortality.

SARS-CoV-2 spike produced in insect cells elicits high neutralization titers in non-human primates

Li,  T,  Zheng, et al

Emerg Microbes Infect

Coronavirology| Coronavirologie Vaccine Research| Recherche sur les vaccins Animal model | Modèle animal

Here we expressed and evaluated as potential candidates four versions of the spike (S) protein using an insect cell expression system: receptor binding domain (RBD), S1 subunit, the wild-type S ectodomain (S-WT), and the prefusion trimer-stabilized form (S-2P). We showed that RBD appears as a monomer in solution, whereas S1, S-WT, and S-2P associate as homotrimers with substantial glycosylation. Cryo-electron microscopy analyses suggested show that S-2P assumes an identical trimer conformation as the similarly engineered S protein expressed in 293 mammalian cells but with reduced glycosylation. Overall, the four proteins confer excellent antigenicity with convalescent COVID-19 patient sera in enzyme-linked immunosorbent assay (ELISA), yet show distinct reactivities in immunoblotting. RBD, S-WT and S-2P, but not S1, induce high neutralization titers (>3-log) in mice after a three-round immunization regimen. Our results suggest that the prefusion trimer-stabilized SARS-CoV-2 S-protein from insect cells may offer a potential candidate strategy for the development of a recombinant COVID-19 vaccine.

Intelligent Manufacturing Systems in COVID-19 Pandemic and Beyond: Framework and Impact Assessment

Li,  X,  Wang, et al

Chinese Journal of Mechanical Engineering (English Edition)

Public Health response| Interventions de santé publique

In this study, we create a novel intelligent manufacturing framework for the production recovery under the pandemic and build an assessment model to evaluate the impacts of the intelligent manufacturing (IM) technologies on industrial networks. Considering the constraints of the IM resources, we formulate an optimization model to schedule the allocation of IM resources according to the mutual market demands and the severity of the pandemic.

In vivo antiviral host transcriptional response to SARS-CoV-2 by viral load, sex, and age

Lieberman,  NAP,  Peddu, et al

PLoS Biol

Clinical data| Données cliniques

Here, we examined host response gene expression across infection status, viral load, age, and sex among shotgun RNA sequencing profiles of nasopharyngeal (NP) swabs from 430 individuals with PCR-confirmed SARS-CoV-2 and 54 negative controls. Older individuals had reduced expression of the Th1 chemokines CXCL9/10/11 and their cognate receptor CXCR3, as well as CD8A and granzyme B, suggesting deficiencies in trafficking and/or function of cytotoxic T cells and natural killer (NK) cells. Relative to females, males had reduced B cell–specific and NK cell–specific transcripts and an increase in inhibitors of nuclear factor kappa-B (NF-κB) signaling, possibly inappropriately throttling antiviral responses. Collectively, our data demonstrate that host responses to SARS-CoV-2 are dependent on viral load and infection time course, with observed differences due to age and sex that may contribute to disease severity.

Epidemic prevention for coronavirus disease 2019 in Taiwan: A new perspective in emergency department

Lin,  YT,  Cheng, et al

Hong Kong Journal of Emergency Medicine

Clinical data| Données cliniques

A 34-year-old man presented to our emergency department with progressive rhinorrhoea, a sore throat, and recent travel to the United States (Texas) and Mexico. He was diagnosed with COVID-19 after a positive throat swab test. This case demonstrates Taiwan’s unique epidemic prevention strategy, including the utilization of face masks, compact screening indications, quarantine arrangements, and the effective disposition of confirmed cases.

32735938; Evaluating the newly developed BioFire COVID-19 test for SARS-CoV-2 molecular detection

Liotti,  FM,  Menchinelli, et al

Clinical Microbiology and Infection

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

We compared the performance of BioFire COVID-19 test with that of Quanty COVID-19 assay (Clonit, Milan, Italy), which also provides quantitative results, for detection of SARS-CoV-2 RNA in nasal/oropharyngeal (N/OP) patient samples. Compared to the reference method, the BioFire COVID-19 test sensitivity, specificity, positive predictive value and negative predictive value (with their 95% confidence intervals) were 93.0 (85.4–97.4), 100.0 (89.7–100.0), 100.0 (95.5–100.0) and 85.0 (70.2–94.3), respectively.

32867426; Investigation on two family clusters of COVID-19 in a county of Baotou city in Inner Mongolia Autonomous Region

Liu,  CF,  Lyu, et al

Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi

Epidemiology| Épidémiologie Transmission Clinical data| Données cliniques

In chinese: This study investigates and analyzes the family cluster epidemics that occurred in the Inner Mongolia Autonomous Region of China and the relationship between them,  the transmission mode of COVID-19, and guides residents to take personal protection to avoid family cluster epidemics. [In Chinese].

Elevated fasting blood glucose at admission is associated with poor outcomes in patients with COVID-19

Liu,  S,  Zhang, et al

Diabetes Metab

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to explore the association between stratified fasting blood glucose (FBG)  levels and poor outcomes in patients hospitalized for COVID-19. Compared with patients with normal FBG levels, patients with elevated FBG were older and more likely to have comorbidities. On multivariable analyses, patients with FBG at 6.1–6.9 mmol/L [odds ratio (OR): 5.38, 95% confidence interval (CI): 1.18–24.52; P = 0.030] had a higher risk of progression to critical illness than those with FBG ≥ 7.0 mmol/L (OR: 3.94, 95% CI: 1.03–15.15; P = 0.046).

Experience of the use of hydroxychloroquine on patients with COVID-19: A perspective on viral load and cytokine kinetics

Liu,  WD,  Chang, et al

Journal of the Formosan Medical Association

Clinical data| Données cliniques Therapeutics| Thérapeutique

In this preliminary report, we presented six patients with mild to moderate COVID-19. They were treated with hydroxychloroquine (HCQ) for 14 days from the day of COVID-19 diagnosis. Serial viral load from respiratory specimens were performed every other day. Among the six patients, the mean duration from symptom onset to last detectable viral load was 34 ± 12 days, which was similar to those without specific treatment in previous reports and prolonged virus shedding is still observed regardless HCQ.

Analysis of the prophylactic effect of thymosin drugs on COVID-19 for 435 medical staff: A hospital-based retrospective study

Liu,  X,  Liu, et al

J Med Virol

Clinical data| Données cliniques Therapeutics| Thérapeutique

This hospital-based retrospective study of 435 medical staff sought to explore the role of thymosin drugs in the prevention of a novel coronavirus disease (COVID‐19). In the similar exposure environment, compared to medical staff who did not take preventive medicine, the use of thymosin drugs, before exposure and after exposure had an insignificant effect, and the adverse drug reaction (ADR) was increased, especially when thymosin drugs used together with α‐interferon.

Home quarantine compliance is low in children with fever during COVID-19 epidemic

Lou,  Q,  Su, et al

World Journal of Clinical Cases

Public Health response| Interventions de santé publique

The objective of this study is to explore the factors that influence home quarantine compliance in children with fever during the COVID-19 epidemic in China. Among the ten quarantine measures, the proportion of families adhering to keeping 1.5 m distance, proper hand hygiene, wearing masks at home, and proper cough etiquette was very low (< 30% for each measure). Our analysis showed that compliance was related to gender and age of children, gender and age of primary caregiver, number of children in the family, and intensity of information on quarantine measures.

The AI-discovered aetiology of COVID-19 and rationale of the irinotecan+ etoposide combination therapy for critically ill COVID-19 patients

Lovetrue,  B

Medical hypotheses

Coronavirology| Coronavirologie

We present the AI-discovered aetiology of COVID-19, based on a precise disease model of COVID-19 built under five weeks that best matches the epidemiological characteristics, transmission dynamics, clinical features, and biological properties of COVID-19. Results indicate that SARS-CoV-2 implements a unique unbiased survival strategy of balancing viral replication with viral spread by increasing its dependence on (i) ACE2-expressing cells for viral entry and spread, (ii) PI3K signaling in ACE2-expressing cells for viral replication and egress, and (iii) viral- non-structural-and-accessory-protein-dependent immunomodulation to balance viral spread and viral replication.

32800590; Fulminant myocarditis and cardiogenic shock during SARS-CoV-2 infection

Lozano Gómez,  H,  Pascual Bielsa, et al

Medicina clinica

Clinical data| Données cliniques

We present the case of a 53-year-old man, previously healthy, who came to the emergency room due to dyspnea and fever of 38 ° C of 10 days of evolution. This case shows a clinical presentation of acute myocarditis involving a wide spectrum of symptoms, from chest pain to cardiogenic shock. [In Spanish].

32731000; Comorbidities for fatal outcome among the COVID-19 patients: A hospital-based case-control study

Lu,  QB,  Jiang, et al

Journal of Infection

Epidemiology| Épidémiologie Clinical data| Données cliniques

Here by performing a retrospective multi-center study, we try to evaluate the adjusted effect of the common preexisting comorbidities on COVID-19 related death, based on which, the therapy effect of three widely used anti-hypertension drugs were assessed. By multivariate logistic regression model adjusting age, sex, and delay from symptom onset to hospital admission, six comorbidities showed significant associations with the disease outcome, with malignancy exhibiting the highest risk of death, followed by chronic kidney diseases (CKD), cerebrovascular diseases (CVD), hypertension,  chronic heart diseases (CHD), and diabetes mellitus (DM).

Cerebral Micro-Structural Changes in COVID-19 Patients – An MRI-based 3-month Follow-up Study: A brief title: Cerebral Changes in COVID-19

Lu,  Y,  Li, et al

EClinicalMedicine

Clinical data| Données cliniques

In this prospective study, diffusion tensor imaging (DTI) and 3D high-resolution T1WI sequences were acquired in 60 recovered COVID-19 patients and 39 age- and sex-matched non-COVID-19 controls in order to identify the existence of potential brain micro-structural changes related to SARS-CoV-2. Study findings revealed possible disruption to micro-structural and functional brain integrity in the recovery stages of COVID-19, suggesting the long-term consequences of SARS-CoV-2.

Adverse outcomes and mortality in users of non-steroidal anti-inflammatory drugs who tested positive for SARS-CoV-2: A Danish nationwide cohort study

Lund,  LC,  Kristensen, et al

PLoS Med

Clinical data| Données cliniques Therapeutics| Thérapeutique

We conducted a population-based cohort study using Danish administrative and health registries. in order to study whether use of NSAIDs was associated with adverse outcomes and mortality during SARS-CoV-2 infection. Results indicate that use of NSAIDs was not associated with 30-day mortality, hospitalization, ICU admission, mechanical ventilation, or renal replacement therapy in Danish individuals who tested positive for SARS-CoV-2.

UVA radiation could be a significant contributor to sunlight inactivation of SARS-CoV-2

Luzzatto-Fegiz,  Paolo,  Temprano-Coleto, et al

bioRxiv

Coronavirology| Coronavirologie

Recent experiments have demonstrated that SARS-CoV-2 is inactivated by simulated sunlight; however, there are still many unknowns, including the mechanism of action and which part of the light spectrum is principally responsible. Our modelling and analysis indicates the need for targeted experiments that can separately assess the effects of UVA and UVB on SARS-CoV-2, and that sunlight inactivation models may need to be expanded to also include the effect of UVA. A first UVA-inclusive model is also proposed here. These findings have implications for how to improve the safety of the built environment, and for the seasonality of COVID-19

Phillyrin (KD-1) exerts anti-viral and anti-inflammatory activities against novel coronavirus (SARS-CoV-2) and human coronavirus 229E (HCoV-229E) by suppressing the nuclear factor kappa B (NF-κB) signaling pathway

Ma,  Q,  Li, et al

Phytomedicine

Therapeutics| Thérapeutique

The study was designed to investigate the antiviral and anti-inflammatory activities of KD-1 against the novel SARS-CoV-2 and HCoV-229E and its potential effect in regulating host immune response in vitro. Study results find that KD-1 could significantly inhibit SARS-CoV-2 and HCoV-229E replication in vitro. KD-1 could also markedly reduce the production of proinflammatory cytokines (TNF-α, IL-6, IL-1β, MCP-1, and IP-10) at the mRNA levels. Moreover, KD-1 could significantly reduce the protein expression of p-NF-κB p65, NF-κB p65, and p-IκBα, while increasing the expression of IκBα in Huh-7 cells.

Incorrect Use of Face Masks during the Current COVID-19 Pandemic among the General Public in Japan

Machida,  M,  Nakamura, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

We set out to determine the prevalence of wearing masks to prevent COVID-19 and compliance with appropriate measures for the correct use of face masks among the general public in Japan where wearing medical masks is a “cultural” normality through an online questionnaire (n = 2141). The prevalence of wearing masks was 80.9% and compliance rates with appropriate measures ranged from 38.3% to 83.5%. Only 23.1% complied with all recommendations. Compliance rates were overall low in men and persons with low household incomes.

Screening of plant-based natural compounds as a potential COVID-19 main protease inhibitor: an in silico docking and molecular dynamics simulation approach

Majumder,  R,  Mandal, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

This molecular docking study aimed to screen plant-based natural compounds from Sigma-Aldrich plant profiler chemical library to find out potential COVID-19 Mpro inhibitors. Our virtual molecular docking results have shown that there are twenty-eight natural compounds with a greater binding affinity toward the COVID-19 Mpro inhibition site as compared to the co-crystal native ligand Inhibitor N3 (-7.9 kcal/mol).

Development and Validation of the Patient History COVID-19 (PH-Covid19) Scoring System: A Multivariable Prediction Model of Death in Mexican Patients with COVID-19

Mancilla-Galindo,  Javier,  Vera-Zertuche, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We sought to develop and validate a multivariable prediction model of death in Mexican patients with COVID-19, by using demographic and patient history predictors. To validate the model, 592,160 patients studied between June 1 and July 23, 2020 were included. Eight predictors (age, sex, diabetes, COPD, immunosuppression, hypertension, obesity, and CKD) were included in the PH-Covid19 scoring system (range of values: -2 to 25 points). The predictive model has a discrimination of death of 0.8 (95%CI:0.796-0.804)

Escalation of sleep disturbances amid the COVID-19 pandemic: a cross-sectional international study

Mandelkorn,  U,  Genzer, et al

J Clin Sleep Med

Public Health response| Interventions de santé publique

This international survey sought to identify which populations have experienced changes in sleeping patterns during the pandemic and their extent. 3,062 respondents from 49 countries accessed the survey website completed the study and in a secondary study 1,022 adult US respondents were recruited for pay. The survey tool included demographics and items adapted from validated sleep questionnaires on sleep duration, quality and timing, and sleeping pills consumption. Forty percent of the respondents reported a decreased sleep quality vs. before COVID-19 crisis. Self-reported sleeping pill consumption increased by 20% (p<0.001). Multivariable analysis indicated that female sex, being in quarantine, 31 to 45-year age group, reduced physical activity and adverse impact on livelihood were independently associated with more severe worsening of sleep quality during the pandemic.

Conserved HLA binding peptides from five non-structural proteins of SARS-CoV-2—An in silico glance

Marchan,  J

Human immunology

Coronavirology| Coronavirologie

This immunoinformatics work aimed to identify HLA-I and HLA class II (HLA-II) binding peptides from these key SARS-CoV-2 NSPs, thereby providing more immunogenic targets with strong potential to fight COVID-19. Five severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) non-structural proteins (NSPs) (NSP7, NSP8, NSP9, NSP12, and NSP13) were screened to identify potential human leukocyte antigen (HLA) binding peptides. These peptides showed robust viral antigenicity, immunogenicity, and a marked interaction with HLA alleles.

32763457; Single-Center Vascular Hub Experience after 7 weeks of COVID-19 Pandemic in Lombardy (Italy)

Mascia,  D,  Kahlberg, et al

Annals of Vascular Surgery

Healthcare Response | Réponse des soins de santé

The aim of this study was to report the experience of one of the major “hubs” for vascular surgery in Lombardy, Italy, during the first 7 weeks after total lockdown due to COVID-19 pandemic. Results indicate that late referral in the pandemic period could seriously worsen limb prognosis; this aspect should be known and addressed by health care providers. Vascular surgical outcomes in pre-COVID and COVID era were comparable in our experience.

Positive Impact of Mindfulness Meditation on Mental Health of Female Teachers during the COVID-19 Outbreak in Italy

Matiz,  A,  Fabbro, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

In the present study, a sample of Italian female teachers (n = 66, age: 51.5 ± 7.9 years) was assessed with self-report instruments one month before and one month after the start of the Covid-19 lockdown: mindfulness skills, empathy, personality profiles, interoceptive awareness, psychological well-being, emotional distress and burnout levels were measured. Meanwhile, they received an 8-week Mindfulness-Oriented Meditation (MOM) course, through two group meetings and six individual video-lessons. Based on baseline personality profiles, analyses of variance were performed in a low-resilience (LR, n = 32) and a high-resilience (HR, n = 26) group. The LR and HR groups differed at baseline in most of the self-report measures. Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels. Improvements in depression and psychological well-being were higher in the LR vs. HR group. We conclude that mindfulness-based training can effectively mitigate the psychological negative consequences of the Covid-19 outbreak, helping in particular to restore well-being in the most vulnerable individuals.

Complex dynamics in susceptible-infected models for COVID-19 with multi-drug resistance

Matouk,  AE

Chaos, Solitons and Fractals

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In this work, complex dynamics in Susceptible-Infected (SI) model and multi-drug resistance (MDR) and its fractional-order counterpart are investigated in order to understand complex behaviors and predict spread of severe infectious diseases such as COVID-19.

Upper gastrointestinal bleeding in COVID-19 inpatients: Incidence and management in a multicenter experience from Northern Italy

Mauro,  A,  De Grazia, et al

Clinics and Research in Hepatology and Gastroenterology

Clinical data| Données cliniques

Our aim was to evaluate incidence of upper gastrointestinal bleeding (UGIB) and use of upper GI endoscopy in COVID-19 inpatients. Out of 4871 COVID-19 positive patients, 23 presented signs of UGIB and were included in the study (incidence 0.47%). The majority (78%) were on anticoagulant therapy or thromboprophylaxis. Mortality and rebleeding were not different between patients having upper GI endoscopy before or after 24 h/not performed. Glasgow Blatchford score was similar between the two groups (13;12–16 vs 12;9–15).

Maculopapular rash in COVID-19 patient treated with lopinavir/ritonavir

Mazan,  P,  Lesiak, et al

Postepy Dermatologii i Alergologii

Clinical data| Données cliniques

We present a 35-year-old male admitted with COVID-19. The patient was hospitalized in the isolation unit and treated with oral lopinavir/ritonavir 400/100 BID. There was an assumption that optic neuritis could have been an unspecific symptom of the coronavirus infection. Following 10 days of lopinavir/ritonavir administration, the patient developed an itchy, maculopapular rash while being hospitalized. Based on current reports we cannot state with certainty that the maculopapular rash observed in our patient is only drug-induced, especially due to the unspecific course of the infection in this patient. There is a suspicion that COVID19 could be a cofactor for maculopapular rash. However, the role of SARS-CoV-2 in inducing skin lesions is still uncertain and needs to be clarified based on further research and observations.

32867313; How personality relates to distress in parents during the COVID-19 lockdown: The mediating role of child’s emotional and behavioral difficulties and the moderating effect of living with other people

Mazza,  C,  Ricci, et al

International Journal of Environmental Research and Public Health

Public Health response| Interventions de santé publique

The present study aimed at investigating the psychological distress of parents during the lockdown, identifying contributing factors.  For parents living only with child(ren), high levels of psychological distress depended exclusively on their levels of neuroticism. For parents living with at least one other person in addition to child(ren), distress levels were also mediated by child behavioral and emotional difficulties. Motherhood emerged as a significant factor contributing to greater distress. Furthermore, parent psychological distress decreased in line with increased child age. The results confirm that neuroticism is an important risk factor for mental health.

32853842; The bullseye sign: A variant of the reverse halo sign in COVID-19 pneumonia

McLaren,  TA,  Gruden, et al

Clinical imaging

Clinical data| Données cliniques

The predominant pulmonary imaging findings on chest CT in the novel 2019 coronavirus infection (COVID-19) are bilateral ground glass opacities. The reverse halo sign is uncommon. This is a report of the new “bullseye sign,” which is considered a variant of the reverse halo sign and favored to represent a focus of organizing pneumonia. The specificity of this finding is unclear, however its presence should alert radiologists to the possibility of COVID-19 infection.

Changes in Physical Activity and Sedentary Behavior in Response to COVID-19 and Their Associations with Mental Health in 3052 US Adults

Meyer,  J,  McDowell, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

We aimed to evaluate the impact of COVID-19-related public health guidelines on physical activity (PA), sedentary behavior, mental health, and their interrelations. Cross-sectional data were collected from 3052 US adults 3–8 April 2020 (from all 50 states). Self-reported PA was lower post-COVID among participants reporting being previously active (mean change: −32.3% [95% CI: −36.3%, −28.1%]) but largely unchanged among previously inactive participants (+2.3% [−3.5%, +8.1%]). No longer meeting PA guidelines and increased screen time were associated with worse depression, loneliness, stress, and PMH (p < 0.001). Self-isolation/quarantine was associated with higher depressive and anxiety symptoms compared to social distancing (p < 0.001).

Delayed surgery versus nonoperative treatment for hip fractures in post-COVID-19 arena: a retrospective study of 145 patients

Mi,  B,  Chen, et al

Acta Orthop

Healthcare Response | Réponse des soins de santé

Following the outbreak of COVID, many hip fracture patients were unable to gain timely admission and surgery. We assessed whether delayed surgery improves hip joint function and reduces major complications better than nonoperative therapy. Findings showed that delayed surgery compared with nonoperative therapy significantly improved hip function and reduced various major complications.

Striking Similarities between CDRs in Some mAbs That Neutralize COVID-19

Mi,  T,  Burgess, et al

ACS Medicinal Chemistry Letters

Coronavirology| Coronavirologie

Four of five different monoclonal antibodies (mAbs) that have been crystallized in complex with the receptor binding domain (RBD) of the SARS-CoV-2 spike protein (S) have remarkably similar primary and secondary loop structures at the heavy chain complementarity-determining regions (HCDR) 1 and 2. All these reports give a structural basis for the deceptively difficult problem of accurate peptidomimetic loop mimic design.

Impact of COVID-19 on Lung Transplant Activity in Germany-A Cross-Sectional Survey

Michel,  S,  Witt, et al

Thorac Cardiovasc Surg

Healthcare Response | Réponse des soins de santé

We aimed to provide a cross-sectional overview of current limitations or adaptions in lung transplant programs in Germany in from January to May 2020 due to the COVID-19 pandemia caused by SARS-CoV2. The results suggest that the influence of the COVID-19 pandemia on lung transplantation activity in Germany has been moderate so far. Nevertheless, adaptions such as extensive testing of donors and recipients were introduced to reduce the likelihood of infections and increase patient safety. Alertness to changes in COVID-19 reproduction rates might be required until effective antiviral therapy or vaccination is available.

Do they really wash their hands? Prevalence estimates for personal hygiene behaviour during the coronavirus crisis based on indirect questions

Mieth,  M,  M

Research Square prepub

Public Health response| Interventions de santé publique Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI)

We use an indirect questioning technique to test whether the prevalence of hygiene practices may be lower when confidentiality of responding is guaranteed. In the direct questioning group 94.5 % of the participants claimed to practice proper hand hygiene; in the indirect questioning group a significantly lower estimate of only 78.1 % was observed.  These results indicate that estimates of the degree of commitment to measures designed to counter the spread of the disease may be significantly inflated by social desirability in direct questionings. Indirect questioning techniques with higher levels of confidentiality seem helpful in obtaining more realistic estimates of the degree to which people follow the recommended personal hygiene measures.

The Impact of Covid-19 and the Effect of Psychological Factors on Training Conditions of Handball Players

Mon-López,  D,  de la Rubia Riaza, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

The objectives of the study were: (i) to compare training and recovery conditions before and during the isolation period in handball players according to gender and competitive level, and (ii) to analyse the impact of psychological factors during the isolation period in Spain. We conclude that the COVID-19 isolation period caused reductions in training volume and intensity and decreased sleep quality. Furthermore, psychological components have a significant impact on training and recovery conditions.

32721580; Hepatic Disorders With the Use of Remdesivir for Coronavirus 2019

Montastruc,  F,  Thuriot, et al

Clinical Gastroenterology and Hepatology

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

We performed a pharmacovigilance analysis of VigiBase, the World Health Organization’s individual case safety reports database, to describe hepatic impairment reports with remdesivir. We found 387 reports with remdesivir registered in VigiBase, and among them 130 hepatic adverse effects (34%) were reported. In the majority of cases (122, 94%), remdesivir was the sole suspected drug. Most cases were serious (94, 72%) (ie, resulting in hospitalization or prolongation of hospital stay). The mean time to onset of hepatic disorders was 5.4 days. Increased hepatic enzymes were the most frequent adverse drug reactions reported (114, 88%), involving the liver transaminases (aspartate transaminase and alanine transaminase) in 79 cases (61%) and bilirubin in 4 cases (3%). Other cases were reported as hepatic failure or hepatitis. Compared with hydroxychloroquine, lopinavir/ritonavir, or tocilizumab, the use of remdesivir was associated with an increased risk of reporting hepatic disorders (ROR, 1.94; 95% CI, 1.54–2.45). When we restricted the analysis to tocilizumab users (reference group), the ROR remained significant (1.60; 95% CI, 1.13–2.27).

Impact of COVID-19 lockdown on air quality in Chandigarh, India: Understanding the emission sources during controlled anthropogenic activities

Mor,  S,  Kumar, et al

Chemosphere

Public health interventions*| Interventions de santé publique

The variation in ambient air quality during COVID-19 lockdown was studied in Chandigarh, located in the Indo-Gangetic plain of India. Total 14 air pollutants, including particulate matter (PM10, PM2.5), trace gases (NO2, NO, NOx, SO2, O3, NH3, CO) and VOC's (benzene, toluene, o-xylene, m,p-xylene, ethylbenzene) were examined along with meteorological parameters. he results showed significant reductions during the first and second phases for all pollutants. However, concentrations increased during the third phase. The concentrations of SO2, O3, and m,p-xylene kept on increasing throughout the study period, except for benzene, which continuously decreased. The percentage decrease in the concentrations during consecutive periods of lockdown were 28.8%, 23.4% and 1.1% for PM2.5 and 36.8%, 22.8% and 2.4% for PM10 respectively. The Principal Component Analysis (PCA) and characteristic ratios identified vehicular pollution as a primary source during different phases of lockdown. During the lockdown, residential sources showed a significant adverse impact on the air quality of the city. Regional atmospheric transfer of pollutants from coal-burning and stubble burning were identified as secondary sources of air pollution.

Modelling the transmission of infectious diseases inside hospital bays: implications for Covid-19

Moreno Martos,  David,  Parcell, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Transmission Healthcare Response | Réponse des soins de santé

In this study we consider a mathematical modelling and computational approach to describe the spread of SARS-CoV-2 among hospitalised patients. We focus on 4-bed bays and 6-bed bays, which are commonly used to accommodate various non-Covid-19 patients in many hospitals across UK. Our results show that 4-bed bays reduce the spread of SARS-CoV-2 compared to 6-bed bays. Moreover, we show that the position of a new (not infected) patient in specific beds in a 6-bed bay might also slow the spread of the disease. Finally, we propose that regular SARS-CoV-2 testing of hospitalised patients would allow appropriate placement of infected patients in specific (Covid-only) hospital bays.

32872321; Characterization of home working population during covid-19 emergency: A cross-sectional analysis

Moretti,  A,  Menna, et al

International Journal of Environmental Research and Public Health

Public Health response| Interventions de santé publique

The purpose of this cross-sectional study was to examine the impact of home working on perceived job productivity and satisfaction, work-related stress, and musculoskeletal (MSK) issues. We included 51 mobile workers, collecting data about demographic characteristics, working experience, job productivity, and stress.  Participants declared that they were less productive (39.2%) but less stressed (39.2%) and equally satisfied (51%) compared to the time of office working. Regarding MSK disorders, low back pain (LBP) was referred by 41.2% of home workers and neck pain by 23.5% of them. Neck pain worsened in 50% of home workers, while LBP did not exacerbate in 47.6% of cases. Home workers with MSK pain reported a lower job satisfaction. Depending on our data, the home environment seems to be not adequate in the mobile worker population, with an increased risk for mental health and MSK problems, particularly affecting the spine.

An unusual course of disease in two patients with COVID-19: pulmonary cavitation

Muheim,  M,  Weber, et al

BMJ Case Rep

Clinical data| Données cliniques

Two 59-year-old male patients with COVID-19 pneumonia developed pulmonary cavitation with air-fluid level, accompanied by right-sided chest pain several weeks after first onset of symptoms. Considering a possible bacterial abscess formation, both patients were started on antibiotics. No microbiological pathogen was detected in further investigations (sputum analysis, bronchoscopy with bronchoalveolar lavage and CT-guided drainage of the cavitation). Histopathological analysis of the drained fluid was non-specific, and the aetiology remained not fully understood. We report pulmonary cavitation as a rare finding in late stage COVID-19 pneumonia. As both our patients presented with localised chest pain prior to detection of the lesions, new onset of this symptom should warrant further investigation.

32736030; Outcome of non-invasive ventilation in COVID-19 critically ill patients: A Retrospective observational Study

Mukhtar,  A,  Lotfy, et al

Anaesthesia Critical Care and Pain Medicine

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this study, we present our experience with the use of non-invasive mechanical ventilation (NIV)  in patients with COVID-19 who were admitted to ICU with ARDS. The study included all patients with laboratory-confirmed COVID-19 who were admitted to ICU at Cairo University Hospital during the period from May 14, 2020 until July 1, 2020. The overall mortality reaches 18% with high mortality rate in patients requiring IMV (75%). In conclusion, use of NIV with a predefined algorithm in subjects with moderate-to-severe COVID-19 ARDS was successful in 77% of the subjects.

Oropharyngeal hemorrhage in patients with COVID-19: A multi-institutional case series

Mulcahy,  CF,  Ghulam-Smith, et al

American Journal of Otolaryngology - Head and Neck Medicine and Surgery

Clinical data| Données cliniques

We report five cases of oropharyngeal hemorrhage in COVID-19 patients on mechanical ventilation requiring evaluation by otolaryngologists at George Washington University Hospital (GWUH) and Boston Medical Center (BMC) from March to April 2020. All five patients were managed conservatively; four required packing with Kerlix gauze by an otolaryngologist. Two patients had the additional requirement of extracorporeal membrane oxygenation (ECMO) and associated anticoagulation. Three patients improved with oropharyngeal packing; two had persistent bleeding. Three patients expired. Endotracheal tubes were repositioned less frequently due to the COVID-19 pandemic.

A Simple Bayesian Method for Evaluating Whether Data From Patients With Rheumatic Diseases Who Have Been Under Chronic Hydroxychloroquine Medication Since Before the COVID-19 Outbreak Can Speak to Hydroxychloroquine's Prophylactic Effect Against Infection

Musca,  SC

Frontiers in Medicine

Clinical data| Données cliniques Therapeutics| Thérapeutique

We propose to use data from patients with rheumatic diseases (RA, SLR) who have been chronically taking HCQ medication since before the COVID-19 outbreak (hereafter: HCQpa), in order to evaluate the potential of HCQ for preventing infection with SARS-CoV-2. This can be achieved with relative ease by considering whether COVID-19 prevalence is significantly lower in HCQpa than in the general population (i.e., all people that are not HCQpa). Our analyses show that systematic testing for COVID-19 in as few as 5,000 HCQpa is all that is needed for a test of whether HCQ has a prophylactic action against COVID-19, even for a COVID-19 prevalence value as low as 250 per 100,000, provided that test sensitivity is at least equal to its specificity. For higher COVID-19 prevalence values, the number of HCQpa needed is even lower.

Impact of COVID-19 on Acute Stroke Presentation at a Comprehensive Stroke Center

Nagamine,  M,  Chow, et al

Frontiers in Neurology

Healthcare Response | Réponse des soins de santé

We retrospectively reviewed the electronic medical records for patients presenting with acute ischemic stroke at a comprehensive stroke center in March–April 2020 (the early months of COVID-19) and compared to the same time period in 2019. During the first 2 months of COVID-19, there were fewer overall stroke cases who presented to our hospital, and of these cases, there was delayed presentation in comparison to the same time period in 2019. Recognizing how stroke presentation may be affected by COVID-19 would allow for optimization of established stroke triage algorithms in order to ensure safe and timely delivery of stroke care during a pandemic.

32800748; Feasibility and Acceptability of Telemedicine to Substitute Outpatient Rehabilitation Services in the COVID-19 Emergency in Italy: An Observational Everyday Clinical-Life Study

Negrini,  S,  Donzelli, et al

Archives of Physical Medicine and Rehabilitation

Healthcare Response | Réponse des soins de santé

This observational cohort study investigates the feasibility and acceptability of telemedicine as a substitute for outpatient services in emergency situations such as the sudden surge of the COVID-19 pandemic in Italy. We found a rapid decrease (–39%) of outpatient services from the control to the COVID-19 phase (R2=0.85), which partially recovered in the telemed phase for telephysiotherapy (from –37% to –21%; P<.05) and stabilized for teleconsultation (from –55% to –60%) interventions. Usual face-to-face interventions were required for 0.5% of patients. Patients’ satisfaction with telemedicine was very high (2.8 out of 3).

Citations and publication rate of preprints on pharmacological interventions for COVID-19: The good, the bad and, the ugly

Nicolalde,  B,  Añ

Research Square prepub

Public Health response| Interventions de santé publique

In this study, we intend to evaluate how often preprints regarding pharmacological interventions against COVID-19 were cited, in spite of the fact that some of these preprints remained unpublished.  Our sample included 97 preprints, of which 23 were published on scholarly journals and 74 remained unpublished (Publication rate of 23,7%). The most common study designs we found among preprints were basic science research and case series. The number of citations in our sample ranged from 0 to 1409 for published articles, and ranged from 0 to 175 citations for unpublished preprints. Published articles had a significantly higher number of citations when compared to unpublished preprints (p=0,000013). We did not find a statistical difference in PDF download (p=0,167) and abstract reads (p= 0,181). In the published articles, the time from posting on a preprint server to publication on a journal ranged from 0 to 98 days (median: 42.0 days). The time period from date of submission to a journal to date of acceptance in our sample ranged from 1 to 228 days (median: 23 days). Almost half of the preprints that were subsequently published (47,8%) had modifications made to the result section after peer-review.

Prevalence and Associated Factors of Emotional and Behavioural Difficulties during COVID-19 Pandemic in Children with Neurodevelopmental Disorders

Nonweiler,  J,  Rattray, et al

Children (Basel)

Public Health response| Interventions de santé publique

We conducted a cross-sectional U.K. parent-reported study from 2nd April–2nd June 2020, using the Strengths and Difficulties Questionnaire. CYP with NDDs (n = 371), compared to neurotypical controls, had a higher prevalence of emotional symptoms (42% vs. 15%) and conduct problems (28% vs. 9%), and fewer prosocial behaviours (54% vs. 22%). All groups had worse emotional symptoms than pre-COVID groups, and those with attention-deficit/hyperactivity disorder showed inflated conduct problems, while those with autism spectrum disorder exhibited decreased prosocial behaviours. Females with ASD had higher emotional symptoms compared to males. CYP with NDDs, and those without, showed higher levels of parent-reported mental health problems than comparable cohorts pre-COVID-19.

32845101; Epidural Blood Patch for Postdural Puncture Headache in a Patient With Coronavirus Disease 2019: A Case Report

Norris,  MC,  Kalustian, et al

A&A practice

Clinical data| Données cliniques

The safety of epidural blood patch in patients with coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is unknown. Here, we report a single case of epidural blood patch to treat a postdural puncture headache in a woman after spinal anesthesia for cesarean delivery. The patient’s headache was relieved, and she did not develop any other neurological symptoms.

