From: Ayache, Dima (PHAC/ASPC) <dima.ayache@canada.ca>
Sent: 2020-10-16 12:58 PM
Subject: Daily Scan of COVID-19 Scientific Publications / survol journalier des publications scientifiques du COVID-19, 2020-10-16

 

Good afternoon,

There are 368 citations in today’s scan. 210 were considered primary research or review literature.

Highlights today include:

 

PUBLIC HEALTH INTERVENTION

·         Keeling et al. Authors discuss how  non-pharmaceutical interventions (NPIs)  have played a role in the prevalence of COVID-19 in the UK. Controlling any rise in infection is a compromise between public health and societal costs, with more stringent NPIs reducing cases but damaging the economy and restricting freedoms.

·         Sruthi, et al. develop a systematic relation between the degrees of NPIs implemented by the 26 cantons in Switzerland during March 9 to September 13 and their respective contributions to the Rt. Although causal relations are not guaranteed by the model framework, it nevertheless provides a fine-grained justification for the relative merits of choice and the degree of the NPIs and a data-driven strategy for mitigating Rt.

·         Vlachos, et al. connect all students and teachers in Sweden to their families and study the impact of moving to online instruction on the incidence of SARS-CoV-2 and COVID-19. We find that among parents, exposure to open rather than closed schools resulted in a small increase in PCR-confirmed infections. The results for parents indicate that keeping lower secondary schools open had minor consequences for the transmission of SARS-CoV-2 in society. The results for teachers suggest that measures to protect teachers could be considered.

IPAC

·         Arokiaraj et al analyze recent influenza vaccination data of 34 countries from OECD and other publications then correlate them with COVID-19 mortality from worldometer data. They found that there is a correlation between COVID-19-related mortality, morbidity, and case incidence and the status of influenza vaccination, which appears protective. Influenza (H1N1) vaccination can be used as an interim measure to mitigate the severity of COVID-19 in the general population.

TRANSMISSION

·         Somsen et al (preprint) investigate the role of aerosols in the transmission of SARS-CoV-2 in public spaces using a handheld particle counter. Aerosol concentrations are approximately 20 to more than a 100 times lower in all ventilated public spaces compared to the poorly ventilated restroom. The characteristic times for a 50% decrease in aerosol concentration are on the order of one minute in well-ventilated spaces, compared to 4-5 minutes in the poorly ventilated restroom, elevator and living room.

EPIDEMIOLOGY

·         Bagwell et al assess the effect of return to campus on viral case growth in counties with a significant college student population relative to non-college counties. They find a significant surge of 9% in new cases in a 21-day time frame in college counties, a finding consistent across U.S. Census divisions. These results suggest the need for institutions of higher education and the communities where these institutions reside work together quickly and effectively to mitigate viral transmission and to prevent overwhelming local healthcare infrastructure in college counties.

CLINICAL DATA

·         Nachmias et al. described the first documented case of COVID-19 re-infection in Israel in a 20-year-old otherwise healthy young woman. On the first episode, she was mildly symptomatic, whereas the second episode was asymptomatic.

IMMUNOLOGY

·         Reynolds et al. conducted a cross-sectional, case-control, sub-study to understand how long immunity lasts in healthcare workers (HCW) who have had mild or asymptomatic infection. Data from 136 healthcare workers at 16-18 weeks after UK lockdown were analyzed and 76 had laboratory-confirmed SARS-CoV-2 mild or asymptomatic infection. The findings suggest that the majority of HCW with mild or asymptomatic SARS-CoV-2 infection carry neutralising antibodies complemented by multi-specific T cell responses for at least 4 months after mild or asymptomatic SARS-CoV-2 infection.

·         Casciola-Rosen et al. identified robust IgM autoantibodies that recognize angiotensin converting enzyme-2 (ACE2) in 27% patients with severe COVID-19, which are rare in hospitalized patients who are not ventilated. The antibodies do not undergo class-switching to IgG, suggesting a T-independent antibody response. Purified IgM from anti-ACE2 patients activates complement.

CORONAVIROLOGY

·         Bai et al. determined that co-infection of hACE2-transgenic mice with influenza A virus and SARS-CoV-2 resulted in aggravated SARS-CoV-2 infection and increased disease severitY

THERAPEUTICS – ANIMAL MODEL

·         Piepenbrink et al. showed that the 1212C2 human monoclonal antibodies exhibit in vivo prophylactic and therapeutic activity against SARS-CoV-2 in hamsters when delivered intraperitoneal. Furthermore, liquid nebulized inhaled treatment to the infected hamsters mediated a reduction in the respiratory viral burden and mitigated lung pathology.

VACCINE RESEARCH

·         Rodriguez et al. used a modified SEIR-type model and compared several strategies to identify the most effective vaccination priority sequence using epidemiological data from Spain. The results indicate that planning vaccination by priority groups can achieve a reduction of more than 70% of total fatalities compared to no prioritisation. Further, the criteria for groups vaccination priority should not be those with the highest mortality but rather those the highest number of daily person-to-person interactions. Lastly, prioritisation of groups with the highest mortality but less social interactions, may lead to significantly larger numbers of final total fatalities, even higher as if no group priorities were established at all.

·         Kalnin et al. Authors describe the efforts to utilize an mRNA platform for rational design and evaluations of mRNA vaccine candidates based on Spike (S) glycoprotein of Severe Acute Respiratory Syndrome Coronavirus 2.  These data position MRT5500 as a viable vaccine candidate for clinical development against COVID-19.

PUBLIC HEALTH RESPONSE

·         Wu et al. conducted a nationwide survey to collect data about the workload and productivity of regular work and WFH considering different types of tasks and occupations. The findings indicate that WFH causes an increase in workload for all participants by three hours per week and a loss of productivity for 38% participants.

 

 

Regards,

Lisa Waddell, Tricia Corrin, Rukshanda Ahmad, Robyn Odell, Maribeth Mitri, Julie Theriault, Dobrila Todoric, Alejandra Dubois, Austyn Baumeister, Anam Khan, Musaab Younis, Lien Mi Tien, Dima Ayache, Angela Sloan, Kaitlin Young, Chatura Prematunge, Ainsley Otten, Irene Yong, Drew Greydanus, Shalane Ha, Alex Gilbert, Jessie Varga, Vanessa Zubach, Meenu Sharma, Kristyn Burak

 

 

 

Daily Scan of COVID-19 Scientific Publications / Survol journalier des publications scientifiques du COVID-19		16/10/2020

 


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

COVID19: Exploring uncommon epitopes for a stable immune response through MHC1 binding

Abitogun,  Folagbade Muyiwa,  Srivastava, et al

bioRxiv

Coronavirology| Coronavirologie

This study highlights novel protein sequences generated by shot gun sequencing protocols that could serve as potential antigens in the development of novel subunit vaccines and through a stringent inclusion criterion, we characterized these protein sequences and predicted their 3D structures. We found distinctly antigenic sequences from the SARS-CoV-2 that have led to identification of 4 proteins that demonstrate an advantageous binding with Human leukocyte antigen-1 molecules. Results show how previously unexplored proteins may serve as better candidates for subunit vaccine development due to their high stability and immunogenicity, reinforce by their HLA-1 binding propensities and low global binding energies. This study thus takes a unique approach towards furthering the development of vaccines by employing multiple consensus strategies involved in immuno-informatics technique

Mathematical Perspective of Covid-19 Pandemic: Disease Extinction Criteria in Deterministic and Stochastic Models

Adak,  Debadatta,  Majumder, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In this paper, we consider a deterministic epidemic model of four compartments classified based on the health status of the populations of a given country to capture the disease progression. A stochastic extension of the deterministic model is further considered to capture the uncertainty or variation observed in the disease transmissibility. In the case of a deterministic system, the disease-free equilibrium will be globally asymptotically stable if the basic reproduction number is less than unity, otherwise, the disease persists. Using Lyapunov functional methods, we prove that the infected population of the stochastic system tends to zero exponentially almost surely if the basic reproduction number is less than unity. The stochastic system has no interior equilibrium, however, its asymptotic solution is shown to fluctuate around the endemic equilibrium of the deterministic system under some parametric restrictions, implying that the infection persists. A case study with the Covid-19 epidemic data of Spain is presented and various analytical results have been demonstrated. The epidemic curve in Spain clearly shows two waves of infection. The first wave was observed during March-April and the second wave started in the middle of July and not completed yet. A real-time basic reproduction number has been given to illustrate the epidemiological status of Spain throughout the study period. Estimated cumulative numbers of confirmed and death cases are 1,613,626 and 42,899, respectively, with case fatality rate 2.66 per cent till the deadly virus is eliminated from Spain.

Concerns of women regarding pregnancy and childbirth during the COVID-19 pandemic

Ahlers-Schmidt,  C,  Hervey, et al

Patient education and counseling

Public Health response| Interventions de santé publique

To better understand the knowledge, attitudes and practices of pregnant women and mothers of infants around COVID-19. A 58-item electronic survey was distributed to pregnant and postpartum women (infants 15 years, English-speaking and enrolled in prenatal programs. Data is summarized using central tendency, frequencies and nonparametric statistics. Results: Of 114 (51 % response rate) participants, 82.5 % reported negative changes in mental status measures (e.g. stress, anxious thoughts, changes in sleep patterns). All reported risk-reduction behavior changes (e.g. handwashing/use of sanitizer, social distancing). Significant changes were reported in employment and financial status due to the pandemic. Increases in alcohol consumption among postpartum women were also reported. Few reported changes in prenatal, infant or postpartum healthcare access.

Early predictors of mortality for moderate to severely ill patients with Covid-19

Aksel,  G,  İslam, et al

American Journal of Emergency Medicine

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to determine the parameters that can predict the mortality of moderate to severely ill patients with laboratory confirmed Covid-19. Moderate to severely ill, Covid-19 patients older than 18 years were included. Mild Covid-19 patients and the ones with negative polymerase chain reaction test results were excluded from the study. The primary outcome of the study was 30-day mortality rate and we aimed to determine the factors affecting mortality in moderate to severely ill Covid-19 patients. 168 patient results were analyzed. Median age of the patients was 59.5 (48.3 to 76) and 90 (53.6%) were male. According to multivariate regression analysis results, the presence of any comorbid disease (p = 0.027, HR = 26.11 (95% CI: 1.45 to 471.31)), elevated C-reactive protein levels (CRP) (p < 0.001, HR = 1.24 (95% CI: 1.11 to 1.38)) and presence of dyspnea (p = 0.026, HR = 4.26 ((95% CI: 1.19 to 15.28)) were found to significantly increase the mortality, while high pulse O 2 saturation level (p < 0.001, HR = 0.90 (95% CI: 0.82 to 0.99) was found to decrease. When receiver operating characteristic curve was created for laboratory tests, it was determined that white blood cell counts, neutrophil counts, CRP levels and neutrophil/lymphocyte ratio predicted mortality while Lymphocyte levels did not.

A Monitoring System for Patients of Autism Spectrum Disorder Using Artificial Intelligence

Al Banna,  MH,  Ghosh, et al

 

Public Health response| Interventions de santé publique

We are proposing an artificial intelligence-based system that uses sensor data to monitor the patient’s condition, and based on the emotion and facial expression of the patient, adjusts the learning method through exciting games and tasks. Whenever something goes wrong with the patient’s behavior, the caregivers and the parents are alerted about it. We then presented how this AI-based system can help them during COVID-19 pandemic. This system can help the parents to adjust to the new situation and continue the mental growth of the patients.

Thromboprophylaxis with enoxaparin is associated with a lower death rate in patients hospitalized with SARS-CoV-2 infection. A cohort study

Albani,  F,  Sepe, et al

EClinicalMedicine

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of this study was to assess the impact of thromboprophylaxis with enoxaparin on hospital mortality in patients admitted for Coronavirus disease 2019 (COVID-19). The effects of enoxaparin on intensive care admission and hospital length-of-stay were evaluated as secondary outcomes. Observational cohort study, with data collected from patients admitted to Poliambulanza Foundation with positive real time reverse transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2 from 20th February to 10th May 2020. Multivariate logistic regression with overlap weight propensity score was used to model hospital mortality and intensive care admission, hospital length-of-stay was analyzed with a multivariate Poisson regression. Seven hundred and ninety nine (57%) patients who received enoxaparin at least once during the hospitalization were included in the enoxaparin cohort, 604 (43%) patients who did not were included in the control cohort. At the adjusted analysis enoxaparin was associated with lower in-hospital mortality (Odds Ratio 0·53, 95% C.I. 0·40–0·70) compared with no enoxaparin treatment. Hospital length-of-stay was longer for patients treated with enoxaparin (Incidence Rate Ratios 1·45, 95% C.I. 1·36–1·54). Enoxaparin treatment was associated with reduced risk of intensive care admission at the adjusted analysis (Odds Ratio 0·48, 95% C.I. 0·32–0·69).

Saliva specimens for detection of severe acute respiratory syndrome coronavirus 2 in Kuwait: A cross-sectional study

Altawalah,  H,  AlHuraish, et al

Journal of Clinical Virology

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

We investigated the potential use of the RT-PCR detection of SARS-COV-2 in saliva samples in large suspected-COVID-19 patients in Kuwait. NPS and saliva samples pairs were prospectively collected from 891 COVID-19 suspected patients in Kuwait and analyzed using TaqPath™ COVID-19 multiplex RT-PCR. Of the 891 patients, 38.61 % (344/891) were positive for SARS-CoV-2, 4.83 % (43/891) were equivocal, and 56.56 % (504/891) were negative with NPS by RT-PCR. For saliva, 34.23 % (305/891) were positive for SARS-CoV-2, 3.14 (28/891) were equivocal, and 62.63 % (558/891) were negative. From 344 confirmed cases for SARS-CoV-2 with NPS samples, 287 (83.43 %) (95 % CI, 79.14–86.99) were positive with saliva specimens. Moreover, the diagnostic sensitivity and specificity of RT-PCR for the diagnosis of COVID-19 in saliva were 83.43 % (95 % CI: 79.07–87.20) and 96.71 % (95 % CI: 94.85–98.04 %), respectively. An analysis of the agreement between the NPS and saliva specimens demonstrated 91.25 % observed agreement (κ coefficient = 0.814, 95 % CI, 0.775–0.854).

Evaluation of the effectiveness of movement control order to limit the spread of COVID-19

Amiruzzaman,  M,  Abdullah-Al-wadud, et al

Annals of Emerging Technologies in Computing

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

This study presents a prediction model based on Logistic Growth Curve (LGC) to evaluate the effectiveness of Movement Control Order (MCO) on COVID-19 pandemic spread. The evaluation assesses and predicts the growth models. The estimated model is a forecast-based model that depends on partial data from the COVID-19 cases in Malaysia. The model is studied on the effectiveness of the three phases of MCO implemented in Malaysia, where the model perfectly fits with the R2 value 0.989. Evidence from this study suggests that results of the prediction model match with the progress and effectiveness of the MCO to flatten the curve, and thus is helpful to control the spike in number of active COVID-19 cases and spread of COVID-19 infection growth.

Lung cavitation in COVID-19 pneumonia

Ammar,  A,  Drapé, et al

Diagnostic and Interventional Imaging

Clinical data| Données cliniques

A case report of a 62-year-old man was hospitalized in intensive care unit for severe Covid-19 pneumonia who developed lung cavitation. Cultures from bronchoalveolar lavage were positive for methicillin-sensitive-Staphylococcus-aureus, Pseudomonas-Aeruginosa and Klebsiella-Pneumonia. Bacteriological tests were positive for Aspergillus-niger on bronchoalveolar fluid and aspergillus antigenemia. Typical CT patterns of COVID-19 pneumonia are well known, but lung cavitation remains uncommon. It might be explained by viral damage to the alveolar walls leading to pneumatoceles. Bacterial and fungal superinfections were also observed.

No harm from angiotensin-converting enzyme inhibitors or angiotensin receptor inhibitors in patients with COVID-19. Results of a prospective study on a hospital-based cohort

Anzola,  GP,  Bartolaminelli, et al

Italian Journal of Medicine

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aims to assess the effect of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor inhibitors (ARBs) on the course of COVID-19. It is a prospective study on 221 (M/F ratio= 143/78, mean age 72±13) consecutive hypertensive patients with COVID-19: 76 (34.4%) treated with ACEIs, 63 (28.5%) with ARBs and 82 (37.1%) with antihypertensives OTHER than ACEIs or ARBs. They were all followed up until discharge or death. BAD outcome was defined as the need for invasive mechanical ventilation or death. The three classes of medication were well balanced for confounding variables. BAD nly outcome was overall recorded in 63/221 (28%) patients, in 20/76 (26%) of ACEI, in 17/63 (27%) of ARB and in 26/82 (32%) of OTHER users, with no statistically significant difference in any comparison. These findings refute the hypothesis that treatment with ACEIs or ARBs may negatively affect the course of COVID-19. ©Copyright: the Author(s), 2020

Considering Interim Interventions to Control COVID-19 Associated Morbidity and Mortality—Perspectives

Arokiaraj,  MC

Frontiers in Public Health

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

The current analysis was performed to analyze the severity of COVID-19 and influenza (H1N1) vaccination in adults ≥ 65. Also, to correlate the lower respiratory tract infections (LRIs), and influenza attributable to the lower respiratory tract infections' incidence with Covid-19 mortality. Evolutionarily influenza is close in resemblance to SARS-CoV-2 viruses and shares some common epitopes and mechanisms. Recent influenza vaccination data of 34 countries from OECD and other publications were correlated with COVID-19 mortality from worldometer data. LRIs attributable to influenza and streptococcus pneumonia were correlated with COVID-19 mortality. Specifically, influenza-attributable LRI incidence data of various countries (n = 182) was correlated with COVID-19 death by linear regression and receiver operating characteristic (ROC) curve analyzes. In a logistic regression model, population density and influenza LRI incidence were correlated with COVID-19 mortality. There is a correlation between COVID-19-related mortality, morbidity, and case incidence and the status of influenza vaccination, which appears protective. The tendency of correlation is increasingly highlighted as the pandemic is evolving. In countries where influenza immunization is less common, there is a correlation between LRIs and influenza attributable to LRI incidence and COVID-19 severity, which is beneficial. ROC curve showed an area under the curve of 0.86 (CI 0.78 to 0.944, P 150/million and a decreasing trend of influenza LRI episodes. To predict COVID-19 mortality of >200/million population, the odds ratio for influenza incidence/100,000 was −1.86 (CI −2.75 to −0.96, P 1000, the influenza parameter had an odd's ratio of −3.83 (CI −5.98 to −1.67), and an AUC of 0.94.

Who is dying from COVID-19 and when? An Analysis of fatalities in Tamil Nadu, India

Asirvatham,  ES,  Sarman, et al

Clinical Epidemiology and Global Health

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aims to understand the demographic and clinical characteristics of deceased COVID-19 patients; and estimation of time-interval between symptom onset, hospital admission and death could inform public health interventions focusing on preventing mortality due to COVID-19. We obtained COVID-19 death summaries from the official dashboard of the Government of Tamil Nadu, between 10th May and July 10, 2020. Of the 1783 deaths, we included 1761 cases for analysis. The mean age of the deceased was 62.5 years (SD: 13.7). The crude death rate was 2.44 per 100,000 population; the age-specific death rate was 22.72 among above 75 years and 0.02 among less than 14 years, and it was higher among men (3.5 vs 1.4 per 100,000 population). Around 85% reported having any one or more comorbidities; Diabetes (62%), hypertension (49.2%) and CAD (17.5%) were the commonly reported comorbidities. The median time interval between symptom onset and hospital admission was 4 days (IQR: 2, 7); admission and death was 4 days (IQR: 2, 7) with a significant difference between the type of admitting hospital. One-fourth of (24.2%) deaths occurred within a day of hospital admission.

Modeling epidemics through ladder operators

Bagarello,  F,  Gargano, et al

Chaos, Solitons and Fractals

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

We propose a simple model of spreading of some infection in an originally healthy population which is different from other models existing in the literature. In particular, we use an operator technique which allows us to describe in a natural way the possible interactions between healthy and un-healthy populations, and their transformation into recovered and to dead people. After a rather general discussion, we apply our method to the analysis of Chinese data for the SARS-2003 (Severe acute respiratory syndrome; SARS-CoV-1) and the Coronavirus COVID-19 (Corona Virus Disease; SARS-CoV-2) and we show that the model works very well in reproducing the long-time behaviour of the disease, and in particular in finding the number of affected and dead people in the limit of large time. Moreover, we show how the model can be easily modified to consider some lockdown measure, and we deduce that this procedure drastically reduces the asymptotic value of infected individuals, as expected, and observed in real life. © 2020 Elsevier Ltd

Return to University Campuses Associated with 9% Increase in New COVID-19 Case Rate

Bagwell Adams,  Grace,  Shannon, et al

medRxiv

Epidemiology| Épidémiologie

Using data from the New York Times and the American Community Survey, we assess the effect of this return to campus on viral case growth in counties with a significant college student population relative to non-college counties. We find a significant surge of 9% in new cases in a 21-day time frame in college counties, a finding consistent across U.S. Census divisions. These results suggest the need for institutions of higher education and the communities where these institutions reside work together quickly and effectively to mitigate viral transmission and to prevent overwhelming local healthcare infrastructure in college counties.

Co-infection of influenza A virus enhances SARS-CoV-2 infectivity

Bai,  Lei,  Zhao, et al

bioRxiv

Coronavirology| Coronavirologie Animal model | Modèle animal

Little is known about the consequences of the co-infection of influenza A virus (IAV) and SARS-CoV-2. Through experimental co-infection of IAV with either pseudotyped or SARS-CoV-2 live virus, we found that IAV pre-infection significantly promoted the infectivity of SARS-CoV-2 in a broad range of cell types. Intriguingly, such enhancement of SARS-CoV-2 infectivity was only seen under co-infection with IAV but not with several other viruses including Sendai virus, human rhinovirus, human parainfluenza virus, human respiratory syncytial virus, or human enterovirus 71. IAV infection rather than interferon signaling induced elevated expression of ACE2 essential for such enhancement of SARS-CoV-2 infectivity. Remarkably, we further confirmed that the pre-infection of IAV indeed resulted in an increased SARS-CoV-2 viral load and more severe lung damage in hACE2-transgenic mice. This study illustrates that the co-infection of IAV aggravates SARS-CoV-2 infection and disease severity, which in turn suggests that preventing the convergence of flu season and COVID-19 pandemic would be of great significance.

An Adaptive and Dynamic Biosensor Epidemic Model for COVID-19

Balkus,  SV,  Rumbut, et al

 

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

The impact of the COVID-19 global pandemic has required governments across the world to develop effective public health policies using epidemiological models. Unfortunately, as a result of limited testing ability, these models often rely on lagged rather than real-Time data, and cannot be adapted to small geographies to provide localized forecasts. This study proposes ADBio, a multi-level adaptive and dynamic biosensor-based model that can be used to predict the risk of infection with COVID-19 from the individual level to the county level, providing more timely and accurate estimates of virus exposure at all levels. The model is evaluated using diagnosis simulation based on current COVID-19 cases as well as GPS movement data for Massachusetts and New York, where COVID-19 hotspots had previously been observed. Results demonstrate that lagged testing data is indeed a major detriment to current modeling efforts, and that unlike the standard SEIR model, ADBio is able to adapt to arbitrarily small geographic regions and provide reasonable forecasts of COVID-19 cases. The features of this model enable greater national pandemic preparedness and provide local town and county governments a valuable tool for decision-making during a pandemic.

COVID-19 in Italy: targeted testing as a proxy of limited health care facilities and a key to reducing hospitalization rate and the death toll

Bandyopadhyay,  Arnab,  Schips, et al

medRxiv

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

We developed a COVID-19 specific infection epidemic model composed of susceptible (S), exposed (E), carrier (C), infected (I), recovery (R) and dead (D) (SECIRD), specifically parameterized for Italy to disentangle the impact of these factors and their implications on infection dynamics to help planning an effective control strategy for a possible second wave. Our model discriminates between detected infected and undetected individuals who played a crucial role in the disease spreading and is not well addressed by classical SEIR-like transmission models.  We determined that adopting a combined strategy of rapid early and targeted testing (~10 fold) with increased hospital capacity would help in avoiding bottlenecks affecting the health care system. Our results demonstrate that early testing would have a strong impact on the overall hospital accessibility and, hence, upon death toll (~20% to 50% reduction) and could have mitigated the lack of facilities at the crucial middle stage of the epidemic.

