Subject: Daily Scan of COVID-19 Scientific Publications / survol journalier des publications scientifiques du COVID-19, 2020-11-09

 

Good afternoon,

There are 386 citations in today’s scan. 212 were considered primary research or review literature.

Highlights today include:

 

CANADA

·       Furman et al. (preprint) proposes an approach to predict demand for PPE. By estimating the total workload of each class, we derive closed-form estimates for the expected amount of PPE required over a specified time horizon using current PPE guidelines. We apply our approach to a data set of 22,039 patients admitted to the general internal medicine department at St. Michael's hospital in Toronto, Canada from April 2010 to November 2019. We find that gloves and surgical masks represent approximately 90% of predicted PPE usage. We also find that while demand for gloves is driven entirely by patient-practitioner interactions, 86% of the predicted demand for surgical masks can be attributed to the requirement that medical practitioners will need to wear them when not interacting with patients.

·       Mac et al conducted a population-based cohort study using public health data to describe COVID-19 associated age- and sex-specific acute care use, length of stay (LOS), and mortality in Ontario. During the observation period, 56,476 COVID-19 cases were reported. The proportion of cases shifted from older populations (> 60 years) to younger populations (10-39 years) over time. Overall, 10% of individuals were hospitalized, of those 22% were admitted to ICU, and 60% of those used IMV. All outcomes varied by age and decreased over time, overall and within age groups.

PUBLIC HEALTH INTERVENTION

·       Lelieveld et al present an adjustable algorithm to estimate the infection risk for different indoor environments, constrained by published data of human aerosol emissions, SARS-CoV-2 viral loads, infective dose and other parameters. Results suggest that aerosols from highly infective subjects can effectively transmit COVID-19 in indoor environments. This “highly infective” category represents approximately 20% of the patients who tested positive for SARS-CoV-2. A particularly effective mitigation measure is the use of high-quality masks, which can drastically reduce the indoor infection risk through aerosols.

EPIDEMIOLOGY

·       Zambrano et al. provide an update from the CDC regarding women of reproductive age with symptomatic, laboratory-confirmed SARS-CoV-2 infection. Although the absolute risks for severe outcomes for women were low, pregnant women were at increased risk for severe COVID-19-associated illness. Pregnant women were significantly more likely to be admitted to an intensive care unit, receive invasive ventilation, receive extracorporeal membrane oxygenation and die.

·       Sims et. al. Presence of anti-SARS-CoV-2 IgG in blood and online assessment of demographic, and clinical was collected from 20,614 participants out of ~43,000 total employees at Beaumont Health, Michigan. A total of 1,818 (8.8%) participants were seropositive, 44% reported that they were asymptomatic during collection. Healthcare roles such as phlebotomy, respiratory therapy, and nursing/nursing support exhibited significantly higher seropositivity. Among participants reporting direct exposure to a COVID-19 positive individual, those wearing an N95/PAPR mask had a significantly lower seropositivity rate (10.2%) compared to surgical/other masks (13.1%) or no mask (17.5%).

·       Kirbiyik et. al. Analysis of detained person and staff member movements during a COVID-19 outbreak at Cook County Jail in Illinois found fewer connections among detained persons with COVID-19 than expected, suggesting that interventions and medical isolation practices were effective at reducing transmission. Higher than expected connections were identified in staff member networks, suggesting occurrence of additional transmission and areas of focus for transmission interruption.

LONG TERM SEQUELAE

·       Yang et al characterize the viral RNA level and serum antibody responses in recurrent-positive patients and evaluate their viral transmission risk. Of 479 recovered COVID-19 patients, 93 recurrent-positive patients were identified, characterized by younger age, with a median discharge-to-recurrent-positive length of 8 days. After readmission, recurrent-positive patients exhibited mild or absent symptoms, with no disease progression. Recurrent-positive patients pose a low transmission risk, a relatively relaxed management of recovered COVID-19 patients is recommended.

CLINICAL DATA

·       Achua et al evaluated the presence of and analyzed the pathological changes within the testes of patients who died or recovered from COVID-19 complications. Histomorphology showed three of the six COVID-19 biopsies had normal spermatogenesis while the remaining three had impaired spermatogenesis. TEM showed the COVID-19 virus in testis tissue of one COVID-19 positive autopsy case and the live biopsy, H&E stain on the same autopsy case demonstrated interstitial macrophage and leukocyte infiltration.