Preprocessing COVID-19 radiographic images by evolutionary column subset selection

Nowaková,  J,  Krömer, et al

 

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

Column subset selection is a hard combinatorial optimization problem with applications in operations research, data analysis, and machine learning. It involves the search for fixed–length subsets of columns from large data matrices and can be used for low–rank approximation of high–dimensional data. It can be also used to preprocess data for image classification. In this work, we study column subset selection in the context of radiography image analysis and concentrate on the detection of COVID-19 from chest X–ray imagery.

Perception and Response of Religious Leaders in Precaution Transmission of COVID-19 Through Handling and Burial of Dead Bodies in Indonesia

Nurhayati,  Purnama,  TB

Research Square prepub

Public Health response| Interventions de santé publique

This study aims to understand the differences in perceptions and responses of ulama in the process of handling and burial of dead bodies in Indonesia. This study interviewed 6 prominent ulama figures in each of the significant Islamic religious organizations in Indonesia as representatives of each practice of handling and burial of corpse. All scholars / religious leaders say that the handling and burial of the dead body using the COVID-19 protocol must be carried out by considering the possibility of disease transmission. However, some have adjusted the procedure to the religious values held by the organization. Comprehensive socialization and coordination can reduce misperceptions and misinformation in the process of handling and burial for corpses with the COVID-19 procedure so that the carrying out of handling and burial of dead bodies can prevent new COVID-19 clusters in the community.

Investigating the Spectrum of Dermatologic Manifestations in COVID-19 Infection in Severely Ill Patients - A Series of Four Cases

Occidental,  M,  Flaifel, et al

J Cutan Pathol

Clinical data| Données cliniques

We report our findings from four patients presenting with COVID-19 infection in NYC during the regional peak of cases (late March to early May) and associated cutaneous lesions in order to further validate the previously described lesions and to expand their underlying histopathological mechanisms.

32858098; Caring for a child with type 1 diabetes during COVID-19 lockdown in a developing country: Challenges and parents’ perspectives on the use of telemedicine

Odeh,  R,  Gharaibeh, et al

Diabetes research and clinical practice

Healthcare Response | Réponse des soins de santé

This study aims to evaluate the effect of these measures on paediatric patients with type 1 diabetes in terms of acute metabolic complications and shortages in insulin and glucose measuring supplies. It also evaluates the caregivers’ perceptions of the use of telemedicine during the lockdown. Families (58.3%) faced insulin shortages and 14% had to ration insulin, i.e., decrease the dose, during the lockdown. Glucose monitoring strips were rationed by 43.4% of families leading to more frequent low/high glucose readings in 75.5% of children of these families. Telemedicine using phones and social media applications was utilized for communication with healthcare professionals and continuing medical care. Most of the participants (85.5%) described it as a smooth and positive experience.

Patient with severe COVID-19 treated with corticosteroids

Ofstad,  EH,  Hauglid, et al

Tidsskr Nor Laegeforen

Clinical data| Données cliniques

A woman in her 60s with covid-19-triggered acute lung failure syndrome had stationary critical illness after three weeks of intensive care. Day 19 on a respirator, she received treatment with steroids. There was a rapid clinical improvement, and she could be weaned from ventilation support. The improvement may have been accidental or a result of other factors, but we believe this case study may help to shed light on the use of steroid therapy in severe covid-19.

Ultra-sensitive Serial Profiling of SARS-CoV-2 Antigens and Antibodies in Plasma to Understand Disease Progression in COVID-19 Patients with Severe Disease

Ogata,  AF,  Maley, et al

Clin Chem

Clinical data| Données cliniques

We used Single Molecule Array (Simoa) assays to quantitatively detect SARS-CoV-2 spike, S1 subunit, and nucleocapsid antigens in the plasma of  COVID-19 patients. We studied plasma from 64 COVID-19 positive patients, 17 COVID-19 negative patients, and 34 pre-pandemic patients. SARS-CoV-2 S1 and N antigens were detectable in 41 out of 64 COVID-19 positive patients. In these patients, full antigen clearance in plasma was observed a mean ± 95%CI of 5 ± 1 days after seroconversion and nasopharyngeal RT-PCR tests reported positive results for 15 ± 5 days after viral antigen clearance. Correlation between patients with high concentrations of S1 antigen and ICU admission (77%) and time to intubation (within one day) was statistically significant. The reported SARS-CoV-2 Simoa antigen assay is the first to detect viral antigens in the plasma of COVID-19 positive patients to date. These data show that SARS-CoV-2 viral antigens in the blood are associated with disease progression, such as respiratory failure, in COVID-19 cases with severe disease.

32847836; Oncological care organisation during COVID-19 outbreak

Onesti,  CE,  Rugo, et al

ESMO open

Healthcare Response | Réponse des soins de santé

we analysed measures taken in major oncological units in Europe and the USA. Investigators from 21 centres in 10 countries answered the survey between 10 April and 6 May 2020. A triage for patients with cancer before hospital or clinic visits was conducted by 90.5% of centres before consultations, 95.2% before day care admissions and in 100% of the cases before overnight hospitalisation by means of phone calls, interactive online platforms, swab test and/or chest CT scan. Permission for caregivers to attend clinic visits was limited in many centres, with some exceptions (ie, for non-autonomous patients, in the case of a new diagnosis, when bad news was expected and for terminally ill patients). With a variable delay period, the use of personal protective equipment was unanimously mandatory, and in many centres, only targeted clinical and instrumental examinations were performed. Telemedicine was implemented in 76.2% of the centres. Separated pathways for COVID-19-positive and COVID-19-negative patients were organised, with separate inpatient units and day care areas. Self-isolation was required for COVID-19-positive or symptomatic staff, while return to work policies required a negative swab test in 76.2% of the centres.

A theoretical model to investigate the influence of temperature, reactions of the population and the government on the COVID-19 outbreak in Turkey

Öz,  Y

Disaster Med Public Health Prep

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

In this study, a model that is by construction able to describe both government actions and individual reactions in addition to the well known exponential spread is presented. The mathematical study of the influence of the different parameters is presented through different scenarios. Remarkably, the last scenario is also an example of a theoretical mitigation strategy that shows its maximum in August 2020. In addition, the results of the model are compared with the real data from Turkey using conventional fitting that shows good agreement.

Villitis of Unknown Etiology in the Placenta of a Pregnancy Complicated by COVID-19

Ozer,  E,  Cagliyan, et al

Turk Patoloji Derg

Clinical data| Données cliniques

Villitis of unknown etiology (VUE) is noninfectious chronic villitis thought to be associated with fetal growth restriction and stillbirth. COVID-19 and the pandemic SARS-CoV-2 infection can cause an increased risk in pregnant women for potential maternal and fetal complications from an immunological mechanism. We report a 39-week-gestational-age infant delivered to a 37-year-old mother diagnosed with SARS-CoV-2 infection at 37 weeks gestation. The placental examination showed the morphological features of VUE. We showed immunohistochemically that macrophages and CD4-positive T cells predominated in the villous tissue, although elevated numbers of CD8-positive cells were also present. We hypothesize that VUE may represent a maternal anti-viral immune response, in this case to SARS-CoV-2.

32796045; Clinical outcomes of hospitalised patients with COVID-19 and chronic inflammatory and autoimmune rheumatic diseases: A multicentric matched cohort study

Pablos,  JL,  Galindo, et al

Annals of the Rheumatic Diseases

Epidemiology| Épidémiologie Clinical data| Données cliniques

Here, we compare the outcomes of a cohort of patients with rheumatic diseases with a matched control cohort to identify potential risk factors for severe illness. Most patients (74%) had been hospitalised, and the risk of severe COVID-19 was 31.6% in the rheumatic and 28.1% in the non-rheumatic cohort. Ageing, male sex and previous comorbidity (obesity, diabetes, hypertension, cardiovascular or lung disease) increased the risk in the rheumatic cohort by bivariate analysis. In logistic regression analysis, independent factors associated with severe COVID-19 were increased age (OR 4.83; 95% CI 2.78 to 8.36), male sex (1.93; CI 1.21 to 3.07) and having a CTD (OR 1.82; CI 1.00 to 3.30).

PMC7471937; Apparent scaling of virus surface roughness-An example from the pandemic SARS-nCoV

Padhy,  S,  Dimri, et al

Physica D

Coronavirology| Coronavirologie

Morphological diversity of SARS-nCoV particles is not statistically significant. Classification scheme requires the interaction of envelope-shape and spike distribution.
SARS-nCoV and SARS-CoV particles could statistically be distinguished for the slightly oval and elongated shapes. Viral surface roughness does not support power-law self-similar scaling.

32853675; Predictive factors for cardiac conduction abnormalities with hydroxychloroquine-containing combinations for COVID-19

Padilla,  S,  Telenti, et al

International journal of antimicrobial agents

Epidemiology| Épidémiologie Clinical data| Données cliniques

This longitudinal, prospective cohort study aimed to assess risk of QTc interval prolongation and its predicting factors in subjects treated with combinations containing hydroxychloroquine (HCQ) for COVID-19. A total of 105 adults were included.  Moderate-to-severe QTc prolongation was observed in 14 patients (13%), mostly at Days 3–5 from baseline, with 6 (6%) developing severe prolongation. Multivariable Cox regression revealed that comedications with known risk of torsades de pointes (TdP), higher neutrophil-to-lymphocyte (NLR) ratio  and higher serum hs-cardiac troponin I were major contributors to moderate-to-severe QTc prolongation.

Data of Italian Cancer Centers from two regions with high incidence of SARS CoV-2 infection provide evidence for the successful management of patients with locally advanced and metastatic melanoma treated with immunotherapy in the era of COVID-19

Pala,  L,  Conforti, et al

Seminars in oncology

Epidemiology| Épidémiologie Clinical data| Données cliniques

Objectives: To evaluate the safety of the management of patients with advanced melanoma treated with immunotherapy in 2 Cancer Centers located in areas of Italy with a high incidence of COVID-19 infections.  One-hundred and sixty-nine patients with stage III and IV melanoma were treated with an immunotherapy regimen at either Istituto Europeo di Oncologia or Città della Salute e della Scienza University Hospital. One-hundred and four patients continued treatment without interruption or delay, while 49 patients had a treatment delay. The main reasons for treatment delay were older age and/or presence of comorbidities. One-hundred and twelve patients had at least 1 thoracic CT scan performed and radiological findings suspicious for COVID-19 were observed in only 7 cases (4%). Fifteen patients (9%) developed symptoms potentially related to COVID-19; nasopharyngeal swabs were collected in 9 patients and only 1 was positive for SARS-CoV-2.

32864352; COVID-19 - The Availability of ICU Beds in Brazil during the Onset of Pandemic

Palamim,  CVC,  Marson, et al

Annals of global health

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

he epidemiology and geographic data were correlated with the distribution of ICU beds (public and private health systems) and the number of beneficiaries of private health insurance using Pear-son’s Correlation Coefficient. The same data were correlated using partial correlation controlled by gross domestic product (GDP) and number of beneficiaries of private health insurance.  The distribution of ICUs was uneven between public and private services, and most patients rely on the public health system, which had the lowest number of ICU beds.

Speech pathology telepractice for children with cleft palate in the times of COVID-19 pandemic

Pamplona,  MDC,  Ysunza, et al

International journal of pediatric otorhinolaryngology

Healthcare Response | Réponse des soins de santé

Forty-three children with cleft palate (CCP) were treated with telepractice (TP) intervention in 45 min sessions, 2 times per week for a period of one month.   At the onset of the TP intervention period, 84% of the patients demonstrated severe compensatory articulation (CA). At the end of the TP period there was a significant improvement in severity of CA (p < 0.001).

A Predicting Nomogram for Mortality in Patients With COVID-19

Pan,  D,  Cheng, et al

Frontiers in Public Health

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

Our research objective is to establish a reliable nomogram to predict mortality in COVID-19 patients.  For the single-center retrospective study, we collected 21 cases of patients who died in the critical illness area of the Optical Valley Branch of Tongji Hospital, Huazhong University of Science and Technology, from February 9 to March 10. Additionally, we selected 99 patients discharged during this period for analysis. The predictors included in the nomogram were c-reactive protein, PaO2/FiO2, and cTnI.

Smart epidemic tunnel: IoT-based sensor-fusion assistive technology for COVID-19 disinfection

Pandya,  S,  Sur, et al

International Journal of Pervasive Computing and Communications

Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI)

The authors have presented a sensor-fusion-based automatic sanitizer tunnel that detects a human using an ultrasonic sensor from the height of 1.5 feet and disinfects him/her using the spread of a sanitizer spray.

32847947; Retrospective analysis of high flow nasal therapy in COVID-19-related moderate-to-severe hypoxaemic respiratory failure

Patel,  M,  Gangemi, et al

BMJ open respiratory research

Epidemiology| Épidémiologie Clinical data| Données cliniques

This was a retrospective analysis of consecutive patients admitted to Temple University Hospital in Philadelphia, Pennsylvania, from 10 March 2020 to 24 April 2020 with moderate-to-severe respiratory failure treated with high flow nasal therapy (HFNT). Of the 445 patients with COVID-19, 104 met our inclusion criteria.  Forty-three patients (43.43%) were smokers. Saturation to fraction ratio and chest X-ray scores had a statistically significant improvement from day 1 to day 7. 67 of 104 (64.42%) were able to avoid invasive mechanical ventilation in our cohort. Incidence of hospital-associated/ventilator-associated pneumonia was 2.9%. Overall, mortality was 14.44% (n=15) in our cohort with 13 (34.4%) in the progressed to intubation group and 2 (2.9%) in the non-intubation group. Mortality and incidence of pneumonia was statistically higher in the progressed to intubation group.

Cardiovascular disease, therapy and mortality of oligosymptomatic and symptomatic patients infected with SARS-CoV-2: experiences of a designated hospital in Poland

Pawlak,  A,  Dreżewski, et al

Kardiol Pol

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of this study was to evaluate clinical and laboratory parameters at the time of admission to the hospital and to compare them with the treatment and short-term prognosis of COVID-19 patients. One hundred sixty-six consecutive patients hospitalized between March and May of 2020 in in Warsaw were enrolled in the study. Patients were divided into three groups: I – oligosymptomatic patients who underwent one-day stay in the hospital emergency room, II – symptomatic patients, who have survived the hospitalization and III – symptomatic patients, who have died during the hospitalization. Patients in group I compared with patients in groups II and III were younger. Laboratory results revealed lower inflammatory and coagulation parameters in group I than group II and III. In multivariable Cox regression analysis senior age, CRP were found to be risk factors for death.  Lopinavir/ritonavir, oxygen therapy and mechanical ventilation were used more frequently in group III than in group II

Unexpected diagnosis of COVID-19-associated disorders by SARS-CoV-2-specific serology

Péré,  H,  Védie, et al

Journal of Clinical Virology

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

We herein evaluated the analytical performances of the CE IVD-labeled Abbott SARS-CoV-2 IgG assay (Des Plaines, IL, USA) carried out with the automated Abbott Architect™ i2000 platform at Hôpital Européen Georges Pompidou, Paris, France, using serum sample panels obtained from health-workers with COVID-19 history confirmed by positive nucleic acid amplification-based diagnosis and from patients randomly selected for whom serum samples were collected before the COVID-19 epidemic. The Abbott SARS-CoV-2 IgG assay showed sensitivity of 94 % and specificity of 100 %.

32867108; Study of a SARS-CoV-2 Outbreak in a Belgian Military Education and Training Center in Maradi, Niger

Pirnay,  JP,  Selhorst, et al

Viruses

Epidemiology| Épidémiologie Clinical data| Données cliniques

At the beginning of May 2020, 22 out of 70 Belgian soldiers deployed to a military education and training center in Maradi, Niger, developed mild COVID-19 compatible symptoms. Immediately upon their return to Belgium, and two weeks later, all seventy soldiers were tested for SARS-CoV-2 RNA (RT-qPCR) and antibodies (two immunoassays). Nine soldiers had at least one positive COVID-19 diagnostic test result. Five of them exhibited COVID-19 symptoms (mainly anosmia, ageusia, and fever), while four were asymptomatic. In four soldiers, SARS-CoV-2 viral load was detected and the genomes were sequenced. Conventional and genomic epidemiological data suggest that these genomes have an African most recent common ancestor and that the Belgian military service men were infected through contact with locals.

32845754; Acute stroke showing cerebral infarcts and microbleeds in a 31-year-old man with COVID-19 pneumonia

Planinc,  D,  El-Rekaby, et al

British journal of hospital medicine (London, England : 2005)

Clinical data| Données cliniques

Acute stroke showing cerebral infarcts and microbleeds in a 31-year-old man with COVID-19 pneumonia

Pan-Echinocandin-Resistant Candida glabrata Bloodstream Infection Complicating COVID-19: A Fatal Case Report

Posteraro,  B,  Torelli, et al

J Fungi (Basel)

Clinical data| Données cliniques

We report the 53-day clinical course of a complicated type-2 diabetes patient diagnosed with COVID-19, who developed bloodstream infections initially due to methicillin-resistant Staphylococcus aureus, secondly due to multidrug-resistant Gram-negative bacteria, and lastly due to a possibly fatal Candida glabrata.  The patient died of septic shock shortly before the prospect of receiving potentially effective antifungal therapy.

COVID-19 Re-Infection by a Phylogenetically Distinct SARS-CoV-2 Variant, First Confirmed Event in South America

Prado-Vivar,  Belen

SSRN- Lancet prepublication

Clinical data| Données cliniques

Here we present the first confirmed case of SARS-CoV-2 reinfection in Ecuador and South America. Our diagnostic laboratory detected a potential re-infection in one patient who was SARS-COv2 rt-PCR positive twice (in May and July 2020). The first laboratory-confirmed infection presented with mild symptoms and full recovery, reaffirmed by a negative RT-PCR test result obtained two weeks after symptom onset. More severe COVID-19-like symptoms presented again four weeks after the first event, and a third RT-PCR test was performed which resulted positive.  Different SARS-CoV-2 variants were identified in each infection event. For the first infection, the genome was assigned to the B1.p9 GISAID clade while the variant associated with the second episode was assigned to the A.1.1 GISAID clade. High levels of both SARS-CoV-2 specific IgM and IgG were observed during the second event.

Structure, COVID-19-related Knowledge, Attitudes and Work Characteristics of the Community COVID-19 Containment Team

Qiu,  C,  Wang, et al

Chinese General Practice

Public Health response| Interventions de santé publique

To investigate the structure, COVID-19-related knowledge, attitudes, and work characteristics of the community COVID-19 containment team. A self-designed questionnaire was used to conduct a survey with community workers for containing COVID-19. Of the 756 workers, 753(99.6%) who completed the questionnaire effectively were included for final analysis.  Three aspects concerning COVID-19 containment obtained the highest awareness rates:required days for continuing to monitor self-health after discharge, incubation period, and criteria for releasing from quarantine. Younger age was associated with lower awareness rates of the class of COVID-19 as an infectious disease, and incubation period of COVID-19, but higher awareness rate of COVID-19 main symptoms(P<0.05). Education level was associated with higher or lower awareness rates of the aspects concerning COVID-19 related information(P<0.05) except the awareness rate of transmission routes. Occupation was associated with significant differences in the awareness rates of the class of COVID-19 as an infectious disease and number of self-health monitoring days(P<0.05). Higher annual household income per capita was associated with higher awareness rate of number of self-health monitoring days(P<0.05).

Recommended shielding against COVID-19 impacts physical activity levels in adults with cystic fibrosis

Radtke,  T,  Haile, et al

Journal of Cystic Fibrosis

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study was designed to investigate health-related aspects of individuals with cystic fibrosis (CF), with and without lung transplantation (LTX), their communication with their specialist healthcare providers during the pandemic, potential changes in peoples’ individual therapy regimes and daily physical activity levels. A web-based survey was conducted among Swiss adults with CF with and without LTX. 327 individuals (25% LTX recipients) were included, 45 individuals reported coronavirus-2019 disease (COVID-19) like symptoms. Of 28 subjects tested, only three subjects were tested positive, all with mild symptoms, no hospitalization required. Almost half of the survey respondents (45%) reported undertaking less physical activity during the lockdown, while 79% and 91% of participants reported no change in traditional airway clearance and inhalation therapies, respectively. Distress regarding a potential SARS-CoV-2 infection or worsening of lung disease were no major concerns for subjects.

Challenges of Testing COVID-19 Cases in Bangladesh

Rahaman,  KR,  Mahmud, et al

Int J Environ Res Public Health

Surveillance Public Health Priorities| Priorités de santé publique

Results show that the number of testing centers is not enough to cater to the vast population of the country. Additionally, we found that the number of days it takes to receive the results from the COVID-19 testing centers is not optimal at divisional cities, let alone the remote rural areas.

An interesting case of small vessel pathology following coronavirus infection

Ramadan,  SM,  Kasfiki, et al

BMJ Case Rep

Clinical data| Données cliniques

We report the case of a 63-year-old woman presenting with upper and lower respiratory tract symptoms followed by a vasculitic rash on both legs. The patient underwent extensive radiological and laboratory investigations that were negative apart from positive coronavirus OC43. A biopsy of the skin was performed. Considering the clinical presentation and the investigations performed, the diagnosis of small vessel vasculopathy following coronavirus OC43 has been suggested by the authors.

Collateral effect of COVID-19 on orthopedic and trauma surgery

Randau,  TM,  Jaenisch, et al

PLoS One

Healthcare Response | Réponse des soins de santé

The purpose of this study was to assess the impact of the COVID-19 pandemic on orthopedic and trauma surgery in private practices and hospitals in Germany. 858 orthopedic and trauma surgeons participated in the survey throughout Germany. In the multiple regression analysis, being employed at a hospital was identified as an independent positive predictor in the indices for “Preparedness”, “Resources”, and “Informedness” and an independent negative predictor regarding “Depletion”. Self-employment was found to be an independent positive predictor of the financial index “Depletion”. Female surgeons were identified as an independent variable for a higher level of “Concern”.

Immunogenic SARS-CoV-2 epitopes: In silico study towards better understanding of COVID-19 disease—paving the way for vaccine development

Ranga,  V,  Niemelä, et al

Vaccines

Coronavirology| Coronavirologie

Using in silico analyses, we showed that human major histocompatibility complex (MHC) class I cell-surface molecules vary in their capacity for binding different SARS-CoV-2-derived epitopes, i.e., short sequences of 8-11 amino acids, and pinpointed five specific SARS-CoV-2 epitopes that are likely to be presented to cytotoxic T-cells and hence activate immune responses.

Impact of SARS-CoV-2 pandemic on colorectal cancer screening delay: effect on stage shift and increased mortality

Ricciardiello,  L,  Ferrari, et al

Clin Gastroenterol Hepatol

Epidemiology| Épidémiologie Clinical data| Données cliniques

In Italy, since the beginning of the pandemic, colorectal cancer (CRC) screening programs have been forcefully suspended. We aimed to evaluate whether screening procedure delays can affect the outcomes of CRC screening. We built a procedural model considering delays in the time to colonoscopy and estimating the effect on mortality due to up-stage migration of patients. With a delay of 0-3 months, 74% of CRC is expected to be stage I-II, while with a delay of 4-6 months there would be a 2%-increase for stage I-II and a concomitant decrease for stage III-IV (p=0.068). Compared to baseline (0-3-months), moderate (7-12-months) and long (>12-months) delays would lead to a significant increase in advanced CRC (from 26% to 29% and 33%, respectively; p=0.008 and p<0.001, respectively). We estimated a significant increase in the total number of deaths (+12.0%) when moving from a 0-3-months to a >12-month delay (p=0.005), and a significant change in mortality distribution by stage when comparing the baseline with the >12-months (p<0.001).

Students' Acceptance of the COVID-19 Impact on Shifting Higher Education to Distance Learning in Poland

Rizun,  M,  Strzelecki, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

The purpose of this study is to investigate the influence of Experience, Enjoyment, Computer Anxiety, and Self-Efficacy on students’ acceptance of shifting education to distance learning.  The study utilizes an online survey to obtain data from 1692 Polish undergraduate and graduate students in both full- and part-time study. Results showed that the best predictor of student’s acceptance of shifting education to distance learning is Enjoyment, followed by Self-Efficacy. Both Perceived Ease of Use and Perceived Usefulness predict student’s Attitude Towards Using and Intention to Use the distance learning.

Acral lesions in a pediatric population during the COVID-19 pandemic: a case series of 36 patients from a single hospital in Spain

Rosés-Gibert,  P,  Gimeno Castillo, et al

World J Pediatr

Clinical data| Données cliniques

A retrospective descriptive study was performed collecting data on 36 patients under 14 years old, presenting suspicious acral skin manifestations for coronavirus disease 2019 (COVID-19). Patients were mostly male (63.8%). The mean age was 11.11 years. 66.67% of patients showed erythematous papules, and 44.44% purpuric macules. Feet were affected in 97.22% of patients and hands in 5.55%. Lesions were asymptomatic in 50% of patients. 30.55% of patients showed extracutaneous findings, preceding skin lesions in 12.62 days. Seven patients underwent specific severe acute coronavirus 2 (SARS-CoV-2) testing; all of these patients tested negative.

The Disproportionate Impact of COVID-19 on Older Latino Mortality: The Rapidly Diminishing Latino Paradox

Sáenz,  R,  Garcia, et al

J Gerontol B Psychol Sci Soc Sci

Epidemiology| Épidémiologie

We use recent data from the Centers for Disease Control and Prevention to compute age-specific death rates (ASDRs) for three causes of death: deaths from COVID-19, residual deaths, and total deaths for four age-groups (55-64, 65-74, 75-84, and 85 and older) to assess the impact of COVID-19 on older Latino mortality relative to non-Latino Whites and non-Latino Blacks and also in comparison to residual deaths. our findings show that Latinos have lower ASDRs for non-COVID-19 causes of death across all age groups compared to non-Latino Whites. However, our findings indicate that Latinos have significantly higher ASDRs for COVID-19 deaths than non-Latino Whites. Furthermore, although the Latino advantage for total deaths persists during the pandemic, it has diminished significantly compared to the 1999-2018 period.

Psychological experience of patients admitted with SARS-CoV-2 infection

Sahoo,  S,  Mehra, et al

Asian Journal of Psychiatry

Epidemiology| Épidémiologie Clinical data| Données cliniques

The present study suggests that going through the whole experience of COVID-19 infection, in the form of staying in isolation wards could be very stressful, even for patients who are minimally symptomatic or asymptomatic. Use of adaptive copings, could help reduce the distress. Despite being provided psychological support, about two-fifths of the patients develop psychological morbidity.

Evaluation of the rate of COVID-19 infection, hospitalization and death among Iranian patients with multiple sclerosis

Sahraian,  MA,  Azimi, et al

Multiple Sclerosis and Related Disorders

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this study, we evaluated a large population of patients with Multiple sclerosis (MS) with different disease modifying drugs to show if any of them increases the risk. In addition, this study evaluates the incidence of COVID-19 in patients with MS, the rate of hospitalization or death in these patients. 4647 patients answered the phone contact. Of these, 68 were infected with the COVID-19. The rate of hospitalization was 25% which is far more than general population. Two patients died from COVID-19. Rituximab was associated with increase rate of COVID-19 infection but not with hospitalization rate. There was no significant correlation between use of other drugs and rate of infection.

Difficulty in diagnosing mild cases of COVID-19 without respiratory symptoms during the Novel Coronavirus Pandemic: Careful monitoring needed for patients with persistent upper gastrointestinal symptoms

Saito,  H,  Ozaki, et al

Clinical Case Reports

Clinical data| Données cliniques

A 27‐year‐old healthy man presented with sore throat and persistent upper gastrointestinal symptoms for approximately two months and finally turn out to be infected with COVID‐19. Clinicians in COVID‐19‐endemic areas should suspect COVID‐19 infection in patients even if they have no noticeable respiratory symptoms and only gastrointestinal symptoms.

The impact of mobility restriction measures on the reproduction index of Covid-19 in the city of Queretaro, Mexico

San Roman Orozco,  Oscar,  Agraz Orozco, et al

medRxiv

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

A positive relationship is observed between Re, R0, and the levels of mobility presented by Google. This indicates that an increase in mobility is associated with the transmission of SARS-CoV-2. In February, a significant decrease in mobility is observed, which lasts until approximately May 1st. This period corresponds to an R0 and R(e) between 1.17 and 1.87. After May 1st, there is a sustained increase in mobility levels. And, as of May 16, the effective reproduction index R (e) and the reproduction index R0 begin to increase.

LynyrdSkynyrd at WNUT-2020 Task 2: Semi-Supervised Learning for Identification of Informative COVID-19 English Tweets

Sancheti,  A,  C

ArXiv

Public Health response| Interventions de santé publique

We describe our system for WNUT-2020 shared task on the identification of informative COVID-19 English tweets. Our system is an ensemble of various machine learning methods, leveraging both traditional feature-based classifiers as well as recent advances in pre-trained language models that help in capturing the syntactic, semantic, and contextual features from the tweets. We further employ pseudo-labelling to incorporate the unlabelled Twitter data released on the pandemic. Our best performing model achieves an F1-score of 0.9179 on the provided validation set and 0.8805 on the blind test-set.

Effect of COVID-19 lockdown on patients with chronic diseases

Saqib,  MAN,  Siddiqui, et al

Diabetes and Metabolic Syndrome: Clinical Research and Reviews

Public Health response| Interventions de santé publique

Background and aims: We sought to measure the effect of lockdown, implemented to contain COVID-19 infection, on routine living and health of patients with chronic diseases and challenges faced by them. Methods: A semi-structured online questionnaire was generated using “Google forms” and sent to the patients with chronic diseases using WhatsApp. Data were retrieved and analyzed using SPSS. Results: Out of 181 participants, 98% reported effect of lockdown on their routine living while 45% reported an effect on their health. The key challenges due to lockdown were to do daily exercise, missed routine checkup/lab testing and daily health care. Conclusion: It is important to strategize the plan for patients with chronic diseases during pandemic or lockdown. © 2020 Diabetes India

Ethnic Prevalence of Angiotensin-Converting Enzyme Deletion (D) Polymorphism and COVID-19 Risk: Rationale for Use of Angiotensin-Converting Enzyme Inhibitors/Angiotensin Receptor Blockers

Sarangarajan,  R,  Winn, et al

J Racial Ethn Health Disparities

Epidemiology| Épidémiologie Clinical data| Données cliniques

The study objective was to describe a biological framework associating ethnic prevalence of ACE deletion polymorphism to COVID-19 comorbidities providing rationale for therapeutic utility of ACE-I/ARBs to improve outcomes.  In a total of 349 worldwide population samples, frequency of ACE D allele was higher in European, Asian, and Africans cohorts. In the USA, the frequency of ACE D allele was higher in non-Hispanic Black compared with non-Hispanic White and Mexican Americans.

32831342; Gestión integral de COVID 19 en un hospital regional en el noroeste de España

Sardiña-González,  C,  López-Reboiro, et al

Gaceta medica de Mexico

Epidemiology| Épidémiologie Clinical data| Données cliniques

The objective of this study was to evaluate the utility of a strategy to comprehensively address the pandemic in a health area that covers 42,000 people. A regional hospital and social health centers were monitored. Eighteen COVID-19-positive patients were admitted. Mean hospital stay was 9.4 ± 5.3 days, and mortality, 11%. PCR tests were applied to all hospital residents (n = 827) and workers (n = 519), 36 hospital admissions were avoided. Only 50 patients required close follow-up, out of which four (0.48%) were positive for COVID-19.

Incidence, risk factors, timing and outcome of influenza versus Covid-19 associated putative invasive aspergillosis

Sarrazyn,  C,  Dhaese, et al

Infect Control Hosp Epidemiol

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to compare the incidence, risk factors, timing and outcome of influenza and Covid-19 associated invasive pulmonary aspergillosis (IPA) in our institution, a tertiary-care hospital in Belgium, for the 2019-2020 season. Putative IPA was diagnosed in 5 patients of the influenza cohort (3.5%) and 4 of the Covid-19 cohort (3%). The time between admission and diagnosis of IPA was not different. All patients with Covid-19 associated IPA died versus 3 out of 5 influenza associated IPA, all of whom were ventilated and died in the ICU.

Pediatric multisystemic inflammatory syndrome associated with SARS-CoV-2 infection

Schneider,  DT,  Pütz-Dolderer, et al

Deutsches Arzteblatt International

Clinical data| Données cliniques

This case report describes a 9 year old boy with pediatric multisystemic inflammatory syndrome associated with SARS-CoV-2 infection. PCR was negative for SARS-CoV-2 on two occasions, but the IgG and IgA titers against SARS-CoV-2 were markedly elevated. After initiation of prednisolone treatment, the body temperature swiftly returned to normal with resolution of the vasculitis and myocarditis.

32853672; Safety and effectiveness of azithromycin in patients with COVID-19: an open-label randomised trial

Sekhavati,  E,  Jafari, et al

International journal of antimicrobial agents

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique RCT

We aimed to assess the effectiveness of azithromycin (AZM) in patients at a referral centre in Iran. An open-label, randomised controlled trial was conducted on patients with laboratory-confirmed COVID-19. Initially, there was no significant difference between the general conditions and vital signs of the two groups. The SpO2 levels at discharge were significantly higher, the respiratory rate was lower and the duration of admission was shorter in the case group. There was no significant difference in the mortality rate between the two groups. Patients who received AZM in addition to HCQ and LPV/r had a better general condition.

Structural characterization of Nonstructural protein 1 from SARS-CoV-2

Semper,  Cameron,  Watanabe, et al

bioRxiv

Coronavirology| Coronavirologie

Here, we report the crystal structure of the globular domain of SARS-CoV-2 nonstructural protein 1 (Nsp1), a major virulence factor shown to facilitate suppression of host gene expression through promotion of host mRNA degradation and interaction with the 40S ribosomal subunit. Combining our high-resolution crystal structure with existing data on the C-terminus of Nsp1 from SARS-CoV-2, we propose a model of the full-length protein.

Application of Health Belief Model on Child's Dental Visit Postponement during the COVID-19 Pandemic

Setiawan,  AS,  Zubaedah, et al

Eur J Dent

Public Health response| Interventions de santé publique

The aim of this cross-sectional survey is to analyze parental perception on child's dental visit postponement using health belief model (HBM) during the pandemic of COVID-19. Respondents perception were found indifferent in perceived susceptible, perceived severity, and perceived barrier. Whilst confirmed in perceived benefit, cue of action, self-efficacy, and locus of control.

Favorable outcomes of COVID-19 in recipients of hematopoietic cell transplantation

Shah,  GL,  DeWolf, et al

J Clin Invest

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this study of recipients of cellular therapy we aimed to identify clinical variables associated with COVID-19 severity and assess lymphocyte populations. We identified 77 SARS-CoV-2 + cellular therapy recipients. Overall survival at 30 days was 78%. Clinical variables significantly associated with the composite endpoint of non-rebreather or higher oxygen requirement and death included number of co-morbidities, infiltrates, and neutropenia. Immune profiling revealed reductions and rapid recovery in lymphocyte populations across lymphocyte subsets.

32747007; SARS-CoV-2 and Thrombosis: More Than Just by Chance

Shah,  K

American Journal of the Medical Sciences

Clinical data| Données cliniques

Here is a case of a patient diagnosed with SARS-CoV-2 presenting with pulmonary embolism. The patient was started on therapeutic anticoagulation with heparin. After 5 days, the patient's hemoglobin oxygen saturation was 94% on room air, D-dimer was 2800 ng/mL, and he was discharged home with apixaban.

32856834; The Russian healthcare image transformation during the pandemic COVID-19 in the info field

Sharkova,  IV

Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

Healthcare Response | Réponse des soins de santé

The article represents the results of a studying the information field of the healthcare sector in Russia. Measurements were made in the Yandex search engine, as well as in the Medialogia media database. The study was conducted between December 01, 2019 and may 15, 2020. The results of the studying are one part of the studying of the image of Russian healthcare and may be necessary for further work on its correction.