Sex, androgens and regulation of pulmonary AR, TMPRSS2 and ACE2

Baratchian,  Mehdi,  McManus, et al

bioRxiv

Clinical data| Données cliniques Animal model | Modèle animal

The sex discordance in COVID-19 outcomes has been widely recognized, with males generally faring worse than females and a potential link to sex steroids. A plausible mechanism is androgen-induced expression of TMPRSS2 and/or ACE2 in pulmonary tissues that may increase susceptibility or severity in males. This hypothesis is the subject of several clinical trials of anti-androgen therapies around the world. Here, we investigated the sex-associated TMPRSS2 and ACE2 expression in human and mouse lungs and interrogated the possibility of pharmacologic modification of their expression with anti-androgens. We found no evidence for increased TMPRSS2 expression in the lungs of males compared to females in humans or mice. Furthermore, in male mice, treatment with the androgen receptor antagonist enzalutamide did not decrease pulmonary TMPRSS2. On the other hand, ACE2 and AR expression was sexually dimorphic and higher in males than females. ACE2 was moderately suppressible with enzalutamide therapy. Our work suggests that sex differences in COVID-19 outcomes attributable to viral entry are independent of TMPRSS2. Modest changes in ACE2 could account for some of the sex discordance.

Symptom-based testing in a compartmental model of COVID-19

Bartha,  FerencA,  Karsai, et al

medRxiv

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

Testing and isolation of cases is an important component of our strategies to fight SARS-CoV-2. In this work, we consider a compartmental model for COVID-19 including a nonlinear term representing symptom-based testing. We analyze how the considered clinical spectrum of symptoms and the testing rate affect the outcome and the severity of the outbreak.

Pharmacists' perceived barriers towards delivering their emergency roles during the COVID-19 pandemic and perceived policymakers' responsibilities

Basheti,  IA,  Nassar, et al

Journal of Pharmaceutical Policy and Practice

Healthcare Response | Réponse des soins de santé

We aimed to investigate pharmacists' perspectives of the role of educational institutes and professional pharmacy organizations in supporting them to take on roles during COVID-19 pandemic and to identify barriers to be able to support themselves and their patients. This descriptive mixed-method study was conducted via a cross-sectional online survey distributed to pharmacists/pharmacy students in Jordan during the COVID-19 outbreak (15-30 March 2020) using an online questionnaire, followed by an online focus group. Considering that fear and anxiety are a consequence of mass social distancing/quarantine, study participants (n = 726, age = 26.9 (SD = 8.0) years, 71.9% females), reported needing training on mental healthcare to be able to support themselves and people during pandemics (90.2%). Most respondents agreed/strongly agreed (59.7%) with the statement around pharmacy educators/educational institutes having a key role in preparing pharmacists for practice during epidemics/pandemics and agreed that their faculties should add a course regarding pandemic preparedness in their curriculum (89.9%). Results were similar regarding roles for the pharmaceutical associations. Focus group findings (n = 7) mirrored the survey findings to a large extent.

Towards curtailing infodemic in the era of covid-19: A contextualized solution for ethiopia

Belay,  EG,  Beyene, et al

 

Public Health response| Interventions de santé publique

This paper focuses on infodemic response using semi-automated application, seeking to curtail the misinformation of COVID-19 related news and support reliable information dissemination in Ethiopia. We analyze the emerging news trend about COVID-19 in selected social media sites (Facebook and Twitter) and Language (Amharic/English) using the information extraction tool that we developed. The system will present a dashboard to experts with the required information to label the news as misinformation and educative (opted two broad categories) decided at this stage. The verified news and information will be pushed to various social-media sites, conventional media and to our COVID-19 related information dissemination website. This will provide counter-information with better evidence and proactively flag misinformation and disinformation, and furthermore convey accurate and timely information as educative.

Anticoagulation in COVID-19: Effect of Enoxaparin, Heparin and Apixaban on Mortality

Billett,  Henny,  Reyes Gil, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

We investigated whether anticoagulation improves survival in COVID-19 and if this improvement in survival is associated with disease severity. To simulate an intention to treat clinical trial, we analyzed the effect on mortality of anticoagulation therapy chosen in the first 48 hours of hospitalization. We analyzed 3,625 COVID-19+ inpatients, controlling for age, GFR, oxygen saturation, ventilation requirement and time period, all determined during the first 48 hours. Findings: Adjusted logistic regression analyses demonstrated a significant decrease in mortality with prophylactic use of apixaban (OR 0·52, p=0·005) and enoxaparin (OR=0·50, p=0·002). Therapeutic apixaban was also associated with decreased mortality (OR 0·63, p=0·025) but was not more beneficial than prophylactic use. UFH did not show the same benefit. Higher D-dimer levels were associated with increased mortality (p10ug/ml derived the most benefit. There was no increase in transfusion requirement with any of the anticoagulants used.  We conclude that COVID-19+ patients with moderate or severe illness benefit from anticoagulation and that apixaban has similar efficacy to enoxaparin in decreasing mortality in this disease.

Impact of COVID-19 Restrictions on People with Hypertension

Bonner,  Carissa,  Cvejic, et al

medRxiv

Public Health response| Interventions de santé publique

This retrospective case-control study compared people with hypertension to matched healthy controls during COVID-19 lockdown, to determine whether they have higher risk perceptions, anxiety and prevention intentions. Baseline data from a national survey were collected in April 2020 during COVID-19 lockdown. Of 4362 baseline participants, 466 people reported hypertension with no other chronic conditions, and were randomly matched to healthy controls with similar age, gender, education and health literacy. A subset (n=1369) was followed-up at 2 months after restrictions eased, including 147 participants with hypertension only. Risk perceptions, prevention intentions and anxiety were measured. At baseline, perceived seriousness was high for both hypertension and control groups. The hypertension group had higher anxiety than controls; and were more willing to have the influenza vaccine. At follow-up, these differences were no longer present in the longitudinal sub-sample. Perceived seriousness and anxiety had decreased, but vaccine intentions for both influenza and COVID-19 remained high (>80%).

Acute arterial and deep venous thromboembolism in COVID-19 patients: Risk factors and personalized therapy

Bozzani,  A,  Arici, et al

Surgery (United States)

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

Our aim was to report the experience of the Department of Vascular Surgery of Pavia (Lombardy, Italy), including the lessons learned and future perspectives regarding the management of coronavirus disease 2019 patients who developed severe acute ischemia with impending lower limb loss or deep vein thrombosis. We carried out a retrospective data collection of coronavirus disease 2019 patients with severe acute ischemia of the lower limbs or deep vein thrombosis, which we observed in our department during the period March 1, 2020, to April 30, 2020. We observed 38 patients (28 male) with severe coronavirus disease 2019 infection (6 with lower limb arterial thrombosis and 32 with deep vein thrombosis). The median patient age was 64 years (range 30–94 y). In the arterial group, 3 had thrombosis on plaque and 3 on healthy arteries (“simple” arterial thrombosis). All underwent operative or hybrid (open/endo) revascularization; 1 patient died from major organ failure and 1 patient underwent major amputation. In the deep vein thrombosis group, 9 (28%) patients died from major organ failure, despite aggressive medical therapy. In patients with simple arterial thrombosis and those with deep vein thrombosis, we observed a decrease in inflammatory parameters (C-reactive protein) and in D-dimer and fibrinogen after aggressive therapy (P <.001). Our study confirms that critically ill, coronavirus disease 2019 patients who develop arterial and deep vein thrombosis have a high risk of mortality, but, if treated properly, there is an improvement in overall survival, especially in patients of 60 years of age or younger.

Mathematical modeling of COVID-19 transmission: The roles of intervention strategies and lockdown

Bugalia,  S,  Bajiya, et al

Mathematical Biosciences and Engineering

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

In this study, we propose a compartmental epidemic model with intervention strategies such as lockdown, quarantine, and hospitalization. Based on R0, it is revealed that the system has two equilibrium, namely disease-free and endemic. We also demonstrate the non-negativity and boundedness of the solutions, local and global stability of equilibria, transcritical bifurcation to analyze its epidemiological relevance. Furthermore, to validate our system, we fit the cumulative and new daily cases in India. Our analysis concludes that if there is partial or no lockdown case, then endemic level would be high. Along with this, the high transmission rate ensures higher level of endemicity. From the short time prediction, we predict that India may face a crucial phase (approx 6000000 infected individuals within 140 days) in near future due to COVID-19. Finally, numerical results show that COVID-19 may be controllable by reducing the contacts and increasing the efficacy of lockdown.

Resilience and physical activity in people under home isolation due to COVID-19: A preliminary evaluation

Carriedo,  A,  Cecchini, et al

Mental Health and Physical Activity

Public Health response| Interventions de santé publique

This study aimed to examine the impact of shelter-in-place order on Spanish citizens’ resilience, as well as the connections between resilience, physical activity (PA), gender, weight and body mass index (BMI) before and after confinement, and COVID-19-related information. A total of 1795 people answered an online questionnaire conducted on March 21st, 2020, seven days after the mandatory shelter-in-place health order was issued. Results showed that individuals who regularly engaged in Vigorous PA during the first week of confinement reported higher resilience in terms of higher locus of control, higher self-efficacy, and higher optimism. Moreover, inter-personal resilience differences were observed based on gender, age groups, BMI, weight, and people living with dependent persons or under health risk conditions.

IgM autoantibodies recognizing ACE2 are associated with severe COVID-19

Casciola-Rosen,  Livia,  Thiemann, et al

medRxiv

Clinical data| Données cliniques Immunology | Immunologie

We demonstrate robust IgM autoantibodies that recognize angiotensin converting enzyme-2 (ACE2) in 18/66 (27%) patients with severe COVID-19, which are rare (2/52; 3.8%) in hospitalized patients who are not ventilated. The antibodies do not undergo class-switching to IgG, suggesting a T-independent antibody response. Purified IgM from anti-ACE2 patients activates complement. Pathological analysis of lung obtained at autopsy shows endothelial cell staining for IgM in blood vessels in some patients. We propose that vascular endothelial ACE2 expression focuses the pathogenic effects of these autoantibodies on blood vessels, and contributes to the angiocentric pathology observed in some severe COVID-19 patients.

Gender differences in covid-19 cases and death rates in italy

Caselli,  G,  Egidi, et al

Italian Journal of Gender-Specific Medicine

Epidemiology| Épidémiologie

According to the latest information supplied by the Italian National Institute of Health (ISS) up until May 20th, there have been 227,169 cases of COVID-19 microbiologi-cally diagnosed in Italy, of whom 54% were women. On the same date, 31,017 deaths were registered but, in this case, women accounted for only 40% of the total, a proportion that rises to 66% after age 90. Considering the total cases rates by age, levels are slightly higher for women up to 50 years of age and higher for men up to 80. Only from 90, women surpass men with much higher values. On the con-trary, mortality rates are higher for men at all ages, particu-larly in the ages 50-69 male mortality is more than three-fold that of women. However, official COVID-19 data underestimate deaths. According to Istat&ISS estimates from 20 February to 31 March 2020, deaths due to COVID-19 infection represent only 54%. Ninety-one percent of the excess mortality registered at national level is concentrated in areas where the epidemic was widespread. © 2020, Il Pensiero Scientifico Editore s.r.l.. All rights reserved.

From the Lockdown to the New Normal: An Analysis of the Limitations to Individual Mobility in Italy Following the COVID-19 Crisis

Caselli,  Mauro,  Fracasso, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

This paper explores the impact of the adoption and the removal of restrictive measures on changes in individual mobility in Italy. By using a spatial discontinuity approach, these measures were effective in that they lowered individual mobility by about 7 percentage points relative to what is accounted for by the characteristics of the local population and the disease. The analysis shows, however, that local features played an important role after the travelling bans were lifted: the catching up with pre-COVID-19 patterns has been stronger in those areas where the labour force is relatively less exposed to the risk of contagion and less likely to work from home.

News Coverage and Drug Shortages during the COVID-19 Pandemic

Catillon,  Maryaline,  Majumder, et al

medRxiv

Public Health response| Interventions de santé publique

This study collected data from MediaCloud and Google Health Trends about eight drugs proposed for repurposing as COVID-19 treatments and reported to be in shortage by the U.S. FDA from January 1, 2020 through June 30, 2020. Found that news media coverage could have contributed to shortages due to hoarding by individuals and stockpiling by institutions, and that search trends appear to accurately discriminate between individual hoarding and institutional stockpiling.

Scrutiny for Child Abuse and Neglect During the COVID-19 Pandemic

Catillon,  Maryaline,  Mandl, et al

medRxiv

Public Health response| Interventions de santé publique

The extant infrastructure for child abuse surveillance, dependent on reporting by schools and healthcare professionals, has been disrupted by the pandemic. Using Google Trends and MediaCloud data, found a drop in Internet searches and news reports about child abuse and neglect during the pandemic, which may reflect decreased scrutiny.

Network Graph Representation of COVID-19 Scientific Publications to Aid Knowledge Discovery

Cernile,  George,  Heritage, et al

medRxiv

Public Health response| Interventions de santé publique

The authors constructed a graph network from the publicly available CORD-19 database of COVID-19-related publications using an engine leveraging medical knowledge bases to identify discrete medical concepts and an open source tool (Gephi) used to visualise the network.  Knowledge management approaches (text mining and graph networks) can effectively allow rapid navigation and exploration of entity interrelationships to improve understanding of diseases such as COVID-19.

Urgent need of rapid tests for SARS CoV-2 antigen detection: Evaluation of the SD-Biosensor antigen test for SARS-CoV-2

Cerutti,  F,  Burdino, et al

Journal of Clinical Virology

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

At the time of writing, FIND has listed four CE-marked SARSCoV-2 antigen tests. We evaluated the recently CE-approved rapid POCT SD-Biosensor for SARS-CoV-2 nucleoprotein detection in nasopharyngeal secretions from 330 patients admitted to the Emergency Room for a suspect of COVID-19 and travelers returning home from high risk countries. Sensitivity, specificity, accuracy, negative and predictive values were consistent with the use of the test to mass-screening for SARS-CoV-2 surveillance. © 2020

Rapid Development of Neutralizing and Diagnostic SARS-COV-2 Mouse Monoclonal Antibodies

Chapman,  Asheley Poole,  Tang, et al

bioRxiv

Immunology | Immunologie

This study reports the development and functional characterization of 29 nanomolar-affinity mouse SARS-CoV-2 mAbs created by an accelerated immunization and hybridoma screening process. Differing functions, including binding of diverse protein epitopes, viral neutralization, impact on RBD-hACE2 binding, and immunohistochemical staining of infected lung tissue, were correlated with variable gene usage and sequence.

High rise in carbonaceous aerosols under very low anthropogenic emissions over eastern Himalaya, India: Impact of lockdown for COVID-19 outbreak

Chatterjee,  A,  Mukherjee, et al

Atmospheric Environment

Public health interventions*| Interventions de santé publique

This study was conducted to investigate the relative changes of carbonaceous aerosols (CA) over a high altitude Himalayan atmosphere with and without (very low) anthropogenic emissions. Measurements of atmospheric organic (OC) and elemental carbon (EC) were conducted during the lockdown period (April 2020) due to global COVID 19 outbreak and compared with the normal period (April 2019). The interesting, unexpected and surprising observation is that OC, EC and the total CA (TCA) during the lockdown (OC: 12.1 ± 5.5 μg m−3;EC: 2.2 ± 1.1 μg m−3;TCA: 21.5 ± 10 μg m−3) were higher than the normal period (OC: 7.04 ± 2.2 μg m−3;EC: 1.9 ± 0.7 μg m−3;TCA: 13.2 ± 4.1 μg m−3). The higher values for OC/EC ratio too was observed during the lockdown (5.7 ± 0.9) compared to the normal period (4.2 ± 1.1). Much higher surface O3 during the lockdown (due to very low NO) could better promote the formation of secondary OC (SOC) through the photochemical oxidation of biogenic volatile organic compounds (BVOCs) emitted from Himalayan coniferous forest cover. SOC during the lockdown (7.6 ± 3.5 μg m−3) was double of that in normal period (3.8 ± 1.4 μg m−3).

Adaptive Evolution of Peptide Inhibitors for Mutating SARS-CoV-2

Chaturvedi,  P,  Han, et al

Advanced Theory and Simulations

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

This study developed a computational strategy to adaptively evolve peptides that could selectively inhibit mutating S protein receptor binding domains (RBDs) of different SARS-CoV-2 viral strains from binding to their human host receptor, angiotensin-converting enzyme 2 (ACE2). Starting from suitable peptide templates, based on selected ACE2 segments (natural RBD binder), the templates are gradually modified by random mutations, while retaining those mutations that maximize their RBD-binding free energies. In this adaptive evolution, atomistic molecular dynamics simulations of the template-RBD complexes are iteratively perturbed by the peptide mutations, which are retained under favorable Monte Carlo decisions. The computational search will provide libraries of optimized therapeutics capable of reducing the SARS-CoV-2 infection on a global scale.

Vehicle routing problem of contactless joint distribution service during COVID-19 pandemic

Chen,  D,  Pan, et al

Transportation Research Interdisciplinary Perspectives

Public Health response| Interventions de santé publique

This paper proposes a contactless joint distribution service to avoid contact between couriers. Then a multi-vehicle multi-trip routing problem for contactless joint distribution service is proposed, and a mathematical programming model for this problem is established. The goal of the model is to increase residents' satisfaction with food distribution services. To solve this model, a PEABCTS algorithm is developed, which is the enhanced artificial bee colony algorithm embedded with a tabu search operator, using a progressive method to form a solution of multi-vehicle distribution routings.

A case of asymptomatic SARS-CoV-2 infection followed by secondary community acquired pneumonia

Chen,  J,  Tian, et al

Quantitative Imaging in Medicine and Surgery

Clinical data| Données cliniques

This editorial reports an asymptomatic COVID-19 case who developed secondary community-acquired pneumonia (CAP) during convalescence. The patient exhibited no clinic symptoms or obvious pulmonary lesions on the first admission, and was discharged after antiviral treatment. However, during medical observation, he developed pneumonia caused by secondary bacterial infection.

Analysis of influencing factors and pharmaceutical care of patients with COVID-19 in Fangcang Shelter Hospital

Cheng,  F,  Li, et al

Infection and Drug Resistance

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study clarified the medication usage, related adverse reactions, and pharmaceutical interventions in patients with mild COVID-19  admitted to Fangcang shelter hospitals for centralized quarantine. Lower blood lymphocyte count was proposed as the most significant risk factor in patients with mild illness. All patients received antiviral treatment (arbidol, oseltamivir, and ribavirin); 78.4% of patients received antibiotic therapy (moxifloxacin, levofloxacin, and cefdinir); patients in the moderate disease group received more antibiotic therapy than those in the mild disease group. Most of the patients were treated with traditional Chinese medicine. Patients with moderate disease preferred to receive sedative hypnotic therapy. Diarrhea, nausea and vomiting, insomnia, arrhythmia, and constipation were the most common adverse reactions. The rate of mild-to-moderate illness in the pharmaceutical intervention and non-intervention groups was 20.6% and 31.7%, respectively.

A SARS-CoV-2 host infection model network based on genomic human Transcription Factors (TFs) depletion

Chetta,  M,  Rosati, et al

Heliyon

Coronavirology| Coronavirologie

This study reports on in silico comparative analysis between complete genome of SARS-CoV, MERS-CoV, HCoV-OC43 and SARS-CoV-2 strains, to identify the occurrence of specific conserved motifs on viral genomic sequences which should be able to bind and therefore induce a subtraction of host's Transcription Factors (TFs) which lead to a depletion, an effect comparable to haploinsufficiency (a genetic dominant condition in which a single copy of wild-type allele at a locus, in heterozygous combination with a variant allele, is insufficient to produce the correct quantity of transcript and, therefore, of protein, for a correct standard phenotypic expression). In this competitive scenario, virus versus host, the proposed in silico protocol identified the TFs same as the distribution of TFBSs (Transcription Factor Binding Sites) on analyzed viral strains, potentially able to influence genes and pathways with biological functions confirming that this approach could brings useful insights regarding SARS-CoV-2. According to our results obtained by this in silico approach it is possible to hypothesize that TF-binding motifs could be of help in the explanation of the complex and heterogeneous clinical presentation in SARS-CoV-2 and subsequently predict possible interactions regarding metabolic pathways, and drug or target relationships.

Covid-19 epidemic under the K-quarantine model: Network approach

Choi,  K,  C

arXiv

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

In this work, the spread of COVID-19 under local quarantine measures is modeled using the Susceptible-Exposed-Infected-Recovered model on complex networks. In this network approach, the links connected to isolated people are disconnected and then reinstated when they are released. This link dynamics leads to time-dependent reproduction number. Numerical simulations are performed on networks with reaction rates estimated from empirical data. The temporal pattern of the cumulative number of confirmed cases is then reproduced. The results show that a large number of asymptomatic infected patients are detected as they are quarantined together with infected patients.

Prospect of biobased antiviral face mask to limit the coronavirus outbreak

Chowdhury,  MA,  Shuvho, et al

Environmental research

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

This is the first study that has endeavoured to explore the design and fabrication of an antiviral face mask using licorice root extract, which has antimicrobial properties due to glycyrrhetinic acid (GA) and glycyrrhizin (GL). An electrospinning process was utilized to fabricate nanofibrous membrane and virus deactivation mechanisms discussed. The nanofiber mask material was characterized by SEM and airflow rate testing. SEM results indicated that the nanofibers from electrospinning are about 15–30 μm in diameter with random porosity and orientation which have the potential to capture and kill the virus. Theoretical estimation signifies that an 85 L/min rate of airflow through the face mask is possible which ensures good breathability over an extensive range of pressure drops and pore sizes. Finally, it can be concluded that licorice root membrane may be used to produce a biobased face mask to control COVID-19 spread.

Coronavirus Disease 2019 Viremia, Serologies, and Clinical Course in a Case Series of Transplant Recipients

Christensen,  J,  Kumar, et al

Transplantation proceedings

Clinical data| Données cliniques

This report presents clinical management of a single-center cohort of 6 patients (4 kidney only, and 2 simultaneous liver/kidney transplants) diagnosed with COVID-19 at a median of 1.9 years (range = 0.2-9.3 years) post transplant.  Five (of 6) patients required inpatient admission, 2 patients (mortality = 33%) died. Among those with mortality, an increased concentration of inflammatory biomarkers (interleukin-6 and C-reactive protein) was noted with a lack of response to interleukin-6 blockade, remdesivir, and/or convalescent plasma. None of the kidney-only transplants (4/6; 67%) had elevation in plasma donor-derived cell-free DNA above the previously published cut-off of 1%, suggesting absence of significant allo-immune injury. Four (of 5) admitted patients had detectable SARS-CoV-2 in blood on samples obtained at/during hospitalization. Of the 4 discharged patients, 2 patients with undetectable virus on repeat nasopharyngeal swabs had seroconversion with positive SARS-CoV-2 IgG formation at 30 to 48 days post infection. One patient had prolonged shedding of virus on nasopharyngeal swab at 28 days post discharge despite lack of symptoms.

COVID-19 behavioural insights study: Preliminary findings from Finland, April-May, 2020

Cristea,  Veronica,  Dub, et al

medRxiv

Public Health response| Interventions de santé publique

The COVID-19 monitoring behavioural insights study was conducted from April-May 2020 in Finland. Respondents reported feeling confident protecting themselves against COVID-19 infection. Worries shifted from overloading the health system (mean value 5.5 95% CI: 5.4-5.6]) to mental health concerns (mean value 5.3 95% CI 5.2-5.4]). Maintaining physical distancing from families and friends decreased by 7% and 6%. Respondents mostly agreed that if a vaccine would become available, they would get it. The decrease in acceptance of recommended measures needs further analysis, but current results provide evidence to support the response.