VACCINE RESEARCH

·       Ward et al., assess the safety, tolerability, and immunogenicity of CoVLP at three dose levels (3.75 microgram, 7.5 microgram, and 15 microgram) unadjuvanted or adjuvanted in 180 SARS-CoV-2 seronegative healthy adults 18 to 55 years of age. CoVLP administered with either CpG1018 or AS03 has a safety profile similar to other candidate vaccines for SARS-CoV-2. The antibody titers achieved were either similar to or at least 10-times higher than those seen in convalescent plasma.

CORONAVIROLOGY

·       Yao et al report the mutation spectrum, replication dynamics, and infectivity of 11 patient-derived viral isolates in diverse cell lines. We observed 46 mutations, including 9 different mutations in the spike gene. Importantly, these viral isolates show significant and consistent variations in replication dynamics and infectivity in tested cell lines. We show that the variations in viral titers among viral isolates are positively correlated with blood clotting function but inversely correlated with the amount of red blood cell and hemoglobin in patients.

·       Li et al identified, by comparing the genomic sequences of SARS-CoV-2 and human, five fully conserved elements in SARS-CoV-2 genome, which were termed as “human identical sequences (HIS)”. Our results revealed that unprecedented HIS elements of SARS-CoV-2 contribute to the cytokine storm and ARDS in COVID-19 patients. Thus, blocking HIS-involved activating processes or hyaluronan synthesis directly by 4-MU may be effective strategies to alleviate COVID-19 progression.

DIAGNOSTICS

·       Soares et. al. report the development of an integrated modular centrifugal microfluidic platform to perform loop-mediated isothermal amplification (LAMP) of viral RNA directly from heat-inactivated nasopharyngeal swab samples. The platform provided results within 1 hour from sample collection and a detection limit between 100 and 1000 RNA copies in 10 μL reaction volume with Ct values below 26, 94% sensitivity and 100% specificity.

PUBLIC HEALTH RESPONSE

·       Prandi et al.  studied the process of false information transmission by malicious agents, in the context of a disease pandemic based on data for the COVID-19 emergency in Italy. They model communication of misinformation based on a negative trust relation and provide an agent-based simulation. They consider the effects of a misinfodemic on policies related to lockdown strategies, isolation, protection and distancing measures, and overall negative impact on society during a pandemic. They conclude that there is a clear impact by misinfodemics in aggravating the results of a current pandemic.

 

Regards,

Lisa Waddell, Tricia Corrin, Rukshanda Ahmad, Robyn Odell, Maribeth Mitri, Julie Theriault, Dobrila Todoric, 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, Jessie Varga, Vanessa Zubach, Meenu Sharma, Kristyn Burak, David Knox, Joanne Hiebert, Clifford Clark

 

 

 Daily Scan of COVID-19 Scientific Publications / Survol journalier des publications scientifiques du COVID-19		09/11/2020
 


Focus areas: Modelling/ prediction, Epidemiology, Transmission, Clinical data, Long-term Sequelae, Mental Health, 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, Séquelles à long terme, Santé mentale ,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

Association of COVID-19 pandemic with undergraduate medical students' perceived stress and coping

Abdulghani,  HM,  Sattar, et al

Psychology Research and Behavior Management

Epidemiology| Épidémiologie Mental Health |
santé mentale

This cross-sectional study determined the effect of the current pandemic on undergraduate medical students’ learning. And also explored the association of their stress level with coping strategies, educational, and psychological variables. The prevalence of overall stress was significantly higher (χ2= 16.3; P=0.000) in female medical students, ie, (40%) as compared to the male students (16.6%), and was highest (48.8%) during the 3rd medical year. It was also noted that the most effective strategy, embraced by students to cope with the severe stress, was “indulging in religious activities” (OR= 1.08; P=0.81). Furthermore, 22.3% of students had perceived severe stress as they did not prefer online learning. Similarly, those students who have not believed or refused the online learning or disagree in “there is pleasure in the study due to COVID” they have significantly higher stress (χ2=39.7; P=0.000) 21.5% mild, 17.8% of moderate, and 21.2% severe.

