Good afternoon,

There are 670 citations in today’s scan. 361 were considered primary research or review literature.

Highlights today include:

 

CANADA

·         Dewar et al. sought to explore Canadian physicians' preparedness and attitudes regarding resource allocation decisions. This rapidly implemented survey suggests that a sample of Canadian physicians feel underprepared to make resource allocation decisions, and desire both more emotional support and clear, transparent, evidence-based policy.

·         Edjoc et al. a mathematical tool and time-dependent reproduction number (Rt) estimates to assess the COVID-19 pandemic progression in a Canadian context. For Canada as a whole, the testing graphs had a slightly concave profile and a coincident decrease in Rt estimates. Saskatchewan more recently had a convex profile with a gradual shift to a concave profile and also demonstrated a gradual decline in Rt estimates. Curves and Rt estimates for Alberta, British Columbia, Manitoba, Nova Scotia, Ontario and Quebec displayed a gradual shift towards concavity over time and an overall decrease in Rt estimates, which is suggestive of a positive impact of public health interventions implemented federally and provincially.

·         Pierce et al  conducted an ecological study using data from Canada’s national influenza surveillance system to investigate whether social distancing measures to control COVID-19 reduced the incidence of seasonal influenza. Our results indicate a premature end to the 2019-20 influenza season, with a significantly fewer number of cases and outbreaks being recorded following the enactment of many COVID-19 social distancing polices. The incidence of influenza strains A (H3N2), A (unsubtyped), and B were all significantly lower at the tail-end of the 2019-20 influenza season, compared with preceding seasons.

·         Siu, et al. conducted an online cross-sectional survey of Ontario LTC Clinicians working in LTC homes to provide the clinician perspective on the preparedness and engagement of the LTC sector during the COVID-19 pandemic. The overall response rate was 54% (160/294). LTC homes implemented a wide range of important interventions. This study highlights the communication and implementation of recommendations in the Ontario LTC sector, despite some concerns regarding feasibility.

PUBLIC HEALTH INTERVENTION

·         Cai et al. evaluate the safety of reopening universities and colleges using a combined strategy in China. The returning to school was guided by a combined strategy including use of personal protective equipment, management of transportation, serological and nucleic acid tests for COVID-19, quarantine, and restrictions in and out of campus. Among 13,116 participants, 4067 tested for SARS-CoV-2 nucleic acid and no positive results were identified. Using a combined strategy for COVID-19 prevention and control, safely reopening of universities and colleges in low-risk regions is possible and laboratory screening for SARS-CoV-2 infection may not be necessary. 

·         Klimek-Tulwin & Tulwin assess the effect of school closures on the COVID-19 pandemic and epidemic trajectories. Their data indicate that there was a strong correlation between the day of educational facilities closure and the incidence rate in the following days. Early closure of schools in analyzed countries is statistically significantly correlated with lower incidence rates further on during the different phases of the epidemic.

TRANSMISSION

·         Brito et al. report an outbreak in 24 members of a family cluster during a period of social distancing. All patients had mild symptoms, requiring no hospitalization, and none of them died. The frequency of symptomatic, laboratory-confirmed patients was higher among adults (94%) than among children (50%); the paediatric age group also had a higher frequency of exposed individuals who remained negative for infection. 

EPIDEMIOLOGY

·         Kociolek et al look at the distribution of upper respiratory viral loads (VL) in asymptomatic children infected with SARS-CoV-2 vs symptomatic children infected with SARSS-CoV-2. They find that Children with asymptomatic SARS-CoV-2 infection had lower levels of virus in the nasopharynx/oropharynx than symptomatic children, but timing of infection relative to diagnosis likely impacted levels in asymptomatic children.

SEROLOGY

·         Harris et al. undertook prospective serosurveillance in a cohort of healthy adults in England. Two thousand two hundred forty-seven individuals were recruited, and 2014 (90%) had 3-5 monthly antibody tests. Over the study period, SARS-CoV-2 seropositivity was 8-10% overall and up to 21% in clinical healthcare workers. In seropositive individuals, nucleoprotein and spike protein IgG antibodies declined with time after infection, and 50% are predicted to fall below the positive test threshold after six months.

CLINICAL DATA

·         Kaya et al evaluate the presence of severe acute respiratory syndrome Coronavirus-2 (SARS-CoV-2) virus in tears and conjunctival secretion of patients with COVID-19. A prospective interventional case series study was performed, and 32 patients with COVID-19 were selected at the Pamukkale University Hospital from 15 to 22 May 2020. Five of 32 patients (16 %) without conjunctivitis or any eye symptoms had viral RNA in their tear-conjunctival samples.

VACCINE RESEARCH

·         Kurup et al show the rapid development of a novel, highly efficient, and safe COVID-19 vaccine using a rabies virus-based vector that has proven to be an efficient vaccine against several emerging infectious diseases. Their study reports that both a live and an inactivated rabies virus containing the SARS-CoV-2 spike S1 protein induces potent virus-neutralizing antibodies at much higher levels than seen in the sera of convalescent patients.

THERAPEUTICS

·         Unni et al. find the molecule, Bisoxatin may be a promising repurposable drug molecule to develop new chemical libraries for inhibiting SARS-CoV-2 entry into host cells. Bisoxatin (DB09219), which is used for the treatment of constipation and preparation of the colon for surgical procedures.

·         Rocco et al. performed a multicenter, randomized, double-blind, placebo-controlled trial to investigate the therapeutic effect of the antiparasitic drug nitazoxanide on SARS-CoV-2 infection. In patients with mild Covid-19, symptom resolution did not differ between the nitazoxanide and placebo groups after 5 days of therapy. However, early nitazoxanide therapy was safe and reduced viral load significantly.

DIAGNOSTICS

·         Fellous et al test serum samples of RT-PCR SARS-CoV-2 positive patients (n=2594) for IgM/IgG/IgA against the virus using 31 commercial assays. Contrasted performances were observed among the evaluated commercial assays. Rapid tests for qualitative detection of anti-SARS-CoV-2 antibodies (RDTs) achieved 77.4-100%, and ELISA/CLIA (ELISA) assays 58.8-100% for SARS-CoV-2-specific total antibodies (TAb) specificity. From 15 days after onset of symptoms, 13/18 RDT and 8/13 ELISA reached sensitivity > 90%. Contrasted performances were observed among the 31 commercial assays we evaluated.

PUBLIC HEALTH RESPONSE

·         Paul et al estimate predictors of negative attitudes towards vaccines and identify groups most at risk of uncertainty and unwillingness to receive a COVID-19 vaccine in a large sample of UK adults.  16% of respondents displayed high levels of mistrust or misinformation about vaccines across one or more domains. Overall, 14% of respondents reported unwillingness to receive a vaccine for COVID-19, whilst 22% were unsure. The largest predictors of both COVID-19 vaccine uncertainty and refusal were low income, having not received a flu vaccine last year, poor adherence to COVID-19 government guidelines, female gender, and living with children. Amongst vaccine attitudes, intermediate to high levels of vaccine benefit mistrust and concerns about future unforeseen side effects were the most important determinants of both uncertainty and unwillingness to vaccinate against COVID-19. 

·         Schulman, et al. conducted an electronic survey in October, 2020 among individuals primarily age 60 and older regarding their degree of confidence of deriving personal protection from 8 different anti‐COVID interventions – social isolation, lockdowns, avoiding restaurants, taking MMR vaccine, wearing masks when indoors with others, avoiding hotels, avoiding commercial air travel, and using the first future specific anti‐COVID vaccine.  Responses were received from 135 persons from many different U.S. regions and 5 foreign countries.  None were strongly supported by a majority of respondents, but those receiving the largest proportions of strong support were social isolation (41%), wearing masks indoors (41%), and using the first anti‐COVID vaccine (41%).

 

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, David Knox

 

 

 Daily Scan of COVID-19 Scientific Publications / Survol journalier des publications scientifiques du COVID-19		26/10/2020

 


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

32980556; COVID-19 and sickle cell disease in Bahrain

AbdulRahman,  A,  AlAli, et al

International Journal of Infectious Diseases

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study was undertaken to see if COVID-19 infection increased disease severity in patients with  sickle cell disease (SCD) mutation.  A total of 38,092 Bahraini people were tested for COVID-19 during this period; 378 (1%) were SCD patients. Six patients with SCD had COVID-19 (1.6%): three remained asymptomatic, two had mild symptoms and one required oxygen therapy. The SCD patients had a similar average length of stay when compared with non-SCD COVID-19 patients (10.7 days).

Detection of SARS-CoV-2 RNA on public surfaces in a densely populated urban area of Brazil: A potential tool for monitoring the circulation of infected patients

Abrahão,  JS,  Sacchetto, et al

Science of the Total Environment

Epidemiology| Épidémiologie

This study investigated the presence of SARS-CoV-2 RNA on public surfaces in a densely populated urban area in Brazil. Forty-nine of 933 samples tested positive (5.25%) for SARS-CoV-2 RNA, including samples collected from distinct material surfaces, including metal and concrete, and distinct places, mainly around hospital care units and public squares. The data indicated the contamination of public surfaces by SARS-CoV-2, suggesting the circulation of infected patients and the risk of infection for the population.

Estimation of the Severeness Rate, Death Rate, Household Attack Rate and the Total Number of COVID-19 Cases Based on 16115 Polish Surveillance Records

Adamik,  Barbara,  Bawiec, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Transmission

This study analysed 16115 Polish surveillance records to obtain key figures of the COVID-19 pandemic. By maximum likelihood estimates, the total number of COVID-19 cases in Poland as of July 22nd, 2020, is at most around 13 times larger and at least 1.6 times larger than the recorded number. The lower bound on the severeness rate ranges between 0.2% for the 0--39 year-old to 5.7 % for older than 80, while the upper bound is between 2.6% and 34.1%. The lower bound on the death rate is between 0.04% for the age group 40--59 to 1.34% for the oldest. Overall, the severeness and death rates grows exponentially with age. The in-household attack ratio is 8.18% for the youngest group and 16.88% for the oldest.

Decrease in Hospitalizations for COVID-19 after Mask Mandates in 1083 U.S. Counties

Adjodah,  Dhaval,  Dinakar, et al

medRxiv

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

This study determined if facial mask mandates instituted in U.S. counties over the spring and summer of 2020 were associated with declining severity of infection as measured by the number of hospitalizations for COVID-19. Using data from 1083 counties (34% of U.S. counties, 82% of U.S. population) from 49 states, we found a statistically significant drop in hospitalization rates due to COVID-19 up to 12 weeks following county mask mandates of 7.13 (95%CI: -4.19, -10.1) percentage points, after controlling for age categories by county, testing access, numbers of cases, and population mobility. Facial masking may decrease COVID-19 severity by decreasing the viral inoculum to which individuals are exposed.

33020114; Association of smoking status with outcomes in hospitalised patients with COVID-19

Adrish,  M,  Chilimuri, et al

BMJ Open Respiratory Research

Epidemiology| Épidémiologie Clinical data| Données cliniques

This single-centre retrospective  study examined if smoking was associated with development of critical illness and higher likelihood of death. 1173 patients met the study criteria. Patients in smokers group were more likely to be male and had higher incidence of underlying chronic obstructive pulmonary disease (19% vs 6%, p<0.001), HIV infection (11% vs 5%,p<0.001), cancer (11% vs 6%, p=0.005), congestive heart failure (15% vs 8%, p<0.001), coronary artery disease (15% vs 9%, p=0.3), chronic kidney disease (11% vs 8%, p=0.037) and end-stage renal disease (10% vs 6%, p=0.009) compared with non-smokers. Outcome analysis showed that smokers were more likely to develop critical illness requiring mechanical ventilation (47% vs 37% p=0.005). Univariate Cox model for survival analysis by smoking status showed that among smokers only current smokers had higher risk of death compared with never smokers (HR 1.61, 95% CI 1.22 to 2.12, p<0.001).

A Visual Analytics Based Decision Making Environment for COVID-19 Modeling and Visualization

Afzal,  Shehzad,  Ghani, et al

arXiv

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique Healthcare Response | Réponse des soins de santé

This study developed a visual analytics environment that enables public health officials to model, simulate, and explore the spread of COVID-19 by supplying county-level information such as population, demographics, and hospital beds. This environment facilitates users to explore spatiotemporal model simulation data relevant to COVID-19 through a geospatial map with linked statistical views, apply different decision measures at different points in time, and understand their potential impact. Users can drill-down to county-level details such as the number of sicknesses, deaths, needs for hospitalization, and variations in these statistics over time.

Convalescent plasma in the management of moderate covid-19 in adults in India: open label phase II multicentre randomised controlled trial (PLACID Trial)

Agarwal,  A,  Mukherjee, et al

Bmj

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

This study  investigated the effectiveness of using convalescent plasma to treat moderate coronavirus disease 2019 (covid-19) in adults in India. Progression to severe disease or all cause mortality at 28 days after enrolment occurred in 44 (19%) participants in the intervention arm and 41 (18%) in the control arm (risk difference 0.008 (95% confidence interval -0.062 to 0.078); risk ratio 1.04, 95% confidence interval 0.71 to 1.54).  Convalescent plasma was not associated with a reduction in progression to severe covid-19 or all cause mortality

Serial Imaging of Virus-Associated Necrotizing Disseminated Acute Leukoencephalopathy (VANDAL) in COVID-19

Agarwal,  S,  Conway, et al

AJNR Am J Neuroradiol

Clinical data| Données cliniques

This study described the clinical and imaging features of acute disseminated leukoencephalopathy in critically ill patients with COVID-19 and the imaging evolution during a short-term follow-up.  All patients demonstrated multiple areas of white matter changes in both cerebral hemispheres; 87.5% (7/8) of patients had a posterior predilection. Four patients (50%) had short-term follow-up imaging within a median of 17 days after the first MR imaging; they developed brain atrophy, and their white matter lesions evolved into necrotizing cystic cavitations. All (8/8) patients had inflammatory cytokine release syndrome as demonstrated by elevated interleukin-6, D-dimer, lactate dehydrogenase, erythrocyte sedimentation rate, C-reactive protein, and ferritin levels. Most (7/8; 87.5%) patients were on prolonged ventilator support (median, 44.5 days; interquartile range, 20.5 days). These patients had poor functional outcomes (6/8 75%] patients were discharged with mRS 5) and high mortality (2/8, 25%).

Machine learning models for the prediction the necessity of resorting to icu of covid-19 patients

Agieb,  RS

International Journal of Advanced Trends in Computer Science and Engineering

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

This research tries to find models to predict the patient's need to enter ICU or not. The prediction models depend on Machine Learning (ML). Three models will be built to predict the state at which the patient needs to enter the ICU or not. The proposed predictor models based on three types of Supervised machine learning Naive Bayes, K-nearest neighbor (K-NN), and Support Vector Machine (SVM) according to the scarce datasets. Predictor model trained based on Extracted features from patients’ X-ray images.

The COVID-19 pandemic and the antecedants for the impulse buying behavior of US citizens

Ahmed,  RR,  Streimikiene, et al

Journal of Competitiveness

Public Health response| Interventions de santé publique

In an analysis based on the theory of Fear, this study examines impulse purchase patterns during the COVID-19 Pandemic across major US urban centers. The results confirmed that Fear of a complete lockdown, peers buying, scarcity of essential products on shelves, US stimulus checks, the limited supply of essential goods, and panic buying have had a compelling and affirmative influence on the sharp swings of impulse buying patterns. The findings further confirm that Fear Appeal and social media fake news have had a strong positive impact on impulse buying as mediating factors. Finally, it was concluded that COVID-19 is a significant moderating factor influencing the impulse buying behavior of US citizens.

Genetic variations among SARS-CoV-2 strains isolated in China

Ahmed-Abakur,  E,  Alnour, et al

Gene Reports

Coronavirology| Coronavirologie

This study aimed to determine genetic variations among SARS-CoV-2 strains isolated in China. Sixty six complete genome sequences of the virus were retrieved from NCBI, the sequence of original Wuhan strain accession number NC 045512 was used as the reference sequence. The collected sequences showed 10 different variants. One hundred and thirty four mutations were identified among the variants of SARS-CoV-2; most of them 52.2% (70/134) were missense point mutation, majority of the mutations 65.7% (88/134) occurred in the open reading frame a/b (ORFab), few mutations occurred in the structural viral genome, each of spike (S) gene and nucleocapsid (N) gene showed 4 mutations; 2 silent point mutations and 2 missense point mutations occurred in each gene whereas membrane (M) gene showed silent point mutation and no mutation observed in the envelope E gene. The remarkable observation showed by Yunnan variant accession number MT226610 which exhibited high incidence of mutations, it displayed 28 different point mutations; only 3(10.7%) of them were silent mutations while the rest were missense mutations.

The impact of ICT on coronavirus crisis management case study: National center for security and crises management in Jordan

Alabbadi,  H,  Al-Masaeed, et al

Journal of Theoretical and Applied Information Technology

Public Health response| Interventions de santé publique

This research identifies the impact of the ICT dimensions (readiness of ICT infrastructure, human resource skills and knowledge, and financial capabilities) in managing the coronavirus crisis. The research results show a presence of a statistically significant effect of ICT in the management of the coronavirus crisis in addition to other interesting results about areas that need improvements and attention in crises management centers.

Immediate impact of stay-at-home orders to control COVID-19 transmission on mental well-being in Bangladeshi adults: Patterns, Explanations, and future directions

Ali,  M,  Ahsan, et al

BMC Res Notes

Public Health response| Interventions de santé publique

This study evaluated the immediate impacts of COVID-19 stay-at-home orders on the mental well-being of Bangladeshi adults. The overall mean score for well-being was 42.4, indicating that 51.9% of adults suffered from poor mental health. And within that 48% of males and 57% of females were depressed. The mean scores for government workers, unemployed workers, and business employees were 45.1, 39.6, and 39.5, respectively. Confounding adjustments in multivariable linear regression models revealed that married women, unemployed and business communities, and individuals returning to villages were heavily depressed. Stay-at-home orders had significant repercussions on mental health and created a gender disparity in depression among adults.

Fear from COVID-19 and technology adoption: the impact of Google Meet during Coronavirus pandemic

Al-Maroof,  R,  Salloum, et al

Interactive Learning Environments

Public Health response| Interventions de santé publique

This study explored the effect of fear emotion on students' and teachers' technology adoption during COVID-19 pandemic. The study has made use of Google Meet© as an educational social platform in private higher education institutes. During the Coronavirus pandemic, fear due to family lockdown situation, fear of education failure and fear of losing social relationships are the most common types of threat that may face students and teachers/educators. These types of fears are connected with two important factors within TAM theory, which are: perceived ease of use (PEOU) and perceived usefulness (PU), and with another external factor of TAM, which is subjective norm (SN). The results revealed that both data analysis techniques have successfully provided support to all the hypothesized relationships of the research model.

Behavioral practices of patients with multiple sclerosis during Covid-19 pandemic

Alnajashi,  H,  Jabbad, et al

PLoS One

Public Health response| Interventions de santé publique

This study examined the behavioral practices related to Covid-19 among patients with multiple sclerosis (MS). A total of 176 MS patients diagnosed at least one year before the survey were conveniently sampled online in Saudi Arabia. Overall, more than 80% of participants had good knowledge and attitudes towards Covid-19. However, this did not correlate well with the impact on healthcare (r = 0.06). The study revealed that 46% of participants were anxious about taking their medication, and 32% of participants missed their hospital appointments. Furthermore, 15% of the participants had a relapse but did not go to the hospital because of the pandemic, 15.9% stopped their DMTs, and 35.2% missed drug infusions or refills.

Precautionary Measures and Illness Attitudes toward COVID-19 among a Sample of the Kuwaiti Population

Al-Sejari,  M,  Al-Ma'Seb, et al

Soc Work Public Health

Public Health response| Interventions de santé publique

This study examined the associations between precautionary health behaviors (eating vitamins, washing hands continuously, eating healthy food, putting on masks, wearing gloves, and maintaining a safe distance) and illness attitudes (worry about illness, concern about pain, hypochondriacal beliefs, thanatophobia, and treatment experience). The findings show that there are significant associations between the illness attitudes of participants and the precautionary health behaviors they adopted during the COVID-19 pandemic in Kuwait. Illness attitudes toward COVID-19 significantly affect the health behaviors of individuals. The health behaviors become precautionary measures aimed at preventing infection from COVID-19.

Associations between Affect, Physical Activity, and Anxiety Among US Children During COVID-19

Alves,  JasminM,  Yunker, et al

medRxiv

Public Health response| Interventions de santé publique

This study investigated how emotional responses (positive and negative affect), physical activity (PA), and sedentary behaviors related to anxiety among US children during the COVID 19 pandemic.  Sixty four typically developing children (63% girls) age 9 to 15 years old completed two virtual visits during height of stay at home measures between April 22 to July 29, 2020. Children completed 24 hour PA recalls, state portion of State-Trait Anxiety Inventory for Children (STAIC), and the shortened 10 item Positive and Negative Affect Schedule for Children (PANAS C). Children reported state anxiety scores that were more than 5 standard deviations greater than values from healthy pediatric populations prior to the pandemic. Children with higher positive affect and who reported more time in PA reported less state anxiety. Sedentary and leisure screen time were positively correlated with negative affect.

Second layer data governance for permissioned blockchains: the privacy management challenge

Alves,  Paulo Henrique,  Frajhof, et al

arXiv

Healthcare Response | Réponse des soins de santé

This regulation model aims to protect users' data from misusage and leakage and allow users to request an explanation from companies when needed.  In pandemic situations, such as the COVID-19 and Ebola outbreak, the action related to sharing health data between different organizations is crucial. However, the data subject, i.e., the users, should have the right to request the purpose of data use, anonymization, and data deletion. In this sense, permissioned blockchain technology emerges to empower users to get their rights providing data ownership, transparency, and security through an immutable, unified, and distributed database ruled by smart contracts. The governance model discussed in blockchain applications is usually regarding the first layer governance, i.e., public and permissioned models. However, this does not cover compliance with the data regulations. In order to organize the relationship between data owners and the stakeholders, i.e., companies and governmental entities, this study developed a second layer data governance model for permissioned blockchains based on the Governance Analytical Framework principles applied in pandemic situations preserving the users' privacy and their duties.

Prevalence of Depressive Disorders and Associated Demographic Factors Among Refugees Amidst COVID-19 in Nakivale Refugee Camp in Southwestern Uganda

Anyayo,  Lucas Goodgame,  Kabunga, et al

medRxiv

Public Health response| Interventions de santé publique

This study estimated the prevalence of and associated demographic factors during COVID-19 pandemic. Results revealed that the majority of respondents were female (53%) and 47% had a depressive disorder. There was no statistical relationship between demographics (gender, age and marital status) and depressive disorders. Findings indicate that depressive disorders are prevalent among refugees in Nakivale settlement and it is important to identify refugees affected mentally and given proper treatment.

COVID-19 in 3 patients treated with immune checkpoint inhibitors for advanced melanoma

Arenbergerova,  M,  Gkalpakiotis, et al

J Dermatolog Treat

Clinical data| Données cliniques

Abstract and full text not available.

PMC7576098; Needs assessment and impact of COVID-19 on pharmacy professionals in 31 commonwealth countries

Ashiru-Oredope,  D,  Chan, et al

J Pharm Policy Pract

Healthcare Response | Réponse des soins de santé

This study aimed to identify and explore the issues currently facing pharmacy teams across Commonwealth countries during the COVID-19 pandemic. The study also evaluates pharmacy professionals' understanding of key knowledge areas from the COVID-19 webinar hosted by the Commonwealth Pharmacists' Association (CPA). Our study confirms pharmacy professionals' concerns about practice during a pandemic and provides preliminary data on the challenges and learning needs of the profession. The CPA has since acted on these findings, providing ongoing opportunities to develop and refine resources for the profession as the pandemic evolves. Pharmacy professionals have also demonstrated improved knowledge on the management of COVID-19 and resources available for professionals.

SARS CoV-2 Surveillance and Exposure in the Perioperative Setting with Universal testing and Personal Protective Equipment (PPE) Policies

Aslam,  A,  Singh, et al

Clin Infect Dis

Epidemiology| Épidémiologie Clinical data| Données cliniques

The study was conducted at a tertiary care cancer center in NYC. From March 22 until August 22, 2020, 11,540 unique patients underwent 14,233 tests before surgeries or procedures at MSKCC. Overall, 65 patients were positive, with a peak rate of 4.3% that fell below 0.3 % after April 2020. For the 65 positive cases, three were pre-symptomatic, and 38 were asymptomatic. Among asymptomatic test-positive patients, 76 % had PCR cycle threshold (Ct) > 30 at first detection. Five patients tested newly positive in the immediate post-operative period, exposing 82 employees with one case of probable transmission (1.2%).

33020331; Clinical Profile of Elderly Patients with COVID-19 hospitalised in Indonesia's National General Hospital

Azwar,  MK,  Setiati, et al

Acta medica Indonesiana

Clinical data| Données cliniques

Article in Indonesian. This descriptive study used complete data on elderly patients with COVID-19 who were hospitalized at the Cipto Mangunkusumo National Central General Hospital (RSUPN Cipto Mangunkusumo) from April to the end of August 2020. In the elderly patient population (n = 44), the majority were aged between 60-69 years (68%), were male (66%), and had no prior history of close contact with COVID-19 patients ( 86%). The most common symptoms are fever, cough, and shortness of breath which are typical symptoms of COVID-19, while the most common chronic diseases are diabetes mellitus, hypertension, and malignancy. Multimorbidity was found in only 14% of elderly patients, and these patients survived infection with the SARS-CoV-2 virus. The mortality rate for elderly patients hospitalized with COVID-19 in this study was 23%, and 90% of the deaths were male.

Early Changes in Kidney Transplant Immunosuppression Regimens During the COVID-19 Pandemic

Bae,  S,  McAdams-DeMarco, et al

Transplantation

Healthcare Response | Réponse des soins de santé

We conducted a nationwide study to characterize immunosuppression use and subsequent clinical outcomes during the first 5 months of COVID-19 pandemic in the United States. METHODS: Using data from the Scientific Registry of Transplant Recipients, we studied all kidney-only recipients in the United States from 1/1/2017 to 3/12/2020 ("prepandemic" era; n=64 849) and from 3/13/2020 to 7/31/2020 ("pandemic" era; n=5035). RESULTS: Recipients in the pandemic era were substantially less likely to receive lymphocyte-depleting induction agents compared to their prepandemic counterparts; similar trends were found across subgroups of state-level COVID-19 incidence, donor type, and recipient age.

Screening of potential drug from Azadirachta Indica (Neem) extracts for SARS-CoV-2: An insight from molecular docking and MD-simulation studies

Baildya,  N,  Khan, et al

Journal of Molecular Structure

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The present work examines the inhibitory activity of Neem extracts on Papain like protease (PLpro) of the novel coronavirus SARS-CoV-2. The activity is analysed by molecular docking study along with molecular dynamics simulation. All the studied Neem compounds showed decent level of inhibitory activity against PLpro of SARS-CoV-2. Among them, desacetylgedunin (DCG) found in Neem seed showed the highest binding affinity towards PLpro. Furthermore, MD-simulation studies supported by standard analysis (e.g. root mean square deviation and fluctuation (RMSD, RMSF), radius of gyration, solvent accessible surface area (SASA)) showed large impact on the structure of PLpro by DCG. We believe that the significant effect of DCG on PLpro may help in therapeutic efforts against SARS-CoV-2.

32890595; COVID-19 can mimic acute cholecystitis and is associated with the presence of viral RNA in the gallbladder wall

Balaphas,  A,  Gkoufa, et al

Journal of hepatology

Clinical data| Données cliniques

Herein, we report the cases of 2 patients who developed COVID-19 presenting as an acute acalculous cholecystitis.

Treatment of out-of-hospital cardiac arrest in the COVID-19 era: A 100 days experience from the Lombardy region

Baldi,  E,  Sechi, et al

PLoS One

Healthcare Response | Réponse des soins de santé

We performed an analysis of the Lombardia Cardiac Arrest Registry comparing all the OHCAs occurred in the Provinces of Lodi, Cremona, Pavia and Mantua (northern Italy) in the first 100 days of the epidemic with those occurred in the same period in 2019. Compared to 2019, during the 2020 COVID-19 outbreak we observed a lower attitude of laypeople to start CPR, while resuscitation attempts by BLS and ALS staff were not influenced by suspected/confirmed infection, even at univariable analysis.

32868681; Early Effects of COVID-19 on Programs Providing Medications for Opioid Use Disorder in Jails and Prisons

Bandara,  S,  Kennedy-Hendricks, et al

Journal of addiction medicine

Public Health response| Interventions de santé publique

OBJECTIVES: To describe how the novel coronavirus (COVID-19) pandemic has affected opioid agonist treatment (OAT) programs in jails and prisons. METHODS: In May 2020, we conducted an online survey of 19 carceral systems that provided methadone and/or buprenorphine treatment for incarcerated populations before COVID-19. Eleven survey items examined challenges and changes to these programs as a result of the pandemic. Sixteen of 19 programs (84%) responded to the survey. RESULTS: Ten out of 16 systems reported downsizing their OAT programs. Seven of 16 systems made changes to medication dispensation processes. Half of systems report challenges implementing physical distancing (n = 8), and/or obtaining personal protective equipment (n = 8). In 13 out of 16 systems some OAT program participants were released early due to COVID-19 infection risk.

Low incidence of COVID-19 in the West African sub-region: mitigating healthcare delivery system or a matter of time?

Bankole,  TO,  Omoyeni, et al

Journal of Public Health (Germany)

Epidemiology| Épidémiologie

This study examines the growth trends in the COVID-19 pandemic and fatalities arising from its complications among tested patients in West Africa. Results showed that the trends in growth patterns of COVID-19 for Senegal, Nigeria, Ghana, Republic of Niger, and West Africa generally followed the same fluctuating curves. The COVID-19 pandemic accounted for 92.3%, 97.8%, 90.3%, 65%, 90.4%, 93.6%, and 97% of complications that led to deaths of patients in Burkina Faso, Nigeria, Senegal, Ghana, Niger Republic, Ivory Coast, and West Africa, respectively. Also, the results established that there was a significant positive association between increased incidence of COVID-19 and percentage increase in fatalities arising from its complications in West Africa (ß = 0.032; t = 12.70; p < 0.001).

A cross-sectional study to assess the psychosocial impact of COVID-19 pandemic on health-care workers at a tertiary care hospital in India

Bansal,  A,  Jain, et al

International Journal of Academic Medicine

Healthcare Response | Réponse des soins de santé

This study aims to assess the psychosocial impact of COVID-19 pandemic on health-care workers (HCW) using Screening Questionnaire for Disaster Mental Health (SQD). 5.67% HCW were suffering from severe posttraumatic stress disorder and similar 5.67% had severe depression due to COVID-19. Results analyzed by t-test found that, overall, HCWs were mildly affected by COVID-19 in terms of posttraumatic stress disorder (mean value 2.16; 95% confidence interval CI] = 1.80-2.53, P = 0.000) and depression (mean value 1.27; 95% CI = 0.97-1.57, P = 0.000) as per SQD scale.

Impact of the COVID-19 pandemic on the activities of the cardiology department of the Ignace Deen National Hospital at the Conakry University Hospital

Barry,  IS,  Baldé, et al

Annales de Cardiologie et d'Angeiologie

Healthcare Response | Réponse des soins de santé

Article in French. The objective of this study was to assess the impact of the COVID-19 pandemic on the activities of the cardiology department of the Ignace Deen National Hospital at the Conakry University Hospital. The study consisted of assessing the impact of the pandemic on patient use of the service during the first weeks of the pandemic. During this study from March to April 2020, we identified 130 patients in consultation against 450 patients for the two months preceding the official declaration of the pandemic in Guinea, a drop of 71.1% (320 patients). The same remark was made in hospitalisation with a drop of 75% (35 patients against 140 for the two months preceding the pandemic). At the start of the COVID-19 pandemic in Guinea, it is clear that there has been a rapid and significant drop in the effective use of the cardiology service.

An Empirical Inference of the Severity of Resurgence of COVID-19 in Europe

Baruah,  Hemanta Kumar

medRxiv

Epidemiology| Épidémiologie

In this article, we are going to analyze the current COVID-19 spread patterns in Italy, the UK, Germany, Russia, Spain and France. We have found that the current spread has perhaps been underestimated as just the second wave. As per our analysis, as on 7 October the resurgence is much more vigorous than the first wave of spread of the disease. It is going to be most serious in Russia, followed by Italy, Germany and the UK, while in Spain and France the patterns are yet to take inferable shapes.

Schnellnachweis von SARS-CoV-2 mit recombinase polymerase amplification

Behrmann,  O,  Bachmann, et al

BioSpektrum

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

Article in German. The COVID-19 pandemic highlights the need for fast and simple assays for nucleic acid detection. As an isothermal alternative to RT-qPCR, we outline the development of a detection scheme for SARS-CoV-2 RNA based on reverse transcription recombinase polymerase amplification (RT-RPA) technology. RPA uses recombination proteins in combination with a DNA polymerase for rapid amplification of target DNA at a constant temperature (39–42 °C) within 10 to 20 minutes and can be monitored in real-time with fluorescent probes.

32918932; Accuracy of a RT-qPCR SARS-CoV-2 detection assay without prior RNA extraction

Beltrán-Pavez,  C,  Alonso-Palomares, et al

Journal of virological methods

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

We sought to evaluate different RT-qPCR kits and protocols to evaluate the best approach to be used omitting an RNA extraction step. We have investigated the sensitivity and performance of different commercially available RT-qPCR kits in detecting SARS-CoV-2 using 80 extracted RNA and NSS from COVID-19 diagnosed patients. We evaluated the ability of each kit to detect viral RNA from both kit-extracted or directly from a pre-boiled NSS observing that direct RNA detection is possible when Ct values are lower than 30 with the three kits tested. Since SARS-CoV-2 testing in most locations occurs once COVID-19 symptoms are evident and, therefore, viral loads are expected to be high, our protocol will be useful in supporting SARS-CoV-2 diagnosis, especially in America where COVID-19 cases have exploded in the recent weeks as well as in low- and middle-income countries, which would not have massive access to kit-based diagnosis.

Mathematical Analysis of COVID-19 Transmission Dynamics. A Case Study with Nigeria

Benedict,  Agbata Celestine,  Emmanuel, et al

medRxiv

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

In this article, we formulated a mathematical model for the spread of the COVID-19 disease and we introduced quarantined and isolated compartments. The next generation matrix method was adopted to compute the basic reproduction number in order to assess the transmission dynamics of the COVID-19 deadly disease. Stability analysis of the disease free equilibrium is investigated based on the basic reproduction number and the result shows that it is locally and asymptotically stable for less than 1. Numerical calculation of the basic reproduction number revealed that which means that the disease can be eradicated from Nigeria. The study shows that isolation, quarantine and other government policies like social distancing and lockdown are the best approaches to control the pernicious nature of COVID-19 pandemic.

Portable Pocket-Sized Ultrasound Scanner for the Evaluation of Lung Involvement in Coronavirus Disease 2019 Patients

Bennett,  D,  De Vita, et al

Ultrasound in Medicine and Biology

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

The aim of the present study was to evaluate the possibilities of a portable pocket-sized ultrasound scanner in the evaluation of lung involvement in patients with COVID-19 pneumonia. We conducted 437 paired readings in 34 LUS evaluations of hospitalized individuals with COVID-19. Fourteen scans were performed on individuals with severe cases, 11 on individuals with moderate cases and nine on individuals with mild cases. No difference was observed between groups in days since onset of symptoms (23.29 ± 10.07, 22.91 ± 8.91 and 28.56 ± 11.13 d, respectively; p = 0.38). No significant differences were found between LUS scores obtained with the high-end and the portable pocket-sized ultrasound scanner. LUS scores in individuals with mild respiratory impairment were significantly lower than in those with moderate and severe cases.

Time-related changes in sex distribution of COVID-19 incidence proportion in Italy

Bianconi,  V,  Mannarino, et al

Heliyon

Epidemiology| Épidémiologie

This study aimed to analyse time-related variation of sex-disaggregated COVID-19 incidence proportion (IP) in Italy since March 9th to May 11th 2020, and to test its association with the frequency of swab testing for SARS-CoV-2. COVID-19 IP increased progressively in both sexes. Sex prevalence of COVID-19 IP reversed over time, with the M/F ratio of COVID-19 IP having passed from 1,73 to 0,91. The mean number of daily swabs for RT-PCR SARS-CoV-2 test increased progressively until reaching a plateau in the last three weeks of the study period. The M/F ratio of COVID-19 IP inversely correlated with the number of daily swabs for RT-PCR SARS-CoV-2 test (r = -0,87, p < 0.001), even after adjusting for the median age of COVID-19 cases (β = -0,66, p < 0,001). Time-related changes of sex distribution of COVID-19 IP in Italy are strongly influenced by the number of swabs testing for SARS-CoV-2.

An African, Multi-Centre Evaluation of Patient Care and Clinical Outcomes for Patients with COVID-19 Infection Admitted to High-Care or Intensive Care Units

Biccard,  Bruce,  Miller, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques

The objectives of this study were to determine resources, patient comorbidities and critical care interventions associated with mortality in critically ill COVID-19 African patients. 1243 patients from 38 hospitals in six countries participated. The hospitals had a median of 2 (IQR 1-4) intensivists, with a nurse to patient ratio of 1:2 (IQR 1:3 to 1:1). Pulse oximetry was available to all patients in 29/35 (82·9%) sites, and 21/35 (60%) of sites could provide dialysis or proning. The 30-day mortality following critical care admission was 54·7% (95% CI 51·9-57·6). Factors independently associated with mortality were an increasing age (OR 1·04, 95% CI 1·02-1·05, p<0·001), a quick SOFA score of 3 (OR 3·61, 95% CI 1·41-9·24, p=0·01), increasing respiratory support defined as the need for continuous positive airway pressure (OR 5·86, 95% CI 1·47-23·35, p=0·01), invasive mechanical ventilation (OR 16·42, 95% CI 4·52-59·65, p<0·001), three organ systems requiring support at admission (OR 5·52, 95% CI 1·13-27·01, p=0·04), cardiorespiratory arrest within 24 hours prior to admission (OR 4·43, 95% CI 1·01-19·54, p=0·05) and vasopressor requirements (OR 2·73, 95% CI 1·71-4·36, p<0·001). Human immunodeficiency virus was not associated with mortality (OR 1·84, 95% CI 0·99-3·40, p=0·05).

Early intervention is the key to success in COVID-19 control

Binny,  RachelleN,  Baker, et al

medRxiv

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

Here, we use a stochastic branching process model of COVID-19 transmission and control to simulate the epidemic trajectory in New Zealand and the effect of its interventions during its COVID-19 outbreak in March-April 2020. We use the model to calculate key outcomes, including the peak load on the contact tracing system, the total number of reported COVID-19 cases and deaths, and the probability of elimination within a specified time frame. We investigate the sensitivity of these outcomes to variations in the timing of the interventions. We find that a delay to the introduction of Alert Level 4 controls results in considerably worse outcomes. Changes in the timing of border measures have a smaller effect. We conclude that the rapid response in introducing stay-at-home orders was crucial in reducing the number of cases and deaths and increasing the probability of elimination.

Agricultural workforce crisis in light of the COVID-19 pandemic

Bochtis,  D,  Benos, et al

Sustainability (Switzerland)

Public Health response| Interventions de santé publique

The present study aims at assessing the COVID-19 pandemic impacts on agricultural labor and suggesting strategies to mitigate them. The individual tasks associated with each occupation in agricultural production were evaluated on the basis of potential COVID-19 infection risk.   The higher risk occupations within the sector were identified, which facilitates the allocation of worker protection resources to the occupations where they are most needed. In particular, the results demonstrated that 50% of the agricultural workforce and 54% of the workers’ annual income are at moderate to high risk.

Small-Molecule In Vitro Inhibitors of the Coronavirus Spike - ACE2 Protein-Protein Interaction as Blockers of Viral Attachment and Entry for SARS-CoV-2

Bojadzic,  Damir,  Alcazar, et al

bioRxiv

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Here, we report the identification of SMIs of this PPI by screening our compound-library that is focused on the chemical space of organic dyes. Among promising candidates identified, several dyes (Congo red, direct violet 1, Evans blue) and novel drug-like compounds (DRI-C23041, DRI-C91005) inhibited the interaction of hACE2 with the spike proteins of SARS-CoV-2 as well as SARS-CoV with low micromolar activity in our cell-free ELISA-type assays.  Protein thermal shift assays indicated that the SMIs identified here bind SARS-CoV-2-S and not ACE2. Selected promising compounds inhibited the entry of a SARS-CoV-2-S expressing pseudovirus into ACE2-expressing cells in concentration-dependent manner with low micromolar IC50s (6-30 μM). This provides proof-of-principle evidence for the feasibility of small-molecule inhibition of PPIs critical for coronavirus attachment/entry and serves as a first guide in the search for SMI-based alternative antiviral therapies for the prevention and treatment of diseases caused by coronaviruses in general and COVID-19 in particular.