Use of convalescent serum reduces severity of COVID-19 in nonhuman primates

cross,  robert,  Prasad, et al

bioRxiv

Therapeutics| Thérapeutique Animal model | Modèle animal

Here, we assessed the efficacy of convalescent sera in a newly developed African green monkey model of COVID-19. Groups of SARS-CoV-2-infected animals were treated with pooled convalescent sera containing either high or low to moderate anti-SARS-CoV-2 neutralizing antibody titers. Differences in viral load and disease pathology were minimal between monkeys that received the lower titer convalescent sera and untreated controls. However, and importantly, lower levels of SARS-CoV-2 in respiratory compartments, reduced gross and histopathological lesion severity in the lungs, and reductions in several parameters associated with coagulation and inflammatory processes were observed in monkeys that received convalescent sera versus untreated controls. Our data support human studies suggesting that convalescent plasma therapy is an effective strategy if donors with high level of antibodies against SARS-CoV-2 are employed and if recipients are at an early stage of disease.

COVID-19 lockdown: impact assessment on Aedes larval indices, breeding habitats, effects on vector control programme and prevention of dengue outbreaks

Daniel Reegan,  A,  Rajiv Gandhi, et al

Heliyon

Public health interventions*| Interventions de santé publique

In the present study, two rounds of Aedes surveillance was carried out in two localities of Bengaluru City (urban) of Karnataka State, India during the COVID-19 lockdown days and results were compared with pre-lockdown surveillance data to assess the impact of lockdown on Aedes larval indices, breeding habitats and dengue vector control programme. The recorded house index (HI) and Breteau index (BI) were 6.6 and 9.3 in K.P. Agrahara and 4.0 and 5.3 in Palace Guttahalli during pre-lockdown survey. The house index (HI) and Breteau index (BI) were found to be increased to 26.6 and 34.6 in K.P. Agrahara and 21.3 and 28.0 in Palace Guttahalli during the COVID-19 lockdown second survey. Aedes immature density has drastically increased in both the localities due to temporarily discontinued Aedes surveillance, larval control activities like source reduction and anti-larval measures during COVID-19 lockdown. The high indices show that the vector is increasing and this may result in higher dengue virus transmission.

A comparative study of infection and mortality in COVID-19 across countries: A scaling analysis

Das,  Ranjan,  Hossain, et al

medRxiv

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

Analysing infection and mortality data for COVID-19 as a function of days for 54 countries across all continents, we show that there is a simple scaling behaviour connecting these two quantities for any given nation when the data is segmented over few ranges of dates covering the most rapid spread of the pandemic and the recovery, wherever achieved. Estimates of the shift and mortality for these 54 countries in different periods show large spreads ranging over 0-16 days and 0.45-19.96%, respectively. Shift and mortality are found to be inversely correlated. Analyses of number of tests carried out for detecting COVID-19 and the number of infections detected due to such tests suggest that an effective way to increase the shift, and therefore, decrease mortality, is to increase number of tests per infection detected. This points to the need of a dynamic management of testing that should accelerate with the rise of the pandemic; it also suggests a basis for adjusting variations in the testing patterns in different geographical locations within a given country.

Clinical characteristics of coronavirus disease 2019 (COVID-19) among patients at a movement disorders center

de Marcaida,  JA,  Lahrmann, et al

Geriatrics (Switzerland)

Epidemiology| Épidémiologie Clinical data| Données cliniques

We reviewed electronic health records and conducted telephone interviews to collect the demographics and clinical outcomes of patients seen at our Movement Disorders Center who tested positive for COVID-19 from 8 March 2020 through 6 June 2020. Thirty-six patients were identified, 23 men and 13 women, median age of 74.5 years. They primarily carried diagnoses of idiopathic Parkinson disease (n = 22; 61%) and atypical parkinsonism (n = 7; 19%) with the balance having other diagnoses. Twenty-seven patients (75%) exhibited alteration in mental status and fifteen (42%) had abnormalities of movement as common manifestations of COVID-19; in 61% and 31%, respectively, these were the presenting symptoms of the disease. Sixty-seven percent of patients in our cohort required hospitalization, and the mortality rate was 36%. These data demonstrate that in patients with movement disorders, the likelihood of hospitalization and death after contracting COVID-19 was greater than in the general population. Patients with movement disorders frequently presented with altered mental status, generalized weakness, or worsening mobility but not anosmia.

90 days of COVID-19 social distancing and its impacts on air quality and health in Sao Paulo, Brazil

Debone,  D,  da Costa, et al

Sustainability (Switzerland)

Public health interventions*| Interventions de santé publique

We investigated the air quality improvement related to PM10, PM2.5, and NO2 concentrations during 90 days of quarantine compared to an equivalent period in 2019. We found a significant drop in air pollution of 45% of PM10, 46% of PM2.5, and 58% of NO2, and using a relative-risk function, we estimated that this significant air quality improvement avoided, respectively, 78, 337, and 387 premature deaths, respectively, and prevented approximately US $720 million on health costs. Moreover, we estimated that 5623 deaths by COVID-19 represent an economic health loss of US $10.5 billion. Both health and economic gains associated with air pollution reductions give a positive perspective of the efforts towards keeping air pollution reduced even after the pandemic, highlighting the importance of improving the strategies of air pollution mitigation actions, as well as the crucial role of adopting efficient measures to protect human health both during and after the COVID-19 global health crisis.

Symptoms associated with SARS-CoV-2 infection in a community-based population: Results from an epidemiological study

Dixon,  BrianE,  Wools-Kaloustian, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We sought to identify key symptoms and symptom combinations in a community-based population. Among 8214 individuals screened, 368 individuals (4.5%) were RT-PCR positive for SARS-CoV-2. Although two-thirds of symptoms were highly specific (>90.0%), most symptoms individually possessed a PPV <50.0%. The individual symptoms most greatly associated with SARS-CoV-2 positivity were fever (OR=5.34, p<0.001), anosmia (OR=4.08, p<0.001), ageusia (OR=2.38, p=0.006), and cough (OR=2.86, p<0.001). Results from EFA identified two primary symptom clusters most associated with SARS-CoV-2 infection: (1) ageusia, anosmia, and fever; and (2) shortness of breath, cough, and chest pain. Moreover, being non-white (13.6% vs. 2.3%, p<0.001), Hispanic (27.9% vs. 2.5%, p<0.001), or living in an Urban area (5.4% vs. 3.8%, p<0.001) was associated with infection.

Less severe course of COVID-19 is associated with elevated levels of antibodies against seasonal human coronaviruses OC43 and HKU1 (HCoV OC43, HCoV HKU1)

Dugas,  Martin,  Grote-Westrick, et al

medRxiv

Clinical data| Données cliniques

We performed an observational study to assess the impact of previous infections with seasonal coronaviruses on COVID-19 severity. 60 patients with confirmed COVID-19 infections were included (age 30 - 82 years; 52 males, 8 females): 19 inpatients with critical disease, 16 inpatients with severe or moderate disease and 25 outpatients (age and gender matched to inpatients). Patients with critical disease had significantly lower levels of HCoV OC43- (p=0.016) and HCoV HKU1-specific (p=0.023) antibodies at the first encounter compared to other COVID-19 patients. Our results indicate that previous infections with seasonal coronaviruses might protect against a severe course of disease. This finding should be validated in other settings and could contribute to identify persons at risk before an infection.

Low prevalence of SARS-CoV-2 among patients presenting at a Parisian psychiatry University Hospital Group

El-Khoury,  F,  Cuenca, et al

European Journal of Psychiatry

Epidemiology| Épidémiologie

We examine the prevalence of SARS-CoV-2 infections among patients admitted to a Parisian psychiatric University Hospital Group (GHU). A total of 548 patients were admitted to the GHU's full-time psychiatric wards between April 6 and May 3 2020. More than 80% were tested. A total of 7 patients tested positive for the SARS-Cov-2 (1.3%), with 5 patients (in 92, 5.4%) testing positive in the first week. GHU patients presented a low prevalence of SARS-CoV-2, even if all patients live in the hardest hit region in France. Social isolation and loneliness, as well as self-isolation of patients with symptoms could explain our results.

The determination of the perceived stress levels and health-protective behaviors of nursing students during the COVID-19 pandemic

Ersin,  F,  Kartal, et al

Perspectives in psychiatric care

Healthcare Response | Réponse des soins de santé

The study was carried out to determine the perceived stress levels and health-protective behaviors of nursing students during the COVID-19 pandemic. The sample consisted of a total of 372 students. The examination of the protective measures adopted by the students against COVID-19 indicated that the mean perceived stress subscale scores of the students who did not use a mask and disposable wipes when coughing/sneezing were statistically significantly higher (p <.005).

High Food Insecurity in Latinx Families and Associated COVID-19 Infection in the Greater Bay Area, California

Escobar,  Milagro,  DeCastro Mendez, et al

medRxiv

Public Health response| Interventions de santé publique

We examined the impact of COVID-19 on household and child food security in three preexisting, longitudinal, Latinx urban cohorts in the San Francisco Bay Area (N=375 households, 1,875 individuals). We found low levels of household food security in Latinx families (by cohort: 29.2%; 34.2%; 60.0%) and child food security (56.9%; 54.1%; 78.0%) with differences between cohorts explained by self-reported levels of education and employment status. Food security levels were much lower than those reported previously in two cohorts where data had been recorded from prior years. Reported history of COVID-19 infection in households was 4.8% (95% Confidence Interval (CI); 1.5-14.3%); 7.2% (95%CI; 3.6-13.9%) and 3.5% (95%CI; 1.7-7.2%) by cohort and was associated with food insecurity in the two larger cohorts (p=0.03; p=0.01 respectively).

Development and validation of corona virus anxiety scale (CVAS)

Faiza,  A

Walailak Journal of Science and Technology

Public Health response| Interventions de santé publique

Items for a Corona Virus Anxiety Scale (CVAS) emerged from literature reviews, a SARS fear scale, and qualitative analysis of interviews. After successive item modifications and pilot-testing, the 17-item self-reported CVAS was administered to (N = 256) participants. A sample of (N = 45) individuals was recruited for determination of CVAS construct validity with the Impact of Event Scale-Revised (IES-R). Results: Exploratory factor analysis (EFA) showed 3 factors with 57.46 % variance, Fear of Infection and Death (FOIAD), Social Isolation (SI), and Loss of Control and Helplessness (LOCAH). Item-total correlation values ranged from (r = 0.46 to 0.63, p < 0.01). Overall, CVAS showed a high-value Cronbach alpha reliability (α = 0.896); alpha reliabilities for subscales also lay in acceptable ranges. The relationship between CVAS and IES-R suggests significant and positive correlation values (r = 0.477, **p < 0.01), demonstrating the construct validity of the newly-developed CVAS.

Study presence of COVID-19 (SARS-CoV-2) in the sweat of patients infected with Covid-19

Fathizadeh,  H,  Taghizadeh, et al

Microbial pathogenesis

Clinical data| Données cliniques

In this study, we aimed to investigate the presence of SARS‐CoV‐2 in the sweat secretion of COVID‐19 patients. Sweat specimens of 25 COVID- 19 patients were collected and tested for SARS‐CoV‐2 RNA by Real‐time Polymerase Chain Reaction (RT-PCR) method. After RNA extraction and cDNA amplification, all samples were examined for the presence of ORF-1ab and N genes related to COVID-19. Results annotated by Realtime PCR machines software based on Dynamic algorithm. The results of this study showed the absence of SARS-CoV-2 in the sweat samples taken from the foreheads of infected people. Therefore, it can be concluded that the sweat of patients with COVID- 19 cannot transmit SARS-CoV-2. However they can be easily contaminated with other body liquids.

Eosinophil Count - A New Indicator of the Severity and Prognosis of COVID-19 Patients: A Multicenter Retrospective Analysis

Fu,  Yu,  Jing, et al

SSRN- Lancet prepublication

Clinical data| Données cliniques

In this multicenter, retrospective study, we collected data on laboratory-confirmed 482 COVID-19 patients from three hospitals in Wuhan, China, who died or were discharged between February 1, 2020, and February 20, 2020. A total of 482 patients were enrolled in this study. Of those, 39.0% were severe patients and 13.3% were nonsurvivors. All the nonsurvivors were from the severe group. The count of eosinophil remained relatively lower levels during hospitalization in the severe and nonsurvival groups compared with the nonsevere and survival groups (all P < 0.05). Patients with the lowest eosinophil count during hospitalization reduced to 0.02×10⁹/L and =0.00×10⁹/L had higher rates of severity and fatality (all P < 0.05). The lowest counts of lymphocyte and eosinophil during hospitalization were used to analyze the diagnostic efficacy of severe COVID-19, and their diagnostic effects were similar. The cutoff values were ≤0.72×10⁹/L and =0.00×10⁹/L, and the areas under the curve were 0.768 and 0.740, respectively. Multivariate Cox regression model showed that the older age, the emergence of dyspnea, the increase of the white blood cell count on admission, the decrease of lymphocyte count on admission, and eosinophil count reduced to =0.00×10⁹/L on admission were associated with fatal outcome. .

Giant extrathoracic hematoma in a COVID-19 patient

Gamboa,  E,  Gathe, et al

Critical Care and Shock

Clinical data| Données cliniques

A case of presumptive COVID-19 in a 69 year old woman.

Innate lymphoid cell composition associates with COVID-19 disease severity

Garcia,  Marina,  Kokkinou, et al

medRxiv

Clinical data| Données cliniques

This study aimed to describe the phenotypic landscape of circulating innate lymphoid cells (ILCs) in COVID-19 patients and to identify ILC phenotypes correlated to serum biomarkers, clinical markers, and laboratory parameters relevant in COVID-19. ILCs were largely depleted from the circulation of COVID-19 patients compared with healthy controls. Remaining circulating ILCs from patients revealed increased frequencies of ILC2 in moderate COVID-19, with a concomitant decrease of ILC precursors (ILCp), as compared with controls. ILC2 and ILCp showed an activated phenotype with increased CD69 expression, whereas expression levels of the chemokine receptors CXCR3 and CCR4 were significantly altered in ILC2 and ILCp, and ILC1, respectively. The activated ILC profile of COVID-19 patients was associated with soluble inflammatory markers, while frequencies of ILC subsets were correlated with laboratory parameters that reflect the disease severity.

Rhabdomyolysis is Associated with Hospital Mortality in Patients with COVID-19

Geng,  Yan,  Du, et al

Research Square prepub

Clinical data| Données cliniques

This study aimed to evaluate the clinical features and outcomes of rhabdomyolysis (RM) in patients with COVID-19. This is a single center retrospective cohort study of 1,014 consecutive hospitalized patients with confirmed COVID-19 at the Huoshenshan hospital in Wuhan, China, between February 17 and April 12, 2020. The overall incidence of RM was 2.2%. Comparing with patients without RM, patients with RM tended to have a higher risk of deterioration, representing by higher ratio to be admitted to the intensive care unit (ICU) (90.9 % vs 5.3%, P1000 IU/L (HR=6.46, 95% CI: 3.02-13.86), peak serum myoglobin (MYO) >1000 ng/mL (HR=9.85, 95% CI: 5.04-19.28) were independent risk factors for in-hospital death. Additionally, patients with COVID-19 that developed RM tended to have a delayed virus clearance.

Predictors of mortality in hospitalized COVID-19 patients in Athens, Greece

Giannoglou,  Dimitrios,  Meimeti, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We investigated the mortality in Greek hospitalized COVID-19 patients and also the predictors of this mortality. Methods: Study population included 512 COVID-19 patients admitted to the hospitals of the Attica region of Greece. Patients demographic characteristics, comorbidities, allergies, previous vaccination for seasonal influenza virus, admission to ICU, intubation, and death were recorded. Potential predictors of in-hospital mortality were identified by regression analysis. Results: The mean age of hospitalized patients was 60.4 years, and was higher in patients who deceased. The most common comorbidities were respiratory diseases, hypertension, gastrointestinal disorders, dyslipidemia, mental health diseases, asthma, diabetes mellitus and cardiovascular diseases. The need for ICU care and intubation was significantly higher among patients who died. Age ≥65 years, cancer, chronic kidney disease, endocrine diseases, central nervous system disorders, anemia, and intubation were independently associated with increased in-hospital mortality, while allergies and previous influenza vaccination were associated with decreased in-hospital mortality.

Derivation and validation of a triage tool for acutely ill adults with suspected COVID-19: The PRIEST observational cohort study

Goodacre,  Steve,  Thomas, et al

medRxiv

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

We aimed to derive and validate a triage tool, based on clinical assessment alone, for predicting adverse outcome in acutely ill adults with suspected COVID-19 infection. Methods We undertook a mixed prospective and retrospective observational cohort study in 70 emergency departments across the United Kingdom (UK). We collected presenting data from 22445 people attending with suspected COVID-19 between 26 March 2020 and 28 May 2020. The primary outcome was death or organ support (respiratory, cardiovascular, or renal) by record review at 30 days.  Results Multivariable analysis identified that age, sex, respiratory rate, systolic blood pressure, oxygen saturation/inspired oxygen ratio, performance status, history of renal impairment, and respiratory distress were retained in analyses restricted to the ten or fewer predictors. We used findings from multivariable analysis and clinical judgement to develop a score based on the NEWS2 score, age, sex, and performance status. A clinical score based on NEWS2, age, sex, and performance status predicts adverse outcome with good discrimination in adults with suspected COVID-19 and can be used to support decision-making in emergency care.

Does autism protect against COVID quarantine effects?

Guidotti,  Marco,  Gateau, et al

medRxiv

Public Health response| Interventions de santé publique

The aim of this study was to assess the emotional experience and tolerance of children with autism spectrum disorder (ASD) in this particular context. Method: A clinical survey was proposed to parents and rated by professionals once a week during the quarantine period in France. 95 autistic children followed by the child and adolescent psychiatry department of Tours university hospital were assessed from the 18th of March to the 8th of May.  Results: Despite minor changes in family anxiety and school work, no difference was highlighted between clinical scores collected at the beginning and at the end of this period. ASD children with or without intellectual disability had non-significant clinical changes during quarantine. This evolution was also independent of the accommodation type (house or apartment) and the parental status (relationship, separated or isolated).

Understanding the Los Angeles County Coronavirus Epidemic: The Critical Role of Intrahousehold Transmission

Harris,  JeffreyE

medRxiv

Epidemiology| Épidémiologie Transmission

We tracked the course of the COVID-19 epidemic among the approximately 300 communities comprising Los Angeles County. The epidemic, we found, had three distinct phases. During Phase I, from early March through about April 4, initial seeding of infection in relatively affluent areas was followed by radial geographic extension to adjoining communities. During Phase II, which continued to about July 11, COVID-19 cases continued to rise at a slower rate, and became increasingly concentrated in four geographic foci of infection across the county. This phase saw changes in two indicators of social mobility: the proportion of location-tracked smartphones staying at home, and the number of smartphones visiting a gym. For both indicators, those communities with a larger reduction in social mobility during April reported fewer new COVID-19 cases in May. During Phase III, COVID-19 incidence only gradually declined, remaining as high as the incidence seen at the end of Phase I.

Chloroquine and hydroxychloroquine for combating COVID-19: Investigating efficacy and hypothesizing new formulations using Bio/chemoinformatics tools

Hathout,  RM,  Abdelhamid, et al

Informatics in Medicine Unlocked

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

This study aimed to evaluate the feasibility of intranasal and/or pulmonary administration of CQ/HCQ for COVID-19 using Bio/chemoinformatics tools. We, hereby, hypothesize the success of the intranasal and the pulmonary routes through a gelatin matrix to overcome several challenges related to CQ and HCQ pharmacodynamics and pharmacokinetics properties and to increase their local concentrations at the sites of initial viral entry while minimizing the potential side effects. Molecular docking on the gelatin-simulated matrix demonstrated high loading values and a sustained release profile. Moreover, the docking on mucin as well as various receptors including Angiotensin-converting enzyme 2 (ACE-2), heparin sulphate proteoglycan and Phosphatidylinositol binding clathrin assembly protein (PICALM), which are expressed in the lung and intranasal tissues and represent initial sites of attachment of the viral particles to the surface of respiratory cells, has shown good binding of CQ and HCQ to these receptors. The presented data provide an insight into the use of a novel drug formulation that needs to be tested in adequately powered randomized controlled clinical trials; aiming for a sustained prophylaxis effect and/or a treatment strategy against this pandemic viral infection.

A delayed modulation of solar radiation on the COVID-19 transmission reflects an incubation period

He,  Maosheng,  Fang, et al

medRxiv

Epidemiology| Épidémiologie

Here, we find that the non-meteorological factors constrain statistically-least the growth rate of cumulative confirmed cases in a country when the cases arrive around 2500-3000. The least-constrained growth rate correlates with the near-surface ultraviolet flux and temperature significantly (correlation coefficients r=-0.55±0.08 and -0.45±0.08 at p 10-5, respectively). In response to increases of 1W/m2 ultraviolet and 1°C temperature, the growth rate decreases by 0.33±.11% and 0.18±.08% per day, respectively. The response to the ultraviolet flux exhibits a delay by about 7 days, providing an independent measure of the incubation period. Our quantifications imply a seasonality of COVID-19 and a high risk of a pandemic resurgence in the upcoming boreal winter, suggesting a need for seasonal adaption in public policies.

Epidemiologial Analysis of Patients Presenting to a West London District General Hospital Requiring Admission with Covid-19

Heald,  Eleanor,  Ring, et al

medRxiv

Epidemiology| Épidémiologie

his is a retrospective, observational case series conducted in a West London District General Hospital. All patients admitted to hospital with a radiological or microbiological diagnosis of Covid-19 were included (children under 16 years were excluded). Consecutive sampling was used and baseline characteristics including age, sex, postcode and final patient outcome were collected from the electronic health records. The primary outcome was identification of local clusters of cases of coronavirus. Secondary outcome was identification of population characteristics that may provide evidence for more targetted public health intervention in a second wave. Results: Local clusters of infection were identified within the target population. These appeared to correlate with higher indices of deprivation, poorer overall health and high household occupancy suggesting a role for public health measures to target these areas.

Definitely Mixed Feelings: The Effect of COVID-19 on Bereavement in Parents of Children Who Died of Cancer

Helton,  G,  Wolfe, et al

Journal of pain and symptom management

Public Health response| Interventions de santé publique

This study aims to examine ways in which COVID-19 has affected the bereavement experiences of parents whose children died of cancer before the pandemic. Methods: Parents who participated in a survey-based study examining the early grief experience were invited to complete a semistructured interview. During the interview, which focused on examining the current support for parents and other family members within the first several years after the child's death, participants were asked how COVID-19 has impacted their life and bereavement. Results:  Parents identified multiple and variable ways—both positive, negative, and neutral—how COVID-19 has affected their bereavement. Many parents commented on feeling more isolated because of the inability to connect with family or attend in-person support groups, whereas others acknowledged their experience has made them uniquely positioned to cope with the uncertainty of the current situation.

Frontline healthcare workers' experiences with personal protective equipment during the COVID-19 pandemic in the UK: a rapid qualitative appraisal

Hoernke,  Katarina,  Djellouli, et al

medRxiv

Healthcare Response | Réponse des soins de santé

Objectives To report frontline healthcare workers' (HCWs) experiences with personal protective equipment (PPE) during the COVID-19 pandemic in the UK. To understand HCWs' fears and concerns surrounding PPE. Methods A rapid qualitative appraisal study combining three sources of data: semi-structured in-depth telephone interviews with frontline HCWs, media reports and government PPE policies. HCWs interviewed were from secondary care, primary care and specialist community clinics. Results A major concern was running out of PPE, putting HCWs and patients at risk of infection. Following national-level guidance was often not feasible when there were shortages, leading to re-use and improvisation of PPE. Frequently changing guidelines generated confusion and distrust. PPE was reserved for high-risk secondary care settings and this translated into HCWs outside these settings feeling inadequately protected. Participants were concerned about inequitable access to PPE for community, lower seniority, female and ethnic minority HCWs.