Histopathology and Ultrastructural Findings of Fatal COVID-19 Infections on Testis

Achua,  JK,  Chu, et al

World J Mens Health

Clinical data| Données cliniques

This study evaluated the presence of and analyzed the pathological changes within the testes of patients who died or recovered from COVID-19 complications.  H&E histomorphology showed three of the six COVID-19 biopsies had normal spermatogenesis while the remaining three had impaired spermatogenesis. TEM showed the COVID-19 virus in testis tissue of one COVID-19 positive autopsy case and the live biopsy, H&E stain on the same autopsy case demonstrated interstitial macrophage and leukocyte infiltration. Immunofluorescent stained slides from six COVID-19 positive men demonstrated a direct association between increased quantitative ACE-2 levels and impairment of spermatogenesis. This study suggests the male reproductive tract, specifically the testes, may be targets of COVID-19 infection.

Mitochondrial metabolic manipulation by SARS-CoV-2 in peripheral blood mononuclear cells of COVID-19 patients

Ajaz,  S,  McPhail, et al

Am J Physiol Cell Physiol

Clinical data| Données cliniques Coronavirology| Coronavirologie

This study investigated functional mitochondrial changes in live peripheral blood mononuclear cells (PBMCs) from COVID-19 patients, decipher the pathways of substrate utilization in these cells and corresponding changes in the inflammatory pathways. Demonstrated mitochondrial dysfunction, metabolic alterations with an increase in glycolysis and high levels of mitokine in PBMCs from COVID-19 patients. Interestingly found that levels of FGF-21 mitokine correlate with COVID-19 disease severity and mortality. These data suggest that COVID-19 patients have compromised mitochondrial function and an energy deficit which is compensated by a metabolic switch to glycolysis. This metabolic manipulation by SARS-CoV-2 triggers an enhanced inflammatory response which contributes to severity of symptoms in COVID-19. Targeting mitochondrial metabolic pathway(s) can help define novel strategies for COVID-19.

SARS-Cov-2 Viral Load as an Indicator for COVID-19 Patients Hospital Stay

AlAli,  Salman Yousif,  Abdulrahman, et al

medRxiv

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

This cross sectional study used the qPCR cycle of threshold (Ct) as a tool in evaluating the severity of the infection and hence the length of hospital stay to better utilize and manage the healthcare resources.  Out of 306 patients, 2 deaths, 1 active stable case and 303 recovered cases were reported. Ct value was significantly and negatively associated (P value <0.001) with length of hospital stay.  Ct value was inversely associated with hospital stay duration (and time to viral clearance), higher the Ct value is indicative of faster time to viral clearance. This association could help to better manage the infection and resources allocation.

Caputo SIR Model for COVID-19 under Optimized Fractional Order

Alshomrani,  AliS,  Ullah, et al

Research Square prepub

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

This research study examined the possibilities and extents to which the SIR model fits the real data for the cases chosen from 01 April to 15 March, 2020, Pakistan. To further analyze qualitative behavior of the Caputo SIR model, uniqueness conditions under the Banach contraction principle are discussed and stability analysis with basic reproduction number is investigated using Ulam-Hyers and its generalized version. Best parameters have been obtained via nonlinear least-squares curve fitting technique. The infectious compartment of the Caputo SIR model fits the real data better than classical version of the SIR model . Average absolute relative error under the Caputo operator is about 48% smaller than the one obtained in the classical case (ν = 1). Time series and 3D contour plots offer social distancing to be the most effective measure to control the epidemic.

Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study

Ammar,  A,  Mueller, et al

PLoS One

Mental Health |
santé mentale
Public Health response| Interventions de santé publique

An international online survey (ECLB-COVID19) was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional wellbeing. Analysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental-wellbeing and on mood and feelings. Specifically, a significant decrease (p < .001 and Δ% = 9.4%) in total score of the  mental wellbeing (SWEMWS) questionnaire was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire showed a significant increase by 44.9% (p < .001) in depressive symptoms (SMFQ) total score with more people (+10%) showing depressive symptoms "during" compared to "before" home confinement.