In-silico screening of plant-derived antivirals against main protease, 3CL(pro) and endoribonuclease, NSP15 proteins of SARS-CoV-2

Sharma,  A,  Goyal, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

In the present study, in-silico approach of drug development was used to search for potential antiviral plant-derived compounds as inhibitors against SARS-CoV-2 replication proteins. The docking results suggested that bisdemethoxycurcumin, demethoxycurcumin, scutellarin, quercetin and myricetin showed least binding energy. Further studies of ADME-Tox and bioavailability of drugs were also performed that exhibited efficient parameters of drug likeness. Our findings suggest that these compounds could be potential inhibitors of SARS-CoV-2 main protease and endoribonuclease

Stay-at-Home Stocks Versus Go-Outside Stocks: The Impacts of COVID-19 on the Chinese Stock Market

Shen,  D,  Zhang, et al

Asia-Pacific Financial Markets

Economics | Économie

This paper investigates the distinct market reactions to the COVID-19 outbreak by focusing on two groups of stocks in the Chinese stock market, i.e., the stay-at-home (SAH) stocks, and the go-outsides (GO) stocks. The empirical results mainly reveal that for the GO stocks, there exists a significantly negative return on the event date and the cumulative abnormal return reveals reversal pattern. For the SAH stocks, no significantly negative return is observed on the event date and the cumulative abnormal return continues to increase and generally speaking, the reaction of the GO stocks supports the price pressure hypothesis, while the reaction of the SAH stocks supports the information diffusion hypothesis.

A Humanities-Based Explanation for the Effects of Emotional Eating and Perceived Stress on Food Choice Motives during the COVID-19 Pandemic

Shen,  W,  Long, et al

Nutrients

Public Health response| Interventions de santé publique

This study assessed whether emotional eating mediates the associations between perceived stress levels and food choice motives during the Coronavirus Disease 2019 pandemic. The mediation analyses showed that emotional eating mediates the associations between perceived stress and five food choices motives: mood, convenience, sensory appeal, price, and familiarity.

Assessment of Brain Injury Using Portable, Low-Field Magnetic Resonance Imaging at the Bedside of Critically Ill Patients

Sheth,  KN,  Mazurek, et al

JAMA Neurol

Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

The objective of this cohort study was to perform an assessment of brain injury in critically ill patients in intensive care unit settings, using a portable, low-field MRI device at the bedside. Point-of-care MRI examinations were performed on 50 patients presenting with ischemic stroke, hemorrhagic stroke, subarachnoid hemorrhage, traumatic brain injury, brain tumor, and COVID-19 with altered mental status. Neuroimaging findings were detected in 29 of 30 patients who did not have COVID-19, and 8 of 20 patients with COVID-19 demonstrated abnormalities. There were no adverse events or complications during deployment of the portable MRI or scanning in an intensive care unit room.

32798630; Face touching in the time of COVID-19 in Shiraz, Iran

Shiraly,  R,  Shayan, et al

American Journal of Infection Control

Public Health response| Interventions de santé publique

The aim of our study was to establish the frequency of face-touching behavior by the public after quarantine restrictions were lifted in Shiraz, Iran. The average number of touches to the mucosal zone was calculated per hour and mask wearers (N = 568) were compared with those not wearing a mask (N = 432). 92% were observed touching their face at least once an hour and averaged 10 touches per hour. Nonmask wearers touched their face significantly more often than mask wearers (11 vs 8 times per hour, P < .001). Nonmask wearers were 1.5 times more likely to touch their mucosal zone than mask wearers.

Data-driven Optimized Control of the COVID-19 Epidemics

Shirin,  A,  L

ArXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique Economics | Économie

We use daily new case counts of COVID-19 patients reported by local health administrations from different Metropolitan Statistical Areas within the US to parametrize a model that well describes the propagation of the disease in each area. We then introduce a time-varying control input that represents the level of social distancing imposed on the population of a given area and solve an optimal control problem with the goal of minimizing the impact of social distancing on the economy in the presence of relevant constraints, such as a desired level of suppression for the epidemics at a terminal time.

Peritonsillar abscess and concomitant COVID-19 in a 21-year-old male

Sideris,  AW,  Ghosh, et al

BMJ Case Rep

Clinical data| Données cliniques

Transoral drainage of peritonsillar abscess during the COVID-19 pandemic is a high-risk procedure due to potential aerosolisation of SARS-CoV-2. This case describes conservative management of peritonsillar abscess in a 21-year-old male with COVID-19.

32865522; A 57-year-old african american man with severe COVID-19 pneumonia who responded to supportive photobiomodulation therapy (PBMT): First use of PBMT in COVID-19

Sigman,  SA,  Mokmeli, et al

American Journal of Case Reports

Clinical data| Données cliniques

This study reports the first time supportive photobiomodulation therapy (PBMT) was used in a severe case of COVID-19 pneumonia. A 57-year-old African American man with severe COVID-19 received 4 once-daily PBMT sessions. The patient reported substantial improvement in the Community-Acquired Pneumonia assessment tool.

Timing of national lockdown and mortality in COVID-19: the Italian experience

Silverio,  A,  Di Maio, et al

Int J Infect Dis

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

The objective of this study was to evaluate if the pandemic mitigation effect of lockdown in Italy have been influenced by the level of penetration of COVID-19 in Italian Regions at the onset of containment (March 9, 2020). The number of COVID-19 cases and new cases per day before lockdown correlated with mortality in Italy. The mitigation effect of lockdown on mortality depended on the level of penetration of COVID-19 among Italian Regions at the time of containment. Every day of delay in containment was associated with increased mortality in Italy.

Ordinal decision-tree-based ensemble approaches: The case of controlling the daily local growth rate of the COVID-19 epidemic

Singer,  G,  Marudi, et al

Entropy

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In this research, we develop ordinal decision-tree-based ensemble approaches in which an objective-based information gain measure is used to select the classifying attributes. We perform experiments in which the task is to classify the daily COVID-19 growth rate factor based on environmental factors and containment measures for 19 regions of Italy. We demonstrate that the ordinal algorithms outperform their non-ordinal counterparts with improvements in the range of 6-25% for a variety of common performance indices. The majority voting approach that combines ordinal and non-ordinal models yields a further improvement of between 3% and 10%.

Challenges in heart transplantation during COVID-19: A single-center experience

Singhvi,  A,  Barghash, et al

Journal of Heart and Lung Transplantation

Epidemiology| Épidémiologie Clinical data| Données cliniques

We sought to describe our practice and experience with performing orthotopic heart transplants (OHT) during the peak of the pandemic. Of the approximately 400 OHT recipients followed at our institution, 22 acquired COVID-19.  Most (n = 16, 86.4%) were hospitalized, 18% required intubation, and 14% required vasopressor support. Five patients (23%) expired. Five patients underwent OHT during the pandemic.  All were successfully discharged and are alive without allograft dysfunction or rejection.

32865489; Medical Emergencies During the COVID-19 Pandemic

Slagman,  A,  Behringer, et al

Deutsches Arzteblatt international

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

In this study, we investigate the number of emergency room consultations during the COVID-19 pandemic of 2020 in Germany compared to figures from the previous year. A total of 51 361 SARS-CoV2 tests were carried out during the observation period, of which 6.1% (n = 3122) were positive. The COVID-19 pandemic led to a significant drop in medical emergencies of all kinds presenting to the nation's emergency departments. A recovery effect began to be seen as early as calendar week 15, but the levels seen in 2019 were not yet reached overall by calendar week 22; only the prevalence of myocardial infarction had renormalized by then.

Responses to COVID-19 in higher education: Social media usage for sustaining formal academic communication in developing countries

Sobaih,  AEE,  Hasanein, et al

Sustainability (Switzerland)

Public Health response| Interventions de santé publique

This research empirically examines the extent to which social media sites are adopted by faculty members and students for sustaining formal, i.e., sole and official tools, academic communication after the COVID-19 worldwide pandemic. The results showed that students' personal usage of social media has promoted its effective usage for sustaining formal teaching and learning. Students used social media for building an online community and supporting each other, whereas faculty members were focused on teaching and learning exclusively.

Responding to Health Care Professionals' Mental Health Needs During COVID-19 Through the Rapid Implementation of Project ECHO

Sockalingam,  S,  Clarkin, et al

J Contin Educ Health Prof

Healthcare Response | Réponse des soins de santé

We describe the psychological needs of health care professionals (HCPs) during COVID-19 and the implementation of Project Extension for Community Healthcare Outcomes (ECHO) Coping with COVID (ECHO-CWC) to help HCPs manage COVID-19 distress. Needs assessment data showed that most participants reported feeling increased stress at work, fear of infecting others, and fear of falling ill from COVID-19, yet most participants accepted the risk associated with work during this time. Participants were highly satisfied with the initial five sessions of ECHO-CWC.

Corona Covid-19 virus and severe hypoxia in young patients without underlying disease: High prevalence rate with blood group A

Solhpour,  A,  Jafari, et al

Trends in Anaesthesia and Critical Care

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study explores the relation between the type of blood group and severe cases of hypoxia among young patients infected by Covid-19 in Iran. Of 93 patients with severe hypoxia, 61 (65%) patients had blood group type A, 22 (23%) patients had AB, 8 (8%) patients had type B, and only 2 (2%) of patients had blood group type O. In the general population, in our community the distribution of the blood group reported the blood of 36.49%, 32.09%, 23.68%, and 7.74% as type O, A, B and AB respectively

Neuroinvasion of SARS-CoV-2 in human and mouse brain

Song,  Eric,  Zhang, et al

bioRxiv

Clinical data| Données cliniques Coronavirology| Coronavirologie Animal model | Modèle animal

Here, we used three independent approaches to probe the capacity of SARS-CoV-2 to infect the brain. First, using human brain organoids, we observed clear evidence of infection with accompanying metabolic changes in the infected and neighboring neurons. Second, using mice overexpressing human ACE2, we demonstrate in vivo that SARS-CoV-2 neuroinvasion, but not respiratory infection, is associated with mortality. Finally, in brain autopsy from patients who died of COVID-19, we detect SARS-CoV-2 in the cortical neurons, and note pathologic features associated with infection with minimal immune cell infiltrates.

Rationalizing Treatment for Gynecological Cancers During the COVID-19 Pandemic: An Indian Experience

Srinivasa,  GY,  Dey, et al

Indian Journal of Gynecologic Oncology

Healthcare Response | Réponse des soins de santé

This study highlights our experience in the management of patients of gynecological malignancies over a period of 2 months during the COVID-19 pandemic. In total, 44.4% of patients on treatment had associated comorbidities that imposed an additional risk. 123/160 patients continued treatment with their initial plan of radiotherapy or chemotherapy. New patients were prioritized based on the severity of clinical symptoms and whether the expected outcome would significantly affect their survival and quality of life.

Analytic-thinking predicts hoax beliefs and helping behaviors in response to the COVID-19 pandemic

Stanley,  ML,  Barr, et al

Thinking and Reasoning

Public Health response| Interventions de santé publique

Here, we examine a disposition—engagement in analytic-thinking—that might predict beliefs that the pandemic is a hoax and failures to change behavior in positive ways during that critical early period in March. Our results indicate that individuals less likely to engage effortful, deliberative, and reflective cognitive processes were more likely to believe the pandemic was a hoax and less likely to have recently engaged in social-distancing and hand-washing in March.

Evaluating the impact of COVID-19: A cohort comparison study of drug use and risky sexual behavior among sexual minority men in the U.S.A

Starks,  TJ,  Jones, et al

Drug and alcohol dependence

Public Health response| Interventions de santé publique

This study compared marijuana use, other illegal drugs use (i.e. cocaine/crack, methamphetamine, MDMA/ecstasy, GHB, and ketamine) and sexual behavior with casual partners among sexual minority cismen active on social networking and dating applications before and during the COVID-19 epidemic. While the proportion of participants reporting drug use and condomless anal sex with casual partners declined in the COVID cohort, the association between drug use and sexual behavior was magnified. Sexual minority men who use drugs are significantly more likely to engage in sexual behaviors that place them at risk for HIV and COVID-19 transmission.

32777008; Practice Patterns and Responsiveness to Simulated Common Ocular Complaints among US Ophthalmology Centers during the COVID-19 Pandemic

Starr,  MR,  Israilevich, et al

JAMA Ophthalmology

Healthcare Response | Réponse des soins de santé

The objective of this study was to report practice patterns for common ocular complaints during the initial stage of the COVID-19 pandemic among comprehensive ophthalmology practices in the US.  In this cross-sectional study, 40 private practices and 20 university centers were randomly selected from 4 regions across the US. Private practices had shorter times to next available appointment for cataract extraction and were more likely to evaluate posterior vitreous detachment symptoms.

Triage of Amyotrophic Lateral Sclerosis Patients during the COVID-19 Pandemic: An Application of the D50 Model

Steinbach,  R,  Prell, et al

J Clin Med

Healthcare Response | Réponse des soins de santé

Owing to the novel coronavirus disease (COVID-19) pandemic, regular contact with amyotrophic lateral sclerosis (ALS) patients at our center was severely restricted and patient care was at risk by delay of supportive therapies. We established a triage system based on the D50 disease progression model and were thus able to identify a prospective cohort with high disease aggressiveness (D50 < 30). We show that a comparable amount of advanced care was induced in a retrospective cohort within a similar time period one year prior to the COVID-19 outbreak. Our workflow to identify high-risk patients via D50 model metrics helped to maintain a high quality of advanced care planning for our ALS patients.

The Role of Asymptomatic Individuals in the COVID-19 Pandemic via Complex Networks

Stella,  L,  M

ArXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

This study aims to model the interactions in the population by means of a complex network and to shed some light on the effectiveness of localised control measures in Italy in relation to the school opening in mid-September. The advantage of using this SEIR model lies in that it discriminates between asymptomatic and symptomatic cases of COVID-19. A case study on the situation in Italy is given: first the homogeneous model is used to compare the official data with the data of the recent seroprevalence study from Istat; second, in view of the return to school in mid-September, a study at regional level is conducted.

Managing the risk of a COVID-19 outbreak from border arrivals

Steyn,  Nicholas,  Plank, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Transmission Public health interventions*| Interventions de santé publique Surveillance

We model the testing, isolation and transmission of COVID-19 within quarantine facilities to estimate the risk of community outbreaks being seeded at the New Zealand border. We show that the combination of 14-day quarantine with two tests reduces the risk of releasing an infectious case to around 0.1% per infected arrival. Shorter quarantine periods, or reliance on testing only with no quarantine, substantially increases this risk. We calculate the fraction of cases detected in the second week of their two week stay and show that this may be a useful indicator of the likelihood of transmission occurring within quarantine facilities. We use the model to test surveillance strategies and evaluate the likely size of the outbreak at the time it is first detected.

The administration of low molecular weight heparin in severe case of COVID-19, a case report

Suastika,  NKW,  Suega, et al

Eastern Journal of Medicine

Clinical data| Données cliniques

Coagulopathy and disseminated intravascular coagulation (DIC) is one of the complications of the corona virus disease 2019 (Covid-19) that can lead to death. This case emphasizes the administration of low molecular weight heparin (LMWH) to prevent venous thromboembolism (VTE) in severe case of Covid-19.

Mapping community-level determinants of COVID-19 transmission in nursing homes: A multi-scale approach

Sugg,  MM,  Spaulding, et al

Science of the Total Environment

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Clinical data| Données cliniques

This GIS-based spatial modeling study aimed to determine the association between nursing home-level metrics and county-level, place-based variables with COVID-19 confirmed cases in nursing homes across the United States. Spatial cluster analysis identified specific regions with statistically higher COVID-19 cases and deaths among residents. Multivariate analysis identified risk factors at the nursing home level including, total count of fines, total staffing levels, and LPN staffing levels. County-level or place-based factors like per-capita income, average household size, population density, and minority composition were significant predictors of COVID-19 cases in the nursing home.

The kinetics of viral load and antibodiesto SARS-CoV-2

Sun,  J,  Tang, et al

Clin Microbiol Infect

Epidemiology| Épidémiologie Clinical data| Données cliniques Immunology | Immunologie

We determined the kinetics of viral load in several body fluids through real time reverse transcription polymerase chain reaction (rRT-PCR), serum antibodies of IgA, IgG and IgM by enzyme linked immunosorbent assay (ELISA), and neutralizing antibodies by microneutralization assay in 35 COVID-19 cases from two hospitals in Guangdong, China. We revealed a prolonged shedding of virus RNA in upper respiratory tract, and evaluated the consistency production of IgG, IgA, IgM and neutralizing antibodies in COVID-19 cases.

32867427; Epidemiological characteristics of COVID-19 monitoring cases in Yinzhou district based on health big data platform

Sun,  YX,  Shen, et al

Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi

Epidemiology| Épidémiologie Public Health response| Interventions de santé publique

We aim to understand the epidemiological characteristics of COVID-19 monitoring cases in Yinzhou district based on health big data platform to provide evidence for the construction of COVID-19 monitoring system. The monitoring system of COVID-19 based on the health big data platform was working well but the confirmed cases monitoring detection rate need to be improved.

32867024; Psychological impact of covid-19 and lockdown among university students in malaysia: Implications and policy recommendations

Sundarasen,  S,  Chinna, et al

International Journal of Environmental Research and Public Health

Public Health response| Interventions de santé publique

This study examines its impact on the anxiety level of university students in Malaysia during the peak of the crisis and the pertinent characteristics affecting their anxiety.

A Duty to treat? A Right to refrain? Bangladeshi physicians in moral dilemma during COVID-19

Swazo,  NK,  Talukder, et al

Philos Ethics Humanit Med

Healthcare Response | Réponse des soins de santé

In the case of COVID-19 pandemic in a developing country such as Bangladesh, however, the fact is that some physicians decline either to report for duty or to treat patients presenting with COVID-19 symptoms. The presence of a moral dilemma (i.e., conflict of obligations) in the pandemic situation of clinical care requires institutional authorities to exercise tolerance of individual physician moral decision about the duty to care. Hospital or government authority should respond to such decisions without introducing immediate sanction.

Short-term outcomes of 50 patients with acute respiratory distress by COVID-19 where prone positioning was used outside the ICU

Taboada,  M,  Rodríguez, et al

Journal of clinical anesthesia

Epidemiology| Épidémiologie Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

We prospectively evaluated patients admitted to the Clinical University Hospital of Santiago, Spain, between March 15, 2020 and April 15, 2020, with laboratory-confirmed COVID-19 disease who had mild or moderate ARDS needing oxygen therapy. We wanted to determine whether prone position would impact the oxygenation and describe treatments and short-term outcomes of these patients. In the present investigation we observed that PP was associated with significant increase in oxygenation (StO2/FiO2) in hospitalized non-ICU patients with ARDS by COVID-19.

The influence of sex and gender domains on COVID-19 cases and mortality

Tadiri,  CP,  Gisinger, et al

Cmaj

Epidemiology| Épidémiologie

We found institutionalized gender inequality (as measured by the United Nations Development Project’s Gender Inequality Index) to be positively associated with the male:female ratio reported cases of coronavirus disease 2019 (COVID-19) among countries that report sex-disaggregated data; males accounted for more cases in countries with higher gender inequality. Institutionalized gender and culturally entrenched roles and norms may influence who is most at risk of acquiring infection or who is able to receive a test.

32807652; Intravenous Immunoglobulin and Favipiravir treatment for A Kidney Transplant Patient with Severe Covid-19 Pneumonia

Tatar,  E,  Karatas, et al

Transfusion and Apheresis Science

Clinical data| Données cliniques

Here, a 66-year-old female kidney transplant patient who presented with respiratory failure and treated with IVIg and Favipiravir after the diagnosis of severe COVID-19 pneumonia was presented.

An Investigation of Machine Learning Algorithms on COVID-19 Dataset

Theerthagiri,  P,  J

Research Square prepub

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

This paper studies the different machine learning classification algorithms to predict the COVID-19 recovered and deceased cases.

Social Distancing and Stigma: Association Between Compliance With Behavioral Recommendations, Risk Perception, and Stigmatizing Attitudes During the COVID-19 Outbreak

Tomczyk,  S,  Rahn, et al

Frontiers in Psychology

Public Health response| Interventions de santé publique

The study aims to to identify causes and patterns of non-compliance in the German population to further optimize risk and health communication. With 25% of the sample reporting full compliance, and 51% differing in terms of public and personal compliance, these findings challenge the sustainability of strict regulatory measures. Moreover, young males were most likely to express low compliance, stressing the need for selective health promotion efforts.

Renin–Angiotensin–Aldosterone System Inhibitors and Risk of Death in Patients Hospitalised with COVID-19: A Retrospective Italian Cohort Study of 43,000 Patients

Trifirò,  G,  Massari, et al

Drug Safety

Epidemiology| Épidémiologie Therapeutics| Thérapeutique

The aim of this large-scale, retrospective Italian cohort study was to investigate whether prior exposure to ACEIs and/or ARBs was associated with all-cause mortality among over 40,000 hospitalised COVID-19 patients compared with calcium channel blockers (CCBs), a potential therapeutic alternative.

32721505; Immunological detection of serum antibodies in pediatric medical workers exposed to varying levels of SARS-CoV-2

Tu,  D,  Shu, et al

Journal of Infection

Epidemiology| Épidémiologie Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes Immunology | Immunologie

On March 19–20, 2020, pediatric medical workers (n = 325) in one hospital in Wuhan were recruited. They were divided into three groups depending on their level of contact with confirmed and/or suspected COVID-19 cases during the outbreak. Three different immunological detection methods were used to measure SARS-CoV-2 serum antibodies. The overall positive rate for SARS-CoV-2 IgG and IgM antibodies was 43.08 and 5.85%, respectively. Results suggests the colloidal gold detection kit used in this research is not sensitive enough to be useful in accurate antibody detection, whereas the DTFA and ELISA positive rate performed similarly.

Hematological Phenotype of COVID-19-Induced Coagulopathy: Far from Typical Sepsis-Induced Coagulopathy

Umemura,  Y,  Yamakawa, et al

J Clin Med

Epidemiology| Épidémiologie Clinical data| Données cliniques

To elucidate the specific pattern of coagulopathy induced by COVID-19 pneumonia, this retrospective, observational study targeted consecutive adult patients with COVID-19-induced acute respiratory distress syndrome (ARDS) and compared hemostatic biomarkers with non-COVID-19-induced septic ARDS. The hematological phenotype of COVID-19-induced coagulopathy is quite different from that in typical SIC characterized by systemic hypercoagulation and suppressed fibrinolysis. Instead, local thrombus formation might be promoted in severe COVID-19.

Treatment of COVID-19 With Conestat Alfa, a Regulator of the Complement, Contact Activation and Kallikrein-Kinin System

Urwyler,  P,  Moser, et al

Frontiers in Immunology

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

The aim of the present study was to assess the safety and potential benefits of human recombinant C1 esterase inhibitor (conestat alfa), a complement, contact activation and kallikrein-kinin system regulator, in severe COVID-19. In this uncontrolled case series, targeting multiple inflammatory cascades by conestat alfa was safe and associated with clinical improvements in the majority of severe COVID-19 patients.

Risk Factors for COVID-19: Community Exposure and Mask-Wearing

van den Broek-Altenburg,  Eline,  Atherly, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

This study reports prevalence of COVID-19 in the general population of the Northest U.S.; and identifies factors that affect exposure to the virus. We found a positivity rate of 2.2 percent, a hospitalization rate of 1.2 percent and an adjusted IFR of 0.55 percent. The number of contacts with adults and seniors increases the probability of becoming infected. Occupation, living in apartment versus a house, and wearing a facial mask outside work increased probability of COVID-19 infection.

Anxiety and depression symptoms, and lack of emotional support among the general population before and during the COVID-19 pandemic. A prospective national study on prevalence and risk factors

van der Velden,  PG,  Contino, et al

Journal of affective disorders

Public Health response| Interventions de santé publique

We assessed if the prevalence of high Anxiety and Depression Symptoms (ADS) levels and lack of Emotional Support (ES) in the Dutch population increased, and if risk factors of ADS and ES changed. No increase in the prevalence of ADS and lack of ES was found. Some risk factors remained significant after the outbreak, while others changed notably.

Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy

Veyseh,  M,  Pophali, et al

BMJ Case Rep

Clinical data| Données cliniques

We report an unusual case of ovarian vein thrombosis and pulmonary embolism associated with COVID-19 presenting with abdominal pain. To our knowledge, this is the first reported case of COVID-19 with absent respiratory symptoms and presentation with venous thrombosis in an unusual location.

32711040; USEFULNESS OF SALIVA SAMPLES FOR DETECTING SARS-CoV-2 RNA AMONG LIVER DISEASE PATIENTS

Villar,  LM,  da Costa, et al

Journal of Infection

Epidemiology| Épidémiologie Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

This is the first report of SARS CoV-2 detection in saliva samples among liver disease patients showing best results until 7 days of beginning of symptoms. There is an urgency for alternative methods for SARS-CoV-2 RNA detection to overcome swab availability and increase the access of diagnosis in Brazil.

A prefusion SARS-CoV-2 spike RNA vaccine is highly immunogenic and prevents lung infection in non-human primates

Vogel,  Annette,  Kanevsky, et al

bioRxiv

Vaccine Research| Recherche sur les vaccins Animal model | Modèle animal

In this study, we report the 40 design, preclinical development, immunogenicity and anti-viral protective effect in rhesus 41 macaques of the BNT162b2 vaccine candidate. The BNT162b2 vaccine candidate fully 50 protected the lungs of immunised rhesus macaques from infectious SARS-CoV-2 challenge. 51 BNT162b2 is currently being evaluated in a global, pivotal Phase 2/3 trial (NCT04368728).

Assessment of extra-parenchymal lung involvement in asymptomatic cancer patients with COVID-19 pneumonia detected on (18)F-FDG PET-CT studies

Wakfie-Corieh,  C,  Blanes García, et al

Eur J Nucl Med Mol Imaging

Epidemiology| Épidémiologie Clinical data| Données cliniques

We evaluated the extra-parenchymal lung involvement in asymptomatic cancer patients with COVID-19 pneumonia through 18F-FDG PET-CT. In cancer patients with asymptomatic COVID-19 pneumonia, 18F-FDG PET-CT findings are more frequently limited to thoracic structures, suggesting that an early and silent distant involvement is very rare. Pulmonary embolism is a frequent and potentially severe finding raising special concern.

Decreasing High Risk Exposures for Healthcare-workers through Universal Masking and Universal SARS-CoV-2 Testing upon entry to a Tertiary Care Facility

Walker,  J,  Fleece, et al

Clin Infect Dis

Epidemiology| Épidémiologie Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI)

We describe the impact of universal masking and universal testing at admission on high risk exposures to SARS-CoV-2 for healthcare workers. Universal masking decreased the rate per patient day of high risk exposures by 68%, and universal testing further decreased those exposures by 77%.

Reduced odor detection and hedonic changes in asymptomatic university students as SARS-CoV-2 emerged locally

Walsh-Messinger,  Julie,  Kaouk, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We compared olfaction data from asymptomatic students, who were assessed as SARS-CoV-2 was unknowingly spreading locally, to students tested prior to the arrival of the virus.  the exposed group was significantly more likely to have hyposmia (OR=7.74; CI, 3.1, 19.40), particularly the subgroup assessed in the final week before campus closure (OR=13.61; CI, 3.40, 35.66;). The exposed cohort also rated odors as less unpleasant (P<.001, CLES=0.77). A limitation of our study is that participants were not tested for COVID-19 as testing was unavailable in the area.

Different cardiac perfoemance in patients with COVID-19 in ICU and general ward by standard and strain echocardiography

Wang,  H,  L

Research Square prepub

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of this study is to explore the global and segmental myocardial performance of the severe and mild COVID-19 patients. Findings suggested that left ventricular performance was subclinically impaired during COVID-9 infection irrespective of infection severity. The cardiac function had an increasing trend for severe patients treated in ICU.

32846839; Persistent SARS-COV-2 RNA positivity in a patient for 92 days after disease onset: A case report

Wang,  J,  Hang, et al

Medicine

Clinical data| Données cliniques

We report the case of a patient with mild symptoms of coronavirus disease (COVID-19), who achieved clinical recovery but showed persistently positive SARS-CoV-2 nucleic acid test results until Day 92 after disease onset.

Excessive Neutrophils and Neutrophil Extracellular Traps in COVID-19

Wang,  J,  Li, et al

Frontiers in Immunology

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aim to to clarify the pathogenesis of neutrophils leading to severe pneumonia in COVID-19. A retrospective analysis was performed on 55 COVID-19 patients classified as mild (n = 22), moderate (n = 25), and severe (n = 8). Neutrophilia occurred in 6 of 8 severe patients at 7–19 days after symptom onset, showing that excessive neutrophils and associated NETs could explain the pathogenesis of lung injury in COVID-19 pneumonia.

Coronavirus disease 2019 associated with aggressive neurological and mental abnormalities confirmed based on cerebrospinal fluid antibodies: A case report

Wang,  M,  Li, et al

Medicine (Baltimore)

Clinical data| Données cliniques

We report a case of serious neurological damage and mental abnormalities in a patient who was finally confirmed to have COVID-19 based on IgM and IgG antibodies in the cerebrospinal fluid (CSF).

Convalescent plasma therapy in critically ill coronavirus disease 2019 patients with persistently positive nucleic acid test, case series report

Wang,  M,  Yang, et al

Medicine (Baltimore)

Clinical data| Données cliniques

We present the clinical data of 5 critically ill COVID-19 patients admitted, between January 16 and February 26, 2020, in intensive care unit. We find the time of initiating the CPT may be an important factor affecting its efficacy, and its therapeutic effect in the treatment of COVID-19, in the late stage, is limited.

Retropharyngeal Abscess in an adult with Pneumonia during COVID-19 Outbreak in China

Wang,  T,  L

Research Square prepub

Clinical data| Données cliniques

We report a 40-year-old male with retropharyngeal abscesses turned to our department complaining dyspnea and dysphagia. In addition, his chest CT scan shows a suspected COVID-19 infection. By presenting this case, we aim at raising awareness of different surgical drainage methods and summarizing our experience in the management of retropharyngeal abscesses during the outbreak of COVID-19.

Investigating College Students' Mental Health During the COVID-19 Pandemic: An Online Survey Study

Wang,  X,  Hegde, et al

J Med Internet Res

Public Health response| Interventions de santé publique

This article reports findings of an online survey regarding mental health conditions of college students in a large university in the United States during COVID-19. The proportion of respondents showing depression, anxiety and/or suicidal thoughts is alarming. Respondents reported academic, health, and lifestyle-related concerns caused by the pandemic. Given the unexpected length and severity of the pandemic, these concerns need to be further understood and addressed.

Ratios of Neutrophil-to-Lymphocyte and Platelet-to-Lymphocyte Predict All-Cause Mortality in Inpatients with Coronavirus Disease 2019 (COVID-19): A Retrospective Cohort Study in A Single Medical Center

Wang,  X,  Li, et al

Epidemiol Infect

Epidemiology| Épidémiologie Clinical data| Données cliniques

The present study aims to explore whether the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are associated with the risk of death in patients with COVID-19. The pooled analysis revealed that the NLR at admission was significantly elevated for non-survivors, when compared to survivors (P<0.001).

Case Report: Opportunities for Treatment of Severe COVID-19 Patients—Lessons From a Death Case

Wang,  Y,  Niu, et al

Frontiers in Medicine

Clinical data| Données cliniques

We treated a 57-year-old man who was initially diagnosed with a severe type of the infection, but he progressed to a critical condition and eventually died. We hope our findings will provide some advice and help for treating severe and critical COVID-19 cases: immediate invasive mechanical ventilation if there is no obvious improvement after using non-invasive ventilation for several hours; and due to transfer risks, accurate assessment of the patient's condition and strict medical conditions are highly required.

Automatically discriminating and localizing COVID-19 from community-acquired pneumonia on chest X-rays

Wang,  Z,  Xiao, et al

Pattern Recognition

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

This study aims to develop and test an efficient and accurate deep learning scheme that assists radiologists in automatically recognizing and localizing COVID-19. Compared to the radiologists’ discrimination and localization results, the accuracy of COVID-19 discrimination using the Discrimination-DL yielded 98.71%, while the accuracy of localization using the Localization-DL was 93.03%. This work represents the feasibility of using a novel deep learning-based CAD scheme to efficiently and accurately distinguish COVID-19 from CAP and detect localization with high accuracy and agreement with radiologists.

Evaluation of Mental Health Factors among People with Systemic Lupus Erythematosus during the SARS-CoV-2 Pandemic

Wańkowicz,  P,  Szylińska, et al

J Clin Med

Public Health response| Interventions de santé publique

the aim of this study was to assess the mental health factors among people with systemic lupus erythematosus by quantifying the severity of anxiety, depression, and sleep disorders during the SARS-CoV-2 pandemic.

32858060; Evaluation of SARS-CoV-2 prototype serologic test in hospitalized patients

Wheeler,  SE,  Shurin, et al

Clinical biochemistry

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes Immunology | Immunologie

We sought to clinically assess commercial prototype SARS-CoV-2 IgG and IgA assays for use in screening for prior infection and convalescent plasma donation. Prototype SARS-CoV-2 IgG and IgA assays from Euroimmun were assessed utilizing remnant specimens. We found these assays to be clinically acceptable for the high prevalence population tested, for instance, for convalescent plasma donation.

Seasonal influenza activity in young children before the COVID-19 outbreak in Wuhan, China

Xia,  Z,  Yang, et al

Transboundary and Emerging Diseases

Epidemiology| Épidémiologie Surveillance

The activity of influenza A at the end of 2019 was higher than previous two years in children younger than 6 years old in Wuhan, China. The 2019–2020 winter peak of seasonal influenza preceded the COVID-19 outbreak, with a higher and earlier peak than those of the 2017–2018 and 2018–2019 seasons. We speculate this could be due to the earlier CNY holiday season in 2019–2020 than in previous two years. We compared these results with those of two previous studies to further discuss the possible interference between influenza and COVID-19 in young children.

32851078; CT Findings in a Novel Coronavirus Disease (COVID-19) Pneumonia at Initial Presentation

Xiang,  C,  Lu, et al

BioMed research international

Clinical data| Données cliniques

Background: COVID-19 first broke out in China and spread rapidly over the world. Objectives: To describe the CT features of COVID-19 pneumonia and to share our experience at initial diagnoses. Patients and Methods. Data from 53 patients (31 men, 22 women; mean age, 53 years; age range, 16-83 years) with confirmed COVID-19 pneumonia were collected. Their complete clinical data was reviewed, and their CT features were recorded and analyzed. Results: The average time between onset of illness and the initial CT scan was six days (range, 1-42 days). A total of 399 segments were involved and distributed bilaterally (left lung: 186 segments 46.6%], right lung: 213 segments 53.4%]) and peripherally (38 71.7%] patients). Multiple lobes (45 84.9%]) and bilateral lower lobes (left lower lobe: 104 26.1%], right lower lobe: 107 26.8%], and total: 211 52.9%]) were the most commonly involved. Ground-glass opacity with consolidation (24 45.3%]) and pure ground-glass opacity (28 52.8%]) were the main findings. The other findings were crazy-paving (14 26.4%]), bronchiectasis (12 22.6%]), atelectasis (7 13.2%]), parenchymal bands (6 11.3%]), air bronchogram (6 11.3%]), interlobular thickening (5 9.4%]), reticular pattern (1 1.9%]), and pleural effusion (1 1.9%]). Conclusions: Most COVID-19 pneumonia patients had abnormalities on chest CT images at initial presentation. Imaging features combined with patient's exposure history and onset symptoms could facilitate the identification of the suspected patient for further examinations.

Practice and function of transitional wards in treatment of non-coronavirus disease 2019 patients

Xiao-Ming,  L,  Bo-Rong, et al

Academic Journal of Second Military Medical University

Healthcare Response | Réponse des soins de santé

As the outbreak of coronavirus disease 2019 (COVID-19) continues, hospitals in Wuhan have invested great efforts to combat the epidemic. The risk of nosocomial infection and cross infection should not be ignored, and the treatment of non-COVID-19 patients was challenged. According to the characteristics of COVID-19, our hospital has established a transitional ward, enforced the screening and exclusion procedures of COVID-19. We also scientifically formulated and smoothly operated various programs and procedures for the treatment of emergency and critical patients, so that non- COVID-19 patients can be treated in time, ensuring medical safety and nursing quality, also effectively avoiding the spread of COVID-19 in non-isolated areas of the hospital, which has played a very important role at the outbreak stage of the epidemic.