Changes in demographic and diagnostic spectra of patients with neurological symptoms presenting to an emergency department during the covid-19 pandemic: A retrospective cohort study

Hoyer,  C,  Grassl, et al

Neuropsychiatric Disease and Treatment

Healthcare Response | Réponse des soins de santé

Objective: To analyse the characteristics of patients with neurological complaints seeking evaluation in an interdisciplinary emergency department (ED) during the rise of the COVID-19 pandemic in Germany. Methods: In this retrospective study, data on the number of ED presentations due to neurological complaints in weeks 1–15/2020 were collected. In addition, hospital chart data of patients referred for neurological evaluation during weeks 12–15/2020 when the pandemic began impacting on public life in Germany were analysed regarding demographic information, chief complaints, modes of presentation and disposition and ED discharge diagnosis. Both data sets were compared to respective periods from 2017. Results: During the surge of COVID-19, we found a significant decrease of the total number of neurological ED patients by 47.6%. Comparing weeks 12–15 of 2017 and 2020, we found a decrease in the number of patients of <30 years and an increase of those ≥ 70 years. A higher proportion of patients were admitted to escalated care, and fewer patients were discharged against medical advice

Computer-Aided Analysis of Multiple SARS-CoV-2 Therapeutic Targets: Identification of Potent Molecules from African Medicinal Plants

Iheagwam,  FN,  Rotimi, et al

Scientifica

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

In this study, molecules from African medicinal plants were analysed as potential candidates against multiple SARS-CoV-2 therapeutic targets. Sixty-five molecules from the ZINC database subset (AfroDb Natural Products) were virtually screened with some reported repurposed therapeutics against six SARS-CoV-2 and two human targets. Molecular docking, druglikeness, absorption, distribution, metabolism, excretion, and toxicity (ADMET) of the best hits were further simulated. Of the 65 compounds, only three, namely, 3-galloylcatechin, proanthocyanidin B1, and luteolin 7-galactoside found in almond (Terminalia catappa), grape (Vitis vinifera), and common verbena (Verbena officinalis), were able to bind to all eight targets better than the reported repurposed drugs. The findings suggest these molecules may play a role as therapeutic leads in tackling this pandemic due to their multitarget activity.

Using Automated-Machine Learning to Predict COVID-19 Patient Survival: Identify Influential Biomarkers

Ikemura,  Kenji,  Goldstein, et al

medRxiv

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

In this study, we used automated machine learning (autoML) to develop and compare between multiple machine learning (ML) models that predict the chance of patient survival from COVID-19 infection and identified the best-performing model. In addition, we investigated which biomarkers are the most influential in generating an accurate model. We believe an ML model such as this could be a useful tool for clinicians stratifying hospitalized SARS-CoV-2 patients. Methods: The data was retrospectively collected from Clinical Looking Glass (CLG) on all patients testing positive for COVID-19 through a nasopharyngeal specimen by real-time RT-PCR and admitted between 3/1/2020-7/3/2020 (4376 patients) at our institution. Results: The best model that autoML generated using all 47 variables was the stacked ensemble model of all models (AUCPR = 0.836). The most influential variables were: systolic and diastolic blood pressure, age, respiratory rate, pulse oximetry, blood urea nitrogen, lactate dehydrogenase, d-dimer, troponin, and glucose. When the autoML was retrained with these 10 most important variables, it did not significantly affect the performance . By using autoML, we developed high-performing models that predict patient mortality from COVID-19 infection. In addition, we identified the most important biomarkers correlated with mortality. This ML model can be used as a decision supporting tool for medical practitioners to efficiently triage COVID-19 infected patients.

Nonspecific blood tests as proxies for COVID-19 hospitalization: are there plausible associations after excluding noisy predictors?

Ishikawa,  Gerson,  Argenti, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

To identify nonspecific blood tests and risk factors as predictors of hospitalization due to COVID-19, one has to exclude noisy predictors by comparing the concordance statistics (AUC) for positive and negative cases of SARS-CoV-2. The framework was applied to an open database with 5644 patients from Hospital Israelita Albert Einstein in Brazil with SARS-CoV-2 RT-PCR  test. C-reactive Protein (CRP) was a noisy predictor: hospitalization could have happen due to causes other than COVID-19 even when SARS-CoV-2 RT-PCR is positive and CRP is reactive, as most cases are asymptomatic to mild. Candidates of characteristic response from moderate to severe inflammation of COVID-19 were: combinations of eosinophils, monocytes and neutrophils, with age as risk factor; and creatinine, as risk factor, sharpens the odds ratio of the model with monocytes, neutrophils, and age.

Systematic analysis of electronic health records identifies drugs reducing risk of COVID-19 hospitalization and severity

Israel,  Ariel,  Schaffer, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

Methods We performed a population-based study among members of Clalit Health Services (CHS), the largest healthcare provider in Israel. Two case-control matched cohorts were assembled to assess which drugs taken by patients in the month preceding a SARS-CoV-2 positive test affected risks of COVID-19 hospitalization and disease severity. Significance of the associations was assessed using Fisher's exact test and Benjamini-Hochberg correction for multiple testing. Findings We identified several drugs and products sold in pharmacies that are significantly associated with reduced odds ratios of SARS-CoV-2 hospitalization and disease severity: notably ubiquinone (OR:0.25, p<0.001), ezetimibe (OR=0.51, P<0.001), rosuvastatin (OR=0.75, p<0.001) and flecainide (OR=0.30, p<0.01). Additionally, acquisition of surgical masks, latex gloves and several ophthalmological products, including eye wipes were associated with decreased risk for hospitalization.

COVID-19: Poor outcomes in patients with zinc deficiency

Jothimani,  D,  Kailasam, et al

International Journal of Infectious Diseases

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of this study was to determine the clinical significance of serum zinc in COVID-19 patients and to establish a correlation with disease severity. Methods: This was a prospective study of fasting zinc levels in COVID-19 patients at the time of hospitalization. An initial comparative analysis was conducted between COVID-19 patients and healthy controls. COVID-19 patients with zinc deficiency were compared to those with normal zinc levels. Results: COVID-19 patients showed significantly lower zinc levels when compared to healthy controls. Amongst the COVID-19 patients, 27  were found to be zinc deficient. These patients were found to have higher rates of complications, acute respiratory distress syndrome, corticosteroid therapy, prolonged hospital stay, and increased mortality.

Prehospital management of acute respiratory distress in suspected COVID-19 patients

Jouffroy,  R,  Lemoine, et al

American Journal of Emergency Medicine

Epidemiology| Épidémiologie Clinical data| Données cliniques

This retrospective study evaluated prehospital ARD management and identified factors associated with the need of prehospital mechanical ventilation (PMV) for suspected COVID-19 patients. Methods: We included 256 consecutive patients with suspected COVID-19-related ARD that received prehospital care from a Paris Fire Brigade BLS or ALS team, from March 08 to April 18, 2020. Results: Of 256 patients, 77 had previous hypertension, 31 were obese, and 49 had diabetes mellitus. Nineteen patients required PMV. Logistic regression observed that a low initial pulse oximetry was associated with prehospital PMV. pulse oximetry might be a valuable marker for rapidly determining suspected COVID-19-patients requiring prehospital mechanical ventilation.

Stock market returns, volatility, correlation and liquidity during the COVID-19 crisis: Evidence from the Markov switching approach

Just,  M,  Krzysztof, et al

Finance Research Letters

Economics | Économie

This paper investigates the relationship between US stock market returns (S&P500) and three indicators of the market, namely implied volatility, implied correlation and liquidity. It also considers the short range dependence between both total confirmed cases and deaths in twelve countries and market movements. We use the two-regime Markov switching model to find the structural break between stock market returns and key stock market indicators. The findings show close dependence between returns and both implied volatility and implied correlation but not with liquidity. The findings indicate the unique role of Italy in crisis transmission.

Immunogenicity of novel mRNA COVID-19 vaccine MRT5500 in mice and non-human primates

Kalnin,  KirillV,  Plitnik, et al

bioRxiv

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

Authors describe the efforts to utilize an mRNA platform for rational design and evaluations of mRNA vaccine candidates based on Spike (S) glycoprotein of Severe Acute Respiratory Syndrome Coronavirus 2.  These data position MRT5500 as a viable vaccine candidate for clinical development against COVID-19.

Severe olfactory and gustatory dysfunctions in a Japanese pediatric patient with coronavirus disease (COVID-19)

Kasuga,  Y,  Nishimura, et al

Journal of Infection and Chemotherapy

Clinical data| Données cliniques

Authors discuss the case of a 13-year-old Japanese girl presented with fever and cough, and after 2 days, her olfactory and taste sensations suddenly disappeared.  An improvement in olfactory and gustatory dysfunctions was observed with negative results in RT-PCR test for SARS-CoV-2.

Precautionary breaks: planned, limited duration circuit breaks to control the prevalence of COVID-19

Keeling,  MattJ,  Guyver-Fletcher, et al

medRxiv

Public health interventions*| Interventions de santé publique

In this paper, we consider the application of breaks to the UK, aligning a two-week period of intense control to school half-terms in order to minimise educational disruption. We utilise both a simple illustrative analysis and an age-structured model fitted to the UK data, to investigate the likely impact of a break on the trajectory of infection and the subsequent numbers of hospitalised cases and deaths.

Epidemiological changes on the Isle of Wight after the launch of the NHS Test and Trace programme: a preliminary analysis

Kendall,  Michelle,  Milsom, et al

The Lancet Digital Health

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

BackgroundIn May 2020, the UK National Health Service (NHS) Test and Trace programme was launched in England in response to the COVID-19 pandemic. The programme was first rolled out on the Isle of Wight and included version 1 of the NHS contact tracing app. The aim of the study was to make a preliminary assessment of the epidemiological impact of the Test and Trace programme using publicly available data.

Evaluating self-care barriers in prevention of COVID-19 according to healthcare experts and laypersons: A mixed study

Keyvanara,  M,  Shaarbafchizadeh, et al

Journal of Mazandaran University of Medical Sciences

Public Health response| Interventions de santé publique

This study was carried out to determine self-care barriers in prevention of Covid-19 according to healthcare experts and laypersons. Health care managers and policymakers could guide people towards more efficient self-care by planning to reduce and overcome barriers identified in this study.

Wells Score to Predict Pulmonary Embolism in Patients with Coronavirus Disease-2019

Kirsch,  BrittanyA,  Aziz, et al

SSRN- Lancet prepublication

Clinical data| Données cliniques

Authors aimed to explore the ability of the Wells score to predict pulmonary embolism (PE) in patients with COVID-19. Serum D-dimer elevation also predicted PE, but in the setting of COVID-19 this feature may reflect the severity of disease, regardless of demonstrable thrombosis.

Validation of a Derived International Patient Severity Phenotype to Support COVID-19 Analytics from Electronic Health Record Data

Klann,  JeffreyG,  Weber, et al

medRxiv

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

Authors sought to develop and validate a standard definition of COVID-19 severity from readily accessible EHR data across the Consortium for Clinical Characterization of COVID-19 by EHR (4CE).  They developed an EHR-based algorithm for COVID-19 severity and validated it at 12 international sites.

Covid-19 pandemic's impact on tourism in poland in march 2020

Korinth,  B,  Ranasinghe, et al

Geojournal of Tourism and Geosites

Economics | Économie

The outbreak of Coronavirus Covid-19 pandemic caused global economic gloom in the first quarter of 2020. This crisis has particularly impacted tourism, which is the subject of this paper. Data regarding air traffic in March 2020 compiled by Polish Air Navigation Services Agency has been put to a detailed analysis. Accommodation occupancy rate in this period was analysed using statistics presented by STR company. The analyses' conclusion clearly indicates on significant decrease in Poland's tourism in March 2020. Occupancy rate declined in about 40% in comparison to data from last year, with fall in air traffic on Polish airports (resulting from stopping international air links) in about 80-90% in comparison to the same period last year. © 2020 Editura Universitatii din Oradea. All rights reserved.

Persistent symptoms after Covid-19: qualitative study of 114 long Covid patients and draft quality criteria for services

Ladds,  Emma,  Rushforth, et al

medRxiv

Public Health response| Interventions de santé publique

Authors sought to document the lived experience of such patients, their accounts of accessing and receiving healthcare, and their ideas for improving services. Quality principles for a long COVID service should include ensuring access to care, reducing burden of illness, taking clinical responsibility and providing continuity of care, multi-disciplinary rehabilitation, evidence-based investigation and management, and further development of the knowledge base and clinical services.

Clinical characteristics, symptoms, management and health outcomes in 8,598 pregnant women diagnosed with COVID-19 compared to 27,510 with seasonal influenza in France, Spain and the US: a network cohort analysis

Lai,  Lana Yin Hui,  Golozar, et al

medRxiv

Clinical data| Données cliniques

The objective of this study was to describe comorbidities, symptoms at presentation, medication use, and 30-day outcomes after a diagnosis of COVID-19 in pregnant women, in comparison to pregnant women with influenza. Comorbidities that were more prevalent with COVID-19 hospitalization (compared to COVID-19 diagnosed) in pregnancy included renal impairment and anemia.

Heat Stress and Thermal Perceptions Amongst Healthcare Workers During the COVID-19 Pandemic in Developed and Developing Countries

Lee,  Jimmy,  Venugopal, et al

SSRN- Lancet prepublication

Healthcare Response | Réponse des soins de santé

Authors assessed the knowledge, attitudes, and practices of HCWs from developed and developing countries on PPE usage and heat stress when performing treatment and care. HCWs are cognizant of the effects of heat stress but might not adopt best practices due to various constraints.

A Mouse-Adapted SARS-CoV-2 Induces Acute Lung Injury and Mortality in Standard Laboratory Mice

Leist,  SR,  Dinnon, et al

Cell

Animal model | Modèle animal

Authors generated and characterized a new mouse-adapted SARS-CoV-2 virus that captures multiple aspects of severe COVID-19 disease in standard laboratory mice.  The model promises to provide a robust platform for studies of ALI and ARDS to evaluate vaccine and antiviral drug performance, including in the most vulnerable populations (i.e., the aged) using standard laboratory mice.

Human mobility restrictions and inter-provincial migration during the COVID-19 crisis in China

Li,  A,  Liu, et al

Chinese Sociological Review

Public health interventions*| Interventions de santé publique

This study examines the variation in the effects of human mobility restrictions on inter-provincial migration flow during the COVID-19 outbreak in China. The finding provides important insights for understanding China’s local governmental responses to mobility restrictions and their effects on the spread of COVID-19.

Evaluating Short-term Forecast among Different Epidemiological Models under a Bayesian Framework

Li,  Qiwei,  Bedi, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

Authors calibrate stochastic variants of growth models and the standard SIR model into one Bayesian framework to evaluate their short-term forecasts. In summary, it was noted that none of the models proved to be golden standards across all the regions in their entirety, while all outperformed ARIMA in a predictive capacity as well as in terms of interpretability.

Should international borders re-open? The impact of travel restrictions on COVID-19 importation risk

Liebig,  Jessica,  Najeebullah, et al

medRxiv

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

We develop a comprehensive framework to model daily COVID-19 importations, considering different travel bans. We quantify the temporal effects of the restrictions and elucidate the relationship between incidence rates in other countries, travel flows and the expected number of importations into the country under investigation. As a cases study, we evaluate the travel bans enforced by the Australian government. We find that international travel bans in Australia lowered COVID-19 importations by 87.68% (83.39 - 91.35) between January and June 2020. The presented framework can further be used to gain insights into how many importations to expect should borders re-open. Authorities may consider the presented information when planning a phased re-opening of international borders.

Effects of COVID-19 lockdown on global air quality and health

Liu,  F,  Wang, et al

Science of the Total Environment

Public health interventions*| Interventions de santé publique

Using a novel COVID-19 government response tracker dataset, combining the daily air pollution data and weather data across 597 major cities worldwide between January 1, 2020, and July 5, 2020, this study quantifies the causal impacts of 8 types of lockdown measures on changes of a range of individual pollutants based on a difference-in-differences design. The results show that the NO2 air quality index value falls more precipitously (23–37%) relative to the pre-lockdown period, followed by PM10 (14–20%), SO2 (2–20%), PM2.5 (7–16%), and CO (7–11%), but the O3 increases 10–27%. Furthermore, intra/intercity travel restrictions have a better performance in curbing air pollution.  The heterogeneity analysis in terms of different types of cities shows that the lockdown effects are more remarkable in cities from lower-income, more industrialized, and populous countries. We also do a back-of-the-envelope calculation of the subsequent health benefits following such improvement, and the expected averted premature deaths due to air pollution declines are around 99,270 to 146,649 among 76 countries and regions involved in this study during the COVID-19 lockdown.

Rapid detection of SARS-CoV-2 antibodies in oral fluids

MacMullan,  MelanieA,  Chellamuthu, et al

medRxiv

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

We evaluated an antibody detection approach utilizing the OraSure Technologies' Oral Antibody Collection Device (OACD) and their proprietary SARS-CoV-2 total antibody detection enzyme-linked immunosorbent assay (ELISA). We found that the OraSure test for total antibody detection in oral fluid had comparable sensitivity and specificity to serum-based ELISAs while presenting a more affordable and accessible system with the potential for self-collection.

Epidemiological and clinical characteristics of SARS-CoV-2 infections at a testing site in Berlin, Germany, March and April 2020—a cross-sectional study

Maechler,  F,  Gertler, et al

Clinical Microbiology and Infection

Epidemiology| Épidémiologie Clinical data| Données cliniques

We describe epidemiological and clinical characteristics and aim at identifying risk factors for SARS-CoV-2 detection during the first 6 weeks of operation. In this young population, early-onset presentation of COVID-19 resembled flu-like symptoms, except for smell and/or taste dysfunction. Risk factors for SARS-CoV-2 detection were return from regions with high incidence and contact with confirmed SARS-CoV-2 cases, particularly when tests were administered within the first 2 weeks after contact and/or onset of symptoms.

A Novel AI-enabled Framework to Diagnose Coronavirus COVID-19 using Smartphone Embedded Sensors: Design Study

Maghded,  HS,  Ghafoor, et al

 

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

A new framework is proposed to detect COVID-19 using built-in smartphone sensors. The proposal provides a low-cost solution, since most of radiologists have already held smartphones for different daily-purposes. Not only that but also ordinary people can use the framework on their smartphones for the virus detection purposes. Today's smartphones are powerful with existing computation-rich processors, memory space, and large number of sensors including cameras, microphone, temperature sensor, inertial sensors, proximity, colour-sensor, humidity-sensor, and wireless chipsets/sensors. The designed Artificial Intelligence (AI) enabled framework reads the smartphone sensors' signal measurements to predict the grade of severity of the pneumonia as well as predicting the result of the disease.

Prevalence, Clinical Characteristics, Virus Clearance and Treatment Outcomes of SARS-CoV-2 Infection in Healthcare Workers in India

Mahajan,  Niraj,  Gajbhiye, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques

This aim of the study was to determine prevalence, associated factors, clinical characteristics, virus clearance and treatment outcomes of healthcare workers ( HCWs) with COVID-19 in a dedicated tertiary care COVID-19 hospital in India. The prevalence of SARS-CoV2 infection amongst HCWs was observed 11% during the first 5 months of COVID-19 pandemic. Majority of the HCWs with COVID-19 (85%) were symptomatic and 15% were asymptomatic. The frequency of SARS-CoV-2 infection was higher in Male HCWs (57%) as compared to female HCWs (43%). Hypertension and Diabetes Mellitus were the most common co-morbidities reported.

Real-time estimation and prediction of the mortality caused due to COVID-19 using particle swarm optimization and finding the most influential parameter

Makade,  RG,  Chakrabarti, et al

Infectious Disease Modelling

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In the present work, the influence of Comorbidity and meteorological parameters are investigated for Mortality caused due to COVID. For this, the most affected city by COVID-19 is considered, i.e., Mumbai, India, as a case study. It was found that Comorbidity is the most influential parameter on the Mortality of COVID-19. The Spearman correlation coefficient for meteorological parameters lies between 0.386 and 0.553, whereas for Comorbidity was found as 0.964. A regression model is developed using particle swarm optimization to predict the mortality cases for Mumbai, India. Further, the developed model is validated for the COVID-19 cases of Delhi, India, to emphasize the utility of the developed model for other cities. The measured and predicted curve shows a good fit with a mean percentage error of 0.00957% and a coefficient of determination of 0.9828. Thus, particle swarm optimization techniques demonstrate very high potential for the prediction of Mortality caused due to COVID-19.

Predictors of anxiety during the COVID-19 pandemic in Poland

Malesza,  M,  Kaczmarek, et al

Personality and Individual Differences

Public Health response| Interventions de santé publique

Factors associated with coronavirus-related anxiety were examined.
Multiple regression was used to examine the significant predictions of anxiety.
Anxiety in response to the COVID-19 was common in the sample.
Predictors of anxiety were demographic factors and COVID-19 related factors.

Use of antivirals and antibiotics for COVID-19 in Mexico City: A Real-World Multicenter Cohort Study

Mancilla-Galindo,  Javier,  Garcia-Mendez, et al

medRxiv

Therapeutics| Thérapeutique

We aimed to characterize real-world use of antivirals and antibiotics in patients with COVID-19 and their associations with mortality in Mexico City. Findings show that oseltamivir was associated with increased mortality or no benefit in all groups. Common antivirals for COVID-19 should be avoided. Antibiotics may increase survival in hospitalized and critical patients. Vaccination history and rapid differentiation of etiologic agent will be key to promptly initiate or avoid antivirals during the COVID-19-influenza season.

Ensemble Machine Learning of Factors Influencing COVID-19 Across US Counties

McCoy,  David,  Mgbara, et al

Research Square prepub

Epidemiology| Épidémiologie

In this study, we investigate the most important health, social, and environmental factors impacting both the early and later phases of COVID-19 transmission and mortality in US counties. Our findings indicate that a more focused approach should be taken when managing COVID-19, by considering features of the economy most responsible for transmission and sectors of society most vulnerable to infection and mortality. In particular, our results strongly reinforce others pointing to the disproportionate impact of COVID-19 on minority populations. They also suggests that mitigation measures, including rolling out vaccinations as they become available, will be most efficacious for the US population as a whole when, beyond healthcare workers and first responders, are focused first on the highest-risk communities.

CORRELATION BETWEEN SARS-COV-2 ANTIBODY SCREENING BY IMMUNOASSAY AND NEUTRALIZING ANTIBODY TESTING

Mendrone-Junior,  Alfredo,  Dinardo, et al

medRxiv

Clinical data| Données cliniques

Our goal was to develop a strategy to predict high titers of nAbs based on the results of anti-SARS CoV 2 immunoassays and the clinical characteristics of the CP potential donors.  The results of SARS-CoV-2 immunoassays (S/CO) can be used to predict high nAbs titers of potential CP donors. This study has proposed three different criteria for identifying donors with more than 160 nAbs titer based on either solely S/CO results or S/CO together with clinical variables, all with high efficacy and accuracy.

Low doses of radiation increase the immunosuppressive profile of lung macrophages during viral infection and pneumonia

Meziani,  Lydia,  Robert, et al

bioRxiv

Therapeutics| Thérapeutique Animal model | Modèle animal

we used airways-instilled lipopolysaccharide (LPS) and influenza virus (H1N1) as murine models of pneumonia, and Toll-like receptor (TLR)-3 stimulation in human lung macrophages. Low doses RT (0.5-1Gy) decreased LPS induced pneumonia, and increased the percentage of Nerve- and Airway-associated Macrophages (NAMs) producing IL-10. During H1N1 viral infection, we observed decreased lung tissue damage and immune cell infiltration in irradiated animals. Low doses RT increased IL-10 production by infiltrating immune cells into the lung. Irradiation of TLR-3 ligand-stimulated human lung macrophages ex vivo increased IL-10 secretion and decreased IFNγ production in the culture supernatant. The percentage of human lung macrophages producing IL-6 was also decreased. Our data highlight one of the mechanisms by which low doses RT regulate lung inflammation and skew lung macrophages towards an anti-inflammatory profile. These data provide the preclinical rationale for the use and for the optimization of low doses RT in situations such as COVID-19-induced ARDS.

Variation in Value-Based Outcome Measures Among Assisted Living Communities Served by a Home-Based Primary Care Practice During COVID-19

Mills,  WR,  Buccola, et al

Home Health Care Management and Practice

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to determine the hospitalization rate and average days spent at home in a population of assisted living (AL) residents served by a home-based primary care (HBPC) practice during the COVID-19 pandemic. We provided on-site HBPC to 1,699 AL residents and calculated hospitalization rate and days spent at home. The AL population had a mean age of 84 ± 10 years and 73% were female. The mean hospitalization rate was 449 admissions per 1,000 per year, and there was wide variation among AL communities. AL residents spent a mean of 358 days at home per year, and the average days spent at home varied during the COVID-19 pandemic. Use of these measures may help AL articulate its value proposition by enabling seniors with complex health needs to live in community settings for as many days as possible.