The provision of neuro-oncology and glioma neurosurgery during the SARS-CoV-2 pandemic: a single national tertiary centre experience

Amoo,  M,  Horan, et al

Ir J Med Sci

Healthcare Response | Réponse des soins de santé

This study assessed the implications of the COVID-19 pandemic on the provision of neuro-oncology surgery and comparison with a similar 3-month period in 2019. During the 3-month periods studied in 2020 and 2019, there were 127 and 139 admissions for neuro-oncological surgery, respectively. Sixty patients underwent surgery for gliomas during the 2020 period vs 56 in the 2019 period. Observed no increase in mean length of time from referral to inter-hospital transfer (mean of 76 h in 2020 vs 93 h in 2019 (p = 0.10)) or in mean length of time from admission to surgery in the acute admissions (2.39 days in 2020 vs 2.89 days in 2019). The postoperative 30-day morbidity and mortality rates were lower in 2020; 8.7% (n = 11) compared with 10.1% (n = 14) in 2019. There was one COVID-19-related death which occurred in a patient with B cell lymphoma with negative preoperative COVID-19 test.

Nexus between population density and novel coronavirus (COVID-19) pandemic in the south Indian states: A geo-statistical approach

Arif,  M,  Sengupta, et al

Environment, Development and Sustainability

Epidemiology| Épidémiologie

This research studied the district wise transmissions of the novel coronavirus in five south Indian states until 20th July 2020 and its relationship with their respective population density. The analysis has found that COVID-19 transmission in four states (Kerala, Tamil Nadu, Karnataka and Telangana) strongly hinges upon the spatial distribution of population density. It is found that Tamilnadu has the highest corona positive cases followed by Karnataka and Andhra Pradesh state. Among all five south Indian states, Kerala has the lowest positive cases and the highest recovery rate for corona virus infections. However, the mortality rate is very low in south Indian states in comparison with the country. The findings of this study show that the number of confirmed cases typically increased in areas with high density and thereafter areas with medium to low density. The spatial study in different districts of five south Indian states found that Tamilnadu, Telangana, Karnataka and Kerala have positive relation between population density and COVID-19 positive cases.

Nurse Reports of Stressful Situations during the COVID-19 Pandemic: Qualitative Analysis of Survey Responses

Arnetz,  JE,  Goetz, et al

Int J Environ Res Public Health

Mental Health |
santé mentale
Healthcare Response | Réponse des soins de santé

This study explored the perceptions of the most salient sources of stress in the early stages of the coronavirus pandemic in U.S. nurses. A cross-sectional online survey was conducted among a sample of 695 U.S. nurses in May 2020. Content analysis was conducted on nurses' responses (n = 455) to an open-ended question on the most stressful situations they had experienced during the pandemic. Six distinct themes emerged from the analysis: exposure/infection-self; illness/death-others; workplace; personal protective equipment/supplies; unknowns; opinions/politics. Two sub-themes concerned restrictions associated with the pandemic and feelings of inadequacy/helplessness regarding patients and their treatment. More than half of all comments concerned stress related to problems in workplace response to the pandemic.

33101454; Phenomenological Modelling of COVID-19 Epidemics in Sri Lanka, Italy, the United States, and Hebei Province of China

Attanayake,  AMCH,  Perera, et al

Computational and mathematical methods in medicine

Epidemiology| Épidémiologie

The number of daily new infections and cumulative number of infections in COVID-19 over four selected countries, namely, Sri Lanka, Italy, the United States, and Hebei province of China, from the first day of appearance of cases to 2nd July 2020 were used in the study. Results revealed that the most appropriate growth curves for Sri Lanka, Italy, the United States, and China (Hebei) are the logistic, Gompertz, Weibull, and Gompertz curves, respectively. Country-wise, overall growth rate, final epidemic size, and short-term forecasts were evaluated using the selected model. Daily log incidences in each country were regressed before and after the identified peak time of the respective outbreak of epidemic. Hence, doubling time/halving time together with daily growth rates and predictions was estimated. Findings and relevant interpretations demonstrate that the outbreak seems to be extinct in Hebei, China, whereas further transmissions are possible in the United States. In Italy and Sri Lanka, current outbreaks transmit in a decreasing rate.

DrugCentral 2021 supports drug discovery and repositioning

Avram,  S,  Bologa, et al

Nucleic Acids Res

Therapeutics| Thérapeutique

DrugCentral is a public resource (http://drugcentral.org) that serves the scientific community by providing up-to-date drug information, as described in previous papers. The current release includes 109 newly approved (October 2018 through March 2020) active pharmaceutical ingredients in the US, Europe, Japan and other countries; and two molecular entities (e.g. mefuparib) of interest for COVID19. In the context of the COVID19 pandemic, we also incorporated REDIAL-2020, a machine learning platform that estimates anti-SARS-CoV-2 activities, as well as the 'drugs in news' feature offers a brief enumeration of the most interesting drugs at the present moment. The full database dump and data files are available for download from the DrugCentral web portal.