32846780; Investigation of the Psychological disorders in the healthcare nurses during a coronavirus disease 2019 outbreak in China

Xie,  H,  Cheng, et al

Medicine

Healthcare Response | Réponse des soins de santé

The first case of atypical pneumonia caused by coronavirus disease 2019 (COVID-19) was reported in Wuhan, China in December 2019. Since then, cases of novel coronavirus-infected pneumonia (NCIP) have been reported throughout China as well as in 25 other countries. With the rapid growth of this global outbreak, psychological disorders or impact among the healthcare nurses caused by the COVID-19 pandemic is of great importance and worth to be evaluated. Here, we aimed to determine the levels of stress and psychological disorders of nurses who provided nursing care during the COVID-19 outbreak. A total of 159 nurses who provided healthcare work for COVID-19 patients were enrolled in our study. The psychological disorders and stress level were assessed via a questionnaire implemented by the mobile app. The results showed that the nurses who worked in the non-critical care ward (general ward in which the invasive medical procedure such as mechanical ventilation is absent) scored significantly higher on the traumatization condition (P < .05) and stress level (P < .01) as well as the impact of event scale -revised level (P < .01) compared with those worked in the critical care ward. In contrast to the previous report, our findings revealed that the future intervention for preventing the mental crisis among the healthcare nurses needs to be focusing on the individuals in the non-critical care ward instead of those in the critical care ward under the spreading of COVID-19.

32867381; The impact of risk perception on social distancing during the COVID-19 pandemic in China

Xie,  K,  Liang, et al

International Journal of Environmental Research and Public Health

Public Health response| Interventions de santé publique

Social distancing is one of the most recommended policies worldwide to reduce diffusion risk during the COVID-19 pandemic. Based on a risk management perspective, this study explores the mechanism of the risk perception effect on social distancing in order to improve individual physical distancing behavior. The data for this study were collected from 317 Chinese residents in May 2020 using an internet-based survey. A structural equation model (SEM) and hierarchical linear regression (HLR) analyses were conducted to examine all the considered research hypotheses. The results show that risk perception significantly affects perceived understanding and social distancing behaviors in a positive way. Perceived understanding has a significant positive correlation with social distancing behaviors and plays a mediating role in the relationship between risk perception and social distancing behaviors. Furthermore, safety climate positively predicts social distancing behaviors but lessens the positive correlation between risk perception and social distancing. Hence, these findings suggest effective management guidelines for successful implementation of the social distancing policies during the COVID-19 pandemic by emphasizing the critical role of risk perception, perceived understanding, and safety climate.

COVID-19 Screening and Triage Using a Unified Approach to the Management of Relevant Healthcare Workers, Procedure and Goals within a Regional Medical Consortium: a Development from Disorderly to Orderly

Xiong,  Z,  Chen, et al

Chinese General Practice

Healthcare Response | Réponse des soins de santé

Background: It was difficult for primary care to take emergency actions to contain COVID-19 at the beginning of its outbreak, and the management of screening and triage procedure was disorderly. To address the situation, it is critical to make a sound management method for appropriately screening, triage, treat and transfer the patients. Objective: To evaluate the effect of an approach for unified management of COVID-19 screening and triage in members within a regional medical consortium. Methods: This study was carried out in a regional medical consortium with five unified features including unified goal, legal person, information platform, service team and salary scheme. An approach developed by our research group, has been used for unified management(of relevant goals, healthcare workers and procedure) of COVID-19 screening and triage in this consortium led by a tertiary hospital, together with 18 stations of a community health center, and the implementation results between January 25 and April 4, 2020 were analyzed. Results: During this period, of the 173 841 cases screened and triaged in the tertiary hospital, 440 were triaged to the COVID-19 fever clinic, 2 051 to the general fever clinic, 271 to the quarantine ward due to suspected COVID-19 symptoms, and 4 were confirmed and referred to the designated hospital. The 18 stations of community heath centers screened and triaged 52 525 cases, including 25 who were triaged to the COVID-19 fever clinic, and 122 to the general fever clinic. There were no missed screening of suspected COVID-19 cases and cross infections within the medical consortium. Conclusion: Our unified management approach has effectively facilitated the development of COVID-19 screening and triage from disorderly to orderly within the regional medical consortium, demonstrating good effects in containing the COVID-19 pandemic.

Performance of Two Risk-Stratification Models in Hospitalized Patients With Coronavirus Disease

Xu,  R,  Hou, et al

Frontiers in Medicine

Epidemiology| Épidémiologie Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

Background: Despite an increase in the familiarity of the medical community with the epidemiological and clinical characteristics of coronavirus disease 2019 (COVID-19), there is presently a lack of rapid and effective risk stratification indicators to predict the poor clinical outcomes of COVID-19 especially in severe patients. Methods: In this retrospective single-center study, we included 117 cases confirmed with COVID-19. The clinical, laboratory, and imaging features were collected and analyzed during admission. The Multi-lobular infiltration, hypo-Lymphocytosis, Bacterial coinfection, Smoking history, hyper-Tension and Age (MuLBSTA) Score and Confusion, Urea, Respiratory rate, Blood pressure, Age 65 (CURB65) score were used to assess the death and intensive care unit (ICU) risks in all patients. Results: Among of all 117 hospitalized patients, 21 (17.9%) patients were admitted to the ICU care, and 5 (4.3%) patients were died. The median hospital stay was 12 (10–15) days. There were 18 patients with MuLBSTA score ≥ 12 points and were all of severe type. In severe type, ICU care and death patients, the proportion with MuLBSTA ≥ 12 points were greater than that of CURB65 score ≥ 3 points (severe type patients, 50 vs. 27.8%; ICU care, 61.9 vs. 19.0%; death, 100 vs. 40%). For the MuLBSTA score, the ROC curve showed good efficiency of diagnosis death (area under the curve AUC], 0.956; cutoff value, 12; specificity, 89.5%; sensitivity, 100%) and ICU care (AUC, 0.875; cutoff value, 11; specificity, 91.7%; sensitivity, 71.4%). The K–M survival analysis showed that patients with MuLBSTA score ≥ 12 had higher risk of ICU (log-rank, P = 0.001) and high risk of death (log-rank, P = 0.000). Conclusions: The MuLBSTA score is valuable for risk stratification and could effectively screen high-risk patients at admission. The higher score at admission have higher risk of ICU care and death in patients infected with COVID.

Many bat species are not potential hosts of SARS-CoV and SARS-CoV-2: Evidence from ACE2 receptor usage

Yan,  Huan,  Jiao, et al

bioRxiv

Coronavirology| Coronavirologie

Bats are the suggested natural hosts for severe acute respiratory syndrome coronavirus (SARS-CoV) and SARS-CoV-2, the latter of which caused the coronavirus disease 2019 (COVID-19) pandemic. The interaction of viral Spike proteins with their host receptor angiotensin-converting enzyme 2 (ACE2) is a critical determinant of potential hosts and cross-species transmission. Here we use virus-host receptor binding and infection assays to show that ACE2 orthologs from 24, 21, and 16 of 46 phylogenetically diverse bat species, including those in close and distant contact with humans, do not support entry of SARS-CoV, SARS-CoV-2, and both of these coronaviruses, respectively. Furthermore, we used genetic and functional analyses to identify genetic changes in bat ACE2 receptors associated with viral entry restrictions. Our study demonstrates that many, if not most, bat species are not potential hosts of SARS-CoV and SARS-CoV-2, and provides important insights into pandemic control and wildlife conservation.Competing Interest StatementThe authors have declared no competing interest.

32710929; An analysis of cancer patients with asymptomatic infection of SARS-CoV-2 in a cancer center in Wuhan, China

Yin,  P,  Zeng, et al

Annals of Oncology

Epidemiology| Épidémiologie Clinical data| Données cliniques

A retrospective study was performed to evaluate asymptomatic infections in 5119 individuals without typical symptoms of COVID-19 infection (including 2818 patients with cancer and 2301 caregivers without cancer). The incidence of asymptomatic infection was 2.9% (81/2818) in patients with cancer, whereas it was 2.1% (49/2301) in their caregivers. There was no statistical difference in infection risk between patients with cancer and their caregivers [relative risk 1.36, 95% confidence interval (CI) 0.95–1.95].

COVID-19 Prevalence among People Experiencing Homelessness and Homelessness Service Staff during Early Community Transmission in Atlanta, Georgia, April-May 2020

Yoon,  JC,  Montgomery, et al

Clin Infect Dis

Epidemiology| Épidémiologie Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI)

BACKGROUND: In response to reported COVID-19 outbreaks among people experiencing homelessness (PEH) in other U.S. cities, we conducted multiple, proactive, facility-wide testing events for PEH living sheltered and unsheltered and homelessness service staff in Atlanta, Georgia. We describe SARS-CoV-2 prevalence and associated symptoms and review shelter infection prevention and control (IPC) policies. METHODS: PEH and staff were tested for SARS-CoV-2 by reverse transcription polymerase chain reaction (RT-PCR) during April 7-May 6, 2020. A subset of PEH and staff was screened for symptoms. Shelter assessments were conducted concurrently at a convenience sample of shelters using a standardized questionnaire. RESULTS: Overall, 2,875 individuals at 24 shelters and nine unsheltered outreach events underwent SARS-CoV-2 testing and 2,860 (99.5%) had conclusive test results. SARS-CoV-2 prevalence was 2.1% (36/1,684) among PEH living sheltered, 0.5% (3/628) among PEH living unsheltered, and 1.3% (7/548) among staff. Reporting fever, cough, or shortness of breath in the last week during symptom screening was 14% sensitive and 89% specific for identifying COVID-19 cases compared with RT-PCR. Prevalence by shelter ranged 0%-27.6%. Repeat testing 3-4 weeks later at four shelters documented decreased SARS-CoV-2 prevalence (0%-3.9%). Nine of 24 shelters completed shelter assessments and implemented IPC measures as part of the COVID-19 response. CONCLUSIONS: PEH living in shelters experienced higher SARS-CoV-2 prevalence compared with PEH living unsheltered. Facility-wide testing in congregate settings allowed for identification and isolation of COVID-19 cases and is an important strategy to interrupt SARS-CoV-2 transmission.

Seroprevalence of SARS-CoV-2 antibodies among healthy blood donors in Karachi, Pakistan

Younas,  A,  Waheed, et al

Transfusion and Apheresis Science

Epidemiology| Épidémiologie Immunology | Immunologie

Background: Covid-19 spread through blood transfusion has not yet been reported. Despite the prevailing pandemic, there are no recommendations available as yet for testing SARS-CoV-2 antibodies as part of blood screening. Objective: To determine the seroprevalence of SAR-CoV-2 antibodies, its clinical significance and to identify if total antibodies(IgA, IgM, IgG) should be tested or just the specific IgG antibodies only. Method: Consecutive blood donors donated were screened for standard serological panel of HbsAg, Anti-HCV, Anti-HIV and Syphilis using Cobas-411 analyser and Malaria. All seronegative donors were then screened for COVID serology using the same instrument. These results were compared with the blood donors’ seroprevalence checked in a cohort in the first week of June 2020. Pre-COVID-19 period (October 2019) blood donors’ archived samples were also compared. Donors who were positive on ECLIA were then tested for specific antibodies (IgM or IgG) by ELISA. Results: A total of 380 healthy blood donors were included. All were males with the mean age being 30.6 ± 6.3 years. Ten pre-pandemic samples did not show COVID-19 antibodies, whereas out of 70 samples in the 3rd week of June, only 15 (21.4 %) were positive. However, in July out of the 300 blood donors, 113 (37.7 %) were found to be reactive. To reconfirm our findings, these 113 donors were then tested on ELISA for presence of IgG specifically. Out of these 128 samples, 81 were IgG positive, 23 were borderline positive and 24 were negative. Conclusion: Almost 40 % of blood donors are now seroconverted for COVID-19. This is a reflection of widespread seroprevalence in the adult male population. © 2020

32795495; What are the sources of exposure in healthcare personnel with coronavirus disease 2019 infection?

Zabarsky,  TF,  Bhullar, et al

American Journal of Infection Control

Epidemiology| Épidémiologie Transmission Healthcare Response | Réponse des soins de santé

In our facility, 25% of personnel with coronavirus disease 2019 (COVID-19) had a higher-risk exposure to an infected patient or co-worker and 14% reported a higher-risk exposure in the community. All higher-risk exposures to infected patients occurred on non-COVID-19 units, often when there was a delay in diagnosis because COVID-19 was not initially suspected. Higher-risk exposures to co-workers with COVID-19 often involved lapses in compliance with masking in nonpatient care areas such as nursing stations and staff work or break rooms.

Outcome of COVID-19 patients with use of Tocilizumab: A single center experience

Zain Mushtaq,  M,  Bin Zafar Mahmood, et al

International immunopharmacology

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

COVID-19 pandemic has become a global concern. Cytokine release syndrome (CRS) complicates acute respiratory distress syndrome (ARDS) and causes multi-organ failure which can subsequently lead to mortality in COVID-19 patients. Tocilizumab, an interleukin-6 antagonist, has shown to salvage patients with cytokine release storm. In this study, we aim to evaluate therapeutic response of Tocilizumab in COVID-19 patients. A single-arm retrospective review of 40 patients with COVID-19, admitted to The Aga Khan University Hospital Karachi, from March 2020 to May 2020 was performed. Selection of patients for use of Tocilizumab was based on severity of disease, rapid clinical deterioration, presence of CRS and absence of any absolute contraindication to Tocilizumab. Improvement after Tocilizumab was defined as improvement in oxygen requirement and inflammatory parameters. Serum levels of inflammatory cytokines like C-reactive protein, ferritin, D-dimer and lactate dehydrogenase levels were monitored before and after administering Tocilizumab. Mean age was 62.4 years and 33 (82.5%) were male. 19 (47.5%) patients were critically sick, 18 (45%) were severely sick and 3 (7.5%) were moderately sick. 29 (77.5%) patients showed significant improvement in oxygen requirement, inflammatory parameters and chest x-rays, out of which 28 patients were discharged home. The mean duration between administration of Tocilizumab and overall improvement was 4.3 ± 3.2 days. Hence, Tocilizumab can be used as a possible treatment option in patients with COVID-19 induced CRS but needs monitoring for its adverse effects.

Dynamics identification and forecasting of COVID-19 by switching Kalman filters

Zeng,  X,  Ghanem, et al

Computational Mechanics

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

The COVID-19 pandemic has captivated scientific activity since its early days. Particular attention has been dedicated to the identification of underlying dynamics and prediction of future trend. In this work, a switching Kalman filter formalism is applied on dynamics learning and forecasting of the daily new cases of COVID-19. The main feature of this dynamical system is its ability to switch between different linear Gaussian models based on the observations and specified probabilities of transitions between these models. It is thus able to handle the problem of hidden state estimation and forecasting for models with non-Gaussian and nonlinear effects. The potential of this method is explored on the daily new cases of COVID-19 both at the state-level and the country-level in the US. The results suggest a common disease dynamics across states that share certain features. We also demonstrate the ability to make short to medium term predictions with quantifiable error bounds.

32865077; Retrospective analysis of clinical characteristics of 405 patients with COVID-19

Zhan,  T,  Liu, et al

Journal of International Medical Research

Epidemiology| Épidémiologie Clinical data| Données cliniques

Objective: This study was performed to investigate the clinical characteristics of patients with coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Methods: We analyzed the electronic medical records of 405 hospitalized patients with laboratory-confirmed COVID-19 in the Third Hospital of Wuhan. Results: The patients’ median age was 56 years, 54.1% were female, 11.4% had a history of smoking, and 10.6% had a history of drinking. All cases of COVID-19 were community-acquired. Fever (76.8%) and cough (53.3%) were the most common clinical manifestations, and circulatory system diseases were the most common comorbidities. Gastrointestinal symptoms were present in 61.2% of the patients, and 2.9% of the patients were asymptomatic. Computed tomography showed ground-glass opacities in most patients (72.6%) and consolidation in 30.9%. Lymphopenia (72.3%) and hypoproteinemia (71.6%) were observed in most patients. About 20% of patients had abnormal liver function. Patients with severe disease had significantly more prominent laboratory abnormalities, including an abnormal lymphocyte count and abnormal C-reactive protein, procalcitonin, alanine aminotransferase, aspartate aminotransferase, D-dimer, and albumin levels. Conclusion: SARS-CoV-2 causes a variety of severe respiratory illnesses similar to those caused by SARS-CoV-1. Older age, chronic comorbidities, and laboratory abnormalities are associated with disease severity.

32779737; The absorbing filter Oxiris in severe coronavirus disease 2019 patients: A case series

Zhang,  H,  Zhu, et al

Artificial Organs

Clinical data| Données cliniques

Hypercytokines cause acute respiratory distress syndrome (ARDS) in coronavirus disease 2019 (COVID-19) patients, which is the main reason for intensive care unit treatment and the leading cause of death in COVID-19 patients. Cytokine storm is a critical factor in the development of ARDS. This study evaluated the efficacy and safety of Oxiris filter in the treatment of COVID-19 patients. Five patients with COVID-19 who received continuous renal replacement therapy (CRRT) in Henan provincial people's hospital between January 23, 2019 and March 28, 2020, were enrolled in this study. Heart rate (HR), mean arterial pressure (MAP), oxygenation index (PaO2/FiO2), renal function, C-reactive protein (CRP), cytokines, procalcitonin (PCT), acute physiology and chronic health evaluation II (APACHE II), sequential organ failure score (SOFA), and prognosis were compared after CRRT. Five COVID-19 patients, three males and two females, aged 70.2 ± 19.6 years, were enrolled. After treatment, HR (101.4 ± 14.08 vs. 83.8 ± 6.22 bpm/min), CRP (183 ± 25.21 vs. 93.78 ± 70.81 mg/L), IL-6 (3234.49 (713.51, 16038.36) vs. 181.29 (82.24, 521.39) pg/mL), IL-8 (154.86 (63.97, 1476.1) vs. 67.19 (27.84, 85.57) pg/mL), and IL-10 (17.43 (9.14, 41.22) vs. 4.97 (2.39, 8.70) pg/mL), APACHE II (29 ± 4.92 vs. 18.4 ± 2.07), and SOFA (17.2 ± 1.92 vs. 11.2 ± 3.4) significantly decreased (P <.05), while MAP (75.8 ± 4.92 vs. 85.8 ± 6.18 mm Hg), and PaO2/FiO2 (101.2 ± 7.49 vs. 132.6 ± 26.15 mm Hg) significantly increased (P <.05). Among the five patients, negative conversion of nucleic acid test was found in three cases, while two cases died. No adverse events occurred during the treatment. Our study observed a reduced level of overexpressed cytokines, stabilization of hemodynamic status, and staged improvement of organ function during the treatment with Oxiris filter.

Application value of vital signs telemetry system for 2019 novel coronavirus disease suspected cases in isolation wards

Zhang,  J,  Han, et al

Infection and Drug Resistance

Healthcare Response | Réponse des soins de santé

Objective: A large number of isolation wards were built to screen suspected patients because of the outbreak of coronavirus disease 2019 (COVID-19). The particularity of the isolation wards would lead to more medical resource consumption and heavier hospital control tasks. Therefore, we adopted a vital signs telemetry system in the isolation wards to improve this situation. Materials and Technologies: Twenty sets of vital signs telemetry system were installed in the east district of the isolation area and the wards were used as the telemetry system wards (TSWs). The wards in the west district were used as the routine wards (RW). The daily telephone questionnaire was used to collect the frequency and time of ward rounds by medical staff and lasted for one week. Results: Within one-week survey, the average frequency of RW rounds was 3.00 ± 1.00 times per day, and the average time was 93.57 ± 66.25 min. The daily frequency of RW rounds was 0.428 ± 0.394 times per capita, and the time was 7.88 ± 2.36 min. There was a statistically significant difference in the time of ward rounds per capita, which presented that the daily time of TSW rounds per capita was shorter than that of RW rounds. No security events related to telemetry equipment were found throughout the study. Conclusion: The application of vital signs telemetry system as an alternative to traditional ward monitoring is considered feasible. The use of telemetry system can significantly reduce the consumption of medical resources, the workload of medical staff along with the administration and labor cost for isolation wards. The telemetry system provides sensitive and reliable real-time monitoring for the key indicators used for disease judgment and can make an accurate warning of the patients with disease aggravation in time. Thus, it is worthy of promotion and wide application.

Relationship between Depressive Symptoms and Stress in individuals with infectious history of COVID-19: Mediating Effect of purpose in life

Zhang,  L,  K

Research Square prepub

Epidemiology| Épidémiologie Clinical data| Données cliniques

Background: Corona Virus Disease 2019 (CVID-19) is spreading across the world and the epidemic is also a great stress event for individuals which may trigger lots of mental health issue. This study aims to investigate the relationship between depressive symptoms and stress in individuals with infectious history of COVID-19 in Wuhan and the mediating effect of purpose in life. Method: A total of 128 individuals with infectious history of COVID-19 who were discharged from designated hospital and furtherly accepted health management of 14-day rehabilitation, isolation and medical observation at Qingshan District Rehabilitation Station in Wuhan were selected for the testing of Center for Epidemiologic Studies Depression Scale (CES-D), Impact of Event Scale (IES) and purpose-in-life test (PLT). Results: The depressive emotion, somatic symptoms and total score of CES-D in male group were significantly lower than that of in female participants (P0.001). The total score of CES-D was negatively correlated with all factors of PLT and positively correlated with all factors in IES (P0.05 or 0.01). The feeling of life, life goal, intrusiveness and awareness had significant predictive effects on the total score of CES-D(P0.05 or 0.01), which could explain 69.3% of variations in the total score of CES-D. The purpose in life played a partial mediating effect between the stress and depressive symptoms in individuals with infectious history of COVID-19, and the mediating effect accounted for 13.33% of the total effect. Conclusions: The females with infectious history of COVID-19 had more severe symptoms of depression. The stress of COVID-19 infectious history had predictive effect on depressive symptoms and purpose in life was mediator between stress and depressive symptoms.

Prevalence of anxiety and depression symptoms, and association with epidemic-related factors during the epidemic period of COVID-19 among 123,768 workers in China: A large cross-sectional study

Zhang,  XR,  Huang, et al

Journal of affective disorders

Epidemiology| Épidémiologie Public Health response| Interventions de santé publique

Background: COVID-19 has gained intense attention globally. However, little is known about the COVID-19-ralated mental health status among workers. Methods: The cross-sectional online survey with 123,768 workers was conducted from February 2, 2020 to February 7, 2020 on a mega-size labor-intensive factory in Shenzhen, China. Oral consent was obtained prior to the questionnaire survey. The information collected in the survey included demographic characteristics, psychological symptoms, COVID-19-related information, and demands for psychological education and interventions. Symptoms of anxiety and depression were measured by the Zung's Self-Rating Anxiety Scale and Self-Rating Depression Scale. Logistic regression models were performed to determine the association between related factors and mental health status. Results: The prevalence of anxiety and depression symptoms was 3.4% and 22.8%, respectively. The dominant epidemic-related factors were having confirmed cases in the community (odds ratio OR], 2.75, 95% CI, 2.37–3.19) and having confirmed friends (OR, 2.44; 95% CI, 1.69–3.52) for the increased risk of anxiety and depression symptoms, respectively. Nevertheless, major traditional risk factors such as general or poor health status and always drinking alcohol were still the dominant factors associated with the increased risk of anxiety and depression symptoms. Overall, 67.3% and 26.8% workers reported desire for psychological education and interventions, respectively. Limitations: All assessments were self-reported, resulting in a risk of method bias. Conclusions: Our findings show a relatively low prevalence of anxiety symptoms, a relatively high prevalence of depression symptoms, and urgent demand for psychological education and interventions among workers during the COVID-19 outbreak.

The role of workplace social capital on the relationship between perceived stress and professional identity among clinical nurses during the COVID-19 outbreak

Zhang,  YD,  Gao, et al

Jpn J Nurs Sci

Healthcare Response | Réponse des soins de santé

AIM: Workplace social capital refers to relationship networks formed by individuals in an organization through long-term mutually beneficial interactions and cooperation with members. These relationship networks can create value and resources for organizations and individuals. This current study aimed to explore the potential impact of workplace social capital on the association between perceived stress and professional identity in clinical nurses during the COVID-19 outbreak. METHODS: In this cross-sectional study, 308 Chinese clinical nurses filled out the Chinese Workplace Social Capital Scale, the Chinese Perceived Stress Scale, and the Chinese Nurse's Professional Identity Scale. Descriptive analysis, independent samples t test, analysis of variance, Pearson correlation analyses, and bootstrap method were performed to analyze the data. RESULTS: Perceived stress was negatively correlated with professional identity (r = -0.455, p  .05). Instead, it mediated that relationship (95% CI -0.61 to -0.19, p < .05), and its mediating effect was -0.37. CONCLUSIONS: In the early stages of the COVID-19 outbreak, workplace social capital among the investigated clinical nurses failed to buffer the negative impact of perceived stress on professional identity, but it did play a part in mediating perceived stress and professional identity. A healthy workplace should be provided to clinical nurses to improve their professional identity, while lowering perceived stress.

Dynamics of COVID-19 mathematical model with stochastic perturbation

Zhang,  Z,  Zeb, et al

Advances in Difference Equations

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

Acknowledging many effects on humans, which are ignored in deterministic models for COVID-19, in this paper, we consider stochastic mathematical model for COVID-19. Firstly, the formulation of a stochastic susceptible–infected–recovered model is presented. Secondly, we devote with full strength our concentrated attention to sufficient conditions for extinction and persistence. Thirdly, we examine the threshold of the proposed stochastic COVID-19 model, when noise is small or large. Finally, we show the numerical simulations graphically using MATLAB.

Clinical and Imaging Characteristics of Two COVID-19 Cluster Infections in Beijing, China: A Retrospective Study

Zhao,  Y,  D

Research Square prepub

Epidemiology| Épidémiologie Transmission Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

Background: As a new infectious disease, coronavirus disease 2019 (COVID-19) is not fully understood. During January - July 2020, there were two clusters infections in Beijing, China. This study was to analyze the features of the two COVID-19 infections in Beijing. Methods: In this retrospective single-center study, 89 cases with the positive novel coronavirus nucleic acid test were collected from January to July 2020 in Beijing. They were divided into January-March group and June-July group. Two groups of data were compared. Results: The eighty-nine cases, 47 males and 42 females, mean age (41±14 years), were used for our study. The most common symptoms were fever (46/89, 52%) and cough (34/89, 38%). The clinical classification were moderate type (56/89,63%), mild type (24/89, 27%), severe type (4/89, 4%), critical type (0), respectively. Ground glass opacity (GGO) (47%) was the majority CT pattern. The frequency of involvement of lower lobe was higher than that of upper lobe (P0.01). In January - March group, there were 5 patients (18%) exposure to Wuhan, 15 patients (54%) family clusters, 5 patients (18%) colleague clusters, 3 patients (11%) imported cases. In June-July group, 41 patients (68%) had an exposure to Xinfadi market of Beijing, 6 patients (10%) family clusters, and 14 patients (23%) colleague clusters. The number of patients with fever, cough, chest CT severity score and the number of lesion lung lobes in January-March group was higher than that in June-July group (P0.05). Conclusions: Two COVID-19 clusters were dominated moderate and mild type, but few severe types. Patients in June-July group had less symptoms, imaging and family clusters than that in January-March group. This suggested that closely monitoring, early quarantined, nucleic acid test of COVID-19 and chest CT were important measures to prevent epidemic.

32773217; Impact of sex and age on respiratory support and length of hospital stay among 1792 patients with COVID-19 in Wuhan, China

Zheng,  H,  Tan, et al

British journal of anaesthesia

Epidemiology| Épidémiologie Clinical data| Données cliniques

We retrospectively reviewed demographic and clinical data available from electronic medical records at a branch of Tongji Hospital (Wuhan, China), a 1050 bed hospital designated for severe and critically ill COVID-19 patients. The overall case-fatality rate (CFR) was 12.7% (228 deaths among 1792 confirmed cases) and the median length of hospital stay among deceased patients was 11 (IQR  6 -20) days. CFR was elevated among male and older patients.

Efficacy analysis of severe acute respiratory syndrome coronavirus 2 DNA vaccine and recombinant subunit vaccine inducing neutralizing antibodies in mice

Zheng-Hao,  X,  Cheng, et al

Academic Journal of Second Military Medical University

Coronavirology| Coronavirologie Immunology | Immunologie

Objective To investigate the efficacy of neutralizing antibodies induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) receptor-binding domain (RBD) and spike (S) protein S1 subunit. Methods The SARS-CoV-2 RBD and mouse immunoglobulin G1 (IgG1) Fc fragment (mFc) fusion protein expression plasmid pVRCRBD- mFc was constructed and transfected into human embryonic kidney 293T cells. The RBD-mFc fusion protein in the cell supernatants was detected by Western blotting. The effect of RBD-mFc in cell supernatants and CHO recombinant S1-human IgG1 Fc (S1-hFc) fusion protein on SARS-CoV-2 infection was detected by microneutralization test. BALB/c mice were immunized with plasmid pVRC-RBD-mFc and S1-hFc fusion protein via intramuscular injection. Anti-S1 IgG antibodies in mouse sera were detected by enzyme-linked immunosorbent assay (ELISA), and the virus neutralization activity of mouse sera was detected by microneutralization test. Results The RBD-mFc fusion protein could be detected in the culture supernatants of 293T cells transfected with the plasmid pVRC-RBD-mFc, the concentrated supernatants and the S1- hFc fusion protein could inhibit SARS-CoV-2 infection on Vero E6 cells in a concentration-dependent manner. Anti-S1 IgG antibodies could be detected in the sera of mice immunized with plasmid pVRC-RBD-mFc and S1-hFc fusion protein, and the sera of both groups could neutralize SARS-CoV-2 infection. The serum antibody titers and virus neutralization activity of S1- hFc fusion protein immunized mice were significantly higher than those of plasmid pVRC-RBD-mFc immunized mice (both P<0.01). Conclusion Both SARS-CoV-2 RBD and S1 subunit may be used as effective vaccine antigens. Compared with DNA vaccine, recombinant subunit vaccine can induce neutralizing antibody more effectively..

Mental health toll from the coronavirus: Social media usage reveals Wuhan residents’ depression and secondary trauma in the COVID-19 outbreak

Zhong,  B,  Huang, et al

Computers in Human Behavior

Public Health Priorities| Priorités de santé publique Public Health response| Interventions de santé publique

This study investigates the possible association between social media usage and the mental health toll from the coronavirus at the peak of Wuhan's COVID-19 outbreak. Informed by the Crisis and Emergency Risk Communication Model and Health Belief Model, it proposes a conceptual model to study how people in Wuhan – the first epicenter of the global COVID-19 pandemic – used social media and its effects on users' mental health conditions and health behavior change. The results show that social media usage was related to both depression and secondary trauma, which also predicted health behavior change. But no relation was detected between health behavior change and mental health conditions. As the virus struck, social media usage was rewarding to Wuhan people who gained informational, emotional, and peer support from the health information shared on social media. An excessive use of social media, however, led to mental health issues. The results imply that taking a social media break may promote well-being during the pandemic, which is crucial to mitigating mental health harm inflicted by the pandemic.

The prevalence and risk factors of psychological disturbances of frontline medical staff in china under the COVID-19 epidemic: Workload should be concerned

Zhou,  Y,  Wang, et al

Journal of affective disorders

Healthcare Response | Réponse des soins de santé

Background: To our best knowledge, this was the first time to investigate the prevalence and risk factors of psychological disturbances, including depression, anxiety, somatization symptoms, insomnia and suicide, among frontline medical staff, who were working with the COVID-10 infected patients directly. Methods: Patient Health Questionnaire Depression (PHQ-9), Generalized Anxiety Disorder Questionnaire scale (GAD-7), Symptom Check List-90 (SCL-90) somatization, Insomnia Severity Index (ISI), and the suicidal module of the Mini International Neuropsychiatric Interview were used for online survey. Results: A total of 606 frontline hospital staff and1099 general population were recruited. The prevalence of depression, anxiety, somatization symptoms, insomnia, and suicide risk in frontline medical staffs were 57.6%, 45.4%, 12.0%, 32.0% and 13.0%, respectively. Except for suicide risk, the prevalence of other psychological disorders in frontline medical staff were higher than those in general population (all p<0.01). Among the frontline medical staff, the daily working hours were associated with all psychological disturbance (all p<0.01), women with anxiety (p = 0.02), body mass index (BMI) with anxiety and insomnia (p = 0.02, p = 0.03). Age was negatively associated with depression, anxiety, and insomnia (all p<0.01). Finally, years of working and family income were negatively associated with suicide risk (p = 0.03, p<0.001). Conclusion: Our study demonstrates that during the outbreak of COVID-19, the frontline medical staff are more likely to suffer from psychological disturbances than general population. It is noticeable that daily working hours are a risk factor for all measured psychological disturbances, and some other variables may be involved in certain psychological disturbances of frontline medical staff.

BioAider: An efficient tool for viral genome analysis and its application in tracing SARS-CoV-2 transmission

Zhou,  ZJ,  Qiu, et al

Sustainable Cities and Society

Coronavirology| Coronavirologie

The novel human coronavirus (SARS-CoV-2) causes the coronavirus disease 2019 (COVID-19) pandemic worldwide. Control of COVID-19 pandemic is vital for public health and is the prerequisite to maintain social stability. However, the origin and transmission route of SARS-CoV-2 is unclear, bringing huge difficult to virus control. Monitoring viral variation and screening functional mutation sites are crucial for prevention and control of infectious diseases. In this study, we developed a user-friendly software, named BioAider, for quick sequence annotation and mutation analysis on large-scale genome-sequencing data. Herein, we detected 14 substitution hotspots within 3,240 SARS-CoV-2 genome sequences, including 3 groups of potentially linked substitution. NSP13-Y541C was crucial substitution which might affect the unwinding activity of the viral helicase. In particular, we discovered a SR-rich region of SARS-CoV-2 distinct from SARS-CoV, indicating more complex replication mechanism and unique N-M interaction of SARS-CoV-2. Interestingly, the quantity of SSRX repeat fragments in SARS-CoV-2 provided further evidence of its animal origin. Overall, we developed an efficient tool for rapid identification of viral genome mutations which could facilitate viral genomic studies. Using this tool, we have found critical clues for the transmission route of SARS-CoV-2 which would provide theoretical support for the epidemic control of pathogenic coronaviruses.

32853687; J-shaped association between fasting blood glucose levels and COVID-19 severity in patients without diabetes

Zhu,  B,  Jin, et al

Diabetes research and clinical practice

Epidemiology| Épidémiologie Clinical data| Données cliniques

Aims: Coronavirus disease 2019 (COVID-19) has become a recognized worldwide pandemic. Researchers now know that mortality from COVID-19 can be reduced through early prevention measures. This retrospective, multi-centered study of 293 COVID-19 patients without diabetes explores the association between fasting blood glucose (FBG) levels and the risk of COVID-19 disease progression, with the goal of providing clinical evidence for glycemic targets in patients. Methods: The multivariate stepwise binary logistic regression analysis was used to test the dose–response effects of FBG levels on the risk of severe and critical condition in COVID-19 patients. Results: FBG levels were plotted in quintiles with set at <4.74, 4.74–5.21, 5.21–5.78, 5.78–7.05, and 7.05 mmol/L. The constituent ratio of severe or critical cases in each FBG quintile was 20.7%, 1.7%, 13.8%, 27.1%, and 67.2%, respectively (P < 0.0001). When the second quintile was used as the reference, the adjusted odds ratios (AORs) (95%CI) for the risk of severe/critical condition in COVID-19 was 25.33 (2.77, 231.64), 1.00 (Reference), 3.13 (0.33, 29.67), 10.59 (1.23, 91.24), 38.93 (4.36, 347.48) per FBG quintile respectively (P < 0.001). Conclusions: We provide evidence of J-shaped associations between FBG and risk of severe and critical condition in non-diabetes patients with COVID-19, with nadir at 4.74–5.78 mmol/L.