Clinical and Epidemiologic Analysis of COVID-19 Children Cases in Colombia PEDIACOVID

Bolaños-Almeida,  CE,  Espitia Segura, et al

Pediatr Infect Dis J

Epidemiology| Épidémiologie Clinical data| Données cliniques

OBJECTIVE: The COVID pandemic has affected Colombia with a high number of cases and deceases; however, no studies have been published regarding pediatric population. An epidemiologic analysis of the nationwide COVID register, therefore, is necessary to outline and describe the impact in such population. METHODS: A retrospective analysis was made of the characteristics of a cohort of 5062 patients <18 years of age, until June 16, 2020, reported at the National Institute of Health-INS through the national public access database, with all subjects confirmed with COVID-19 or severe acute respiratory syndrome-CoV-2. RESULTS: There was a statistically significant difference between groups; age was statistically significantly higher in the asymptomatic, compared with: deceased, severe and moderate cases; moreover, age was statistically significantly higher in the mild, compared with: deceased, severe and moderate. Post hoc analysis reveals significant differences between groups, the age of patients at home (9.39 years) and those recovered (9.3 years) being significantly higher than those in intensive care unit (4.9 years), in hospital (6.1 years), or than the deceased (2.9 years).

Frequency and Duration of SARS-CoV-2 Shedding in Oral Fluid Samples Assessed by a Modified Commercial Rapid Molecular Assay

Bordi,  L,  Sberna, et al

Viruses

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

Oral fluid (OF) is an alternate clinical sample, easy and safer to collect and could be useful for COVID-19 diagnosis, monitoring viral load and shedding. METHODS: Optimal assay conditions and analytical sensitivity were established for the commercial Simplexa™ COVID-19 Direct assay adapted to OF matrix. The assay was used to test 337 OF and NPS specimens collected in parallel from 164 hospitalized patients; 50 bronchoalveolar lavage (BAL) specimens from a subgroup of severe COVID-19 cases were also analysed. RESULTS: Using Simplexa™ COVID-19 Direct on OF matrix, 100% analytical detection down to 1 TCID50/mL  were observed. No crossreaction with other viruses transmitted through the respiratory toute was observed. Parallel testing of 337 OF and NPS samples showed highly concordant results, and high correlation of Ct values. Prolonged viral RNA shedding was observed up to 100 days from symptoms onset (DSO), with 32% and 29% positivity observed in OF and NPS samples, respectively, collected between 60 and 100 DSO.

33029513; Alkaloids from Cryptolepis sanguinolenta as Potential Inhibitors of SARS-CoV-2 Viral Proteins: An In Silico Study

Borquaye,  LS,  Gasu, et al

BioMed research international

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

In this study, alkaloids from Cryptolepis sanguinolenta have been investigated for their ability to inhibit two of the main proteins in SARS-CoV-2, the main protease and the RNA-dependent RNA polymerase, using in silico methods. Molecular docking was used to assess binding potential of the alkaloids to the viral proteins whereas molecular dynamics was used to evaluate stability of the binding event. The results of the study indicate that all 13 alkaloids bind strongly to the main protease and RNA-dependent RNA polymerase.  In particular, cryptomisrine, cryptospirolepine, cryptoquindoline, and biscryptolepine exhibited very strong inhibitory potential towards both proteins.

Diaphragmatic myoclonus due to SARS-CoV-2 infection

Borroni,  B,  Gazzina, et al

Neurol Sci

Clinical data| Données cliniques

In the present report, we described two Italian patients diagnosed with diaphragmatic myoclonus after COVID-19. In both cases, mild lymphocytosis at cerebrospinal fluid analysis and no structural brain changes were reported.

33031086; Clinical laboratory and dispersion pattern of COVID-19 in a family cluster in the social-distancing period

Brito,  CAA,  Brito, et al

Journal of infection in developing countries

Epidemiology| Épidémiologie Transmission Clinical data| Données cliniques

We report an outbreak in 24 members of a family cluster during a period of social distancing. METHODOLOGY: We carried out an observational descriptive study of a family cluster infected with SARS-CoV-2 in Pernambuco, Northeast Brazil. Laboratory confirmation included RT-PCR of nasopharyngeal samples or IgM or IgG serology. REULTS: The time of spread was 17 days from the first case. All patients had mild symptoms, requiring no hospitalization, and none of them died. The frequency of symptomatic, laboratory-confirmed patients was higher among adults (94%) than among children (50%); the paediatric age group also had a higher frequency of exposed individuals who remained negative for infection.  This study highlights a high risk of intrahousehold transmission from an index case.

Smart technology for physical activity and health assessment during COVID-19 lockdown

Buoite Stella,  A,  Ajčević, et al

J Sports Med Phys Fitness

Public Health response| Interventions de santé publique

Assessment of physical activity levels should be encouraged to monitor and identify those at a higher risk of inactivity. Smart technology is a promising tool to assess physical activity and health, and may be particularly useful during a period of general lockdown. METHODS: An online survey was developed and shared among the Italian general population to collect data about physical activity and daily routine changes between January 2020 and the lockdown period from 23rd to 29th of March. Participants were asked to provide data such as daily step count (Steps) or heart rate (HR) measured and collected by their smart technology devices. RESULTS: Four hundred participants were included in the final analysis. During the lockdown, the number of steps dropped from 8,284±4,390 to 3,294±3,994 steps (p< 0.001), while mean peak HR decreased from 61.3±18.2% to 55.9±17.3% (p< 0.001).

33020341; Discordance Between Clinical Status and Chest X-Ray (CXR) in COVID-19 Patient with Asymptomatic Transmission in Jakarta

Burhan,  E,  Agustin, et al

Acta medica Indonesiana

Clinical data| Données cliniques

Male, 55 years-old, with pneumonia caused by COVID-19. Discordance was found between patient's clinical status and CXR lesion. On the 7th day of symptoms, patient was clinically well despite severe lesion shown on CXR.

Immunosuppressive Therapy and Risk of COVID-19 Infection in Patients With Inflammatory Bowel Diseases

Burke,  KE,  Kochar, et al

Inflamm Bowel Dis

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

We aimed to define the effect of targeted biologic and immunomodulator therapy on risk of COVID-19 in a multi-institutional cohort of patients with inflammatory bowel disease (IBD). METHODS: We identified patients 18 years and older who received care for IBD at Partners Healthcare between January 2019 and April 2020. The primary outcome was development of COVID-19 defined as a positive polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2. Multivariable regression models were used to examine the effect of immunosuppression on risk of COVID-19 and its outcomes. RESULTS: In a cohort of 5302 IBD patients, 39 (0.7%) developed COVID-19. There was no difference in age, sex, or race between IBD patients with and without COVID-19. After adjusting for age, sex, race, and comorbidities, use of immunosuppressive therapy was not associated with an increased risk of COVID-19.

Comparative docking studies to understand the binding affinity of nicotine with soluble ACE2 (sACE2)-SARS-CoV-2 complex over sACE2

C,  SK,  Kumar, et al

Toxicology Reports

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The study aimed to validate the proficiency of nicotine binding with the soluble angiotensin-converting enzyme II receptor (sACE2) with or without SARS-CoV-2 in the context of its binding affinity.  Nicotine showed a profound binding affinity for the sACE2-INS1 complex than the sACE2 alone paving for the clinical trials to validate its therapeutic efficacy as a bitter compound against the SARS-CoV-2 virulence.

Databiology Lab CORONAHACK: Collection of Public COVID-19 Data

Caballero Perez,  Juan,  de Blas Perez, et al

bioRxiv

Public Health response| Interventions de santé publique

To support and enable a collaborative response from the global research communities, we created a data collection for different public sources for anonymized patient clinical data, imaging datasets, molecular data as nucleotide and protein sequences for the SARS-CoV-2 virus, reports of count of cases and deaths per city/country, and other economic indicators in Databiology Lab. where researchers could access these data assets and use the hundreds of available open source bioinformatic applications to analyze them.

Safety of Reopening Universities and Colleges Using a Combined Strategy During Coronavirus Disease 2019 in China: Cross Sectional Study

Cai,  Guoqi,  Luo, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques Public health interventions*| Interventions de santé publique

This study aimed to evaluate the safety of reopening universities and colleges using a combined strategy in China. Methods: This cross-sectional study included 13,116 staffs and postgraduate students who have returned to the four campuses of the University of Science and Technology of China from 17 February (students returned from 12 May) to 2 July 2020. The returning to school was guided by a combined strategy including use of personal protective equipment, management of transportation, serological and nucleic acid tests for COVID-19, quarantine, and restrictions in and out of campus.  . Findings: Among 13,116 participants, 4067 tested for SARS-CoV-2 nucleic acid and no positive results were identified. Of 9049 participants who chose to conduct antibody tests, 28 (0.3%) tested positive but no one was confirmed by the additional viral nucleic acid tests.  High-risk exposures and COVID-19 related symptoms were reported in 8.3% and 7.4% of participants, respectively. Comorbidities (hypertension, diabetes, chronic pulmonary disease, and chronic kidney disease) were rare (0.2%-1.5%). Interpretation: Using a combined strategy for COVID-19 prevention and control, safely reopening of universities and colleges in low-risk regions is possible and laboratory screening for SARS-CoV-2 infection may not be necessary.

Bacterial infections associated with COVID-19 in patients of the intensive care unit

Calzadilla,  YA,  Morales, et al

Revista Cubana de Medicina Militar

Epidemiology| Épidémiologie Clinical data| Données cliniques

Objective: To describe the bacterial infections associated with COVID-19, in patients in an intensive care unit. Methods: A descriptive study was carried out in the period from March 24 to May 24, 2020, in the intensive care unit of the Military Hospital "Comandante Manuel Fajardo Rivero". The study population consisted of 13 patients from 49 to 91 years. Results:  61.5% of the patients were female, the mean age was 78.8 years, 61.5% died, and among these, 44.4% had coinfection. 66.7% and 55.6% of those with high blood pressure and ischemic heart disease, respectively, developed a coinfection. Escherichia coli was the most frequently isolated microorganism.

Almitrine Infusion in Severe Acute Respiratory Syndrome Coronavirus 2-Induced Acute Respiratory Distress Syndrome: A Single-Center Observational Study

Caplan,  M,  Goutay, et al

Crit Care Med

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

The present study assessed the effect of almitrine, a selective pulmonary vasoconstrictor, on arterial oxygenation in severe acute respiratory syndrome coronavirus 2-induced acute respiratory distress syndrome. DESIGN: Single-center retrospective observational study. SETTING: ICU of Lille Teaching Hospital, France, from February 27, 2020, to April 14, 2020. PATIENTS: Patients with coronavirus disease 2019 pneumonia confirmed by positive reverse transcriptase-polymerase chain reaction for severe acute respiratory syndrome-coronavirus 2 and acute respiratory distress syndrome according to Berlin definition. RESULTS: hirty-two patients with acute respiratory distress syndrome received an almitrine infusion trial. In most cases, almitrine was infused in combination with inhaled nitric oxide (75%). Twenty-one patients (66%) were responders. The median PaO2/FIO2 ratio improvement was 39% and differs significantly between the responders and nonresponders.  The 28-day mortality rates were 47.6% and 63.6% for the responders and nonresponders, respectively.

32905639; Thrombolysis and bridging therapy in patients with acute ischaemic stroke and Covid-19

Cappellari,  M,  Zini, et al

European Journal of Neurology

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

We aimed to assess the 1-month outcome in ischaemic stroke patients with Covid-19 infection who received IVT alone or before thrombectomy (bridging therapy). Methods: As a collaboration initiative promoted by the Italian Stroke Organization, all Italian stroke units (n = 190) were contacted and invited to participate in data collection on stroke patients with Covid-19 who received IVT. Results: Thirty patients received IVT alone and 17 received bridging therapy between 21 February 2020 and 30 April 2020 in 20 centers. t 1 month, 14 (30.4%) patients died and 20 (62.5%) survivors had a modified Rankin Scale (mRS) score of 3 to 5. At 24 to 36 hours, asymptomatic intracerebral hemorrhage (ICH) was reported in eight (17.4%) patients and symptomatic ICH (sICH) in two (4.3%) patients. Causes of death were severe ischaemic stroke (n = 8), a new ischaemic stroke (n = 2), acute respiratory failure (n = 1), acute renal failure (n = 1), acute myocardial infarction (n = 1), and endocarditis (n = 1). In survivors with a 1‐month mRS score of 3 to 5, baseline glucose level was higher, whereas endovascular procedure time in cases of bridging therapy was longer.

Risk for In-Hospital Complications Associated with COVID-19 and Influenza - Veterans Health Administration, United States, October 1, 2018-May 31, 2020

Cates,  J,  Lucero-Obusan, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie Clinical data| Données cliniques

To assess complications of COVID-19 and influenza, electronic health records (EHRs) from 3,948 hospitalized patients with COVID-19 (March 1-May 31, 2020) and 5,453 hospitalized patients with influenza (October 1, 2018-February 1, 2020) from the national Veterans Health Administration (VHA), the largest integrated health care system in the United States,* were analyzed. Patients with COVID-19 had almost 19 times the risk for acute respiratory distress syndrome (ARDS) than did patients with influenza, and more than twice the risk for myocarditis, deep vein thrombosis, pulmonary embolism, intracranial hemorrhage, acute hepatitis/liver failure, bacteremia, and pressure ulcers.  The percentage of COVID-19 patients who died while hospitalized (21.0%) was more than five times that of influenza patients (3.8%), and the duration of hospitalization was almost three times longer for COVID-19 patients.

Covid-19 forecasting in morocco using fbprophet facebook's framework in python

Chafiq,  T,  Ouadoud, et al

International Journal of Advanced Trends in Computer Science and Engineering

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

This study gives an indication of forecasting the spread of COVID-19 in the coming 4 months by Facebook Framework (FBprophet) using in python. This study provides a trend mechanism as seen by FBprophet of pandemics of coronavirus (COVID-19) spread from 23th September 2020 to 21st January 2021, which can provide valuable insight for the national competent authorities

Serologic Responses in Healthy Adult with SARS-CoV-2 Reinfection, Hong Kong, August 2020

Chan,  PKS,  Lui, et al

Emerg Infect Dis

Clinical data| Données cliniques

In March 2020, mild signs and symptoms of coronavirus disease developed in a healthy 33-year-old man in Hong Kong. His first infection did not produce virus neutralizing antibodies. In August, he had asymptomatic reinfection, suggesting that persons without a robust neutralizing antibody response might be at risk for reinfection.

Providing Supportive and Palliative Care Using Telemedicine for Patients with Advanced Cancer During the COVID-19 Pandemic in Mexico

Chávarri-Guerra,  Y,  Ramos-López, et al

Oncologist

Healthcare Response | Réponse des soins de santé

We report the results of a multidisciplinary patient-navigator-led telemedicine supportive care program in Mexico City. One-hundred sixty-three telemedicine interventions were provided to 45 patients (median age 68, 57% female). A quarter of the patients had less than or equal to elementary school education, and 15% lived in a rural area. The most common interventions were psychological care (33%), pain and symptom control (25%), and nutritional counseling (13%). Half of the interventions were provided by video conferencing. The most common patient-reported barrier was limited experience using communication technology (). Our results demonstrate the feasibility of providing supportive and palliative care interventions using telemedicine in resource-limited settings.

Relations of Treatments for Cardiometabolic Co-Morbidities with Critical Outcomes and Mortality in Hospitalized Patients with Coronavirus Disease 2019 (COVID-19): A Retrospective Cohort Study

Chen,  Chaolei,  Li, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques

We investigated whether pre-admission treatments for CMD may have impact on clinical outcomes in hospitalized COVID-19 patients.  We conducted a retrospective cohort study of 1,525 COVID-19 patients admitted to two designated hospitals in Wuhan, China from January 21, 2020 to March 14, 2020. All medical records were reviewed to determine history of CMD and medications. The primary endpoint was critical illness comprised of admission to ICU, mechanical ventilation, and use of extracorporeal membrane oxygenation (ECMO). Confirmed secondary endpoint was all-cause mortality.  Compared with patients without CMD, those with CMD but without treatment had a 3-fold increased risk of critical illness (OR, 3.13), and a 3-fold greater risk of death (HR, 3.08). Among those with CMD comorbidities, the pre-admission treatment for CMD was associated with significantly lower risk of developing critical illness (OR, 0.28) and death (HR, 0.25). These findings were most salient in older patients (> 65 y).

Risk Factors and Predictive Scoring System Development for COVID-19 Death

Chen,  L,  Chen, et al

Chinese General Practice

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

This study aimed to investigate risk factors for COVID-19 death, and based on this, to develop a COVID-19 death predictive scoring system. Two hundred and forty-five cases were included in the study and were divided into recovery group (n=212) and death group (n=33). Older age, lower SpO2, higher levels of BUN and PCT were independent risk factors for COVID-19 death, and the ASBP scoring system developed based these factors might be available for the assessment of death risk of COVID-19.

Clinical Characteristics of COVID-19 Deaths in Wuhan:an Analysis of 2 231 Cases

Cheng,  L,  Jiang, et al

Chinese General Practice

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aimed to analyze the clinical characteristics of 2 231 COVID-19 deaths in Wuhan, so as to provide information for developing diagnostic and therapeutic projects and research of COVID-19. During January 9 to March 8, 2020, we collected the essential information and summary of medical records of 2 231 COVID-19 deaths from 66 hospitals in Wuhanwor15 districts. Data includes: symptom onset time, first visit time, admission time, diagnosis time, death time, past history, clinical symptoms and treatment measures. Among the findings:  Death cases mostly occurred in February.The average interval between the first symptom onset and the first medical visit was(4.3±5.5)days, between the first symptom onset and hospitalization was(9.2±7.5)days, and between the first medical visit and confirmed diagnosis was(6.9±7.6)days. Of the 2 231 deaths, 65.67% were men. Underlying diseases were prevalent in 76.56%) among which the top seven were hypertension, diabetes, heart disease, respiratory disease, cerebrovascular disease, chronic kidney disease, and malignant tumor. 52.58% were mechanically ventilated. 13.54% received renal replacement therapy. 12.68% abandoned rescue.

First 100 Persons with COVID-19 - Zambia, March 18-April 28, 2020

Chipimo,  PJ,  Barradas, et al

MMWR Morb Mortal Wkly Rep

Clinical data| Données cliniques

This article describes the  detection of the first 100 COVID-19 cases  in Zambia, through point-of-entry surveillance, follow-up of suspect cases during quarantine, and contact-tracing. Persons with suspected COVID-19 were identified through various mechanisms, including port-of-entry surveillance, contact tracing, health care worker (HCW) testing, facility-based inpatient screening, community-based screening, and calls from the public into a national hotline administered by the Disaster Management and Mitigation Unit and ZNPHI.

Validation of the Korean version of the obsession with COVID-19 scale and the Coronavirus anxiety scale

Choi,  E,  Lee, et al

Death studies

Public Health response| Interventions de santé publique

In response to the current COVID-19 pandemic, the Obsession with COVID-19 scale (OCS) and the Coronavirus Anxiety Scale (CAS) were developed as screening tools for dysfunctional anxiety associated with the coronavirus. These scales have not yet been validated in the East Asia. The present study examined the validity of the OCS and the CAS with a sample of 329 Korean adults. We found that the OCS-Korean and CAS-Korean showed good psychometric properties and construct validity. Developing such valid screening tools across different cultures is vital for health practitioners and scholars alike during global infectious disease outbreaks. © 2020 Taylor & Francis Group, LLC.

Aspirin Use is Associated with Decreased Mechanical Ventilation, ICU Admission, and In-Hospital Mortality in Hospitalized Patients with COVID-19

Chow,  JH,  Khanna, et al

Anesth Analg

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aimed  to evaluate whether aspirin use is associated with reduced risk of mechanical ventilation, ICU admission, and in-hospital mortality. A retrospective, observational cohort study of adult patients admitted with COVID-19 to multiple hospitals in the United States between March 2020 and July 2020 was performed (n=412). Three hundred fourteen patients (76.3%) did not receive aspirin, while 98 patients (23.7%) received aspirin within 24 hours of admission or 7 days prior to admission. After adjusting for 8 confounding variables, aspirin use was independently associated with decreased risk of mechanical ventilation (adjusted HR 0.56), ICU admission (adjusted HR 0.57), and in-hospital mortality (adjusted HR 0.53). There were no differences in major bleeding (p=0.69) or overt thrombosis (p=0.82) between aspirin users and non-aspirin users.

Patterns of Multimorbidity and Risk of Severe SARS-CoV-2 Infection: an observational study in the U.K

Chudasama,  YoginiV,  Zaccardi, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to use a multimorbidity index developed specifically for COVID-19 to investigate the association between multimorbidity and risk of severe SARS-CoV-2 infection. We used data from the UK Biobank linked to laboratory confirmed test results for SARS-CoV-2 infection and mortality data from Public Health England between March 16 and July 26, 2020. By reviewing the current literature on COVID-19 we derived a multimorbidity index including: 1) angina; 2) asthma; 3) atrial fibrillation; 4) cancer; 5) chronic kidney disease; 6) chronic obstructive pulmonary disease; 7) diabetes mellitus; 8) heart failure; 9) hypertension; 10) myocardial infarction; 11) peripheral vascular disease; 12) stroke. Potential effect modifiers of the association were assessed. Among 360,283 participants, the median age was 68 years, most were White (94.5%), and 1,706 had severe SARS-CoV-2 infection. The prevalence of multimorbidity was more than double in those with severe SARS-CoV-2 infection (25%) compared to those without (11%), and clusters of several multimorbidities were more common in those with severe SARS-CoV-2 infection. The most common clusters with severe SARS-CoV-2 infection were stroke with hypertension; diabetes and hypertension; and chronic kidney disease and hypertension. Multimorbidity was independently associated with a greater risk of severe SARS-CoV-2 infection (adjusted odds ratio 1.91) compared to no multimorbidity. The risk remained consistent across potential effect modifiers, except for greater risk among men.

Supervised self-collected SARS-CoV-2 testing in indoor summer camps to inform school reopening

Cooch,  PeterB,  Watson, et al

medRxiv

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

We hypothesized that supervised serial self-collected non-nasopharyngeal testing in summer camp settings would be acceptable and feasible. Methods: We performed a cohort study at two urban day camps  in San Francisco, for kindergarten-8th graders in June and July 2020. Eligible participants were campers, up to two adult household contacts, and camp staff. We assessed participation rates for providing, at two time points, supervised, self-collected anterior nares samples for reverse transcription polymerase chain reaction (RT-PCR) and saliva samples for antibody testing. We qualitatively assessed testing feasibility and adherence to stated camp infection mitigation strategies. Results: 76% (186/246) of eligible participants consented. The cohort completing both rounds of testing (n=163) comprised 67 campers, 76 household contacts, and 20 staff. Among those present, 100% of campers and staff completed test collection at both time points. Testing was feasible to implement, including staff participation supervising camper test collection. No virus was detected by RT-PCR; seven participants had antibodies. Observed adherence to stated camp mitigation policies for masking, physical distancing, and stable cohorting was generally high.

SARS-CoV-2 antibodies in the Southern Region of New Zealand, 2020

Craigie,  Alyson,  McGregor, et al

medRxiv

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

Objectives: To evaluate the Abbott SARS-CoV-2 IgG nucleocapsid assay, alongside spike-based assays, and to determine the frequency of antibodies among PCR-confirmed and probable cases, contacts, and higher risk individuals in the Southern Region of NZ.Results: The median time from infection onset to serum collection for PCR-confirmed cases was 14 weeks (range 11-17 weeks). The Abbott assay demonstrated a specificity of 99.7% (95% CI, 98.2%-99.99%) and a sensitivity of 76.9% (95% CI, 66.0%-85.7%). Spike-based assays demonstrated superior sensitivity ranging 89.7-94.9%. Nine previously undiagnosed sero-positive individuals were identified, and all had epidemiological risk factors.

33029522; Comparison of Primer-Probe Sets among Different Master Mixes for Laboratory Screening of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)

Cuong,  HQ,  Hai, et al

BioMed research international

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

We compared the ability to screen SARS-CoV-2 among three primer-probe sets in two different master mixes, Invitrogen™ SuperScript™ III One-Step RT-PCR and LightCycler Multiplex RNA Virus Master. Results: The assay with TIB-Molbiol, IDT, and Phu Sa sets for LightCycler Multiplex RNA Virus Master or Invitrogen™ SuperScript™ III One-Step RT-PCR showed positive results from a single reaction of triplicate in the three days of 4.8 copies per reaction. R squared and amplification efficiency were 0.97 and ranged from 107 to 108%, respectively. Conclusions: Our findings indicated that TIB-Molbiol, IDT, and Phu Sa primer-probe sets could be beneficial for the laboratory screening of SARS-CoV-2 by RT-qPCR assay of E gene. There is a need to consider the combination of these reagent sets as a new strategy to increase the testing capacity of screening programs for COVID-19.

Hordatines as a Potential Inhibitor of COVID-19 Main Protease and RNA Polymerase: An In-Silico Approach

Dahab,  MA,  Hegazy, et al

Nat Prod Bioprospect

Therapeutics| Thérapeutique

Total 40 natural compounds were selected to perform the molecular docking studies to screen and identify the potent antiviral agents specifically for SARS-CoV-2. The key targets of COVID-19, protease (PDBID: 7BQY) and RNA polymerase (PDBID: 7bV2) were used to dock our target compounds by Molecular Operating Environment (MOE) version 2014.09. We used 3 different conformations of protease target (6M0K, 6Y2F and 7BQY) and two different score functions to strengthen the probability of inhibitors discovery. After an extensive screening analysis, 20 compounds exhibit good binding affinities to one or both COVID-19 targets. 7 out of 20 compounds were predicted to overcome the activity of both targets. The top 7 hits are, flacourticin (3), sagerinic acid (16), hordatine A (23), hordatine B (24), N-feruloyl tyramine dimer (25), bisavenanthramides B-5 (29) and vulnibactins (40). According to our results, all these top hits was found to have a better binding scores than remdesivir, the native ligand in RNA polymerase target (PDBID: 7bV2).

COVID-19 adaptive humoral immunity models: non-neutralizing versus antibody-disease enhancement scenarios

Danchin,  Antoine,  Pagani-Azizi, et al

medRxiv

Coronavirology| Coronavirologie Immunology | Immunologie

The interplay between the virus, infected cells and the immune ressponses to SARS-CoV-2 is still under debate. Extending the basic model of viral dynamics we propose here a formal approach to describe the neutralizing versus non-neutralizing scenarios and compare with the possible effects of antibody-dependent enhancement (ADE). The theoretical model is consistent with data available from the literature and conclusions show that, while both non-neutralizing scenarios and ADE give rise to similar final virus clearance, the non-neutralizing antibodies can induce permanent high levels of antibody production with documented unfavorable impact on the disease progression and outcome. We also discuss the implications on secondary infections.

33029526; How the COVID-19 Pandemic Impacted Oncological Molecular Diagnosis: A Picture from a National Reference Center for Molecular Pathology

Daniel,  Pinto,  Cirnes, et al

BioMed research international

Healthcare Response | Réponse des soins de santé

This article describes the workflow changes that were implemented to a molecular pathology laboratory, a national reference center, to maximize safety and productivity. We assess the impact this situation had on our caseload and what conclusions can be drawn about the wider impact of the pandemic in oncological therapy in Portugal. We reviewed our database for all oncological molecular tests requested between March and April of 2019 and 2020. For each case, we recorded age, sex, region of the country, requesting institution, sample type, testing method, and turnaround time (TAT). A comparison between years was made.  Conclusions: Case reduction was observed at hospitals that have mostly been involved in the treatment of COVID-19 and in the north of the country, the region worst-hit by the pandemic. Similar to other studies, our TAT decreased, even with a similar number of routine cases.

33020339; Diarrhea as an Early and Predominant Manifestation of Coronavirus Disease 2019 (COVID-19): A Case Report

Darnindro,  N,  Nurdewati, et al

Acta medica Indonesiana

Clinical data| Données cliniques

The present case report describes a patient who came with a complaint of diarrhea without fever and she was later confirmed to be positive for COVID-19 during hospitalization. The presence of unspecified initial symptoms calls for greater vigilance from health workers in establishing diagnosis patients with COVID-19.

Association Between Social Vulnerability and a County's Risk for Becoming a COVID-19 Hotspot - United States, June 1-July 25, 2020

Dasgupta,  S,  Bowen, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie

County-level data on COVID-19 cases during June 1-July 25, 2020 and from the 2018 CDC social vulnerability index (SVI) were analyzed to examine associations between social vulnerability and hotspot detection and to describe incidence after hotspot detection. Areas with greater social vulnerabilities, particularly those related to higher representation of racial and ethnic minority residents (RR = 5.3; 95% CI = 4.4-6.4), density of housing units per structure (RR = 3.1; 95% CI = 2.7-3.6), and crowded housing units (i.e., more persons than rooms) (RR = 2.0; 95% CI = 1.8-2.3), were more likely to become hotspots, especially in less urban areas. Among hotspot counties, those with greater social vulnerability had higher COVID-19 incidence during the 14 days after detection (212-234 cases per 100,000 persons for highest SVI quartile versus 35-131 cases per 100,000 persons for other quartiles).

Where have the children with epilepsy gone? An observational study of seizure-related accesses to emergency department at the time of COVID-19

Davico,  C,  Marcotulli, et al

Seizure

Healthcare Response | Réponse des soins de santé

This study evaluated trends in emergency department (ED) access for seizure-related reasons in the first 8 weeks of lockdown in Italy. During the COVID-19 lockdown period (February 23-April 21, 2020), there was a 72 % decrease in all pediatric ED accesses over the corresponding 2019 period (n = 3,395 vs n = 12,128), with a 38 % decrease in seizure-related accesses (n = 41 vs n = 66). The observed decrease of seizure-related ED accesses was not accompanied by significant changes in age, sex, type of seizure, or hospitalization rate after the ED visit.

Comparative analysis of three laboratory based serological assays for SARS-CoV-2 in an Australian cohort

Davidson,  N,  Evans, et al

Pathology

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

This study examined the performance of three laboratory based serological assays, EUROIMMUN Anti-SARS-CoV-2 IgA/IgG, MAGLUMI 2000 Plus 2019-nCov IgM/IgG and EDI Novel Coronavirus (COVID-19) IgM/IgG immunoassays. We evaluated 138 samples from a reference non-infected population and 71 samples from a cohort of 37 patients with SARS-CoV-2 confirmed positive by RT-PCR. The samples were collected at various intervals of 0–45 days post symptoms onset (PSO). Among the findings: Specificity and sensitivity of these assays was 60.9%/71.4% (IgA) and 94.2%/63.3% (IgG) for EUROIMMUN; 98.5%/18.4% (IgM) and 97.8%/53.1% (IgG) for MAGLUMI; and 94.9%/22.5% (IgM) and 93.5%/57.1% (IgG) for EDI, respectively. When samples collected ≥14 days PSO were considered, the sensitivities were 100.0 and 100.0%; 31.0 and 82.8%; 34.5 and 57.1%, respectively.  When samples collected ≥14 days PSO were considered, the sensitivities were 100.0 and 100.0%; 31.0 and 82.8%; 34.5 and 57.1%, respectively. Using estimated population prevalence of 0.1, 1, and 10%, the positive predictive value of all assays remained low.

Modeling and optimal control analysis of transmission dynamics of COVID-19: The case of Ethiopia

Deressa,  CT,  Duressa, et al

Alexandria Engineering Journal

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

A mathematical model to estimate transmission dynamics of COVID-19 is developed. A real data of confirmed cases for Ethiopia is used for parameter estimation via model fitting. Results showed that, the diseases free and endemic equilibrium points are found to be locally and globally asymptotically stable for Ro  1 respectively. The basic reproduction number is Ro = 1.5085. Optimal control analysis also showed that, combination of optimal preventive strategies such as public health education, personal protective measures and treatment of hospitalized cases are effective to significantly decrease the number of COVID-19 cases in different compartments of the model. © 2020 Faculty of Engineering, Alexandria University

Clinical correlations of SARS-CoV-2 antibody responses in patients with COVID-19 infection

DeSimone,  Mia,  Simmons, et al

medRxiv

Clinical data| Données cliniques Immunology | Immunologie

This study was an observational cohort study to evaluate antibody responses in individuals with PCR-confirmed COVID-19, including 48 hospitalized patients diagnosed with COVID-19 by real-time polymerase chain reaction (RT-PCR) at a large tertiary care medical center.  Antibody production reflects the virus-specific immune response, which is important for immunity but also drives pathology, and antibody levels may be important for guiding treatment of individuals with COVID-19.

Physician preparedness for resource allocation decisions under pandemic conditions: A cross-sectional survey of Canadian physicians, April 2020

Dewar,  B,  Anderson, et al

PLoS One

Healthcare Response | Réponse des soins de santé

Authors sought to explore Canadian physicians' preparedness and attitudes regarding resource allocation decisions. This rapidly implemented survey suggests that a sample of Canadian physicians feel underprepared to make resource allocation decisions, and desire both more emotional support and clear, transparent, evidence-based policy.

Detection of COVID-19 informative tweets using RoBERTa

Dhanalaxmi,  Sirigireddy,  Agarwal, et al

arXiv

Public Health response| Interventions de santé publique

Social media such as Twitter is a hotspot of user-generated information. In this ongoing Covid-19 pandemic, there has been an abundance of data on social media which can be classified as informative and uninformative content. In this paper, we present our work to detect informative Covid-19 English tweets using RoBERTa model as a part of the W-NUT workshop 2020. We show the efficacy of our model on a public dataset with an F1-score of 0.89 on the validation dataset and 0.87 on the leaderboard.

33027455; Is the COVID-19 disease associated with de novo nephritic syndrome?

Dheir,  H,  Sipahi, et al

Revista da Associacao Medica Brasileira (1992)

Clinical data| Données cliniques

This study aims to determine the incidence of de novo nephritic syndrome (NS) in COVID-19 patients and identify its associated factors.  COVID-19-induced de novo nephritic syndrome may occur mainly due to tubulointerstitial involvement and often results in spontaneous remission.

33010259; Screening for SARS-CoV-2 antibodies among healthcare workers in a university hospital in southern France

Dimeglio,  C,  Herin, et al

Journal of Infection

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé Immunology | Immunologie

In this letter to the editor, authors aimed to determine the serological status of HCW after the first wave of the epidemic, and the extent of their protective immunity. Transmission could be reduced by enhancing infection prevention training and communication within hospitals, particularly in units with little or no exposure to the virus and by introducing audits of hygiene practices.

An approach for recognizing COVID-19 cases using Convolutional Neural Networks applied to CT scan images

Do,  C,  Vu, et al

 

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

This study aims to investigate an automated approach using Convolutional Neural Network (CNN) to efficiently classify COVID-19 cases vs healthy cases using chest CT images. Authors concluded that a CNN approach can detect COVID-19 using CT features, and DenseNet201is the highest performing model.

Effect of COVID-19 lockdown on sleep behavior and screen exposure time: an observational study among Indian school children

Dutta,  K,  Mukherjee, et al

Biological Rhythm Research

Public Health response| Interventions de santé publique

An online survey was conducted to comprehend the effect of lockdown on sleep behavior and screen exposure time on school children.  These baseline data on sleep parameters and duration of exposure to the screen will help us in devising approaches to mitigate the evident disruption this unprecedented phase has brought about.

Assessing the progression of the COVID-19 pandemic in Canada using testing data and time-dependent reproduction numbers

Edjoc,  R,  Atchessi, et al

Can J Public Health

Epidemiology| Épidémiologie

The objective of this study was to compare a mathematical tool and time-dependent reproduction number (Rt) estimates to assess the COVID-19 pandemic progression in a Canadian context. This analyses compared a mathematical tool to R(t) estimates to ascertain the status of the pandemic in Canada.

Venous thrombosis in a systemic lupus erythematosus patient with antiphospholipid antibodies coinciding with mild Covid-19

Elena,  AM,  Silvia, et al

Lupus

Clinical data| Données cliniques

In this letter to the editor authors discuss the case of a young female with a history of systemic lupus erythematosus (SLE) and antiphospholipid antibodies (aPL) who developed pulmonary thromboembolism coinciding with COVID-19.

Assessing the Impact of Social Network Structure on the Diffusion of Coronavirus Disease (COVID-19): A Generalized Spatial SEIRD Model

Fagiolo,  Giorgio

arXiv

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

A mathematical tool and time-dependent reproduction number (Rt) estimates to assess the COVID-19 pandemic progression in a Canadian context. For Canada as a whole, the testing graphs had a slightly concave profile and a coincident decrease in Rt estimates. Saskatchewan more recently had a convex profile with a gradual shift to a concave profile and also demonstrated a gradual decline in Rt estimates. Curves and Rt estimates for Alberta, British Columbia, Manitoba, Nova Scotia, Ontario and Quebec displayed a gradual shift towards concavity over time and an overall decrease in Rt estimates, which is suggestive of a positive impact of public health interventions implemented federally and provincially.

Promoting Social Distancing in a Pandemic: Beyond the Good Intentions

Falco,  Paolo,  Zaccagni, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

Authors conducted a randomised trial with a large sample of Danish residents to test different versions of a reminder to stay home at the peak of the crisis. Findings show that reminders can be useful to protect groups at risk by increasing their own compliance with social distancing.

A Virucidal Face Mask Based on the Reverse-flow Reactor Concept for Thermal Inactivation of SARS-CoV-2

Faucher,  Samuel,  Lundberg, et al

arXiv

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

Authors  introduce a new virucidal face mask concept based on a reverse-flow reactor driven by the oscillatory flow of human breath. This study is the first quantitative analysis of virucidal thermal inactivation within a protective face mask and addresses a pressing need for new approaches for personal protective equipment during a global pandemic.

Implementation of online learning during the covid-19 pandemic on Madura Island, Indonesia

Febrianto,  PT,  Mas'udah, et al

International Journal of Learning, Teaching and Educational Research

Public Health response| Interventions de santé publique

This study aimed to determine the online learning process and the associated obstacles experienced by students. The availability of supporting facilities and infrastructure as well as the facilitated internet access among rural communities, financial assistance and the socialisation of the importance of online learning is necessary.

Clinical characterization of obstetric patients with suspected covid-19

Fernández,  ABS,  Cid, et al

Revista Cubana de Medicina Militar

Clinical data| Données cliniques

The objective of this study was to clinically characterize obstetric patients with suspected COVID-19. COVID-19 occurred more frequently in pregnant women during the first trimester, the mild form of the disease prevailed, with no COVID-19 pneumonia or deaths from this disease.

Panspecies molecular assays detect viral pathogens missed by real-time PCR/reverse-transcriptase PCR among pneumonia patients, Sarawak, Malaysia

Fieldhouse,  JK,  Bailey, et al

Tropical Diseases, Travel Medicine and Vaccines

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

The study team sought to compare real-time assay results with panspecies conventional molecular diagnostics to compare sensitivities and learn if novel viruses had been missed. The observed differences in the two modes of amplification suggest that where a problem with sensitivity is suspected, real-time assay results might be supplemented with panspecies conventional PCR/RT-PCR assays.

33032685; Cutaneous Manifestations of COVID-19: A Report from the United Arab Emirates

Galadari,  I,  Marzooqi, et al

Skinmed

Clinical data| Données cliniques

A retrospective case series based on history and clinical findings was performed across six hospitals in the UAE, including two field hospitals. The occurrence of other cutaneous manifestations with an underlying autoimmune pathogenesis should raise the possibility of such conditions in those with COVID-19.

COVID-19 Status, Symptom Burden, and Characteristics of Dialysis Patients Residing in Areas of Community Transmission: Research Letter

Gale,  J,  Clark, et al

Canadian Journal of Kidney Health and Disease

Clinical data| Données cliniques

The objective of this study was to describe the clinical characteristics, symptom burden, and COVID-19 status in a cross-section of hemodialysis patients residing in areas with evidence of community spread. In this study of hemodialysis patients residing in areas with community spread who otherwise did not meet symptom criteria for being “at-risk,” we did not identify any individual who tested positive for SARS-CoV-2.

Examining Population Health During the Global COVID-19 Pandemic: All-Cause, Pneumonia and Influenza, and Road Traffic Deaths in Taiwan

Gao,  Wayne,  Sanna, et al

SSRN- Lancet prepublication

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

Taiwan has successfully contained the COVID-19 outbreak, the authors' goal was to assess whether non-pharmaceutical interventions and behavioral changes affected all- and other causes of death.  COVID-19 interventions may have prevented the spread of other respiratory infectious diseases and resulted in fewer than expected deaths in Taiwan.