Rescue therapy with inhaled nitric oxide and almitrine in COVID-19 patients with severe acute respiratory distress syndrome

Bagate,  F,  Tuffet, et al

Ann Intensive Care

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

This study aimed to evaluate the capacity of inhaled nitric oxide (iNO)-almitrine combination to restore oxygenation in severe COVID-19 ARDS (C-ARDS) patients. Ten severe C-ARDS patients were assessed (7 males and 3 females), with a median age of 60 52-72] years. Combination of iNO and almitrine outperformed iNO alone for oxygenation improvement. The median of PaO(2)/FiO(2) ratio varied from 102 89-134] mmHg at baseline, to 124 108-146] mmHg after iNO (p = 0.13) and 180 132-206] mmHg after iNO and almitrine (p < 0.01). We found no correlation between the increase in oxygenation caused by iNO-almitrine combination and that caused by proning.

Clinical and microbiological assessments of COVID-19 in healthcare workers: a prospective longitudinal study

Bal,  Antonin,  Brengel-Pesce, et al

medRxiv

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

A comprehensive assessment of COVID-19 in healthcare workers (HCWs) including the investigation of viral shedding duration is critical. Of the 319 HCWs included, 67 (21.0%) were tested positive for SARS-CoV-2; two of them developed severe COVID-19. The proportion of smell and taste dysfunction was significantly higher in SARS-CoV-2 positive HCWs than in negative ones (38.8% vs 9.5% and 37.3% vs 10.7%, respectively, p 5.0 log10 cp/ml (Ct value 37). More than 90% of culturable virus had a viral load > 4.5 log10 cp/ml (Ct < 26) and were collected within 10 days after symptom onset. From HCWs tested negative, 6/190 (3.2%) exhibited seroconversion for IgG antibodies.

Italians on the Age of COVID-19: The Self-Reported Depressive Symptoms Through Web-Based Survey

Balsamo,  M,  Carlucci, et al

Frontiers in Psychology

Mental Health |
santé mentale
Public Health response| Interventions de santé publique

The purpose of this study was to assess the prevalence of depressive symptoms in specific sociodemographic categories during the COVID-19 quarantine lockdown and the potential factors that contribute to, or mitigate, these effects. In the very early stage of the nationwide lockdown, 3,672 quarantined Italian adult residents (65% females, ranging from 18 to 85 years) participated in a web-based cross-sectional survey. The overall prevalence was 27.8% for moderate and 9.3% for severe levels of depressive symptoms. Females, younger people, students, singles, residents in northern Italy, people who were reluctant to adhere to quarantine guidelines, and people less worried about being infected with COVID-19 were at high risk of developing depressive symptoms during the COVID-19 epidemic, also after controlling for state anxiety. These findings showed that public levels of depressive symptoms did not increase the greater likelihood of being infected.

33102591; Sequence Analysis and Structure Prediction of SARS-CoV-2 Accessory Proteins 9b and ORF14: Evolutionary Analysis Indicates Close Relatedness to Bat Coronavirus

Baruah,  C,  Devi, et al

BioMed research international

Coronavirology| Coronavirologie

This paper has attempted the structure prediction and functional analysis of two such accessory proteins, 9b and ORF14, in the absence of experimental structures. Sequence analysis, structure prediction, functional characterization, and evolutionary analysis based on the UniProtKB reviewed the amino acid sequences of SARS-CoV-2 9b (P0DTD2) and ORF14 (P0DTD3) proteins. Tunnel analysis revealed the presence of 1-2 highly active tunneling sites, perhaps which will able to provide certain inputs for advanced structure-based drug design or to formulate potential vaccines in the absence of a complete experimental structure. The evolutionary analysis of both proteins of human SARS-CoV-2 indicates close relatedness to the bat coronavirus. The whole-genome phylogeny indicates that only the new bat coronavirus followed by pangolin coronaviruses has a close evolutionary relationship with the novel SARS-CoV-2.