Visual Variations between Pairs of SARS-CoV-2 Genomes on Integrated Density Matrix

Zhu,  M,  Z

Research Square prepub

Coronavirology| Coronavirologie

This paper is the B2 module of the MAS. The quantification matrix is formed according to the four-base arrangement in the genome sequence. The differences in new coronavirus genome sequencing sequences in different samples were demonstrated by using the most concise methods. Using 4 primitive variable value measures, changes in the virus genome sequence base order conditions were determined. When two relatively large genomic sequences are slightly different, the integrated distribution of the difference calculation is subtly similar to the Bose-Einstein distribution, while the sum calculation shows a powerful distribution complexity. It can be formed under the macroscopic angle and can distinguish 16 combinations of supersymmetric structures. In view of the abundant transformation structure in this kind of transformation system, the detailed exploration remains to be followed by the systematic expansion of theory and medical application.

Cluster Analysis of Visual Differences on Pairs of SARS-CoV-2 Genomes

Zhu,  M,  Z

Research Square prepub

Coronavirology| Coronavirologie

This paper represents sample results for the C2 and C3 modules of the MAS. Genomic index maps were generated for SARS-CoV-2 genomes from different samples worldwide, and eleven other viral genomes were selected for comparisons. Each 2D genomic index map acts as a pair of X-Y coordinate scatter points located in a specific geometric region restricted. Supported by the principle of entropy invariance and visual distributions, it is convenient to identify the variations of SARS-CoV-2 genomes in the global scope. In view of this powerful transformation structure, future exploration of the detailed systematic expansion of theory and medical applications for COVID-19 patients is required.

Exploring factors influencing online classes due to social distancing in COVID-19 pandemic: a business students perspective

Zia,  A

International Journal of Information and Learning Technology

Public Health response| Interventions de santé publique

Purpose: This study explores the factors responsible for influencing online classes for business school during the COVID-19 pandemic. This study also examines the level of influence of these factors on online classes. Design/methodology/approach: Primary data were collected online from 716 business school students using a questionnaire developed by the researcher. Smart PLS3 software was used to analyze the data. Findings: Attitude, curriculum, motivation, technology and training were found to have an impact on online classes. Three variables (attitude, motivation and training) have a positive impact on online classes, whereas two variables (curriculum and technology) have a negative impact on the online classes. All the factors have been found to be significant except technology which is found to have an insignificant impact (p = 0.356) on online classes. Research limitations/implications: Only one university’s students were surveyed. Practical implications: Outlines the factors which have a positive and significant impact on online classes during COVID-19 pandemic. This study can be generalized through a student's community across the world as the students face similar problems associated with online classes during the COVID-19 pandemic. Social implications: Suggest factors that can be considered while COVID-19 pandemic during social distancing to make online classes more effective and to reduce the impact of this pandemic. Originality/value: No study has documented the factors associated to impact the online classes during the COVID-19 pandemic.

PMC7274116; Assessing the relationship between ground levels of ozone (O(3)) and nitrogen dioxide (NO(2)) with coronavirus (COVID-19) in Milan, Italy

Zoran,  MA,  Savastru, et al

Sci Total Environ

Epidemiology| Épidémiologie Transmission

This paper investigates the correlation between the high level of coronavirus SARS-CoV-2 infection accelerated transmission and lethality, and surface air pollution in Milan metropolitan area, Lombardy region in Italy. For January-April 2020 period, time series of daily average inhalable gaseous pollutants ozone (O(3)) and nitrogen dioxide (NO(2)), together climate variables (air temperature, relative humidity, wind speed, precipitation rate, atmospheric pressure field and Planetary Boundary Layer) were analyzed. In spite of being considered primarily transmitted by indoor bioaerosols droplets and infected surfaces or direct human-to-human personal contacts, it seems that high levels of urban air pollution, and climate conditions have a significant impact on SARS-CoV-2 diffusion. Exhibited positive correlations of ambient ozone levels and negative correlations of NO(2) with the increased rates of COVID-19 infections (Total number, Daily New positive and Total Deaths cases), can be attributed to airborne bioaerosols distribution. The results show positive correlation of daily averaged O(3) with air temperature and inversely correlations with relative humidity and precipitation rates. Viral genome contains distinctive features, including a unique N-terminal fragment within the spike protein, which allows coronavirus attachment on ambient air pollutants. At this moment it is not clear if through airborne diffusion, in the presence of outdoor and indoor aerosols, this protein "spike" of the new COVID-19 is involved in the infectious agent transmission from a reservoir to a susceptible host during the highest nosocomial outbreak in some agglomerated industrialized urban areas like Milan is. Also, in spite of collected data for cold season (winter-early spring) period, when usually ozone levels have lower values than in summer, the findings of this study support possibility as O(3) can acts as a COVID-19 virus incubator. Being a novel pandemic coronavirus version, it might be ongoing during summer conditions associated with higher air temperatures, low relative humidity and precipitation levels.

Combining lung ultrasound and wells score for diagnosing pulmonary embolism in critically ill COVID-19 patients

Zotzmann,  V,  L

Research Square prepub

Epidemiology| Épidémiologie Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

Introduction: Subpleural consolidations have been found in lung ultrasound in patients with COVID-19, possibly deriving from pulmonary embolism (PE). The diagnostic utility of impact of lung ultrasound in critical-ill patients with COVID-19 for PE diagnostics however is unclear. Methods: We retrospectively evaluated all SARS-CoV2-associated ARDS patients admitted to our ICU between March 8th and May 31th 2020. They were enrolled in this study, when a lung ultrasound and a computed tomography pulmonary angiography (CTPA) were documented. In addition, wells score was calculated to estimate the probability of PE. The CTPA was used as the gold standard for the detection of PE. Results: Twenty patients met the inclusion criteria. In 12/20 patients (60%) (sub-) segmental PE were detected by CT-angiography. Lung ultrasound found subpleural consolidations in 90% of patients. PE-typical large supleural consolidations with a size ≥1cm were detectable in 65% of patients and were significant more frequent in patients with PE compared to those without (p=0.035). Large consolidations predicted PE with a sensitivity of 77% and a specificity of 71%. The Wells score was significantly higher in patients with PE compared to those without (2.7±0.8 and 1.7±0.5, respectively, p=0.042) and predicted PE with an AUC of 0.81. When combining the two modalities, comparing patients with considered/probable PE using LUS plus a Wells score ≥2 to patients with possible/unlikely PE in LUS plus a Wells score 2, this might indicate a high-risk for PE in COVID-19.

COVID-19 during pregnancy should we really worry from vertical transmission or rather from fetal hypoxia and placental insufficiency? A systematic review and meta -analysis

AbdelMassih,  A,  F

Research Square prepub

Review Literature| Revue de littérature

SR-MA: A computer run has been performed EMBASE, Medline and the Cochrane Central Register (From 1st November 2019 to 1st of August 2020). These findings suggest that while vertical transmission is unlikely, there appears to be an underlying risk of placental insufficiency due to the prothrombotic tendency observed in COVID-19 infection.

Social Protection as a Key Tool in Crisis Management: Learnt Lessons from the COVID-19 Pandemic

Abdoul-Azize,  H,  El Gamil, et al

Global Social Welfare

Review Literature| Revue de littérature

 

Pandeconomic crisis and its impact on small open economies: A case study of COVID-19

Abuselidze,  G,  Slobodianyk, et al

 

Review Literature| Revue de littérature

 

32663356; Haematological manifestations of COVID-19: From cytopenia to coagulopathy

Agbuduwe,  C,  Basu, et al

European journal of haematology

Review Literature| Revue de littérature

 

Favipiravir: A new and emerging antiviral option in COVID-19

Agrawal,  U,  Raju, et al

Medical Journal Armed Forces India

Review Literature| Revue de littérature

 

COVID-19 epidemic: a special focus on diagnosis, complications and management

Ai,  L,  Jiang, et al

Expert Rev Clin Pharmacol

Review Literature| Revue de littérature

 

32867349; Design and Evaluation of Anti-SARS-Coronavirus Agents Based on Molecular Interactions with the Viral Protease

Akaji,  K,  Konno, et al

Molecules (Basel, Switzerland)

Review Literature| Revue de littérature

 

32831328; COVID-19: implicaciones en Colombia

Almeida-Espinosa,  A,  Sarmiento-Ardila, et al

Gaceta medica de Mexico

Review Literature| Revue de littérature

 

Current meta-analysis does not support the possibility of COVID-19 reinfections

Arafkas,  M,  Khosrawipour, et al

J Med Virol

Review Literature| Revue de littérature

MA: searched for all peer-reviewed articles in the search engine of the National Center for Biotechnology Information. Reports of COVID-19 reinfections all appear within a vulnerable timeframe, where affected patients are still tested positive for COVID-19 via PCR. According to our data, it is most likely that all reported cases of COVID-19 reinfections are in fact protracted initial infections.

32854430; Targeting the sAC-Dependent cAMP Pool to Prevent SARS-Cov-2 Infection

Aslam,  M,  Ladilov, et al

Cells

Review Literature| Revue de littérature

 

32831339; Proposal for the management of COVID-19-associated coagulopathy in children

Ávila-Castro,  D,  Ortiz-Torres, et al

Gaceta medica de Mexico

Review Literature| Revue de littérature

 

Medicinal Plants as Sources of Active Molecules Against COVID-19

Benarba,  B,  Pandiella, et al

Frontiers in Pharmacology

Review Literature| Revue de littérature

 

32872154; Practical recommendations for maintaining active lifestyle during the covid-19 pandemic: A systematic literature review

Bentlage,  E,  Ammar, et al

International Journal of Environmental Research and Public Health

Review Literature| Revue de littérature

SR: In May 2020, two electronic databases (PubMed; Web of Science) were used to search for relevant studies. This systematic review revealed that reduced physical activity levels are of serious concern during home confinement in pandemic times.

32816921; Recovery of endoscopy services in the era of COVID-19: Recommendations from an international Delphi consensus

Bhandari,  P,  Subramaniam, et al

Gut

Review Literature| Revue de littérature

 

Current scenario and future prospect in the management of COVID-19

Borah,  P,  Deb, et al

Curr Med Chem

Review Literature| Revue de littérature

 

Face Masks are Beneficial Regardless of the Level of Infection in the Fight Against COVID-19

Burnett,  ML,  Sergi, et al

Disaster Med Public Health Prep

Review Literature| Revue de littérature

 

32869273; Vitamin D supplementation to prevent COVID-19 in patients with COPD: a research perspective

Chaabouni,  M,  Feki, et al

Advances in respiratory medicine

Review Literature| Revue de littérature

 

Largest democracy in the world crippled by COVID-19: current perspective and experience from India

Changotra,  R,  Rajput, et al

Environment, Development and Sustainability

Review Literature| Revue de littérature

 

New and developing diagnostic platforms for COVID-19: a systematic review

Chauhan,  N,  Soni, et al

Expert Rev Mol Diagn

Review Literature| Revue de littérature

SR: searches on Google scholar, PubMed and online resources were conducted on the period of year 2017 to mid-2020. The search has identified the potential applications of nucleic acid technology, diagnostics radiology examinations, and in-vitro diagnostic kits in detection of COVID-19 infections.

Liver in the limelight in the corona (COVID-19) time

Chela,  HK,  Pasha, et al

World Journal of Clinical Cases

Review Literature| Revue de littérature

 

Approach to the Patient with COVID-19-Associated Thrombosis: A Case-Based Review

Chen,  EC,  Zon, et al

Oncologist

Review Literature| Revue de littérature

 

Immunomodulatory and Antiviral Activity of Metformin and Its Potential Implications in Treating Coronavirus Disease 2019 and Lung Injury

Chen,  X,  Guo, et al

Frontiers in Immunology

Review Literature| Revue de littérature

 

Minimizing the gap between expectation and ability: Strategies for smes to implement social sustainability practices

Chowdhury,  P,  Shumon, et al

Sustainability (Switzerland)

Review Literature| Revue de littérature

 

32831319; Manifestaciones neurológicas en la enfermedad del coronavirus 2019

Corona,  T,  Rodríguez-Violante, et al

Gaceta medica de Mexico

Review Literature| Revue de littérature

 

32849623; Remodeling of the Immune Response With Aging: Immunosenescence and Its Potential Impact on COVID-19 Immune Response

Cunha,  LL,  Perazzio, et al

Frontiers in Immunology

Review Literature| Revue de littérature

 

Malaria and COVID-19: Common and Different Findings

Di Gennaro,  F,  Marotta, et al

Trop Med Infect Dis

Review Literature| Revue de littérature

 

Ethical issues and arguments for a learning health care system in the covid-19 pandemic

Diac,  I,  Udriștioiu, et al

Romanian Journal of Legal Medicine

Review Literature| Revue de littérature

 

Infection as a Stroke Risk Factor and Determinant of Outcome After Stroke

Elkind,  MSV,  Boehme, et al

Stroke

Review Literature| Revue de littérature

 

Bibliometric Analysis on COVID-19: A Comparison of Research Between English and Chinese Studies

Fan,  J,  Gao, et al

Frontiers in Public Health

Review Literature| Revue de littérature

 

COVID-19 in Latin America: A bibliometric analysis of scientific publications in health

Gallegos,  M,  Cervigni, et al

Electronic Journal of General Medicine

Review Literature| Revue de littérature

 

A Literature Systematic Review with Meta-Analysis of Symptoms Prevalence in Covid-19: the Relevance of Olfactory Symptoms in Infection Not Requiring Hospitalization

Giorli,  A,  Ferretti, et al

Current Treatment Options in Neurology

Review Literature| Revue de littérature

SR-MA: PubMed, Scopus and Web of Science databases were reviewed from May 5, 2020, to June 1, 2020. Patient with new onset olfactory dysfunction should be investigated for COVID-19. Anosmia is more frequent in non-hospitalized COVID-19 patients than in hospitalized ones.

Review of novel human β-coronavirus (2019-nCoV or SARS-CoV-2) from the food industry perspective—Food plant health principles

Goli,  M

Journal of Food Safety

Review Literature| Revue de littérature

 

32860390; SARS-CoV2: Diagnostic tests available to the clinician

Hadweh,  P,  Orfanidou, et al

Hellenic journal of nuclear medicine

Review Literature| Revue de littérature

 

Exercise for Older Adults Improves the Quality of Life in Parkinson's Disease and Potentially Enhances the Immune Response to COVID-19

Hall,  ME,  Church, et al

Brain Sci

Review Literature| Revue de littérature

 

Safe intrahospital transport of critically ill COVID-19 patients

Inci,  K

Journal of Critical and Intensive Care

Review Literature| Revue de littérature

 

32867310; The Role of NLRP3 Inflammasome in the Pathogenesis of Traumatic Brain Injury

Irrera,  N,  Russo, et al

International journal of molecular sciences

Review Literature| Revue de littérature

 

32854265; Big Data Analytics in the Fight against Major Public Health Incidents (Including COVID-19): A Conceptual Framework

Jia,  Q,  Guo, et al

International journal of environmental research and public health

Review Literature| Revue de littérature

 

The COVID-19 pandemic and planetary health. A critical review of epidemiology, prevention, clinical characteristics and treatments for oral, head and neck health professionals. Do we have a roadmap?

Jotz,  GP,  Stein, et al

International Archives of Otorhinolaryngology

Review Literature| Revue de littérature

 

Cardiac Arrhythmias in Critically Ill Patients With COVID-19: A Brief Review

Karamchandani,  K,  Quintili, et al

Journal of cardiothoracic and vascular anesthesia

Review Literature| Revue de littérature

 

32864104; School closure in response to epidemic outbreaks: Systems-based logic model of downstream impacts

Kneale,  D,  O'Mara-Eves, et al

F1000Research

Review Literature| Revue de littérature

 

COVID-19 in Children and Adolescents with Endocrine Conditions

Kostopoulou,  E,  Güemes, et al

Horm Metab Res

Review Literature| Revue de littérature

 

32798237; Risk of transmission of severe acute respiratory syndrome coronavirus 2 by transfusion: A literature review

Leblanc,  JF,  Germain, et al

Transfusion

Review Literature| Revue de littérature

 

32832666; Shattering barriers toward clinically meaningful MSC therapies

Levy,  O,  Kuai, et al

Science advances

Review Literature| Revue de littérature

 

32849658; Will Hydroxychloroquine Still Be a Game-Changer for COVID-19 by Combining Azithromycin?

Li,  C,  Cheng, et al

Frontiers in Immunology

Review Literature| Revue de littérature

 

32849656; Crosstalk Between Platelets and Microbial Pathogens

Li,  C,  Li, et al

Frontiers in Immunology

Review Literature| Revue de littérature

 

From SARS to COVID-19: What lessons have we learned?

Liu,  Q,  Xu, et al

Journal of Infection and Public Health

Review Literature| Revue de littérature

 

32831326; El gran desafío de la latencia de SARS-CoV-2: el testículo como reservorio

López-Romero,  R,  Nambo-Lucio, et al

Gaceta medica de Mexico

Review Literature| Revue de littérature

 

The Exclusion of Patients with CKD in Prospectively Registered Interventional Trials for COVID-19-a Rapid Review of International Registry Data

Major,  R,  Selvaskandan, et al

J Am Soc Nephrol

Review Literature| Revue de littérature

Rapid Review: data available on the World Health Organization International Clinical Trials Registry Platform4 (WHO-ICTRP; data extracted April 22nd, 2020).

Immunothrombosis and thromboinflammation in host defense and disease

Martinod,  K,  Deppermann, et al

Platelets

Review Literature| Revue de littérature

 

COVID-19: Therapeutics and interventions currently under consideration

McFee,  RB

Disease-a-Month

Review Literature| Revue de littérature

 

Recommendations for the management of patients with hyperglycemia or diabetes mellitus and COVID-19

Medina-Chávez,  JH,  Colín-Luna, et al

Medicina Interna de Mexico

Review Literature| Revue de littérature

 

Recommendations for the integral treatment of older adults with COVID-19

Medina-Chávez,  JH,  Colín-Luna, et al

Medicina Interna de Mexico

Review Literature| Revue de littérature

 

Bariatric Surgical Practice and Patient Care during the COVID-19 Pandemic

Mikami,  D,  Noria, et al

Bariatric Surgical Practice and Patient Care

Review Literature| Revue de littérature

 

32853310; Promising and potential drugs for the treatment of COVID-19

Moneriz,  C,  Castro-Salguedo, et al

Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia

Review Literature| Revue de littérature

 

32845750; COVID-19 infection in children and adolescents

Naja,  M,  Wedderburn, et al

British journal of hospital medicine (London, England : 2005)

Review Literature| Revue de littérature

 

Immunopathology and immunopharmacotherapy of coronavirus disease 2019 (covid-19): Focus on interleukin 6

Nasonov,  EL

Nauchno-Prakticheskaya Revmatologiya

Review Literature| Revue de littérature

 

Temporary regulation of employment due to force majeure derived from COVID-19

Natividad,  KS

Actualidad Juridica Iberoamericana

Review Literature| Revue de littérature

 

Breastfeeding in COVID-19: A Pragmatic Approach

Ng,  YPM,  Low, et al

Am J Perinatol

Review Literature| Revue de littérature

 

32850151; Pulmonary Fibrosis in COVID-19 Survivors: Predictive Factors and Risk Reduction Strategies

Ojo,  AS,  Balogun, et al

Pulmonary Medicine

Review Literature| Revue de littérature

 

NeuroCOVID: critical review of neuropsychiatric manifestations of SARS-CoV-2 infection

Oliveira,  R,  Sotero, et al

Ir J Med Sci

Review Literature| Revue de littérature

 

Digital technology, tele-medicine and artificial intelligence in ophthalmology: A global perspective

Olivia Li,  JP,  Liu, et al

Prog Retin Eye Res

Review Literature| Revue de littérature

 

Immunotherapeutic approaches to curtail COVID-19

Owji,  H,  Negahdaripour, et al

International immunopharmacology

Review Literature| Revue de littérature

 

Obesity-Driven Deficiencies of Specialized Pro-resolving Mediators May Drive Adverse Outcomes During SARS-CoV-2 Infection

Pal,  A,  Gowdy, et al

Frontiers in Immunology

Review Literature| Revue de littérature

 

Body Mass Index and Prognosis of COVID-19 Infection. A Systematic Review

Peres,  KC,  Riera, et al

Frontiers in Endocrinology

Review Literature| Revue de littérature

SR: searched in Cochrane Library, EMBASE, MEDLINE, WHO-Global Literature on Coronavirus Disease, OpenGrey, and Medrxiv. Most of the included studies showed some degree of association to: (a) higher BMI and worse clinical presentation and (b) obesity and need of hospitalization.

Ocular manifestations of SARS-CoV-2: Literature review

Pérez-Bartolomé,  F,  Sánchez-Quirós, et al

Archivos de la Sociedad Espanola de Oftalmologia

Review Literature| Revue de littérature

 

New technologies and Amyotrophic Lateral Sclerosis – Which step forward rushed by the COVID-19 pandemic?

Pinto,  S,  Quintarelli, et al

Journal of the neurological sciences

Review Literature| Revue de littérature

 

COVID-19: update of the Italian situation

Prezioso,  C,  Pietropaolo, et al

J Neurovirol

Review Literature| Revue de littérature

 

Recycling Old Antibiotics with Ionic Liquids

Prudêncio,  C,  Vieira, et al

Antibiotics (Basel)

Review Literature| Revue de littérature

 

Chloroquine and COVID-19: Should we care about ototoxicity?

Rossi Monteiro,  EM,  Lima Nascimento, et al

International Archives of Otorhinolaryngology

Review Literature| Revue de littérature

 

Influenza Pandemic: A Webliography

Salmon,  MK

Journal of Consumer Health on the Internet

Review Literature| Revue de littérature

 

32846196; Prospect of SARS-CoV-2 spike protein: Potential role in vaccine and therapeutic development

Samrat,  SK,  Tharappel, et al

Virus research

Review Literature| Revue de littérature

 

Management of Morbidly Obese Patients during the Outbreak of New Coronavirus Pandemic: Commentary and Recommendations from a Specialist Center in Spain

Sanchez-Cordero,  S,  Vilallonga, et al

Bariatric Surgical Practice and Patient Care

Review Literature| Revue de littérature

 

Coupled human-environment system amid COVID-19 crisis: A conceptual model to understand the nexus

Sarkar,  P,  Debnath, et al

Science of the Total Environment

Review Literature| Revue de littérature

MA: searched the ISI Web of Science (WoS) – Core Collection database published until April 30, 2020 (with an open initial date). Results revealed a suite of positive and negative impacts of COVID-19 on both the sub-components.

Laparoscopic Surgery in COVID-19 Era-Safety and Ethical Issues

Serban,  D,  Smarandache, et al

Diagnostics (Basel)

Review Literature| Revue de littérature

 

COVID-19 and ESKD, A Rapid Review

Shah,  AD,  Calabro-Kailukaitis, et al

R I Med J (2013)

Review Literature| Revue de littérature

Rapid Review

32854262; The Antiviral, Anti-Inflammatory Effects of Natural Medicinal Herbs and Mushrooms and SARS-CoV-2 Infection

Shahzad,  F,  Anderson, et al

Nutrients

Review Literature| Revue de littérature

 

32867260; Probiotics: Versatile Bioactive Components in Promoting Human Health

Sharifi-Rad,  J,  Rodrigues, et al

Medicina (Kaunas, Lithuania)

Review Literature| Revue de littérature

 

Impact of COVID-19 and comorbidities on health and economics: Focus on developing countries and India

Singh,  AK,  Misra, et al

Diabetes and Metabolic Syndrome: Clinical Research and Reviews

Review Literature| Revue de littérature

 

Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations

Singh,  S,  Roy, et al

Psychiatry research

Review Literature| Revue de littérature

 

Aerosol generating procedures in trauma and orthopaedics in the era of the Covid-19 pandemic; What do we know?

Sobti,  A,  Fathi, et al

Surgeon

Review Literature| Revue de littérature

 

32800826; Efficacies of the original and modified World Health Organization-recommended hand-rub formulations

Suchomel,  M,  Steinmann, et al

Journal of Hospital Infection

Review Literature| Revue de littérature

 

A Review on the Serum Electrolytes and Trace Elements Role in the Pathophysiology of COVID-19

Taheri,  M,  Bahrami, et al

Biol Trace Elem Res

Review Literature| Revue de littérature

 

Testing for SARS-CoV-2 (COVID-19): A General Review

Tang,  EW,  Bobenchik, et al

R I Med J (2013)

Review Literature| Revue de littérature

 

Publishing volumes in major databases related to Covid-19

Teixeira da Silva,  JA,  Tsigaris, et al

Scientometrics

Review Literature| Revue de littérature

 

32816307; Clinical characteristics, prognostic factors, and maternal and neonatal outcomes of SARS-CoV-2 infection among hospitalized pregnant women: A systematic review

Turan,  O,  Hakim, et al

International Journal of Gynecology and Obstetrics

Review Literature| Revue de littérature

SR: Relevant databases were searched up until May 29, 2020. Advanced gestation, maternal age, obesity, diabetes mellitus, and a combination of elevated D-dimer and interleukin-6 levels are predictive of poor pregnancy outcomes in COVID-19. The rate of iatrogenic preterm birth and cesarean delivery is high; vertical transmission may be possible but has not been proved.

PMC7471803; SARS-CoV-2 in Environment Perspective: Occurrence, Persistence, Surveillance, Inactivation and Challenges

Venkata Mohan,  S,  Hemalatha, et al

Chem Eng J

Review Literature| Revue de littérature

 

Strategic responses to the COVID-19 pandemic in Pacific Alliance countries

Vivas,  V,  Villar, et al

Management Research

Review Literature| Revue de littérature

 

Clinical efficacy of Lianhua Qingwen integrated with Western medicine on COVID-19 by Meta-analysis

Wang,  SX,  Li, et al

Chinese Traditional and Herbal Drugs

Review Literature| Revue de littérature

MA: Six databases (PubMed, Cochrane Library, Wanfang, Weipu, CBM and CNKI) were searched up to May 27, 2020.  Lianhua Qingwen could be used as adaptive and complementary medicine to improve clinical symptoms and CT for COVID-19.

32833200; Coronaviruses: An Updated Overview of Their Replication and Pathogenesis

Wang,  Y,  Grunewald, et al

Methods in Molecular Biology

Review Literature| Revue de littérature

 

The Association of Cerebrovascular Disease with Adverse Outcomes in COVID-19 Patients: A Meta-Analysis Based on Adjusted Effect Estimates

Xu,  J,  Xiao, et al

Journal of Stroke and Cerebrovascular Diseases

Review Literature| Revue de littérature

MA: search was performed in PubMed, Web of Science, and EMBASE up to August 10th, 2020. This study for the first time indicated that cerebrovascular disease was an independent risk factor for predicting the adverse outcomes, particularly fatal outcomes, in COVID-19 patients on the basis of adjusted effect estimates. Well-designed studies with larger sample size are needed for further verification.

New norms in ophthalmic surgery during the COVID-19 pandemic: A narrative review from a Malaysia tertiary eye care center

Yeoh,  SH,  Yong, et al

Eur J Ophthalmol

Review Literature| Revue de littérature

 

COVID-19 infection—Risk of thromboembolic complications

Zerwes,  S,  Steinbauer, et al

Gefasschirurgie

Review Literature| Revue de littérature

 

The Comparative Immunological Characteristics of SARS-CoV, MERS-CoV, and SARS-CoV-2 Coronavirus Infections

Zhang,  YY,  Li, et al

Frontiers in Immunology

Review Literature| Revue de littérature

 

Virions and respiratory droplets in air: Diffusion, drift, and contact with the epithelium

Zhdanov,  VP,  Kasemo, et al

Biosystems

Review Literature| Revue de littérature

 

Recent insights for the emerging COVID-19: Drug discovery, therapeutic options and vaccine development

Zhu,  Y,  Li, et al

Asian Journal of Pharmaceutical Sciences

Review Literature| Revue de littérature

 

Bacille Calmette–Guérin (BCG) vaccination and COVID-19. Scientific brief

 

Pediatria i Medycyna Rodzinna

Review Literature| Revue de littérature

 

32853319; Pathogenic, clinical and diagnostic characteristics of the SARS-CoV-2 pandemic

Abarca Rozas,  B,  Vargas Urra, et al

Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia

Commentary/Editorial| Commentaire/Éditorial

 

32681857; COVID-19 risk assessments: shortcomings in the protection of Black, Asian and Minority Ethnic healthcare workers

Abbas,  A,  Memon, et al

Journal of Hospital Infection

Commentary/Editorial| Commentaire/Éditorial

 

Drug Repurposing Study Pinpoints Potential COVID-19 Antivirals

Abbasi,  J

Jama

Commentary/Editorial| Commentaire/Éditorial

 

Medical tourism for COVID-19 post-crisis recovery?

Abbaspour,  F,  Soltani, et al

Anatolia

Commentary/Editorial| Commentaire/Éditorial

 

32679207; An Invited commentary on “Transforming laparoendoscopic surgical protocols during COVID-19 pandemic; big data analytics, resource allocation and operational considerations; a review article”

Abbaszadeh-Kasbi,  A,  Nikzad, et al

International Journal of Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Is it infection or rather vascular inflammation? Game-changer insights and recommendations from patterns of multi-organ involvement and affected subgroups in COVID-19

Abdelmassih,  AF,  Kamel, et al

Cardiovascular Endocrinology and Metabolism

Commentary/Editorial| Commentaire/Éditorial

 

Possible molecular and paracrine involvement underlying the pathogenesis of COVID-19 cardiovascular complications

Abdelmassih,  AF,  Ramzy, et al

Cardiovascular Endocrinology and Metabolism

Commentary/Editorial| Commentaire/Éditorial

 

The efficient role played by criminal law and precautionary measures in contain COVID-19 pandemic

Abdullah,  FM

Journal of Legal, Ethical and Regulatory Issues

Commentary/Editorial| Commentaire/Éditorial

 

Genetic characterization of SARS-CoV-2 & implications for epidemiology, diagnostics & vaccines in India

Abraham,  P,  Cherian, et al

Indian J Med Res

Commentary/Editorial| Commentaire/Éditorial

 

Increasing awareness of the low risk of severe reaction at infant peanut introduction: Implications during COVID-19 and beyond

Abrams,  EM,  Primeau, et al

J Allergy Clin Immunol Pract

Commentary/Editorial| Commentaire/Éditorial

 

32831322; COVID-19 challenge with regard to medical schools social responsibility: New professional and human perspectives

Abreu-Hernández,  LF,  Valdez-García, et al

Gaceta medica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

The need to update respiratory disease surveillance system and indigenization of the pneumonia of unknown cause surveillance system in iran according to the covid-19 pandemic

Adeli,  SH,  Aghaali, et al

Journal of Mazandaran University of Medical Sciences

Commentary/Editorial| Commentaire/Éditorial

 

32782163; What about social determinants of health against xenophobia?

Adja,  KYC,  Wu, et al

Public health

Commentary/Editorial| Commentaire/Éditorial

 

Using the protection motivation theory to examine the effects of fear arousal on the practice of social distancing during the COVID-19 outbreak in rural areas

Adunlin,  G,  Adedoyin, et al

Journal of Human Behavior in the Social Environment

Commentary/Editorial| Commentaire/Éditorial

 

Peshawar city in Pakistan: A potential hotspot for COVID-19 outbreak due to inflow of travellers

Afridi,  WA,  Hussain, et al

Journal of Medical Sciences (Peshawar)

Commentary/Editorial| Commentaire/Éditorial

 

Plastic surgery practices amidst global COVID-19 pandemic: Indian consensus

Agarwal,  R,  Singhal, et al

Journal of Plastic, Reconstructive and Aesthetic Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Pre-operative CT Chest as a screening tool for COVID-19: An appraisal of current evidence

Agrawal,  V,  Yadav, et al

Br J Surg

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: The rediscovery of heparin?

Agus,  GB,  Bavera, et al

Acta Phlebologica

Commentary/Editorial| Commentaire/Éditorial

 

32849648; Mucosal-Associated Invariant T Cells as a Possible Target to Suppress Secondary Infections at COVID-19

Akasov,  RA,  Khaydukov, et al

Frontiers in immunology

Commentary/Editorial| Commentaire/Éditorial

 

Corticosteroid therapy in COVID-19 disease

Akbudak,  IH

Journal of Critical and Intensive Care

Commentary/Editorial| Commentaire/Éditorial

 

32856807; Human resource management in healthcare organizations

Aksenova,  EI,  Vashalomidze, et al

Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

Commentary/Editorial| Commentaire/Éditorial

 

Impacts of rumors and conspiracy theories surrounding COVID-19 on preparedness programs

Ali,  I

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and healthcare workers in pakistan: Are we losing this fight?

Ali,  S,  Noreen, et al

Journal of Medical Sciences (Peshawar)

Commentary/Editorial| Commentaire/Éditorial

 

Plan for blood banks to protect blood donors and healthcare workers during COVID-19 pandemic

Ali,  SME,  Fatima, et al

Hematology, Transfusion and Cell Therapy

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and international primary care systems: Rebuilding a stronger primary care

Allen,  LN,  Dambha-Miller, et al

BJGP Open

Commentary/Editorial| Commentaire/Éditorial

 

Beau lines associated with COVID-19

Alobaida,  S,  Lam, et al

Cmaj

Commentary/Editorial| Commentaire/Éditorial

 

32862620; Triple-negative breast cancer patients with isolated lung metastases and concomitant COVID-19 infection; does cytokine storm result in better efficacy?

Altundag,  K

Journal of B.U.ON.

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 pandemic in Africa: What lessons for social work education and practice?

Amadasun,  S

International Social Work

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: broadening research expertise to understand workplace transmission

Anand,  P

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

32768268; Is SARS-CoV-2 also attacking the French language?

Andrès,  E,  Pessaux, et al

Revue de Medecine Interne

Commentary/Editorial| Commentaire/Éditorial

 

Re-positivization of molecular tests in subjects with COVID-19 infection

Antico,  A,  Panozzo, et al

Rivista Italiana della Medicina di Laboratorio

Commentary/Editorial| Commentaire/Éditorial

 

Inflation expectations, volatility and Covid-19: evidence from the US inflation swap rates

Apergis,  E,  Apergis, et al

Applied Economics Letters

Commentary/Editorial| Commentaire/Éditorial

 

Safeguarding Children and Young People During the COVID-19 Pandemic

Appleton,  JV,  Sidebotham, et al

Child Abuse Review

Commentary/Editorial| Commentaire/Éditorial

 

32826100; Conjunctivitis and COVID-19: The importance of an early detection

Arias-Peso,  B,  Rendón-Fernández, et al

Enfermedades infecciosas y microbiologia clinica

Commentary/Editorial| Commentaire/Éditorial

 

32865126; Helmet CPAP: how an unfamiliar respiratory tool is moving into treatment options during COVID-19 in the US

Armirfarzan,  H,  Shanahan, et al

Therapeutic Advances in Respiratory Disease

Commentary/Editorial| Commentaire/Éditorial

 

32850121; Open Access of COVID-19-related publications in the first quarter of 2020: a preliminary study based in PubMed

Arrizabalaga,  O,  Otaegui, et al

F1000Research

Commentary/Editorial| Commentaire/Éditorial

 

Flash Survey on the Effect of COVID-19 on Radiotherapy Services in the UK - the Benefit of Social Media for Rapid Information Gathering for the Radiotherapy Community and Government

Ashcroft,  S,  Meeking, et al

Clin Oncol (R Coll Radiol)

Commentary/Editorial| Commentaire/Éditorial

 

32773108; Primary Immunodeficiency Diseases in COVID-19 Pandemic: A Predisposing or Protective Factor?