Relation of D-dimer levels of COVID-19 patients with diabetes mellitus

Mishra,  Y,  Pathak, et al

Diabetes and Metabolic Syndrome: Clinical Research and Reviews

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aims to study D-dimer levels in people with diabetes compared to those without diabetes among patients with COVID-19 infection. This study shows COVID-19 patients with diabetes had significantly higher D-dimer levels. Therefore, it is possible that COVID-19 infection with diabetes is more likely to cause hypercoagulable state with a worse prognosis.

Transfer learning-based automatic detection of coronavirus disease 2019 (COVID-19) from chest x-ray images

Mohammadi,  R,  Salehi, et al

Journal of Biomedical Physics and Engineering

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

This study aimed to use an automated deep convolution neural network based pre-trained transfer models for detection of COVID-19 infection in chest X-rays.  Our proposed models have been trained and tested on a dataset which previously prepared. The all proposed models provide accuracy greater than 90.0%. The pre-trained MobileNet model provides the highest classification performance of automated COVID-19 classification with 99.1% accuracy in comparison with other three proposed models. The plotted area under curve (AUC) of receiver operating characteristics (ROC) of VGG16, VGG19, MobileNet, and InceptionResNetV2 models are 0.92, 0.91, 0.99, and 0.97, respectively.

The important role of in-situ simulation in preparing surgeons for the COVID-19 pandemic

Montauban,  P,  Balakumar, et al

Surgeon

Healthcare Response | Réponse des soins de santé

The objective of this study was to measure the impact of in-situ simulation on the confidence of the surgical teams of two hospitals in assessing and managing acutely unwell surgical patients who are high-risk or confirmed to have COVID-19. he level of confidence (VAS score) were statistically significantly higher for all nine questions after the simulation. Specific themes were identified for further training and changes in policy. In-situ simulation is an effective training method. Its versatility allows it to be set up quickly as rapid-response training in the face of an imminent threat. In this study, it improved the preparedness of two surgical teams for the challenges of the COVID-19 pandemic.

Dynamic dysregulation of IL-6 and genes functional in NETosis, complement and coagulation in severe COVID-19 illness

Mukhopadhyay,  Samanwoy,  Sinha, et al

medRxiv

Clinical data| Données cliniques

Comprehensive and unbiased re-analysis of published blood transcriptome data from patients of COVID-19 reveals significant up-regulation of the gene set functional in NETosis, but no evidence of general cytokine storm. In severe COVID-19 illness, there is significant up-regulation of complement and coagulation pathway, and negative correlation between NETosis and respiratory function (oxygen saturation). Interestingly, there is an early spike in the level of IL-6 gene expression in severe illness compared to moderate illness. With passing days post-onset, the level of IL-6 expression in severe illness approaches that in moderate illness. The data are consistent with IL-6 acting as a driver of NETosis in the early phase of severe COVID-19 illness, that results in a vicious cycle of NETosis-complement/coagulation-respiratory dysfunction. This has important consequence for timing of rational therapy with anti-IL-6 and NETosis inhibitors in severe COVID-19 illness.

The Impact of Physical Distancing Policies During the COVID-19 Pandemic on Health and Well-Being Among Australian Adolescents

Munasinghe,  S,  Sperandei, et al

Journal of Adolescent Health

Public Health response| Interventions de santé publique

This study investigated changes in physical activity, dietary behaviors, and well-being during the early period pf the physical distancing policies in New South Wales (Australia). After the implementation of physical distancing measures in NSW, there were significant decreases in physical activity (odds ratio [OR] = .53, 95% confidence interval [CI] = .34–.83), increases in social media and Internet use (OR = 1.86, 95% CI = 1.15–3.00), and increased screen time based on participants' smartphone screen state. Physical distancing measures were also associated with being alone in the previous hour (OR = 2.09, 95% CI: 1.33–3.28), decreases in happiness (OR = .38, 95% CI = .18–.82), and fast food consumption (OR = .46, 95% CI = .29–.73).

Tweeting on COVID-19 pandemic in South Africa: LDA-based topic modelling approach

Mutanga,  MB,  Abayomi, et al

African Journal of Science, Technology, Innovation and Development

Public Health response| Interventions de santé publique

this current study aims to discover what topical issues relating to the pandemic are being discussed by the populace and what impacts these issues have on compliance with regulations, including how they can aid in the implementation of the measures put in place by the government, as we analyze discussions relating to COVID-19 using data harvested from Twitter–social media and opinion mining platform.  The Latent Dirichlet Allocation (LDA) algorithm was applied for the extraction of noteworthy topics. From the experiments conducted, it was observed that alcohol sale and consumption, staying home, daily statistics tracing, police brutality, 5G and vaccines conspiracy theories were among the topics discussed and around which attitudes and perceptions were formed by the citizens. The findings also revealed people’s resistance to measures that affect their economic activities, and their unwillingness to take tests or vaccines as a result of fake news and conspiracy theories.

The first case of documented Covid-19 reinfection in Israel

Nachmias,  V,  Fusman, et al

IDCases

Clinical data| Données cliniques

We describe the first documented case of Covid-19 reinfection in Israel, in a 20 year old otherwise healthy young woman. In the first occasion she was mildly symptomatic, whereas the second episode was apparently asymptomatic.

Covid-19 associated Guillain-Barre Syndrome: Contrasting tale of four patients from a tertiary care centre in India

Nanda,  S,  Handa, et al

American Journal of Emergency Medicine

Clinical data| Données cliniques

In this brief communication we report four cases of Covid-19 who presented to our hospital with features suggestive of Guillain-Barre Syndrome (GBS).

Multisystem Inflammatory Syndrome in Children (MIS-C) in an Adolescent that Developed Coronary Aneurysms: A Case Report and Review of the Literature

Nelson,  C,  Ishimine, et al

Journal of Emergency Medicine

Clinical data| Données cliniques

A 15-year-old girl presented to our Emergency Department (ED) with fevers and malaise. She was diagnosed on her initial visit with an acute viral syndrome and discharged with a COVID polymerase chain reaction test pending, which was subsequently negative. She returned 3 days later with persistent fever, conjunctivitis, and a symmetric targetoid rash over her palms. She had no adenopathy, but her erythrocyte sedimentation rate and C-reactive protein were both significantly elevated at 90 mm/h and 19.61 mg/dL, respectively. The patient was then transferred to the regional children's hospital due to a clinical suspicion for MIS-C, and subsequent COVID-19 immunoglobulin G testing was positive. She had been empirically started on intravenous immunoglobulin in addition to 81 mg aspirin daily. Initial echocardiograms showed mild dilatation of the left main coronary artery, and on repeat echocardiogram, a right coronary artery aneurysm was also identified. Oral prednisone therapy (5 mg) was initiated and the patient was discharged on a continued prednisone taper.

“Physical Sex Is Over for Now”: Impact of COVID-19 on the Well-Being and Sexual Health of Adolescent Sexual Minority Males in the U.S

Nelson,  KM,  Gordon, et al

Journal of Adolescent Health

Public Health response| Interventions de santé publique

This study aimed to explore how the COVID-19 pandemic and physical distancing measures have impacted the well-being and sexual health among adolescent sexual minority males (ASMM) during the initial phase of physical distancing mandates in the U.S. From March 27, 2020, to May 8, 2020, U.S. ASMM (N = 151; aged 14–17 years) completed the online baseline survey of a sexual health intervention trial. The majority (57%) of participants reported being worried about COVID-19. Almost all (91%) were physically distancing. Participants noted that COVID-19 changed school, home, work, and family life. Participants highlighted that COVID-19 reduced their ability to socialize and had a deleterious effect on their mental health. In the past 3 months, participants reported seeing sexual partners in person less often, masturbating and viewing pornography more often, and sexting and messaging on men-seeking-men websites/phone applications about the same amount. Many described being physically distanced from sexual partners, and some noted an increase in their use of virtual ways to connect with partners (e.g., video chatting). There were no differences by outness with an accepting guardian in quantitative or qualitative responses.

Impact of COVID-19 on urban mobility during post-epidemic period in megacities: From the perspectives of taxi travel and social vitality

Nian,  G,  Peng, et al

Sustainability (Switzerland)

Public Health response| Interventions de santé publique

This study analyzes the relationship between COVID-19, travel of residents, Point of Interest (POI), and social activities from the perspective of taxi travel. The results demonstrated that the number of taxi trips dropped sharply, and the travel speed, travel time, and spatial distribution of taxi trips had been significantly influenced during the epidemic period. The spatial correlation between taxi trips was gradually weakened after the outbreak of the epidemic, and the consumption travel demand of people significantly decreased while the travel demand for community life increased dramatically. The evaluation score of social activity is increased from 8.12 to 74.43 during the post-epidemic period, which may take 3-6 months to be fully recovered as a normal period.

Is covid-19 a liberal democratic curse? Risks for liberal international order

Norrlöf,  C

Cambridge Review of International Affairs

Epidemiology| Épidémiologie

Covid-19 is the latest blow to the ailing liberal international order, which has faced a series of challenges in the postwar era. This article traces the global spread of the virus scaled to population and case fatality rates of different countries. Using inferential statistics, I find that liberal democracies have higher case fatality rates than other regime types and offer some plausible explanations for why. Systemically, I show how the spread of the virus complicates the implementation of policies consistent with liberal international order, potentially destroying the order in which liberal democracies participate. Given the paucity of the data as well as cross-country reporting differences in a still evolving crisis, these findings provide a first social scientific cut over the first half year of the pandemic rather than a final assessment of its consequences. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

A study on the speed of governments’ healthcare response to COVID-19; cases: China, Hong Kong, Korea, Italy, the US, and Iran

Nourian,  Farshad,  Sarabi, et al

Research Square prepub

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

In this paper, we present the results of a study on how the decision-making speed at the national and city levels on dealing with the spread of the Corona virus has impacted the rate of mortality by means of Analytic Hierarchy Process (AHP) and Bubble chart. Our findings support the hypothesis that the timing of a government’s decision, either proactive or preemptive, along with its level of sophistication in urban and social infrastructures, can impact the mortality rate of contagious diseases such as COVID-19.

The effect of COVID-19 lockdown on glycemic control in patients with type 2 diabetes mellitus in Turkey

Önmez,  A,  Gamsızkan, et al

Diabetes and Metabolic Syndrome: Clinical Research and Reviews

Public Health response| Interventions de santé publique

The purpose of this study was to investigate how type 2 DM patients were affected by the lockdown. The research involved 101 type 2 DM patients, 57 men (56.5%) and 44 women (44.5%), with a mean age of 55 ± 13. Patients’ mean pre-lockdown weight was 84.7 ± 16.4 kg, rising to 85.5 ± 16.8 kg post-lockdown, although the increase was not statistically significant (p = 0.781). In terms of glycemic parameters, Hba1c rose from 7.67 ± 1.76 to 8.11 ± 2.48, and fasting glucose from 157.9 (83–645) mg/dl to 163.2 (84–550) mg/dl, none of which were statistically significant (p = 0.253, p = 0.079, respectively).

Increasing incidence of complicated appendicitis during COVID-19 pandemic

Orthopoulos,  G,  Santone, et al

American Journal of Surgery

Healthcare Response | Réponse des soins de santé

All acute appendicitis admissions (281 patients) between 1/1/2018-4/30/2020 were reviewed. Fifty-four appendicitis patients were categorized in Group A and thirty-seven in Group B. Those who underwent surgery were compared and revealed a 45.5% decrease (CI: 64.2,-26.7) in uncomplicated appendicitis, a 21.1% increase (CI:3.9,38.3) in perforated appendicitis and a 29% increase (CI:11.5,46.5) in gangrenous appendicitis. Significant differences in the incidence of uncomplicated and complicated appendicitis were also noted when comparing 2020 to previous years.

Awareness, Perception and Practice Of COVID 19 Prevention among Residents of a State in the South-South Region Of Nigeria: Implications for Public Health Control Efforts

Owhonda,  Golden,  Maduka, et al

medRxiv

Public Health response| Interventions de santé publique

Study involved 1,294 adult community residents. Almost all respondents 1,271 (98.2%) had heard about COVID 19. The three most common sources of information about COVID 19 were radio jingles 1102 (86.7%), television adverts 940 (74.0%) and announcements in Church 612 (48.2%). Overall, 608 (47.0%) of the respondents had poor knowledge of COVID 19. About 1167 (90.2%) of the respondents who were aware of COVID 19 acknowledged that COVID 19 is a problem in the state while 443 (34.9%) respondents believed they were unlikely contract the virus. Only 505 (39.0%) of the respondents washed all critical parts of the hand correctly.

Therapeutic activity of an inhaled potent SARS-CoV-2 neutralizing human monoclonal antibody in hamsters

Piepenbrink,  MichaelS,  Park, et al

bioRxiv

Therapeutics| Thérapeutique Animal model | Modèle animal

The 1212C2 human monoclonal antibodies (hmAbs) exhibits in vivo prophylactic and therapeutic activity against SARS-CoV-2 in hamsters when delivered intraperitoneally, achieving a meaningful reduction in upper and lower respiratory viral burden and lung pathology. Furthermore, liquid nebulized inhale treatment of SARS-CoV-2 infected hamsters with as low as 0.6 mg/kg of inhaled dose, corresponding to approximately 0.03 mg/kg of lung deposited dose, mediated a reduction in respiratory viral burden that is below the detection limit, and mitigated lung pathology.

Racial-ethnic disparities and pregnancy outcomes in SARS-CoV-2 infection in a universally-tested cohort in Houston, Texas

Pineles,  BL,  Alamo, et al

European Journal of Obstetrics and Gynecology and Reproductive Biology

Epidemiology| Épidémiologie Clinical data| Données cliniques

We examined risk factors for SARS-CoV-2 infection and pregnancy outcomes in a universally-tested obstetric cohort admitted for delivery at a community hospital serving a diverse and predominantly Hispanic population. Of 936 patients who delivered during the 3-month study period, 935 were tested for SARS-CoV-2 and included in the analysis. Overall, 77 (8%) tested positive. Test positivity (7-day average) increased from 3% in April to a peak of 20% by mid-July. Compared with non-Hispanic patients, Hispanic patients were more likely to be SARS-CoV-2-positive (10.6% vs 5.5%, aRR 1.73, 95% confidence interval [CI] 1.05–2.85), as were patients with public insurance compared with private (9.5% vs 2.5 %, aRR 3.11, 95 % CI 1.12–8.64; model included ethnicity and insurance). Other baseline characteristics were similar for SARS-CoV-2-positive compared with -negative patients. Among SARS-CoV-2-positive patients, 66 (86%) were asymptomatic and 11 were symptomatic (14%). Pregnancy outcomes were similar between groups, including preterm birth and perinatal death. Serious maternal morbidity was rare, and there were no maternal deaths. One neonate (1%) of a symptomatic mother who tested positive for SARS-CoV-2 at 48 h of life remained asymptomatic and was discharged home.

Case Series: Evidence of Borderzone Ischemia in Critically-Ill COVID-19 Patients Who “Do Not Wake Up”

Pirau,  L,  Ottenhoff, et al

Frontiers in Neurology

Clinical data| Données cliniques

This article describes the clinical course, radiological findings, and outcome of two patients with the novel 2019 coronavirus disease (COVID-19) who remained comatose for a prolonged duration following discontinuation of all sedation. We conclude that critically-ill COVID-19 patients with prolonged coma following sedation discontinuation may demonstrate imaging features of ischemic injury in borderzone regions despite the absence of documented sustained hypotension or hypoxia. However, substantial neurological recovery is possible despite these findings.

Frequent testing regimen based on salivary samples for an effective COVID-19 containment strategy

Plebani,  Mario,  Aita, et al

medRxiv

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

Rapid and accurate diagnostic tests are essential for controlling the ongoing COVID-19 pandemic. Although the current gold standard involves testing of nasopharyngeal swabs specimens by nucleic acid amplification test, such as real-time reverse-transcription polymerase chain reaction (rRT-PCR) to detect the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), it presents several limitations that ultimately may translate into a bottleneck in the surveillance regimen. New strategies based on frequent testing using less invasive specimens are urgently needed for containment of the infection. Rapid antigen assay using saliva as a reliable alternative to nasopharyngeal swabs should be proposed as a valuable part of the overall testing strategy.

Background and concurrent factors predicting non-adherence to public health preventive measures during the chronic phase of the COVID-19 pandemic

Pollak,  Yehuda,  Shoham, et al

medRxiv

Public Health response| Interventions de santé publique

To determine factors that predict non-adherence to preventive measures for COVID-19 during the chronic phase of the pandemic, a cross-sectional, general population survey was conducted in Israel. Sociodemographic, health-related, behavioral, and COVID-19-related characteristics were collected. Among 2055 participants, non-adherence was associated with male gender, young age, bachelorhood, being employed, lower decrease in income, low physical activity, psychological distress, ADHD symptoms, past risk-taking and anti-social behavior, low pro-sociality, perceived social norms favoring non-adherence, low perceived risk of COVID-19, low perceived efficacy of the preventive measures, and high perceived costs of adherence to the preventive measures. There appears to be a need for setting out and communicating preventive measures to specifically targeted at-risk populations.

Report of a case of coronavirus infection in a renal transplant recipient

Prendes,  SM,  García, et al

Enfermeria Nefrologica

Clinical data| Données cliniques

A 50-year-old man with unknown CKD and a kidney transplant in 2016 who came to the emergency room due to fever of 38ºC, cough, rhinorrhea, diarrhea with weight loss and discomfort in a kidney graft in the right iliac fossa. He was diagnosed with COVID-19 after performing a chest X-ray and SARS-CoV-2 PCR. An initial assessment was made using Gordon's functional patterns. Subsequently, we identify Nursing Diagnoses according to the NANDA taxonomy with their corresponding outcome and intervention criteria. After carrying out the interventions and evaluating the outcome indicators, we observed a decrease in body temperature and respiratory distress with improvement in the respiratory pattern. Regarding renal function, it has not been significantly altered despite the temporary withdrawal of immunosuppression. The patient was discharged with a renal function similar to the previous one and with reintroduced immunosuppression.

Caring more about food: The unexpected positive effect of the Covid-19 lockdown on household food management and waste

Principato,  L,  Secondi, et al

Socio-economic planning sciences

Public Health response| Interventions de santé publique

This study investigated how food management and consumption habits changed in the daily lives of consumers during the COVID-19 lockdown. A CAWI questionnaire was administered to a sample of 1078 Italian consumers during the lockdown (March–April 2020). The respondents were asked to self-estimate the percentage of food their households wasted before and during the lockdown and to explain their food management habits. We focused the analysis on the differences between the food the respondents declared to have wasted before and during lockdown, which revealed that most households threw away less food during the Covid-19 lockdown compared to the pre-Covid situation. The results indicate that young consumers and people who started implementing good food management practices (shopping list, meal planning etc.) more frequently considerably reduced the food they wasted during lockdown.

Analytical parameter estimation of the SIR epidemic model. Applications to the COVID-19 pandemic

Prodanov,  Dimiter

arXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

The dramatic outbreak of the coronavirus disease 2019 (COVID-19) pandemics and its ongoing progression boosted the scientific community's interest in epidemic modeling and forecasting. The SIR (Susceptible-Infected-Removed) model is a simple mathematical model of epidemic outbreaks, yet for decades it evaded the efforts of the community to derive an explicit solution. The present work demonstrates that this is a non-trivial task. Notably, it is proven that the explicit solution of the model requires the introduction of a new transcendental special function, related to the Wright's Omega function. The present manuscript reports new analytical results and numerical routines suitable for parametric estimation of the SIR model. The manuscript introduces iterative algorithms approximating the incidence variable, which allows for estimation of the model parameters from the numbers of observed cases. The numerical approach is exemplified with data from the European Centre for Disease Prevention and Control (ECDC) for several European countries in the period Jan 2020 -- Jun 2020.

Incidence of venous thromboembolism in coronavirus disease 2019: An experience from a single large academic center

Rali,  P,  O'Corragain, et al

Journal of Vascular Surgery: Venous and Lymphatic Disorders

Clinical data| Données cliniques

This study aimed to identify the VTE incidence and early predictors of VTE at our high-volume tertiary care center. The retrospective cohort study included 147 patients  admitted to Temple University Hospital with COVID-19 from April 1, 2020 to April 27, 2020.  VTE (pulmonary embolism PE] and deep vein thrombosis DVT]) incidence were identified in the cohort. The VTE and no-VTE groups were compared by univariable analysis for demographics, comorbidities, laboratory data, and treatment outcomes. Subsequently, multivariable logistic regression analysis was performed to identify the early predictors of VTE. 20.9% of all admissions with a high clinical suspicion of acute VTE had undergone testing for VTE using computed tomography pulmonary angiography and/or extremity venous duplex ultrasonography. The overall incidence of VTE was 17% (25 of 147). Of the 25 patients, 16 had had acute PE, 14 had had acute DVT, and 5 had had both PE and DVT. The need for invasive mechanical ventilation (adjusted odds ratio, 3.19; 95% confidence interval, 1.07-9.55) and the admission D-dimer level ≥1500 ng/mL (adjusted odds ratio, 3.55; 95% confidence interval, 1.29-9.78) were independent markers associated with VTE. The all-cause mortality in the VTE group was greater than that in the non-VTE group (48% vs 22%; P =.007). Patients with a high clinical suspicion and the identified risk factors (invasive mechanical ventilation, admission D-dimer level ≥1500 ng/mL) should be considered for early VTE testing.

Changes in the Management of Clubfoot Cases During COVID-19 Pandemic—A Survey Among Orthopaedic Specialists

Rangasamy,  K,  Mehta, et al

Indian Journal of Orthopaedics

Healthcare Response | Réponse des soins de santé

This study aimed to assess the changes in the clubfoot treatment practices, Achilles tenotomy methods, and the role along with the possible impact of teleconsultation during the COVID-19 pandemic. A web-based survey was conducted using a questionnaire prepared on Google forms. The link for this questionnaire was sent to Indian Orthopaedic specialists with a special interest in clubfoot management via a social messaging platform. 127 eligible responses were analysed. Of them, 67% respondents were in practice for more than 10 years. During the study period, 30.7% of doctors did not perform any casting; 66.9% performed casting in 1–5 cases per week and only 2.4% performed casting in more than five cases per week. A statistically significant difference was noted in the number of doctors who performed casting in less than five cases per week and the doctors who performed casting in more than five cases per week, before and during the COVID-19 pandemic. 30.7% of doctors deferred doing Achilles tenotomy during the study period, and among those who performed one, a significant number of them avoided tenotomy under general anaesthesia. The COVID-19 pandemic has significantly impacted clubfoot treatment practices during the lockdown period in India.

Healthcare workers with mild / asymptomatic SARS-CoV-2 infection show T cell responses and neutralising antibodies after the first wave

Reynolds,  CatherineJ,  Swadling, et al

medRxiv

Clinical data| Données cliniques Immunology | Immunologie

The UK COVIDsortium is a longitudinal, London hospital HCW cohort, followed from the time of UK lockdown; weekly PCR, serology and symptom diaries allowed capture of asymptomatic infection around the time of onset, so duration of immunity could be tracked.  A cross-sectional, case-control was conducted. The sub-study of 136 HCW at 16-18 weeks after UK lockdown, with 76 having had laboratory-confirmed SARS-CoV-2 mild or asymptomatic infection. Neutralising antibodies (nAb) were present in 90% of infected HCW sampled after the first wave; titres, likely to correlate with functional protection, were present in 66% at 16-18 weeks. T cell responses tended to be lower in asymptomatic infected HCW than those reporting case-definition symptoms of COVID-19, while nAb titres were maintained irrespective of symptoms. T cell and antibody responses were discordant. HCW lacking nAb also showed undetectable T cells to Spike protein but had T cells of other specificities. The  findings suggest that the majority of HCW with mild or asymptomatic SARS-CoV-2 infection carry nAb complemented by multi-specific T cell responses for at least 4 months after mild or asymptomatic SARS-CoV-2 infection.