Effectiveness of an Ozone Disinfecting and Sanitizing Cabinet to Decontaminate a Surrogate Virus for SARS-CoV-2 on N-95 Masks

Beaudry,  MeganS,  Frederick, et al

medRxiv

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

To address the shortage of N95 respirators, innovative methods are needed to decontaminate coronaviruses from N95 respirators, allowing them to be safely reused by healthcare workers. For this research, we use a commercial ozone disinfecting cabinet to examine the efficacy of ozone-based disinfection of a conservative surrogate virus for SARS-CoV-2, the MS2 bacteriophage. Treatment of mask materials with enhanced ozone treatment resulted in 2.38-log 10 (>99%) reduction of phage from household dust masks and a range of 1.43-log 10 (96.2%) to 4-log 10 (99.99%) reductions of phage from common N95 mask materials.

Pediatric COVID-19 Cases Pre- and Post-Lockdown in Italy

Bellino,  S,  Rota, et al

Pediatrics

Epidemiology| Épidémiologie Clinical data| Données cliniques

The objective of the present study is to evaluate, before school starts, the impact of the transition phase (the progressive reopening of all activities starting from May 4th to September 13th) of the epidemic on pediatric cases. As of September 13th, 2020, 9,868 pediatric COVID-19 cases have been reported in Italy, that represent 3.4% of all Italian cases. However, the rate of cases in children and adolescents has sharply increased since the beginning of the transition phase (May 4th), from 1.8% during the lockdown to 8.5% (6,197/73,206) during the post-lockdown phase.

Containing COVID-19 by Matching Messages on Social Distancing to Emergent Mindsets-The Case of North America

Bellissimo,  N,  Gabay, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

Public compliance with social distancing is key to containing COVID-19, yet there is a lack of knowledge on which communication 'messages' drive compliance. Respondents (224 Canadians and Americans) rated combinations of messages about compliance, systematically varied by an experimental design. Independent variables were perceived risk; the agent communicating the policy; specific social distancing practices; and methods to enforce compliance. Response patterns to each message suggest three mindset segments in each country reflecting how a person thinks. Two mindsets, the same in Canada and the US, were 'tell me exactly what to do,' and 'pandemic onlookers.' The third was 'bow to authority' in Canada, and 'tell me how' in the US. Each mindset showed different messages strongly driving compliance.

Evaluation of a home-based 7-day infection control strategy for healthcare workers following high-risk exposure to SARS-CoV-2: a cohort study

Benea,  Carla,  Rendon, et al

medRxiv

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

This study evaluated the negative predictive value (NPV) of a home-based 7-day infection control strategy. HCWs advised by their Infection Control or Occupational Health officer to self-isolate due to a high-risk SARS-CoV-2 exposure were enrolled between May-September 2020. The strategy consisted of symptom-triggered nasopharyngeal SARS-CoV-2 RNA testing from day 0-6 post exposure, followed by standardized home-based nasopharyngeal swab and saliva testing on day 7. Among 30 HCWs enrolled to date (age 31±9 years, 24 80.0%] female), 3 were diagnosed with COVID-19 by day 14 post exposure (secondary attack rate 10.0%), with all cases detected by the 7-day infection control strategy: NPV for subsequent clinical COVID-19 or asymptomatic SARS-CoV-2 detection by day 14 was 100.0% (95% CI: 93.1-100.0%).

SARS-CoV-2 M(pro) inhibitors: identification of anti-SARS-CoV-2 M(pro) compounds from FDA approved drugs

Bharadwaj,  S,  Azhar, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Herein, we employed computationally screening of Druglib database containing FDA approved drugs against active pocket of SARS-CoV-2 M(pro) using MTiopen screen web server, yields a total of 1051 FDA approved drugs with docking energy >-7 kcal/mol. The top 10 screened potential compounds against SARS-CoV-2 M(pro) were then studied by re-docking, binding affinity, intermolecular interaction, and complex stability via 100 ns all atoms molecular dynamics (MD) simulation followed by post-simulation analysis, including end point binding free energy, essential dynamics, and residual correlation analysis against native crystal structure ligand N3 inhibitor. Based on comparative molecular simulation and interaction profiling of the screened drugs with SARS-CoV-2 M(pro) revealed R428 (-10.5 kcal/mol), Teniposide (-9.8 kcal/mol), VS-5584 (-9.4 kcal/mol), and Setileuton (-8.5 kcal/mol) with stronger stability and affinity than other drugs and N3 inhibitor; and hence, these drugs are advocated for further validation using in vitro enzyme inhibition and in vivo studies against SARS-CoV-2 infection.