Cardiac Tamponade in a Patient With Myocardial Infarction and COVID-19: Electron Microscopy

García-Cruz,  E,  Manzur-Sandoval, et al

JACC: Case Reports

Clinical data| Données cliniques

We present the case of a patient with myocardial infarction and COVID-19 disease who developed hemorrhagic pericardial effusion and cardiac tamponade. The differential diagnosis included post-infarction pericarditis and mechanical complications, thrombolysis, Dressler syndrome, and viral pericarditis. The histopathologic examination of the pericardial tissue sample and electron microscopic examination established the diagnosis. (Level of Difficulty: Advanced.) © 2020 The Authors

Fetal Transient Skin Edema in Two Pregnant Women With Coronavirus Disease 2019 (COVID-19)

Garcia-Manau,  P,  Garcia-Ruiz, et al

Obstet Gynecol

Clinical data| Données cliniques

Authors discuss 2 patients where fetal skin edema was observed on ultrasound examination while maternal SARS-COV-2 RT-PCR test results were positive and resolved when maternal SARS-COV-2 RT-PCR test results became negative. Transient fetal skin edema noted in these two patients with COVID-19 in the second trimester may represent results of fetal infection or altered fetal physiology due to maternal disease or may be unrelated to the maternal illness.

Race, Ethnicity, and Age Trends in Persons Who Died from COVID-19 - United States, May-August 2020

Gold,  JAW,  Rossen, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie Surveillance

Analysis of 114,411 COVID-19–associated deaths reported to National Vital Statistics System during May–August 2020, found that 51.3% of decedents were non-Hispanic White, 24.2% were Hispanic or Latino (Hispanic), and 18.7% were non-Hispanic Black. The percentage of Hispanic decedents increased from 16.3% in May to 26.4% in August.

Urological surgery during SARS-CoV-2 pandemic. Descriptive analysis of the experience in a Urology Department across the pandemic phases

González-Díaz,  A,  Abad-López, et al

Actas Urologicas Espanolas

Healthcare Response | Réponse des soins de santé

Our objective is to describe the outcomes presented by patients undergoing surgery in the urology department of a tertiary hospital, across the pandemic phases. 103 urological surgeries were performed, and 11 patients were diagnosed with COVID-19. The diagnosis was already known in 1 patient, while the other 10 developed the disease in an average of 25 days after the intervention and 16,6 days after discharge.  Of seven transplant patients, four got the infection. Three deaths were recorded due to the disease.

Adaptive Mesh Refinement and Coarsening for Diffusion-Reaction Epidemiological Models

Grave,  Malú,  Coutinho, et al

arXiv

Modelling/ prediction| Modélisation/prédiction Transmission

In this work, we extend the formulation of SEIRD compartmental models to diffusion-reaction systems of partial differential equations to capture the continuous spatio-temporal dynamics of COVID-19. Since the virus spread is not only through diffusion, we introduce a source term to the equation system, representing exposed people who return from travel. We also add the possibility of anisotropic non-homogeneous diffusion. We implement the whole model in \texttt{libMesh}, an open finite element library that provides a framework for multiphysics, considering adaptive mesh refinement and coarsening. Therefore, the model can represent several spatial scales, adapting the resolution to the disease dynamics. We verify our model with standard SEIRD models and show several examples highlighting the present model's new capabilities.

Knowledge, attitude, practices, and behavior regarding COVID-19 among serving personnel of a large military garrison: a quick online cross-sectional survey

Grewal,  VS,  Sharma, et al

Medical Journal Armed Forces India

Public Health response| Interventions de santé publique

This study was conducted to assess knowledge, attitudes, practices, and behavior regarding COVID-19 among serving soldiers. A total of 1231 serving personnel participated in an online survey. The prevalence of correct knowledge was more than 80%.  A statistically significant association was found with increasing age and education.  81.38% thought that the response measures were adequate. In the affective domain, increased perception of anxiousness, worriedness, and not feeling relaxed was found in the responses.

The Role of COVID-19 in the Death of SARS-CoV-2–Positive Patients: A Study Based on Death Certificates

Grippo,  Francesco,  Navarra, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie

Aim of the present study was to examine death certificates of persons who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A total of 5,311 death certificates of persons dying in March through May 2020 were analysed. COVID-19 was the underlying cause of death in 88% of cases. Pneumonia and respiratory failure were the most common complications, being identified in 78% and 54% of certificates, respectively. Comorbidities were reported in 72% of certificates, with little variation by age and gender. The most common comorbidities were hypertensive heart disease, diabetes, ischaemic heart disease, and neoplasms.

Multisystem inflammatory syndrome in SARS-CoV-2 infection mimicking acute appendicitis in children

Guanà,  R,  Pagliara, et al

Pediatrics and Neonatology

Clinical data| Données cliniques

A 7 years old boy with no known comorbidities was presented to our attention with complaints of low-grade fever and conjunctivitis for 5 days.  Time Reverse Transcription Polymerase Chain Reaction (RT-PCR) test for SARS-CoV-2 infection was negative. During the first night as inpatient, he underwent sudden hypoxia (oxygen saturation <85%) and hypotension, with a systolic blood pressure of 80 mmHg. He was transferred to the Intensive Care Unit. The specialist (endocrinologist) suggested a multisystem inflammatory syndrome in children (MIS-C). Due to the atypical features, he underwent two SARS-Cov-2 tests (RT-PCR) (both negative) and one dosage of seric Immunoglobulin G (IgG) for SARS-Cov-2 (positive).

Preventive Measures for COVID-19 in Dental Treatments

Guo,  J,  Xie, et al

Disaster Med Public Health Prep

Healthcare Response | Réponse des soins de santé

METHODS: In this paper, we outline several measures designed to prevent COVID-19 in dental treatments, such as three-level pre-examination triage and two-body temperature tests, three-level protection for medical personnel, gargle before oral treatment, implement the four-hand operation, suctioning saliva during oral treatment, use a rubber dam, strict enforcement of hand hygiene. RESULTS: The epidemic has been brought under control and routine oral examination and treatments have gradually been resumed from March 9, 2020, in Hunan province, China. From January 24, 2020, to March 8, 2020, a total of 4,272 patients received oral therapy during the COVID-19 epidemic in our hospital.

A profile of a retrospective cohort of 22 patients of COVID-19 with active/treated tuberculosis

Gupta,  N,  Ish, et al

Eur Respir J

Epidemiology| Épidémiologie Clinical data| Données cliniques

According to the authors, this  study describes the first-ever cohort of current or treated TB patients co-infected with COVID-19 from a high TB burden country, recruited by a tertiary care hospital in India.

Management and outcomes of patients hospitalized with severe COVID-19 at a tertiary care center in midwestern United States

Gupta,  S,  Kaushik, et al

Monaldi Archives for Chest Disease

Epidemiology| Épidémiologie

We report our experience of management and outcomes of hospitalized patients with COVID-19 at a large tertiary-care center in Midwestern United States. Of 658 patients presenting to our tertiary care center, 217 needed hospitalization, majority (77%) of whom were severely sick requiring admission to the intensive care unit (ICU). All received corticosteroids, and 78% of the patients received tocilizumab. More than two-thirds of the patients received anticoagulation and 80% of patients in the ICU had prone-positioning. The median duration of hospitalization was 12 days (interquartile range, 8 to16), median duration of intensive care unit stay was 7 days (interquartile range, 5 to 9) and requirement of mechanical ventilation was 6 days (interquartile range, 5 to 8) in our cohort. Of the 217 patients, 27 died (12% mortality).

Prevention of SARS-CoV-2 cell entry: insight from in silico interaction of drug-like alkaloids with spike glycoprotein, human ACE2, and TMPRSS2

Gyebi,  GA,  Adegunloye, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Hence, 97 alkaloids from African medicinal plants with reported antiviral activity were evaluated for this purpose via in silico studies. These alkaloids were docked for their interactions with SARS-CoV-2 spike glycoprotein, ACE2, and TMPRSS2. Top 20 alkaloids with highest binding affinities were further screened for their interactions with spike glycoprotein of SARS-CoV and MERS-CoV, and with ACE2-SARS-CoV-2 receptor-binding domain complex (ACE2-RBD).  Results revealed that more than 15 alkaloids interacted better than the reference compounds. 10–Hydroxyusambarensine and Cryptospirolepine were docked in a similar binding pattern to the S1-specificy pocket of TMPRSS2 as camostat. The strong binding affinities, stability of the alkaloid-protein complexes and amino acid interactions displayed by cryptospirolepine, 10-hydroxyusambarensine, and cryptoquindoline with important binding hotspots of the proteins suggest these alkaloids have the potential of altering the capacity of SARS-CoV-2 membrane mediated host cell entry.

‘When will I be free’: Lessons from COVID-19 for Child Protection in South Africa

Haffejee,  S,  Levine, et al

Child Abuse and Neglect

Public Health response| Interventions de santé publique

Objective: The aim of this study was to explore the experiences and impact of the pandemic and the resulting social isolation on the wellbeing and protection of children living in a residential care facility. Methods and participants: We used qualitative, participatory approaches – specifically draw-and-write methods – to engage with 32 children (average age = 13.5 years) living in a residential care facility in Gauteng. Findings: Children in care demonstrated an awareness of the socio-economic difficulties facing communities in South Africa, and shared deep concerns about the safety, well-being and welfare of parents and siblings. Although they expressed frustration at the lack of contact with family members, they acknowledged the resources they had access to in a residential care facility, which enabled them to cope and which ensured their safety.

Fulminant hepatic failure: A rare and devastating manifestation of Coronavirus disease 2019 in an 11-year-old boy

Haji Esmaeil Memar,  E,  Mamishi, et al

Archives de Pediatrie

Clinical data| Données cliniques

We report a pediatric case of fulminant hepatic failure associated with COVID-19. Although the patient was treated for acute fulminant hepatic failure in the context of COVID-19, he died following the progression of the disease to stage 4 hepatic failure with encephalopathy and brain death.

Automatic oxygen titration with O2matic® to patients admitted with COVID-19 and hypoxemic respiratory failure

Hansen,  EF,  Bech, et al

European Clinical Respiratory Journal

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

We aimed to determine if closed-loop control of oxygen was feasible in patients with COVID-19 and could maintain SpO2 in the specified interval. Fifteen patients (six women, nine men) participated in the study. he average stay on the ward was 3.2 days and O2matic was used on average for 66 hours, providing 987 hours of observation. O2matic maintained SpO2 in the desired interval for 82.9% of the time. Time with SpO2 > 2% below interval was 5.1% and time with SpO2 > 2% above interval was 0.6%. Closed-loop control of oxygen to patients with COVID-19 is feasible and can maintain SpO2 in the specified interval in the majority of time. Closed-loop automated control could be of particular benefit for patients in isolation with decreased visibility, surveillance and monitoring.

Serological surveillance of SARS-CoV-2: trends and humoral response in a cohort of public health workers

Harris,  RossJ,  Whitaker, et al

medRxiv

Epidemiology| Épidémiologie Immunology | Immunologie

We undertook prospective serosurveillance in a large cohort of healthy adults from the start of the epidemic in England.  In total, 2247 individuals were recruited and 2014 (90%) had 3-5 monthly antibody tests.  Over the study period SARS-CoV-2 seropositivity was 8-10% overall and up to 21% in clinical healthcare workers. In seropositive individuals, nucleoprotein and spike protein IgG antibodies declined with time after infection and 50% are predicted to fall below the positive test threshold after 6 months.

Article Current Status of Nosocomial COVID-19 Cases in Delivery Facilities in Japan

Hasegawa,  Junichi,  Arakaki, et al

SSRN- Lancet prepublication

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

We aimed to identify the characteristics of and measures taken by Japanese medical facilities providing maternity services that have recorded cases of nosocomial infection with SARS-CoV-2.  A case-control study was conducted by including medical facilities with (Cases) and without (Control) nosocomial COVID-19.  Responses from 1,418 medical facilities were assessed (65% of all delivery facilities in Japan). Seventy-five COVID-19-positive pregnant women were treated in 48 facilities. Nosocomial infection was reported in 4.1% of the facilities. Nine patients developed a nosocomial infection in the maternity ward or obstetric department. Variables that contributed to nosocomial COVID-19 were chest CT on admission,  PCR test for SARS-CoV-2 before delivery,  transfer of pregnant women with fever to another hospital,  and private clinics.

Ultra-sensitive viral glycoprotein detection NanoSystem toward accurate tracing SARS-CoV-2 in biological/non-biological media

Hashemi,  SA,  Golab Behbahan, et al

Biosensors and Bioelectronics

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

Fast transferable pathogens requiring practical diagnostic setups to control their transfer chain and stop sever outbreaks in early stages of their appearance. Herein, we have addressed this urgent demand by designing a rapid electrochemical diagnostic kit composed of fixed/screen printed electrodes that can detect pathogenic viruses such as SARS-CoV-2 and/or animal viruses through the differentiable fingerprint of their viral glycoproteins at different voltage positions. The method do not require any extraction and/or biomarkers for detection of target viruses and can identify trace of different pathogenic viruses in about 1 min. The nanosensor also demonstrated superior limit of detection (LOD) and sensitivity of 1.68 × 10−22 μg mL−1 and 0.0048 μAμg.mL−1. cm−2, respectively, toward detection of SARS-CoV-2 in biological media, while blind clinical evaluations of 100 suspected samples furtherly confirmed the superior sensitivity/specificity of developed nanosystem toward rapid identification of ill people even at incubation and prodromal periods of illness.

The clinical effect of Nano micelles containing curcumin as a therapeutic supplement in patients with COVID-19 and the immune responses balance changes following treatment: A structured summary of a study protocol for a randomised controlled trial

Hassaniazad,  M,  Inchehsablagh, et al

Trials

RCT

Objectives: To investigates the effectiveness of curcumin-containing Nanomicelles as a therapeutic supplement in the treatment of patients with COVID-19 and its effect on immune responses balance changes following treatment.

33017383; Excess mortality in Metropolitan Lima during the COVID-19 pandemic: A district level comparison

Hernández-Vásquez,  A,  Gamboa-Unsihuay, et al

Medwave

Epidemiology| Épidémiologie

Objective: To compare excess mortality by district quintiles according to the Human Development Index (HDI) in Metropolitan Lima, the capital of Peru, and analyze the socioeconomic factors associated with excess mortality within the context of COVID-19. An excess of 20 093 non-violent deaths and 2,979 confirmed deaths from COVID-19 were registered in Metropolitan Lima during the study period. The increase was observed primarily in men and adults aged 60 and over. Residents in the districts belonging to the fifth quintile, according to HDI, presented, in most cases, the lowest rates. Multivariate analysis revealed that a higher HDI level (p = 0.009) and a higher proportion of inhabitants living in extreme poverty (p = 0.014) decreased the excess mortality.

33020332; Test, Trace, and Treatment Strategy to Control COVID-19 Infection Among Hospital Staff in a COVID-19 Referral Hospital in Indonesia

Hidayat,  R,  Aini, et al

Acta medica Indonesiana

Public health interventions*| Interventions de santé publique Healthcare Response | Réponse des soins de santé

This study aimed to evaluate the 3T  (test, trace, and treatment) strategy to control COVID-19 infection in a COVID-19 Referral Hospital in Depok, West Java, Indonesia. The study was conducted in June 2020 with 742 participants (staff members) using secondary data from polymerase chain reaction (PCR) test results. the PCR test results were positive in 83 (11.1%) participants, with a case-per-tracing ratio of 1:24 and 1:2 in the first and third phases of tracing, respectively. The COVID-19 case graph for the participants decreased along with the implementation of the 3T strategy. The positivity rate in the first phase of tracing was 20% and decreased to 5% in the third phase of tracing. Staff with confirmed positive test results were advised to isolate themselves (hospital or self-isolation). Hospital isolation was found to be associated with the duration of PCR test conversion (p<0.001).

32618968; Early comprehensive testing for COVID-19 is essential to protect trauma centers

Hu,  P,  Jansen, et al

Journal of Trauma and Acute Care Surgery

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

We discuss the impact that SARS-CoV-2 has had in our trauma center and our steps to limit the potential exposures. Over the 14-day evaluation period, we tested 85 trauma patients for SARS-CoV-2 infection, and 21 (25%) were found to be positive. Sixty percent of the patients in the trauma/burn intensive care unit were infected with SARS-CoV-2. Positive verbal screen results, presence of ground glass opacities on admission chest CT, and presence of clinical symptoms were not significantly different in patients with or without SARS-CoV-2 infection (p > 0.05). Many infected patients were without clinical symptoms (9/21, 43%) or radiological signs on admission (18/21, 86%) of COVID-19.

SARS-CoV-2 virus outbreak and the emergency public health measures in Bosnia and Herzegovina: January - July, 2020

Hukic,  M,  Ponjavic, et al

Bosn J Basic Med Sci

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

Demographic and clinical information on all the cases along with exposure and contact information was collected using a standardized case report form.  In suspected SARS-CoV-2 cases, respiratory specimens were collected and tested by real-time reverse-transcriptase polymerase chain reaction (rRT-PCR) assay. The dynamic of the outbreak was summarized using epidemiological curves, instantaneous reproduction number Rt and interactive choropleth maps for geographical distribution and spread. The rate of hospitalization was 14.0 % (790/5646) in Federation of Bosnia and Herzegovina (FBH) and 6.2 % (267/4299) in Republic of Srpska (RS). The death rate was 2.2% (122/5646) in FBH and 3.6% in the RS (155/4299). After the authorities lifted mandatory quarantine restrictions, the basic reproduction number increased from 1.13 on May, the 20th to 1.72 on May the 31st. The outbreak concerns both entities, Federation of Bosnia and Herzegovina and Republika Srpska, and it is more pronounced in those aged 20-44 years.

Stochastic mathematical model for the spread and control of Corona virus

Hussain,  S,  Zeb, et al

Advances in Difference Equations

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

To understand the spread and control of corona virus in a better way, we first study the stability of the corresponding deterministic model, investigate the unique nonnegative strong solution and an inequality managing of which leads to control of the virus. After this, we pass to the stochastic model and show the existence of a unique strong solution. Next, we use the supermartingale approach to investigate a bound managing of which also leads to decrease of the number of infected individuals. Finally, we use the data of the COVOD-19 in USA to calculate the intensity of Poisson processes and verify our results.

A Biomarker Based Severity Progression Indicator for COVID-19: The Kuwait Prognosis Indicator Score

Jamal,  MH,  Doi, et al

Biomarkers

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

We developed and validated a simple score calculated at time of diagnosis that can predict patients with severe COVID-19. The KPI score calculator is now available online.

Demographic and Socioeconomic Characteristics of COVID-19 Patients Treated in the Emergency Department of a New York City Hospital

James,  MK,  Kishore, et al

J Community Health

Epidemiology| Épidémiologie

The aim of this study is to describe the demographics and socioeconomic factors in relation to geolocation of COVID-19 patients. COVID-19 disproportionately affected minorities and males.

Genomic Elucidation of a COVID-19 Resurgence and Local Transmission of SARS-CoV-2 in Guangzhou, China

Jia,  Hong-Ling,  Li, et al

SSRN- Lancet prepublication

Transmission Coronavirology| Coronavirologie

In China viral variants in overseas travelers were usually shared within households but not among passengers on the same flight. From 109 imported cases we found diverse viral variants distributing in the global viral phylogeny, which were usually shared within households but not among passengers on the same flight. Local transmission was predominately attributed to two specific variants imported from Africa, including the local cases who reported no direct/indirect contact with imported cases.

Relationship Between Psychological Responses and the Appraisal of Risk Communication During the Early Phase of the COVID-19 Pandemic: A Two-Wave Study of Community Residents in China

Jin,  Z,  Zhao, et al

Frontiers in Public Health

Public Health response| Interventions de santé publique

Chinese survey of adults of high-risk and low-rick areas to measure adoption of preventive behaviors, appraisal of risk communication, anxiety level, and susceptibility to emotional contagion. The results demonstrated reciprocal negative associations between anxiety and risk communication and between the appraisal of risk communication and the adoption of preventive behaviors.

Seroprevalence of SARS-CoV-2 IgG antibodies in two regions of Estonia (KoroSero-EST-1)

Jogi,  Piia,  Soeorg, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques Immunology | Immunologie

Seroprevalence of SARS-CoV-2 in Estonia was low even in the hotspot region.  IgG concentrations were higher if fever, difficulty breathing, shortness of breath, chest pain or diarrhea was present, or hospitalization required. A total of 3608 individual were invited and 1960 recruited From May 8 to July 31, 2020. Seroprevalence was 1.5% (95% CI 0.9-2.5) and 6.3% (95% CI 5.0-7.9), infection fatality rate 0.1% (95% CI 0.0-0.2) and 1.3% (95% CI 0.4-2.1) in Tallinn and Saaremaa, respectively. Of seropositive subjects 19.2% (14/73) had acute respiratory illness.

Clinical characteristics and outcome of hospitalized patients with SARS-CoV-2 infection at Toulouse University hospital (France). Results from the Covid-clinic-Toul cohort

Jourdes,  A,  Lafaurie, et al

Revue de Medecine Interne

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of our study was to describe the clinical characteristics and outcome of hospitalized patients with SARS-CoV-2 pneumonia at the Toulouse university hospital, France  (March 7, 2020 to April 20, 2020).  Outcomes for all 263  Covid patients were detailed

The Spread of COVID-19 in London: Network Effects and Optimal Lockdowns

Julliard,  Christian,  Shi, et al

SSRN- Lancet prepublication

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

We find that the UK lockdown measure reduced total propagation by 57%, with more than one third of the effect coming from the reduction in network externalities. Counterfactual analyses suggest that: i) the lockdown was somehow late, but further delay would have had more extreme consequences; ii) a targeted lockdown of a small number of highly connected geographic regions would have been equally effective, arguably with significantly lower economic costs; iii) targeted lockdowns based on threshold number of cases are not effective, since they fail to account for network externalities.

Comparison of three nasopharyngeal swab types and the impact of physiochemical properties for optimal SARS-CoV-2 detection

Kahamba,  TrishR,  Noble, et al

medRxiv

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

Testing found that not all swabs are created equal. However,  the swabs were not tested upon patients so any conclusion as to their relative performance in practice is doubtful.

TeX-Graph: Coupled tensor-matrix knowledge-graph embedding for COVID-19 drug repurposing

Kanatsoulis,  CharilaosI,  Sidiropoulos, et al

arXiv

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

In this paper we propose a novel coupled tensor-matrix framework for KG embedding. We leverage tensor factorization tools to learn concise representations of entities and relations in knowledge bases and employ these representations to perform drug repurposing for COVID-19. Our proposed framework is principled, elegant, and achieves 100% improvement over the best baseline in the COVID-19 drug repurposing task using a recently developed biological KG.

Peri-operative COVID-19 infection in urgent elective surgery during a pandemic surge period: a retrospective observational cohort study

Kane,  AD,  Paterson, et al

Anaesthesia

Healthcare Response | Réponse des soins de santé

In this study, we establish if implementation of a bespoke peri-operative care bundle for urgent elective surgery during a pandemic surge period can deliver a low COVID-19-associated complication profile. We present a single-centre retrospective cohort study from a tertiary care hospital of patients planned for urgent elective surgery during the initial COVID-19 surge in the UK between 29 March and 12 June 2020. Out of 557 patients referred for surgery 535 patients (96%) had COVID-19 screening, of which 13 were positive (2.4%, 95%CI 1.4-4.1%). Out of 512 patients subsequently undergoing surgery, 7 (1.4%) developed COVID-19 positive status (1.4%, 95%CI 0.7-2.8%) with one COVID-19-related death (0.2%, 95%CI 0.0-1.1%) within 30 days. Low rates of COVID-19 infection and mortality in the elective surgical population can be achieved within a targeted care bundle.

PMC7524441; Improving supply chain sustainability in the context of COVID-19 pandemic in an emerging economy: Exploring drivers using an integrated model

Karmaker,  CL,  Ahmed, et al

Sustain Prod Consum

Public Health response| Interventions de santé publique

This study reveals the influential relationships and indispensable links between the drivers using fuzzy TISM to improve the SCS in the context of COVID-19. Findings also reveal that financial support from the government as well as from the supply chain partners is required to tackle the immediate shock on SCS due to COVID-19.

COVID-19's Impact on the 2020-2021 Resident Match: A Survey of Otolaryngology Program Directors

Kasle,  DA,  Torabi, et al

Ann Otol Rhinol Laryngol

Healthcare Response | Réponse des soins de santé

The objective of this study is to determine the impact coronavirus disease of 2019 (COVID-19) will have on the 2020-2021 otolaryngology (OTO-HNS) resident application cycle. A cross-sectional survey targeting OTO-HNS program directors (PD) was created and disseminated via email to PDs on May 28th 2020. Twenty-nine of 123 solicited PDs (23.6%) completed the survey. Sixteen (55.2%) PDs stated that virtual interviews would impact their ability to properly gauge candidates and 12 (41.4%) were unsure. Eight PDs (27.6%) stated their evaluation of candidates will likely change, with a shift toward an increased reliance on letters of recommendation, research involvement, and clerkship grades. Virtual interviews and engagement activities will mostly supplant sub-Is and AR for the 2020-2021 OTO-HNS application cycle.

32931811; An implementation project to expand access to self-administered depot medroxyprogesterone acetate (DMPA)

Katz,  M,  Newmark, et al

Contraception

Public Health response| Interventions de santé publique

The objective of this study is to describe the implementation and results of a proactive patient outreach project to offer self-administered, depot medroxyprogesterone (DMPA) subcutaneous (SC) to interested patients at a California safety-net clinic following expanded state Medicaid coverage.  We conducted initial outreach in May, 2020 and recorded appointment attendance and completed injections through August, 2020. Of 90 eligible patients (age 17–54), we successfully contacted and discussed DMPA-SC with 70 (78%). Twenty-six (37%) patients expressed interest in DMPA-SC and scheduled telehealth appointments to learn to self-administer the medication. Fifteen (58%) of those interested (21% of the total) successfully self-injected DMPA-SC. There is interest in and successful initiation of self-administered DMPA-SC among patients at an urban safety net hospital-based primary care clinic who have used DMPA-IM in the last year.

Mining transcriptomics and clinical data reveals ACE2 expression modulators and identifies cardiomyopathy as a risk factor for mortality in COVID-19 patients

Kaur,  Navchetan,  Oskotsky, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this study, we developed GENEVA (GENe Expression Variance Analysis), a semi-automated framework for exploring massive amounts of RNA-seq datasets. We applied GENEVA to 28,6650 publicly available RNA-seq samples to identify any previously studied experimental conditions that could directly or indirectly modulate ACE2 expression. We identified multiple drugs, genetic perturbations, and diseases that modulate the expression of ACE2, including cardiomyopathy, HNF1A overexpression, and drug treatments with RAD140 and Itraconazole. Our unbiased meta-analysis of seven datasets confirms ACE2 up-regulation in all cardiomyopathy categories. Using electronic health records data from 3936 COVID19 patients, we demonstrate that patients with pre-existing cardiomyopathy have an increased mortality risk than age-matched patients with other cardiovascular conditions.

33031084; Detection of SARS-CoV-2 in the tears and conjunctival secretions of Coronavirus disease 2019 patients

Kaya,  H,  Çalışkan, et al

Journal of infection in developing countries

Clinical data| Données cliniques Coronavirology| Coronavirologie

The study aims to evaluate the presence of severe acute respiratory syndrome Coronavirus-2 (SARS-CoV-2) virus in tears and conjunctival secretion of patients with COVID-19. A prospective interventional case series study was performed, and 32 patients with COVID-19 were selected at the Pamukkale University Hospital from 15 to 22 May 2020. By the time of the first collection of conjunctival-tear samples, the mean time of the onset of complaints was 6.84 ± 6.81 (1-35) days. Tear-conjunctival samples from 5 patients (16%) without conjunctivitis yielded positive PCR results, 3 of whom had positive and 2 negative nasopharyngeal PCR results. Five of 32 patients (16 %) without conjunctivitis or any eye symptoms had viral RNA in their tear-conjunctival samples. The possibility of transmission via tears and conjunctival secretions should be recognized even in the absence of conjunctivitis or other ocular manifestations.

32816764; Imaging features of acute encephalopathy in patients with COVID-19: A case series

Kihira,  S,  Delman, et al

American Journal of Neuroradiology

Clinical data| Données cliniques

In this study we encounter MR findings of encephalopathy among 5 patients with COVID-19 during the surge of disease in New York City from late March to late April 2020. The 5 cases presented illustrate varying imaging presentations of acute encephalopathy in patients with COVID-19. Three of 5 patients demonstrated large confluent and symmetric diffusion restriction in the cerebral WM, with sparing of subcortical U-fibers. Given the clinically significant hypoxia encountered in patients with COVID-19, we believe that the MR findings in some cases are multifactorial, with a likely frequent component of post–hypoxic leukoencephalopathy.

Viral dynamics of SARS-CoV-2 infection and the predictive value of repeat testing

Kissler,  StephenM,  Fauver, et al

medRxiv

Clinical data| Données cliniques Coronavirology| Coronavirologie

In this study we report the viral RNA trajectories for 68 individuals using quantitative PCR testing. On average, symptomatic and asymptomatic individuals reached similar peak viral RNA concentrations (22.2 Ct, 95% credible interval [19.1, 25.1] vs. 22.4 Ct [20.2, 24.5]) within similar amounts of time (2.9 days [0.7, 4.7] vs. 3.0 days [1.3, 4.3]), but acute shedding lasted longer for symptomatic individuals (10.5 days [6.5, 14.0] vs. 6.7 days [3.2, 9.2]). A second test within 2 days after an initial positive PCR result reliably indicated whether viral RNA concentration was increasing, decreasing, or in a low-level persistent phase. Quantitative viral RNA assessment, informed by viral trajectory, can improve algorithms for clinical and public health management.

Visitor Restriction Policy on Pediatric Wards during Novel Coronavirus (COVID-19) Outbreak: A Survey Study across North America

Kitano,  T,  Piché-Renaud, et al

J Pediatric Infect Dis Soc

Public Health response| Interventions de santé publique

Visitor restriction policies in pediatric wards during the novel coronavirus (COVID-19) outbreak are variable. Among 36 hospitals that responded to our survey, 97% allowed at least one visitor, with 67% restricting to one caregiver. 69% required the visitor to wear personal protective equipment and only 19% allowed non-household visitors.

Early school closures can reduce the first-wave of the COVID-19 pandemic development

Klimek-Tulwin,  M,  Tulwin, et al

Journal of Public Health (Germany)

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

This study aimed to assess the effect of school closures on the COVID-19 pandemic and epidemic trajectories in selected countries.  Information on the number of cases and population in each country were taken from official government reports. Dates of educational institutions closure were taken from the UNESCO database. Statistical analyses were performed using Statistica. Most of the European countries closed schools in the period of 11–20 of March 2020. The data indicate that there was a strong correlation between the day of educational facilities closure and the incidence rate in the following days (16th, 30th, and 60th days since the 100th confirmed case in each country). Early closure of schools in analyzed countries is statistically significantly correlated with lower incidence rates further on during the different phases of the epidemic. The available data suggest that school closures can potentially reduce transmission during the pandemic, although more research is needed on the effectiveness of these practices.

Comparison of upper respiratory viral load distributions in asymptomatic and symptomatic children diagnosed with SARS-CoV-2 infection in pediatric hospital testing programs

Kociolek,  LK,  Muller, et al

J Clin Microbiol

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study assessed PCR cycle threshold (Ct) values and estimated VL in infected asymptomatic children diagnosed in nine pediatric hospital testing programs. Records for asymptomatic and symptomatic patients with positive clinical SARS-CoV-2 tests were reviewed. The median adjusted Ct value in asymptomatic children was 10.3 cycles higher than for symptomatic children (p< 0.0001), and VL 3-4 logs lower (p<0.0001); differences were consistent (p<0.0001) across all four age brackets. Children with asymptomatic SARS-CoV-2 infection had lower levels of virus in the nasopharynx/oropharynx than symptomatic children, but timing of infection relative to diagnosis likely impacted levels in asymptomatic children.

COVID-19 Self-Reported Symptom Tracking Programs in the United States: Framework Synthesis

Koehlmoos,  TP,  Janvrin, et al

J Med Internet Res

Surveillance

This study uses a framework synthesis to evaluate existing self-reported symptom tracking programs in the United States for COVID-19 as an early-warning tool for probable clusters of infection. Programs were identified through keyword searches and snowball sampling, then screened for inclusion. A best fit framework was constructed for all programs that met the inclusion criteria by collating information collected from each into a table for easy comparison. We screened 8 programs; 6 were included in our final framework synthesis. Dissimilarities included collection of data regarding smoking status, mental well-being, and suspected exposure to COVID-19. Several programs currently exist that track COVID-19 symptoms from participants on a semiregular basis.

Audit of 2,000 COVID-19 Deaths in India

Koya,  ShaffiF,  Ebrahim, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie

This study finds a shorter time interval from onset of symptoms to death in India than that was reported in the USA and China. Young adults without co-morbidities had shorter survival from the time of onset of symptoms irrespective of their timing of hospitalization. Hypothyroidism as a COVID-19 associated co-morbidity. As COVID-19 infection rates are accelerating rapidly in India, it is crucial to sensitize young adults while protecting the elderly and other vulnerable populations. Case control studies are needed to further assess the thyroid-COVID-19 link.

Global impact of environmental temperature and BCG vaccination coverage on the transmissibility and fatality rate of COVID-19

Kumar,  A,  Misra, et al

PLoS One

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

This study explored the global impact of environmental temperature and neonatal  Bacillus Calmette-Guérin (BCG) vaccination coverage on transmissibility and fatality rate of COVID-19.   The COVID-19 data for reported cases, deaths and global temperature were collected from 31st December 2020 to 3rd April 2020 for 67 countries. For the minimum temperature category, 28% statistically significant lower incidence was noted for new cases from the countries falling in the second quartile (2°C to 6°C) compared with countries falling in the first quartile (-26°C to 1°C) (incidence rate ratio IRR] 0.72, 95% confidence interval CI] 0.57 to 0.93). Countries with BCG vaccination policy had 58% less mortality as compared with countries without BCG coverage (IRR 0.42; 95% CI 0.18 to 0.95). Our exploratory study provides evidence that high temperature might not be associated with low transmissibility and countries having neonatal BCG vaccination policy had a low fatality rate of COVID-19.

32949718; SARS-CoV-2 antibodies in healthcare workers in a large university hospital, Kerala, India

Kumar,  A,  Sathyapalan, et al

Clinical Microbiology and Infection

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé Immunology | Immunologie

The ‘Kerala model’ of response to the COVID-19 pandemic was to trace, quarantine, test, isolate and treat all travellers from foreign countries as well as neighbouring states, coupled with lockdown. This paper hypothesizes that, because of this practice, the state has succeeded in preventing community spread in the last 5 months. This is evidenced by the fact that there has been no surge in hospital admissions due to influenza-like illness or COVID-19 clusters or outbreaks in occupational settings. Between 11th and 24th July 2020, healthcare workers in a 1200-bed university teaching hospital were recruited in this prospective, cross-sectional, monocentric study.Serum samples from consenting HCWs were tested for SARS-CoV-2 IgG/total antibodies. Overall, 635 HCWs consented to participate in the study. Overall, the seroprevalence of SARS-CoV-2 antibody was found to be 0%. The main limitation of our study is that it was done in a single private centre, which was a designated non-COVID-19 hospital with a manageable patient load, good infrastructure and robust infection control practices.

Rabies virus-based COVID-19 vaccine CORAVAX™ induces high levels of neutralizing antibodies against SARS-CoV-2

Kurup,  D,  Wirblich, et al

npj Vaccines

Vaccine Research| Recherche sur les vaccins

The recently emerged coronavirus SARS-CoV-2, the causative agent of COVID-19, is rapidly spreading in the world. The exponentially expanding threat of SARS-CoV-2 to global health highlights the urgent need for a vaccine. Herein we show the rapid development of a novel, highly efficient, and safe COVID-19 vaccine using a rabies virus-based vector that has proven to be an efficient vaccine against several emerging infectious diseases. This study reports that both a live and an inactivated rabies virus containing the SARS-CoV-2 spike S1 protein induces potent virus-neutralizing antibodies at much higher levels than seen in the sera of convalescent patients. In summary, the results provided here warrant further development of this safe and established vaccine platform against COVID-19. © 2020, The Author(s).

Antibody kinetics and serologic profiles of SARS-CoV-2 infection using two serologic assays

Kweon,  OJ,  Lim, et al

PLoS One

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

This study aims to assess the serologic profiles and time kinetics of antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in patients with COVID-19 using two immunoassays. A total of 97 samples serially collected from 17 patients with COVID-19 and 137 negative control samples were analyzed for IgM and IgG against SARS-CoV-2 using the AFIAS COVID-19 Ab and the EDI™ Novel Coronavirus COVID-19 ELISA Kit. With both assays, IgM and IgG rapidly increased after 7 days post symptom onset (PSO). IgM antibody levels reached a peak at 15-35 d PSO and gradually decreased. IgG levels gradually increased and remained at similar levels after 22-35 d. Among 137 negative controls, 12 samples (8.8%) showed positive or indeterminate results. The antibody kinetics against SARS-CoV-2 are similar to common findings of acute viral infectious diseases.

A Study on the Intention to Use the Online Face Mask Ordering System - An Application of Network Psychometrics

Lai,  YH,  Huang, et al

 

Public Health response| Interventions de santé publique

This study intends to construct a research model which based on the Technology Acceptance Model (TAM) in the context of using the face mask ordering system to buy face masks. The research factors in the study include measurements of perceived usefulness of online face mask ordering system, perceived ease of use of online face mask ordering system, and the users' behavioral intention to use online face mask ordering system. Responses from a total of 120 users of the face mask ordering system were collected. After all, this study has identified important factors in perceived usefulness and perceived ease of use of this mask distribution system.

Emerging Adults' Intersecting Experiences of Food Insecurity, Unsafe Neighborhoods, and Discrimination during the COVID-19 Outbreak

Larson,  N,  Slaughter-Acey, et al

Public Health Nutr

Public Health response| Interventions de santé publique

The aim of this study is to examine how food insecurity is related to emerging adults' food behaviors and experiences of neighborhood safety and discrimination, and identify resources needed to support their health during the COVID-19 outbreak. Participants completed the 6-item U.S. Household Food Security Survey Module, a brief measure of food insufficiency, and measures of food behaviors, neighborhood safety, and discrimination. Open-ended questions were used to assess changes in eating behaviors during COVID-19 and needed resources. A total of 218 emerging adults (mean age=24.6±2.0 years, 70.2% female) completed a survey in April-May 2020 during a stay-at-home order in Minnesota. The past year prevalence of food insecurity was 28.4%. Among food insecure respondents, 41.0% reported both eating less and experiencing hunger due to lack of money in the past month.  Food insecure adults reported changes including eating more food prepared at home, eating more take-out restaurant meals, and purchasing more energy-dense snacks as a result of events related to COVID-19.

Simultaneous diagnosis and favorable evolution of infection with pneumocystis jirovecii, SARS-CoV-2 and advanced HIV

Larzábal,  FJ,  Vilela, et al

Medicina (Argentina)

Clinical data| Données cliniques

This paper present the case of a middle-aged woman with Raynaud’s syndrome who was admitted with pneumonia. During hospitalization she was simultaneously diagnosed with infection by HIV, COVID-19 and P. jirovecci. The patient evolved favorably upon empirical treatment without requiring invasive maneuvers or ventilatory support. Outpatient follow-up after hospital discharge was uneventful.

Echocardiographic abnormalities and predictors of mortality in hospitalized COVID-19 patients: the ECHOVID-19 study

Lassen,  MCH,  Skaarup, et al

ESC Heart Fail

Epidemiology| Épidémiologie Clinical data| Données cliniques

The present study had two aims: (i) compare echocardiographic parameters in COVID-19 patients with matched controls and (2) assess the prognostic value of measures of left (LV) and right ventricular (RV) function in relation to COVID-19 related death. In this prospective multicentre cohort study, 214 consecutive hospitalized COVID-19 patients underwent an echocardiographic examination (by pre-determined research protocol). All participants were successfully matched 1:1 with controls from the general population on age, sex, and hypertension. LV and RV systolic function was significantly reduced in COVID-19 cases as assessed by global longitudinal strain (GLS) (16.4% ± 4.3 vs. 18.5% ± 3.0, P < 0.001), tricuspid annular plane systolic excursion (TAPSE) (2.0 ± 0.4 vs. 2.6 ± 0.5, P < 0.001), and RV strain (19.8 ± 5.9 vs. 24.2 ± 6.5, P = 0.004). In multivariable Cox regression reduced TAPSE hazard ratio (HR) = 1.18, 95% confidence interval (CI) 1.07-1.31], P = 0.002, per 1 mm decrease], RV strain (HR = 1.64, 95%CI1.02;2.66], P = 0.043, per 1% decrease) and GLS (HR = 1.20, 95%CI1.07-1.35], P = 0.002, per 1% decrease) were significantly associated with COVID-19-related death. RV and LV function are significantly impaired in hospitalized COVID-19 patients compared with matched controls.