Oral candidiasis in non-severe COVID-19 patients: call for antibiotic stewardship

Riad,  A,  Gad, et al

Oral Surgery

Clinical data| Données cliniques

This case study described a non‐severe COVID‐19 case with oral candidiasis according to the CARE guidelines. A 47‐years‐old female patient sought teleconsultation at our private dental clinic (Gharbia, Egypt) due to the appearance of painful white patches on the dorsal surface of the tongue and on the palate. Two weeks before the consultation, the patient suffered from a sore throat, generalised myalgia and fatigue with intermittent fever; therefore, she underwent a polymerase chain reaction (PCR) testing for SARS‐COV‐2 which yielded a positive result. Multivitamins and corticosteroids were prescribed by her physician since her infection was confirmed. While no improvement of her general health condition was observed, the physician added different types of antibiotics, including azithromycin (Zithromax), linezolid (Averozolid) and ceftriaxone (Xoraxon) to her treatment protocol. The prolonged use of antibiotics is believed to have led to worsening her oral manifestations. There is a  possibility of a potentially life‐threatening opportunistic oral infection that had been caused by empirical broad‐spectrum antibiotics prescription in a moderate COVID‐19 case.

SARS-CoV-2 sequencing reveals rapid transmission from college student clusters resulting in morbidity and deaths in vulnerable populations

Richmond,  CraigS,  Sabin, et al

medRxiv

Epidemiology| Épidémiologie Transmission Coronavirology| Coronavirologie

La Crosse County, Wisconsin experienced a substantial SARS-CoV-2 outbreak (2,002 cases in September 2020) that coincided with the return to in-person instruction at three local academic institutions. Genomic sequencing of SARS-CoV-2 cases in La Crosse during that period found rapid expansion of two viral substrains. Although the majority of cases were among college-age individuals, from a total of 111 genomes sequenced we identified rapid transmission of the virus into more vulnerable populations. Eight sampled genomes represented two independent transmission events into two skilled nursing facilities, resulting in two fatalities. Our study highlights the very significant risks imposed by college administrator reopening decisions, not just on college-associated populations, but on vulnerable individuals in surrounding communities.

Prioritisation of population groups with the most interactions for COVID-19 vaccination can substantially reduce total fatalities

Rodriguez,  Jorge,  Paton, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique Vaccine Research| Recherche sur les vaccins

The authors demonstrate the importance and impact of optimally planning the priorities for vaccine deployment by population groups using a modified SEIR-type model for the COVID-19 outbreak considering age-related groups. In this work, several strategies are evaluated and compared, in an attempt to approach the most effective possible vaccination priority sequence in an example case study using demographic and epidemiological data from Spain. Our results show how planning vaccination by priority groups can achieve dramatic reductions in total fatalities (more than 70% in some cases) compared to no prioritisation. The results also indicate in all cases, for all vaccine effectiveness and coverage values evaluated, that the criteria for groups vaccination priority should not be those with the highest mortality but rather those the highest number of daily person-to-person interactions. Strikingly, our results show in all cases, that prioritisation of groups with the highest mortality but less social interactions, may lead to significantly larger numbers of final total fatalities, even higher as if no group priorities were established at all. The explanation, clearly displayed by the mechanistic model, is that vaccination avoids infections that reduce mortality not only from the vaccinated group itself but also from the projected secondary and subsequent infections inflicted on the rest of the population by those vaccinated in that group. Precisely this amplification effect (exponential nature of the curve) appears to cause the larger reduction in total fatalities if the groups with the most interactions are vaccinated first.

ACIS, A Novel KepTide™, Binds to ACE-2 Receptor and Inhibits the Infection of SARS-CoV2 Virus in vitro in Primate Kidney Cells: Therapeutic Implications for COVID-19

Roy,  Avik,  Gottschalk, et al

bioRxiv

Therapeutics| Thérapeutique

We report a novel KepTide(TM) (Knock-End Peptide) therapy that nullifies SARS-CoV2 infection. SARS-CoV2 employs its surface glycoprotein spike (S-glycoprotein) to interact with angiotensin converting enzyme-2 (ACE-2) receptor for its infection in host cells. Based on our in-silico-based homology modeling study validated with a recent X-ray crystallographic structure (PDB ID:6M0J), we have identified that a conserved motif of S-glycoprotein that intimately engages multiple hydrogen-bond (H-bond) interactions with ACE-2 enzyme. Accordingly, we designed a peptide, termed as ACIS (ACE-2 Inhibitory motif of Spike), that displayed significant affinity towards ACE-2 enzyme as confirmed by biochemical assays such as BLItz and fluorescence polarization assays. Interestingly, more than one biochemical modifications were adopted in ACIS in order to enhance the inhibitory action of ACIS and hence called as KEpTide(TM). Consequently, a monolayer invasion assay, plaque assay and dual immunofluorescence analysis further revealed that KEpTide(TM) efficiently mitigated the infection of SARS-CoV2 in vitro in VERO E6 cells. Finally, evaluating the relative abundance of ACIS in lungs and the potential side-effects in vivo in mice, our current study discovers a novel KepTideTM therapy that is safe, stable, and robust to attenuate the infection of SARS-CoV2 virus if administered intranasally.

A Cross-Domain Approach to Analyzing the Short-Run Impact of COVID-19 on the US Electricity Sector

Ruan,  G,  Wu, et al

Joule

Economics | Économie

As the US begins to gradually resume economic activity, it is imperative for policymakers and power system operators to take a scientific approach to understanding and predicting the impact on the electricity sector. This first-of-its-kind cross-domain open-access data hub, integrates data from across all existing US wholesale electricity markets with COVID-19 case, weather, mobile device location, and satellite imaging data. Leveraging cross-domain insights from public health and mobility data, we rigorously uncover a significant reduction in electricity consumption that is strongly correlated with the number of COVID-19 cases, degree of social distancing, and level of commercial activity.

Impact of COVID-19quarantine on low back pain intensity, prevalence, and associated risk factors among adult citizens residing in riyadh (Saudi Arabia): A cross-sectional study

Šagát,  P,  Bartík, et al

International Journal of Environmental Research and Public Health

Public Health response| Interventions de santé publique

This study aimed to estimate the effect of the coronavirus disease 2019 (COVID-19) quarantine on low back pain (LBP) intensity, prevalence, and associated risk factors among adults in Riyadh (Saudi Arabia). A total of 463 adults (259 males and 204 females) aged between 18 and 64 years and residing in Riyadh (Saudi Arabia) participated in this cross-sectional study. A self-administered structured questionnaire composed of 20 questions regarding demographic characteristics, work-and academic-related aspects, physical activity (PA), daily habits and tasks, and pain-related aspects was used. The LBP point prevalence before the quarantine was 38.8%, and 43.8% after the quarantine. The LBP intensity significantly increased during the quarantine. The low back was also the most common musculoskeletal pain area. Furthermore, during the quarantine, a significantly higher LBP intensity was reported by those individuals who (a) were aged between 35 and 49 years old, (b) had a body mass index equal to or exceeding 30, (c) underwent higher levels of stress, (d) did not comply with the ergonomic recommendations, (e) were sitting for long periods, (f) did not practice enough physical activity (PA), and (g) underwent teleworking or distance learning. No significant differences were found between genders. The COVID-19 quarantine resulted in a significant increase in LBP intensity, point prevalence, and most associated risk factors. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.

Spread of Covid-19 in urban neighbourhoods and slums of the developing world

Sahasranaman,  Anand,  Jeldtoft Jensen, et al

arXiv

Modelling/ prediction| Modélisation/prédiction Transmission

We study the spread of Covid-19 across neighbourhoods of cities in the developing world and find that small numbers of neighbourhoods account for a majority of cases (k-index~0.7). We also find that the countrywide distribution of cases across states/provinces in these nations also displays similar inequality, indicating self-similarity across scales. Neighbourhoods with slums are found to contain the highest density of cases across all cities under consideration, revealing that slums constitute the most at-risk urban locations in this epidemic. We present a stochastic network model to study the spread of a respiratory epidemic through physically proximate and accidental daily human contacts in a city, and simulate outcomes for a city with two kinds of neighbourhoods - slum and non-slum. The model reproduces observed empirical outcomes for a broad set of parameter values - reflecting the potential validity of these findings for epidemic spread in general, especially across cities of the developing world. We also find that distribution of cases becomes less unequal as the epidemic runs its course, and that both peak and cumulative caseloads are worse for slum neighbourhoods than non-slums at the end of an epidemic. Large slums in the developing world therefore contain the most vulnerable populations in an outbreak, and the continuing growth of metropolises in Asia and Africa presents significant challenges for future respiratory outbreaks from perspectives of public health and socioeconomic equity.

Early Crowdfunding Response to the COVID-19 Pandemic

Saleh,  Sameh Nagui,  Lehmann, et al

medRxiv

Public Health response| Interventions de santé publique

We examined the online crowdfunding response in the early stage of the COVID-19 pandemic in the US. On May 16, 2020, we extracted all available data available on US campaigns created between January 1 and May 10, 2020 on GoFundMe and identified the subset of COVID-related campaigns using keywords relevant to the COVID-19 pandemic. We explored incidence of COVID-related campaigns by geography, by category, and over time and compared campaign characteristics to non-COVID-related campaigns after March 11 when the pandemic was declared. We found that there was a substantial increase in overall GoFundMe online crowdfunding campaigns in March, largely attributable to COVID-related campaigns. However, as the COVID-19 pandemic persisted and progressed, the number of campaigns per COVID-19 cases declined more than tenfold across all states. COVID-related campaigns raised more money, had a longer narrative description, and were more likely to be shared on Facebook than other campaigns in the study period. Online crowdfunding appears to be a transient stopgap, predicated on the novelty of an emergency rather than the true sustained need of a community. Rather, crowdfunding activity is likely an early marker for communities in acute distress that could be used by governments and aid organizations to guide disaster relief and policy.

Vulnerability Assessing Contagion Risk of Covid-19 Using Geographic Information Systems and Multi-Criteria Decision Analysis: Case Study Chetumal, México

Sánchez-Sánchez,  JA,  Chuc, et al

 

Epidemiology| Épidémiologie

The purpose of this study was to evaluate and map the susceptibility of the risk to Covid-19 contagion in Chetumal, Mexico, by calibrating and applying a vulnerability model classified into four categories (extremely high, high, moderate and low) using Systems of Geographic Information (GIS) and Multi-Criteria Decision Analysis (MCDA). The objective refers to the achievement of a useful tool to help the health sector, local governments, the scientific community and the population in general to identify the best strategies to reduce contagion or restart local activities during quarantine conditions. For this purpose, a methodology based on GIS-MCDA was developed consisting of four stages and using nine essential criteria selected and evaluated by a transdisciplinary team of doctors and specialists in GIS. The vulnerability model made it possible to identify areas with extremely high vulnerability located towards the city center and in an area hosted by various service centers. Areas with high vulnerability defined in popular neighborhoods with high and medium degrees of marginalization. Areas with moderate vulnerability located around the areas of high vulnerability and areas of low vulnerability encompassing the perimeter areas of the city.

Impact of COVID-19 on glycaemic control: a retrospective cohort study in a local district general hospital

Saqib,  A,  Solanki, et al

Practical Diabetes

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of our study was to review how COVID-19 infection affects glycaemic control. We retrospectively reviewed case notes of 55 patients and found no episodes of uncontrolled hyperglycaemia in patients without pre-existing diabetes. Uncontrolled hyperglycaemia was only seen in patients with elevated HbA1c, indicating pre-existing diabetes.

Obesity alters Ace2 and Tmprss2 expression in lung, trachea, and esophagus in a sex-dependent manner: Implications for COVID-19

Sarver,  DylanC,  Wong, et al

bioRxiv

Clinical data| Données cliniques Animal model | Modèle animal

This study investigates whether obesity alters expression of Ace2 and Tmprss2 in the lower respiratory tract. Our data indicate diet- and sex-dependent modulation of Ace2 and Tmprss2 expression in the lower respiratory tract and esophagus fn mice.

Evaluating clinical course and risk factors of infection and demographic characteristics of pregnant women with COVID-19 in Hamadan Province, West of Iran

Sattari,  M,  Bashirian, et al

Journal of Research in Health Sciences

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to evaluate the clinical course and risk factors of pregnant women diagnosed with COVID 19 in Hamadan Province, west of Iran. About 32% of them had an underlying disease, 32% a history of influenza, and 40% recently traveled to infected areas. About 8% of the women required ICU hospitalization and the average length of hospital stay was 4.04 ± 2.38 and 29% had premature births. Moreover, 28% of infected mothers had a normal delivery and 20% had a cesarean section.

Stay-at-home policy: is it a case of exception fallacy? An internet-based ecological study

Savaris,  RicardoF,  Pumi, et al

medRxiv

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

The objective of this ecological study was to propose a novel approach to assess the association between staying at home values and the reduction/increase in the number of deaths due to COVID-19 in several regions around the world. After preprocessing the data, 87 regions around the world were included, yielding 3,741 pairwise comparisons for linear regression analysis. Only 63 (1.6%) comparisons were significant. With our results, we were not able to explain if COVID-19 mortality is reduced by staying as home in ~98% of the comparisons after epidemiological weeks 9 to 34.

Coronavirus Disease-2019 Case, Death, and Testing Rates in the United States and Worldwide: Primary Data and Review

Schaefer,  ErnstJ,  Geller, et al

medRxiv

Epidemiology| Épidémiologie

We assessed data as of September 1, 2020 from our combined laboratories and as reported for selected states and countries for case, death, and testing rates per 1 million in the population. Our goal was to elucidate potential causes for the large rate differences observed in the United States. Our data indicated that saliva analysis only found about half as many positive cases than did nasopharyngeal swab analysis. While testing is important, without adequate public health measures, it is unlikely that we will get this pandemic under adequate control until vaccines become available.

Meaning in Life and Self-Control Buffer Stress in Times of COVID-19: Moderating and Mediating Effects With Regard to Mental Distress

Schnell,  T,  Krampe, et al

Frontiers in Psychiatry

Public Health response| Interventions de santé publique

The present study aimed to document levels of acute COVID-19 stress and general mental distress in Germany and Austria during the lockdown and in the weeks thereafter. Scores were higher after than during the lockdown, indicating an ongoing destabilization for a significant part of the population. People who saw a meaning in their lives and who were capable of self-control reported substantially less mental distress. Meaningfulness and self-control also served as buffers between COVID-19 stress and general mental distress

Pediatric COVID-19 case with regard to the family infection chain and the psychosocial context

Schwarz,  S,  Steuber, et al

Clinical Case Reports

Clinical data| Données cliniques

In this case report the father of an 11‐year‐old girl infects his daughter, who returns to her mother's family before the father's diagnosis. The daughter endures a 1‐day, mild illness. However, despite close physical contact prior to and during the girl's illness, her mother, stepfather, and 1‐year‐old half‐brother were not infected.

Thermal Effect On The Persistence Of SARS-CoV2 Egyptian Isolates As Measured By Quantitative RT-PCR

Seadawy,  Mohamed Gomaa,  Gad, et al

medRxiv

Coronavirology| Coronavirologie

This study investigates the thermal stability of SARS-CoV-2. Results show that inactivation of the virus and significant reduction in the ΔCq values begin at 40 C/4h. Complete virus inactivation and loss of ΔCq values were seen at 50 C/6h and 60 C. Tested samples showed no significant difference in thermal stability at any temp/time combinations tested.

Structural stability of SARS-CoV-2 degrades with temperature

Sharma,  Abhimanyu,  Preece, et al

bioRxiv

Coronavirology| Coronavirologie

Here we have used atomic force microscopy to examine the structural stability of individual SARS-CoV-2 virus like particles at different temperatures. We demonstrate that even a mild temperature increase, commensurate with what is common for summer warming, leads to dramatic disruption of viral structural stability, especially when the heat is applied in the dry state.

Pediatric Trauma and the COVID-19 Pandemic: A 12-Year Comparison in a Level-1 Trauma Center

Sheridan,  GA,  Nagle, et al

HSS Journal

Healthcare Response | Réponse des soins de santé

We sought to describe the effect of the COVID-19 pandemic on the number of acute pediatric trauma admissions and procedures performed in a level-I trauma center in Cork University Hospital, Ireland. The COVID-19 pandemic significantly reduced the number of acute traumatic pediatric admissions and procedures performed in our level-I trauma center, likely because of a reduction in school days. With the reopening of schools, playgrounds, and sporting events, an increase in pediatric trauma admissions is anticipated.

Treatment with Human Umbilical Cord-Derived Mesenchymal Stem Cells for Severe COVID-19 Patients with Lung Damage: A Randomised, Double-Blind, Placebo‑Controlled Phase 2 Trial

Shi,  Lei,  Huang, et al

SSRN- Lancet prepublication

Therapeutics| Thérapeutique RCT

We performed a phase 2 randomised, double-blind, and placebo-controlled trial to assess the efficacy and safety of human umbilical cord-mesenchymal stem cells (UC‑MSCs) to treat patients with severe COVID-19 with lung damage. During follow-up, the patients receiving UC-MSCs exhibited a trend of numerical improvement in whole lung lesions. The 6-minute walk test showed an increased distance in patients treated with UC-MSCs. Notably, UC-MSCs delivery was well tolerated, with no serious adverse events.

Virus detection and identification in minutes using single-particle imaging and deep learning

Shiaelis,  Nicolas,  Tometzki, et al

medRxiv

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

Here, we present a methodology for virus detection and identification that uses a convolutional neural network to distinguish between microscopy images of single intact particles of different viruses. Our assay achieves labeling, imaging and virus identification in less than five minutes and does not require any lysis, purification or amplification steps.

Sensitivity and specificity of lateral flow antigen test kits for covid-19 in asymptomatic population of quarantine centre of province 3

Shrestha,  B,  Neupane, et al

Kathmandu University Medical Journal

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

The objective of this study was to find out sensitivity and specificity of the Antigen test kit for COVID-19. Sensitivity and specificity of the tested was calculated which came out to be 85% and 100% respectively, with accuracy of 93.80%.

The impact of nationwide alcohol ban during the COVID-19 lockdown on alcohol use-related internet searches and behaviour in India: An infodemiology study

Singh,  S,  Sharma, et al

Drug and Alcohol Review

Public Health response| Interventions de santé publique

Among other restrictions, India imposed a complete ban of alcohol sales during their nationwide lockdown due to COVID-19. This study aimed to examine and interpret the changes in online search interest for keywords representing different alcohol-related themes during the lockdown period in India. A significant increase in online search interest for alcohol withdrawal was observed during lockdown compared to the pre-lockdown period. A significant increase in online search interest for keywords representing benzodiazepines was observed in lockdown.

Social responsibility behaviors among universities students in the 3 southern border provinces of Thailand in the period of corona virus 2019 (COVID-19) pandemic

Singkun,  A,  Payodeuramae, et al

Walailak Journal of Science and Technology

Public Health response| Interventions de santé publique

The objectives of this cross-sectional research were to study university students’ knowledge on COVID-19 transmission, their attitude toward the measures of COVID-19 prevention and control, social responsibility behaviors, and factors association with participants’ social responsibility behaviors. University students had the knowledge of COVID-19 transmission at Moderate level (50.72 %), and had the attitude of the state measures for COVID-19 prevention and control in High level (81.01 %). Additionally, their social responsibility behaviors for COVID-19 prevention and control were in High level (57.21 %).

Measurement of small droplet aerosol concentrations in public spaces using handheld particle counters

Somsen,  GA,  van Rijn, et al

medRxiv

Transmission

We investigate the role of aerosols in the transmission of SARS-CoV-2 in public spaces using a handheld particle counter. In the public spaces investigated by us, aerosol concentrations are approximately 20 to more than a 100 times lower in all ventilated public spaces compared to the poorly ventilated restroom used for the calibration measurements. The characteristic times for a 50% decrease in aerosol concentration are on the order of one minute in well-ventilated spaces, compared to 4-5 minutes in the poorly ventilated restroom, elevator and living room.

Physical Activity Decreases the Prevalence of COVID-19-associated Hospitalization: Brazil EXTRA Study

Souza,  Francis Ribeiro,  Motta-Santos, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We compared physical activity levels before the outbreak and quarantine measures with COVID-19-associated hospitalization prevalence in surviving patients infected with SARS-CoV-2. Sufficient physical activity levels are associated with a lower prevalence of COVID-19-related hospitalizations. Performing at least 150 minutes a week of moderate-intensity, or 75 minutes a week of vigorous-intensity physical activity reduces this prevalence by 34.3%.

How Policies on Restaurants, Bars, Nightclubs, Masks, Schools, and Travel Influenced Swiss COVID-19 Reproduction Ratios

Sruthi,  CK,  Biswal, et al

medRxiv

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

In this work, we develop a systematic relation between the degrees of NPIs implemented by the 26 cantons in Switzerland during March 9 to September 13 and their respective contributions to the Rt. Although causal relations are not guaranteed by the model framework, it nevertheless provides a fine-grained justification for the relative merits of choice and the degree of the NPIs and a data-driven strategy for mitigating Rt.

COVID-19-related stress and anxiety are associated with negative body image in adults from the United Kingdom

Swami,  V,  Horne, et al

Personality and Individual Differences

Public Health response| Interventions de santé publique

we conducted a preliminary study in which an online sample of adults from the United Kingdom (N = 506, age M = 34.25 years) were asked to complete measures of perceived stress, stressful life events, trait anxiety, COVID-19-related stress and anxiety, and negative body image. The results of hierarchical regressions indicated that COVID-19-related stress and anxiety explained significant incremental variance in body image outcomes.

COVID-CT-Mask-Net: Prediction of COVID-19 from CT Scans Using Regional Features

Ter-Sarkisov,  Aram

medRxiv

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

We present COVID-CT-Mask-Net model that predicts COVID-19 from CT scans. The model works in two stages: first, it detects the instances of ground glass opacity and consolidation in CT scans, then predicts the condition from the ranked bounding box detections.

The viral protein NSP1 acts as a ribosome gatekeeper for shutting down host translation and fostering SARS-CoV-2 translation

Tidu,  Antonin,  Janvier, et al

bioRxiv

Coronavirology| Coronavirologie

Here, we confirm that viral translation is maintained in the presence of NSP1. We suggest that the interaction between NSP1 and SL1 frees the mRNA accommodation channel while maintaining NSP1 bound to the ribosome. Thus, NSP1 acts as a ribosome gatekeeper, shutting down host translation or fostering SARS-CoV-2 translation depending on the presence of the SL1 5′UTR hairpin. Therapeutic strategies targeting SL1 should affect viral translation at early and late stages of infection. Therefore, SL1 might be seen as a genuine 'Achille heel' of the virus.

COVID-19 in cancer patients can be challenging to screen in a resource limited setting

Ting,  FI,  Sacdalan, et al

Cancer Treatment and Research Communications

Clinical data| Données cliniques

We described here an elderly female with chronic lymphocytic leukemia, who presented with atypical symptoms that were not directly attributable to COVID-19. This patient was admitted to the non-COVID-19 ward for supportive care. Later, her chest x-ray revealed pneumonia that was confirmed to be COVID-19 by RT-PCR testing several days later.

Novel hybrid antiviral VTRRT-13V2.1 against SARS-CoV2 main protease: retro-combinatorial synthesis and molecular dynamics analysis

Tiwari,  V

Heliyon

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The present study reports a designed novel hybrid antiviral molecule (VTRRT-13.V2.1) against SARS-CoV2 main protease. A series of different combinations of hybrid antiviral were generated from nonspecific antiviral molecules currently used to control COVID-19. SARS-CoV2 main protease is essential for the survival of this virus; hence, a designed novel hybrid antiviral molecule (VTRRT-13.V2.1) might be useful to control the infection of COVID-19 infection.

Preventing COVID-19 spread in closed facilities by regular testing of employees – an efficient intervention in long-term care facilities and prisons

Tsoungui Obama,  Henri, Christian Junior, et al

medRxiv

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

Here, the simulation model underlying the pandemic preparedness tool CovidSim 1.1 (http://covidsim.eu/) is extended to investigate the effect of regularly testing of employees in order to protect immobile resident risk groups in closed facilities. The reduction in the number of infections and deaths within the risk group are investigated as well as the potential economic gain resulting from savings in COVID-19 related treatment costs in comparison to costs resulting from the testing interventions.