Babaha,  F,  Rezaei, et al

American Journal of the Medical Sciences

Commentary/Editorial| Commentaire/Éditorial

 

A call for action against COVID-19 – Experience of the Social Workers’ Syndicate in Lebanon

Badran,  NC

International Social Work

Commentary/Editorial| Commentaire/Éditorial

 

A Critical Reflection on Environmental Education During the COVID-19 Pandemic

Bai,  H

Journal of Philosophy of Education

Commentary/Editorial| Commentaire/Éditorial

 

Remote work as a preferred measure to apply in companies in the COVID-19 crisis

Balaguer,  ML

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

A new generation of vaccines based on alphavirus self-amplifying RNA

Ballesteros-Briones,  M,  Silva-Pilipich, et al

Curr Opin Virol

Commentary/Editorial| Commentaire/Éditorial

 

Analogies and lessons from COVID-19 for tackling the extinction and climate crises

Balmford,  A,  Fisher, et al

Curr Biol

Commentary/Editorial| Commentaire/Éditorial

 

Greening the Post-pandemic Recovery in the G20

Barbier,  EB

Environmental and Resource Economics

Commentary/Editorial| Commentaire/Éditorial

 

Administrative contracts in times of COVID-19

Barona,  CE

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32831333; Salud mental en tiempos de COVID-19. La tecnología como herramienta de soporte

Barrios-Borjas,  D,  Béjar-Ramos, et al

Gaceta medica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Digital advantage in the COVID-19 response: perspective from Canada’s largest integrated digitalized healthcare system

Baumgart,  DC

npj Digital Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Ethics Roundtable: Distribution of Critical Care Resources in the Setting of a COVID-19 Surge

Baumrucker,  SJ,  Carter, et al

Am J Hosp Palliat Care

Commentary/Editorial| Commentaire/Éditorial

 

Underlying Conditions: Global Anti-Blackness Amid COVID-19

Beaman,  J

City and Community

Commentary/Editorial| Commentaire/Éditorial

 

32845113; Telemedicine Platforms Used in Academic Dermatology During the COVID-19 Pandemic: Implications for Adaptation and Usage

Beer,  J,  Abrouk, et al

Journal of drugs in dermatology : JDD

Commentary/Editorial| Commentaire/Éditorial

 

Financing: More tests for SARS-CoV-2

Beerheide,  R

Deutsches Arzteblatt International

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2: Skepticism about Bavaria's test model

Beerheide,  R

Deutsches Arzteblatt International

Commentary/Editorial| Commentaire/Éditorial

 

Olfactory and taste disorders in patients with SARS-CoV-2 infection

Begam,  N,  Bashar, et al

International Archives of Otorhinolaryngology

Commentary/Editorial| Commentaire/Éditorial

 

Establishing Safe Out-of-Hospital Infusion Centers May Improve the Quality of Care in Patients With IBD During the COVID-19 Pandemic

Behzad,  C,  Taheri, et al

Inflamm Bowel Dis

Commentary/Editorial| Commentaire/Éditorial

 

32826070; Comment on: ¨The management of surgical patients during the coronavirus disease 2019 (COVID-19) pandemic”

Beltran-Miranda,  P,  Muñoz-Cruzado, et al

Surgery (United States)

Commentary/Editorial| Commentaire/Éditorial

 

Hemodynamic monitoring of Covid-19 patients. Classical methods and new paradigms

Bendjelid,  K,  Muller, et al

Anaesth Crit Care Pain Med

Commentary/Editorial| Commentaire/Éditorial

 

32866271; Road to Recovery: COVID-19 Tests, Bends, and Breaks Texas Practices

Berlin,  J

Texas medicine

Commentary/Editorial| Commentaire/Éditorial

 

32866273; Quarantine's Quandary: Some Texans Unable to Self-Isolate

Berlin,  J

Texas medicine

Commentary/Editorial| Commentaire/Éditorial

 

ASI’s Consensus Guidelines: ABCs of What to Do and What Not During the COVID-19 Pandemic

Bhattacharya,  K,  Bhattacharya, et al

Indian Journal of Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Response letter: Letter to the editor regarding Wei W et al.:''Experience of the hubei cancer hospital in wuhan, china"

Bi,  J,  Wei, et al

Radiother Oncol

Commentary/Editorial| Commentaire/Éditorial

 

32768449; Testing strategies for the control of COVID-19 in nursing homes: Universal or targeted screening?

Birgand,  G,  Blanckaert, et al

Journal of Infection

Commentary/Editorial| Commentaire/Éditorial

 

32845762; Dismal performance in response to coronavirus: the problem no one wants to discuss - the NHS

Bleetman,  A

British journal of hospital medicine (London, England : 2005)

Commentary/Editorial| Commentaire/Éditorial

 

"When Will We Have a Vaccine?" - Understanding Questions and Answers about Covid-19 Vaccination

Bloom,  BR,  Nowak, et al

N Engl J Med

Commentary/Editorial| Commentaire/Éditorial

 

32781078; Outreach and Influence of Surgical Societies’ Recommendations on Minimally Invasive Surgery During the COVID-19 Pandemic—An Anonymized International Urologic Expert Inquiry

Boehm,  K,  Thomas, et al

Urology

Commentary/Editorial| Commentaire/Éditorial

 

32763262; The proper use of corticosteroids for 2019-nCov pneumonia: Towards promising results?

Boglione,  L,  Rostagno, et al

Journal of Infection

Commentary/Editorial| Commentaire/Éditorial

 

Beyond COVID-19: Five commentaries on expert knowledge, executive action, and accountability in governance and public administration

Boin,  A,  Brock, et al

Canadian Public Administration

Commentary/Editorial| Commentaire/Éditorial

 

Copper-oxide impregnated respiratory masks may significantly reduce the risk of SARS-CoV-2 cross-contamination

Borkow,  G,  L

Research Square prepub

Commentary/Editorial| Commentaire/Éditorial

 

32747393; Response to COVID-19 phenotyping correspondence

Bos,  LDJ,  Sinha, et al

The European respiratory journal

Commentary/Editorial| Commentaire/Éditorial

 

Olfactory and gustative disorders for the diagnosis of COVID-19

Boudjema,  S,  Finance, et al

Travel Med Infect Dis

Commentary/Editorial| Commentaire/Éditorial

 

32807667; Impact of the COVID-19 pandemic on acute coronary syndrome and stroke volumes in non-Western countries

Boukhris,  M,  Azzalini, et al

Cardiovascular Revascularization Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Investigational treatment of COVID-19

Brantsæter,  AB

Tidsskr Nor Laegeforen

Commentary/Editorial| Commentaire/Éditorial

 

Continuing the Journey Toward Health Equity: Becoming Antiracist in Health Promotion Research and Practice

Breny,  JM

Health Educ Behav

Commentary/Editorial| Commentaire/Éditorial

 

Mechanisms and consequences of COVID-19 associated liver injury: What can we affirm?

Brito,  CA,  Barros, et al

World Journal of Hepatology

Commentary/Editorial| Commentaire/Éditorial

 

PMC7471758; Measuring Measurement - What is Metrology and why does it matter?

Brown,  RJC

Measurement (Lond)

Commentary/Editorial| Commentaire/Éditorial

 

Patients Left Behind: Ethical Challenges in Caring for Indirect Victims of the Covid-19 Pandemic

Bruno,  B,  Rose, et al

Hastings Center Report

Commentary/Editorial| Commentaire/Éditorial

 

32828493; Protecting healthcare providers from COVID-19 through a large simulation training programme

Buléon,  C,  Minehart, et al

British journal of anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

Recommendations of Mexican schools, medical societies and working groups for the diagnosis, treatment, prevention and control of SARS-CoV-2 (COVID-19)

Cabrera-Rayo,  A,  Cortés-Meza, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Re: COVID-19 Coagulopathy: Considerations for UrologistsJ. S. Jue and M. Alameddine J Urol 2020; 204: Epub ahead of print. doi: 10.1097/JU.0000000000001144

Cai,  T,  Tandogdu, et al

J Urol

Commentary/Editorial| Commentaire/Éditorial

 

Defining transition finance and embedding it in the post-Covid-19 recovery

Caldecott,  B

Journal of Sustainable Finance and Investment

Commentary/Editorial| Commentaire/Éditorial

 

32747134; Response to “Should estrogen be used in the co-treatment of COVID-19 patients?”

Cano,  A,  Ramírez, et al

Maturitas

Commentary/Editorial| Commentaire/Éditorial

 

32798632; Management of gastrointestinal endoscopy unit during post covid-19 endemic outbreak: A report from Wuhan epicenter

Cao,  L,  Guo, et al

American Journal of Infection Control

Commentary/Editorial| Commentaire/Éditorial

 

32763131; Authors’ response to letter by Fogacci, Borghi, and Cicero, “Misinterpreting data in lipidology in the era of COVID-19”

Cao,  X,  Wang, et al

Journal of Clinical Lipidology

Commentary/Editorial| Commentaire/Éditorial

 

Diagnostic resources in the infection due to SARS-CoV-2

Cárdenas-Bravo,  L,  Cabrera-Rayo, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

A Pandemic Diary

Cardwell,  M

Hastings Center Report

Commentary/Editorial| Commentaire/Éditorial

 

32807622; Was child abuse underdetected during the COVID-19 lockdown?

Caron,  F,  Plancq, et al

Archives de Pediatrie

Commentary/Editorial| Commentaire/Éditorial

 

Notaries before coronavirus pandemic

Carrau Carbonell,  JM

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Les enfants face à la Covid-19

Castello,  C

Soins Pediatrie/Puericulture

Commentary/Editorial| Commentaire/Éditorial

 

Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice

Castillo-Allendes,  A,  Contreras-Ruston, et al

Journal of Voice

Commentary/Editorial| Commentaire/Éditorial

 

32853689; “Diabetes as a case study of chronic disease management”: Eight years later. The opportunity learned from the COVID-19 pandemic

Ceriello,  A

Diabetes research and clinical practice

Commentary/Editorial| Commentaire/Éditorial

 

Pandemie covid-19 – jenom rizika a negativní dopady nebo i příležitosti?

Černý,  V,  Beneš, et al

Anesteziologie a Intenzivni Medicina

Commentary/Editorial| Commentaire/Éditorial

 

32831329; COVID-19 y la nutrición clínica. ¿Por qué es importante?

Cervantes-Pérez,  E,  Cervantes-Guevara, et al

Gaceta medica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 during pregnancy and lactation: What do we already know?

Ceulemans,  M,  Cuppers, et al

Nederlands tijdschrift voor geneeskunde

Commentary/Editorial| Commentaire/Éditorial

 

The evolving pandemic of COVID-19 and increasing role of cardiac computed tomography

Chaganti,  BT,  Cherukuri, et al

Coron Artery Dis

Commentary/Editorial| Commentaire/Éditorial

 

32778413; Reply To: Response to COVID-19 by the surgical community

Chapman,  R

Surgery (United States)

Commentary/Editorial| Commentaire/Éditorial

 

32860389; The modifications brought about by the COVID-19 pandemic to Nuclear Medicine practice

Chatzipavlidou,  V

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

32819798; The Indirect Impact of COVID-19 on Children With Asthma

Chavasse,  R,  Almario, et al

Archivos de Bronconeumologia

Commentary/Editorial| Commentaire/Éditorial

 

Can we migrate COVID-19 spreading risk?

Chen,  Q

Frontiers of Environmental Science and Engineering

Commentary/Editorial| Commentaire/Éditorial

 

Issues Emerging: Thoughts on the Reflective Articles on Coronavirus (COVID-19) and African Archaeology

Chirikure,  S

African Archaeological Review

Commentary/Editorial| Commentaire/Éditorial

 

Stretching the public purse: budgetary responses to COVID-19 in Canada

Cho,  CH,  Kurpierz, et al

Journal of Public Budgeting, Accounting and Financial Management

Commentary/Editorial| Commentaire/Éditorial

 

Approximating and innovating field experiences of ESOL preservice teachers: The effects of COVID-19 and school closures

Cho,  S,  Clark-Gareca, et al

TESOL Journal

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus and exemption from liability for nonfulfilment of obligation pursuant to art. 1218 of the Italian civil code: Impossibility or inesigibility to provide services?

Clarizia,  O

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Haemoperfusion should only be used for COVID-19 in the context of randomized trials

Clark,  EG,  Hiremath, et al

Nat Rev Nephrol

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Therapy: Could a Chlorophyll Derivative Promote Cellular Accumulation of Zn2+ Ions to Inhibit SARS-CoV-2 RNA Synthesis?

Clark,  NF,  Taylor-Robinson, et al

Frontiers in Plant Science

Commentary/Editorial| Commentaire/Éditorial

 

Cardiological manifestations in patients with COVID-19

Clemente-Herrera,  A,  Sánchez-De La Torre, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

The “choice” of cremation in a pandemic state

Cocco,  A

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Cardiac follow-up in patients with COVID-19

Comert,  B

Journal of Critical and Intensive Care

Commentary/Editorial| Commentaire/Éditorial

 

32833360; Prise en charge ambulatoire des patients COVID-19 : premiers enseignements

Cornuz,  J,  Selby, et al

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

Pneumonia by SARS-CoV-2: Diagnosis by computed tomography of the thorax

Correa-Prieto,  F

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Care during covid-19 must be humane and person centred

Coulter,  A,  Richards, et al

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Contractual business networks and pandemic: A forward-looking agenda?

Crea,  C

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Emergency and Post-Emergency in Italian Cancer Patients: How Can Patients Be Assisted?

Crispo,  A,  Montagnese, et al

Frontiers in Oncology

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Usurps Host Regulatory Networks

Curran,  CS,  Rivera, et al

Frontiers in Pharmacology

Commentary/Editorial| Commentaire/Éditorial

 

32796092; Trend of main STIs during COVID-19 pandemic in Milan, Italy

Cusini,  M,  Benardon, et al

Sexually transmitted infections

Commentary/Editorial| Commentaire/Éditorial

 

The rapid escalation of publications on covid-19: A snapshot of trends in the early months to overcome the pandemic and to improve life quality

da Motta Reis,  JS,  De Oliveira Silva, et al

International Journal for Quality Research

Commentary/Editorial| Commentaire/Éditorial

 

Contact tracing technology

D'Ambrosio,  M

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

The Story of Cain: The Myth We Would Like to Forget

Darlington,  B

Jung Journal: Culture and Psyche

Commentary/Editorial| Commentaire/Éditorial

 

Possible therapies of Post-COVID-19 chronic symptoms

Davido,  B,  Seang, et al

Clin Microbiol Infect

Commentary/Editorial| Commentaire/Éditorial

 

32869274; Three-chamber chest drain system in the COVID-19 era: is there a risk of further transmission?

Davoli,  F,  Poletti, et al

Advances in respiratory medicine

Commentary/Editorial| Commentaire/Éditorial

 

Urology Chief Resident Turned Medicine Intern: Experience during the COVID-19 New York City Pandemic

Davuluri,  M

J Urol

Commentary/Editorial| Commentaire/Éditorial

 

Pandemic and adequacy of the rule making powers of the european supervisory authorities

De Marinis,  GB

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32849619; Impact of Hydroxychloroquine on Antibody Responses to the SARS-CoV-2 Coronavirus

de Miranda Santos,  IKF,  Costa, et al

Frontiers in immunology

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus Disease-2019 Conundrum: RAS Blockade and Geriatric-Associated Neuropsychiatric Disorders

de Miranda,  AS,  Teixeira, et al

Frontiers in Medicine

Commentary/Editorial| Commentaire/Éditorial

 

The South African government's response to COVID-19

de Villiers,  C,  Cerbone, et al

Journal of Public Budgeting, Accounting and Financial Management

Commentary/Editorial| Commentaire/Éditorial

 

Preparing for COVID-19’s Effect on Legionella and Building Water Systems

Deem,  S

Journal - American Water Works Association

Commentary/Editorial| Commentaire/Éditorial

 

From 2019-nCoV to COVID-19, characterizing the disease

Del Carpio-Orantes,  L

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Brief notes on unemployment protection and cessation of activity before the coronavirus crisis

Del Prado,  DP

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Health and law in in the time of COVID-19

del Río,  JA

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

The impact of Covid-19 on supply chain management and global economy development

Derevyankina,  ES,  Yankovskaya, et al

International Journal of Supply Chain Management

Commentary/Editorial| Commentaire/Éditorial

 

Cardiovascular and cardiometabolic prevention: High-level priority in the era of COVID-19

Dhindsa,  D,  Wong, et al

Cardiovascular Endocrinology and Metabolism

Commentary/Editorial| Commentaire/Éditorial

 

32833369; COVID-19: does the end of semi-confinement match with the beginning of the revelations of child abuse ?

Di Benedetto,  L,  Sangsue, et al

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

32773086; Giovanni Di Guardo: Animal Models and Pathogenetic Insights to Covid-19

Di Guardo,  G

Journal of comparative pathology

Commentary/Editorial| Commentaire/Éditorial

 

32801118; Ischaemic stroke associated with COVID-19 and racial outcome disparity in North America

Dmytriw,  AA,  Phan, et al

Journal of Neurology, Neurosurgery and Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

32819707; Does COVID-19 Increase the Risk for Spontaneous Pneumothorax?

do Lago,  VC,  Cezare, et al

American Journal of the Medical Sciences

Commentary/Editorial| Commentaire/Éditorial

 

Remdesivir, a remedy or a ripple in severe COVID-19?

Doggrell,  SA

Expert Opin Investig Drugs

Commentary/Editorial| Commentaire/Éditorial

 

Legal regime of vaccines in Spain: Reflections on the situation created by the coronavirus

Doménech,  JB

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Pandemic in Mexico: Experiences from the civil registry

Domínguez,  KC

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

From Unnoticed to Invisible: The Impact of COVID-19 on Children and Young People Experiencing Domestic Violence and Abuse

Donagh,  B

Child Abuse Review

Commentary/Editorial| Commentaire/Éditorial

 

Expert Consensus for Treating Cancer Patients During the Pandemic of SARS-CoV-2

Dong,  S,  Luo, et al

Frontiers in Oncology

Commentary/Editorial| Commentaire/Éditorial

 

CORR® Curriculum-Orthopaedic Education: What's Best for Medical Students in the COVID-19 Era? Just Ask Them

Dougherty,  PJ

Clin Orthop Relat Res

Commentary/Editorial| Commentaire/Éditorial

 

From Muhammed and others to De Beer and others: striking the balance between public health measures and human rights during Covid-19 era in South Africa

Durojaye,  E,  Nanima, et al

Commonwealth Law Bulletin

Commentary/Editorial| Commentaire/Éditorial

 

Brief considerations on the impacts of coronavirus pandemic in private relationships

Ehrhardt,  M,  J

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Pathways in the Pathophysiology of Coronavirus 19 Lung Disease Accessible to Prevention and Treatment

Eisenhut,  M,  Shin, et al

Frontiers in Physiology

Commentary/Editorial| Commentaire/Éditorial

 

32777017; Insights into Eye Care Practice during COVID-19

Elam,  AR,  Ehrlich, et al

JAMA Ophthalmology

Commentary/Editorial| Commentaire/Éditorial

 

Can Influenza Vaccine Modify COVID-19 Clinical Course?

Eldanasory,  OA,  Rabaan, et al

Travel Med Infect Dis

Commentary/Editorial| Commentaire/Éditorial

 

Care in crisis: COVID-19 as a catalyst for universal child care in the United States

Elias,  NM,  D’Agostino, et al

Administrative Theory and Praxis

Commentary/Editorial| Commentaire/Éditorial

 

The efficacy of colchicine in the management of coronavirus disease 2019: A protocol for systematic review and meta-analysis

Elshafei,  MN,  Khalil, et al

Medicine (Baltimore)

Commentary/Editorial| Commentaire/Éditorial

 

Recommendations for the management of newborn in relation to infection due to SARS-CoV-2

Estrada-Ruelas,  I,  Gutiérrez-Padilla, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

32864945; COVID-19 should be a methylene blue "promoter"

Evora,  PRB

Brazilian journal of cardiovascular surgery

Commentary/Editorial| Commentaire/Éditorial

 

32860397; Non-Oncological PET/CT imaging during SARS-CoV-2 pandemic

Exadaktylou,  P,  Papadopoulos, et al

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

Coping with the stress caused by the COVID-19 pandemic: future research agenda based on emotional intelligence

Extremera,  N

Revista de Psicologia Social

Commentary/Editorial| Commentaire/Éditorial

 

Expanding Possibilities: Flexibility and Solidarity with Under-resourced Immigrant Families During the COVID-19 Pandemic

Falicov,  C,  Niño, et al

Family process

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 emergency containment measures and contract law

Federico,  A

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Online literature circles during the COVID-19 pandemic: Engaging undergraduate students in Indonesia

Ferdiansyah,  S,  Ridho, et al

TESOL Journal

Commentary/Editorial| Commentaire/Éditorial

 

32818700; Clinical presentation at the onset of COVID-19 and allergic rhinoconjunctivitis

Ferreli,  F,  Gaino, et al

Journal of Allergy and Clinical Immunology: In Practice

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus and commercial leases. exceptional rules for a state of emergency?

Figlia,  GC

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 pandemic and organisational commitment of senior hotel managers

Filimonau,  V,  Derqui, et al

International Journal of Hospitality Management

Commentary/Editorial| Commentaire/Éditorial

 

Conducting Information Systems Research in the Midst of the COVID-19 Pandemic: Opportunities and Challenges

Fink,  L

Information Systems Management

Commentary/Editorial| Commentaire/Éditorial

 

Gesundheitspersonal und COVID-19: Infektionszahlen nehmen zu

Fischer-Fels,  J

Deutsches Arzteblatt International

Commentary/Editorial| Commentaire/Éditorial

 

Prognostication in older ICU patients: mission impossible?

Flaatten,  H,  Beil, et al

British journal of anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

32768364; Misinterpreting data in lipidology in the era of COVID-19

Fogacci,  F,  Borghi, et al

Journal of Clinical Lipidology

Commentary/Editorial| Commentaire/Éditorial

 

Impacts of the SARS-CoV-2 Pandemic on the Mental Health of the Elderly

Fontes,  WHDA,  Gonçalves Júnior, et al

Frontiers in Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Housing and “confinement”. COVID-19, visiting right of the non-custodial parent and succesion mortis causa in housing law

Frezza,  G

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

A Novel Strategy to Mitigate the Hyperinflammatory Response to COVID-19 by Targeting Leukotrienes

Funk,  CD,  Ardakani, et al

Frontiers in Pharmacology

Commentary/Editorial| Commentaire/Éditorial

 

32830001; Adjustment for international surgical outreach missions due to COVID-19

Fuzaylov,  G,  Dabek, et al

Burns

Commentary/Editorial| Commentaire/Éditorial

 

32603717; Experience in patients with hidradenitis suppurativa and COVID-19 symptoms

Galán,  JL,  Silvente, et al

Journal of the American Academy of Dermatology

Commentary/Editorial| Commentaire/Éditorial

 

The council of Europe and the COVID-19 pandemic (coronavirus)

Gallart,  JAC

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Facial Masking for Covid-19 - Potential for "Variolation" as We Await a Vaccine

Gandhi,  M,  Rutherford, et al

N Engl J Med

Commentary/Editorial| Commentaire/Éditorial

 

Letter to the Editors: Liver Biochemistries in Hospitalized Chinese Patients With Severe COVID-19

Gao,  Y,  Liu, et al

Hepatology

Commentary/Editorial| Commentaire/Éditorial

 

Hyperinflammation and Fibrosis in Severe COVID-19 Patients: Galectin-3, a Target Molecule to Consider

Garcia-Revilla,  J,  Deierborg, et al

Frontiers in Immunology

Commentary/Editorial| Commentaire/Éditorial

 

Consecuences of the ingratitude effect: From influenza A to COVID-19

Garrido-Peña,  F,  López-Fernández, et al

Enfermeria Clinica

Commentary/Editorial| Commentaire/Éditorial

 

Examining the Relationship Between Institutionalized Racism and COVID-19

Gay,  T,  Hammer, et al

City and Community

Commentary/Editorial| Commentaire/Éditorial

 

32864184; Movement Disorders in COVID-19: Whither Art Thou?

Geyer,  HL,  Kaufman, et al

Tremor and other hyperkinetic movements (New York, N.Y.)

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Global Rheumatology Alliance Registry, anti-IL-6 therapy, shared decision-making and patient outcomes. Response to: ‘Correspondence on ‘Characteristics associated with hospitalisation for COVID-19 in people with rheumatic disease: data from the C

Gianfrancesco,  M,  Hyrich, et al

Annals of the Rheumatic Diseases

Commentary/Editorial| Commentaire/Éditorial

 

32860396; Nuclear thyroidology in pandemic times: The paradigm shift of COVID-19

Giannoula,  E,  Vrachimis, et al

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: A challenge for the personal data protection

Giménez,  AO

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Submission and payment of certain tax returns during the state of alert

Giner,  VG,  Guijarro, et al

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Pandemic, balance of contractual positions and fair remedy. Short notes

Giorgini,  E

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 infection and the healthcare structure's liability

Giova,  S

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32768697; Vitamin D3 and K2 and their potential contribution to reducing the COVID-19 mortality rate

Goddek,  S

International Journal of Infectious Diseases

Commentary/Editorial| Commentaire/Éditorial

 

Practical keys to the recovery of paid leave regulated in royal decree law 10/2020

Gómez,  CA

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32782185; Psychiatrists as internists: Some considerations following a COVID-19 redeployment experience

Gómez-Arnau,  J,  González-Lucas, et al

Revista de Psiquiatria y Salud Mental

Commentary/Editorial| Commentaire/Éditorial

 

Tradicional Chinese Medicine on treatment of COVID-19

Góngora Gómez,  O,  Riverón Carralero, et al

Revista Internacional de Acupuntura

Commentary/Editorial| Commentaire/Éditorial

 

Management of cancer patients during COVID-19 pandemic at developing countries

González-Montero,  J,  Valenzuela, et al

World Journal of Clinical Cases

Commentary/Editorial| Commentaire/Éditorial

 

The pharmacist's role in SARS-CoV-2 diagnostic testing

Goode,  JVR,  Page, et al

Journal of the American Pharmacists Association

Commentary/Editorial| Commentaire/Éditorial

 

Response to Comment on "Truncated IV acetylcysteine treatment duration has potential to safely preserve resources during the COVID-19 pandemic"

Goodnough,  R,  Canseco, et al

Clin Toxicol (Phila)

Commentary/Editorial| Commentaire/Éditorial

 

Rethinking the Approach to Continuing Professional Development Conferences in the Era of COVID-19

Gottlieb,  M,  Egan, et al

J Contin Educ Health Prof

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19 with social distancing, isolation, quarantine and cooperation, collaboration, coordination of care but with disproportionate impacts

Govender,  I

South African Family Practice

Commentary/Editorial| Commentaire/Éditorial

 

32763332; Increased risk of COVID-19 in haemodialysis healthcare workers in a tertiary centre in the North West of England

Gray,  S,  Clough, et al

Journal of Hospital Infection

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and legalized criminality: notes from the Arizona Borderlands, Part 2

Green,  L

Dialectical Anthropology

Commentary/Editorial| Commentaire/Éditorial

 

32761155; Selecting a SARS-CoV-2/COVID Molecular Testing Method for Your Laboratory

Greene,  DN

The journal of applied laboratory medicine

Commentary/Editorial| Commentaire/Éditorial

 

Position paper on COVID-19 imaging and AI: From the clinical needs and technological challenges to initial AI solutions at the lab and national level towards a new era for AI in healthcare

Greenspan,  H,  San José Estépar, et al

Medical image analysis

Commentary/Editorial| Commentaire/Éditorial

 

Cardiac Surgery-Enhanced Recovery Programs Modified for COVID-19: Key Steps to Preserve Resources, Manage Caseload Backlog, and Improve Patient Outcomes

Gregory,  AJ,  Grant, et al

Journal of cardiothoracic and vascular anesthesia

Commentary/Editorial| Commentaire/Éditorial

 

32831327; Role of SARS-CoV-2 neurotropism and neuroinvasion in COVID-19 patients disease severity

Grijalva-Otero,  I

Gaceta medica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Right restriction or restricting rights? The UK acts to address COVID-19

Grogan,  J

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

From the health emergency to the economic emergency: Contract rescission between good faith and duty of renegotiate

Grondona,  M

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Recommendations for interventional pulmonology during COVID-19 outbreak: a consensus statement from the Portuguese Pulmonology Society

Guedes,  F,  Boléo-Tomé, et al

Pulmonology

Commentary/Editorial| Commentaire/Éditorial

 

Considerations in the management of the airway in the patient with COVID-19

Guevara-Valerio,  H,  Marí-Zapata, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

The state of alarm and the use of the royal decreelaw to modify tax regulations

Guijarro,  FH

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Jal Neti Sample for COVID Detection: A Novel Hypothesis

Gupta,  A,  Gupta, et al

Indian Journal of Otolaryngology and Head and Neck Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Economics & ethics of the COVID-19 vaccine: How prepared are we?

Gupta,  I,  Baru, et al

Indian J Med Res

Commentary/Editorial| Commentaire/Éditorial

 

Impact of COVID-19 pandemic on child and adolescent mental health

Gupta,  T,  Nebhinani, et al

Journal of Indian Association for Child and Adolescent Mental Health

Commentary/Editorial| Commentaire/Éditorial

 

32719884; Why Rehabilitation must have priority during and after the COVID-19-pandemic: A position statement of the Global Rehabilitation Alliance

Gutenbrunner,  C,  Stokes, et al

Journal of Rehabilitation Medicine

Commentary/Editorial| Commentaire/Éditorial

 

32814656; Reply to Letter to the Editor “Comfort and compliance with the use of facemasks during COVID-19 infection”

Haers,  PE,  Swennen, et al

International journal of oral and maxillofacial surgery

Commentary/Editorial| Commentaire/Éditorial

 

PMC7471634; The burden, admission, and outcomes of COVID-19 among asthmatic patients in Africa: protocol for a systematic review and meta-analysis

Hailay,  A,  Aberhe, et al

Asthma Res Pract

Commentary/Editorial| Commentaire/Éditorial

 

32798631; Outbreak investigation of COVID-19 in hospital food service workers

Hale,  M,  Dayot, et al

American Journal of Infection Control

Commentary/Editorial| Commentaire/Éditorial

 

Returning to school in the midst of the COVID-19 pandemic for children with chronic disease and special needs

Hamilton,  JL

Journal of pediatric nursing

Commentary/Editorial| Commentaire/Éditorial

 

32652186; Conducting inpatient dermatology consultations and maintaining resident education in the COVID-19 telemedicine era

Hammond,  MI,  Sharma, et al

Journal of the American Academy of Dermatology

Commentary/Editorial| Commentaire/Éditorial

 

32747135; Should estrogen be used in the co-treatment of COVID-19 patients? What is the rationale?

Hamzaoglu,  K,  Erel, et al

Maturitas

Commentary/Editorial| Commentaire/Éditorial

 

Reading Chinese anti-COVID-19 pandemic narratives on facemasks as the art of disaster governance: a semiotic and biopolitical survey

Han,  L

Social Semiotics

Commentary/Editorial| Commentaire/Éditorial

 

32828492; Emergency schedule management for COVID-19

Hardy,  B,  Marshall, et al

British journal of anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

CRITCON-Pandemic levels: A stepwise ethical approach to clinician responsibility

Harvey,  D,  Gardiner, et al

Journal of the Intensive Care Society

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Water Contamination Concerns Underscore Need to Engage With Consumers

Heath,  A

Journal - American Water Works Association

Commentary/Editorial| Commentaire/Éditorial

 

Digital Contact tracing in the COVID-19 Pandemic: A tool far from reality

Hegde,  A,  Masthi, et al

Digital Health

Commentary/Editorial| Commentaire/Éditorial

 

[Radiological manifestations of pulmonary diseases in COVID-19]

Heidinger,  BH,  Kifjak, et al

Radiologe

Commentary/Editorial| Commentaire/Éditorial

 

Organizational Strategies for Managing COVID-19 Survivors who Return for Care

Henderson,  DK,  Haessler, et al

Infect Control Hosp Epidemiol

Commentary/Editorial| Commentaire/Éditorial

 

From zero to hero: An exploratory study examining sudden hero status among nonphysician health care workers during the COVID-19 pandemic

Hennekam,  S,  Ladge, et al

J Appl Psychol

Commentary/Editorial| Commentaire/Éditorial

 

Operations Transition to Mitigate COVID-19 on an Interventional Radiology Service

Hevert,  EAC,  Stokes, et al

Seminars in Interventional Radiology

Commentary/Editorial| Commentaire/Éditorial

 

32800405; Myopathy associated with COVID-19

Hsueh,  SJ,  Lee, et al

Journal of the Formosan Medical Association

Commentary/Editorial| Commentaire/Éditorial

 

Segmenting areas of potential contamination for adaptive robotic disinfection in built environments

Hu,  D,  Zhong, et al

Building and Environment

Commentary/Editorial| Commentaire/Éditorial

 

32797150; Clarifying the Sweeping Consequences of COVID-19 in Pregnant Women, Newborns, and Children with Existing Cohorts

Hu,  YJ,  Wake, et al

JAMA Pediatrics

Commentary/Editorial| Commentaire/Éditorial

 

32846080; Airborne Transmission of Covid-19: Implications for Irish Hospitals

Humphreys,  H,  Fitzpatrick, et al

Irish medical journal

Commentary/Editorial| Commentaire/Éditorial

 

32796109; Cancelled medical student placements: The COVID-19 effect

Hunter,  J,  Murdoch, et al

Postgraduate medical journal

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and primary care in six countries

Huston,  P,  Campbell, et al

BJGP Open

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Is the UK carrying out more tests than anywhere else in Europe?

Iacobucci,  G

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Exploring Children’s Social and Emotional Representations of the COVID-19 Pandemic

Idoiaga,  N,  Berasategi, et al

Frontiers in Psychology

Commentary/Editorial| Commentaire/Éditorial

 

Debtor's charges between emergency statues and general principles (about article 91 of Italian d.l. n. 18/2020, "cura italia")

Iorio,  G

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

'Contratti di Soggiorno' and COVID-19. first part. In the emergency period

Irti,  C

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Management of Patients With Hematologic Malignancies During the COVID-19 Pandemic: Practical Considerations and Lessons to Be Learned

Isidori,  A,  de Leval, et al

Frontiers in Oncology

Commentary/Editorial| Commentaire/Éditorial

 

Detection of SARS-CoV-2 RNA in Blood of Patients with COVID-19: What Does It Mean?

Jacobs,  JL,  Mellors, et al

Clin Infect Dis

Commentary/Editorial| Commentaire/Éditorial

 

Operational considerations for case management of COVID-19 in health facility and community

Jarosińska,  A,  Walicka, et al

Pediatria i Medycyna Rodzinna

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 in Peritoneal Dialysis Patients

Jiang,  HJ,  Tang, et al

Clin J Am Soc Nephrol

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19 pneumonia and pulmonary vascular disease: A UK Centre perspective

John Wort,  S,  Arachchillage, et al

Respiratory Medicine and Research

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Coagulopathy: Considerations for Urologists

Jue,  JS,  Alameddine, et al

J Urol

Commentary/Editorial| Commentaire/Éditorial

 

32645372; A Tale of Two Eras: The Effect of the COVID-19 Pandemic on Stone Disease Presentations

Kachroo,  N,  Wright, et al

Urology

Commentary/Editorial| Commentaire/Éditorial

 

Treatment estimands in clinical trials of patients hospitalised for COVID-19: ensuring trials ask the right questions

Kahan,  BC,  Morris, et al

BMC Med

Commentary/Editorial| Commentaire/Éditorial

 

Descriptive characteristics of hospitalized adult smokers and never-smokers with COVID-19

Kalan,  ME,  Ghobadi, et al

Tobacco Induced Diseases

Commentary/Editorial| Commentaire/Éditorial

 

Association between NLR and COVID-19

Kalemci,  S,  Sarıhan, et al

International immunopharmacology

Commentary/Editorial| Commentaire/Éditorial

 

32833366; COVID-19 et médecine ambulatoire - Outils d’évaluation pour le médecin traitant dans le cadre du retour au travail des personnes vulnérables

Kamara,  M,  Regamey, et al

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

Some dissimilarity measures of branching processes and optimal decision making in the presence of potential pandemics

Kammerer,  NB,  Stummer, et al

Entropy

Commentary/Editorial| Commentaire/Éditorial

 

Repeated celebrity suicide in India during COVID-19 crisis: An urgent call for attention

Kar,  SK,  Arafat, et al

Asian Journal of Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Mental illnesses among COVID-19 patients: Possible immunological underpinnings

Kar,  SK,  Verma, et al

Asian Journal of Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and ethnicity: Does reduced responsiveness to glucocorticoids explain the more aggressive nature of disease among minorities?