33027443; Gastrointestinal emergency care during the COVID-19 pandemic: rapid communication

Leite,  C,  Trindade, et al

Revista da Associacao Medica Brasileira (1992)

Healthcare Response | Réponse des soins de santé

The aim of this study is to evaluate the frequency of consultations for severe gastrointestinal emergencies during and before the months of the pandemic. This was a transversal study. The inclusion criteria were cases of consultation in the emergency department for gastrointestinal diseases that required hospitalization, from January to April, from 2015 to 2020. The pediatric population (under age 12) was excluded. A total of 2,457 cases of cases was included. The number of emergency hospitalizations for gastrointestinal cases decreased during the first four months of 2020: 108, 112, 82, and 77, respectively. Comparing April of 2020 with previous years, there was a lower than expected number of cases during the social distancing period (P=0.002). This study reports a pronounced decrease in consultations for severe gastrointestinal emergencies during the pandemic.

Robust estimation of SARS-CoV-2 epidemic at US counties

Li,  Hanmo,  Gu, et al

arXiv

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

We propose a robust approach to estimate the heterogeneous progression of SARS-CoV-2 at all US counties having no less than 2 COVID-19 associated deaths, and we develop the daily probability of contracting (PoC) SARS-CoV-2 for a susceptible individual to quantify the risk of SARS-CoV-2 transmission in community. We found that shortening only 5% of the infectious period of SARS-CoV-2 can reduce around 39% (or 78K, 95% CI: 66K ,89K ]) of the COVID-19 associated deaths in the US as of 20 September 2020. Our findings also indicate that the reduction of infection and deaths by shortened infectious period is more pronounced for areas with the effective reproduction number close to 1, suggesting that testing should be used along with other mitigation measures, such as social distancing and facial mask wearing, to reduce the transmission rate.

32997123; Association of a Prior Psychiatric Diagnosis With Mortality Among Hospitalized Patients With Coronavirus Disease 2019 (COVID-19) Infection

Li,  L,  Li, et al

JAMA network open

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of this study was to evaluate the association between having any prior psychiatric diagnosis and COVID-19–related mortality of hospitalized patients with COVID-19. A total of 1685 patients were hospitalized with COVID-19 during the study period (mean [SD] age, 65.2 [18.4] years; 887 [52.6%] were male). Of the 1685 patients, 473 (28%) received psychiatric diagnoses prior to hospitalization. Patients with psychiatric diagnoses were significantly older and more likely to be female, white, and non-Hispanic and have medical comorbidities. Overall, 318 patients (18.9%) died. Patients with a psychiatric diagnosis had a higher mortality rate compared with those with no psychiatric diagnosis. Patients with a prior psychiatric diagnosis while hospitalized for COVID-19 had a higher mortality rate compared those without a psychiatric condition.

Risk factors and electrocardiogram characteristics for mortality in critical inpatients with COVID-19

Li,  L,  Zhang, et al

Clin Cardiol

Epidemiology| Épidémiologie Clinical data| Données cliniques

The objective of the study was to understand the possible risk factors that lead to death in critical inpatients with COVID-19. In this single-center, retrospective study, we enrolled 113 critical patients with COVID-19 from Renmin Hospital of Wuhan University between February 1, 2020 and March 15, 2020. Patients who survived or died were compared.  A total of 113 critical patients with COVID-19 were recruited; 50 (44.3%) died, and 63 (55.7%) recovered. The proportion of patients with ventricular arrhythmia was higher in the death group than in the recovery group (P = .021) and was higher among patients with myocardial damage than patients without myocardial damage (P = .013). Multivariate analysis confirmed independent predictors of mortality from COVID-19: age > 70 years (HR 1.84, 95% CI 1.03-3.28), initial neutrophil count over 6.5 × 10(9) /L (HR 3.43, 95% CI 1.84-6.40), C-reactive protein greater than 100 mg/L (HR 1.93, 95% CI 1.04-3.59), and lactate dehydrogenase over 300 U/L (HR 2.90, 95% CI 1.26-6.67). Immunoglobulin treatment (HR 0.39, 95% CI 0.21-0.73) can reduce the risk of death. Sinus tachycardia (HR 2.94, 95% CI 1.16-7.46) and ventricular arrhythmia (HR 2.79, 95% CI 1.11-7.04) were independent ECG risk factors for mortality from COVID-19. Old age (>70 years), neutrophilia, C-reactive protein greater than 100 mg/L and lactate dehydrogenase over 300 U/L are high-risk factors for mortality in critical patients with COVID-19. Sinus tachycardia and ventricular arrhythmia are independent ECG risk factors for mortality from COVID-19.

Continuous Infusion Low-Dose Unfractionated Heparin for the Management of Hypercoagulability Associated With COVID-19

Li,  M,  Gitarts, et al

Journal of Pharmacy Practice

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

The primary objective was to compare the incidence of thromboembolic events in adult patients with COVID-19 treated with an unfractionated heparin (UFH) infusion versus prophylactic dose anticoagulation. Secondary objectives included exploration of the efficacy and safety of an UFH infusion through the evaluation of organ function and incidence of minor and major bleeding. Retrospective observational cohort study with propensity score matching of COVID-19 patients who received an UFH infusion targeting an aPTT between 40 and 60 seconds. Fifty-six patients were included in this study. There was no difference in the composite of thromboembolic events comprised of venous thromboembolism, arterial thrombosis, and catheter-related thrombosis between the UFH and control group (17.9% vs. 3.6%, P = 0.19). There was a significant increase in median D-dimer concentrations from day 1 to day 7 in the control group (475 ng/mL 291-999] vs. 10820 ng/mL 606-21033], P = 0.04). Patients treated with UFH had a higher incidence of minor bleeding (35.7% vs. 0%, P < 0.005) and required more units of packed red blood cell transfusion (0.8 units ± 1.6 vs. 0 units, P = 0.01). Continuous infusion of UFH for patients with COVID-19 infection did not decrease the overall incidence of thromboembolic complications. UFH was associated with stabilization of D-dimer concentrations and increased rates of minor bleeding and transfusions.

33031081; Existing drug treatments cannot significantly shorten the clinical cure time of children with COVID-19

Li,  M,  Wang, et al

Journal of infection in developing countries

Clinical data| Données cliniques Therapeutics| Thérapeutique

In this study, the treatments and outcomes in 40 pediatric patients diagnosed with COVID-19 and treated with different drugs were evaluated. All cases were diagnosed with COVID-19 nucleic acid positive by using RT-PCR or clinical manifestations, imaging specific characteristics and epidemiological clinical diagnosis. The biological information and first symptom of all cases were collect. A variety of treatments were employed and the outcomes were evaluated by Cox regression analysis. Multivariable analysis was performed to evaluate cure rate at 14 days with different drug treatment. The average length of hospital stay was 10.4 days. The cure rate was increased with the treatment time extended and 90% of pediatric patients were cured and discharged after 14 days' treatment. And multivariable analysis results proved that none of the covariates were related to the cure rate at 14 days with different drug treatment since p values were over 0.05. Multivariable analysis suggested that the present drug treatments cannot significantly shorten the clinical cure time and improve the cure rate of children with COVID-19.

Efficient Bayesian inference of fully stochastic epidemiological models with applications to COVID-19

Li,  YutingI,  Turk, et al

arXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

Epidemiological forecasts are beset by uncertainties in the generative model for the disease, and the surveillance process through which data are acquired. We present a Bayesian inference methodology that quantifies these uncertainties, for epidemics that are modelled by (possibly) non-stationary, continuous-time, Markov population processes. The efficiency of the method derives from a functional central limit theorem approximation of the likelihood, valid for large populations. We demonstrate the methodology by analysing the early stages of the COVID-19 pandemic in the UK, based on age-structured data for the number of deaths. This includes maximum a posteriori estimates, MCMC sampling of the posterior, computation of the model evidence, and the determination of parameter sensitivities via the Fisher information matrix. Our methodology is implemented in PyRoss, an open-source platform for analysis of epidemiological compartment models.

Response of an oncology unit in the midst of the COVID-19 outbreak

Liontos,  M,  Kastritis, et al

J Oncol Pharm Pract

Healthcare Response | Réponse des soins de santé

We report here measures taken by a major oncology Unit in Greece to continue operation of the department while ensuring safety of the patients and health care professionals. The efficacy of these measures could serve as guidance for Oncology departments in view of a second wave of COVID-19 cases.

“Ambulatory Management of Moderate to High Risk COVID-19 Patients: The Coronavirus Related Outpatient Work Navigators (CROWN) Protocol”

Lisker,  G,  Narasimhan, et al

Home Health Care Management and Practice

Healthcare Response | Réponse des soins de santé

Many hospitalized patients were treated with therapies that could be administered in a home setting under proper monitoring. We designed the CROWN Program, a Home-Care based ambulatory protocol to evaluate, monitor, and treat moderate to high risk COVID-19 patients in their homes, with escalation to hospital care when necessary. Patients were evaluated with telehealth visits with a Pulmonologist, and a Home-Care protocol, including RN visit, pulse-oximetry, and oxygen, lab-work, intravenous fluids, medication if needed patient data, comorbidities, and symptoms were collected. Labs, including COVID-19 PCR, D Dimer, CRP, Ferritin, Procalcitonin, CBC, and metabolic panel were measured, as were homecare, home oxygen, and intravenous fluids orders, radiographic studies and initiation of an anticoagulant. Emergency Department visits and need for hospital admission during the study period were recorded. A total of 182 patients were enrolled between the start date of April 27th and June 1st, and fell into two categories: not-admitted (101) and post-discharge (81). Two patients were referred for hospital admission, seven were treated and released from the ED, and one was referred to home hospice. There were no unexpected admissions or deaths. The CROWN program has demonstrated the feasibility and apparent safety of a specialized, Home-Care based protocol for the ambulatory management of moderate to high risk COVID-19 patients.

Building the COVID-19 Collaborative Emergency Network: a case study of COVID-19 outbreak in Hubei Province, China

Liu,  J,  Hao, et al

Natural Hazards

Public Health response| Interventions de santé publique

The purpose of this study is to uncover and optimize the structure and performance of the collaborative network that emerged in response to COVID-19 in Hubei Province, China. This study reconstructed the Hubei Public Health Emergency Response Network as the actual collaborative network and built COVID-19 Collaborative Emergency Network as a planned task-oriented collaborative network. Based on the data sets of the inter-organizational collaboration collected from the content analysis, this study explored the core tasks of the participating actors and their relationships during the COVID-19 emergency response, and built six sub-networks to accomplish six core tasks. Network analysis was used with the Pajek software to compare the structural characteristics and performance of the planned network with the actual one and six sub-networks, and identified the central actors, key bridges, and brokers in networks and sub-networks separately. Findings suggested that COVID-19 Collaborative Emergency Network had a more tightly, central, and connective structure than Hubei Public Health Emergency Response Network, because it had more participating actors (i.e., databases and AI systems), more powerful and strong collaborative relationships with research institutions and non-profit organizations.

Clinical Predictors of COVID-19 Disease Progression and Death: Analysis of 214 Hospitalized Patients from Wuhan, China

Liu,  J,  Liu, et al

Clin Respir J

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of the study is to delineate clinical features of COVID-19 patients with different severities and prognoses and clarify the risk factors for disease progression and death at an early stage. Medical history, laboratory findings, treatment, and outcome data from 214 hospitalized patients with COVID-19 pneumonia admitted to Eastern Campus of Renmin Hospital, Wuhan University in China were collected from January 30, 2020 to February 20, 2020, and risk factors associated with clinical deterioration and death were analyzed. The final date of follow-up was March 21, 2020. Age, comorbidities, higher neutrophil cell counts, lower lymphocyte counts and subsets, impairment of liver, renal, heart, coagulation systems, systematic inflammation and clinical scores at admission were significantly associated with disease severity. Ten (16.1%) moderate and 45 (47.9%) severe patients experienced deterioration after admission, and median time from illness onset to clinical deterioration was 14.7 (IQR 11.3-18.5) and 14.5 days (IQR 11.8-20.0) respectively. Multivariate analysis showed increased Hazards Ratio of disease progression associated with older age, lymphocyte count 9.5mmol/L, lactate dehydrogenase > 250 U/L and procalcitonin > 0.1 ng/mL at admission. These factors were also associated with risk of death except for BUN. Prediction models in terms of nomogram for clinical deterioration and death were established to illustrate the probability. These findings provide insights for early detection and management of patients at risk of disease progression or even death, especially older patients and those with comorbidities.

Strategies Derived from COVID-19 Outbreak Containment for Improving the Long-term Mechanism of Developing the Community Public Health Team

Liu,  Y,  Liu, et al

Chinese General Practice

Healthcare Response | Réponse des soins de santé

The objective was to summarize and analyze the main problems in long-term development of community public health (CPH) teams and community-based COVID-19 containment, to develop strategies for improving long-term construction of CPH teams amid COVID-19. We collected the data during February to April 2020 by reviewing the contents of Essential Information of Community Health Professionals in Beijing legally reported to Beijing Municipal Health Commission. We analyzed the trend of changes in the quantity, structure, post attraction and distribution inequality (using Gini coefficient) of incumbent CPH professionals during 10 consecutive years(2010-2019) using descriptive analysis. The annual growth rate of the number of CPH professionals was 5.58% (from 2 139 in 2010 to 3 488 in 2019), which was higher than that of community staff (3.25%) and health professionals (3.26%) in the same period. The proportion of young people(under 30 years old) decreased compared to 2010. The percentage of Beijing natives decreased from 74.10% to 70.99%. The percentage of officially budgeted decreased from 82.89% to 78.21%. Except those retired normally, a total of 1 327 cases flowed out.  Local government-led community health system can ensure a high level of equity in the distribution of CPH professionals based on population and ensure the effective implementation of epidemic containment and other community public health services. However, there has been a gradual increase in the average age of CPH professionals, and decreased post attraction, which should be taken into consideration for further optimizing the long-term mechanism of developing the CPH team.

33034281; Epidemiological parameters of COVID-19 and its implication for infectivity among patients in China, 1 January to 11 February 2020

Lu,  QB,  Zhang, et al

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

Epidemiology| Épidémiologie Transmission Clinical data| Données cliniques

Our objective was to estimate epidemiological parameters of COVID-19 and assess the relative infectivity of the incubation period. The median incubation period was 7.2 (95% CI: 6.9‒7.5) days. The median serial and generation intervals were similar, 4.7 (95%CI: 4.2‒5.3) and 4.6 (95% CI: 4.2‒5.1) days, respectively. Paediatric cases < 18 years had a longer incubation period than adult age groups (p = 0.007). The median incubation period increased from 4.4 days before 25 January to 11.5 days after 31 January (p < 0.001), whereas the median serial (generation) interval contracted from 5.9 (4.8) days before 25 January to 3.4 (3.7) days after. The median time from symptom onset to discharge was also shortened from 18.3 before 22 January to 14.1 days after. Peak infectivity occurred 1 day before symptom onset on average, and the incubation period accounted for 70% of transmission. The high infectivity during the incubation period led to short generation and serial intervals, necessitating aggressive control measures such as early case finding and quarantine of close contacts.

COVID-19 prevalence estimation: Four most affected African countries

Lukman,  AF,  Rauf, et al

Infectious Disease Modelling

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

We adopted the ARIMA model to forecast the trend of COVID-19 prevalence in the aforementioned African countries. The datasets examined in this analysis spanned from February 21, 2020, to June 16, 2020, and was extracted from the World Health Organization website. ARIMA models with minimum Akaike information criterion correction (AICc) and statistically significant parameters were selected as the best models. Accordingly, the ARIMA (0,2,3), ARIMA (0,1,1), ARIMA (3,1,0) and ARIMA (0,1,2) models were chosen as the best models for SA, Nigeria, and Ghana and Egypt, respectively. Forecasting was made based on the best models. It is noteworthy to claim that the ARIMA models are appropriate for predicting the prevalence of COVID-19. We noticed a form of exponential growth in the trend of this virus in Africa in the days to come. Thus, the government and health authorities should pay attention to the pattern of COVID-19 in Africa. Necessary plans and precautions should be put in place to curb this pandemic in Africa.

Virtual Double-System Single-Box: A Nonequilibrium Alchemical Technique for Absolute Binding Free Energy Calculations: Application to Ligands of the SARS-CoV-2 Main Protease

Macchiagodena,  M,  Pagliai, et al

J Chem Theory Comput

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

We implemented a combination of Hamiltonian replica exchange (HREM) and a novel nonequilibrium alchemical methodology, called virtual double-system single-box, with increased accuracy, precision, and efficiency with respect to the standard nonequilibrium approaches. The method has been applied for the determination of absolute binding free energies of 16 newly designed noncovalent ligands of the main protease (3CL(pro)) of SARS-CoV-2. The core structures of 3CL(pro) ligands were previously identified using a multimodal structure-based ligand design in combination with docking techniques. The calculated binding free energies for four additional ligands with known activity (either for SARS-CoV or SARS-CoV-2 main protease) are also reported. The nature of binding in the 3CL(pro) active site and the involved residues besides the CYS-HYS catalytic dyad have been thoroughly characterized by enhanced sampling simulations of the bound state. We have identified several noncongeneric compounds with predicted low micromolar activity for 3CL(pro) inhibition, which may constitute possible lead compounds for the development of antiviral agents in Covid-19 treatment.

COVID-19-Associated Systemic Thromboembolism: A Case Report and Review of the Literature

Mahajan,  P,  Dass, et al

Cardiorenal Med

Clinical data| Données cliniques

Elevated D-dimer levels have been observed in people with serious COVID-19 illness, and this could be helpful in guiding treatment with anticoagulation in these patients. To analyze the role of anticoagulation as a treatment modality for COVID-19.  We present the unique case of a COVID-19 patient who developed sepsis, ARDS, acute kidney injury, and deep-vein thrombosis (DVT), who was deteriorating clinically. She was treated with anticoagulation. There was rapid recovery after treatment with systemic anticoagulation. Systemic anticoagulation could prove to be essential in the treatment of CO-VID-19. Further studies are required to assess its role in improving long-term morbidity and mortality in these patients.

32997069; The COVID-19 Pandemic and changes in adult Brazilian lifestyles: a cross-sectional study, 2020

Malta,  DC,  Szwarcwald, et al

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

Public Health response| Interventions de santé publique

To describe lifestyle changes with regard to consumption of tobacco and alcohol, food intake and physical activity, in the period of social restriction resulting from the COVID-19 pandemic. This is a cross-sectional study conducted in Brazil with data from the ConVid online health behavior survey. The data were collected via an online questionnaire answered by the survey participants. Post-stratification procedures were used to calculate prevalence rates and 95% confidence intervals.  45,161 individuals aged 18 years or more participated. During the period of social restriction participants reported a decrease in practicing physical activity and an increase in time spent using computers or tablets or watching TV, intake of ultra-processed foods, number of cigarettes smoked and alcoholic beverage consumption. Differences were observed according to sex and age group. The results indicate a worsening of lifestyles and an increase in health risk behaviors.

32826570; The Many Faces of COVID-19: Atypical Presentation of COVID-19 in a Patient With Crohn's Disease With Acute Diarrhea Leading to Severe Hypovolemic Hyponatremia-A Case Report

Mansoor,  E,  Khoudari, et al

The American Journal of Gastroenterology

Clinical data| Données cliniques

This case report describes a 60-year old patient with ileocolonic Crohn's disease on azathioprine (AZA) who was diagnosed with COVID-19 and found to have acute diarrhea leading to severe hypovolemic hyponatremia.

Analysis of SARS-CoV-2 ORF3a structure reveals chloride binding sites

Marquez-Miranda,  Valeria,  Rojas, et al

bioRxiv

Coronavirology| Coronavirologie

We modeled the tetramer following the arrangement suggested by the low-resolution tetramer cryoEM map. Molecular dynamics simulations of the tetramer embedded in a membrane and solvated with 0.5 M of KCl were performed. Our simulations show the cytosolic cavity is quickly populated by both K+ and Cl-, yet with different dynamics. K+ ions moved relatively free inside the cavity without forming proper coordination sites. In contrast, Cl- ions enter the cavity, and three of them can become stably coordinated near the intracellular entrance of the potential permeation pathway by an inter-subunit network of positively charged amino acids. Consequently, the central cavity's electrostatic potential changed from being entirely positive at the beginning of the simulation to more electronegative at the end.

32796176; Gastrointestinal Bleeding in Patients With Coronavirus Disease 2019: A Matched Case-Control Study

Martin,  TA,  Wan, et al

The American Journal of Gastroenterology

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of the study is to characterize the risk and type of gastrointestinal bleeding (GIB) in patients with COVID-19. This is a matched case-control (1:2) study with 41 cases of GIB (31 upper and 10 lower) in patients with COVID-19 and 82 matched controls of patients with COVID-19 without GIB. The primary objective was to characterize bleeding etiologies, and our secondary aim was to discuss outcomes and therapeutic approaches. There was no difference in the presenting symptoms of the cases and controls, and no difference in severity of COVID-19 manifestations (P > 0.05) was observed. Ten (32%) patients with upper GIB underwent esophagogastroduodenoscopy and 5 (50%) patients with lower GIBs underwent flexible sigmoidoscopy or colonoscopy. The most common upper and lower GIB etiologies were gastric or duodenal ulcers (80%) and rectal ulcers related to rectal tubes (60%), respectively. Four of the esophagogastroduodenoscopies resulted in therapeutic interventions, and the 3 patients with rectal ulcers were referred to colorectal surgery for rectal packing. Successful hemostasis was achieved in all 7 cases that required interventions. Transfusion requirements between patients who underwent endoscopic therapy and those who were conservatively managed were not significantly different. Anticoagulation and rectal tube usage trended toward being a risk factor for GIB, although it did not reach statistical significance. In COVID-19 patients with GIB, compared with matched controls of COVID-19 patients without GIB, there seemed to be no difference in initial presenting symptoms. Of those with upper and lower GIB, the most common etiology was peptic ulcer disease and rectal ulcers from rectal tubes, respectively.

33031078; COVID-19 infection: Knowledge, attitude, practices, and impact among healthcare workers in a South-Eastern Nigerian state

Mbachu,  CNP,  Azubuike, et al

Journal of infection in developing countries

Healthcare Response | Réponse des soins de santé

Determined the level of knowledge, attitude, practices, and impact of COVID-19 infection on healthcare workers (HCWs) working in a South-Eastern Nigerian state. A total of 403 health care workers participated in the study. Majority of participants (88.59%) had good knowledge and good preventive practices (81.39%) of COVID-19. A significant proportion of respondents had a poor attitude to work (25.06%) and an attitude of indifference (57.82%). Almost half (48.64%) of participants had been negatively affected by COVID-19. Knowledge significantly influenced practice. Lack of Personal protective equipment, fear of dying and going to common places, had a significant impact on the attitude of workers.

33011680; Impact of COVID-19 on vulnerable patients with rheumatic disease: Results of a worldwide survey

Mehta,  B,  Jannat-Khah, et al

RMD Open

Healthcare Response | Réponse des soins de santé

Examined the practice changes among rheumatologists and what they perceive the impact to be on their most vulnerable patients. 548 rheumatologists responded from 64 countries and shared concerns of food insecurity, low health literacy, poverty and factors that preclude social distancing such as working and dense housing conditions among their patients. Although 82% of rheumatologists had switched to telehealth video, 17% of respondents estimated that about a quarter of their patients did not have access to telehealth video, especially those from below the poverty line. The majority of respondents believed these vulnerable patients, from racial/ethnic minorities and from low socioeconomic status groups, would do worse, in terms of morbidity and mortality, during the pandemic.

33031085; Nitazoxanide against COVID-19 in three explorative scenarios

Meneses Calderón,  J,  Figueroa Flores, et al

Journal of infection in developing countries

Clinical data| Données cliniques Therapeutics| Thérapeutique

Describe the results of treating COVID-19 positive patients with nitazoxanide in three clinical settings: pregnancy/puerperium, hospitalized patients in an Internal Medicine Service and in an ambulatory setting. The experience with a first group of 20 women, pregnant (17) or in immediate puerperium (3) was successful in 18 cases with two unfortunate deaths. The five cases treated in an Internal Medicine service showed a positive outcome with two patients weaned from mechanical ventilation. Of the remaining 16 patients treated in an ambulatory setting, all got cured. Nitazoxanide seems to be useful against SARS-CoV-2, not only in an early intervention but also in critical condition as well as in pregnancy without undesired effects for the babies. As an adjunctive therapy budesonide was used that seems to contribute to the clinical improvement.

Deep learning for automatic quantification of lung abnormalities in COVID-19 patients: First experience and correlation with clinical parameters

Mergen,  V,  Kobe, et al

European Journal of Radiology Open

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

Demonstrate the first experience of a deep learning-based algorithm for automatic quantification of lung parenchymal abnormalities in chest CT of COVID-19 patients and to correlate quantitative results with clinical and laboratory parameters. Automatic CT analysis of the lung was feasible in all patients (n = 60). The median time to accomplish automatic evaluation was 120 s. In four cases (7 %), manual corrections were necessary. Patients with need for mechanical ventilation had a significantly higher  Percentage of opacity (PO, ground-glass and consolidations) (median 44 %, versus 13 %) and percentage of high opacity (PHO) (median: 11 %, versus 3%) compared to those without. The PO and PHO moderately correlated with c-reactive protein (r = 0.49−0.60) and leucocyte count (r = 0.30−0.40). PO had a negative correlation with SO2 (r=−0.50).

Impact of the COVID-19 pandemic on the surgical activity of Pediatric Urology: analysis of postoperative complications according to the Clavien-Dindo classification

Merino-Mateo,  L,  Tordable Ojeda, et al

Actas Urologicas Espanolas

Healthcare Response | Réponse des soins de santé

We analyzed the impact of the COVID-19 pandemic on surgical activity in a Pediatric Urology division, as well as surgical complications according to the Clavien-Dindo classification. Materials and methods: A systematic review of epidemiological, clinical and surgical data was carried out, including complications and readmissions of all patients operated on in the division of Pediatric Urology within the duration of the state of alarm. Five time periods have been created according to the de-escalation phases. Results: Forty-nine surgical procedures were carried out on 45 patients (8 prior to the implementation of the de-escalation phases). High priority pathologies were the most frequent in the first phases, being the ureteropelvic junction (UPJ) obstruction the most prevalent. Four complications were recorded (8.8%), none of them were respiratory.

Intersecting household-level health and socio-economic vulnerabilities and the COVID-19 crisis: An analysis from the UK

Mikolai,  J,  Keenan, et al

SSM - Population Health

Public Health response| Interventions de santé publique

Investigated how COVID-19-related health- and socio-economic vulnerabilities co-occur at the household level, and how they are distributed across household types and geographical areas in the United Kingdom. Our analysis highlights four key findings. First, although COVID-19-related health risks are concentrated in retirement-age households, a substantial proportion of working-age households also face these risks. Second, different types of households exhibit different vulnerabilities, with working-age households more likely to face financial and housing precarities, and retirement-age households health and digital vulnerabilities. Third, there are area-level differences in the distribution of household-level vulnerabilities across England and the constituent countries of the United Kingdom. Fourth, in many households, different dimensions of vulnerabilities intersect; this is especially prevalent among working-age households. The findings imply that the short- and long-term consequences of the COVID-19 crisis are likely to significantly vary by household type.

Abortion regulation in Europe in the era of COVID-19: a spectrum of policy responses

Moreau,  C,  Shankar, et al

BMJ Sex Reprod Health

Public Health response| Interventions de santé publique Healthcare Response | Réponse des soins de santé

METHODS: We collected information from 46 countries/regions: 31 for which country-experts completed a survey and 15 for which we conducted a desk review. We describe abortion regulations and changes to regulations and practice during the pandemic. RESULTS: During COVID-19, abortions were banned in six countries and suspended in one. Surgical abortion was less available due to COVID-19 in 12 countries/regions and services were not available or delayed for women with COVID-19 symptoms in eleven. No country expanded its gestational limit for abortion. Changes during COVID-19, mostly designed to reduce in-person consultations, occurred in 13 countries/regions.

32950739; Hypokalemia as a sensitive biomarker of disease severity and the requirement for invasive mechanical ventilation requirement in COVID-19 pneumonia: A case series of 306 Mediterranean patients

Moreno-P,  O,  Leon-Ramirez, et al

International Journal of Infectious Diseases

Epidemiology| Épidémiologie Clinical data| Données cliniques

Investigated whether hypokalemia acts as a biomarker of severity in coronavirus disease 2019 (COVID-19) pneumonia and is associated with major clinical outcomes. Three hundred and six patients were enrolled. Ninety-four patients had hypokalemia and these patients showed significantly higher comorbidity (Charlson comorbidity index ≥3, 30.0% vs 16.3%) and CURB65 scores (median: 1.5 vs 1.0), as well as higher levels of some inflammatory parameters at baseline. After adjustment for confounders, hypokalemia was independently associated with requiring IMV during the admission (OR 8.98). Mortality was 15.0% and was not influenced by low K+. Hypokalemia was associated with longer hospital and ICU stays.

33020762; Abnormal Lung Point-of-Care Ultrasound (POCUS) in Suspected Cases of COVID-19 pneumonia with Normal Plain Chest Radiographs - A Case Series

Mort,  DO,  Limbu, et al

Acute medicine

Clinical data| Données cliniques

COVID-19 pneumonia produces a heterogeneous array of clinical, biochemical, and radiological findings. Over the last few months of global hurry to optimize a testing strategy, it has been suggested that bedside point-of-care lung ultrasound may have a diagnostic role. We present 3 patients with RT-PCR nasopharyngeal swab-confirmed COVID-19 pneumonia, who had an admission plain chest film reported to be normal by a consultant radiologist, but with significant sonographic abnormalities on bedside ultrasound performed within 24 hours of the chest radiograph. Lung ultrasound may better correlate with the oxygen requirement and overall condition of the patient than chest radiographs - a pertinent consideration given the imminent advance of the pandemic into resource-poor zones where timely access to roentgenological imaging may be sparse.

Universal COVID-19 screening of 4040 health care workers in a resource-limited setting: an Egyptian pilot model in a university with 12 public hospitals and medical centers

Mostafa,  A,  Kandil, et al

Int J Epidemiol

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

Universal (non-symptom-based) screening of HCWs was piloted to determine the proportion of SARS-CoV-2 infection and the associated epidemiological and clinical risk factors at a large public health care facility in Egypt. Of the 4040 HCWs screened, 170 tested positive for SARS-CoV-2 by either of the three tests (i.e. infected); 73.5% tested PCR-positive. Most infected HCWs were nurses (57.5%). Median age of infected HCWs was 31.5 years. Of infected HCWs, 45.9% reported contact with a suspected case and 27.6% reported face-to-face contact within 2 m with a confirmed case. The proportion of infection among symptomatic HCWs was 8.8%; 11.1% had fever ≥38°C and 13.0% reported severe symptoms. Most infected HCWs were asymptomatic (68.2%). The proportion of infection among asymptomatic HCWs was 3.4%.

33031079; Physical distancing reduced the incidence of influenza and supports a favorable impact on SARS-CoV-2 spread in Mexico

Murillo-Zamora,  E,  Guzmán-Esquivel, et al

Journal of infection in developing countries

Public health interventions*| Interventions de santé publique

Evaluate the impact of physical distancing on the incidence of influenza as a proxy of the impact on SARS-CoV-2 contagion. Greater decreasing trends (APCs -8.8, 95% CI: -12.5, -4.5; vs. -6.0, 95% CI: -9.9, -2.0; p = 0.026) were documented in the states with earlier school closures and across age groups, suggesting that earlier implementation of physical distance results in reduced SARS-CoV-2 spread.

The implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study

Murphy,  Mairead,  Scott, et al

Research Square prepub

Healthcare Response | Réponse des soins de santé

Investigated the rapid implementation of remote consulting and explore impact over the initial months of the COVID-19 pandemic. There was universal consensus that remote consulting was necessary. This drove a rapid change to 90% remote GP consulting (46% for nurses) by April 2020. Consultation rates reduced in April-July 2020 compared to 2019; GPs/nurses maintained a focus on older patients, shielding patients and patients with poor mental health. Telephone consulting was sufficient for many patient problems, video consulting was used more rarely, and was less essential as lockdown eased. SMS-messaging increased more than three-fold. GPs were concerned about increased clinical risk and some had difficulties setting thresholds for seeing patients face-to-face as lockdown eased.

Deep Learning for Distinguishing Normal versus Abnormal Chest Radiographs and Generalization to Unseen Diseases

Nabulsi,  Zaid,  Sellergren, et al

arXiv

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

Chest radiography (CXR) is the most widely-used thoracic clinical imaging modality and is crucial for guiding the management of cardiothoracic conditions. The detection of specific CXR findings has been the main focus of several artificial intelligence (AI) systems. However, the wide range of possible CXR abnormalities makes it impractical to build specific systems to detect every possible condition. In this work, we developed and evaluated an AI system to classify CXRs as normal or abnormal. For development, we used a de-identified dataset of 248,445 patients from a multi-city hospital network in India. To assess generalizability, we evaluated our system using 6 international datasets from India, China, and the United States. Of these datasets, 4 focused on diseases that the AI was not trained to detect: 2 datasets with tuberculosis and 2 datasets with coronavirus disease 2019. Our results suggest that the AI system generalizes to new patient populations and abnormalities. In a simulated workflow where the AI system prioritized abnormal cases, the turnaround time for abnormal cases reduced by 7-28%. These results represent an important step towards evaluating whether AI can be safely used to flag cases in a general setting where previously unseen abnormalities exist.

33028754; Differential Diagnosis of COVID-19: Importance of Measuring Blood Lymphocytes, Serum Electrolytes, and Olfactory and Taste Functions

Nakanishi,  H,  Suzuki, et al

The Tohoku journal of experimental medicine

Clinical data| Données cliniques

Coronavirus disease 2019 (COVID-19) is associated with various symptoms and changes in hematological and biochemical variables. However, clinical features, which can differentiate COVID-19 from non-COVID-19, are not clear. We therefore examined the key clinical features of COVID-19 and non-COVID-19 patients. This study included 60 COVID-19 patients and 100 non-COVID-19 patients, diagnosed by PCR, and no significant differences in the age and sex were seen between the two groups. The frequencies of fatigue, loose stool, diarrhea, nasal obstruction, olfactory dysfunction, taste dysfunction, underlying hyperlipidemia, and the prescription of angiotensin II receptor blocker (ARB) were significantly higher in COVID-19 patients than those in non-COVID-19 patients. The counts of leucocytes, neutrophils, lymphocytes, eosinophils, monocytes, and basophils and the levels of chloride and calcium in blood of COVID-19 patients were significantly lower than those of non-COVID-19 patients. The frequencies of atypical lymphocytes and the levels of lactate dehydrogenase (LDH) and potassium were significantly higher in COVID-19 than those in non-COVID-19. The C-reactive protein (CRP) level in COVID-19 patients was significantly lower than that in non-COVID-19 patients, when we compared CRP levels among patients with elevated CRP. This study is the first to indicate that electrolyte levels and the frequency of atypical lymphocytes in COVID-19 are significantly different from those in non-COVID-19. Fatigue, loose stool, diarrhea, nasal obstruction, olfactory dysfunction, and taste dysfunction were the key symptoms of COVID-19. Furthermore, hyperlipidemia and ARB may be risk factors of COVID-19. In conclusion, leucocytes, leucocyte fractions, CRP, LDH, and electrolytes are useful indicators for COVID-19 diagnosis.

Tocilizumab and Remdesivir in a Pregnant Patient With Coronavirus Disease 2019 (COVID-19)

Naqvi,  M,  Zakowski, et al

Obstet Gynecol

Clinical data| Données cliniques

A 35-year-old primigravid patient at 22 weeks of gestation presented with 7 days of fever, cough, anosmia, and dyspnea. Nasopharyngeal swab was positive for the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and a chest X-ray demonstrated bilateral patchy infiltrates. Laboratory evaluation was notable for marked elevation of interleukin-6 and C-reactive protein concentrations. On hospital day 3, owing to increased dyspnea and oxygen requirement, the patient was treated with tocilizumab followed by 5 days of remdesivir. She responded well, recovered to room air, and was discharged home after a 9-day hospitalization.

COVID-19 knowledge-based system for diagnosis in Iraq using IoT environment

Nema,  BM,  Mohialden, et al

Indonesian Journal of Electrical Engineering and Computer Science

Healthcare Response | Réponse des soins de santé

The importance and benefits of healthcare mobile applications is increasing rapidly, especially when such applications are connected to the internet of things (IoT). This paper describes a smart knowledge-based system (KBS) that helps patients showing symptoms of Influenza verify being infected with Coronavirus, commonly known as COVID-19. In addition to the systems’ diagnostic functionality, it helps these patients get medical assistance fast by notifying medical authorities using the IoT. This system displays patient’s location, phone number, date and time of examination. During the applications’ development, the developers used Twilio, short message service (SMS), WhatsApp, and Google map applications. © 2021 Institute of Advanced Engineering and Science. All rights reserved.

33029339; A DEA-Based Complexity of Needs Approach for Hospital Beds Evacuation during the COVID-19 Outbreak

Nepomuceno,  TCC,  Silva, et al

Journal of healthcare engineering

Healthcare Response | Réponse des soins de santé

Data envelopment analysis (DEA) is a powerful nonparametric engineering tool for estimating technical efficiency and production capacity of service units. Assuming an equally proportional change in the output/input ratio, we can estimate how many additional medical resource health service units would be required if the number of hospitalizations was expected to increase during an epidemic outbreak. This assessment proposes a two-step methodology for hospital beds vacancy and reallocation during the COVID-19 pandemic. The framework determines the production capacity of hospitals through data envelopment analysis and incorporates the complexity of needs in two categories for the reallocation of beds throughout the medical specialties. As a result, we have a set of inefficient healthcare units presenting less complex bed slacks to be reduced, that is, to be allocated for patients presenting with more severe conditions. The first results in this work, in collaboration with state and municipal administrations in Brazil, report 3772 beds feasible to be evacuated by 64% of the analyzed health units, of which more than 82% are moderate complexity evacuations. The proposed assessment and methodology can provide a direction for governments and policymakers to develop strategies based on a robust quantitative production capacity measure. Copyright © 2020 Thyago C. C. Nepomuceno et al.

33017179; Understanding the Psychological Impact of COVID-19 Pandemic on Patients With Cancer, Their Caregivers, and Health Care Workers in Singapore

Ng,  KYY,  Zhou, et al

JCO global oncology

Healthcare Response | Réponse des soins de santé

Evaluate the psychological effect of COVID-19 on patients with cancer, their caregivers, and health care workers and the prevalence of burnout among HCWs. A total of 624 patients, 408 caregivers, and 421 HCWs participated in the study, with a response rate of 84%, 88%, and 92% respectively. Sixty-six percent of patients, 72.8% of caregivers, and 41.6% of HCWs reported a high level of fear from COVID-19. The top concern of patients was the wide community spread of COVID-19. Caregivers were primarily worried about patients dying alone. HCWs were most worried about the relatively mild symptoms of COVID-19. The prevalence of anxiety was 19.1%, 22.5%, and 14.0% for patients, caregivers, and HCWs, respectively. Patients who were nongraduates and married, and caregivers who were married were more anxious. The prevalence of burnout in HCWs was 43.5%, with more anxious and fearful HCWs reporting higher burnout rates.

Low prevalence of SARS-CoV-2 in plasma of COVID-19 patients presenting to the emergency department

Nijhuis,  RHT,  Russcher, et al

Journal of Clinical Virology

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

Correct and reliable identification of SARS-CoV-2 in COVID-19 suspected patients is essential for diagnosis. Respiratory samples should always be tested with real-time PCR for SARS-CoV-2. In addition, blood samples have been tested, but without consistent results and therefore the added value of this sample type is unknown. The aim of this study was to determine the prevalence of SARS-CoV-2 by real-time PCR in blood samples obtained from PCR-proven COVID-19 patients and in addition to elaborate on the potential use of blood for diagnostics. In this single center study, blood samples drawn from patients at the emergency department with proven COVID-19 infection based on a positive SARS-CoV-2 PCR in respiratory samples were tested for the presence of SARS-CoV-2. Samples from 118 patients were selected, of which 102 could be included in the study (median age was 65 (IQR 10), 65.7 % men). In six (5.9 %) of the tested samples, SARS-CoV-2 was identified by real-time PCR. In conclusion, SARS-CoV-2 can be detected by real-time PCR in plasma samples from patients with proven COVID-19, but only in a minority of the patients. Plasma should therefore not be used as primary sample in an acute phase setting to identify SARS-CoV-2 infection. These findings are important to complete the knowledge on possible sample types to test to diagnose COVID-19. © 2020 Elsevier B.V.