Analysis of COVID-19 Case Fatality Rates in the States and Union Territories of India

Upadhyay,  Ashwini Kumar,  Shukla, et al

Research Square prepub

Epidemiology| Épidémiologie

Our objective is to calculate the CFR of all the states/UTs of India and analyse the possible factors behind the disparities in it. Where the higher Life Expectancy and Test Positive Rates clearly tend to increase CFR, Healthcare Facilities had surprisingly little effect on it. Analyses of various news articles suggested that Comorbidities, Availability of Essential Drugs, Trained Manpower, Contact Tracings, and Hospital Referral Time were also some of the major factors affecting CFR.

From more testing to smart testing: data-guided SARS-CoV-2 testing choices

van Beek,  Janko,  Igloi, et al

medRxiv

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

We present an in-depth analysis of data from drive through testing stations using rapid antigen detection tests (RDTs), RT-PCR and virus culture, to assess the ability of RDTs to detect infectious cases. We show that the detection limits of five commercially available RDTs differ considerably, impacting the translation into the detection of infectious cases.

Impact of changes to national UK Guidance on testing for gestational diabetes screening during a pandemic: a single-centre observational study

Van De L’Isle,  Y,  Steer, et al

BJOG: An International Journal of Obstetrics and Gynaecology

Healthcare Response | Réponse des soins de santé

We examine the differences in detection rate for gestational diabetes (GDM) comparing the methodology recommended by the National Institute for Health and Clinical Excellence (NICE) compared with testing described as appropriate during the Covid‐19 pandemic by the Royal College of Obstetricians and Gynaecologists (RCOG). In our setting, the RCOG Covid‐19 gestational diabetes screening regime failed to detect 47 of 82 (57%) women subsequently identified as gestational diabetics, and therefore cannot be recommended for general use.

Patient Characteristics, Knowledge of the COVID-19 Disease, Risk Behaviour and Mental State in Patients Visiting an Emergency Room with COVID-19 Symptoms in the Netherlands

van der Valk,  JPM,  Heijboer, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

The primary aim of this study was to investigate patient characteristics, knowledge of the COVID-19 disease, risk behaviour and mental state in patients visiting an emergency department in the Netherlands during the COVID-19 pandemic. Working as a health care professional was correlated to a higher risk of SARS-Cov-2 infection. COVID-19 suspected patients and patients with comorbidities were significantly more anxious. Moreover, the higher the degree of fear, the more carefully hygiene measures were observed.

Automated chest radiograph diagnosis: A Twofer for tuberculosis and Covid-19

Verma,  Mitusha,  Patkar, et al

medRxiv

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

We study Coronavirus disease (Covid 19) and Tuberculosis (TB) conditions with focus on Artificial Intelligence (AI) based imaging, the role of digital chest x-ray and utility of end to end platform to improve turnaround times. The paper tries to outline two types of use cases, one is COVID-19 screening in a hospital-based scenario and the other is TB screening project in mobile van setting and discusses the learning of these models which have both used AI for prescreening and generating structured radiology reports.

Effects of COVID-19 Pandemic on Mental Health and Psychological Well-Being of Italian University Students

Villani,  Leonardo,  Pastorino, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

This study investigated the effects of the COVID-19 pandemic on the mental health and psychological well-being of a sample of Italian university students. Over 90% of respondents reported understanding the preventive measures of the lockdown despite over 70% suffering from the impossibility of seeing their friends and partners. Over 55% of students would have been willing to contribute much more to facing the pandemic.

School closures and SARS-CoV-2. Evidence from Sweden's partial school closure

Vlachos,  Jonas,  Hertegard, et al

medRxiv

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

We connect all students and teachers in Sweden to their families and study the impact of moving to online instruction on the incidence of SARS-CoV-2 and COVID-19. We find that among parents, exposure to open rather than closed schools resulted in a small increase in PCR-confirmed infections. The results for parents indicate that keeping lower secondary schools open had minor consequences for the transmission of SARS-CoV-2 in society. The results for teachers suggest that measures to protect teachers could be considered.

How to address medicines shortages: Findings from a cross-sectional study of 24 countries

Vogler,  S,  Fischer, et al

Health Policy

Healthcare Response | Réponse des soins de santé

The aim of this study was to survey national measures to manage and combat shortages of medicines. Some measures have been introduced since the end of 2019 and countries are planning and discussing further action. While governments reacted by taking national measures, the COVID-19 crisis might serve as an opportunity to join forces in cross-country collaboration and develop joint (e.g. European) solutions to address the shortage issue in a sustainable manner.

The emergence of inter-clade hybrid SARS-CoV-2 lineages revealed by 2D nucleotide variation mapping

Wang,  Hai-Long

bioRxiv

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

I performed whole-genome sequencing on SARS-CoV-2 collected from COVID-19 samples at Mayo Clinic Rochester in mid-April, 2020, generated 85 consensus genome sequences and compared them to other genome sequences collected worldwide. Using this method, I revealed the emergence of inter-clade hybrid SARS-CoV-2 lineages that are potentially caused by homologous genetic recombination.

Applying the electronic nose for pre-operative SARS-CoV-2 screening

Wintjens,  AnneGWE,  Hintzen, et al

Research Square prepub

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

Proof-of-principle study investigated the possibility to train machine-learning classifiers with an electronic nose (Aeonose) to differentiate between COVID-19 positive- and negative persons based on volatile organic compounds (VOCs) analysis.  219 participants were included, 57 of which COVID-19 positive. A sensitivity of 0.86 and a negative predictive value (NPV) of 0.92 were found. Adding clinical variables to machine-learning classifier via multivariate logistic regression analysis, the NPV improved to 0.96.

A Multiplexed, Next Generation Sequencing Platform for High-Throughput Detection of SARS-CoV-2

Wrana,  Jeff,  Aynaud, et al

Research Square prepub

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

Describe “COVID-19 screening using Systematic Parallel Analysis of RNA coupled to Sequencing” (C19-SPAR-Seq), a scalable, multiplexed, readily automated next generation sequencing (NGS) platform that is capable of analyzing tens of thousands of COVID-19 patient samples in a single instrument run.

The impact of work from home (wfh) on workload and productivity in terms of different tasks and occupations

Wu,  H,  Chen, et al

 

Public Health response| Interventions de santé publique

A nationwide survey was distributed to collect data about the workload and productivity of regular work and work from home considering different types of tasks and occupations. The study was conducted in China. The findings indicate that working from home causes an increase in workload for all participants by three hours per week and a loss of productivity for 38% participants.

Factors affecting cancer patients’ electronic communication with providers: Implications for COVID-19 induced transitions to telehealth

Wu,  QL,  Street, et al

Patient education and counseling

Healthcare Response | Réponse des soins de santé

Access and past experience with interactive media technologies are strong predictors of cancer patients’ electronic communication than with clinicians. Adoption of telehealth technology likely depends as much on patients’ relationships with technology as it does their relationships with clinicians

Clinical Value of Blood Markers to Assess the Severity of Coronavirus Disease 2019

Xiao,  Liuniu,  Ran, et al

Research Square prepub

Clinical data| Données cliniques Immunology | Immunologie

The present study suggested that IL-6, IL-8, CRP and platelet played a critical role in deterioration of COVID-19 with potential value for monitoring the severity of COVID-19.

Simple rapid in vitro screening method for SARS-CoV-2 anti-virals that identifies potential cytomorbidity-associated false positives

Yan,  Kexin,  Rawle, et al

bioRxiv

Therapeutics| Thérapeutique

Describe a simple rapid bioassay for drug screening potential SARS-CoV-2 drug candidates using Vero E6 cells and inhibition of cytopathic effects (CPE) measured using crystal violet staining.

A novel comparative study for detection of Covid-19 on CT lung images using texture analysis, machine learning, and deep learning methods

Yasar,  H,  Ceylan, et al

Multimedia Tools and Applications

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

In this study, 1.396 lung CT images in total (386 Covid-19 and 1.010 Non-Covid-19) were subjected to automatic classification. In this study, Convolutional Neural Network (CNN), one of the deep learning methods, was used which suggested automatic classification of CT images of lungs for early diagnosis of Covid-19 disease.

A Distribution-based Regression for Real-Time COVID-19 Cases Detection from Chest X-ray and CT Images

Zamzami,  N,  Koochemeshkian, et al

 

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

Propose a regression model based on a flexible distribution called shifted-scaled Dirichlet for real-time detection of coronavirus pneumonia infected patient using chest X-ray radiographs.

Association of Resilience and Burnout During the COVID-19 Pandemic: Positive and Negative Affect as Mediators in a Cross-Sectional Study of the Frontline Nurses in China

Zhang,  Xiaoning

SSRN- Lancet prepublication

Healthcare Response | Réponse des soins de santé

Frontline nurses reported work-related burnout and negative emotions, indicating that resilience is associated with the effect of negative emotions on nurses’ burnout, which requires attention. It is urgently needed to know how burnout effects on HCWs can be mitigated during COVID-19 pandemic, as well as about the impact of resilience and positive and negative affect on HCWs with burnout, and how policy makers can deploy resilience interventions to support frontline HCWs.

Methyltransferase-like 3 modulates severe acute respiratory syndrome coronavirus-2 RNA N6-methyladenosine modification and replication

Zhang,  Xueyan,  Hao, et al

bioRxiv

Coronavirology| Coronavirologie

Evaluated the roles of RNA N6-methyladenosine (m6A) modification in SARS-CoV-2. Our methylated RNA immunoprecipitation sequencing (MeRIP-Seq) analysis showed that SARS-CoV-2 RNA contained m6A modification. Moreover, SARS-CoV-2 infection not only increased the expression of methyltransferase-like 3 (METTL3) but also altered its distribution. Modification of METTL3 expression by short hairpin RNA or plasmid transfection for knockdown or overexpression, respectively, affected viral replication.

Multifaceted Examination and Assessment of COVID-19 Convalescent Patients in Wuhan, China: A Follow-Up Study of Survivors Three Months after Discharge

Zhou,  Mei,  Xu, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques

Followed up 95 severe/critical patients and 51 mild/moderate ones who recovered from COVID-19 and were discharged from hospital for 3 months; comparison group included 28 asymptomatic COVID-19 recovered individuals and 42 uninfected healthy donors (HDs).CRP, LDH and D-dimer, three prevalent risk factors for COVID-19 prognosis in the acute phase, did not recover to the level of uninfected HDs in the convalescence. Immune cells virtually returned to normal levels in patients who recovered from COVID-19, but some pro-inflammatory cytokines, especially chemokines and factors related to vascular injury and angiogenesis, did not return to the level of HDs, and this was especially true of severe/critical recovered patients. CT of the lungs showed that ground-glass opacity (GGO) still lingered as the main manifestation, followed by strip-like fibrosis. Artificial intelligence (AI) analysis indicated that the lesions were most prominent in the lower lobe of right lung, and were mainly found in recovered severe/critical individuals. Overall, the recovery status of the patients varied with the severity of the disease.

Circulating Proteins Influencing COVID-19 Susceptibility and Severity: a Mendelian Randomization Study

Zhou,  Sirui,  Butler-Laporte, et al

medRxiv

Coronavirology| Coronavirologie

Identify the genetic determinants of 955 circulating proteins in  SARS-CoV-2 uninfected individuals (10,708), retaining only single nucleotide polymorphisms near the gene encoded by the circulating protein. The study finds, OAS1 is an interferon-stimulated gene that promotes viral RNA degradation. Other potentially implicated proteins included IL10RB. Available medicines, such as interferon-beta-1b, increase OAS1 and could be explored for their effect on COVID-19 susceptibility and severity.

High-resolution structure and biophysical characterization of the nucleocapsid phosphoprotein dimerization domain from the Covid-19 severe acute respiratory syndrome coronavirus 2

Zinzula,  L,  Basquin, et al

Biochemical and biophysical research communications

Coronavirology| Coronavirologie

Report the structural and biophysical characterization of the SARS-CoV-2 N C-terminal domain (CTD), on which both N homo-oligomerization and ssRNA binding depend. Crystal structures solved at 1.44 Å and 1.36 Å resolution describe a rhombus-shape N CTD dimer, which stably exists in solution as validated by size-exclusion chromatography coupled to multi-angle light scattering and analytical ultracentrifugation.

Concept of aromatherapy in boosting psychological immune system against COVID-19

Al-Mansour,  B,  Adraa, et al

Medicinal Plants

Review Literature| Revue de littérature

 

Examining the digitalisation of virtual enterprises amidst the COVID-19 pandemic: a systematic and meta-analysis

Anthony Jnr,  B,  Abbas Petersen, et al

Enterprise Information Systems

Review Literature| Revue de littérature

SR-MA:  this provides a review of extant literature and meta-analysis of 55 VE research articles to present the theoretical underpinning concept of VE digitalization.

SARS-CoV-2 pharmacologic therapies and their safety/effectiveness according to level of evidence

Baroutjian,  A,  Sanchez, et al

American Journal of Emergency Medicine

Review Literature| Revue de littérature

 

A review of recommendations for routine immunization services during covid-19 pandemic that are relevant for nursing personnel involved in the implementation of immunoprophylaxis

Bednarek,  A,  Klepacz, et al

Journal of Multidisciplinary Healthcare

Review Literature| Revue de littérature

 

Stroke in coronavirus disease 2019: A systematic review

Bhatia,  R,  Pedapati, et al

Journal of Stroke

Review Literature| Revue de littérature

SR:  searched Web of Science, Embase, Scopus, and PubMed starting from inception up to May 22, 2020. The association between stroke and COVID-19 is probably multifactorial including an amalgamation of traditional vascular risk factors, proinflammatory and a prothrombotic state.

Virology, clinical features and diagnosis of covid 19: Review analysis

Bhusal,  L,  Amgain, et al

Kathmandu University Medical Journal

Review Literature| Revue de littérature

 

How can the epidemic curve of COVID-19 in Iran be interpreted?

Doosti-Irani,  A,  Haghdoost, et al

Journal of Research in Health Sciences

Review Literature| Revue de littérature

 

Designing Digital Technologies and Safeguards for Improving Activities and Well-Being for Aging in Place

Fournier,  H,  Kondratova, et al

 

Review Literature| Revue de littérature

 

Pandemic intellectuals

Frandsen,  SL,  Laage-Thomsen, et al

Acta Sociologica (United Kingdom)

Review Literature| Revue de littérature

 

Structural Basis of SARS-CoV-2 and SARS-CoV Antibody Interactions

Gavor,  E,  Choong, et al

Trends in immunology

Review Literature| Revue de littérature

 

Novel research opportunities: An unfortunate small silver lining to COVID-19

Grech,  V,  Cuschieri, et al

Early human development

Review Literature| Revue de littérature

 

COVID-19: Combined supply-side and demand-side shocks, so lift restrictions (carefully) lest GPD declines ultimately kill more than COVID-19

Grech,  V,  Grech, et al

Early human development

Review Literature| Revue de littérature

 

Post mortem pathological findings in COVID-19 cases: A Systematic Review

Hammoud,  Hamed,  Bendari, et al

medRxiv

Review Literature| Revue de littérature

SR: search of electronic databases (PubMed, ScienceDirect, Google scholar, Medrxiv & Biorxiv) was carried out from December 2019 to August, 15th 2020. Autopsy examination as an investigation tool could help in a better understanding of SARS-CoV-2 pathophysiology, diagnosis, management, and subsequently improving patient care.

COVID-19 restrictions on human rights in the light of the case-law of the European Court of Human Rights

Jovičić,  S

ERA Forum

Review Literature| Revue de littérature

 

Historic plagues and Christian responses: Lessons for the church today?

Just,  B

Christian Journal for Global Health

Review Literature| Revue de littérature

 

[What should urologists know about SARS-CoV-2? Risk analysis for urological operations and recommendations for action in clinical routine]

Kunz,  Y,  Horninger, et al

Urologe A

Review Literature| Revue de littérature

 

Prevalence of Depression, Anxiety, and Stress during COVID-19 Pandemic

Lakhan,  R,  Agrawal, et al

Journal of Neurosciences in Rural Practice

Review Literature| Revue de littérature

 

CardioPulmonary Resuscitation in patients with suspected or confirmed Covid-19. A consensus of the Working group on CardioPulmonary Resuscitation of the Hellenic Society of Cardiology

Latsios,  G,  Synetos, et al

Hellenic Journal of Cardiology

Review Literature| Revue de littérature

 

Prone positioning of non-intubated patients with COVID-19 - A Systematic Review and Meta-analysis

Ponnapa Reddy,  Mallikarjuna,  Subramaniam, et al

medRxiv

Review Literature| Revue de littérature

SR-MA:  searched PubMed, Embase and COVID-19 living systematic review from December1st 2019 to July23rd 2020. Despite significant variability in frequency and duration of PP and respiratory supports, PP was associated with improvements in oxygenation parameters without any reported serious adverse events.

Overview of LiLAS 2020 – Living Labs for Academic Search

Schaer,  P,  Schaible, et al

 

Review Literature| Revue de littérature

 

Anti-inflammatory effects of cordycepin: A review

Tan,  L,  Song, et al

Phytotherapy Research

Review Literature| Revue de littérature

 

Association of corticosteroids use and outcomes in COVID-19 patients: A systematic review and meta-analysis

Tlayjeh,  H,  Mhish, et al

Journal of Infection and Public Health

Review Literature| Revue de littérature

SR-MA:  searched Medline, Embase, EBM Reviews, Scopus, Web of Science, and preprints up to July 20, 2020. heterogeneous and low certainty cumulative evidence based on observational studies and one RCT suggests that CST was not associated with reduction in short-term mortality but possibly with a delay in viral clearance in patients hospitalized with COVID-19 of different severities.

What is the evidence for transmission of COVID-19 by children in schools? A living systematic review

Xu,  Wei,  Li, et al

medRxiv

Review Literature| Revue de littérature

SR-MA:  search in MEDLINE, CINAHL, ERIC, Embase, WHO COVID-19 database, medRxiv, The American Academy of Pediatrics (AAP), The Royal College of Paediatrics and Child Health (RCPCH), and Do not forget the bubbles websites with entry date limits from December 2019 to 14 July 2020 There is limited high-quality evidence available to quantify the extent of SARS-CoV-2 transmission in schools or to compare it to community transmission. Emerging evidence suggests lower IAR and SARS-CoV-2 positivity rate in students compared to school staff.

Endothelial glycocalyx damage as a systemic inflammatory microvascular endotheliopathy in COVID-19

Yamaoka-Tojo,  M

Biomedical Journal

Review Literature| Revue de littérature

 

Renal artery thrombosis in COVID-19

Acharya,  S,  Anwar, et al

IDCases

Commentary/Editorial| Commentaire/Éditorial

 

“GRASP” Module of Self-assessment with Virtual Mentoring for Uninterrupted Surgical Training During COVID-19 Pandemic

Agrawal,  V,  Yadav, et al

Indian Journal of Surgery

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: A Study of Islamic and Scientific Perspectives

Ahmad,  Z,  Ahad, et al

Theology and Science

Commentary/Editorial| Commentaire/Éditorial

 

Thinking about ophthalmology in the era of the COVID-19 pandemic

Alaimo,  F,  Tosto, et al

EuroMediterranean Biomedical Journal

Commentary/Editorial| Commentaire/Éditorial

 

Special issue on social work in the time of COVID-19

Allen,  MD,  Gonzalez, et al

Journal of Comparative Social Work

Commentary/Editorial| Commentaire/Éditorial

 

Scientific consensus on the COVID-19 pandemic: we need to act now

Alwan,  NisreenA,  Burgess, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Reconsidering public budgeting after the COVID-19 outbreak: key lessons and future challenges

Anessi-Pessina,  E,  Barbera, et al

Journal of Public Budgeting, Accounting and Financial Management

Commentary/Editorial| Commentaire/Éditorial

 

Funding and COVID-19 Research Priorities - Are the research needs for Africa being met?

Antonio,  Emilia,  Alobo, et al

medRxiv

Commentary/Editorial| Commentaire/Éditorial

 

Providing Support for Rural Special Educators During Nontraditional Instruction: One State’s Response

Ault,  MJ,  Courtade, et al

Rural Special Education Quarterly

Commentary/Editorial| Commentaire/Éditorial

 

Educational distancing

Baggaley,  J

Distance Education

Commentary/Editorial| Commentaire/Éditorial

 

What is the role of a psychiatrist in the COVID-19 pandemic?

Baldwin,  DS

Medicine (United Kingdom)

Commentary/Editorial| Commentaire/Éditorial

 

Author response to: Comment on: SARS-Cov-2 in peritoneal fluid: an important finding in the Covid-19 pandemic

Barberis,  A,  Rutigliani, et al

Br J Surg

Commentary/Editorial| Commentaire/Éditorial

 

Diabetes virtual clinics: technology-enabled care services (TECS) – the new norm?

Begg,  A

Practical Diabetes

Commentary/Editorial| Commentaire/Éditorial

 

International Listening Post report summary: The world at the dawn of 2020

Beland,  U,  Stuart, et al

Organisational and Social Dynamics

Commentary/Editorial| Commentaire/Éditorial

 

Tests Covid-19 : priorisation toute !

Benaderette,  S

Option/Bio

Commentary/Editorial| Commentaire/Éditorial

 

Anchors away: reconciling the dream of teaching in COVID-19

Berry,  K

Communication Education

Commentary/Editorial| Commentaire/Éditorial

 

Why do some reports claim that the number of COVID-19 hospitalized smokers is smaller than expected?