Karan,  A,  Ali, et al

Medical hypotheses

Commentary/Editorial| Commentaire/Éditorial

 

32778522; Covid-19-induced coagulopathy and observed benefits with anticoagulation

Karimzadeh,  S,  Dong, et al

Transfusion and Apheresis Science

Commentary/Editorial| Commentaire/Éditorial

 

Cultural commons: Critical responses to COVID-19, part 2

Kay,  JB,  Wood, et al

European Journal of Cultural Studies

Commentary/Editorial| Commentaire/Éditorial

 

Setting up a Research Poster During COVID-19 Lockdown: A Reflection

Kazmierczak,  T,  Bistany, et al

J Christ Nurs

Commentary/Editorial| Commentaire/Éditorial

 

32830937; An Opportunity to Advance Kidney Health Becomes a Responsibility

Kear,  TM

Nephrology nursing journal : journal of the American Nephrology Nurses' Association

Commentary/Editorial| Commentaire/Éditorial

 

Choosing the new normal for surgical education using alternative platforms

Keller,  DS,  Grossman, et al

Surgery (United Kingdom)

Commentary/Editorial| Commentaire/Éditorial

 

Uncertainty, error and informed consent to challenge trials of COVID-19 vaccines: response to Steel et al

Keren,  A,  Lev, et al

J Med Ethics

Commentary/Editorial| Commentaire/Éditorial

 

Simple Face Shield for Public as a Crucial Factor to Slow Aerosol Transmission During Unlock Phase of COVID Pandemic

Khan,  MM,  Parab, et al

Indian Journal of Otolaryngology and Head and Neck Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Nudging to Reduce the Perceived Threat of Coronavirus

Kim,  J,  Giroux, et al

Journal of Advertising

Commentary/Editorial| Commentaire/Éditorial

 

Smoking and SARS-CoV-2: Are Polish health professionals at higher risk of infection?

Koczkodaj,  P,  Cedzynska, et al

Tobacco Induced Diseases

Commentary/Editorial| Commentaire/Éditorial

 

32833361; COVID-19 et médecine ambulatoire - Le défi du diagnostic !

Kokkinakis,  I,  Favrat, et al

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

Conceptual approaches to implementing the digital supply chain management in some areas of the Russian economy

Kolesnikov,  AV,  Chumakova, et al

International Journal of Supply Chain Management

Commentary/Editorial| Commentaire/Éditorial

 

Reply to Pernio during the COVID-19 pandemic and review of inflammation patterns and mechanisms of hypercoagulability

Kolivras,  A,  Thompson, et al

JAAD Case Reports

Commentary/Editorial| Commentaire/Éditorial

 

32652189; Approach to VIPs during the COVID-19 pandemic and beyond

Kong,  HE,  Stoff, et al

Journal of the American Academy of Dermatology

Commentary/Editorial| Commentaire/Éditorial

 

32773241; Letter to Editor regarding Prata et al. (2020), Temperature significantly changes COVID-19 transmission in (sub)tropical cities of Brazil. Science of Total Environment, v729, 138862

Kotsiou,  OS,  Zidros, et al

Science of the Total Environment

Commentary/Editorial| Commentaire/Éditorial

 

32860394; COVID-19 pandemic: Implications for radionuclide therapy in Nuclear Medicine departments

Koukouraki,  S,  Kapsoritakis, et al

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

32860392; Challenges and priorities in skeletal, gastrointestinal, hepatobiliary, genitourinary and lung scintigraphy during the COVID-19 pandemic

Koutsikos,  J,  Angelidis, et al

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

Introduction: Cardiometabolic considerations in COVID-19

Krentz,  AJ

Cardiovascular Endocrinology and Metabolism

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Precautions Helped Limit Cases Linked to Milwaukee Primary

Kuehn,  BM

Jama

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: Stigma, discrimination, and the blame game

Kumar,  A,  Nayar, et al

International Journal of Mental Health

Commentary/Editorial| Commentaire/Éditorial

 

Efficacy of Vascular Virtual Medical Student Education During the COVID-19 Pandemic

Kuo,  M,  Poirier, et al

J Vasc Surg

Commentary/Editorial| Commentaire/Éditorial

 

32807635; Pre-existing diabetes is worse for SARS-CoV-2 infection; an endothelial perspective

La Sala,  L,  Luzi, et al

Nutrition, Metabolism and Cardiovascular Diseases

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Evidens-, eminens-, eller erfaringsbasert behandling?

Laake,  JH,  Aasmundstad, et al

Tidsskr Nor Laegeforen

Commentary/Editorial| Commentaire/Éditorial

 

Sars-cov-2: The new pandemic

Lam,  IA,  Bittar, et al

Revista Cubana de Pediatria

Commentary/Editorial| Commentaire/Éditorial

 

32768181; Opioids and the COVID-19 pandemic: does chronic opioid use or misuse increase clinical vulnerability?

Lambert,  DG

British journal of anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

Laboratory practice in the face of Covid-19

Lau,  CS,  Kamaludin, et al

Proceedings of Singapore Healthcare

Commentary/Editorial| Commentaire/Éditorial

 

32679176; The impact of COVID-19 pandemic on adult cardiac surgery procedures

Lazaros,  G,  Oikonomou, et al

Hellenic Journal of Cardiology

Commentary/Editorial| Commentaire/Éditorial

 

Coagulation dysfunction in COVID-19: The interplay between inflammation, viral infection and the coagulation system

Lazzaroni,  MG,  Piantoni, et al

Blood reviews

Commentary/Editorial| Commentaire/Éditorial

 

32800632; Clinical Outcome of Breast Cancer Patients on Chemotherapy during the COVID-19 Pandemic in South Korea

Lee,  SJ,  Kim, et al

Clinical oncology

Commentary/Editorial| Commentaire/Éditorial

 

On the dynamics emerging from pandemics and infodemics

Leitner,  S

Mind and Society

Commentary/Editorial| Commentaire/Éditorial

 

Absent voices: Women and youth in communal land governance. Reflections on methods and process from exploratory research in West and East Africa

Lemke,  S,  Claeys, et al

Land

Commentary/Editorial| Commentaire/Éditorial

 

New challenges in palliative care in Poland during the COVID-19 pandemic Dear Readers of “Palliative Medicine in Practice”

Leppert,  W,  Pawłowski, et al

Palliative Medicine in Practice

Commentary/Editorial| Commentaire/Éditorial

 

Data mining on open public transit data for transportation analytics during pre-COVID-19 era and COVID-19 era

Leung,  CK,  Chen, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

Reflections on Israeli hospital-based social work with COVID-19 patients and their families

Levin-Dagan,  N,  Strenfeld-Hever, et al

International Social Work

Commentary/Editorial| Commentaire/Éditorial

 

Retrieving memories of dialogical knowledge production: COVID-19 and the global (re) awakening to systemic racism

Lewis,  C

European Journal of Women's Studies

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 outbreak, government capital injections, and shadow banking efficiency

Li,  X,  Xie, et al

Applied Economics

Commentary/Editorial| Commentaire/Éditorial

 

32721412; HIIT: A potential rehabilitation treatment in COVID-19 pneumonia with heart disease

Li,  Y,  Liu, et al

International journal of cardiology

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus disease 2019 (COVID-19) related cytopenia: A protocol for systematic review and meta-analysis

Li,  Y,  Weng, et al

Medicine (Baltimore)

Commentary/Editorial| Commentaire/Éditorial

 

32773258; Therapeutic plasma exchange resolving COVID-19 related ARDS

Lin,  JH,  Lu, et al

Journal of the Formosan Medical Association

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 pandemic crisis and repositioning governance: Implications for public administration research and practice

Lindquist,  EA

Canadian Public Administration

Commentary/Editorial| Commentaire/Éditorial

 

32828591; COVID-19: Start with the nose

Lipworth,  B,  Chan, et al

Journal of Allergy and Clinical Immunology

Commentary/Editorial| Commentaire/Éditorial

 

32846842; The efficacy and safety of fire needle therapy for COVID-19: Protocol for a systematic review and meta-analysis

Liu,  M,  Zhu, et al

Medicine

Commentary/Editorial| Commentaire/Éditorial

 

The relationship between hyperglycemia and the infection of COVID-19 in diabetic patients: A protocol for systematic review and meta-analysis

Liu,  Y,  Yang, et al

Medicine (Baltimore)

Commentary/Editorial| Commentaire/Éditorial

 

Redistributing work during covid-19 Penn State University Libraries' job bank

Lo,  LS,  Lush, et al

College and Research Libraries News

Commentary/Editorial| Commentaire/Éditorial

 

Liability for damages caused by infection of COVID-19 in retail stores and commercial establishments

López,  FP

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

The so-called consumer protective measures of occasion of COVID-19

López,  MJR

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Stressors, coping and symptoms of adjustment disorder in the course of the COVID-19 pandemic–study protocol of the European Society for Traumatic Stress Studies (ESTSS) pan-European study

Lotzin,  A,  Acquarini, et al

European Journal of Psychotraumatology

Commentary/Editorial| Commentaire/Éditorial

 

32811668; Re: clinical characteristics and radiological features of children infected with the 2019 novel coronavirus

Low,  S,  Oates, et al

Clinical radiology

Commentary/Editorial| Commentaire/Éditorial

 

32810630; Letter to the Editor Regarding “Two Perspectives on the COVID-19 Pandemic Nobody Is Talking About—and It's Costing Lives” and “Emotional Health in the Midst of the Coronavirus Disease 2019 (COVID-19) Pandemic”

Lozada-Martínez,  I,  Bolaño-Romero, et al

World Neurosurgery

Commentary/Editorial| Commentaire/Éditorial

 

PCR-Tests auf SARS-CoV-2: Hohe Sensitivität

Lübbert,  C

Deutsches Arzteblatt International

Commentary/Editorial| Commentaire/Éditorial

 

Cardiovascular Damage in COVID-19: Therapeutic Approaches Targeting the Renin-Angiotensin-Aldosterone System

Lumpuy-Castillo,  J,  Lorenzo-Almorós, et al

Int J Mol Sci

Commentary/Editorial| Commentaire/Éditorial

 

32833016; Assessment of Pediatric Outpatient Visits for Notifiable Infectious Diseases in a University Hospital in Beijing During COVID-19

Luo,  Z,  Li, et al

JAMA network open

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and Kidney Injury

Lynch,  MR,  Tang, et al

R I Med J (2013)

Commentary/Editorial| Commentaire/Éditorial

 

32682066; Moving forward: Ensuring quality research in vascular surgery during COVID-19

Ma,  X,  Luc, et al

Journal of Vascular Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Information Technology in Support of Our Heroes during the COVID-19 Pandemic: A Commentary

Magid,  SK,  Nelson, et al

HSS Journal

Commentary/Editorial| Commentaire/Éditorial

 

Management of Acute Myocardial Infarction During the COVID-19 Pandemic: A Position Statement From the Society for Cardiovascular Angiography and Interventions (SCAI), the American College of Cardiology (ACC), and the American College of Emergency Physicia

Mahmud,  E,  Dauerman, et al

Journal of the American College of Cardiology

Commentary/Editorial| Commentaire/Éditorial

 

Avicenna's Points of View in Epidemics: Some Advice on Coronavirus 2 (COVID-19)

Mahroozade,  S,  Mohammadi Kenari, et al

Complement Med Res

Commentary/Editorial| Commentaire/Éditorial

 

32738490; The continued dilemma about the usage of hydroxychloroquine: Respite is in randomized control trials

Malviya,  A

International Journal of Infectious Diseases

Commentary/Editorial| Commentaire/Éditorial

 

32807592; Early speech-language rehabilitation for stroke patients during the Covid-19 outbreak

Mammi,  P,  Bidini, et al

Journal of Stroke and Cerebrovascular Diseases

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: Brief check through the pathologist's eye (autopsy archive)

Mansueto,  G

Pathology Research and Practice

Commentary/Editorial| Commentaire/Éditorial

 

International child abduction in times of coronavirus: An opportunity for the abducting parent?

Marimón,  MG

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Rapid implementation of extreme hypofractionation protocols in prostate cancer using rapidplan® in response to COVID-19

Martell,  K,  McGeachy, et al

Radiother Oncol

Commentary/Editorial| Commentaire/Éditorial

 

Privacy, location data and contact tracing apps in the COVID-19 public health strategy

Martínez,  BA

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Moratorium in the payment of mortgages during the state of alarm by COVID-19

Martínez,  IJR

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Measures under COVID-19 and commercial law (part i: Company and stock market aspects)

Martínez,  JMC

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Measures to reduce the adverse effects of COVID-19 on rentals of usual housing

Matamoros,  PC

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and India’s Trail of Tears

Mathur,  C

Dialectical Anthropology

Commentary/Editorial| Commentaire/Éditorial

 

32862566; Behind the numbers and the panic of a viral pandemic: fixed restrictive oncology guidance may jeopardize patients' survival

Mauri,  D,  Tzachanis, et al

Journal of B.U.ON.: official journal of the Balkan Union of Oncology

Commentary/Editorial| Commentaire/Éditorial

 

Immunity to COVID-19 and issues of screening for SARS-COV-2 antibodies

Mayanskiy,  NA

Bulletin of Russian State Medical University

Commentary/Editorial| Commentaire/Éditorial

 

Prevalence of Third-Party Tracking on COVID-19-Related Web Pages

McCoy,  MS,  Libert, et al

Jama

Commentary/Editorial| Commentaire/Éditorial

 

COVID - 19 Laboratory Testing/CDC Guidelines

McFee,  DRB

Disease-a-Month

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19, 5G conspiracies and infrastructural futures

Meese,  J,  Frith, et al

Media International Australia

Commentary/Editorial| Commentaire/Éditorial

 

32777019; Attacks on Public Health Officials during COVID-19

Mello,  MM,  Greene, et al

JAMA - Journal of the American Medical Association

Commentary/Editorial| Commentaire/Éditorial

 

Civil justice in Bolivia, the naked truth of COVID-19

Mendía,  AP

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 pandemic and suicidality: Durkheim revisited

Menon,  V,  Padhy, et al

Aust N Z J Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Kidney Transplantation and COVID-19

Merhi,  B,  Gohh, et al

R I Med J (2013)

Commentary/Editorial| Commentaire/Éditorial

 

Sheltering in place and social distancing when the services provided are housing and social support: The COVID-19 health crisis and recovery housing

Mericle,  AA,  Sheridan, et al

Journal of substance abuse treatment

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2: Neue Virusvariante ist infektiöser, verändert aber nicht den Verlauf von COVID-19

Meyer,  R

Deutsches Arzteblatt International

Commentary/Editorial| Commentaire/Éditorial

 

32833376; Mutation in SARS-CoV-2 spike protein

Meylan,  P

Revue Medicale Suisse

Commentary/Editorial| Commentaire/Éditorial

 

In a Pandemic Are We More Religious? Traditional Practices of Catholics and the COVID-19 in Southwestern Colombia

Meza,  D

International Journal of Latin American Religions

Commentary/Editorial| Commentaire/Éditorial

 

Managing Remote Projects Effectively with an Action Dashboard

Michalak,  R,  Rysavy, et al

Journal of Library Administration

Commentary/Editorial| Commentaire/Éditorial

 

Suspension of Hip Surveillance for Children with Cerebral Palsy During the COVID-19 Outbreak: The Benefit of Hip Surveillance Does Not Outweigh the Risk of Infection

Miller,  S,  Bone, et al

Indian Journal of Orthopaedics

Commentary/Editorial| Commentaire/Éditorial

 

32773261; SARS-CoV 2 and the pathobiology of the respiratory control mechanisms in the brainstem

Mishra,  R,  Florez-Perdomo, et al

Journal of the Formosan Medical Association

Commentary/Editorial| Commentaire/Éditorial

 

The missing discourse on mental health of psychiatrists during COVID-19

Mitra,  S,  Kavoor, et al

Aust N Z J Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

32778507; COVID-19 and steroid therapy: Impact on diabetes

Mittal,  S,  Madan, et al

Primary Care Diabetes

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19, Companion Animals, Comparative Medicine, and One Health

Mobasheri,  A

Frontiers in Veterinary Science

Commentary/Editorial| Commentaire/Éditorial

 

Integrative Medicine as a Panpharmacon for COVID-19 Pandemic: A Call for Global Advocacy

Mohanty,  S,  Singh, et al

Annals of Neurosciences

Commentary/Editorial| Commentaire/Éditorial

 

Child care in times of pandemic. Notes to rethink the Argentine experience

Molina de Juan,  MF

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32833368; Palliative and intensive care collaborative approach in the management of therapeutic withdrawals: lessons learned from the COVID-19 experience

Montalbano,  MF,  Dieudonné-Rahm, et al

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

No arguments for extra risk from ibuprofen in SARS-COV2 infection

Moore,  N

Therapies

Commentary/Editorial| Commentaire/Éditorial

 

Extraordinary measures derived from COVID-19 regarding the duration of temporary contracts

Moragues,  FR

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

International consumer protection in times of COVID-19

Moreno,  GP

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Patient Education and Consumer Health Information Resources and Services

Morgan-Daniel,  J,  Ansell, et al

Journal of Consumer Health on the Internet

Commentary/Editorial| Commentaire/Éditorial

 

32833365; COVID-19 et médecine ambulatoire - Migrations forcées : enjeux d’équité en santé

Morisod,  K,  Bodenmann, et al

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

32780804; Prevalence of SARS-CoV-2 Antibodies in Health Care Personnel in the New York City Area

Moscola,  J,  Sembajwe, et al

JAMA - Journal of the American Medical Association

Commentary/Editorial| Commentaire/Éditorial

 

Good bye to the free circulation of foreign investments only in times of coronavirus?

Mota,  CE

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

The Italian society indication for rhinologists during Covid-19: Italy phase 2

Motta,  G,  Passali, et al

International Archives of Otorhinolaryngology

Commentary/Editorial| Commentaire/Éditorial

 

Thinking about water and air to attain Sustainable Development Goals during times of COVID-19 Pandemic

Mukherjee,  A,  Babu, et al

Journal of Earth System Science

Commentary/Editorial| Commentaire/Éditorial

 

National Publication Productivity during the COVID-19 Pandemic-A Preliminary Exploratory Analysis of the 30 Countries Most Affected

Müller,  SM,  Mueller, et al

Biology (Basel)

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and mental health challenges in Pakistan

Mumtaz,  M

Int J Soc Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Textbook Affordability in the Time of COVID-19

Murphy,  JA,  Shelley, et al

Serials Review

Commentary/Editorial| Commentaire/Éditorial

 

Small Millets for Enduring Food Security Amidst Pandemics

Muthamilarasan,  M,  Prasad, et al

Trends Plant Sci

Commentary/Editorial| Commentaire/Éditorial

 

Recognizing the role of animal-assisted therapies in addressing mental health needs during the COVID-19 pandemic

Nagendrappa,  S,  Shoib, et al

Asian Journal of Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

32852178; Covid-19 : se préparer à l’arrivée des premiers vaccins

Nau,  JY

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

32833371; COVID-19: Que sait-on aujourd’hui sur ses différentes séquelles ?

Nau,  JY

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

Letter to the editor: Covid-19 and Vit-D: Disease mortality negatively correlates with sunlight exposure

Naudet,  F,  Locher, et al

Spatial and Spatio-temporal Epidemiology

Commentary/Editorial| Commentaire/Éditorial

 

The Greatest of These

Nelan,  PJ

J Christ Nurs

Commentary/Editorial| Commentaire/Éditorial

 

The Covid-19 pandemic and local government finance: Czechia and Slovakia

Nemec,  J,  Špaček, et al

Journal of Public Budgeting, Accounting and Financial Management

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19-Lockerungen: Tabuisierte Wahrheiten

Neussel,  W

Deutsches Arzteblatt International

Commentary/Editorial| Commentaire/Éditorial

 

Primary health care beyond COVID-19: dealing with the pandemic in Cameroon

Ngo Bibaa,  LO

BJGP Open

Commentary/Editorial| Commentaire/Éditorial

 

From wartime loudspeakers to digital networks: communist persuasion and pandemic politics in Vietnam

Nguyen-Thu,  G

Media International Australia

Commentary/Editorial| Commentaire/Éditorial

 

New Ways of Working? A Rapid Exploration of Emerging Evidence Regarding the Care of Older People during COVID19

Ní Shé,  É,  O'Donnell, et al

Int J Environ Res Public Health

Commentary/Editorial| Commentaire/Éditorial

 

Reflecting on Equity in Perinatal Care during a Pandemic

Niles,  PM,  Asiodu, et al

Health Equity

Commentary/Editorial| Commentaire/Éditorial

 

Availability of drugs for severe covid-19 in sub-Saharan Africa

Njonnou,  SRS,  Ouankou, et al

Pan African Medical Journal

Commentary/Editorial| Commentaire/Éditorial

 

Surgery Clerkship Curriculum Changes at an Academic Institution during the COVID-19 Pandemic

Nnamani Silva,  ON,  Hernandez, et al

Journal of Surgical Education

Commentary/Editorial| Commentaire/Éditorial

 

32773341; Could the antipsychotic chlorpromazine be a potential treatment for SARS-CoV-2?

Nobile,  B,  Durand, et al

Schizophrenia research

Commentary/Editorial| Commentaire/Éditorial

 

32762960; Safety of powered dermatome during the COVID-19 pandemic

Noblet,  TM,  Jivan, et al

Burns

Commentary/Editorial| Commentaire/Éditorial

 

Technologies "in aid" of cultural heritage

Nuccio,  MR

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Procedural measures against COVID-19 in social jurisdiction

Nueno,  MA

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32763151; Control of epidemics by jails: lessons for COVID-19 from HIV

Ohuabunwa,  T,  Spaulding, et al

The Lancet HIV

Commentary/Editorial| Commentaire/Éditorial

 

An Environment for Computer Programming Classes Under COVID-19 Situation

Okamoto,  S,  Sakamoto, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

The medical liability and COVID-19: First impressions

Oliveri,  L

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Long-Term Implications of Post-ACA Health Reform on State Health Care Policy

O'Mahen,  PN,  Petersen, et al

J Gen Intern Med

Commentary/Editorial| Commentaire/Éditorial

 

32687841; Urologic Services in Public Hospitals Suffered a Greater Detriment Than Private Hospitals During the Battle of COVID-19

Ong,  WLK,  Lechmiannandan, et al

Urology

Commentary/Editorial| Commentaire/Éditorial

 

Effects of Antimalarial Drugs on Neuroinflammation-Potential Use for Treatment of COVID-19-Related Neurologic Complications

Ong,  WY,  Go, et al

Mol Neurobiol

Commentary/Editorial| Commentaire/Éditorial

 

32865158; COVID-19 and molecular hydrogen inhalation

Ostojic,  SM

Therapeutic Advances in Respiratory Disease

Commentary/Editorial| Commentaire/Éditorial

 

A psychiatrist's perspective from a COVID-19 epicentre: a personal account

Pacchiarotti,  I,  Anmella, et al

BJPsych Open

Commentary/Editorial| Commentaire/Éditorial

 

Management of politraumatized patients during epidemiological emergency SARS-CoV-2

Padilla-Martínez,  CD

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

32778429; Use of oral antiseptics for SARS-CoV-2 infection

Palop Larrea,  V,  Hernández Rodríguez, et al

Medicina clinica

Commentary/Editorial| Commentaire/Éditorial

 

32860395; Nuclear Medicine and Oncology in the COVID-19 pandemic era

Panagiotidis,  E

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

32860391; The consequences of COVID-19 pandemic in the routine of Nuclear Medicine Departments

Papanastasiou,  E

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

Social work in the social distancing era in Korea: A reflective essay

Park,  TI,  Yang, et al

International Social Work

Commentary/Editorial| Commentaire/Éditorial

 

32847834; Covid-19: Hong Kong scientists report first confirmed case of reinfection

Parry,  J

BMJ (Clinical research ed.)

Commentary/Editorial| Commentaire/Éditorial

 

32860393; Nuclear Cardiology practice in COVID-19 era

Paschali,  A,  Anagnostopoulos, et al

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

Person's health and hotel business in COVID-19 times

Pascucci,  F,  Garetto, et al

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Applying the WHO ICF Framework to the Outcome Measures Used in the Evaluation of Long-Term Clinical Outcomes in Coronavirus Outbreaks

Patel,  K,  Straudi, et al

Int J Environ Res Public Health

Commentary/Editorial| Commentaire/Éditorial

 

32682029; Optimizing education for dermatology residents during the COVID-19 pandemic

Patel,  P,  Guzman, et al

Journal of the American Academy of Dermatology

Commentary/Editorial| Commentaire/Éditorial

 

Systemic steroids and risk of fecal-oral shedding and increased transmission of SARS-CoV-2 in pemphigus cases

Pawar,  M,  Singh, et al

Clinics in dermatology

Commentary/Editorial| Commentaire/Éditorial

 

Barriers and challenges faced by Brazilian physiotherapists during the COVID-19 pandemic and innovative solutions: lessons learned and to be shared with other countries

Pegorari,  MS,  Ohara, et al

Physiother Theory Pract

Commentary/Editorial| Commentaire/Éditorial

 

32826107; EMS dispatch center activity during the COVID-19 containment

Penverne,  Y,  Jenvrin, et al

American Journal of Emergency Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Off-label medical prescription and COVID-19: An ethical-legal reflexion

Pereira,  AGD

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32762876; Lung ACE2 and ADAM17 in pulmonary arterial hypertension: Implications for COVID-19?

Pérez-Vizcaíno,  F

Journal of Heart and Lung Transplantation

Commentary/Editorial| Commentaire/Éditorial

 

Contamination compulsions and obsessive-compulsive disorder during COVID-19

Perkes,  IE,  Brakoulias, et al

Aust N Z J Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: Looking Into the Overlooked

Petersen,  FC,  Dahle, et al

Frontiers in Molecular Biosciences

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19-Kritik

Pfingsten,  KR,  Baden, et al

Deutsches Arzteblatt International

Commentary/Editorial| Commentaire/Éditorial

 

32853324; Current situation of COVID-19 in South America

Pinheiro,  MDCN,  Freitas Junior, et al

Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia

Commentary/Editorial| Commentaire/Éditorial

 

Learning from the Outside World: Challenges and Reflections of COVID-19

Piterman,  L

Chinese General Practice

Commentary/Editorial| Commentaire/Éditorial

 

Management of hepatitis C in children and adolescents during COVID-19 pandemic

Pokorska-Śpiewak,  M,  Śpiewak, et al

World Journal of Hepatology

Commentary/Editorial| Commentaire/Éditorial

 

Epidemiological emergency and renegotiation commitments in professional football contracts

Polidori,  S

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32730788; Is blood glucose or obesity responsible for the bad prognosis of COVID-19 in obesity – diabetes?

Pontiroli,  AE,  La Sala, et al

Diabetes research and clinical practice

Commentary/Editorial| Commentaire/Éditorial

 

Corporate Social Responsibility Amid Social Distancing During the COVID-19 Crisis: BRICS vs. OECD Countries

Popkova,  E,  DeLo, et al

Research in International Business and Finance

Commentary/Editorial| Commentaire/Éditorial

 

Acrocyanosis and digital necrosis are associated with poor prognosis in COVID-19

Pourdowlat,  G,  Naderi, et al

Clinical Case Reports

Commentary/Editorial| Commentaire/Éditorial

 

Air conditioning system usage and SARS-CoV-2 transmission dynamics in Iran

Pourkarim,  MR,  Thijssen, et al

Medical hypotheses

Commentary/Editorial| Commentaire/Éditorial

 

Indonesia’s fight against COVID-19: the roles of local government units and community organisations

Pradana,  M,  Rubiyanti, et al

Local Environment

Commentary/Editorial| Commentaire/Éditorial

 

Teleconsultation in private cardiology practice during the Covid crisis

Pradeau,  V,  Villacèque, et al

Archives des Maladies du Coeur et des Vaisseaux - Pratique

Commentary/Editorial| Commentaire/Éditorial

 

Temporary disability and COVID-19

Prats,  CF

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32777028; Recovery from Severe COVID-19: Leveraging the Lessons of Survival from Sepsis

Prescott,  HC,  Girard, et al

JAMA - Journal of the American Medical Association

Commentary/Editorial| Commentaire/Éditorial

 

32866272; Surge Response: How the Panhandle Handled One of the State's Biggest COVID-19 Outbreaks

Price,  S

Texas medicine

Commentary/Editorial| Commentaire/Éditorial

 

Brazilian Child Protection Professionals' Resilient Behavior during the COVID-19 Pandemic

Priolo Filho,  SR,  Goldfarb, et al

Child Abuse Negl

Commentary/Editorial| Commentaire/Éditorial

 

The Little Professor and the Virus: Scaffolding Children’s Meaning Making During the COVID-19 Emergency

Provenzi,  L,  Baroffio, et al

Frontiers in Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Travel packages and traveler's rights in the Italian legal order at the time of the coronavirus

Pucci,  M

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Special Issues Encountered When Cancer Patients Confront COVID-19

Qi,  L,  Wang, et al

Frontiers in Oncology

Commentary/Editorial| Commentaire/Éditorial

 

Face masks are new normal after COVID-19 pandemic

Rab,  S,  Javaid, et al

Diabetes and Metabolic Syndrome: Clinical Research and Reviews

Commentary/Editorial| Commentaire/Éditorial

 

Proposal of research model for the detection of COVID-19 among asymptomatic carriers

Rajendra Santosh,  AB,  Krishnamurthy, et al

International Archives of Otorhinolaryngology

Commentary/Editorial| Commentaire/Éditorial

 

Access to places of worship and religious ceremonies during the state of alarm decreed by the COVID epidemic 19

Ramírez Navalón,  Ma R

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Measures under COVID-19 and commercial law (part II: Insolvency issues)

Ramírez,  FP

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

First trimester miscarriage in a pregnant woman infected with COVID-19 in Pakistan

Rana,  DMS,  Usman, et al

J Infect

Commentary/Editorial| Commentaire/Éditorial

 

32778446; Novel coronavirus outbreak in Pakistan: Beware of dengue

Rana,  MS,  Ikram, et al

Journal of the Formosan Medical Association

Commentary/Editorial| Commentaire/Éditorial

 

32731007; Infectious disease outbreak related stigma and discrimination during the COVID-19 pandemic: Drivers, facilitators, manifestations, and outcomes across the world

Ransing,  R,  Ramalho, et al

Brain, behavior, and immunity

Commentary/Editorial| Commentaire/Éditorial

 

HIV self-test during the time of COVID-19, India

Rao,  A

Indian J Med Res

Commentary/Editorial| Commentaire/Éditorial

 

Paradigm Shifts in Cardiac Care: Lessons Learned From COVID-19 at a Large New York Health System

Rao,  G,  Singh, et al

Current problems in cardiology

Commentary/Editorial| Commentaire/Éditorial

 

32798054; Capacity and the COVID-19 Surge

Rasimas,  JJ

Psychosomatics

Commentary/Editorial| Commentaire/Éditorial

 

Radiation dose reduction considerations and imaging patterns of ground glass opacities in coronavirus: risk of over exposure in computed tomography

Rawashdeh,  MA,  Saade, et al

Radiol Med

Commentary/Editorial| Commentaire/Éditorial

 

Health and tourism: Implications of COVID-19 pandemic to the Malaysian travel and hospitality industry

Razak,  NA

International Journal of Supply Chain Management

Commentary/Editorial| Commentaire/Éditorial

 

Bushfires, COVID-19 and the urgent need for an Australian Task Force on gender, mental health and disaster

Rees,  S,  Wells, et al

Aust N Z J Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Re: Managing COVID-19 in Surgical Systems

Resnick,  MJ

J Urol

Commentary/Editorial| Commentaire/Éditorial

 

32862217; COVID-19 and cancer: Revisiting "The comfort zone"

Retsas,  S

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

32831323; Oportunidades perdidas en la enseñanza de especialidades médicas, a propósito de la influenza y COVID-19

Reyna-Figueroa,  J,  Bejarano-Juvera, et al

Gaceta medica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Rapid Response to COVID-19 in Agriculture: A Model for Future Crises

Riden,  HE,  Schilli, et al

J Agromedicine

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Doctors call for action after patients are left unable to get tests

Rimmer,  A

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Bat conservation and zoonotic disease risk: a research agenda to prevent misguided persecution in the aftermath of COVID-19

Rocha,  R,  Aziz, et al

Animal Conservation

Commentary/Editorial| Commentaire/Éditorial

 

The visiting arrangement in time of epidemic: The judicial criteria because of COVID-19

Rodrigo,  GM

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Ban on dismissal by COVID-19

Rodríguez,  ER

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Inequality viewed through the mirror of COVID-19 (La desigualdad ante el espejo del COVID-19)

Rodríguez-Bailón,  R

Revista de Psicologia Social

Commentary/Editorial| Commentaire/Éditorial

 

Competing risk largely explains the drop in admissions for acute cardiovascular disease during the COVID-19 pandemic

Rodríguez-Padial,  L,  Arias, et al

Revista espanola de cardiologia

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and family care. programm "mecuida"

Rojas,  PN

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Measures to Control the Transmission of COVID-19 in South Korea: Searching for the Hidden Effective Factors

Rokni,  L,  Park, et al

Asia Pac J Public Health

Commentary/Editorial| Commentaire/Éditorial

 

Epidemiological emergency, correct exercise of parental responsibility and protection of bigenitoriality

Romeo,  F

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

How manufacturers can cope with COVID-19

Rooks,  A

Manufacturing Engineering

Commentary/Editorial| Commentaire/Éditorial

 

32771315; Dental Teleradiology: A Powerful Strategy to Overcome the Impact of COVID-19

Rosado,  LPL,  Crusoé-Rebello, et al

Academic Radiology

Commentary/Editorial| Commentaire/Éditorial

 

The Potential of Algal Biotechnology to Produce Antiviral Compounds and Biopharmaceuticals

Rosales-Mendoza,  S,  García-Silva, et al

Molecules

Commentary/Editorial| Commentaire/Éditorial

 

Post-Hypoxic Myoclonus after COVID-19 Infection Recovery

Ros-Castelló,  V,  Quereda, et al

Movement Disorders Clinical Practice

Commentary/Editorial| Commentaire/Éditorial

 

Law as experience. From “coronation cases” to “coronavirus cases”

Rosenvald,  N

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32833367; SARS-CoV-2 and sodium transport: a diabolical strategy

Rossier,  BC

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

The potential threat of multisystem inflammatory syndrome in children during the COVID-19 pandemic

Rothan,  HA,  Byrareddy, et al

Pediatr Allergy Immunol

Commentary/Editorial| Commentaire/Éditorial

 

The clinical decision in a pandemic situation

Rotondo,  V

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32710927; Multimodality Imaging in Evaluation of Cardiovascular Complications in Patients With COVID-19: JACC Scientific Expert Panel

Rudski,  L,  Januzzi, et al

Journal of the American College of Cardiology

Commentary/Editorial| Commentaire/Éditorial

 

Economic vulnerability between emergency and contract law

Ruggeri,  L,  Giobbi, et al

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Care of pediatric patient with COVID-19 at doctor’s office and ambulatory management

Ruiz-Pérez,  S,  Sánchez-De la Vega, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: Studying the global pandemic - Foreword

Rusconi,  S,  Hayden, et al

Future Virology

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 crisis, between good faith and opportunistic behavior

Ruzyk,  CEP

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Potential Applications of Microfluidics to Acute Kidney Injury Associated with Viral Infection

Ryan,  H,  Simmons, et al

Cellular and Molecular Bioengineering

Commentary/Editorial| Commentaire/Éditorial

 

32869769; First aid and basic life support resuscitation in occupational settings in COVID-19 pandemic

Sacco,  A

La Medicina del lavoro

Commentary/Editorial| Commentaire/Éditorial

 

32800797; Emergence of co-infection of COVID-19 and dengue: A serious public health threat

Saddique,  A,  Rana, et al

Journal of Infection

Commentary/Editorial| Commentaire/Éditorial

 

Risk Communication in COVID-19 Outbreak: Two Sides of the Same Coin

Safarpour,  H,  Farahi-Ashtiani, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

Practical Tips for Ambulatory Care in COVID-19: Lessons Learned in a New York Health System

Sagar,  A,  Gottridge, et al

Am J Med Qual

Commentary/Editorial| Commentaire/Éditorial

 

32681827; Response to concerns about the use of delivery table shield in the vaginal delivery of the pregnant women with suspected/diagnosed COVID-19

Sahin,  D,  Tanacan, et al

American Journal of Obstetrics and Gynecology

Commentary/Editorial| Commentaire/Éditorial

 

“A stitch in time”: group work during the covid-19 scare in the Nicobar Islands, India

Saini,  A

Social Work with Groups

Commentary/Editorial| Commentaire/Éditorial

 

32853328; Ethical considerations related to the COVID-19 "passport"

Salas,  SP

Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia

Commentary/Editorial| Commentaire/Éditorial

 

32771570; CMR in the Era of COVID-19: Evaluation of Myocarditis in the Subacute Phase

Salerno,  M,  Kwong, et al

JACC: Cardiovascular Imaging

Commentary/Editorial| Commentaire/Éditorial

 

32850105; Evaluation of the COVID-19 Pandemic Intervention Strategies with Hesitant F-AHP

Samanlioglu,  F,  Kaya, et al

Journal of healthcare engineering

Commentary/Editorial| Commentaire/Éditorial

 

Vulnerability of children in Botswana during COVID-19

Samboma,  TA

International Social Work

Commentary/Editorial| Commentaire/Éditorial

 

Prehospital transfer. Patient with COVID-19 infection

Sánchez-Arreola,  LD,  Fernández-Durán, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Interhospital transfer. Patient with COVID-19 infection

Sánchez-Arreola,  LD,  Fernández-Durán, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Medical technology during COVID 19 in India: A commentary

Sankaran,  B

Trends in Biomaterials and Artificial Organs

Commentary/Editorial| Commentaire/Éditorial

 

TEAM to Defeat COVID-19: A Management Strategy Plan to Address Return to Play in Sports Medicine

Santos-Ferreira,  D,  Tomás, et al

Orthopaedic Journal of Sports Medicine

Commentary/Editorial| Commentaire/Éditorial

 

32798103; Head and neck/maxillofacial nurse-led clinical activity during COVID-19 Pandemic — experience of one unit

Sayan,  A,  Coftas, et al

British Journal of Oral and Maxillofacial Surgery

Commentary/Editorial| Commentaire/Éditorial

 

The disparate impact of COVID-19 remote learning on English learners in the United States

Sayer,  P,  Braun, et al

TESOL Journal

Commentary/Editorial| Commentaire/Éditorial

 

Challenges to Medical Education on Surgical Services During the COVID-19 Pandemic

Schaffir,  J,  Strafford, et al

Medical Science Educator

Commentary/Editorial| Commentaire/Éditorial

 

The world in the fog. Late consequences of COVID-19: Fatigue pandemic feared

Schlenger,  R

Deutsche Apotheker Zeitung

Commentary/Editorial| Commentaire/Éditorial

 

32833363; COVID-19 et médecine ambulatoire - Soins intensifs : survie à quel prix ?