Exploration of surface glycoprotein to design multi-epitope vaccine for the prevention of Covid-19

Oladipo,  EK,  Ajayi, et al

Informatics in Medicine Unlocked

Coronavirology| Coronavirologie Vaccine Research| Recherche sur les vaccins

Stimulation and generation of T and B cell-mediated long-term immune response are essential for the curbing of a deadly virus such as SAR-CoV-2 (Severe Acute Respiratory Corona Virus 2). Immunoinformatics approach in vaccine design takes advantage of antigenic and non-allergenic epitopes present on the spike glycoprotein of SARS-CoV-2 to elicit immune responses. T cells and B cells epitopes were predicted, and the selected residues were subjected to allergenicity, antigenicity and toxicity screening which were linked by appropriate linkers to form a multi-epitope subunit vaccine. The physiochemical properties of the vaccine construct were analyzed, and the molecular weight, molecular formula, theoretical isoelectric point value, half-life, solubility score, instability index, aliphatic index and GRAVY were predicted. The vaccine structure was constructed, refined, validated, and disulfide engineered to get the best model. Molecular binding simulation and molecular dynamics simulation were carried out to predict the stability and binding affinity of the vaccine construct with TLRs. Codon acclimatization and in silico cloning were performed to confirm the vaccine expression and potency. Results obtained indicated that this novel vaccine candidate is non-toxic, capable of initiating the immunogenic response and will not induce an allergic reaction. The highest binding energy was observed in TLR4 (Toll-like Receptor 4) (−1398.1), and the least is TLR 2 (−1479.6). The steady rise in Th (T-helper) cell population with memory development was noticed, and IFN-g (Interferon gamma) was provoked after simulation. At this point, the vaccine candidate awaits animal trial to validate its efficacy and safety for use in the prevention of the novel COVID-19 (Coronavirus Disease 2019) infections. © 2020 The Author(s)

Social inequalities in the progression of COVID-19 in the Mexican population

Ortiz-Hernández,  L,  Pérez-Sastré, et al

Revista Panamericana de Salud Publica/Pan American Journal of Public Health

Epidemiology| Épidémiologie Clinical data| Données cliniques

To determine if there are disparities associated with socioeconomic stratification, ethnicity, medical services, and geographic region in the progression of coronavirus disease (COVID-19) in Mexican adults infected with SARS-CoV-2. We analyzed data registered by the General Direction of Epidemiology of the Ministry of Health of the Federal Government of Mexico regarding the confirmed cases of SARS-CoV-2 infection. The analysis was limited to data from adults 20 years and older recorded up to July 10, 2020 (n=234 870). People who lived in municipalities with greater marginalization were at greater risk of presenting the four indicators of severe forms of COVID-19 (PR=1.05 or 1.06). Indigenous people were at greater risk of pneumonia (PR=1.22), hospitalization (PR=1.14) and death (PR=1.23). Among the cases treated in the private health sector, the risk of death was lower (PR=0.40), but the use of intubation or admission to the intensive care unit was higher (PR=4.45). The trends observed indicate that the effects of COVID-19 are not only related to the biological characteristics of SARS-CoV-2, but also to the resources (or lack thereof) to deal with it, which are distributed by social processes.

Psychological impact of mass quarantine on population during pandemics-The COVID-19 Lock-Down (COLD) study

Pandey,  D,  Bansal, et al

PLoS One

Public Health response| Interventions de santé publique

The aim of this study is to explore the degree of psychological distress in terms of-Depression, Anxiety and Stress among the adult population in India during the strict 21 days mandatory lockdown.  A cross sectional survey design was adopted to assess the psychological state of general population in India, during the COVID-19 mandatory lockdown period, with the help of a validated questionnaire. The reported prevalence of depression was around 30.5%, which was the highest among the variables of psychological health. Anxiety was reported by 22.4%, followed by stress which was seen in 10.8% of respondents. In the third week the incidence of depression (37.8% versus 23.4%; p<0.001), anxiety (26.6% versus 18.2%; p<0.001) and stress (12.2% versus 9.3%; p<0.045) was reported to be significantly higher as compared to second week. Our results suggest a progressively detrimental impact of lockdown on various aspects of psychological health.

32826572; Epidemiology and the Impact of Therapies on the Outcome of COVID-19 in Patients With Inflammatory Bowel Disease

Papa,  A,  Gasbarrini, et al

The American Journal of Gastroenterology

Epidemiology| Épidémiologie Clinical data| Données cliniques

We reviewed data on the prevalence and clinical outcomes of COVID-19 in patients with inflammatory bowel disease (IBD). COVID-19 prevalence in patients with IBD was comparable with that in the general population. Therapies using antitumor necrosis factor-α agents have been associated with better clinical outcomes. Management and treatments provided by gastroenterologists were effective in reducing COVID-19 risk. Antitumor necrosis factor-α agents seem to mitigate the course of COVID-19.

Government Approval and the Effectiveness of Non-Pharmaceutical Interventions Against COVID-19: Time-Series Cross-Sectional Regressions Upon Regions in England, U.K

Park,  Hyung Jun,  Chae, et al

SSRN- Lancet prepublication

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

We conducted time-series cross-sectional regressions with lagged dependent variables, regional fixed effects, regional time-trends, and cluster-robust standard errors using England’s data on confirmed COVID-19 cases from 1 March to 30 June. We examined the effects of government disapproval on the time-dependent reproduction number, Rt. Disapproval was interacted with a lockdown dummy to assess whether citizens’ support for the government still affected the Rt under harsh interventions like lockdowns. As sensitivity tests, we used different lags (four, five, six, and seven days) on the main variables, ran the analysis without the interaction term, and used an alternative dependent variable. A percent point increase in disapproval resulted in a 0·012 (95% CI 0·005 to 0·019; P=0·014) increase in the time-dependent reproduction number (Rt). Under lockdown, a percent point rise in disapproval increased the Rt by 0·008. : Non-pharmaceutical interventions are more effective when governments are popular. Because governments both design and execute these interventions, people are less likely to abide by the restrictions designed by the government when they do not believe the government is doing a good job.

Prediction of the infection of COVID-19 in Bangladesh by classical SIR model

Parvez,  Sofi Mahmud,  Tabassum, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

The first patient of COVID-19 was officially reported on March 8, 2020, in Bangladesh. Using the epidemiological data up to October 17, 2020, we try to estimate the infectious size. In this paper, we used Classical SIR (Susceptible- Infected-Recovered), model.  The necessary reproduction number Ro of Bangladesh is 1.92. The primary data was collected from the COVID-19 Dashboard. In our analysis, the statistical parameters specify the best import to provide the predicted result. We projected that the epidemic curve pulling down in Bangladesh will start from the first week of November (November 4, 2020) and may end in the last week of July (July 24, 2021). It is also estimated that the start of acceleration on May 24, 2020, in 53 days, and the start of steady growth on September 10, 2020, in 109 days. The start of the ending phase of the epidemic may appear in the first week of November 2020, and the epidemic is expected to be finished by the last week of July 2021. However, these approximations may become invalid if a large variety of data occurs in upcoming days.

Anti-vaccine attitudes and risk factors for not agreeing to vaccination against COVID-19 amongst 32,361 UK adults: Implications for public health communications

Paul,  Elise,  Steptoe, et al

medRxiv

Public Health response| Interventions de santé publique

We estimate predictors of four domains of negative attitudes towards vaccines and identify groups most at risk of uncertainty and unwillingness to receive a COVID-19 vaccine in a large sample of UK adults. Data were from 32,361 adults in the UCL COVID-19 Social Study. 16% of respondents displayed high levels of mistrust or misinformation about vaccines across one or more domains. Distrustful attitudes towards vaccination were higher amongst individuals from ethnic minority backgrounds, with lower levels of education, lower annual income, poor knowledge of COVID-19, and poor compliance with government COVID-19 guidelines. Overall, 14% of respondents reported unwillingness to receive a vaccine for COVID-19, whilst 22% were unsure. The largest predictors of both COVID-19 vaccine uncertainty and refusal were low income (< 30,000 GBP a year), having not received a flu vaccine last year, poor adherence to COVID-19 government guidelines, female gender, and living with children. Amongst vaccine attitudes, intermediate to high levels of vaccine benefit mistrust and concerns about future unforeseen side effects were the most important determinants of both uncertainty and unwillingness to vaccinate against COVID-19.  Negative attitudes towards vaccines are major public health concerns in the UK.

Incidence of Venous Thromboembolism Among Patients with Severe COVID-19 Requiring Mechanical Ventilation Compared to Other Causes of Respiratory Failure: A Prospective Cohort Study

Pellegrini,  José Augusto Santos,  Rech, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aimed to investigate the incidence of VTE among mechanically ventilated adults with COVID-19 pneumonia, relative to among patients with respiratory failure related to other causes. Between June 2, 2020 and August 11, 2020, this prospective study enrolled critically ill adults with suspected COVID-19 pneumonia who required mechanical ventilation within 24 h after hospital admission. The patients were followed until death or hospital discharge. Sequential ultrasonography screening of the lower extremities and catheter insertion sites, as well as testing for plasma biochemical markers, were performed at the intensive care unit admission, day 3, day 7, and day 14. The primary outcome was a composite of deep venous thrombosis, pulmonary embolism, and thrombosis at the central catheter insertion sites. We enrolled 70 patients, including 57 patients with COVID-19 and 13 patients without COVID-19, and all patients completed follow-up. The incidence of the primary outcome was higher among patients with COVID-19 than among patients with respiratory failure related to other etiologies (36·8% vs. 0%, p=0·023). Multivariate regression analysis revealed that VTE was independently associated with a COVID-19 diagnosis (odds ratio: 6·28, 95% confidence interval: 1·19–68·07) and D-dimer concentration (1-ng/mL increase, odds ratio: 1·15, 95% confidence interval: 1·05–1·30).

Breast cancer patients with hormone neoadjuvant bridging therapy due to asymptomatic Corona virus infection. Case report, clinical and histopathologic findings

Pellicciaro,  M,  Granai, et al

International Journal of Surgery Case Reports

Clinical data| Données cliniques

We reported a case of a 53-years-old women with early breast cancer and simultaneous asymptomatic SARS-CoV-2 infection. According to COVID-19 breast cancer recommendations she underwent hormone neoadjuvant treatment as a bridging therapy for surgery. Six months from the diagnosis, after virus eradication, patient underwent breast surgery. No SARS-CoV-2 RNA was found both in the surgical specimen and sentinel lymph node but micrometastasis were reported. During the last follow-up, the patient was in good clinical condition and started the adjuvant chemotherapy. Upfront awake surgery should be preferred especially in asymptomatic COVID-19 patient with early breast cancer when monitoring of tumor response is not feasible.

33031358; Predictive modeling to estimate the demand for intensive care hospital beds nationwide in the context of the COVID-19 pandemic

Peña,  VH,  Espinosa, et al

Medwave

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

This study proposes a methodology to estimate the saturation moment of hospital intensive care beds and determine the number of units required to compensate for this saturation. A total of 22,016 patients with diagnostic confirmation for COVID-19 caused by SARS-CoV-2 were analyzed between March 4 and May 5, 2020, nationwide. Based on information from the Chilean Ministry of Health and ministerial announcements in the media, the overall availability of critical care beds was estimated at 1,900 to 2,000. The Gompertz function was used to estimate the expected number of COVID-19 patients and to assess their exposure to the available supply of intensive care beds in various possible scenarios, taking into account the supply of total critical care beds, the average occupational index, and the demand for COVID-19 patients who would require an intensive care bed. A 100% occupancy of critical care beds could be reached between May 11 and May 27. This condition could be extended for around 48 days, depending on how the expected over-demand is managed.  A simple, easily interpretable, and applicable to all levels (nationwide, regionwide, municipalities, and hospitals) model is offered as a contribution to managing the expected demand for the coming weeks and helping reduce the adverse effects of the COVID-19 pandemic.

Comparison of ARIMA, ETS, NNAR and hybrid models to forecast the second wave of COVID-19 hospitalizations in Italy

Perone,  Gaetano

arXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In this article, I analysed several time series forecasting methods to predict the spread of COVID-19 second wave in Italy, over the period after October 13, 2020. I used an autoregressive model (ARIMA), an exponential smoothing state space model (ETS), a neural network autoregression model (NNAR), and the following hybrid combinations of them: ARIMA-ETS, ARIMA-NNAR, ETS-NNAR, and ARIMA-ETS-NNAR. About the data, I forecasted the number of patients hospitalized with mild symptoms, and in intensive care units (ICU). The data refer to the period February 21, 2020-October 13, 2020 and are extracted from the website of the Italian Ministry of Health (this http URL). The results show that i) the hybrid models, except for ARIMA-ETS, are better at capturing the linear and non-linear epidemic patterns, by outperforming the respective single models; and ii) the number of COVID-19-related hospitalized with mild symptoms and in ICU will rapidly increase in the next weeks, by reaching the peak in about 50-60 days, i.e. in mid-December 2020, at least. To tackle the upcoming COVID-19 second wave, on one hand, it is necessary to hire healthcare workers and implement sufficient hospital facilities, protective equipment, and ordinary and intensive care beds; and on the other hand, it may be useful to enhance social distancing by improving public transport and adopting the double-shifts schooling system.

Haemoptysis as the first presentation of COVID-19: a case report

Peys,  E,  Stevens, et al

BMC Pulm Med

Clinical data| Données cliniques

Case Report: A 58-year-old man presented at the emergency department with acute onset haemoptysis. On the fifth day after admission, he developed massive haemoptysis. Computed tomography (CT) angiography of the chest revealed alveolar haemorrhage, more prominent in the left lung. Flexible bronchoscopy confirmed bleeding from the left upper lobe, confirmed by a bronchial arteriography, which was successfully embolized. Nasopharyngeal swabs (NPS) tested for SARS-CoV-2 using real-time polymerase chain reaction (RT-PCR) repeatedly returned negative. Surprisingly, SARS-CoV-2 was eventually detected in bronchoalveolar lavage (BAL) fluid.

32897820; Social Listening as a Rapid Approach to Collecting and Analyzing COVID-19 Symptoms and Disease Natural Histories Reported by Large Numbers of Individuals

Picone,  M,  Inoue, et al

Population Health Management

Public Health response| Interventions de santé publique

In a pilot study, the authors used social listening to quickly extract information from social media channels to explore what people with COVID-19 are talking about regarding symptoms and disease progression. The goal was to determine whether, by amplifying patient voices, new information could be identified that might have been missed through other sources. Two data sets from social media groups of people with or presumed to have COVID-19 were analyzed: a Facebook group poll, and conversation data from a Reddit group including detailed disease natural history-like posts. Content analysis and a customized analytics engine that incorporates machine learning and natural language processing were used to quickly identify symptoms mentioned. Key findings include more than 20 symptoms in the data sets that were not listed in online lists of symptoms from 4 respected medical information sources. The disease natural history-like posts revealed that people can experience symptoms for many weeks and that some symptoms change over time. This study demonstrates that social media can offer novel insights into patient experiences as a source of real-world data. This inductive research approach can quickly generate descriptive information that can be used to develop hypotheses and new research questions.

Changes in the incidence of seasonal influenza in response to COVID-19 social distancing measures: an observational study based on Canada’s national influenza surveillance system

Pierce,  Andrew,  Haworth-Brockman, et al

Research Square prepub

Public health interventions*| Interventions de santé publique

We conducted an ecological study using data from Canada’s national influenza surveillance system to investigate whether social distancing measures to control COVID-19 reduced the incidence of seasonal influenza. Data taken from three separate time frames facilitated analysis of the 2019-20 influenza season prior to, during, and following the implementation of COVID-19 related measures and enabled comparisons to the same time periods during three preceding flu seasons. The incidence of specific influenza strains was of primary focus. Further analysis was performed to determine the number of new laboratory-confirmed influenza or influenza like illness outbreaks. Our results indicate a premature end to the 2019-20 influenza season, with a significantly fewer number of cases and outbreaks being recorded following the enactment of many COVID-19 social distancing polices. The incidence of influenza strains A (H3N2), A (unsubtyped), and B were all significantly lower at the tail-end of the 2019-20 influenza season, compared with preceding seasons.

32980842; Management of COVID-19 Coagulopathy in a Patient with Severe Haemophilia A

Pinto Pereira,  J,  Hantson, et al

Acta Haematologica

Clinical data| Données cliniques

A 54-year-old man with a long history of severe haemophilia A treated prophylactically with efmoroctocog alpha (3,000 IU twice weekly) was diagnosed with COVID-19 infection. He had multiple risk factors for COVID-19 severity including obesity, diabetes mellitus and hypertension. He required prolonged intensive care unit (ICU) stay due to the severity of respiratory failure until his death on day 24. During his ICU stay, he received a continuous infusion of efmoroctocog alpha in order to maintain factor VIII activity between 80 and 100%, together with therapeutic doses of low-molecular-weight heparin targeting anti-Xa activity above 0.5 IU/mol. He tolerated numerous invasive procedures without bleeding. At post-mortem examination, there was no evidence for thrombosis or haemorrhage in the different organs. © 2020

Distinct Phenotypes of SARS-CoV-2 Isolates Reveal Viral Traits Critical for Replication in Primary Human Respiratory Cells

Pohl,  MarieO,  Busnadiego, et al

bioRxiv

Coronavirology| Coronavirologie

Here, we characterized 14 different low-passage replication-competent human SARS-CoV-2 isolates representing all the major European clades observed during the first pandemic wave in early 2020. By integrating viral sequencing data from patient material, viral stocks and passaging experiments, with kinetic virus replication data from non-human Vero-CCL81 cells and primary differentiated human bronchial epithelial cells (BEpCs), we observed several SARS-CoV-2 sequence features that associate with distinct phenotypes. Notably, naturally-occurring substitutions in Orf3a (Q57H) and nsp2 (T85I) were associated with poor replication in Vero-CCL81 cells but not in BEpCs, while SARS-CoV-2 isolates expressing the Spike D614G substitution generally exhibited enhanced replication abilities in BEpCs. Strikingly, low-passage Vero-derived stock preparation of 3 SARS-CoV-2 isolates selected for substitutions at positions 5/6 of E, and were highly attenuated in BEpCs, revealing a key cell-specific function to this region. Rare isolate-specific deletions were also observed in the Spike furin-cleavage site during Vero-CCL81 passage, but these were rapidly selected against in BEpCs, underscoring the importance of this site for SARS-CoV-2 replication in primary human respiratory cells. Overall, our study uncovers natural sequence features in the SARS-CoV-2 genome that determine efficient virus replication and tropism for the human respiratory epithelium.

Physical distancing in schools for SARS-CoV-2 and the resurgence of rhinovirus

Poole,  Stephen,  Brendish, et al

The Lancet Respiratory Medicine

Public health interventions*| Interventions de santé publique

In Southampton, UK, we tested adult medical patients admitted to hospital using point-of-care multiplexed PCR testing for a wide range of respiratory viruses, including SARS-CoV-2, from the height of the pandemic. We compared the rate of respiratory virus detection in 2020 with the same period in 2019. 3898 adult patients were tested between March 23 and Sept 20, 2020, and 1898 adults during the same period in 2019. There was a drop in the rate of detection of all respiratory viruses including rhinovirus following the nationwide lockdown on March 23, 2020. Detection of rhinovirus remained low after the easing of national lockdown on the May 10, 2020, compared with the previous year. Around 2 weeks after the concurrent re-opening of state primary and secondary schools in early September, there was a sharp increase in the number of detections similar to that seen in 2019. Our data support previous reports that children are a major reservoir for rhinovirus infection, and a key driver of transmission to adults. Furthermore, our data suggests that current physical distancing measures adopted by schools do not effectively prevent rhinovirus transmission. These findings might have important implications for circulation of both influenza and SARS-CoV-2 in the coming winter months.

Intersectional Disparities Among Hispanic Groups in COVID-19 Outcomes

Poulson,  M,  Neufeld, et al

J Immigr Minor Health

Epidemiology| Épidémiologie

Using data from the Centers for Disease Control and Prevention, we performed multivariate Poisson regression assessing risk of hospitalization and death in Hispanic White (HW), Hispanic Black (HB), and Hispanic Multiracial/Other (HM) groups compared to non-Hispanic Whites (NHW). The relative risk of hospitalization was 1.35, 1.58, and 1.50 (p < 0.001) for HW, HB, and HM individuals respectively when compared to NHW. Relative risk of death was 1.36, 1.72, 1.68 (p < 0.001) times higher in HW, HB, and HM compared to NHW. HW, HB, and HM individuals also had significantly increased risk of requiring mechanical ventilation and ICU admission when compared to NHW.

Superspreading Events Without Superspreaders: Using High Attack Rate Events to Estimate N o for Airborne Transmission of COVID-19

Prentiss,  MaraG,  Chu, et al

medRxiv

Transmission

We study transmission of COVID-19 using five well-documented case studies : a Washington state church choir, a Korean call center, a Korean exercise class, and two different Chinese bus trips. In all cases the likely index patients were pre-symptomatic or mildly symptomatic. An estimate of N 0 , the characteristic number of COVID-19 virions needed to induce infection in each case, is found using a simple physical model of airborne transmission. We find that the N 0 values are similar for five COVID-19 superspreading cases (~300-2,000 viral copies) and of the same order as influenza A. Consistent with the recent results of Goyal et al , these results suggest that viral loads relevant to infection from presymptomatic or mildly symptomatic individuals may fall into a narrow range, and that exceptionally high viral loads are not required to induce a superspreading event. Rather, the accumulation of infective aerosols exhaled by a typical pre-symptomatic or mildly symptomatic patient in a confined, crowded space (amplified by poor ventilation, particularly activity like exercise or singing, or lack of masks) for exposure times as short as one hour are sufficient. We calculate that talking and breathing release ~460 N 0 and ~10 N 0 (quanta)/hour, respectively, providing a basis to estimate the risks of everyday activities. Finally, we provide a calculation which motivates the observation that fomites appear to account for a small percentage of total COVID-19 infection events.

33026775; Outcome Disparities Among Men and Women With COVID-19: An Analysis of the New York City Population Cohort

Punjani,  N,  Ha, et al

Journal of drugs in dermatology : JDD

Epidemiology| Épidémiologie

Outcomes from  911,310 individuals tested for COVID-19 in metropolitan NYC between Feb. 29 - June 12., 2020 were evaluated for sex disparity. 434,273 (47.65%) were male and 477,037 (52.35%) were female. Men represented the majority of positive cases (n=106,275, 51.36%), a majority of hospitalizations (n=29,847, 56.44%), and a majority of deaths (n=13,054, 59.23%). Following population level adjustments for age and sex, testing rates of men and women were equivalent. The majority of positive cases and hospitalizations occurred in men for all age groups except age >75 years, and death was more likely in men of all age groups. Men were at a statistically significant greater relative risk of case positivity, hospitalization, and death across all age groups except those <18 years of age.

32618967; Trauma center activity and surge response during the early phase of the COVID-19 pandemic - The Philadelphia story

Qasim,  Z,  Sjoholm, et al

Journal of Trauma and Acute Care Surgery

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

For this report, we examined the volume, acuity, and mechanisms of presenting trauma patients and the number and acuity of COVID-19 admissions at Level 1 trauma centers in Philadelphia during the pandemic. We also assessed the geospatial relationship between firearm incidents and COVID-19 case density. Over the first 6 weeks of the pandemic, trauma contacts totaled 1,058 patients across all centers representing a 20% decrease compared with the same time last year. However, the number of penetrating trauma cases increased with a significant correlation between shooting locations and high-density COVID areas. During this time, Philadelphia trauma centers admitted a total of 1,413 confirmed COVID-19 patients, and 23% required mechanical ventilation. Divert status was activated for only 1.6% of available hours, and five of six centers remained open to all trauma transfers over the entire study period. Thus, through deliberate efforts to adapt ACS-COT guidelines and share lessons learned, the Level I trauma centers in Philadelphia maintained trauma access while simultaneously responding to the high-acuity infectious pandemic.

Comparative Effectiveness of Lopinavir/Ritonavir-Based Regimens in COVID-19

Qu,  J,  Li, et al

Clin Exp Pharmacol Physiol

Clinical data| Données cliniques Therapeutics| Thérapeutique

Here we evaluated the efficacy of the Lopinavir/Ritonavir (LPV/r) and its combination with other drugs in the treatment of COVID-19. We included 170 confirmed COVID-19 patients who had been cured and discharged. Their antiviral therapies were LPV/r alone or combinations with Interferon (IFN), Novaferon and Arbidol. We evaluated the medications efficacy by comparing the time of the negative nucleic acid conversion and the length of hospitalization mainly. The LPV/r+Novaferon 6.00(4.00-8.00) &7.50(5.00-10.00) days] had shorter time of the negative nucleic acid conversion (P=0.0036) and shorter time of hospitalization(P<0.001) compared with LPV/r alone 9.00(5.00-12.00) &12.00(11.00-15.00) days] and LPV/r+ IFN 9.00(7.25-11.00) &12.00(10.00-13.50) days]. On the contrary, LPV/r+IFN 9.00(7.25-11.00) & 12.00(10.00-13.50) days] had shorter time of the negative nucleic acid conversion (P=0.031) and shorter time of hospitalization (P<0.001) compared with LPV/r+IFN+Novaferon 10.00(8.00-11.25) & 13.50(11.50-17.00) days] and LPV/r+IFN+Arbidol 14.00(9.75-19.00) & 19.50(13.25-24.00) days]. In conclusion, the combination of LPV/r and Novaferon may have better efficacy against COVID-19. However, adding IFN based on LPV/r+Novaferon or adding Arbidol based on LPV/r+IFN may not improve the efficacy.

Can Population Screening Really Help? Predicting Effectiveness of Hong Kong's COVID-19 Community Testing Programme by Agent-Based Model

Qu,  Yuanke,  Cheung, et al

SSRN- Lancet prepublication

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

We would like to present an agent-based model (ABM-HK) to predict the effectiveness of the upcoming Hong Kong population SARS-CoV-2 screening in early September. We realize that to ensure safety of school reopening on September 23rd, the universal community testing programme needs to have a participation rate of at least 70%. However, a 50% participated programme can be matched by a partial compulsory follow-up programme targeting high groups to ensure safety of school reopening. Finally, ABM-HK expects a rise in the daily confirmed cases toward the end of the year regardless of the participation rate of the upcoming programme. Therefore, active testing programmes targeting students and other young cohorts should be seriously considered and implemented by latest November.

Trends in suicide rates during the COVID-19 pandemic restrictions in a major German city

Radeloff,  Daniel,  Papsdorf, et al

medRxiv

Public Health response| Interventions de santé publique

In this study, we compared data on suicide events in a major city in Germany before and during periods of 2020 with social restrictions. To avoid distortions due to seasonal fluctuations in suicide risk, data from 2020 were compared to data from 2010 to 2019. A total of 333 suicides were registered and 2,791,131 life years (LY) were spent between 2010 and 2020. Of these, 42 suicides and 300,834 LY accounted for the year 2020. In 2020, suicide rates (SR, suicides per 100,000 LY) were lower in periods with moderate (SR = 8.5, X^2 = 4.374, p = 0.037) or severe COVID-19 restrictions (SR = 7.0, X^2 = 3.999, p = 0.046) compared with periods without restrictions (SR = 18.0). A comparison with preceding years showed that differences cannot be attributed to seasonal variations. No age- or gender differences were found.

Telemedicine acceptance during the COVID-19 pandemic: An empirical example of robust consistent partial least squares path modeling

Ramírez-Correa,  P,  Ramírez-Rivas, et al

Symmetry

Public Health response| Interventions de santé publique

The objective of this study is to determine which model, the Theory of Planned Behavior or the Technology Acceptance Model, provides greater explanatory power for the adoption of telemedicine addressing outlier-associated bias. We carried out an online survey of patients. The data obtained through the survey were analyzed using both consistent partial least squares path modeling (PLSc) and robust PLSc. The latter used a robust estimator designed for elliptically symmetric unimodal distribution. Both estimation techniques led to similar results, without inconsistencies in interpretation. In short, the results indicate that the Theory of Planned Behavior Model provides a significant explanatory power. Furthermore, the findings show that attitude has the most substantial direct effect on behavioral intention to use telemedicine systems.

Applying Deep Learning for Genome Detection of Coronavirus

Rani,  Geeta,  Oza, et al

Research Square prepub

Modelling/ prediction| Modélisation/prédiction Coronavirology| Coronavirologie

The objective of this research is to design and develop a deep learning model for finding the degree of similarity of the genome of the Severe Acute Respiratory Syndrome-Coronavirus 2 (‘SARS-CoV-2’) with a given genome. This research also aims at detecting the genome of ‘SARS-CoV-2’ in the host human beings. The experimental results on the dataset publicly available at National Centre for Biotechnology Information, show that the model is effective in predicting the similarity score of the genomic sequence of ‘SARS-CoV-2’ and other prevalent viruses such as Severe Acute Respiratory Syndrome-Coronavirus, Middle East Respiratory Syndrome Coronavirus, Human Immunodeficiency Virus, and Human T- cell Leukaemia Virus. This is successful in detecting the genome of ‘SARS-CoV-2’ in the host genome with an accuracy of 99.27%. It may prove a useful tool for doctors to quickly classify the infected and non-infected genomes. It can also be useful in finding the most effective drug from the available drugs for the treatment of ‘COVID-19’.

Early use of nitazoxanide in mild Covid-19 disease: randomized, placebo-controlled trial

Rocco,  Patricia Rieken Macedo,  Silva, et al

medRxiv

Clinical data| Données cliniques Therapeutics| Thérapeutique RCT

This multicenter, randomized, double-blind, placebo-controlled trial, investigated therapeutic effect of the antiparasitic drug nitazoxanide on SARS-CoV-2 infection.
After confirmation of SARS-CoV2 infection by RT-PCR on nasopharyngeal swab, patients were randomized 1:1 to receive either nitazoxanide (500 mg) or placebo, TID, for 5 days. From June 8 to August 20, 2020, 1,575 patients were screened. Of these, 392 (198 placebo, 194 nitazoxanide) were analyzed. Median time from symptom onset to first dose of study drug was 5 (4-5) days. At the 5-day study visit, symptom resolution did not differ between the nitazoxanide and placebo arms. However, at the 1-week follow-up, 78% in the nitazoxanide arm and 57% in the placebo arm reported complete resolution of symptoms (p=0.048). Swabs collected were negative for SARS-CoV-2 in 29.9% of patients in the nitazoxanide arm versus 18.2% in the placebo arm (p=0.009). Viral load was also reduced after nitazoxanide compared to placebo (p=0.006). No serious adverse events were observed.

Reaction to a Pandemic: Social Distancing and Driving Among Older Adults During COVID-19

Roe,  CM,  Rosnick, et al

Journal of Applied Gerontology

Public Health response| Interventions de santé publique

A cohort study of driving behavior from January 1, 2019, to April 25, 2019, and January 1, 2020, to April 25, 2020, was conducted to determine if older adults would modify their movements after COVID-19 case acceleration. Data from 214 adults aged 66.5 to 92.8 years were used. Women comprised 47.6% of the sample and 15.4% were African American. Participants reduced the proportion of days driven during the pandemic (.673 vs.382 p <.001]) compared with same period the year before (.695 vs.749). Trips/day showed a similar decline (p <.001). Participants also took shorter trips (p =.02), drove slower (p <.001), had fewer speeding incidents (p <.001), and had different trip destinations (p <.001). These results indicate that older adults reduce their driving behavior when faced with a pandemic.

Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown

Rogers,  NT,  Waterlow, et al

Frontiers in Public Health

Public Health response| Interventions de santé publique

We assessed whether lockdown had a disproportionate impact on physical activity behavior in groups who were, or who perceived themselves to be, at heightened risk from COVID-19.  Physical activity intensity (none, mild, moderate, or vigorous) before and during the UK COVID-19 lockdown was self-reported by 9,190 adults between 2020-04-06 and 2020-04-22.  Most (63.9%) participants maintained their normal physical activity intensity during lockdown, 25.0% changed toward less intensive activity and 11.1% were doing more.

Nursing as a sustainability factor of the health system during the COVID-19 pandemic: A qualitative study

Rojas-Ocaña,  MJ,  Araujo-Hernández, et al

Sustainability (Switzerland)

Healthcare Response | Réponse des soins de santé

The objective of the present study was to describe the perceptions and lived experiences of primary care nurses in Spain during the COVID-19 health emergency. A qualitative study taking a phenomenological approach was carried out, triangulating data collected through non-participant observations, eight in-depth interviews, and two discussion groups with community nurses and case managers. A total sample of 20 key informants was obtained during the month of May, 2020. The key informants expressed strong positive perceptions of the recognition received from service users and satisfaction when acknowledging that they have been an important source of emotional support. Informants identify the importance of their work in sustaining the system, particularly outlining team cohesion and communication, whilst also evaluating the empowering position in which service users and society itself has put them.

Hydroxychloroquine prophylaxis and treatment is ineffective in macaque and hamster SARS-CoV-2 disease models

Rosenke,  K,  Jarvis, et al

JCI Insight

Therapeutics| Thérapeutique Animal model | Modèle animal

Here we assessed the prophylactic/therapeutic efficacy of hydroxychloroquine (HCQ), a drug of interest for COVID-19 management, in two animal disease models. The standard human malaria HCQ prophylaxis (6.5 mg/kg given weekly) and treatment (6.5 mg/kg) did not significantly benefit clinical outcome nor reduce SARS-CoV-2 replication/shedding in the upper and lower respiratory tract in the rhesus macaque disease model. Similarly, when used for prophylaxis or treatment neither the standard human malaria dose (6.5 mg/kg) nor a high dose (50 mg/kg) of HCQ had any beneficial effect on clinical disease or SARS-CoV-2 kinetics (replication/shedding) in the Syrian hamster disease model. Results from these two preclinical animal models may prove helpful in guiding clinical use of HCQ for prophylaxis/treatment of COVID-19.

Excess Deaths Associated with COVID-19, by Age and Race and Ethnicity - United States, January 26-October 3, 2020

Rossen,  LM,  Branum, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie

As of October 15, 216,025 deaths from COVID-19 have been reported in the United States; however, this might underestimate the total impact of the pandemic on mortality. Overall, an estimated 299,028 excess deaths occurred from late January through October 3, 2020, with 198,081 (66%) excess deaths attributed to COVID-19. The largest percentage increases were seen among adults aged 25–44 years and among Hispanic or Latino persons. These results inform efforts to prevent mortality directly or indirectly associated with the COVID-19 pandemic, such as efforts to minimize disruptions to health care.

32996856; Pflege in Zeiten von Corona: Zentrale Ergebnisse einer deutschlandweiten Querschnittsbefragung vollstationärer Pflegeheime

Rothgang,  H,  Domhoff, et al

Pflege

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

Article in German. The study aims to describe the extent to which nursing homes are affected, the human and material resources of nursing homes, the organizational handling of the situation, and their requests for public support. More than 7,000 nursing homes were invited to participate in an online survey with quantitative and qualitative elements. Data analysis applies descriptive statistics. 824 nursing homes participated in the survey. One in five nursing homes has at least one confirmed case of SARS-CoV-2 among its residents and / or employees. As about half of all deceased people with COVID-19 have been living in nursing homes, the support of nursing homes in their attempt to restrict the pandemic requires highest attention.

33020335; Factors Associated with Death in COVID-19 Patients in Jakarta, Indonesia: An Epidemiological Study

Rozaliyani,  A,  Savitri, et al

Acta medica Indonesiana

Epidemiology| Épidémiologie Clinical data| Données cliniques

This is an analysis using data from the ongoing recapitulation of Epidemiological Surveillance (ES) by the Provincial Health Office of Jakarta from March 2nd to April 27th 2020. We evaluated demographic and clinical characteristics of all confirmed cases in association with death. of the 4,052 patients, 381 (9.4%) patients were deceased. Multivariable analysis showed that death was associated with older age (odds ratio OR] 1.03; 95% confidence interval CI] 1.02, 1.05, per year increase; p<0.001), dyspnea (OR 4.83; 95% CI 3.20, 7.29; p<0.001), pneumonia (OR 2.46; 95%CI 1.56, 3.88; p<0.001), and pre-existing hypertension (OR 1.86; 95% CI 1.24, 2.78; p=0.003). Death was highest in the week of April 6th 2020 and declined in the subsequent weeks, after a large-scale social restriction commenced.

Prevalence of COVID-19 in Adolescents and Youth Compared with Older Adults in States Experiencing Surges

Rumain,  BarbaraT,  Schneiderman, et al

medRxiv

Epidemiology| Épidémiologie

A number of studies have reported that adolescents are significantly less susceptible than older adults. We examined data from six U.S. states experiencing surges in the number of cases to determine prevalence of COVID-19, and two other measures, related to prevalence in adolescents and youth as compared to older adults. Prevalence of COVID-19 for adolescents and for youth was significantly greater than for older adults (p<.00001), as was percentage observed ÷ percentage expected (p<.005). results are contrary to previous findings that adolescents are less susceptible than older adults.

33027192; Fondaparinux Use in Patients With COVID-19: A Preliminary Multicenter Real-World Experience

Russo,  V,  Cardillo, et al

Journal of cardiovascular pharmacology

Clinical data| Données cliniques Therapeutics| Thérapeutique

The incidence of pulmonary embolism, deep venous thrombosis, major bleeding (MB), clinically relevant non-MB, acute respiratory distress syndrome, and in-hospital mortality was compared between patients on fondaparinux versus enoxaparin therapy. The 2 groups were homogeneous for demographic, laboratory, and clinical characteristics. In a median follow-up of 28 (IQR: 12–45) days, no statistically significant difference in venous thromboembolism (14.5% vs. 5.3%; P = 0.20), MB and clinically relevant non-MB (3.2% vs. 5.3%, P = 0.76), ARDS (17.7% vs. 15.8%; P = 0.83), and in-hospital mortality (9.7% vs. 10.5%; P = 0.97) has been shown between the enoxaparin group versus the fondaparinux group. Our preliminary results support the hypothesis of a safe and effective use of fondaparinux among patients with COVID-19 hospitalized in internal medicine units.

Arrhythmogenic syncope leading to cardiac rhythm management procedures during COVID-19 lockdown

Russo,  V,  Pafundi, et al

Expert Rev Med Devices

Healthcare Response | Réponse des soins de santé

Data were sourced from 14 referral hospitals in Campania from 10th March to 4th May 2020 (lockdown period) and during the same period in 2019. Among consecutive patients hospitalized for CRM procedures during the two observational periods, we retrospectively evaluated those admitted for arrhythmogenic syncope. Admission rate and the type of hospital admission between the two observational periods were compared.The hospitalization for arrhythmogenic syncope leading to CRM procedures increased during COVID-19 lockdown.

SARS-CoV-2 M(pro) inhibitors and activity-based probes for patient-sample imaging

Rut,  W,  Groborz, et al

Nat Chem Biol

Coronavirology| Coronavirologie

We have synthesized a combinatorial library of fluorogenic substrates with glutamine in the P1 position. We used it to determine the substrate preferences of the SARS-CoV and SARS-CoV-2 main proteases. On the basis of these findings, we designed and synthesized a potent SARS-CoV-2 inhibitor (Ac-Abu-dTyr-Leu-Gln-VS, half-maximal effective concentration of 3.7 µM) and two activity-based probes, for one of which we determined the crystal structure of its complex with the SARS-CoV-2 Mpro.

COVID-19 detection for chest X-ray images using local binary pattern

Sabri,  N,  Hamzah, et al

International Journal of Emerging Trends in Engineering Research

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

The automatic feature CT analysis can help physicians more precisely in the treatment and diagnosis of diseases. In this research, Local Binary Pattern (LBP) texture features algorithm has been proposed to automate the current manual approach.  To prove the accuracy of LBP, a simple classifier k-Nearest Neighbour (k-NN) has been implement to classify the chest x-ray images into normal, bacterial and pneumonia class. The 10-fold cross validation has been used to validate the chest x-ray images. From the evaluation, 96% accuracy can be achieved by using LBP as a feature extraction feature. It shows that LBP is a powerful texture features to detect COVID-19 from the x-ray images.