Bevelacqua,  JJ,  Masoompour, et al

Journal of Biomedical Physics and Engineering

Commentary/Editorial| Commentaire/Éditorial

 

A new look at the ldrt treatment for COVID-19 associated pneumonia: The issues of antiviral resistance and virus spread-ability

Bevelacqua,  JJ,  Mehdizadeh, et al

Journal of Biomedical Physics and Engineering

Commentary/Editorial| Commentaire/Éditorial

 

Corporate sponsorship for museums in times of crisis

Biraglia,  A,  Gerrath, et al

Annals of Tourism Research

Commentary/Editorial| Commentaire/Éditorial

 

The carelessness of entrepreneurial universities in a world risk society: a feminist reflection on the impact of Covid-19 in Australia

Blackmore,  J

Higher Education Research and Development

Commentary/Editorial| Commentaire/Éditorial

 

Letter to the Editor: “The Neurosurgeon and Medical Professionalism During the COVID-19 Pandemic”

Bohórquez-Rivero,  J,  García-Ballestas, et al

World Neurosurgery

Commentary/Editorial| Commentaire/Éditorial

 

Working conditions and emotional impact in healthcare workers during COVID-19 pandemic

Boluarte Carbajal,  A,  Sánchez Boluarte, et al

Journal of Healthcare Quality Research

Commentary/Editorial| Commentaire/Éditorial

 

Making Sense of COVID-19 with Child Patients: From Screen to Screen

Bonovitz,  C

Psychoanalytic Dialogues

Commentary/Editorial| Commentaire/Éditorial

 

The Possible Dual Role of the ACE2 Receptor in Asthma and Coronavirus (SARS-CoV2) Infection

Branco,  ACCC,  Sato, et al

Frontiers in Cellular and Infection Microbiology

Commentary/Editorial| Commentaire/Éditorial

 

Managing a doula team in the Covid-19 crisis

Bromley-Hesketh,  M

AIMS Journal

Commentary/Editorial| Commentaire/Éditorial

 

Tarnished Silver Linings

Brucker,  MC

Nursing for Women's Health

Commentary/Editorial| Commentaire/Éditorial

 

Art markets in crisis: how personal bonds and market subcultures mediate the effects of COVID-19

Buchholz,  L,  Fine, et al

American Journal of Cultural Sociology

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 changes the game for entrepreneurs

Buss,  D

Food Technology

Commentary/Editorial| Commentaire/Éditorial

 

Ushering children with disabilities in the ‘new normal’ post-COVID-19 period: collective actions in the Philippines

Cahapay,  MB

Disability and Society

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and the possibility of solidarity

Chadwick,  R

Bioethics

Commentary/Editorial| Commentaire/Éditorial

 

Coronaviruses and Nature’s Pharmacy for the Relief of Coronavirus Disease 2019

Chinsembu,  KC

Revista Brasileira de Farmacognosia

Commentary/Editorial| Commentaire/Éditorial

 

Towards better contact-tracing in the UK

Cook,  AlexR,  Clapham, et al

The Lancet Digital Health

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: Impact of a pandemic

Cuestas,  ML,  Minassian, et al

Revista Argentina de microbiologia

Commentary/Editorial| Commentaire/Éditorial

 

Psychological caring and affection in times of pandemic: Life-affirming political practices

de Toledo Quadros,  LC,  da Cunha, et al

Psicologia e Sociedade

Commentary/Editorial| Commentaire/Éditorial

 

Neuro-oncology management during the COVID-19 pandemic with a focus on WHO grades III and IV Gliomas

Denise,  B,  Wolfgang, et al

Neuro-oncology

Commentary/Editorial| Commentaire/Éditorial

 

Inconfidencias de abril: Impacto del aislamiento social en la comunidad trans en tiempos de la pandemia covid-19

dos Santos,  MA,  de Oliveira, et al

Psicologia e Sociedade

Commentary/Editorial| Commentaire/Éditorial

 

Acute necrotizing encephalopathy secondary to covid-19

Dushianthan,  S,  Gamboa, et al

Critical Care and Shock

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: Kein schwerwiegenderer Verlauf unter RAS-Hemmung

Eckert,  N

Deutsches Arzteblatt International

Commentary/Editorial| Commentaire/Éditorial

 

The geroscience agenda: Toxic stress, hormetic stress, and the rate of aging

Epel,  ES

Ageing Research Reviews

Commentary/Editorial| Commentaire/Éditorial

 

Effects of COVID-19 on the brain

Evans,  G

Hospital Infection Control and Prevention

Commentary/Editorial| Commentaire/Éditorial

 

Peripheral neuropathy in severe COVID-19 resolved with therapeutic plasma exchange

Faqihi,  F,  Alharthy, et al

Clinical Case Reports

Commentary/Editorial| Commentaire/Éditorial

 

Severe COVID-19 during pregnancy and the subsequent premature delivery

Fernandez-Garcia,  C,  Montaner-Ramon, et al

Pediatrics and Neonatology

Commentary/Editorial| Commentaire/Éditorial

 

A Mentee's Baby Registry: Supporting New Academic Parents in 2020

Fertig,  EJ

Cell Systems

Commentary/Editorial| Commentaire/Éditorial

 

Cardiovascular disease and cardiovascular outcomes in COVID-19

Fisher,  M

Practical Diabetes

Commentary/Editorial| Commentaire/Éditorial

 

Assessing Food Insecurity among US Adults during the COVID-19 Pandemic

Fitzpatrick,  KM,  Harris, et al

Journal of Hunger and Environmental Nutrition

Commentary/Editorial| Commentaire/Éditorial

 

Copper as a potential adjunct therapy for critically ill COVID-19 patients

Fooladi,  S,  Matin, et al

Clinical Nutrition ESPEN

Commentary/Editorial| Commentaire/Éditorial

 

The role for the metagenome in the pathogenesis of COVID-19

Friedland,  RP,  Haribabu, et al

EBioMedicine

Commentary/Editorial| Commentaire/Éditorial

 

Experiences of and responses to disempowerment, violence, and injustice within the relational lives of lesbian, gay, bisexual, transgender, and queer people

Gahan,  L,  Almack, et al

Journal of Sociology

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: The crucial role of the nose

Gamerra,  M,  de Corso, et al

Brazilian Journal of Otorhinolaryngology

Commentary/Editorial| Commentaire/Éditorial

 

Erratum to “Emergency Medical Services resource capacity and competency amid COVID-19 in the United States: preliminary findings from a national survey” [Heliyon 6 (5) (May 2020) Article e03900]

Gibson,  C,  Ventura, et al

Heliyon

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19, the food system and the circular economy: Challenges and opportunities

Giudice,  F,  Caferra, et al

Sustainability (Switzerland)

Commentary/Editorial| Commentaire/Éditorial

 

Telemedicine in Rheumatology at the Advent of the COVID-19 Pandemic

Gkrouzman,  E,  Wu, et al

HSS Journal

Commentary/Editorial| Commentaire/Éditorial

 

Proposal for a harmonized protocol for COVID-19 screening and necropsy in forensic sciences facilities: On the need of full autopsies during the SARS-CoV2 pandemic

González-Arnay,  E,  Martín-Olivera, et al

Journal of Forensic and Legal Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Obesity may play a role in COVID-19 outcomes

Gordon,  DT

Food Technology

Commentary/Editorial| Commentaire/Éditorial

 

Safe school reopening under COVID-19 restrictions – Measures implemented in San Andrea Independent School in Malta

Grech,  V,  Bartolo, et al

Early human development

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and Containment: A Dual Burden for India

Grills,  NJ

Christian Journal for Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Rudolf Bauer: China anti-COVID-19 success is closely related with the role TCM played

Guo,  DA,  Liu, et al

Chinese Herbal Medicines

Commentary/Editorial| Commentaire/Éditorial

 

Coping of Chinese citizens living in Spain during the COVID-19 pandemic: Lessons for personal well-being and social cohesion

Guo,  M,  Joanpere, et al

Sustainability (Switzerland)

Commentary/Editorial| Commentaire/Éditorial

 

Peritraumatic reactions during the COVID-19 pandemic – The contribution of posttraumatic growth attributed to prior trauma

Hamam,  AA,  Milo, et al

Journal of psychiatric research

Commentary/Editorial| Commentaire/Éditorial

 

Reflections on COVID -19 and the potential impact on preterm infant feeding and speech, language and communication development

Harding,  C,  Aloysius, et al

Journal of Neonatal Nursing

Commentary/Editorial| Commentaire/Éditorial

 

When demand outstrips supply: A Christian view of the ethics of healthcare resource allocation during the COVID-19 pandemic

Haslam,  J,  Redman, et al

Christian Journal for Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Recent Developments at the CMA: 2019–2020

Havell,  R,  Jenkins, et al

Review of Industrial Organization

Commentary/Editorial| Commentaire/Éditorial

 

Preparing for freebirth during Covid-19

Hyde,  HB

AIMS Journal

Commentary/Editorial| Commentaire/Éditorial

 

Letter of response to comments on: Developing a risk assessment score for patients with cancer during COVID-19 pandemic: A war on two fronts

Indini,  A,  Rijavec, et al

European journal of cancer

Commentary/Editorial| Commentaire/Éditorial

 

Managing hyperlipidaemia in patients with COVID-19 and during its pandemic: An expert panel position statement from HEART UK

Iqbal,  Z,  Ho, et al

Atherosclerosis

Commentary/Editorial| Commentaire/Éditorial

 

A Biblical Model for a Christian Hospital in India in the time of COVID-19

Ismavel,  VA

Christian Journal for Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Lid abscess associated with personal protective eyewear in a COVID-19 medical unit

Janetos,  TM,  Thyparampil, et al

Canadian Journal of Ophthalmology

Commentary/Editorial| Commentaire/Éditorial

 

Artificial and Internet of Healthcare Things Based Alzheimer Care During COVID 19

Jesmin,  S,  Kaiser, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

The impact of Covid-19 on Tabitha's birth

Kemlo,  H

AIMS Journal

Commentary/Editorial| Commentaire/Éditorial

 

Erratum: Olfactory loss of function as a possible symptom of COVID-19. (JAMA Otolaryngology - Head and Neck Surgery (2020) DOI: 10.1001/jamaoto.2020.1590

Kheoke,  SW,  Teo, et al

JAMA Otolaryngology - Head and Neck Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Fiscal resilience of Russia's regions in the face of COVID-19

Klimanov,  V,  Kazakova, et al

Journal of Public Budgeting, Accounting and Financial Management

Commentary/Editorial| Commentaire/Éditorial

 

Polyunsaturated fatty acid biosynthesis pathway and genetics. implications for interindividual variability in prothrombotic, inflammatory conditions such as COVID-19,✰✰,,★★

Kothapalli,  KSD,  Park, et al

Prostaglandins Leukotrienes and Essential Fatty Acids

Commentary/Editorial| Commentaire/Éditorial

 

Social work practice education and training during the pandemic: Disruptions and discoveries

Kourgiantakis,  T,  Lee, et al

International Social Work

Commentary/Editorial| Commentaire/Éditorial

 

Impact of COVID-19 on pregnancy and delivery - Current knowledge

Krupa,  A,  Schmidt, et al

Ginekologia polska

Commentary/Editorial| Commentaire/Éditorial

 

Response of an Obstetric Unit during the Coronavirus Disease of 2019 (COVID-19) Pandemic: Experiences from a Tertiary Care Center

Kumaraswami,  S,  Pradhan, et al

AJP Reports

Commentary/Editorial| Commentaire/Éditorial

 

Practical recommendations for temporary storage of medical wastes during the COVID-19 pandemic

Lakhouit,  A

Indoor and Built Environment

Commentary/Editorial| Commentaire/Éditorial

 

Is there a post-COVID syndrome?

Lamprecht,  B

Pneumologe

Commentary/Editorial| Commentaire/Éditorial

 

The Real Hero and the Real Challenge in the COVID-19 Era

Landa,  AB

Christian Journal for Global Health

Commentary/Editorial| Commentaire/Éditorial

 

The Implications of COVID-19 for Nonmarket Strategy Research

Lawton,  TC,  Dorobantu, et al

Journal of Management Studies

Commentary/Editorial| Commentaire/Éditorial

 

The Labour Market Impacts of the COVID-19: A Global Perspective

Lee,  S,  Schmidt-Klau, et al

Indian Journal of Labour Economics

Commentary/Editorial| Commentaire/Éditorial

 

The (un)expected pandemic and its implications for the world of work

Leite,  KC

Psicologia e Sociedade

Commentary/Editorial| Commentaire/Éditorial

 

Globalization and regionalization: Empirical evidence from itinerary structure and port organization of world cruise of cunard

Li,  X,  Wang, et al

Sustainability (Switzerland)

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Era Stroke Service: Virtually Normal

Liaw,  N,  Liebeskind, et al

Current Treatment Options in Neurology

Commentary/Editorial| Commentaire/Éditorial

 

The institutional machinery of expertise: Producing facts, figures and futures in COVID-19

Lidskog,  R,  Standring, et al

Acta Sociologica (United Kingdom)

Commentary/Editorial| Commentaire/Éditorial

 

Shifting digital, shifting context: (re)considering teacher professional development for online and blended learning in the COVID-19 era

Lockee,  BB

Educational Technology Research and Development

Commentary/Editorial| Commentaire/Éditorial

 

The authors' response to “A more realistic relationship between covid 19 and hemopneumothorax”

Long,  A,  Grimaldo, et al

American Journal of Emergency Medicine

Commentary/Editorial| Commentaire/Éditorial

 

The Lancet's discussion on hydroxychloroquine or chloroquine in patients with COVID-19

López Tricas,  JM

European Journal of Clinical Pharmacy

Commentary/Editorial| Commentaire/Éditorial

 

Biomechanical Issues of Mechanical Ventilation in Covid-19 Therapy

Luo,  M,  Ni, et al

Yiyong Shengwu Lixue/Journal of Medical Biomechanics

Commentary/Editorial| Commentaire/Éditorial

 

Beef and Pork Marketing Margins and Price Spreads during COVID-19

Lusk,  JL,  Tonsor, et al

Applied Economic Perspectives and Policy

Commentary/Editorial| Commentaire/Éditorial

 

Combating Hard or Soft Disasters with Privacy-Preserving Federated Mobile Buses-And-Drones based Networks

Ma,  B,  Wu, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

From the perspective of Traditional Chinese Medicine: Treatment of mental disorders in COVID-19 survivors

Ma,  K,  Wang, et al

Biomedicine and Pharmacotherapy

Commentary/Editorial| Commentaire/Éditorial

 

SARS, MERS and COVID-19; the story continues

Mahmoodpoor,  A

Journal of Cellular and Molecular Anesthesia

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 pandemic: What we have learned from Thai experiences

Malathum,  K,  Malathum, et al

Pacific Rim International Journal of Nursing Research

Commentary/Editorial| Commentaire/Éditorial

 

Self-medication during Covid-19 pandemic: challenges and opportunities

Malik,  M,  Tahir, et al

Drugs and Therapy Perspectives

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19’s influence on the future of agile

Mancl,  D,  Fraser, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

Treatment of covid-19 is critically phase specific

Marik,  PE,  Varon, et al

Critical Care and Shock

Commentary/Editorial| Commentaire/Éditorial

 

Separated but Whole: Pursuing Health and Redefining Community amidst COVID-19

Millhollin,  J

Christian Journal for Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Implications of the COVID-19 Pandemic for Gender Equity Issues at Work

Milliken,  FJ,  Kneeland, et al

Journal of Management Studies

Commentary/Editorial| Commentaire/Éditorial

 

Understanding fake news during the Covid-19 health crisis from the perspective of information behaviour: The case of Spain

Montesi,  M

Journal of Librarianship and Information Science

Commentary/Editorial| Commentaire/Éditorial

 

Navigating COVID-19 in higher education: the significance of solidarity

Mose,  L

Communication Education

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19 pandemic – role of technology in transforming business to the new normal

Nah,  FFH,  Siau, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

Impact of SARS CoV-2 on working activity

Nania,  A,  Catalina, et al

EuroMediterranean Biomedical Journal

Commentary/Editorial| Commentaire/Éditorial

 

Fake News Affecting the Adherence of National Response Measures During the COVID-19 Lockdown Period: The Experience of Vietnam

Nguyen,  TTP,  Nguyen, et al

Frontiers in Public Health

Commentary/Editorial| Commentaire/Éditorial

 

Is COVID-19 the end of US hegemony? Public bads, leadership failures and monetary hegemony

Norrlöf,  C

International Affairs

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus-2019 disease (COVID-19) in children

Ovali,  F

Medeniyet Medical Journal

Commentary/Editorial| Commentaire/Éditorial

 

Beware of side effects on quality! Investigating the implications of home working on work-life balance in educational services

Palumbo,  R,  Manna, et al

TQM Journal

Commentary/Editorial| Commentaire/Éditorial

 

Lab-on-Mask for Remote Respiratory Monitoring

Pan,  L,  Wang, et al

ACS Materials Letters

Commentary/Editorial| Commentaire/Éditorial

 

Ivermectin in COVID-19: What do we know?

Pandey,  S,  Pathak, et al

Diabetes and Metabolic Syndrome: Clinical Research and Reviews

Commentary/Editorial| Commentaire/Éditorial

 

Learning from past pandemic governance: Early response and Public-Private Partnerships in testing of COVID-19 in South Korea

Park,  J,  Chung, et al

World Development

Commentary/Editorial| Commentaire/Éditorial

 

World-Beating? Testing Britain's Covid Response and Tracing the Explanation

Paton,  C

Health Economics, Policy and Law

Commentary/Editorial| Commentaire/Éditorial

 

Dietary recommendations for patients with chronic kidney disease and sars-cov-2 infection

Pérez-Torres,  A,  Caverni-Muñoz, et al

Enfermeria Nefrologica

Commentary/Editorial| Commentaire/Éditorial

 

TOCIVID-19 - A multicenter study on the efficacy and tolerability of tocilizumab in the treatment of patients with COVID-19 pneumonia. Study protocol

Piccirillo,  MC,  Ascierto, et al

Contemporary Clinical Trials

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Shows the Need to Make Church More Flexible

Pillay,  J

Transformation

Commentary/Editorial| Commentaire/Éditorial

 

Diagnose und Triage bei SARS-CoV-2-Verdacht: Helfen uns Symptome und klinische Zeichen?

Plate,  A,  Neuner-Jehle, et al

Zeitschrift fur Allgemeinmedizin

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19 will Change the Agri-food System – but how?

Poppe,  K

EuroChoices

Commentary/Editorial| Commentaire/Éditorial

 

Missing voices: the absence of women from Italy’s Covid-19 pandemic response

Priola,  V,  Pecis, et al

Gender in Management

Commentary/Editorial| Commentaire/Éditorial

 

Telepsychiatry During the COVID-19 Pandemic: Development of a Protocol for Telemental Health Care

Ramalho,  R,  Adiukwu, et al

Frontiers in Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Platform Work and the COVID-19 Pandemic

Rani,  U,  Dhir, et al

Indian Journal of Labour Economics

Commentary/Editorial| Commentaire/Éditorial

 

Strengths-based actions to enhance wellbeing in the time of COVID-19

Rashid,  T,  McGrath, et al

International Journal of Wellbeing

Commentary/Editorial| Commentaire/Éditorial

 

Stadium attendance demand during the COVID-19 crisis: early empirical evidence from Belarus

Reade,  JJ,  Schreyer, et al

Applied Economics Letters

Commentary/Editorial| Commentaire/Éditorial

 

The consequence of COVID-19: How the United States moved from security provider to security consumer

Reich,  S,  Dombrowski, et al

International Affairs

Commentary/Editorial| Commentaire/Éditorial

 

Faith in Internationalism: Covid-19 and the International Order

Ross,  KR

Transformation

Commentary/Editorial| Commentaire/Éditorial

 

Strategies and solutions to return to training for teams and elite athletes after lifting COVID-19 restrictions

Saffar Kohneh Quchan,  AH,  Kordi, et al

Asian Journal of Sports Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Indirect and potential impacts of the covid-19 pandemic on the public health

Saghafipour,  A

Journal of Research in Health Sciences

Commentary/Editorial| Commentaire/Éditorial

 

Tricky kawasaki disease and covid 19 mystery

Samir,  M

Current Pediatric Research

Commentary/Editorial| Commentaire/Éditorial

 

Establishing Better Evidence on Remote Monitoring for Postpartum Hypertension: A Silver Lining of the Coronavirus Pandemic

Sawyer,  MR,  Jaffe, et al

AJP Reports

Commentary/Editorial| Commentaire/Éditorial

 

Performing pandemic pedagogy

Schwartzman,  R

Communication Education

Commentary/Editorial| Commentaire/Éditorial

 

Hospital Readiness for COVID-19: The Scenario from India with Suggestions for the world

Seshadri,  MS,  John, et al

Christian Journal for Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Machine Learning Research Towards Combating COVID-19: Virus Detection, Spread Prevention, and Medical Assistance

Shahid,  Osama,  Nasajpour, et al

arXiv

Commentary/Editorial| Commentaire/Éditorial

 

The significance of hyperglycaemia and other comorbidities during the COVID-19 pandemic

Shaw,  K

Practical Diabetes

Commentary/Editorial| Commentaire/Éditorial

 

Nondisrupted, safety ensured, opioid substitution clinic in a COVID-19 designated hospital of a resource-limited state in India

Singh,  LK,  Tikka, et al

Asia-Pacific Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Food safety through the prism of COVID-19

Sloan,  AE

Food Technology

Commentary/Editorial| Commentaire/Éditorial

 

"Stay at home": Risk management in contexts of uncertainty

Spink,  MJP

Psicologia e Sociedade

Commentary/Editorial| Commentaire/Éditorial

 

Successful management plan of COVID-19 in a pediatric hemato-oncology department: A single-centre experience

Stellato,  P,  Granata, et al

BMJ Paediatrics Open

Commentary/Editorial| Commentaire/Éditorial

 

Distance Education Support for Students With Autism Spectrum Disorder and Complex Needs During COVID-19 and School Closures

Stenhoff,  DM,  Pennington, et al

Rural Special Education Quarterly

Commentary/Editorial| Commentaire/Éditorial

 

Relationship between COVID-19 and liver diseases: The role of hepatologists in clinical practice

Sumida,  Y,  Kimoto, et al

Acta Hepatologica Japonica

Commentary/Editorial| Commentaire/Éditorial

 

Coping with more than COVID-19

Swain,  Kelley

The Lancet Child & Adolescent Health

Commentary/Editorial| Commentaire/Éditorial

 

The saga of an anaesthesiologist: frontline COVID‐19 warrior

Syal,  R,  Kumari, et al

Brazilian Journal of Anesthesiology

Commentary/Editorial| Commentaire/Éditorial

 

Government's policy, citizens' behavior, and COVID-19 pandemic

Takagi,  H

Journal of medical virology

Commentary/Editorial| Commentaire/Éditorial

 

Choice behavior of commuters' rail transit mode during the COVID-19 pandemic based on logistic model

Tan,  L,  Ma, et al

Journal of Traffic and Transportation Engineering (English Edition)

Commentary/Editorial| Commentaire/Éditorial

 

Brazilian housemaids and COVID-19: How can they isolate if domestic work stems from racism?

Teixeira,  JC

Gender, Work and Organization

Commentary/Editorial| Commentaire/Éditorial

 

When two for the price of one isn't a bargain: estimating prevalence and microbiology of bacterial co-infections in patients with COVID-19

Thaden,  JT,  Maskarinec, et al

Clinical Microbiology and Infection

Commentary/Editorial| Commentaire/Éditorial

 

Regular Health Screenings and Immunizations Are Essential, Despite COVID-19

Thomas,  SL

Journal for Nurse Practitioners

Commentary/Editorial| Commentaire/Éditorial

 

Companies, COVID-19 and Respect for Human Rights

Tripathi,  S

Business and Human Rights Journal

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 testing by pharmacists

Tsuyuki,  RT,  Watson, et al

Canadian Pharmacists Journal

Commentary/Editorial| Commentaire/Éditorial

 

Surviving a strong typhoon in the midst of covid-19 pandemic: The case of the philippines

Tudy Randy,  A,  Niez Alex, et al

Disaster Advances

Commentary/Editorial| Commentaire/Éditorial

 

The experiences of traditional craftsmanship in the process of covid-19 pandemic

Tüzel,  B

Milli Folklor

Commentary/Editorial| Commentaire/Éditorial

 

Performing rituals of affliction: how a Governor’s Press conferences provided mediatized sanctuary in Ohio

Villegas,  CM

American Journal of Cultural Sociology

Commentary/Editorial| Commentaire/Éditorial

 

Art & Archaeology: Uncomfortable Archival Landscapes

Wall,  G,  Hale, et al

International Journal of Art and Design Education

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and the Curse of Piecemeal Perspectives

Walzer,  C

Frontiers in Veterinary Science

Commentary/Editorial| Commentaire/Éditorial

 

Re: 'Personal protective equipment protecting healthcare workers in the Chinese epicenter of COVID-19' by Zhao et al

Wee,  LE,  Sim, et al

Clinical Microbiology and Infection

Commentary/Editorial| Commentaire/Éditorial

 

Is the 2019 novel coronavirus related to a spike of cosmic rays?

Wickramasinghe,  NC

Advances in Genetics

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19 and my IVF pregnancy

Wood,  G

AIMS Journal

Commentary/Editorial| Commentaire/Éditorial

 

The Complement C5a-C5aR1 GPCR Axis in COVID-19 Therapeutics

Woodruff,  TM,  Shukla, et al

Trends in immunology

Commentary/Editorial| Commentaire/Éditorial

 

Correspondence to â € Prevalence of hospital PCR-confirmed COVID-19 cases in patients with chronic inflammatory and autoimmune rheumatic diseases'

Wu,  BY,  Chan, et al

Annals of the Rheumatic Diseases

Commentary/Editorial| Commentaire/Éditorial

 

Medical imaging engineering and technology branch of the chinese society of biomedical engineering expert consensus on the application of emergency mobile cabin CT

Yang,  Q,  Xu, et al

Quantitative Imaging in Medicine and Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Surgical Precautions and Algorithmic Decision-Making for Surgical Procedures During the COVID-19 Pandemic

Yenigun,  A,  Ozturan, et al

Journal of the American College of Surgeons

Commentary/Editorial| Commentaire/Éditorial

 

Early Warning for a Potential Pandemic

Yin,  Qian,  Wang, et al

SSRN- Lancet prepublication

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 and activities by collaborators.  Members of the Emerging Sciences group examine and shorten the abstract or 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: the study of the immune system and includes serology studies in conjunction with other foci (e.g. epidemiology or diagnostics)

Animal Model: An animal model is a living, non-human, often genetic-engineered animal used during the research and investigation of human disease, for the purpose of better understanding the disease process without the added risk of harming an actual human.

Zoonotic: all literature discussing the transmission to and from or occurrence of naturally acquired SARS-COV-2 infection in animals. 

Review Literature:  All 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, 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 : l'étude du système immunitaire et comprend des études sérologiques en conjonction avec d'autres foyers (p. ex. épidémiologie ou diagnostic)

Modèle animal: Un modèle animal est un animal vivant, non humain, souvent génétiquement modifié, utilisé lors de la recherche et de l'investigation des maladies humaines, dans le but de mieux comprendre le processus de la maladie sans risque supplémentaire de nuire à un humain réel.

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