Schneider,  A

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

Guidance for building operations during the COVID-19 pandemic

Schoen,  LJ

ASHRAE Journal

Commentary/Editorial| Commentaire/Éditorial

 

Reply to "Treatment considerations for patients with pemphigus during the COVID-19 pandemic"

Schultz,  B,  Pearson, et al

J Am Acad Dermatol

Commentary/Editorial| Commentaire/Éditorial

 

32846454; Welche Schutzmaske schützt vor COVID-19? Was ist evidenzbasiert?

Schulze-Röbbecke,  R,  Reska, et al

Aktuelle Urologie

Commentary/Editorial| Commentaire/Éditorial

 

32773160; The Shift Towards Digital Appointments: the Response to COVID-19 Affecting Uro-Oncology

Scott,  E,  Kubiak, et al

Clinical oncology

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 pandemic - Missed opportunities?

Sefrin,  P

Notarzt

Commentary/Editorial| Commentaire/Éditorial

 

The universal electronic communications service to fight COVID-19

Segovia,  BA

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Neurological manifestations in COVID-19 pandemic

Sellal,  F,  Tazii, et al

Pratique Neurologique - FMC

Commentary/Editorial| Commentaire/Éditorial

 

32763102; Medication shortages during the COVID-19 pandemic: Saving more than COVID lives

Sen-Crowe,  B,  McKenney, et al

American Journal of Emergency Medicine

Commentary/Editorial| Commentaire/Éditorial

 

32829992; The Florida COVID-19 mystery: Lessons to be learned

Sen-Crowe,  B,  Sutherland, et al

American Journal of Emergency Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Never let a good crisis go to waste: Pauline Hanson’s exploitation of COVID-19 on Facebook

Sengul,  K

Media International Australia

Commentary/Editorial| Commentaire/Éditorial

 

"Contratti di Soggiorno" and COVID-19. part two. In the post-emergency period

Senigaglia,  R

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 India: An insight into the impact of lockdown and community behavioural response

Sharma,  S,  Paul, et al

International Social Work

Commentary/Editorial| Commentaire/Éditorial

 

Dexamethasone to combat cytokine storm in COVID-19: Clinical trials and preliminary evidence

Sharun,  K,  Tiwari, et al

Int J Surg

Commentary/Editorial| Commentaire/Éditorial

 

Testing the obligations of presence in academia in the COVID-19 era

Shelley-Egan,  C

Sustainability (Switzerland)

Commentary/Editorial| Commentaire/Éditorial

 

Introduction: TESOL and the COVID-19 pandemic

Shin,  DS

TESOL Journal

Commentary/Editorial| Commentaire/Éditorial

 

32856837; Basic aspects of organizing medical training in the context of a coronavirus pandemic

Shkrumyak,  AR,  Kaminina, et al

Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny

Commentary/Editorial| Commentaire/Éditorial

 

Letter to Highlight the Effects of Isolation on Elderly During COVID-19 Outbreak

Shuja,  KH,  Shahidullah, et al

Int J Geriatr Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

32868475; Editors' note: Miller Fisher syndrome and polyneuritis cranialis in COVID-19

Siegler,  JE,  3, et al

Neurology

Commentary/Editorial| Commentaire/Éditorial

 

32833364; COVID-19 et médecine ambulatoire - Patient·e·s âgé·e·s : qu’avons-nous appris ?

Sing Ho,  LK,  Rubli Truchard, et al

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

Mental health impact of COVID-19 lockdown in children and adolescents: Emerging challenges for mental health professionals

Singh,  N,  Gupta, et al

Journal of Indian Association for Child and Adolescent Mental Health

Commentary/Editorial| Commentaire/Éditorial

 

32811662; Noninvasive ventilation for COVID-19-associated acute hypoxaemic respiratory failure: experience from a single centre

Sivaloganathan,  AA,  Nasim-Mohi, et al

British journal of anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

Off-label pharmaceutical drug prescription in Brazilian law: Medical liability and challenges in times of COVID-19

Soares,  FR

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Oral and maxillofacial surgical services amid COVID-19 pandemic: Perspective from Tanzania

Sohal,  KS,  Simon, et al

Tropical Medicine and Health

Commentary/Editorial| Commentaire/Éditorial

 

32651341; Modification of existing occupational therapeutic protocols in response to the 'new normal' after COVID-19: Letter to the Editor

Soheili,  S,  Shariat, et al

Work (Reading, Mass.)

Commentary/Editorial| Commentaire/Éditorial

 

Post-COVID-19 policy: Discipline and ? questioning a (de) humanized technology

Soler,  ES

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Brief legal considerations on dying in coronavirus times in Spain

Sordo,  JE

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Management guide of severe pediatric patients with COVID-19

Soriano-Martínez,  JN,  Correa-Flores, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

32833362; COVID-19 et médecine ambulatoire - Urgences : patient·e·s à risque de décompensation

Staeger,  P,  Carron, et al

Revue medicale suisse

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 pandemic and Olympic/Paralympic athletes’ developmental challenges and possibilities in times of a global crisis-transition

Stambulova,  NB,  Schinke, et al

International Journal of Sport and Exercise Psychology

Commentary/Editorial| Commentaire/Éditorial

 

Resumption of pulmonary function testing during the post-peak phase of the COVID-19 pandemic: A position statement from the Canadian Thoracic Society and the Canadian Society of Respiratory Therapists

Stanojevic,  S,  Beaucage, et al

Canadian Journal of Respiratory, Critical Care, and Sleep Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Taking Shared Print to the Next Level: The Partnership for Shared Book Collections

Stearns,  S,  Revitt, et al

Journal of Library Administration

Commentary/Editorial| Commentaire/Éditorial

 

From ACE2 to COVID-19: A Multiorgan Endothelial Disease

Stein,  RA,  Young, et al

Int J Infect Dis

Commentary/Editorial| Commentaire/Éditorial

 

Antimicrobial Stewardship Programs and Convalescent Plasma for COVID-19: A New Paradigm for Pre-Authorization?

Stevens,  MP,  Patel, et al

Infect Control Hosp Epidemiol

Commentary/Editorial| Commentaire/Éditorial

 

Hydroxychloroquine use in COVID-19: Is the risk of cardiovascular toxicity justified

Stevenson,  A,  Kirresh, et al

Open Heart

Commentary/Editorial| Commentaire/Éditorial

 

The development and implementation of a rapid-access long-acting injectable buprenorphine clinic in metropolitan Melbourne during the COVID-19 pandemic

Straub,  A,  Pastor, et al

Drug Alcohol Rev

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 drug interactions

Surmelioglu,  N,  Demirkan, et al

Journal of Critical and Intensive Care

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and role of pharmacist in correctional facilities

Ta,  QTH,  Nadeem, et al

Research in Social and Administrative Pharmacy

Commentary/Editorial| Commentaire/Éditorial

 

The occupational risks prevention in the COVID-19 health crisis: Main measures and responsabilities

Taléns Visconti,  EE

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32730772; Public health measures during COVID-19 pandemic reduced hospital admissions for community respiratory viral infections

Tan,  JY,  Conceicao, et al

Journal of Hospital Infection

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 - A Kidney Perspective

Tang,  J

R I Med J (2013)

Commentary/Editorial| Commentaire/Éditorial

 

PMC7455254; What can we learn from the JATM literature for the future of aviation post Covid-19? - A bibliometric and visualization analysis

Tanrıverdi,  G,  Bakır, et al

J Air Transp Manag

Commentary/Editorial| Commentaire/Éditorial

 

Hypertension and diabetes mellitus in patients with COVID 19: A viewpoint on mortality

Tascioglu,  D,  Yalta, et al

Cardiovascular Endocrinology and Metabolism

Commentary/Editorial| Commentaire/Éditorial

 

Clinical placements for undergraduate diagnostic radiography students amidst the COVID-19 pandemic in Singapore: Preparation, challenges and strategies for safe resumption

Tay,  YX,  Sng, et al

Journal of Medical Imaging and Radiation Sciences

Commentary/Editorial| Commentaire/Éditorial

 

A neglected issue in hospital emergency and disaster planning: Non-standard employment in hospitals

Tekeli-Yesil,  S,  Kiran, et al

International Journal of Disaster Risk Reduction

Commentary/Editorial| Commentaire/Éditorial

 

32863965; Emerging evidence of myocardial injury in COVID-19: A path through the smoke

Tersalvi,  G,  Veronese, et al

Theranostics

Commentary/Editorial| Commentaire/Éditorial

 

Domestic work and COVID-19

Testal,  EG

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

The US politicisation of the pandemic: Raul Grijalva on masks, BAME, and covid-19

Thacker,  PD

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

32833212; In-Yeast Assembly of Coronavirus Infectious cDNA Clones Using a Synthetic Genomics Pipeline

Thao,  TTN,  Labroussaa, et al

Methods in Molecular Biology

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus 2019, Microthromboses, and Platelet Activating Factor

Theoharides,  TC,  Antonopoulou, et al

Clinical therapeutics

Commentary/Editorial| Commentaire/Éditorial

 

Potential Benefits from the Use of the Supraclavicular Artery Island Flap for Immediate Soft-Tissue Reconstruction During the COVID-19 Pandemic

Thompson,  A,  Khan, et al

Journal of Maxillofacial and Oral Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Challenges in the delivery of critical care in India during the COVID-19 pandemic

Tirupakuzhi Vijayaraghavan,  BK,  Nainan Myatra, et al

Journal of the Intensive Care Society

Commentary/Editorial| Commentaire/Éditorial

 

Preparing for ‘COVID-27’: Lessons in management focus – An Australian general aviation perspective

Tisdall,  L,  Zhang, et al

Journal of Air Transport Management

Commentary/Editorial| Commentaire/Éditorial

 

Psychosocial Support for Healthcare Workers During the COVID-19 Pandemic

Tomlin,  J,  Dalgleish-Warburton, et al

Frontiers in Psychology

Commentary/Editorial| Commentaire/Éditorial

 

32814648; Comment on «Chilblains in lockdown: An old acquaintance in the context of COVID 19»

Torres-Navarro,  I,  Sánchez-Arráez, et al

Anales de Pediatria

Commentary/Editorial| Commentaire/Éditorial

 

Collateral implications of the COVID-19 pandemic: belated presentation of infective endocarditis in a young patient

Toth,  E,  Dancy, et al

Eur Heart J

Commentary/Editorial| Commentaire/Éditorial

 

32833201; Discovery of Novel Coronaviruses in Rodents

Tsoleridis,  T,  Ball, et al

Methods in Molecular Biology

Commentary/Editorial| Commentaire/Éditorial

 

32828494; Distanced-based dynamic behaviour of aerosol particles during aerosol-generating medical procedures

Tsui,  BCH,  Pan, et al

British journal of anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

32853309; Multisystem inflammatory syndrome associated with COVID19 in children and adolescents: calling for diagnosis

Ulloa-Gutiérrez,  R,  Ivankovich-Escoto, et al

Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia

Commentary/Editorial| Commentaire/Éditorial

 

Hepatology and the “new reality” ushered in by the COVID-19 pandemic

Uribe,  M,  Aquino-Matus, et al

Annals of Hepatology

Commentary/Editorial| Commentaire/Éditorial

 

DPP4 and ACE2 in Diabetes and COVID-19: Therapeutic Targets for Cardiovascular Complications?

Valencia,  I,  Peiró, et al

Frontiers in Pharmacology

Commentary/Editorial| Commentaire/Éditorial

 

32862216; Recommendations for nuclear neuroimaging of patients with neurological disorders in the COVID-19 era

Valotassiou,  V,  Angelidis, et al

Hellenic journal of nuclear medicine

Commentary/Editorial| Commentaire/Éditorial

 

Een patiënt met COPD tijdens de COVID-19-pandemie

van den Bemt,  L,  Chavannes, et al

Huisarts en Wetenschap

Commentary/Editorial| Commentaire/Éditorial

 

Network of Networks: Preliminary Lessons from the Antwerp Port Authority on Crisis Management and Network Governance to Deal with the COVID-19 Pandemic

van den Oord,  S,  Vanlaer, et al

Public administration review

Commentary/Editorial| Commentaire/Éditorial

 

Coordination of a remote mHealth infrastructure for atrial fibrillation management during COVID-19 and beyond: TeleCheck-AF

van der Velden,  RMJ,  Hermans, et al

International Journal of Care Coordination

Commentary/Editorial| Commentaire/Éditorial

 

Considering the Impact of Research Assessments: A Commentary on “COVID-19 Related Loneliness and Psychiatric Symptoms Among Older Adults: The Buffering Role of Subjective Age”

Van Orden,  KA

American Journal of Geriatric Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

32815593; Beta-Adrenergic Blockers as a Potential Treatment for COVID-19 Patients

Vasanthakumar,  N

BioEssays

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2 dysregulation of PTBP1 and YWHAE/Z gene expression: A primer of neurodegeneration

Vavougios,  GD

Medical hypotheses

Commentary/Editorial| Commentaire/Éditorial

 

Diagnosis and treatment of acute surgical diseases in patients with Covid-19

Vechyorko,  VI,  Anosov, et al

Bulletin of Russian State Medical University

Commentary/Editorial| Commentaire/Éditorial

 

Excessive hardship due to the COVID-19 outbreak (an analysis from modern european contract law)

Velencoso,  LMM

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

32792167; Current updates on the European and WHO registered clinical trials of coronavirus disease 2019 (COVID-19)

Verma,  HK,  Merchant, et al

Biomedical Journal

Commentary/Editorial| Commentaire/Éditorial

 

32682026; Caution in the time of rashes and COVID-19

Vesely,  MD,  Perkins, et al

Journal of the American Academy of Dermatology

Commentary/Editorial| Commentaire/Éditorial

 

32856586; Timely monitoring of total mortality associated with COVID-19: informing public health and the public

Vestergaard,  LS,  Mølbak, et al

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

Commentary/Editorial| Commentaire/Éditorial

 

32854081; Learning from COVID-19: Sub-specialty radiologists should maintain general radiology skillset

Vijayasarathi,  A,  Khosa, et al

Clinical imaging

Commentary/Editorial| Commentaire/Éditorial

 

Post-coronavirus civil justice, from the crisis to some of the reforms envisaged

Vilar,  SB

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

Main surgical aspects of multiorgan procurement of a cadaveric donor in the health contingency due to COVID-19

Villaseñor-Colín,  C

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and limitation period in Italy

Virgadamo,  P

Actualidad Juridica Iberoamericana

Commentary/Editorial| Commentaire/Éditorial

 

The silent victims of the pandemic: Children and adolescents during the COVID-19 crisis

Vyjayanthi,  NV,  Banerjee, et al

Journal of Indian Association for Child and Adolescent Mental Health

Commentary/Editorial| Commentaire/Éditorial

 

32855483; COVID-19 detection via oropharyngeal secretion

Wadia,  R

British dental journal

Commentary/Editorial| Commentaire/Éditorial

 

Rapid Supportive Response to a Traumatic "Zoombombing" During the COVID-19 Pandemic

Walsh,  CG,  Unertl, et al

Acad Med

Commentary/Editorial| Commentaire/Éditorial

 

32768306; Patient Care Rounds in the Intensive Care Unit During COVID-19

Wang,  H,  Poehler, et al

Joint Commission Journal on Quality and Patient Safety

Commentary/Editorial| Commentaire/Éditorial

 

32867423; Interpretation for the group standards in guidelines for personal protection against coronavirus disease 2019 for diseases control person

Wang,  J,  Yu, et al

Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi

Commentary/Editorial| Commentaire/Éditorial

 

The ramifications of COVID-19 on maternal health in Kenya

Wangamati,  CK,  Sundby, et al

Sex Reprod Health Matters

Commentary/Editorial| Commentaire/Éditorial

 

Testing for SARS-CoV-2 antibodies

Watson,  J,  Richter, et al

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

32847471; Vascular underpinning of COVID-19

Wazny,  V,  Siau, et al

Open biology

Commentary/Editorial| Commentaire/Éditorial

 

Compliance with personal protective equipment to protect healthcare workers during COVID-19: ancillary workers count too

Wee,  LE,  Ying Sim, et al

Clin Microbiol Infect

Commentary/Editorial| Commentaire/Éditorial

 

32854433; Coronaviruses: Is Sialic Acid a Gate to the Eye of Cytokine Storm? From the Entry to the Effects

Wielgat,  P,  Rogowski, et al

Cells

Commentary/Editorial| Commentaire/Éditorial

 

Telefonisch spreekuur: Maakt COVID-19 een einde aan koudwatervrees over nieuwe werkwijzen?

Wieman,  D,  Haentjens, et al

Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19-Pandemie: Strafrechtliche Risiken

Wiepjes,  P

Deutsches Arzteblatt International

Commentary/Editorial| Commentaire/Éditorial

 

Cybersecurity Risks in a Pandemic

Williams,  CM,  Chaturvedi, et al

J Med Internet Res

Commentary/Editorial| Commentaire/Éditorial

 

The 2020 Presidential election: A race against mortality

Wilson,  L

Risk Management and Insurance Review

Commentary/Editorial| Commentaire/Éditorial

 

32831331; Neurologic manifestations and COVID-19

Wiwanitkit,  V

Gaceta medica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

32730998; Mobile health technology combats COVID-19 in China

Wu,  J,  Xie, et al

Journal of Infection

Commentary/Editorial| Commentaire/Éditorial

 

What do people hospitalised with covid-19 think about the care they received?

Wu,  MS,  Hayat, et al

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Seroconversion against SARS-CoV-2 occurred after the recovery in patients with COVID-19

Yamamoto,  S,  Saito, et al

J Med Virol

Commentary/Editorial| Commentaire/Éditorial

 

Infection-control practices in the COVID-19 pandemic call for an evidence-based management system in psychiatric hospitals

Yang,  M,  He, et al

Asian Journal of Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

32831340; Nutritional therapy optimization in COVID-19 critically ill patients

Yanowsky-Escatell,  F,  Osuna-Padilla, et al

Gaceta medica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

32773218; Use of HEPA filters to reduce the risk of nosocomial spread of SARS-CoV-2 via operating theatre ventilation systems

Yeo,  S,  Hosein, et al

British journal of anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

32828699; Pressure injury: A non-negligible comorbidity for critical Covid-19 patients

Yu,  N,  Li, et al

Journal of Plastic, Reconstructive and Aesthetic Surgery

Commentary/Editorial| Commentaire/Éditorial

 

The rationale for current pharmacotherapy of covid-19

Yunusoğlu,  O,  Ali, et al

Eastern Journal of Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Vaccine Development Against COVID-19 Prior to Pandemic Outbreaks, Using in vitro Evolution and Reverse Genetics

Zayed,  H

Frontiers in Immunology

Commentary/Editorial| Commentaire/Éditorial

 

Complement Inhibition with the C5 Blocker LFG316 in Severe COVID-19

Zelek,  WM,  Cole, et al

Am J Respir Crit Care Med

Commentary/Editorial| Commentaire/Éditorial

 

What can we learn from wildlife sightings during the COVID-19 global shutdown?

Zellmer,  AJ,  Wood, et al

Ecosphere

Commentary/Editorial| Commentaire/Éditorial

 

32800798; Previous cardiovascular surgery significantly increases the risk of developing critical illness in patients with COVID-19

Zhang,  B,  Liu, et al

Journal of Infection

Commentary/Editorial| Commentaire/Éditorial

 

Qingfei Paidu decoction for treating COVID-19: A protocol for a meta-analysis and systematic review of randomized controlled trials

Zhang,  Y,  Xie, et al

Medicine (Baltimore)

Commentary/Editorial| Commentaire/Éditorial

 

The Physician Communicator in the COVID-19 Era

Zhou,  EP

Acad Med

Commentary/Editorial| Commentaire/Éditorial

 

32846843; Development of early warning and rapid response system for patients with novel coronavirus pneumonia (COVID-19): A research protocol

Zhou,  H,  Huang, et al

Medicine

Commentary/Editorial| Commentaire/Éditorial

 

32828698; A Moroccan plastic surgery department approach during COVID-19 pandemic

Zine-Eddine,  I,  Elatiqi, et al

Journal of Plastic, Reconstructive and Aesthetic Surgery

Commentary/Editorial| Commentaire/Éditorial

 

32811778; Reply to comment: Screening for active COVID-19 infection prior to biologic therapy in IBD patients: primum non nŏcēre

Zingone,  F,  Buda, et al

Digestive and Liver Disease

Commentary/Editorial| Commentaire/Éditorial

 

New perspectives for the ambulatory or early treatment of COVID-19

Zúñiga-Blanco,  BL,  Pruneda-Álvarez, et al

Medicina Interna de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Department of Error

 

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Recommendations for Prevention and Control of Influenza in Children, 2020-2021

 

Pediatrics

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus research updates: Kids ravaged by COVID-19 show unique immune profile

 

Nature

Commentary/Editorial| Commentaire/Éditorial

 

Erratum: Department of Error (The Lancet (2020) 395(10235) (1481), (S0140673620309806), (10.1016/S0140-6736(20)30980-6))

 

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Correction to: Association of Inpatient Use of Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers With Mortality Among Patients With Hypertension Hospitalized With COVID-19

 

Circulation research

Commentary/Editorial| Commentaire/Éditorial

 

32848228; Brazil's budget showdown, COVID-19 severity and 70 years of scientific acronyms

 

Nature

Commentary/Editorial| Commentaire/Éditorial

 

Ultrasound and corona. COVID-19 pneumonia: Record safely, quickly and in a standardized manner using an ultrasound protocol

 

Ultraschall in der Medizin

Commentary/Editorial| Commentaire/Éditorial

 

32855497; POC COVID-19 test for dentistry

 

British dental journal

Commentary/Editorial| Commentaire/Éditorial

 

32855477; BES awards COVID-19-related research grants

 

British dental journal

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and older adults: more support is needed

 

EClinicalMedicine

Commentary/Editorial| Commentaire/Éditorial

 

Declaración sobre la pandemia del COVID-19 y el agro colombiano

 

Revista Facultad Nacional de Agronomia Medellin

Commentary/Editorial| Commentaire/Éditorial

 

“Immunity passports” in the context of COVID-19. Scientific brief

 

Pediatria i Medycyna Rodzinna

Commentary/Editorial| Commentaire/Éditorial

 

Contact tracing in the context of COVID-19. Interim guidance

 

Pediatria i Medycyna Rodzinna

Commentary/Editorial| Commentaire/Éditorial

 

Resolution of the coordinating council of the presidium of the all-Russian public organization "the association of rheumatologists of Russia" on the problems of coronavirus disease 2019 (COVID-19) in rheumatology

 

Nauchno-Prakticheskaya Revmatologiya

Commentary/Editorial| Commentaire/Éditorial

 

Surveillance strategies for COVID-19 human infection. Interim guidance

 

Pediatria i Medycyna Rodzinna

Commentary/Editorial| Commentaire/Éditorial

 

Erratum to Conjunctivitis as sole symptom of COVID-19: A case report and review of literature (Eur J Ophthalmol, (2020), 10.1177/1120672120946287)

 

European journal of ophthalmology

Commentary/Editorial| Commentaire/Éditorial

 

12th International Conference on Intelligent Networking and Collaborative Systems, INCoS 2020

 

 

Commentary/Editorial| Commentaire/Éditorial

 

 


 

Appendix: Process and definitions. 

 

A daily search for new publications is conducted in PubMed, Scopus, BioRxiv and MedRxiv, SSRN, Research Square, arXiv for all publications related to COVID-19 disease or SARS-CoV-2 using the search terms (COVID-19 OR SARS-CoV-2 OR "novel CoV" OR "novel coronavirus" OR nCoV) adapted to each database.  The capture is cross-referenced with publication announcements on the COVID-19 dashboards set up by a number of publishers and google.  Publishers include Lancet, Elsevier, The New England Journal of Medicine, BMJ, Wiley, Springer Nature, ChinaCDCweekly. Additionally the database is cross-referenced with other literature scans e.g. WHO publication list and activities by collaborators.  Members of the Emerging Sciences group develop 1 -2 point summaries of each publication. Please email Lisa Waddell for additional information: Lisa.Waddell@canada.ca.  References are compiled in a reworks database that has citations since the beginning of the outbreak.  All references can be accessed at this link and by the categories listed below.  The daily scan has also been compiled in an excel sheet and copies can be provided upon request or accessed here.

 

Category Definitions:

Modelling/ prediction: Predictive modeling is a process that uses data mining and probability to forecast outcomes. Each model is made up of a number of predictors, which are variables that are likely to influence future results.

Epidemiology: the branch of medicine which deals with the incidence, distribution, and possible control of diseases and other factors relating to health. Includes Ro, attack rates, case number doubling time, case fatality rate, serial interval, clinical attack rate, asymptomatic fraction, proportion of asymptomatic and infective*

Transmission: The passage of a pathogen causing communicable disease from an infected host to an uninfected host via direct or indirect routes.

Clinical data of cases: Includes clinical parameters such as incubation period, latent period, period of communicability, duration of illness, duration of hospitalization, host risk factors, as well as clinical profiles of patients; presenting symptoms, symptoms over course of illness, sequelae, comorbidities.* 

Surveillance: Public health surveillance is the continuous, systematic collection, analysis and interpretation of health-related data.  Surveillance data will likely be number of cases suspected/confirmed, number of deaths, number recovered. *

Coronavirology: All research relating to the virus; its characteristics, genetic make-up, phylogenetic analyses  

Diagnostics / Pathogen detection:  All studies on identification of the virus; culture, PCR, antibody/antigen tests etc.

Therapeutics: Studies of substances that may be used to treat infected hosts including passive immunization products.

Vaccine Research:  Studies of vaccine candidates to prevent infection with 2019-nCoV including clinical trials.

Public Health Priorities: These citations will focus on what the current research priorities are and/or where knowledge gaps exist.

Public Health interventions*: Any study evaluating how effective a public health intervention is or maybe (in the case of a predictive model).

Public Health response: These papers are typically overviews of past and current activities, they often also identify knowledge gaps and suggest future activities or objectives.

Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI): Any research on the effectiveness of IPC interventions should also be tagged as IPC

Health care Response: This foci would include a description of activities to deal with 2019-nCoV cases including, but not limited to:  set up of a special emergency multi-disciplinary intensive care team; Bed and medical equipment preparation/ stock piling supplies; Education and training of staff; Early case recognition and classification of disease severity.

Economics: papers discussing/ forecasting the economics of COVID-19 pandemic.

Immunology:

Animal Model:

Zoonotic: all literature discussing the transmission to and from or occurrence of naturally acquired SARS-COV-2 infection in animals. 

Review LiteratureAll articles that summarize the published literature can be tagged as a review.  This includes systematic review, meta-analysis, scoping review, overviews, umbrella reviews*

Commentary/Editorial: For commentaries, editorials, letters to the editor, other types of opinion pieces where there is no new data collected by the author or analysis conducted by the author, please tag these within the commentary category.

News articles that have not scientific information.

*Lists are not exhaustive

Annexe: Processus et définitions. 

 

Une recherche quotidienne des nouvelles publications est effectuée dans PubMed, Scopus, BioRxiv and MedRxiv, SSRN, Research Square, arXiv pour toutes les publications relatives à la maladie COVID-19 ou au SRAS-CoV-2 en utilisant les termes de recherche (COVID-19 OU SARS-CoV-2 OU « novel CoV » OU « novel coronavirus » OU nCoV).  La saisie renvoie à des annonces de publication sur les tableaux de bord du nCoV mis en place par un certain nombre d'éditeurs et par Google.  Parmi les éditeurs figurent Lancet, Elsevier, The New England Journal of Medicine, BMJ, Wiley, Springer Nature, ChinaCDCweekly.  En outre, la base de données renvoie à d'autres survols de publications, e.g. la liste des publications de l'OMS, et à des activités des collaborateurs.  Les membres du groupe scientifique émergent préparent des résumés en 1 ou 2 points de chaque publication. Pour en savoir plus, veuillez envoyer un courriel à Lisa Waddell au : Lisa.Waddell@canada.ca.  Les références sont compilées dans une base de données Refworks qui contient des citations depuis le début de l'épidémie.  Toutes les références sont accessibles à partir de ce lien et par les catégories énumérées ci-dessous. L'analyse quotidienne a également été compilée dans une feuille Excel et des copies peuvent être fournies sur demande ou consultées ici.

 

Définitions des catégories :

Modélisation / prédiction : La modélisation prédictive est un processus qui utilise l'exploration de données et la probabilité pour prévoir les résultats. Chaque modèle est composé de plusieurs prédicteurs, qui sont des variables susceptibles d'influencer les résultats futurs.

Épidémiologie : Branche de la médecine qui traite de l'incidence, de la répartition et du contrôle éventuel des maladies et d'autres facteurs liés à la santé. Comprend le taux de reproduction de base (Ro), les taux d'attaque, le temps de doublement du nombre de cas, le taux de létalité, l'intervalle sériel, le taux d'attaque clinique, la fraction asymptomatique, la proportion de cas asymptomatiques et infectieux*.

Transmission : Passage d'un agent pathogène causant une maladie transmissible d'un hôte infecté à un hôte non infecté par des voies directes ou indirectes.

Données cliniques des cas : Comprend les paramètres cliniques tels que la période d'incubation, la période de latence, la période de contagiosité, la durée de la maladie, la durée de l'hospitalisation, les facteurs de risque de l'hôte, ainsi que les profils cliniques des patients; les symptômes présentés, les symptômes au cours de la maladie, les séquelles, les comorbidités.* 

Surveillance : La surveillance de la santé publique est la collecte, l'analyse et l'interprétation continues et systématiques de données relatives à la santé.  Les données de surveillance concerneront probablement le nombre de cas suspects / confirmés, le nombre de décès, le nombre de personnes guéries. *

Coronavirologie : Toutes les recherches relatives au virus, ses caractéristiques, sa constitution génétique et les analyses phylogénétiques.  

Diagnostics / Détection d'agents pathogènes : Toutes les études sur l'identification du virus : culture, PCR, tests de dépistage d'anticorps ou d’antigènes, etc.

Thérapeutique : Étude des substances pouvant être utilisées pour traiter les hôtes infectés, y compris les produits d'immunisation passive.

Recherche sur les vaccins : Études des candidats à la vaccination pour prévenir l'infection par le 2019-nCoV, y compris des essais cliniques.

Priorités de santé publique : Ces citations porteront sur les priorités actuelles de recherche et/ou sur les lacunes dans les connaissances.

Interventions de santé publique* : Toute étude évaluant l'efficacité (réelle ou possible) d'une intervention de santé publique (dans le cas d'un modèle prédictif).

Réponse de la santé publique : Ces articles sont généralement des aperçus des activités passées et actuelles, qui identifient souvent les lacunes dans les connaissances et suggèrent des activités ou des objectifs futurs.

Prévention et contrôle des infections/Infection Prevention and Control (PCI/IPAC) : Les recherches sur l'efficacité des interventions en PCI doivent également être marquées comme PCI.

Réponse des soins de santé : Ce point comprendrait une description des activités pour traiter les cas de 2019-nCoV, notamment :  mise en place d'une équipe multidisciplinaire spéciale de soins intensifs d'urgence; préparation des lits et des équipements médicaux / stockage des fournitures; sensibilisation et formation du personnel; reconnaissance précoce des cas et classification de la gravité de la maladie.

Immunologie :

Modèle animal:

Zoonotic: all literature discussing the transmission to and from or occurrence of naturally acquired SARS-COV-2 infection in animals. 

Économie: documents discutant / prévoyant l'économie de la pandémie de COVID-19

Revue de la documentation Tous les articles qui résument les documents publiés peuvent être marqués comme une revue.  Cela comprend les revues systématiques, les méta-analyses, les études de la portée, les aperçus, les examens généraux*.

Commentaires/Éditorial : Pour les commentaires, éditoriaux, lettres à la rédaction, autres types d'articles d'opinion pour lesquels aucune nouvelle donnée n'est collectée ou aucune analyse n'est effectuée par l'auteur, veuillez les marquer dans la catégorie des commentaires.

journaux Articles de presse qui n'ont pas d'informations scientifiques.

* Les listes ne sont pas exhaustives