32757981; In silico Potential of Approved Antimalarial Drugs for Repurposing Against COVID-19

Sachdeva,  C,  Wadhwa, et al

Omics : a journal of integrative biology

Therapeutics| Thérapeutique

Authors report here new findings on the in silico potential of several antimalarial drugs for repurposing against COVID-19. We conducted analyses by docking the compounds against two SARS-CoV-2–specific targets: (1) the receptor binding domain spike protein and (2) the main protease of the virus (MPro) using the Schrödinger software. Importantly, the docking analysis revealed that doxycycline (DOX) showed the most effective binding to the spike protein of SARS-CoV-2, whereas halofantrine and mefloquine bound effectively with the main protease among the antimalarial drugs evaluated in the present study. The in silico approach reported here suggested that DOX could potentially be a good candidate for repurposing for COVID-19.

Detailed Molecular Interactions of Favipiravir with SARS-CoV-2, SARS-CoV, MERS-CoV, and Influenza Virus Polymerases In Silico

Sada,  M,  Saraya, et al

Microorganisms

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Authors performed in silico studies to elucidate detailed molecular interactions between favipiravir and the SARS-CoV-2, SARS-CoV, MERS-CoV, and influenza virus RNA-dependent RNA polymerases (RdRp). As a result, no interactions between favipiravir ribofuranosyl-5′-triphosphate (F-RTP), the active form of favipiravir, and the active sites of RdRps (PB1 proteins) from influenza A (H1N1)pdm09 virus were found, yet the agent bound to the tunnel of the replication genome of PB1 protein leading to the inhibition of replicated RNA passage. In contrast, F-RTP bound to the active sites of coronavirus RdRp in the presence of the agent and RdRp. Further, the agent bound to the replicated RNA terminus in the presence of agent, magnesium ions, nucleotide triphosphate, and RdRp proteins. These results suggest that favipiravir exhibits distinct mechanisms of action against influenza virus and various coronaviruses.

Statin Use and In-Hospital Mortality in Diabetics with COVID-19

Saeed,  O,  Castagna, et al

J Am Heart Assoc

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

An observational study of all consecutive adult patients with COVID‐19 admitted to a single‐center located in Bronx, New York. Patients were grouped as those that did and did not receive a statin and in‐hospital mortality was compared by competing events regression. A total of 4,252 patients were admitted with COVID‐19. Patient with diabetes on a statin (n=983) were older (69±11 vs. 67±14 years, p<0.01), had lower inflammatory markers (C‐reactive protein: 10.2, IQR: 4.5‐18.4 vs. 12.9, IQR: 5.9‐21.4 mg/dl, p<0.01) and reduced cumulative in‐hospital mortality (24% vs. 39%, p<0.01) than those not on a statin (n=1,283). Statin use was associated with reduced in‐hospital mortality from COVID‐19 in patients with diabetes.

Acute kidney injury associated with COVID-19: a prognostic factor for pulmonary embolism or co-incidence?

Saeedi Saravi,  SS,  Barbagallo, et al

Eur Heart J

Clinical data| Données cliniques

This is a case study of an 81-year-old gentleman presented with fever (39.1°C), cough, dysuria, and urinary tract infection, which warranted antibiotic therapy. The patient was intubated and required mechanical ventilation for severe respiratory failure 6 days after hospitalization. SARS-CoV-2 polymerase chain reaction (PCR) test on nasopharyngeal swabs was positive and chest computed tomography (CT) illustrated bilateral ground-glass opacities Laboratory tests showed a remarkable increase in the inflammatory cytokine interleukin-6. Kidney function compromised. The patient remained in the intensive care unit until recovery of pulmonary function, but dialysis continued for 24 days to be prepared for discharge. Although causes of kidney disfuction are multifactorial, common mechanisms such as the proinflammatory cytokine storm, endothelial injury, hypercoagulability, and direct infection of both endothelial and epithelial cells.

Perceived stress, parental stress, and parenting during covid-19 lockdown: A preliminary study

Sahithya,  BR,  Kashyap, et al

Journal of Indian Association for Child and Adolescent Mental Health

Public Health response| Interventions de santé publique

The present study examined the stress experienced by parents during COVID-19 lockdown. Majority of the parents reported moderate (63%) to high (4%) perceived stress since the COVID-19 lockdown, 37% reported feeling more stressed as a parent after the lockdown, and 8% of the parents said they needed to talk to a counsellor/psychologist. Mothers, parent of children with developmental disorders, and parents who had interpersonal difficulties with spouse and children had significantly higher perceived stress and parental stress compared to parents without these difficulties. Both perceived stress and parental stress were significantly associated with shouting, yelling or screaming, spanking or slapping the child, preoccupation with worries, and difficulty in focusing on parenting and disciplining the child, and excessive time on TV or video games in children.

Acute high-risk pulmonary embolism requiring thrombolytic therapy in a COVID-19 pneumonia patient despite intermediate dosing deep vein thromboprophylaxis

Salam,  S,  Mallat, et al

Respiratory Medicine Case Reports

Clinical data| Données cliniques

While there are ongoing trials to demonstrate the efficacy of intermediate dosing against standard DVT prophylaxis in the prevention of VTE, we present a 36-year-old male admitted with COVID-19 pneumonia who developed acute high-risk pulmonary embolism (PE) requiring emergent thrombolytic therapy despite intermediate dosing DVT prophylaxis.

Tocilizumab in nonventilated patients hospitalized with Covid-19 pneumonia

Salama,  Carlos,  Han, et al

medRxiv

Clinical data| Données cliniques Therapeutics| Thérapeutique RCT

Safety and efficacy of the anti-interleukin-6 receptor antibody tocilizumab was evaluated in patients hospitalized with Covid-19 pneumonia. Nonventilated patients hospitalized with Covid-19 pneumonia were randomized (2:1) to tocilizumab (8 mg/kg intravenous) or placebo plus standard care. Of 389 randomized patients, 249 patients received tocilizumab and 128 received placebo in the modified intent-to-treat population (Hispanic/Latino, 56.0%; Black/African American, 14.9%; American Indian/Alaska Native, 12.7%; White, 12.7%; other/unknown, 3.7%). The cumulative proportion (95% confidence interval [CI]) of patients requiring mechanical ventilation or who had died by Day 28 was 12.0% (8.52% to 16.86%) and 19.3 % (13.34% to 27.36%) for the tocilizumab and placebo arms, respectively (log-rank P=0.0360; hazard ratio, 0.56 [95% CI, 0.33 to 0.97]). Median time to clinical failure up to Day 28 favored tocilizumab over placebo This trial demonstrated the efficacy and safety of tocilizumab over placebo in reducing the likelihood of progression to requiring mechanical ventilation or death in nonventilated patients hospitalized with Covid-19 pneumonia.

Detection of covid-19 in computed tomography (Ct) scan images using deep learning

Saleh,  AY,  Ilango, et al

International Journal of Advanced Trends in Computer Science and Engineering

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

In this article, a model of deep learning is being trained for the COVID-19 detection in CT Scan images. To build and train the Convolution Neural Network (CNN) model, Python Deep Learning libraries such as Keras and TensorFlow 2.0 have been utilized. As for the dataset, the open source dataset of COVID-19 chest computed tomography (CT) images were used.  There were total of 745 images belonging to two classes were sampled. 348 positive (+) COVID-19 images and 397 negative (-) COVID-19 images. Based on the training process, the model was able to detect 79 per cent accuracy on the test set.  Findings from the research proves that Convolution Neural Network are reliable by producing higher accuracy rate of 79% while Logistic Regression produce a rate of 54%.

Covid-19 in children: is there any correlation with renal function and severity of the disease?

Sambas,  Dedi Rachmadi,  Widiasta, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

Kidney manifestations are life-threatening conditions, such as end-stage renal disease (ESRD), especially when attributed to viral infections. This study aims to analyse the correlation between kidney manifestations with the renal function of pediatric patients suffering from COVID-19. An observational analytic study was conducted in Indonesia and The demographic data, clinical signs, laboratory results, and notable kidney function were analysed, while the disease was classified as severe and nonsevere based on its clinical appearance. The median eGFR value in the severe group was lower (49.59 ml / minute / 1.73m2) compared to the nonsevere (113 ml / minute / 1.73m2), however, not statistically significant (p = 0.521). A severe SARS-CoV-2 infection tends to affect the kidney, which is manifested as decreased glomerular filtration rate (GFR).

32769803; Nurses' Mental Health During the Covid-19 Outbreak: A Cross-Sectional Study

Sampaio,  F,  Sequeira, et al

Journal of occupational and environmental medicine

Healthcare Response | Réponse des soins de santé

We describe nurses’ mental health status during the Covid-19 outbreak and to explore the factors that might accentuate the negative consequences on their mental health. Our results suggest that nurses’ mental health status seems to be particularly affected by the Covid-19 outbreak and that some modifiable elements might accentuate the impacts on their mental health.

Spine Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: A Cross-Sectional Study

Satin,  AM,  Shenoy, et al

Global Spine J

Healthcare Response | Réponse des soins de santé

We evaluate patient satisfaction with spine care delivered via telemedicine. Identify patient- and visit-based factors associated with increased satisfaction and visit preference.

33029196; A Mathematical Description of the Dynamics of Coronavirus Disease 2019 (COVID-19): A Case Study of Brazil

Savi,  PV,  Savi, et al

Computational and mathematical methods in medicine

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

This paper deals with the mathematical modeling and numerical simulations related to the coronavirus dynamics with data from China, Italy, Iran, and Brazil. A description is developed based on the framework of the susceptible-exposed-infectious-removed model. Numerical simulations are performed in order to analyze different scenarios of COVID-19 in Brazil. Results show the importance of the governmental and individual actions to control the number and the period of the critical situations related to the pandemic.

Survey of Attitudes on Personal Protection Interventions Against COVID‐19 Including MMR Vaccination and Future Anti‐COVID Vaccines

Schulman,  JosephD,  Cooper, et al

medRxiv

Public Health response| Interventions de santé publique

An electronic survey was conducted in October, 2020 among individuals primarily age 60 and older regarding their degree of confidence of deriving personal protection from 8 different anti‐COVID interventions – social isolation, lockdowns, avoiding restaurants, taking MMR vaccine, wearing masks when indoors with others, avoiding hotels, avoiding commercial air travel, and using the first future specific anti‐COVID vaccine.  Responses were received from 135 persons from many different U.S. regions and 5 foreign countries.  None were strongly supported by a majority of respondents, but those receiving the largest proportions of strong support were social isolation (41%), wearing masks indoors (41%), and using the first anti‐COVID vaccine (41%).

COVID-19-Induced Anosmia and Ageusia Are Associated with Younger Age and Lower Blood Eosinophil Counts

Sehanobish,  Esha,  Barbi, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this study we examined factors associated with anosmia and ageusia and the recovery from these symptoms in an ethnically diverse cohort. Among 486 COVID-19 patients, 33% and 50% reported anosmia and ageusia, respectively. Systemic symptoms (fever, body aches, fatigue, headache) respiratory symptoms (cough, sore throat), and diarrhea were each reported significantly more frequently among patients who also had anosmia and/or ageusia.

Is Cardiopulmonary Resuscitation Futile in Coronavirus Disease 2019 Patients Experiencing In-Hospital Cardiac Arrest?

Shah,  P,  Smith, et al

Crit Care Med

Epidemiology| Épidémiologie Clinical data| Données cliniques

We describe the characteristics and outcomes of in-hospital cardiac arrest in coronavirus disease 2019 patients in rural Southwest Georgia. Out of 1,094 patients hospitalized for coronavirus disease 2019 during the study period, 63 patients suffered from in-hospital cardiac arrest with attempted resuscitation and were included in this study. In our study, coronavirus disease 2019 patients suffering from in-hospital cardiac arrest had 100% in-hospital mortality regardless of the baseline comorbidities, presenting illness severity, and location of arrest.

33029193; Assessment of the Potential Adverse Events Related to Ribavirin-Interferon Combination for Novel Coronavirus Therapy

Shan,  W,  Hong, et al

Computational and mathematical methods in medicine

Clinical data| Données cliniques Therapeutics| Thérapeutique

Out of 1,094 patients hospitalized for coronavirus disease 2019 during the study period, 63 patients suffered from in-hospital cardiac arrest with attempted resuscitation and were included in this study. A total of 55 safety signals were detected from the top 250 adverse event reactions in 2200 reports, but 19 signals were not included in the drug labels.

Computer-aided drug design against spike glycoprotein of SARS-CoV-2 to aid COVID-19 treatment

Shehroz,  M,  Zaheer, et al

Heliyon

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The current study was conducted to explore drugs against Receptor Binding Domain (RBD) of SARS-CoV-2 using in silico pharmacophore modelling and virtual screening approach to combat COVID-19. The Receptor Binding Motif (RBM) region of S interacts with Angiotensin Converting Enzyme 2 (ACE2) receptor and Glucose Regulated Protein 78 (GRP78) to mediate viral entry.

Acute Kidney Injury in a Predominantly African American Cohort of Kidney Transplant Recipients With COVID-19 Infection

Shrivastava,  P,  Prashar, et al

Transplantation

Epidemiology| Épidémiologie Clinical data| Données cliniques

We report our experience with a predominantly African American (AA) cohort (79%) of kidney transplant recipients (KTRs) with COVID-19 infections in the Detroit Metropolitan area. Final analysis of acute kidney injury (AKI) in KTRs with proven COVID-19 was done on 38 patients of which 30 were AA (79%). AKI occurred in 71.1% of COVID-19 KTRs (n=27), of whom 6 (22.2%) patients required HD.

The Effect of COVID-19 and Related Lockdown Phases on Young Peoples’ Worries and Emotions: A Longitudinal Indian Cohort

Shukla,  Meenakshi,  Pandey, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

Here we report on experiences of coronavirus and its’ impact on negative emotions and worries in Indian adolescents. Three-hundred-and-ten young people from North India (51% male, 12-18 years) were recruited to a longitudinal online survey. Indian adolescents report significant impact of the pandemic on various aspects of their life and are particularly worried about academic attainments, social and recreational activities and physical health.

No lockdown policy for COVID-19 epidemic in Bangladesh: Good, bad or ugly?

Siam,  Zakaria Shams,  Arifuzzaman, et al

medRxiv

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

In this study, we assess the impact of lift of flexible lockdown on the COVID-19 dynamics in Bangladesh. Our analysis demonstrates that the country might experience second infection peak in 6-7 months after the withdrawal of current lockdown. Moreover, a prolonged restriction until January, 2021 will shift the infection peak towards August, 2021 and will reduce approximately 20 % COVID-19 cases in Bangladesh.

Impact of COVID-19 on cataract surgery- patients' perceptions while waiting for cataract surgery and their willingness to attend hospital for cataract surgery during the easing of lockdown period

Sii,  SSZ,  Chean, et al

Eye (Lond)

Public Health response| Interventions de santé publique

The aim of this survey is to determine patients’ perceptions while waiting for cataract surgery during the pandemic and their willingness to have their operation following the easing of lockdown. Our survey showed that the current pandemic did not affect patients’ decision to attend hospital for cataract surgery as 83.3% indicated their willingness to come for cataract surgery. Our survey showed that patients who reported worse VRQoL and higher level of concern regarding delay were more likely to have a MAWT <3 months, which is statistically significant (p < 0.05).

32996862; Die COVID-19-Pandemie im akutstationären Setting aus Sicht von Führungspersonen und Hygienefachkräften in der Pflege

Silies,  K,  Schley, et al

Pflege

Healthcare Response | Réponse des soins de santé

AIM: The aim of this study was to explore how acute inpatient care was influenced by the pandemic and which implications may result for the future from nursing managers' and hygiene specialists' point of view.  METHODS: Qualitative study based on semi-structured interviews with five nursing managers and three hygiene specialists in four German acute care hospitals. Interviews were interpreted by using content analysis.  RESULTS: Interviewees described how everyday routines in their hospitals were adapted to the prioritized care for COVID-19 patients. Main challenges were uncertainty and anxiety among staff, relative scarcity of equipment and workforce resources and rapid implementation of new requirements for treatment capacities.

33031083; Forecasting daily confirmed COVID-19 cases in Malaysia using ARIMA models

Singh,  S,  Murali Sundram, et al

Journal of infection in developing countries

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

The aim of this study is firstly to develop a prediction model for daily confirmed COVID-19 cases based on several covariates, and secondly, to select the best prediction model based on a subset of these covariates. This study was conducted using daily confirmed cases of COVID-19 collected from the official Ministry of Health, Malaysia (MOH) and John Hopkins University websites. This study finds that ARIMA models with optimally selected covariates are useful tools for monitoring and predicting trends of COVID-19 cases in Malaysia.

A cross-sectional survey assessing the preparedness of the long-term care sector to respond to the COVID-19 pandemic in Ontario, Canada

Siu,  HY,  Kristof, et al

BMC Geriatr

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

An online cross-sectional survey of Ontario LTC Clinicians working in LTC homes in Ontario Canada was conducted to provide the clinician perspective on the preparedness and engagement of the LTC sector during the COVID-19 pandemic. The overall response rate was 54% (160/294). LTC homes implemented a wide range of important interventions (e.g. instituting established respiratory isolation protocols, active screening of new LTC admissions, increasing education on infection control processes, encouraging sick staff to take time off, etc). This study highlights the communication and implementation of recommendations in the Ontario LTC sector, despite some concerns regarding feasibility.

EEG findings and clinical prognostic factors associated with mortality in a prospective cohort of inpatients with COVID-19

Skorin,  I,  Carrillo, et al

Seizure

Epidemiology| Épidémiologie Clinical data| Données cliniques

Our objective is to describe the most prevalent electroencephalographic findings in COVID-19 hospitalized patients, and to determine possible predictors of mortality including EEG and clinical variables. We observed that the most prevalent EEG finding in this cohort was generalized continuous slow-wave activity, while epileptic activity was observed in less than 20 % of the cases. Mortality risk factors were comorbidity with cancer and requiring an EEG during the third week of evolution, possibly related to the hyperinflammatory state.

Induction of Labor in an Intubated Patient With Coronavirus Disease 2019 (COVID-19)

Slayton-Milam,  S,  Sheffels, et al

Obstet Gynecol

Clinical data| Données cliniques

A 27-year-old pregnant woman was admitted to a 166-bed community hospital at 33 weeks of gestation with acute hypoxemic respiratory failure secondary to COVID-19. She underwent mechanical ventilation for 9 days. While ventilated, she underwent induction of labor, resulting in a successful forceps assisted-vaginal birth. She was extubated on postpartum day 5 and discharged on postpartum day 10. The neonate was intubated for 24 hours but was otherwise healthy and discharged home at 36 2/7 weeks postmenstrual age.

33020338; Report of Two COVID-19 ARDS (CARDS) Cases Who Survived without Intubation and Mechanical Ventilation

Soeroto,  AY,  Hartantri, et al

Acta medica Indonesiana

Clinical data| Données cliniques

This case series report two confirmed COVID-19 patients who had met criteria of intubation and mechanical ventilation, but not performed to them. Both patients experienced clinical improvement and recovery. Probably this is due to differences of COVID-19 ARDS (CARDS) with typical or classic ARDS.

The role of lung ultrasound as a frontline diagnostic tool in the era of COVID-19 outbreak

Sorlini,  C,  Femia, et al

Intern Emerg Med

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

In the present study, we evaluated the diagnostic accuracy of lung point-of-care ultrasound (POCUS) for SARS-CoV-2 pneumonia in a cohort of symptomatic patients admitted to one emergency department (ED) in a high-prevalence setting. Of the 444 symptomatic patients who were admitted to the ED in the study period, the result of the lung POCUS test was available for 384 (86.5%). The sensitivity of the test was 92.0% (95% CI 88.2–94.9%), and the specificity was 64.9% (95% CI 54.6–74.4%). Lung POCUS is a sensitive first-line screening tool for ED patients presenting with symptoms suggestive of SARS-CoV-2 infection.

COVID-19 and financial toxicity in patients with renal cell carcinoma

Staehler,  MD,  Battle, et al

World J Urol

Public Health response| Interventions de santé publique Economics | Économie

We ascertain renal cell carcinoma (RCC) financial toxicity on COVID-19 during the COVID-19 crisis as patients are struggling with therapeutic and financial implications. Five-hundred-and-thirty-nine patients (39%:58% male:female) from 14 countries responded. 23% of the patients did not feel in control of their financial situation but 8% reported being very satisfied with their finances. Our data highlight severe financial impact of COVID-19. Acknowledging financial hardship and thorough counseling of cancer patients should be part of the conversation during the pandemic.

Usefulness of COVID-19 screen-and-test approach in pregnant women: an experience from a country with low COVID-19 burden

Šterbenc,  A,  Premru Sršen, et al

J Perinat Med

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

We retrospectively reviewed the Ljubljana Maternity Hospital database and searched for pregnant women, who were admitted to the hospital between March 15 and May 16, 2020, for a planned procedure or hospitalization. Their medical records were examined and SARS-CoV-2 test results were retrieved. We assessed the usefulness of screen-and-test strategies of pregnant women for SARS-CoV-2. In a population with a low SARS-CoV-2 burden, usefulness of universal testing of pregnant women before admission to the hospital is limited. We recommend that obstetric units in regions with low SARS-CoV-2 burden enforce rational use of personal protective equipment and diligent screening protocols using targeted questionnaires.

Excess deaths from COVID-19 correlate with age and socio-economic status. A database study in the Stockholm region

Strang,  P,  Fürst, et al

Upsala journal of medical sciences

Epidemiology| Épidémiologie

We aimed to study excess deaths (all death causes, but also COVID-19-related deaths) during the COVID-19 pandemic regarding age, socio-economic status, the situation in nursing homes, and place of death for nursing home residents. Compared with 2016–2019, there were excess deaths in March–May 2020 (p < 0.0001), mainly explained by COVID-19, but in April there were also unexplained excess deaths. Individuals dying from COVID-19 were older than patients dying from other causes (p < 0.0001).

Epidemiology of COVID-19 in Mexico: from the 27th of February to the 30th of April 2020

Suárez,  V,  Suarez Quezada, et al

Revista clinica espanola

Epidemiology| Épidémiologie

In response to this global outbreak, we summarize the current state of our understanding regarding COVID-19 in Mexico. In Mexico, most cases of COVID-19 were located in Mexico City. The mean age of the patients was 46 years. Of the 12 656 confirmed cases, most infected individuals were between the ages of 30 and 59 years (65.85%), and there was a higher incidence rate in men (58.18%) than in women (41.82%). The patients who died had one or more comorbidities, mainly hypertension (45.53%), diabetes (39.39%) and obesity (30.4%). In the first 64 days of the epidemic, China had reported 80 304 cases with a mortality rate of 3.66%.

Managing cancer during COVID pandemic – Experience of a tertiary cancer care center

Subbiah,  S,  Hussain, et al

European Journal of Surgical Oncology

Healthcare Response | Réponse des soins de santé

Experience of evolving “COVID 19 PROTOCOL” devised in an Oncology department in Mexico with a limited budget.

Screening of phytochemicals as potent inhibitor of 3-chymotrypsin and papain-like proteases of SARS-CoV2: an in silico approach to combat COVID-19

Swargiary,  A,  Mahmud, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Investigates the binding affinity of phytocompounds with 3-Chymotrypsin-like (3CLpro) and Papain-like proteases (PLpro) of SARS-CoV2 using in-silico techniques. The  study suggests Amentoflavone and Gallocatechin gallate may be potential inhibitors of 3CLpro and PLpro proteins and effective drug candidates for SARS-CoV2.

Evidence for secondary thrombotic microangiopathy in COVID-19

Sweeney,  Joseph,  Barouqa, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

Investigate the relationship between markers of endothelial activation, intravascular hemolysis, coagulation, and organ damage in COVID-19 patients and association with disease severity and mortality (n=181).  Patients who died had significantly lower ADAMTS13 activity, significantly higher LDH, schistocytes and von Willebrand Factor levels compared to patients discharged alive. Only 30% of patients with an initial ADAMTS13 activity <43% survived vs. 60% with ADAMTS13 >43% who survived.

Challenging the spread of COVID-19 in Thailand

Tantrakarnapa,  K,  Bhopdhornangkul, et al

One Health

Epidemiology| Épidémiologie

The spread of the disease in Thailand was associated with social activities, the enforcement by regulation and partnership among the organization are the key roles for spreading control.

Knowledge, awareness and practices regarding novel coronavirus among a sample of Pakistani population, a cross-sectional study

Tariq,  S,  Tariq, et al

Disaster Med Public Health Prep

Public Health response| Interventions de santé publique

Survey findings suggest knowledge score among our study population was not up to the mark. However, a positive correlation between the correct knowledge and appropriate attitude and practice was found among study participants. Older age groups and the group of high income were associated with adequate knowledge scores.

"Early transfusion of convalescent plasma in older patients with COVID-19 to prevent disease progression: A structured summary of a study protocol for a randomised controlled trial"

Teofili,  L,  Landolfi, et al

Trials

RCT

The primary objective is to demonstrate that COVID-19 convalescent plasma (CCP) prevents progression to severe pneumonia in elderly COVID-19 pneumonia patients with chronic comorbidities.
Secondary objectives are to demonstrate that CCP decreases the viral load in nasopharyngeal swabs and increases the anti-SARS-CoV-2 antibody titre in recipients.

Time-lapse sentinel surveillance of SARS-CoV-2 spread in India

Thakur,  M,  Singh, et al

PLoS One

Coronavirology| Coronavirologie

Analysed 112 complete genomes of SARS-CoV-2 in a time-lapse manner and found 72 distinct SARS-CoV-2 haplotypes, defined by 143 polymorphic sites and high haplotype diversity, suggesting the virus possesses a high evolutionary potential.

The impact of COVID-19 on Long Term Care Facilities (LTCFs) of an Italian Province: a cohort study and a retrospective analysis of observed vs. expected mortality

Tramarin,  Andrea,  Gennaro, et al

medRxiv

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

The investigators estimate of the impact of COVID-19 on Long-term Care Facilities (LTCFs) by combining retrospective data and a prospective cohort in Italy, An age-gradient in all variables explored was identified and an observed mortality 60% greater than 2019 was identified among sites reporting COVID-19 cases. The findings suggest the need to adopt and maintain strict mitigation measures in LTCFs in the future dynamics of the epidemic

Mitigating the effects of COVID-19 pandemic on controlling vascular risk factors among participants in a carotid stenosis trial

Turan,  TN,  Meschia, et al

Journal of Stroke and Cerebrovascular Diseases

Healthcare Response | Réponse des soins de santé RCT

Performed a study to evaluate the feasibility of a home-based program for testing blood pressure (BP) and low-density lipoprotein (LDL) in CREST2 trial participants. CREST2 is comparing intensive medical management alone versus intensive medical management plus revascularization with endarterectomy or stenting.

Titanium (IV) complexes of some tetra-dentate symmetrical bis-Schiff bases of 1,6-hexanediamine: Synthesis, characterization, and in silico prediction of potential inhibitor against coronavirus (SARS-CoV-2)

Uddin,  MN,  Amin, et al

Applied Organometallic Chemistry

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Molecular docking revealed that tested Schiff base possessed high binding affinity with the receptor protein of SARS CoV‐2 compared with hydroxychloroquine (HCQ). The ADMET analysis showed that ligand is non‐carcinogenic and less toxic than standard HCQ. Schiff bases acting as dibasic tetra‐dentate ligands formed titanium (IV) complexes of the type [TiL(H2O)2Cl2] or [TiL(H2O)2]Cl2 being coordinated through ONNO donor atoms.

32971109; Elevated plasma sTIM-3 levels in patients with severe COVID-19

Ueland,  T,  Heggelund, et al

Journal of Allergy and Clinical Immunology

Epidemiology| Épidémiologie Clinical data| Données cliniques

Examined the parameters of activation of different leukocyte subsets in COVID-19–infected patients in relation to disease severity. Findings include : (1) severe clinical outcome (ICU treatment) was associated with high plasma levels of sTIM-3 and myeloperoxidase, suggesting activated and potentially exhausted T cells and activated neutrophils, respectively; (2) in contrast, sCD14 and sCD163 showed no association with need for ICU treatment; and (3) levels of sCD25, sTIM-3, and myeloperoxidase were inversely correlated with degree of respiratory failure, as assessed by the ratio of Pao2 to fraction of inspired oxygen, and were positively correlated with the cardiac marker N-terminal pro-B–type natriuretic peptide.

Identification of a repurposed drug as an inhibitor of Spike protein of human coronavirus SARS-CoV-2 by computational methods

Unni,  S,  Aouti, et al

Journal of Biosciences

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The study identified a laxative drug, Bisoxatin (DB09219), which is used for the treatment of constipation and preparation of the colon for surgical procedures. It binds nicely at the S-protein–ACE2 interface by making substantial π-π interactions with Tyr505 in the ‘Site 1’ hook region of RBD and hydrophilic interactions with Glu406, Ser494, and Thr500. Bisoxatin consistently binds to the protein throughout the 100 ns simulation. the discovered molecule, Bisoxatin may be a promising repurposable drug molecule to develop new chemical libraries for inhibiting SARS-CoV-2 entry into the host.

Evaluation of 31 Commercial SARS-CoV-2 Serology Assays

Vauloup Fellous,  Christelle,  Maylin, et al

SSRN- Lancet prepublication

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

Serum samples of RT-PCR SARS-CoV-2 positive patients (n=2594) were tested for IgM/IgG/IgA against the virus using 31 commercial assays.  Rapid tests for qualitative detection of anti-SARS-CoV-2 antibodies (RDTs) achieved 77.4-100%, and ELISA/CLIA (ELISA) assays 58.8-100% for SARS-CoV-2-specific total antibodies (TAb) specificity. From 15 days after onset of symptoms, 13/18 RDT and 8/13 ELISA reached sensitivity > 90%. Contrasted performances were observed among the commercial assays evaluated.

Coding-Complete Genome Sequences of 23 SARS-CoV-2 Samples from the Philippines

Velasco,  JM,  Chinnawirotpisan, et al

Microbiol Resour Announc

Coronavirology| Coronavirologie

Report the coding-complete genome sequences of 23 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) samples from the Philippines.

Immunogenicity of a new gorilla adenovirus vaccine candidate for COVID-19

Vitelli,  Alessandra,  Capone, et al

bioRxiv

Vaccine Research| Recherche sur les vaccins

Report the generation and the preclinical evaluation of a novel replication-defective gorilla adenovirus-vectored vaccine encoding the pre-fusion stabilized Spike (S) protein of SARS-CoV2 (GRAd-COV2).  Reports GRAd-COV2, is highly immunogenic both in mice and macaques, eliciting both functional antibodies which neutralize SARS-CoV-2 infection and block Spike protein binding to the ACE2 receptor, and a robust, Th1-dominated cellular response in the periphery and in the lung.

Socioeconomic status and well-being during COVID-19: A resource-based examination

Wanberg,  CR,  Csillag, et al

J Appl Psychol

Public Health response| Interventions de santé publique

Assess overall and within-person changes in psychological well-being (i.e., depressive symptoms and life satisfaction) from before to during the COVID-19 pandemic using data from two surveys (n=1143) conducted in spring 2019 and 2020. Depressive symptoms during the pandemic were higher than population norms before the pandemic. Depressive symptoms increased from before to during COVID-19 and life satisfaction decreased. Individuals with higher education experienced a greater increase in depressive symptoms and a greater decrease in life satisfaction from before to during COVID-19 in comparison to those with lower education. Individuals at the highest levels of income experienced a greater decrease in life satisfaction from before to during COVID-19 than individuals with lower levels of income

Decoding COVID-19 pneumonia: comparison of deep learning and radiomics CT image signatures

Wang,  H,  Wang, et al

Eur J Nucl Med Mol Imaging

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

Compare feature engineering and deep learning methods to gain insights into the image features that drive CT-based for COVID-19 pneumonia prediction, and uncover CT image features significant for COVID-19 pneumonia from deep learning and radiomics framework.

Establishment and Application of PCR-Time-of-flight Mass Spectrometer for SARS-CoV-2 Nucleic Acid Detection

Wang,  J,  Zhang, et al

Chinese General Practice

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

The objective of this study was to develop a PCR-Time-of-flight mass spectrometry method (TOFMS) for detecting SARS-CoV-2 nucleic acid based on Clin-ToF-II TOFMS system using matrix-assisted laser desorption/ionization(MALDI) principle, and evaluate its practical application value.  The combination of PCR and TOFMS technology makes the detection of SARS-CoV-2 target fragment expand exponentially, thereby improving the detection sensitivity of samples.In addition, MALDI-TOF MS technology has high accuracy and specificity through the detection and analysis of ion molecular weight, which also confirms that sputum sample is better than throat swab sample for detection.

Lessons from a patient with severe aplastic anemia complicated with COVID-19

Wang,  Y,  Lu, et al

Asian Journal of Surgery

Clinical data| Données cliniques

A 53-year-old female patient was admitted to the hospital and diagnosed with COVID-19, accompanied with sepsis and severe aplastic anemia. However, the patient died within 24 h after shock occurred. This case report reminds us that atypical or even asymptomatic manifestations of COVID-19 may be disguised by inherent diseases.

33020333; Factors Related to Knowledge, Perception, and Practices Towards COVID-19 Among Patients with Autoimmune Diseases: A Multicenter Online Survey

Widhani,  A,  Rengganis, et al

Acta medica Indonesiana

Public Health response| Interventions de santé publique

This study aimed to know autoimmune patients' knowledge, perception, and practices regarding COVID-19. Almost all respondents had good knowledge and practices regarding COVID-19. Adequacy of information, autoimmune treatment, work from home, educational background, area of living, and health care facilities contributed to perception regarding COVID-19 pandemic.

32996863; Arbeitsengagement und Belastungserleben von Health Professionals in Zeiten der Corona-Pandemie

Wildgruber,  D,  Frey, et al

Pflege

Healthcare Response | Réponse des soins de santé

With a cross-sectional design, German health professionals were asked about their stress experience, health concerns and work commitment. The evaluation shows that health professionals in direct contact with COVID-19 patients show higher stress levels than participants with no contact and that their main concern is about the health of relatives, friends and family. In addition, it was found that the participants' work commitment decreased parallel to the increase in pandemic-related stress.

OmicLoupe: Facilitating biological discovery by interactive exploration of multiple omic datasets and statistical comparisons

Willforss,  Jakob,  Siino, et al

bioRxiv

Coronavirology| Coronavirologie

Visual exploration of gene product behavior across multiple omic datasets can pinpoint technical limitations in data and reveal biological trends. The OmicLoupe software was developed to facilitate such exploration and provides more than 15 interactive cross-dataset visualizations for omic data.  The usage of OmicLoupe is demonstrated in three diverse studies, including an analysis of SARS-CoV-2 infection across omic layers, based on previously published proteomics and transcriptomics studies.

32996858; Pflege in Zeiten von Corona: Ergebnisse einer deutschlandweiten Querschnittbefragung von ambulanten Pflegediensten und teilstationären Einrichtungen

Wolf-Ostermann,  K,  Schmidt, et al

Pflege

Healthcare Response | Réponse des soins de santé

AIM: The study aims to illustrate (I) to what extent home care services and semi-residential care facilities are affected by COVID-19.  METHODS: More than 12,000 home-care nursing services and semi-residential care facilities were invited to participate in an online survey with quantitative and qualitative elements, 701 nursing services (response rate 7,3 %) and 96 semi-residential facilities (response rate 3,5 %) took part. RESULTS: Almost a third (30,1 %, 189 / 627) of the nursing services surveyed are affected by confirmed or suspected cases of COVID-19 among clients.

Broadly-targeted autoreactivity is common in severe SARS-CoV-2 Infection

Woodruff,  Matthew,  Ramonell, et al

medRxiv

Clinical data| Données cliniques Immunology | Immunologie

We retrospectively collected data from 31 critically ill patients with COVID-19 and no known history of autoimmunity undergoing treatment between June 1st and July 2nd, 2020 in two academic intensive care units in Atlanta, Georgia, USA. We identify autoreactive antibodies as a common feature of severe COVID-19, identifying biomarkers of tolerance breaks that may indicate aggressive immunomodulation.

Clinical characteristics of 116 hospitalized patients with COVID-19 in Wuhan, China: a single-centered, retrospective, observational study

Xiong,  S,  Liu, et al

BMC Infect Dis

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study analyses cardiovascular implications of COVID-19 patients. In this single-centered, retrospective, observational study in Wuhan, China, we found that the infection of SARS-CoV-2 was more likely to occur in middle and aged population with cardiovascular comorbidities. Cardiovascular complications, including new onset hypertension and heart injury were common in severe patients with COVID-19.

Non-compulsory measures sufficiently reduced human mobility in Tokyo during the COVID-19 epidemic

Yabe,  T,  Tsubouchi, et al

Sci Rep

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

We analyze the temporal changes in human mobility behavior, social contact rates, and their correlations with the transmissibility of COVID-19, using mobility data collected from more than 200K anonymized mobile phone users in Tokyo. The analysis concludes that by April 15th, human mobility behavior decreased by around 50%, resulting in a 70% reduction of social contacts in Tokyo, showing the strong relationships with non-compulsory measures. Furthermore, the reduction in data-driven human mobility metrics showed correlation with the decrease in estimated effective reproduction number of COVID-19 in Tokyo.

The impact of postponing 2020 tokyo olympics on the happiness of O-MO-TE-NA-SHIWorkers in tourism: A consequence of COVID-19

Yamamura,  E,  Tsutsui, et al

Sustainability (Switzerland)

Public Health response| Interventions de santé publique Economics | Économie

The 2020 Tokyo Olympics have been postponed due to the novel coronavirus (COVID-19) pandemic. Postponement of the sporting event is likely to have a significant impact on their happiness level and expected income. We independently collected individual-level panel data from March to April 2020. We found that the happiness level of workers in the tourism and restaurant sectors declined drastically after the announcement of the postponement. Only two weeks later, their happiness level did not alter from the pre-announcement level. However, workers engaged in the tourism and restaurant sectors did not predict a decrease in their income even after the postponement.

Broad transcriptional dysregulation of brain and choroid plexus cell types with COVID-19

Yang,  Andrew Chris,  Kern, et al

bioRxiv

Clinical data| Données cliniques

We profile 47,678 droplet-based single-nucleus transcriptomes from the frontal cortex and choroid plexus across 10 non-viral, 4 COVID-19, and 1 influenza patient. We complement transcriptomic data with immunohistochemical staining for the presence of SARS-CoV-2. We find that all major cortex parenchymal and choroid plexus cell types are affected transcriptionally with COVID-19.

Uncovering two phases of early intercontinental COVID-19 transmission dynamics

Yang,  J,  Li, et al

J Travel Med

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Coronavirology| Coronavirologie

We performed two independent analyses, travel network-based epidemiological modelling and Bayesian phylogeographic inference, to investigate the intercontinental spread of COVID-19. In the first phase, COVID-19 largely circulated in China during mid- to late January, 2020, and was interrupted by containment measures in China. In the second and predominant phase extending from late February to mid-March, unrestricted movements between countries outside of China facilitated intercontinental spread, with Europe as a major source. Phylogenetic analyses also revealed that the dominant strains circulating in the United States of America were introduced from Europe. However, stringent restrictions on international travel across the world since late March have substantially reduced intercontinental transmission.

32912875; Clinical and neuroimaging correlation in patients with COVID-19

Yoon,  BC,  Buch, et al

American Journal of Neuroradiology

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this retrospective study performed at a large academic hospital in the United States, they examined the frequency of acute intracranial abnormalities seen on CT and/or MR imaging in patients with COVID-19 and investigated possible associations between these findings and clinical parameters.  A spectrum of acute neuroimaging abnormalities was seen in the cohort of patients with coronavirus disease 2019, including hemorrhage, infarction, and leukoencephalopathy. Significant associations between abnormal neuroimaging studies and markers of disease severity (intensive care unit admission, intubation, and acute kidney injury) suggest that patients with severe forms of coronavirus disease 2019 may have higher rates of neuroimaging abnormalities.

Covidom, a Telesurveillance Solution for Home Monitoring Patients With COVID-19

Yordanov,  Y,  Dechartres, et al

J Med Internet Res

Healthcare Response | Réponse des soins de santé

This study presents a telesurveillance solution-Covidom-deployed in the greater Paris area to monitor patients with COVID-19 in their homes. The Covidom solution combines an easy-to-use and free web application for patients (through which patients fill out short questionnaires on their health status) with a regional control center that monitors and manages alerts (triggered by questionnaire responses) from patients whose health may be deteriorating. During follow-up, patients triggered 21,873 red alerts and 211,160 orange alerts. As of May 19, 72.0% (34,767/48,290) of patients had their follow-up terminated, 1.1% (544/48,290) had been hospitalized or rehospitalized, and 0.1% had died (39/48,290)

Exposing Empirical Links between COVID-19 Situation Report and Available Data: The Case of Nigeria

Zakariya,  YF

Diseases

Epidemiology| Épidémiologie

This cross-sectional study explores the Nigerian COVID-19 report to expose some links between the number of confirmed cases, testing, and some environmental conditions. The findings reveal that there is no state in Nigeria which has up to 12 confirmed cases per 10,000 population. On the flip side, it was revealed that the proportion of samples tested for COVID-19 is low compared to the population. There is a substantial correlation between the confirmed cases and testing.

Healthcare Workers Infection in South Korea and Italy During the Pandemic of COVID-19: A Retrospective Study Based on Open Data

Zhang,  Kexin,  Yang, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

We compared the differences of healthcare workers infection (HWI) during the COVID-19 epidemic in two countries, Italy and South Korea. The results indicated that HWI presented a same trend with total infection in both Italy and South Korea, meanwhile, Italy had a higher proportion of HWI among the general population. And the intensity approach to assess the healthcare pressure was correlated with cumulative HWI (both number and rate) and the magnitude approach performed correlation with increased cases only in Italy.

Exploration of the Evaluation and Optimization of Community Epidemic Prevention in Wuhan Based on a DEA Model

Zhang,  Y,  Cao, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

Based on data envelopment analysis (DEA), this article used community worker data to evaluate the matching of service supply and demand during the epidemic period and used co-word analysis to analyze the content and the residents' demands for community service from the threshold period to the normal period of the epidemic. -According to the results of the DEA model, early in the epidemic, 13 of the 15 districts' DEA values were invalid, indicating that there was a shortage in community workers in Wuhan. The results of public opinion analysis showed that the emphasis on community service gradually transformed from epidemic prevention to an integrated service.

Clinical Characteristics of Overseas Imported and Local COVID-19 Cases in Hebei Province

Zhao,  L,  Qin, et al

Chinese General Practice

Epidemiology| Épidémiologie Clinical data| Données cliniques

The objective was to study the clinical characteristics of overseas imported and local COVID-19 cases in Hebei Province, to provide a reference for developing targeted programs to prevent the recurrence of the pandemic. In Hebei Province, the imported COVID-19 cases showed milder symptoms, lower Ct values of SARS-CoV-2 N gene and ORF1ab gene and higher SARS-CoV-2 viral nucleic acids from nasopharyngeal swabs, which indicate that the virus from imported cases may be more contagious.

Single-cell analysis identified lung progenitor cells in COVID-19 patients

Zhao,  Z,  Zhao, et al

Cell Prolif

Clinical data| Données cliniques

We focused on crucial roles of lung progenitor cells in alveolar cell regeneration and epithelial barrier re‐establishment and aimed to uncover a possible mechanism of lung repair after severe SARS‐CoV‐2 infection. In severe (or critical) COVID-19 patients, there is a remarkable expansion of TM4SF1+ and KRT5+ lung progenitor cells. The two distinct populations of progenitor cells could play crucial roles in alveolar cell regeneration and epithelial barrier re-establishment, respectively.

Machine Learning-Based Decision Model to Distinguish between COVID-19 and Influenza: A Retrospective, Two-Centered, Diagnostic Study

Zhou,  Xianlong,  Liu, et al

SSRN- Lancet prepublication

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

In the present study, the retrospective data of COVID-19 and influenza patients from two large teaching hospitals in Wuhan, China were input to a machine learning based-modeling approach to develop a tool devoted to distinguishing between these two diseases. In the training and testing sets, the model achieved good performance in identifying COVID-19 from influenza with an accuracy of 0.968 and 0.960, respectively. Our decision tree suggested that older age (>16 years), higher hsCRP and lower monocyte drive the prediction towards COVID-19. In addition, the external test determined a COVID-19 prediction accuracy of 0.839

Covid-19 pandemic and the mental health of elderly

Aki,  ÖE

Turk Geriatri Dergisi

Review Literature| Revue de littérature

 

Similarities between the effect of SARS-CoV-2 and HCV on the cellular level, and the possible role of ion channels in COVID19 progression: a review of potential targets for diagnosis and treatment

Alothaid,  H,  Aldughaim, et al

Channels (Austin)

Review Literature| Revue de littérature

 

33031080; Could "trained immunity" be induced by live attenuated vaccines protect against COVID-19? Review of available evidence

Alsulaiman,  JW,  Khasawneh, et al

Journal of infection in developing countries

Review Literature| Revue de littérature

 

Effect of awake prone positioning in COVID-19 patients- A systematic review

Anand,  S,  Baishya, et al

Trends in Anaesthesia and Critical Care

Review Literature| Revue de littérature

SR: systematic search of 2 medical databases (PubMed, Google Scholar) was performed until July 5, 2020.  Awake prone positioning demonstrated an improvement in oxygenation of the patients suffering from COVID-19 related respiratory disease. Need for intubation was observed in less than 30% of the patients.

Human genetic factors associated with susceptibility to SARS-CoV-2 infection and COVID-19 disease severity

Anastassopoulou,  C,  Gkizarioti, et al

Hum Genomics

Review Literature| Revue de littérature

 

32716648; The Novel Insight of SARS-CoV-2 Molecular Biology and Pathogenesis and Therapeutic Options

Asghari,  A,  Naseri, et al

DNA and cell biology

Review Literature| Revue de littérature

 

33029109; The Role of the Dental Surgeon in Controlling the Dissemination of COVID-19: A Literature Review

Batista,  RCS,  Arruda, et al

TheScientificWorldJournal

Review Literature| Revue de littérature

 

Self-amplifying RNA vaccines for infectious diseases

Bloom,  K,  van den Berg, et al

Gene Ther

Review Literature| Revue de littérature

 

Sexual Dimorphism of Coronavirus 19 Morbidity and Lethality

Brandi,  ML,  Giustina, et al

Trends in Endocrinology and Metabolism

Review Literature| Revue de littérature

 

Lessons learned for COVID-19 in the cruise ship industry

Brewster,  RK,  Sundermann, et al

Toxicology and industrial health

Review Literature| Revue de littérature

 

Possible vertical transmission and antibodies against SARS-CoV-2 among infants born to mothers with COVID-19: A living systematic review

Bwire,  GM,  Njiro, et al

J Med Virol

Review Literature| Revue de littérature

SR: searched evidence from PubMed/ MEDLINE and Google Scholar.  In conclusion, the current evidence revealed a low possibility of vertical transmission of COVID-19 and antibodies against SARS-CoV-2 were detected among vertically exposed but negative infants.

Comparison of seroprevalence of SARS-CoV-2 infections with cumulative and imputed COVID-19 cases: systematic review

Byambasuren,  Oyungerel,  Dobler, et al

medRxiv

Review Literature| Revue de littérature

SR:  searched PubMed, Embase, the Cochrane COVID-19 trials, and Europe-PMC for published studies and pre-prints that reported anti-SARS-CoV-2 IgG, IgM and/or IgA antibodies for serosurveys of the general community from 1 Jan to 12 Aug 2020.   The findings show SARS-CoV-2 seroprevalence is well below herd immunity in all countries studied. The estimated number of infections, however, were much greater than the number of reported cases and deaths in almost all locations.

Antiviral Activity of Reagents in Mouth Rinses against SARS-CoV-2

Carrouel,  F,  Gonçalves, et al

J Dent Res

Review Literature| Revue de littérature

 

Impacts of COVID-19 on a transitioning energy system, society, and international cooperation

Chapman,  A,  Tsuji, et al

Sustainability (Switzerland)

Review Literature| Revue de littérature

 

Alternative clinical specimens for the detection of SARS-CoV-2: A rapid review

Comber,  L,  Walsh, et al

Rev Med Virol

Review Literature| Revue de littérature

Rapid Review: Searches were conducted in PubMed, Embase, Europe PMC and NHS evidence from December 2019 to 20 July 2020. The results indicate an inconsistency in the detection of SARS-CoV-2 RNA in the specimen types included, often with neither the index nor the reference of interest detecting all known cases. Depending on the test environment, these clinical specimens may offer a viable alternative to standard. However, at present the evidence is limited, of variable quality, and relatively inconsistent.

Exploring lectin-glycan interactions to combat COVID-19: lessons acquired from other enveloped viruses

da Silva,  LCN,  Mendonça, et al

Glycobiology

Review Literature| Revue de littérature

 

Airborne spread of infectious SARS-CoV-2: Moving forward using lessons from SARS-CoV and MERS-CoV

da Silva,  PG,  Nascimento, et al

Science of the Total Environment

Review Literature| Revue de littérature

SR:  literature review was performed on PubMed/MEDLINE, Web of Science and Scopus. Higher temperatures and high relative humidity can have a modest effect on SARS-CoV-2 viability in the environment, as reported in previous studies to this date. However, these studies are experimental, and do not support the fact that the virus has efficiently spread in the tropical regions of the globe, with other transmission routes such as the contact and droplet ones probably being responsible for the majority of cases reported in these regions, along with other factors such as human mobility patterns and contact rates.

Narrating Crisis From War Zones to Disease Zones

Daiute,  C

Journal of Humanistic Psychology

Review Literature| Revue de littérature

 

COVID-19: Intensive Care Acquired Weakness, A Possible Challenge in Patient Recovery?

David,  Oyeneyin Babatunde,  Idowu, et al

SSRN- Lancet prepublication

Review Literature| Revue de littérature

SR

Acute chloroquine and hydroxychloroquine toxicity: A review for emergency clinicians

Della Porta,  A,  Bornstein, et al

American Journal of Emergency Medicine

Review Literature| Revue de littérature

 

Elevated D-dimer levels on admission are associated with severity and increased risk of mortality in COVID-19: A systematic review and meta-analysis

Gungor,  B,  Atici, et al

American Journal of Emergency Medicine

Review Literature| Revue de littérature

SR-MA: searched the electronic databases including Medline, Google Scholar, and Scopus between December 12, 2019 and April 25, 2020. ncreased levels of D-dimer levels measured on admission are significantly correlated with the severity of COVID-19 pneumonia and may predict mortality in hospitalized patients.

Stabilizing Cellular Barriers: Raising the Shields Against COVID-19

Hanchard,  J,  Capó-Vélez, et al

Frontiers in Endocrinology

Review Literature| Revue de littérature

 

Animals and SARS-CoV-2: Species susceptibility and viral transmission in experimental and natural conditions, and the potential implications for community transmission

Hobbs,  EC,  Reid, et al

Transbound Emerg Dis

Review Literature| Revue de littérature

ScR: In domestic settings, viral transmission is self-limiting, however in high density animal environments there can be sustained between-animal transmission. To date, two potential cases of animal-to-human transmission are being investigated, on infected mink farms. Given the millions of COVID-19 cases worldwide and ongoing potential for further zoonotic and anthroponotic viral transmission, further research and surveillance activities are needed to definitively determine the role of animals in community transmission of SARS-CoV-2.

PMC7425274; Costs and benefits of interventions aimed at major infectious disease threats: lessons from the literature

Kellerborg,  K,  Brouwer, et al

Eur J Health Econ

Review Literature| Revue de littérature

 

Advancing Visual Health Communication Research to Improve Infodemic Response

King,  AJ,  Lazard, et al

Health Commun

Review Literature| Revue de littérature

 

Are eyes the windows to COVID-19? Systematic review and meta-Analysis

La Distia Nora,  R,  Putera, et al

BMJ Open Ophthalmology

Review Literature| Revue de littérature

SR-MA: Literature search was conducted from 4 to 9 June 2020 using three electronic databases: PubMed, ScienceDirect and Google Scholar. After carefully reviewing the available literature, we found that ocular manifestation can be the first presenting symptom of COVID-19. Eye infection of SARS-CoV-2 could potentially lead to systemic manifestation, although its evidence needs further investigation.

33022405; Human anatomy education and management of anatomic specimens during and after COVID-19 pandemic: Ethical, legal and biosafety aspects

Lemos,  GA,  Araújo, et al

Annals of Anatomy

Review Literature| Revue de littérature

 

COVID-19 in cancer patients: risk, clinical features, and management

Liu,  C,  Zhao, et al

Cancer Biology and Medicine

Review Literature| Revue de littérature

 

Targeting Proteases for Treating COVID-19

Luan,  B,  Huynh, et al

J Proteome Res

Review Literature| Revue de littérature

 

COVID-19 Effects on Livestock Production: A One Welfare Issue

Marchant-Forde,  J,  Boyle, et al

Frontiers in Veterinary Science

Review Literature| Revue de littérature

 

Antiviral therapy of acute respiratory infections in children during coronavirus pandemic: A review of studies and clinical experience

Melekhina,  ЕV,  Muzyka, et al

Voprosy Prakticheskoi Pediatrii

Review Literature| Revue de littérature

 

33017527; Use of povidone as a mouthrinse to decrease the viral load of Covid-19 before dental care: Review of the literature

Mendez,  J,  Villasanti, et al

American Journal of Dentistry

Review Literature| Revue de littérature

 

Chloroquine and Hydroxychloroquine for the Treatment of COVID-19 patients: What Every Clinician Should Know

Mendoza,  Luis

SSRN- Lancet prepublication

Review Literature| Revue de littérature

 

CORR Insights®: Are Virtual Fracture Clinics During the COVID-19 Pandemic a Potential Alternative to Delivering Fracture Care? A Systematic Review

Michelson,  JD

Clin Orthop Relat Res

Review Literature| Revue de littérature

SR

COVID-19 AMONG PATIENTS WITH HEPATITIS B OR HEPATITIS C: A SYSTEMATIC REVIEW

Mirzaie,  Hossein,  Vahidi, et al

medRxiv

Review Literature| Revue de littérature

 

The role of androgens in COVID-19

Moradi,  F,  Enjezab, et al

Diabetes and Metabolic Syndrome: Clinical Research and Reviews

Review Literature| Revue de littérature

 

Are Virtual Fracture Clinics During the COVID-19 Pandemic a Potential Alternative for Delivering Fracture Care? A Systematic Review

Murphy,  EP,  Fenelon, et al

Clin Orthop Relat Res

Review Literature| Revue de littérature

SR: PubMed, MEDLINE, and Embase databases was conducted from database inception to March 2020. Virtual fracture clinics may provide a means to treat patients remotely, using agreed-upon protocols. They have an important role in the current COVID-19 pandemic, due to the possibility to provide ongoing care in an otherwise challenging setting.

33029105; Cytokine Storm in COVID-19 Patients, Its Impact on Organs and Potential Treatment by QTY Code-Designed Detergent-Free Chemokine Receptors

Mustafa,  MI,  Abdelmoneim, et al

Mediators of inflammation

Review Literature| Revue de littérature

 

Zinc and COVID-19: Basis of Current Clinical Trials

Pal,  A,  Squitti, et al

Biol Trace Elem Res

Review Literature| Revue de littérature

 

Modelling the Anatomical Distribution of Neurological Events in COVID-19 Patients: A Systematic Review

Parsons,  Nicholas,  Outsikas, et al

medRxiv

Review Literature| Revue de littérature

SR: The location of neurological events is consistent with commonly identified neurological symptoms including alterations in conscious state among COVID-19 patients that require brain imaging. Given the prevalence and severity of these manifestations, clinicians should carefully monitor neurological symptoms within COVID-19 patients and their potential long-term sequelae.

Out-of-hospital sudden cardiac arrest and COVID-19 pandemic

Pechmajou,  L,  Marijon, et al

Annales de Cardiologie et d'Angeiologie

Review Literature| Revue de littérature

 

Potential Neurological Manifestations of COVID-19: A Narrative Review

Pergolizzi,  JV,  J, et al

Postgrad Med

Review Literature| Revue de littérature

 

Genetics of COVID-19

Raskin,  S

Jornal de pediatria

Review Literature| Revue de littérature

 

Biodiversity and extinction accounting for sustainable development: A systematic literature review and future research directions

Roberts,  L,  Hassan, et al

Business Strategy and the Environment

Review Literature| Revue de littérature

SR

33020343; The Management of Cytokine Storm in COVID-19

Rumende,  CM,  Susanto, et al

Acta medica Indonesiana

Review Literature| Revue de littérature

 

33017386; Origin, structural characteristics, prevention measures, diagnosis and potential drugs to prevent and COVID-19

Santos-Sánchez,  NF,  Salas-Coronado, et al

Medwave

Review Literature| Revue de littérature

 

33026746; Systemic Medications of Dermatological Importance in COVID-19

Schwartz,  RA,  Sharma, et al

Journal of drugs in dermatology : JDD

Review Literature| Revue de littérature

 

Telemedicine and the rural dementia population: A systematic review

Sekhon,  H,  Sekhon, et al

Maturitas

Review Literature| Revue de littérature

SR: review was completed using Ovid Medline, Web of Science and ACM Digital Libraries. The testing conditions and the accessibility of telemedicine yield inconclusive results as to whether telemedicine can improve the management of dementia in geriatric individuals.

33020334; Risk factors and laboratory test results associated with severe illness and mortality in COVID-19 patients: A systematic review

Setiati,  S,  Harimurti, et al

Acta medica Indonesiana

Review Literature| Revue de littérature

SR: utilised PubMed, Scopus, ProQuest, Wiley Online Library, ScienceDirect and MedRxiv to search for studies, with additional hand-searched journals. Age >60 years, hypertension, DM, and coronary heart disease are the risk factors for severe illness of COVID-19. Laboratory test results associated with severe illness are serum LDH 250-500 U/L, LDH >500 U/L, and lymphopenia, whereas test results associated with mortality are CD3+CD8+ cell count ≤ 75 cell/μl, AKI stage 2 and 3, proteinuria ≥1+, hematuria ≥1+, D-dimer > 1 mg/L, peak serum creatinine > 13.26 μmol/L.

Recent advances in ai based automated personalized nutrition system: Future need of healthcare

Sharma,  D,  Patel, et al

International Journal of Advanced Trends in Computer Science and Engineering

Review Literature| Revue de littérature

 

Urology Virtual Education Programs During the COVID-19 Pandemic

Smigelski,  M,  Movassaghi, et al

Curr Urol Rep

Review Literature| Revue de littérature

 

The role of Chinese medicine in COVID-19 pneumonia: A systematic review and meta-analysis

Sun,  CY,  Sun, et al

American Journal of Emergency Medicine

Review Literature| Revue de littérature

SR-MA: Cochrane Central Register of Controlled Trials, PubMed, EMBASE, Chinese National Knowledge Infrastructure, Chinese Biomedical Database, Wanfang Database and VIP Information Database were seached. ccording to the allocated data, CM has demonstrated clinical efficacy and safety on COVID-19 pneumonia, which need to be confirmed by high quality, multiple-center, large sample randomized controlled trials.

Towards using recurrent neural networks for predicting influenza-like illness: Case study of covid-19 in morocco

Taj,  RM,  Mouden, et al

International Journal of Advanced Trends in Computer Science and Engineering

Review Literature| Revue de littérature

 

Heparin-binding Peptides as Novel Therapies to Stop SARS-CoV-2 Cellular Entry and Infection

Tavassoly,  O,  Safavi, et al

Mol Pharmacol

Review Literature| Revue de littérature

 

Update of the current knowledge on genetics, evolution, immunopathogenesis, and transmission for coronavirus disease 19 (Covid-19)

Tizaoui,  K,  Zidi, et al

International Journal of Biological Sciences

Review Literature| Revue de littérature

 

33027461; Ocular manifestations of COVID-19: a literature review

Torres,  BRS,  Cunha, et al

Revista da Associacao Medica Brasileira (1992)

Review Literature| Revue de littérature

 

Dental risks and precautions during COVID-19 pandemic: A systematic review

Turkistani,  K,  Turkistani, et al

Journal of International Society of Preventive and Community Dentistry

Review Literature| Revue de littérature

SR:  MEDLINE via PubMed, Cochrane library, Google Scholar and ScienceDirect databases.  Dental team need to follow strict infection control measures and minimize aerosol generation during COVID-19 outbreak. It is the responsibility of dental care workers to keep themselves informed and ensure safety and control transmission within dental facilities.

D-Dimer, Disease Severity, and Deaths (3D-Study) in Patients with COVID-19: A Systematic Review and Meta-Analysis

Varikasuvu,  Seshadri Reddy,  Dutt, et al

SSRN- Lancet prepublication

Review Literature| Revue de littérature

SR-MA: we searched electronic databases like PubMed and Web of Science, research repositories such as LitCovid, CDC, and WHO along with major journals. Our study showed that higher D-dimer levels provide prognostic information useful for clinicians to early assess COVID-19 patients at risk for disease progression and mortality outcomes. This study, recommending for rapid assessment of this coagulation marker, also support the ISTH guidelines for accurate D-dimer reporting in COVID-19.

A comprehensive study of sars-cov-2: From 2019-ncov to covid-19 outbreak

Waris,  A,  Ali, et al

Microbiology and Biotechnology Letters

Review Literature| Revue de littérature

 

32920233; Antibody-dependent enhancement of coronavirus

Wen,  J,  Cheng, et al

International Journal of Infectious Diseases

Review Literature| Revue de littérature

 

Convalescent plasma therapy for pandemics, COVID-19 as example: A mini review

Yaro,  A,  Phiri, et al

Annals of Tropical Medicine and Public Health

Review Literature| Revue de littérature

 

Clinical manifestations and perinatal outcomes of pregnant women with COVID-19: a systematic review and meta-analysis

Yee,  J,  Kim, et al

Sci Rep

Review Literature| Revue de littérature

SR-MA: searched for qualified studies in PubMed, Embase, and Web of Science. In conclusion, the current review will serve as an ideal basis for future considerations in the treatment and management of COVID-19 in pregnant women.

Clinical characteristics of covid-19 with cardiac injury: a systematic review and meta-analysis

Zeng,  L,  Wang, et al

Epidemiol Infect

Review Literature| Revue de littérature

SR-MA:  search of literature published between December1, 2019 and May 2, 2020 on the Pubmed, Embase, EuropePMC, medRxiv, SSRN and CNKI databases. Age, male gender, co-existing diseases and the inflammation index are risk factors for cardiac injury complicated COVID-19 infection. When a patient meets these criteria, cardiac injured biomarkers, such as cardiac troponin and CK-MB, should be monitored. COVID-19 patients with cardiac injury are usually at higher risk for clinical complications, mechanical ventilation and death, suggesting intensive care may be required for those patients.

32947052; Meta-analysis of coagulation parameters associated with disease severity and poor prognosis of COVID-19

Zhang,  A,  Leng, et al

International Journal of Infectious Diseases

Review Literature| Revue de littérature

 

The Potential Intermediate Hosts for SARS-CoV-2

Zhao,  J,  Cui, et al

Frontiers in Microbiology

Review Literature| Revue de littérature

 

Reply to: “Can the 2019 Novel Coronavirus Cause Parkinson's Disease?”

Achbani,  A,  Sine, et al

Movement Disorders

Commentary/Editorial| Commentaire/Éditorial

 

33026745; The Impact of COVID-19 on the Faces of Frontline Healthcare Workers

Aguilera,  SB,  De La Pena, et al

Journal of drugs in dermatology : JDD

Commentary/Editorial| Commentaire/Éditorial

 

Primed for global coronavirus pandemic: Emerging research and clinical outcome

Ahamad,  S,  Branch, et al

European journal of medicinal chemistry

Commentary/Editorial| Commentaire/Éditorial

 

Letter to the Editor: The Coronavirus Disease 2019 Impact on Oncofertility Services in Malaysia

Ahmad,  MF,  Abu, et al

J Adolesc Young Adult Oncol

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 in Children With Cancers and Post-Hematopoietic Stem Cell Transplantation (HSCT) in Oman

Al Yazidi,  LS,  Al Rawas, et al

J Pediatr Hematol Oncol

Commentary/Editorial| Commentaire/Éditorial

 

33017236; Children's Health Insurance Coverage: Progress, Problems, And Priorities For 2021 And Beyond

Alker,  JC,  Kenney, et al

Health affairs (Project Hope)

Commentary/Editorial| Commentaire/Éditorial

 

Neuraxial anaesthesia in the context of bacterial meningitis and COVID-19

Allen,  MB,  Neal, et al

British journal of anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

33027852; Diabetes and hypertension as factors associated with Covid-19 lethality in Sonora, Mexico, 2020

Álvarez-López,  DI,  Espinoza-Molina, et al

Salud publica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Asthma and covid-19: In defense of evidence-based saba

Amirav,  I,  Newhouse, et al

Journal of Asthma and Allergy

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 as a Capability Crisis: Using the Capability Framework to Understand Policy Challenges

Anand,  P,  Ferrer, et al

Journal of Human Development and Capabilities

Commentary/Editorial| Commentaire/Éditorial

 

Starting Out: Beginning Practice as Hospital Social Worker Under COVID-19

Anastasi,  P

Australian Social Work

Commentary/Editorial| Commentaire/Éditorial

 

Challenges for hazardous waste management related to covid-19 pandemic at train station

Ardiana,  N,  Suryawan, et al

International Journal of Advanced Trends in Computer Science and Engineering

Commentary/Editorial| Commentaire/Éditorial

 

33020329; COVID-19 in Indonesia: Where Are We?

Ariawan,  I,  Jusril, et al

Acta medica Indonesiana

Commentary/Editorial| Commentaire/Éditorial

 

32618965; Virtual interviews for surgical critical care fellowships and acute care fellowships amid the COVID-19 pandemic: The show must still go on

Asmar,  S,  Kulvatunyou, et al

Journal of Trauma and Acute Care Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Paramedics in pandemics: protecting the mental wellness of those behind enemy lines

Awais,  SB,  Martins, et al

Br J Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Social Entrepreneurship and COVID-19

Bacq,  S,  Lumpkin, et al

Journal of Management Studies

Commentary/Editorial| Commentaire/Éditorial

 

Asia and COVID-19; The need to continue mental health care to prevent the spread of suicide in the elderly

Badrfam,  R,  Zandifar, et al

Asian Journal of Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Digging our own grave: A Marxian consideration of formal education as a destructive enterprise

Bainbridge,  A

International Review of Education

Commentary/Editorial| Commentaire/Éditorial

 

32868631; American Neurogastroenterology and Motility Society Task Force Recommendations for Resumption of Motility Laboratory Operations During the COVID-19 Pandemic

Baker,  JR,  Moshiree, et al

The American Journal of Gastroenterology

Commentary/Editorial| Commentaire/Éditorial

 

Understanding and Addressing Latinx COVID-19 Disparities in Washington State

Baquero,  B,  Gonzalez, et al

Health Education and Behavior

Commentary/Editorial| Commentaire/Éditorial

 

33008700; Risk of self-contamination among healthcare workers in the COVID-19 pandemic

Barycka,  K,  Torlinski, et al

American Journal of Emergency Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Estimating the COVID-19 R number: a bargain with the devil?

Bauch,  ChrisT

The Lancet Infectious Diseases

Commentary/Editorial| Commentaire/Éditorial

 

Susceptibility to severe COVID-19

Beck,  DB,  Aksentijevich, et al

Science

Commentary/Editorial| Commentaire/Éditorial

 

Trotz Covid-19: 15 Ärztinnen und Ärzte erhalten Zertifikat âžPhytotherapie für Ärzte

Beer,  AM

Zeitschrift fur Phytotherapie

Commentary/Editorial| Commentaire/Éditorial

 

33020828; Early lessons from COVID-19 response and shifts in authority: public trust, policy legitimacy and political inclusion

Bekker,  M,  Ivankovic, et al

European journal of public health

Commentary/Editorial| Commentaire/Éditorial

 

Scientific and Ethical Principles Underlying Recommendations From the Advisory Committee on Immunization Practices for COVID-19 Vaccination Implementation

Bell,  BP,  Romero, et al

Jama

Commentary/Editorial| Commentaire/Éditorial

 

33032392; Lessons from the Italian COVID-19 frontline

Bellan,  M,  Sainaghi, et al

Minerva medica

Commentary/Editorial| Commentaire/Éditorial

 

33023286; A Social Shift: COVID-19 Disparities Prompt Emphasis on Value-Based Care

Berlin,  J

Texas medicine

Commentary/Editorial| Commentaire/Éditorial

 

Disinformation and Epidemics: Anticipating the Next Phase of Biowarfare

Bernard,  R,  Bowsher, et al

Health Secur

Commentary/Editorial| Commentaire/Éditorial

 

Higher Education Amidst COVID-19: Challenges and Silver Lining

Bhagat,  S,  Kim, et al

Information Systems Management

Commentary/Editorial| Commentaire/Éditorial

 

Modeling U.S. monetary policy during the global financial crisis and lessons for Covid-19

Bhar,  R,  Malliaris, et al

Journal of Policy Modeling

Commentary/Editorial| Commentaire/Éditorial

 

Can Traditional Chinese Medicine provide insights into controlling the COVID-19 pandemic: Serpentinization-induced lithospheric long-wavelength magnetic anomalies in Proterozoic bedrocks in a weakened geomagnetic field mediate the aberrant transformation

Bility,  MT,  Agarwal, et al

Science of the Total Environment

Commentary/Editorial| Commentaire/Éditorial

 

33024331; Plan now to speed vaccine supply for future pandemics

Bingham,  K

Nature

Commentary/Editorial| Commentaire/Éditorial

 

Misuse of SARS-CoV-2 testing in symptomatic health-care staff in the UK – Authors' reply

Black,  JamesRM,  Bailey, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Childcare-policy responses in the COVID-19 pandemic: unpacking cross-country variation

Blum,  S,  Dobrotić, et al

European Societies

Commentary/Editorial| Commentaire/Éditorial

 

Changing the Game: College Dance Training for Well-Being and Resilience Amidst the COVID-19 Crisis

Bohn,  J,  Hogue, et al

Health Promotion Practice

Commentary/Editorial| Commentaire/Éditorial

 

Football and COVID-19: the effects of the pandemic on training and performance of South American and Brazilian referees

Boschilia,  B,  Moraes, et al

Soccer and Society

Commentary/Editorial| Commentaire/Éditorial

 

33032314; How COVID-19 May Change the World of Services to People With Intellectual and Developmental Disabilities

Bradley,  VJ

Intellectual and developmental disabilities

Commentary/Editorial| Commentaire/Éditorial

 

A short note on coronavirus disease 2019 (COVID-19) outbreak

Briggs,  DS

Journal of Public Health and Development

Commentary/Editorial| Commentaire/Éditorial

 

Editorial overview: Membrane traffic in the time of COVID-19

Brodsky,  FM,  Stow, et al

Current opinion in cell biology

Commentary/Editorial| Commentaire/Éditorial

 

Double threat of COVID-19 and influenza

Burki,  Talha Khan

The Lancet Respiratory Medicine

Commentary/Editorial| Commentaire/Éditorial

 

33017239; How COVID-19 Threatens The Safety Net For US Children

Bylander,  J

Health affairs (Project Hope)

Commentary/Editorial| Commentaire/Éditorial

 

Challenges in Teaching Palliative Care Module Virtually during COVID-19 Era

Cassum,  S,  Mansoor, et al

Asia-Pacific Journal of Oncology Nursing

Commentary/Editorial| Commentaire/Éditorial

 

Sustainable business models in hybrids: A conceptual framework for community pharmacies' business owners

Cavicchi,  C,  Vagnoni, et al

Sustainability (Switzerland)

Commentary/Editorial| Commentaire/Éditorial

 

Diabetes, D-dimer and COVID-19: The possible role of glucose control

Ceriello,  A

Diabetes and Metabolic Syndrome: Clinical Research and Reviews

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and women informal sector workers in India

Chakraborty,  S

Economic and Political Weekly

Commentary/Editorial| Commentaire/Éditorial

 

Addressing opioid overdose deaths: The vision for the HEALing communities study

Chandler,  RK,  Villani, et al

Drug and alcohol dependence

Commentary/Editorial| Commentaire/Éditorial

 

No one notices the creaky software systems that run the world - Until they fail

Charette,  RN

IEEE Spectrum

Commentary/Editorial| Commentaire/Éditorial

 

Older Black Americans During COVID-19: Race and Age Double Jeopardy

Chatters,  LM,  Taylor, et al

Health Educ Behav

Commentary/Editorial| Commentaire/Éditorial

 

32769778; Calls for Access to Safe Injecting Supplies as a Critical Public Health Measure During the COVID-19 Pandemic

Chayama,  KL,  Ng, et al

Journal of addiction medicine

Commentary/Editorial| Commentaire/Éditorial

 

33022374; Prevention and treatment of COVID-19-associated hypercoagulability: Recommendations of the Algerian society of transfusion and hemobiology

Chekkal,  M,  Deba, et al

Transfusion Clinique et Biologique

Commentary/Editorial| Commentaire/Éditorial

 

33012626; Enjeux de condition féminine en temps de pandémie : Iniquité des sexes exacerbée pour les femmes au Canada et dans le monde entier en raison de la COVID-19

Chen,  DI,  Bougie, et al

Journal of Obstetrics and Gynaecology Canada

Commentary/Editorial| Commentaire/Éditorial

 

33012627; Women's Issues in Pandemic Times: How COVID-19 Has Exacerbated Gender Inequities for Women in Canada and around the World

Chen,  I,  Bougie, et al

Journal of Obstetrics and Gynaecology Canada

Commentary/Editorial| Commentaire/Éditorial

 

Challenges in the Development of a Vaccine Against COVID-19

Chen,  W,  Zhu, et al

Engineering

Commentary/Editorial| Commentaire/Éditorial

 

Game Base Learning to Prevent Infection from COVID-19

Chew,  Peter

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

[Lack of Personal Protective Equipment in Brazil]

Coelho da Maia,  ME,  Dreer, et al

Acta Med Port

Commentary/Editorial| Commentaire/Éditorial

 

33010489; ICU re-organisation to face the first COVID-19 epidemic wave in a tertiary hospital

Collange,  O,  Sammour, et al

Anaesthesia Critical Care and Pain Medicine

Commentary/Editorial| Commentaire/Éditorial

 

33030379; A point-of-care app for chronic oedema management

Collett,  M

British journal of community nursing

Commentary/Editorial| Commentaire/Éditorial

 

The Impact of the COVID-19 Pandemic on Information Systems Management

Conger,  S

Information Systems Management

Commentary/Editorial| Commentaire/Éditorial

 

A gendered lens on COVID-19 employment and social policies in Europe

Cook,  R,  Grimshaw, et al

European Societies

Commentary/Editorial| Commentaire/Éditorial

 

Anaesthesia research capacity: time for a rethink in light of the COVID-19 pandemic

Cook,  TM,  Kelly, et al

Anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

32618964; In response to: Surgery in the COVID-19 phase 2 Italian scenario: Lessons learned in Northern Italy spoke hospitals

Costanzi,  A,  Mari, et al

Journal of Trauma and Acute Care Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Experts criticise Australia's aged care failings over COVID-19

Cousins,  Sophie

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and the Future of CSR Research

Crane,  A,  Matten, et al

Journal of Management Studies

Commentary/Editorial| Commentaire/Éditorial

 

Understanding Generational Factors in the Workplace: Current Considerations for Telework Practices and the Digital Native

Crooks,  CL,  Hogg, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

33000610; Covid-19 and cardiac involvement in childhood: state of the art

Cuppari,  C,  Ceravolo, et al

Journal of Biological Regulators and Homeostatic Agents

Commentary/Editorial| Commentaire/Éditorial

 

Guillain-Barré Syndrome in a Child With COVID-19 Infection

Curtis,  M,  Bhumbra, et al

Pediatrics

Commentary/Editorial| Commentaire/Éditorial

 

33017180; Addressing the Mental Health Challenges of Cancer Care Workers in LMICs During the Time of the COVID-19 Pandemic

Datta,  SS,  Mukherjee, et al

JCO global oncology

Commentary/Editorial| Commentaire/Éditorial

 

Personal protective equipment: Suggested best practices for pharmacies during the COVID-19 pandemic

Dattani,  S,  Mohr, et al

Canadian Pharmacists Journal

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 associated coagulopathy: Thrombosis, hemorrhage and mortality rates with an escalated-dose thromboprophylaxis strategy

Daughety,  MM,  Morgan, et al

Thrombosis research

Commentary/Editorial| Commentaire/Éditorial

 

Response to Letter to the Editor: Taste and Smell Dysfunction in COVID-19 Patients

de Souza,  SM,  Panichelli, et al

Annals of Otology, Rhinology and Laryngology

Commentary/Editorial| Commentaire/Éditorial

 

Health crisis and oil crisis

de Vincenzo,  D

Documenti Geografici

Commentary/Editorial| Commentaire/Éditorial

 

Impacts and challenges to education in academic international medicine during a global pandemic

De Wulf,  A,  Bloem, et al

International Journal of Academic Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Laser spectroscopic technique for direct identification of a single virus I: FASTER CARS

Deckert,  V,  Deckert-Gaudig, et al

Proc Natl Acad Sci U S A

Commentary/Editorial| Commentaire/Éditorial

 

Hypocalcemia: the quest for the cause of a major biochemical feature of COVID-19

di Filippo,  L,  Formenti, et al

Endocrine

Commentary/Editorial| Commentaire/Éditorial

 

Economic paradigms and corporate culture after the great COVID-19 pandemic: Towards a new role of welfare organisations and insurers

Di Lorenzo,  E,  Sibillo, et al

Sustainability (Switzerland)

Commentary/Editorial| Commentaire/Éditorial

 

Lessons Learned from the COVID-19 Crisis: Adjusting Assessment Approaches within Introductory Organic Courses

Dicks,  AP,  Morra, et al

Journal of chemical education

Commentary/Editorial| Commentaire/Éditorial

 

Attempts, Successes, and Failures of Distance Learning in the Time of COVID-19

Dietrich,  N,  Kentheswaran, et al

Journal of chemical education

Commentary/Editorial| Commentaire/Éditorial

 

Webinar zur S1-Leitlinie

Dietz,  A,  Meyer, et al

Chirurg

Commentary/Editorial| Commentaire/Éditorial

 

32826619; Policies to Improve Substance Use Disorder Treatment With Telehealth During the COVID-19 Pandemic and Beyond

Drake,  C,  Yu, et al

Journal of addiction medicine

Commentary/Editorial| Commentaire/Éditorial

 

Response to case comparisons and a new definition of disease-free status

Duggan,  NM,  Wilcox, et al

American Journal of Emergency Medicine

Commentary/Editorial| Commentaire/Éditorial

 

33009760; Compassionate Drug Use - Time Arising for a New Law in Bulgaria in the Era of COVID-19

Dzhafer,  N,  Papathanasiou, et al

Folia medica

Commentary/Editorial| Commentaire/Éditorial

 

Immune response to physical exercise: evidence to take into account during the coronavirus disease (COVID-19) pandemic

El Hangouche,  AJ,  Amekran, et al

J Sports Med Phys Fitness

Commentary/Editorial| Commentaire/Éditorial

 

32897158; If Aviation Were in Control of the COVID-19 Response

Ephrat,  E

Population Health Management

Commentary/Editorial| Commentaire/Éditorial

 

33010994; Pediatric emergency department volumes and throughput during the COVID-19 pandemic

Even,  L,  Lipshaw, et al

American Journal of Emergency Medicine

Commentary/Editorial| Commentaire/Éditorial

 

SARS-COV-2 myocarditis. An update

Fard,  D,  Huguet, et al

Annales de Cardiologie et d'Angeiologie

Commentary/Editorial| Commentaire/Éditorial

 

Health Diplomacy in Pandemical Times

Fazal,  TM

International Organization

Commentary/Editorial| Commentaire/Éditorial

 

33030009; Surgical care during the new coronavirus (Covid-19) pandemic

Fedorov,  AV,  Kurganov, et al

Khirurgiia

Commentary/Editorial| Commentaire/Éditorial

 

32991850; Statin Treatment of COVID-19

Fedson,  DS

American Journal of Cardiology

Commentary/Editorial| Commentaire/Éditorial

 

33019992; Shortage of anesthetics: Think of inhaled sedation!

Ferrière,  N,  Bodenes, et al

Journal of critical care

Commentary/Editorial| Commentaire/Éditorial

 

Managing appendicitis during the COVID-19 pandemic—What do we need to know from the evidence?

Findlay,  JM

International journal of clinical practice

Commentary/Editorial| Commentaire/Éditorial

 

33017138; Set up of a dedicated COVID-19 surgical pathway and operating room for surgical emergencies

Fransvea,  P,  Sganga, et al

Journal of Trauma and Acute Care Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Misuse of SARS-CoV-2 testing in symptomatic health-care staff in the UK

Freudenthal,  Bernard

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Independent Oncology Practices in the COVID-19 Era-Does US Cancer Care Need a Bailout?

Frosch,  ZAK,  Shulman, et al

JAMA Oncol

Commentary/Editorial| Commentaire/Éditorial

 

#StayCentred: Maintaining Personal Education at Centre College during COVID-19

Fulfer,  KD,  Wachter, et al

Journal of chemical education

Commentary/Editorial| Commentaire/Éditorial

 

Predicting COVID-19 Evolution during Mid-March Crisis

Furtado,  P

 

Commentary/Editorial| Commentaire/Éditorial

 

RxLegal: The Evolving Legal Landscape of Telehealth

Gabay,  M

Hospital pharmacy

Commentary/Editorial| Commentaire/Éditorial

 

Has COVID-19 Accelerated Digital Transformation? Initial Lessons Learned for Public Administrations

Gabryelczyk,  R

Information Systems Management

Commentary/Editorial| Commentaire/Éditorial

 

Factors Associated with Increased Risk of SARS-CoV-2 Infections in Diabetics

Gao,  J,  Gao, et al

Chinese General Practice

Commentary/Editorial| Commentaire/Éditorial

 

Adapting a Federal Disaster Medical Assistance Team to Operate during a Pandemic

Garrett,  AL

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

A DROP IN NUMBER OF HOSPITALIZATIONS AMONG CHILDREN WITH BACTERIAL INFECTIONS DURING THE COVID-19 PANDEMIC

Gavish,  R,  Krause, et al

Pediatr Infect Dis J

Commentary/Editorial| Commentaire/Éditorial

 

33029503; Resistance Training Safety during and after the SARS-Cov-2 Outbreak: Practical Recommendations

Gentil,  P,  de Lira, et al

BioMed research international

Commentary/Editorial| Commentaire/Éditorial

 

33030369; Collaboration between a tertiary pain centre and community teams during the pandemic

George,  JM,  Xu, et al

British journal of community nursing

Commentary/Editorial| Commentaire/Éditorial

 

‘15 Days to Slow the Spread’: Covid-19 and Collective Resilience

Glynn,  MA

Journal of Management Studies

Commentary/Editorial| Commentaire/Éditorial

 

The impact of the COVID-19 health alert on psychosexual and health care for transsexuals and for people with diverse gender identities during social confinement

Gómez Balaguer,  M,  Modrego Pardo, et al

Endocrinologia, Diabetes y Nutricion

Commentary/Editorial| Commentaire/Éditorial

 

The vaccine against COVID-19 and institutional trust

González-Melado,  FJ,  Di Pietro, et al

Enfermedades infecciosas y microbiologia clinica

Commentary/Editorial| Commentaire/Éditorial

 

Perspective on Proteomics for Virus Detection in Clinical Samples

Grossegesse,  M,  Hartkopf, et al

J Proteome Res

Commentary/Editorial| Commentaire/Éditorial

 

33009709; Essential, not peripheral: Addressing health care workers' mental health concerns during the COVID-19 pandemic

Guerrini,  CJ,  Storch, et al

Journal of occupational health

Commentary/Editorial| Commentaire/Éditorial

 

A Survey of Parents on the Effects of COVID-19 Pandemic on Children Receiving Antileukemic Therapy

Gurlek Gokcebay,  D,  Akcabelen, et al

J Pediatr Hematol Oncol

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and STEMI

Hakim,  R,  Motreff, et al

Annales de Cardiologie et d'Angeiologie

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and biologics in severe asthma: data from the Belgian Severe Asthma Registry

Hanon,  S,  Brusselle, et al

Eur Respir J

Commentary/Editorial| Commentaire/Éditorial

 

My own experience of covid-19

Hasan,  SS

Anaesthesia, Pain and Intensive Care

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 as a novel etiology of portal vein thrombosis: change in the current management concepts

Hassan,  W,  Ramadan, et al

Infect Dis (Lond)

Commentary/Editorial| Commentaire/Éditorial

 

Tips and Tools for Teaching Organic Synthesis Online

Healy,  EF,  Blade, et al

Journal of chemical education

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2 risk misclassification explains poor COVID-19 management

Hernández,  Juan Martínez

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Influenza control during the COVID-19 pandemic

Hills,  Thomas,  Kearns, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Rapid Adaptation of HIV Treatment Programs in Response to COVID-19 - Namibia, 2020

Hong,  SY,  Ashipala, et al

MMWR Morb Mortal Wkly Rep

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2 infection as a risk factor for herpesviridae reactivation: consider the potential influence of corticosteroid therapy

Honore,  PM,  Barreto Gutierrez, et al

Crit Care

Commentary/Editorial| Commentaire/Éditorial

 

Offline: Science and politics in the era of COVID-19

Horton,  Richard

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Sex differences in antiviral immunity in SARS-CoV-2 infection: mitochondria and mitomiR come into view

Iessi,  E,  Cittadini, et al

Acta Physiol (Oxf)

Commentary/Editorial| Commentaire/Éditorial

 

Closed tracheal suctioning systems in the era of COVID-19: is it time to consider them as a gold standard?

Imbriaco,  G,  Monesi, et al

Journal of Infection Prevention

Commentary/Editorial| Commentaire/Éditorial

 

33030322; Viral transmission in COVID-19: the role of the aerosol

In 't Veen,  JCCM,  de Hond, et al

Nederlands tijdschrift voor geneeskunde

Commentary/Editorial| Commentaire/Éditorial

 

Nursing Homes and Long Term Care After COVID-19: A New ERA?

Inzitari,  M,  Risco, et al

Journal of Nutrition, Health and Aging

Commentary/Editorial| Commentaire/Éditorial

 

33016681; Current issues in the rehabilitation of stroke patients against the background of a new coronavirus infection (COVID-19). Resolution of the Council of Experts

Ivanova,  GE,  Melnikova, et al

Zhurnal nevrologii i psikhiatrii imeni S.S.Korsakova

Commentary/Editorial| Commentaire/Éditorial

 

Dying in Hospital during COVID-19: Isolation, Despair, and Moral Distress

John,  S,  Booth, et al

Australian Social Work

Commentary/Editorial| Commentaire/Éditorial

 

To minimize the bill that they must pay

Joyce,  JA

James Baldwin Review

Commentary/Editorial| Commentaire/Éditorial

 

China's mental health support in response to COVID-19: progression, challenges and reflection

Ju,  Y,  Zhang, et al

Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Electricity (amendment) bill, 2020 inviting a bigger crisis

Kanitkar,  T,  Mahalingam, et al

Economic and Political Weekly

Commentary/Editorial| Commentaire/Éditorial

 

Managing blood disorders during the Covid-19 pandemic: current pharmacological insights

Karunakaran,  P,  Nampoothiri, et al

Expert Rev Clin Pharmacol

Commentary/Editorial| Commentaire/Éditorial

 

Protocol for Medicine and Technology for COVID-19 - A Mini Review

Kashyap,  Arjun,  GK, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Invisible children and non-essential workers: Child protection during COVID-19 in Israel according to policy documents and media coverage

Katz,  C,  Cohen, et al

Child Abuse and Neglect

Commentary/Editorial| Commentaire/Éditorial

 

Laboratory biosafety measures involving SARS-CoV-2 and the classification as a Risk Group 3 biological agent

Kaufer,  AM,  Theis, et al

Pathology

Commentary/Editorial| Commentaire/Éditorial

 

33022712; Targeting acute kidney injury in COVID-19

Kellum,  JA,  van Till, et al

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association

Commentary/Editorial| Commentaire/Éditorial

 

Utilizing the Learning Health System Adaptation to guide Family Medicine Practice to COVID-19 response

Khanna,  N,  Klyushnenkova, et al

Journal of Primary Care and Community Health

Commentary/Editorial| Commentaire/Éditorial

 

Vitamin D deficiency in Covid-19 patients

Killeit,  U

Deutsche Lebensmittel-Rundschau

Commentary/Editorial| Commentaire/Éditorial

 

32971100; Managing the Rehabilitation Wave: Rehabilitation Services for COVID-19 Survivors

Kim,  SY,  Kumble, et al

Archives of Physical Medicine and Rehabilitation

Commentary/Editorial| Commentaire/Éditorial

 

33020002; Author's response to Letter to the Editor: Anticoagulant approach in COVID-19 patients with cerebral venous thrombosis

Klein,  DE,  Libman, et al

Journal of Stroke and Cerebrovascular Diseases

Commentary/Editorial| Commentaire/Éditorial

 

A new form of irritant rhinitis to filtering facepiece particle (FFP) masks (FFP2/N95/KN95 respirators) during COVID-19 pandemic

Klimek,  L,  Huppertz, et al

World Allergy Organization Journal

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and the importance of space in entrepreneurship research and policy

Korsgaard,  S,  Hunt, et al

International Small Business Journal: Researching Entrepreneurship

Commentary/Editorial| Commentaire/Éditorial

 

The use of antiplatelet agents for arterial thromboprophylaxis in COVID-19

Kow,  CS,  Hasan, et al

Revista espanola de cardiologia

Commentary/Editorial| Commentaire/Éditorial

 

US racial and ethnic data for COVID-19 cases: still missing in action

Krieger,  Nancy,  Testa, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

33024391; COVID-19 pandemic and challenges in pediatric gastroenterology practice

Kriem,  J,  Rahhal, et al

World Journal of Gastroenterology

Commentary/Editorial| Commentaire/Éditorial

 

33027854; Notificación empática de muerte remota en el contexto de Covid-19

Landa-Ramírez,  E,  Domínguez-Vieyra, et al

Salud publica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Safe Sexual Practices in the COVID-19 Pandemic Period

Lara,  LADS,  Marino, et al

Sexual Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Rationale of a loading dose initiation for hydroxychloroquine treatment in COVID-19 infection in the DisCoVeRy trial-authors' response

Lê,  MP,  Peiffer-Smadja, et al

J Antimicrob Chemother

Commentary/Editorial| Commentaire/Éditorial

 

The engines of SARS-CoV-2 spread

Lee,  EC,  Wada, et al

Science

Commentary/Editorial| Commentaire/Éditorial

 

Nation branding in the COVID-19 era: South Korea’s pandemic public diplomacy

Lee,  ST,  Kim, et al

Place Branding and Public Diplomacy

Commentary/Editorial| Commentaire/Éditorial

 

32961219; The Bulle: Support and Prevention of Psychological Decompensation of Health Care Workers During the Trauma of the COVID-19 Epidemic

Lefèvre,  H,  Stheneur, et al

Journal of pain and symptom management

Commentary/Editorial| Commentaire/Éditorial

 

Information system security risk management e-learning using fmea in university

Leonard,  A,  Anggito, et al

International Journal of Advanced Trends in Computer Science and Engineering

Commentary/Editorial| Commentaire/Éditorial

 

Editorial for the Special Issue on COVID-19

Li,  X,  Wang, et al

Engineering

Commentary/Editorial| Commentaire/Éditorial

 

PMC7431124; Tocilizumab for severe COVID-19 pneumonia

Lipworth,  BJ,  Chan, et al

Lancet Rheumatol

Commentary/Editorial| Commentaire/Éditorial

 

32591185; SEDAR-SEMICYUC consensus on the management of haemostasis disorders in severe COVID-19 patients

Llau,  JV,  Ferrandis, et al

Medicina Intensiva

Commentary/Editorial| Commentaire/Éditorial

 

Emerging from the first COVID-19 wave: Archetyping the new NHS ophthalmic waiting room

Loh,  GK,  Bhalla, et al

BMJ Innovations

Commentary/Editorial| Commentaire/Éditorial

 

All that glitters is not gold. The rise of gaming in the COVID-19 pandemic

López-Cabarcos,  MÁ,  Ribeiro-Soriano, et al

Journal of Innovation and Knowledge

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: Effects of the Shutdown on Children and Families in Child and Youth Care Services in Germany

Lorch,  M,  Fuchs, et al

Child and Youth Services

Commentary/Editorial| Commentaire/Éditorial

 

Are Viral Vectors Any Good for RNAi Antiviral Therapy?

Lundstrom,  K

Viruses

Commentary/Editorial| Commentaire/Éditorial

 

Randomized Controlled Trials vs Real-World Data in the COVID-19 Era: A False Narrative

Lyman,  GH,  Kuderer, et al

Cancer Invest

Commentary/Editorial| Commentaire/Éditorial

 

Value of clinical engagement in the NSW Health response to COVID-19

Lyons,  N,  Cox, et al

Aust Health Rev

Commentary/Editorial| Commentaire/Éditorial

 

Personal Protective Equipment and Particulate Filter Use During the COVID-19 Pandemic: “Acidotic Times”

Madan,  M,  Madan, et al

Archivos de Bronconeumologia

Commentary/Editorial| Commentaire/Éditorial

 

33020827; Covid-19: a test for our humanity

Maeckelberghe,  E,  Schröder-Bäck, et al

European journal of public health

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 telehealth challenges for patients with schizophrenia and other psychoses

Maguire,  PA,  Looi, et al

Aust N Z J Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Human challenge studies will see people purposefully infected with virus

Mahase,  E

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Vaccine trials need more transparency to enable scrutiny and earn public trust, say experts

Mahase,  E

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

32992042; Reply to “Does asthma affect outcomes of patients with COVID-19 infections?”

Mahdavinia,  M,  Codispoti, et al

Journal of Allergy and Clinical Immunology: In Practice

Commentary/Editorial| Commentaire/Éditorial

 

Perceptions of Families of Individuals with Autism Spectrum Disorder during the COVID-19 Crisis

Manning,  J,  Billian, et al

J Autism Dev Disord

Commentary/Editorial| Commentaire/Éditorial

 

33027439; Should ethanol be considered a treatment for COVID-19?

Manning,  TJ,  Thomas-Richardson, et al

Revista da Associacao Medica Brasileira (1992)

Commentary/Editorial| Commentaire/Éditorial

 

Need for psychological support in health professionals before COVID-19

Martínez-Pizarro,  S

Psiquiatria Biologica

Commentary/Editorial| Commentaire/Éditorial

 

[Letter to the Editor Regarding Torres-Costa et al "SARS-CoV-2 in Ophtalmology: Current Evidence and Recommendations for Clinical Practice"]

Martins,  Tgds

Acta Med Port

Commentary/Editorial| Commentaire/Éditorial

 

Looking ahead to a trauma service with COVID-19

Mason,  J,  West, et al

Journal of Plastic, Reconstructive and Aesthetic Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Impact of COVID-19 pandemic on the management of cutaneous lymphomas

Mateeva,  V,  Vassileva, et al

Clinics in dermatology

Commentary/Editorial| Commentaire/Éditorial

 

Protecting Our Own: Equity for Employees as Hospitals Battle COVID-19

Maurer,  LR,  Perez, et al

Health Equity

Commentary/Editorial| Commentaire/Éditorial

 

33027853; Exposición laboral a Covid-19 en personal de salud

Medina-Guillen,  L

Salud publica de Mexico

Commentary/Editorial| Commentaire/Éditorial

 

Herd immunity confusion

Medley,  GrahamF

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Clinical Endpoints for Evaluating Efficacy in COVID-19 Vaccine Trials

Mehrotra,  DV,  Janes, et al

Ann Intern Med

Commentary/Editorial| Commentaire/Éditorial

 

Dynamics of COVID-19 transmission including indirect transmission mechanisms: a mathematical analysis

Meiksin,  A

Epidemiol Infect

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 syndemic is not global: context matters

Mendenhall,  Emily

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

We Need to Talk about Racism - In All of Its Forms - In Understand COVID-19 Disparities

Milner,  A,  Franz, et al

Health Equity

Commentary/Editorial| Commentaire/Éditorial

 

Integrating risk assessment with aviation cybersecurity framework

Mirchandani,  S,  Adhikari, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

Engaging with local communities: Five key lessons that businesses can learn from universities

Misra,  D,  Pinheiro, et al

Industry and Higher Education

Commentary/Editorial| Commentaire/Éditorial

 

32860908; Combating the Dangers of Sedentary Activity on Child and Adolescent Mental Health During the Time of COVID-19

Mittal,  VA,  Firth, et al

Journal of the American Academy of Child and Adolescent Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

India's Response to the COVID-19 Pandemic: A Frontal Assault on the "Historically Dispossessed"

Mohan,  M,  Mishra, et al

Int J Health Serv

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 pandemic and its impact on the banking industry - a case of national bank Ltd

Mohania,  S,  Mainrai, et al

Indian Journal of Finance

Commentary/Editorial| Commentaire/Éditorial

 

Strategies for prevention of SARS-CoV-2 infection in a rural Emergency Department

Monti,  M,  L’Angiocola, et al

Hong Kong Journal of Emergency Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Why meaning-making matters: the case of the UK Government’s COVID-19 response

Morgan,  M

American Journal of Cultural Sociology

Commentary/Editorial| Commentaire/Éditorial

 

The Role of Health Economics and Outcomes Research in Addressing Coronavirus Disease 2019 (COVID-19)

Mullins,  CD,  Drummond, et al

Value in Health

Commentary/Editorial| Commentaire/Éditorial

 

Impact of covid 19 lockdown: A move towards sustainable environment

Munmun,  B,  Garima, et al

Research Journal of Chemistry and Environment

Commentary/Editorial| Commentaire/Éditorial

 

Mitigating a COVID-19 Outbreak Among Major League Baseball Players - United States, 2020

Murray,  MT,  Riggs, et al

MMWR Morb Mortal Wkly Rep

Commentary/Editorial| Commentaire/Éditorial

 

Smartphone ophthalmoscopy: A potential way forward for non-ophthalmology medics in the COVID-19 era

Nagra,  M,  Konstantopoulos, et al

BMJ Innovations

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 pandemic against mental health services for genocide survivors during commemoration week in Rwanda

Ngamije,  J,  Yadufashije, et al

Heliyon

Commentary/Editorial| Commentaire/Éditorial

 

Minimize Online Cheating for Online Assessments during COVID-19 Pandemic

Nguyen,  JG,  Keuseman, et al

Journal of chemical education

Commentary/Editorial| Commentaire/Éditorial

 

33023899; Portable negative pressure environment to protect staff during aerosol-generating procedures in patients with COVID-19

Nilson,  J,  Bugaev, et al

BMJ open respiratory research

Commentary/Editorial| Commentaire/Éditorial

 

33002667; Guidelines: Anaesthesia in the context of COVID-19 pandemic

Niño,  MC,  De La Hoz, et al

Anaesthesia Critical Care and Pain Medicine

Commentary/Editorial| Commentaire/Éditorial

 

33024330; COVID-19 vaccines: how to ensure Africa has access

Nkengasong,  JN,  Ndembi, et al

Nature

Commentary/Editorial| Commentaire/Éditorial

 

Pneumomediastinum: An Uncommon Complication of COVID-19 Pneumonia

Nobre Pereira,  M,  Blanco, et al

Archivos de Bronconeumologia

Commentary/Editorial| Commentaire/Éditorial

 

33020342; COVID-19 pandemic in Indonesia: Situation and challenges of rehabilitation medicine in Indonesia

Nugraha,  B,  Wahyuni, et al

Acta medica Indonesiana

Commentary/Editorial| Commentaire/Éditorial

 

Afterword: a critical reckoning with the ‘Asian Century’ in the shadow of the anthropocene

Oakes,  T

Tourism Geographies

Commentary/Editorial| Commentaire/Éditorial

 

Biomarker Research and Development for Coronavirus Disease 2019 (COVID-19): European Medical Research Infrastructures Call for Global Coordination

Oldoni,  E,  van Gool, et al

Clin Infect Dis

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Reflections on Inpatient Rehabilitation

Olivieri,  J

Australian Social Work

Commentary/Editorial| Commentaire/Éditorial

 

How much of an impact did COVID-19 self-isolation measures have on mental health?

Omiya,  Y,  Tokuno, et al

Asian Journal of Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Library Services during COVID-19 Period: Federal University of Agriculture, Abeokuta Experience

Onifade,  FN

International Information and Library Review

Commentary/Editorial| Commentaire/Éditorial

 

Understanding protection from SARS-CoV-2 by studying reinfection

Overbaugh,  J

Nat Med

Commentary/Editorial| Commentaire/Éditorial

 

Criminal liability for contagion risks of Covid-19 in healthcare facilities

Pagani,  D

Archivio Penale

Commentary/Editorial| Commentaire/Éditorial

 

33012826; Teleconsulting in the time of a global pandemic: Application to anesthesia and technological considerations

Pang,  DSJ,  Pang, et al

The Canadian veterinary journal = La revue veterinaire canadienne

Commentary/Editorial| Commentaire/Éditorial

 

Inclusive Biomedical Innovation during the COVID-19 Pandemic

Pannu,  J

Global Policy

Commentary/Editorial| Commentaire/Éditorial

 

Pseudoscientific Content on YouTube: Assessing the Effects of Watch History on the Recommendation Algorithm

Papadamou,  Kostantinos,  Zannettou, et al

arXiv

Commentary/Editorial| Commentaire/Éditorial

 

Is It Crohn's Disease?

Parigi,  TL,  Bonifacio, et al

Gastroenterology

Commentary/Editorial| Commentaire/Éditorial

 

32618961; Authors' response: Laparoscopy and COVID-19: An off-key song?

Pata,  F,  Cuccurullo, et al

Journal of Trauma and Acute Care Surgery

Commentary/Editorial| Commentaire/Éditorial

 

Convalescent plasma is ineffective for covid-19

Pathak,  EB

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19 pandemic: An opportunity in disguise for child and adolescent psychiatry!

Patra,  S,  Nebhinani, et al

Journal of Indian Association for Child and Adolescent Mental Health

Commentary/Editorial| Commentaire/Éditorial

 

33020826; COVID-19 and human rights-why should the public health community be concerned?

Patterson,  D,  Paget, et al

European journal of public health

Commentary/Editorial| Commentaire/Éditorial

 

The Role of Micronutrients in Support of the Immune Response against Viral Infections

Pecora,  F,  Persico, et al

Nutrients

Commentary/Editorial| Commentaire/Éditorial

 

33024333; Face masks: what the data say

Peeples,  L

Nature

Commentary/Editorial| Commentaire/Éditorial

 

33017241; Principles And Policies To Strengthen Child And Adolescent Health And Well-Being

Perrin,  JM,  Duncan, et al

Health affairs (Project Hope)

Commentary/Editorial| Commentaire/Éditorial

 

PMC7431163; Tocilizumab for severe COVID-19 pneumonia

Piano,  S,  Vettor, et al

Lancet Rheumatol

Commentary/Editorial| Commentaire/Éditorial

 

CD147 as a novel receptor in the pathogenesis of SARS-CoV-2: Is there any correlation with risk of COVID-19 in dermatological diseases?

Pourani,  MR,  Abdollahimajd, et al

Dermatol Ther

Commentary/Editorial| Commentaire/Éditorial

 

33023280; An Unfortunate Legacy: COVID-19 Reveals Long-Standing Health Inequities

Price,  S

Texas medicine

Commentary/Editorial| Commentaire/Éditorial

 

33023279; A Perfect Match? COVID-19 Forces GME Programs, Med Students to Adjust Resident Selection Process

Price,  S

Texas medicine

Commentary/Editorial| Commentaire/Éditorial

 

33023281; 'This Makes Me Feel More Alive': Catching COVID-19 Helped Physician Find New Ways to Help Patients

Price,  S

Texas medicine

Commentary/Editorial| Commentaire/Éditorial

 

33016678; SARS-CoV-2 (COVID-19) as a predictor of neuroinflammation and neurodegeneration: potential therapy strategies

Putilina,  MV,  Grishin, et al

Zhurnal nevrologii i psikhiatrii imeni S.S.Korsakova

Commentary/Editorial| Commentaire/Éditorial

 

32950703; Answer to Vieira et al. “Cytokine profile as a prognostic tool in coronavirus disease 2019”. Joint Bone Spine 2020. Doi:10.1016/j.jbspin.2020.09.006

Quartuccio,  L,  Benucci, et al

Joint Bone Spine

Commentary/Editorial| Commentaire/Éditorial

 

What life in favelas can teach us about the COVID-19 pandemic and beyond: Lessons from Dona Josefa

Quental,  C,  Shymko, et al

Gender, Work and Organization

Commentary/Editorial| Commentaire/Éditorial

 

Higher disease burden in India's elderly

Ranjan,  A,  Muraleedharan, et al

Economic and Political Weekly

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19, India, and investor-State dispute settlement (ISDS): will India be able to defend its public health measures?

Ranjan,  P,  Anand, et al

Asia Pacific Law Review

Commentary/Editorial| Commentaire/Éditorial

 

32826569; Endoscopic Evaluation of Inflammatory Bowel Disease With High-Grade Dysplasia Should Not Be Delayed During the COVID-19 Pandemic: A Case Report

Raphael,  KL,  Trindade, et al

The American Journal of Gastroenterology

Commentary/Editorial| Commentaire/Éditorial

 

Building a tuberculosis-free world while responding to the COVID-19 pandemic

Reid,  MichaelJA,  Silva, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 AP Physics Writing "workshop"

Reif,  M

Physics Teacher

Commentary/Editorial| Commentaire/Éditorial

 

Arterial thrombotic complications in hospitalized patients with COVID-19. Response to related letters

Rey,  JR,  Merino, et al

Revista espanola de cardiologia

Commentary/Editorial| Commentaire/Éditorial

 

On Patient Safety: Connecting with Socially Isolated Patients in the COVID-19 Era

Rickert,  J

Clin Orthop Relat Res

Commentary/Editorial| Commentaire/Éditorial

 

33022728; Rational therapeutic decisions in intensive care patients

Riessen,  R,  Haap, et al

Deutsche medizinische Wochenschrift

Commentary/Editorial| Commentaire/Éditorial

 

33021387; Current role of cardiac biomarkers in extra-cardiac diseases in children

Rodriguez-Gonzalez,  M,  A Perez-Reviriego, et al

Biomarkers in medicine

Commentary/Editorial| Commentaire/Éditorial

 

The effect of the COVID-19 pandemic on the adequacy of blood supply: Specialists in transfusion medicine need to establish models of preparedness

Rouka,  E

Transfusion and Apheresis Science

Commentary/Editorial| Commentaire/Éditorial

 

Similarities and differences in managing the Covid-19 crisis and climate change risk

Ruiu,  ML,  Ragnedda, et al

Journal of Knowledge Management

Commentary/Editorial| Commentaire/Éditorial

 

Contextualizing the COVID-19 pandemic’s impact on food security in two small cities in Bangladesh

Ruszczyk,  HA,  Rahman, et al

Environment and Urbanization

Commentary/Editorial| Commentaire/Éditorial

 

33031548; Salivary Testing for SARS-CoV-2 Detection: Will It Help the Implant Dentist?

Rutkowski,  JL

The Journal of oral implantology

Commentary/Editorial| Commentaire/Éditorial

 

32997122; Mortality, Stroke, and Hospitalization Associated With Deferred vs Expedited Aortic Valve Replacement in Patients Referred for Symptomatic Severe Aortic Stenosis During the COVID-19 Pandemic

Ryffel,  C,  Lanz, et al

JAMA network open

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and the promotion of digital competences in education

Sá,  MJ,  Serpa, et al

Universal Journal of Educational Research

Commentary/Editorial| Commentaire/Éditorial

 

Protocol for a prospective, observational, hospital-based multicentre study of nosocomial SARS-CoV-2 transmission: NOSO-COR Project

Saadatian-Elahi,  M,  Picot, et al

BMJ Open

Commentary/Editorial| Commentaire/Éditorial

 

The Orthopedic Residency Program at Hamad Medical Corporation During COVID-19 Crisis: an Evolving Educational Strategy

Salameh,  M,  Alhammoud, et al

Medical Science Educator

Commentary/Editorial| Commentaire/Éditorial

 

32997068; Forecast UTI: application for predicting intensive care unit beds in the context of the COVID-19 pandemic

Salles Neto,  LL,  Martins, et al

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

Commentary/Editorial| Commentaire/Éditorial

 

Soil moisture monitoring for plant irrigation: A botanic tourism sustainability during Covid-19 pandemic

Samah,  KAFA,  Arip, et al

International Journal of Emerging Trends in Engineering Research

Commentary/Editorial| Commentaire/Éditorial

 

Impact on the thoracic and cardiovascular surgery residents’ learning curve during the covid-19 pandemic

Samir Cubas Llalle,  W,  Bellido-Yarlequé, et al

Brazilian Journal of Cardiovascular Surgery

Commentary/Editorial| Commentaire/Éditorial

 

33027432; A "total social fact": COVID-19 and indigenous peoples in Brazil

Santos,  RV,  Pontes, et al

Cadernos de saude publica

Commentary/Editorial| Commentaire/Éditorial

 

Surge activation by the emergency department for COVID-19

Schmidt,  AR,  Pham, et al

American Journal of Emergency Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Which Industries Are Economically Relevant to the System?

Schneemann,  C,  Weber, et al

Wirtschaftsdienst

Commentary/Editorial| Commentaire/Éditorial

 

Covid vs. democracy: South Africa’s lockdown misfire

Seekings,  J,  Nattrass, et al

Journal of Democracy

Commentary/Editorial| Commentaire/Éditorial

 

The pandemic exposes human nature: 10 evolutionary insights

Seitz,  BM,  Aktipis, et al

Proc Natl Acad Sci U S A

Commentary/Editorial| Commentaire/Éditorial

 

33029499; Convalescent Plasma: A Challenging Tool to Treat COVID-19 Patients-A Lesson from the Past and New Perspectives

Selvi,  V

BioMed research international

Commentary/Editorial| Commentaire/Éditorial

 

The Impact of COVID-19 on a Social Work Student

Semmens,  JA

Australian Social Work

Commentary/Editorial| Commentaire/Éditorial

 

33020330; Dilemma of Prioritising Health and the Economy During COVID-19 Pandemic in Indonesia

Setiati,  S,  Azwar, et al

Acta medica Indonesiana

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and international travel restrictions: the geopolitics of health and tourism

Seyfi,  S,  Hall, et al

Tourism Geographies

Commentary/Editorial| Commentaire/Éditorial

 

Letter to the Editor: Distant surgical teaching during COVID-19 - A pilot study on final year medical students

Shahrjerdi,  P,  Bhaiji, et al

Surgical Practice

Commentary/Editorial| Commentaire/Éditorial

 

33026742; Exchanging Dermatoscopes for Stethoscopes: Has the COVID-19 Pandemic Highlighted Gaps in US Dermatology Residency Training?

Shaw,  KS,  Karagounis, et al

Journal of drugs in dermatology : JDD

Commentary/Editorial| Commentaire/Éditorial

 

32857015; A Simple Algorithm for Return to Workplace Employer Antibody Testing

Shrank,  WH,  Caveney, et al

Population Health Management

Commentary/Editorial| Commentaire/Éditorial

 

33027466; Comment on "The importance of physical exercise during the coronavirus (COVID-19) pandemic"

Silva Filho,  E,  Xavier, et al

Revista da Associacao Medica Brasileira (1992)

Commentary/Editorial| Commentaire/Éditorial

 

33019963; COVID-19 and upper respiratory tract: Collecting swab specimens from patients inhaling corticosteroids

Siniorakis,  E,  Arvanitakis, et al

Journal of Allergy and Clinical Immunology

Commentary/Editorial| Commentaire/Éditorial

 

The Infectious Diseases Act and Resource Allocation during the COVID-19 Pandemic in Bangladesh

Siraj,  MS,  Dewey, et al

Asian Bioethics Review

Commentary/Editorial| Commentaire/Éditorial

 

Susceptibility of livestock and companion animals to COVID-19

Sreenivasan,  CC,  Thomas, et al

J Med Virol

Commentary/Editorial| Commentaire/Éditorial

 

PMC7361899; Proteinase-activated receptor 1: A target for repurposing in the treatment of COVID-19?

Sriram,  K,  Insel, et al

Br J Pharmacol

Commentary/Editorial| Commentaire/Éditorial

 

Data and cooperation required for Venezuela's refugee crisis during COVID-19

Standley,  CJ,  Chu, et al

Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Considerations on requirements to recommend herbal preparations

Stange,  R,  Uehleke, et al

Zeitschrift fur Phytotherapie

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19-associated Multisystem Inflammatory Syndrome in Children Presenting as Acute Pancreatitis

Stevens,  JP,  Brownell, et al

J Pediatr Gastroenterol Nutr

Commentary/Editorial| Commentaire/Éditorial

 

Girls and women in the educational system: The curricular challenge

Stromquist,  NP

Prospects

Commentary/Editorial| Commentaire/Éditorial

 

A gender-sensitive approach to U.S. crisis communication for COVID-19 and beyond

Subert,  M

Journal of Contingencies and Crisis Management

Commentary/Editorial| Commentaire/Éditorial

 

33031087; Air pollution and other risk factors might buffer COVID-19 severity in Mozambique

Sumbana,  J,  Sacarlal, et al

Journal of infection in developing countries

Commentary/Editorial| Commentaire/Éditorial

 

Corrigendum to "Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 Era (PPE-SAFE): An international survey" [Journal of Critical Care, Volume 59, October 2020, Pages 70-75]

Tabah,  A,  Ramanan, et al

J Crit Care

Commentary/Editorial| Commentaire/Éditorial

 

Presidential vote 2016 and COVID-19 epidemic

Takagi,  H

J Med Virol

Commentary/Editorial| Commentaire/Éditorial

 

Grassroot innovations for institute flexibility: Leveraging management of technology to improve learner health through regular practices

Tale,  N,  Johari, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

33027604; Commentaries on Viewpoint: The interaction between SARS-CoV-2 and ACE2 may have consequences for skeletal muscle viral susceptibility and myopathies

Tan,  AL,  Farrow, et al

Journal of applied physiology (Bethesda, Md.: 1985)

Commentary/Editorial| Commentaire/Éditorial

 

Covid 19: Patients have many more complications than flu patients, finds US study

Tanne,  JH

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

33025909; mSphere of Influence: That's Racist-COVID-19, Biological Determinism, and the Limits of Hypotheses

Taylor,  K

mSphere

Commentary/Editorial| Commentaire/Éditorial

 

Shaping resilience: how work team characteristics affect occupational commitment in health care interns during a pandemic

Teekens,  T,  Giardini, et al

European Societies

Commentary/Editorial| Commentaire/Éditorial

 

Reimagining long-term care

The,  Lancet

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Challenges and recommendations for cancer care in the COVID-19 pandemic

Tian,  J,  Miao, et al

Cancer Biology and Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19-endothelial axis and coronary artery bypass graft patency: A target for therapeutic intervention?

Topal,  G,  Loesch, et al

Brazilian Journal of Cardiovascular Surgery

Commentary/Editorial| Commentaire/Éditorial

 

33030819; Vacunas contra el SARS-CoV-2: ¿son una realidad para América Latina?

Torres,  AG

Biomedica : revista del Instituto Nacional de Salud

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and venous thromboembolism

Trimaille,  A,  Bonnet, et al

Annales de Cardiologie et d'Angeiologie

Commentary/Editorial| Commentaire/Éditorial

 

32773461; Delay in Diagnosis of Barrett's Esophagus Cancer During the COVID-19 Pandemic: Lessons Learned

Trindade,  AJ,  Rishi, et al

The American Journal of Gastroenterology

Commentary/Editorial| Commentaire/Éditorial

 

Are aerosol-generating procedures safer in an airborne infection isolation room or operating room?

Tsui,  BCH,  Pan, et al

British journal of anaesthesia

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Factors for global variations in disease severity and mortality

Ujjan,  ID

Journal of the Liaquat University of Medical and Health Sciences

Commentary/Editorial| Commentaire/Éditorial

 

32857014; The Essential Role of Technology in the Public Health Battle against COVID-19

Uohara,  MY,  Weinstein, et al

Population Health Management

Commentary/Editorial| Commentaire/Éditorial

 

Sex-biased Immune Responses Following SARS-CoV-2 Infection

Ursin,  RL,  Shapiro, et al

Trends in microbiology

Commentary/Editorial| Commentaire/Éditorial

 

Acute Acquired Concomitant Esotropia From Excessive Application of Near Vision During the COVID-19 Lockdown

Vagge,  A,  Giannaccare, et al

J Pediatr Ophthalmol Strabismus

Commentary/Editorial| Commentaire/Éditorial

 

The Impact of COVID-19 Measures on Well-Being of Older Long-Term Care Facility Residents in the Netherlands

Van der Roest,  HG,  Prins, et al

Journal of the American Medical Directors Association

Commentary/Editorial| Commentaire/Éditorial

 

Characterising neuropsychiatric disorders in patients with COVID-19 – Authors' reply

Varatharaj,  A,  Pollak, et al

The Lancet Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

32947022; Impact of social containment measures on cardiovascular admissions and sudden cardiac death rates during Coronavirus Disease (COVID-19) outbreak in Greece

Vassilikos,  VP,  Pagourelias, et al

Hellenic Journal of Cardiology

Commentary/Editorial| Commentaire/Éditorial

 

32950702; Cytokine profile as a prognostic tool in coronavirus disease 2019. Comment on “Urgent avenues in the treatment of COVID-19: Targeting downstream inflammation to prevent catastrophic syndrome” by Quartuccio et al. Joint Bone Spine. 2020;87:191–93

Vieira,  M,  Maalouf, et al

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Commentary/Editorial| Commentaire/Éditorial

 

32434462; Letter to the Editor: Clinical Management of Nonrespiratory Diseases in the COVID-19 Pandemic: What Have We Done and What Needs to Be Done?

Viganò,  M,  Voza, et al

Telemedicine journal and e-health : the official journal of the American Telemedicine Association

Commentary/Editorial| Commentaire/Éditorial

 

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Vignesh,  R,  Shankar, et al

Frontiers in Immunology

Commentary/Editorial| Commentaire/Éditorial

 

33031082; Ethical conflicts in COVID-19 times

Vizcaino,  G,  Esparza, et al

Journal of infection in developing countries

Commentary/Editorial| Commentaire/Éditorial

 

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Wainwright,  J,  Mann, et al

Rethinking Marxism

Commentary/Editorial| Commentaire/Éditorial

 

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Ward,  B,  Sipior, et al

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Commentary/Editorial| Commentaire/Éditorial

 

33032683; Sexually Transmitted Diseases in the COVID-19 Era

Wiggins,  CJ,  Rosen, et al

Skinmed

Commentary/Editorial| Commentaire/Éditorial

 

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Wiseman,  SM,  Crump, et al

Canadian journal of surgery.Journal canadien de chirurgie

Commentary/Editorial| Commentaire/Éditorial

 

33031088; Can the novel coronavirus be transmitted via RNAs without protein capsids?

Xu,  Z

Journal of infection in developing countries

Commentary/Editorial| Commentaire/Éditorial

 

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Xue,  QL

BMC Med

Commentary/Editorial| Commentaire/Éditorial

 

33020340; Prevention of Ventricular Arrhythmia and Sudden Cardiac Death in COVID-19 Patients

Yamin,  M,  Demili, et al

Acta medica Indonesiana

Commentary/Editorial| Commentaire/Éditorial

 

32966809; What Now for Rehabilitation Specialists? Coronavirus Disease 2019 Questions and Answers

Yonter,  SJ,  Alter, et al

Archives of Physical Medicine and Rehabilitation

Commentary/Editorial| Commentaire/Éditorial

 

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Yoo,  J

Cultural Studies - Critical Methodologies

Commentary/Editorial| Commentaire/Éditorial

 

The rise of robots in surgical environments during COVID-19

Zemmar,  A,  Lozano, et al

Nature Machine Intelligence

Commentary/Editorial| Commentaire/Éditorial

 

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Zhang,  D,  Yao, et al

Chinese General Practice

Commentary/Editorial| Commentaire/Éditorial

 

Practical home-based physical activity programs for university students during the COVID-19 pandemic

Zhang,  S,  Yu, et al

J Sports Med Phys Fitness

Commentary/Editorial| Commentaire/Éditorial

 

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Zhang,  SX,  Graf-Vlachy, et al

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Commentary/Editorial| Commentaire/Éditorial

 

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Zhao,  B

China Economic Review

Commentary/Editorial| Commentaire/Éditorial

 

Catastrophic psychology under novel coronavirus pneumonia: From the perspective of social governance

Zhao,  L,  Gao, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

Puzzling out the COVID-19: Therapy targeting HLA-G and HLA-E

Zidi,  I

Human immunology

Commentary/Editorial| Commentaire/Éditorial

 

Sustaining routine childhood immunisations during COVID-19 in Africa

 

J Paediatr Child Health

Commentary/Editorial| Commentaire/Éditorial

 

Ensuring optimal care for people with kidney disease during the COVID-19 pandemic

 

Nephrology and Dialysis

Commentary/Editorial| Commentaire/Éditorial

 

33029004; Mars lakes, COVID deaths and strict open access

 

Nature

Commentary/Editorial| Commentaire/Éditorial

 

33017238; Funding Children's Health: COVID-19 And Beyond

 

Health affairs (Project Hope)

 

 

 


 

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