What support do frontline workers want? A qualitative study of health and social care workers experiences and views of psychosocial support during the COVID-19 pandemic

Billings,  Jo,  Abou Seif, et al

medRxiv

Healthcare Response | Réponse des soins de santé

We set out by qualitatively exploring UK frontline health and social care workers own experiences and views of psychosocial support during the pandemic. We conducted 25 interviews with frontline workers from a variety of professional groups working in health and social care settings across the UK. Themes derived from our analysis showed that workers experiences and views about psychosocial support were complex. Peer support was many workers first line of support but could also be experienced as a burden. Workers were ambivalent about support shown by organisations, media and the public. Whilst workers valued psychological support services, there were many disparities in provision and barriers to access. The results of this study show that frontline health and social care workers are likely to need a flexible system of support including peer, organisational and professional support.

Comparison of SARS-CoV-2 infection in two non-human primate species: rhesus and cynomolgus macaques

Boszormenyi,  KingaP,  Stammes, et al

bioRxiv

Clinical data| Données cliniques Animal model | Modèle animal

Here, we directly compared the course of SARS-CoV-2 infection in the two genetically closely-related macaque species. After inoculation with a low passage SARS-CoV-2 isolate, clinical, virological, and immunological characteristics were monitored. Both species showed slightly elevated body temperatures in the first days after exposure while a decrease in physical activity was only observed in the rhesus macaques and not in cynomolgus macaques. The virus was quantified in tracheal, nasal, and anal swabs, and in blood samples by qRT-PCR, and showed high similarity between the two species. Consequently, we concluded that both rhesus and cynomolgus macaques represent valid models for evaluation of COVID-19 vaccine and antiviral candidates in a preclinical setting.

Anti-SARS-Cov-2 IgA Response in Tears of COVID-19 Patients

Caselli,  E,  Soffritti, et al

Biology (Basel)

Epidemiology| Épidémiologie Clinical data| Données cliniques Immunology | Immunologie

Our study was thus aimed to analyze the presence of secretory mucosal anti-SARS-CoV-2 type A immunoglobulins (IgA) in the conjunctival fluid of COVID-19 patients. The tears of 28 COVID-19 patients and 20 uninfected controls were collected by the Schirmer test and analyzed by a specific ELISA assay detecting anti-spike (S1) virus protein IgA. The results showed that 35.7% of COVID-19 subjects have specific antiviral IgA at the ocular level, persisting till 48 days post disease onset. Most of the IgA positive subjects presented mild symptoms.

SARS-CoV-2 Related Encephalitis: MRI Pattern of the Olfactory Tract Involvement

Casez,  O,  Willaume, et al

Neurology

Clinical data| Données cliniques

Case report of a 96 year old female with SARS-CoV-2 related encephalitis.

The impact of COVID-19 among Black women: evaluating perspectives and sources of information

Chandler,  R,  Guillaume, et al

Ethn Health

Public Health response| Interventions de santé publique

DESIGN: We conducted interviews with 15 Black women who are clients at a community-based family service center to assess their understanding of COVID-19, determine how they were obtaining COVID-19 information, and evaluate the various impacts that COVID-19 was having on their lives.  RESULTS: The majority of participants were using a combination of social media platforms and news sources to obtain information about COVID-19. Most participants (79%) expressed confusion, misunderstanding, and mistrust of the information that they were receiving about COVID-19.

Safety of patients and providers in lung cancer surgery during the COVID-19 pandemic

Chang,  SH,  Zervos, et al

Eur J Cardiothorac Surg

Healthcare Response | Réponse des soins de santé

The primary objectives of this study are to evaluate the safety of patients who have undergone pulmonary resection for lung cancer as well as provider safety, using COVID-19 testing, symptoms and early patient outcomes. METHODS: Patients with confirmed or suspected pulmonary malignancy who underwent resection from 13 March to 4 May 2020 were retrospectively reviewed. RESULTS: Between 13 March and 4 May 2020, 2087 COVID-19 patients were admitted.  None of the patients developed major complications, 5 had minor complications, and the median length of hospital stay was 2 days. No previously COVID-19-negative patient or healthcare providers developed symptoms of or tested positive for COVID-19.

Deep learning-based model for detecting 2019 novel coronavirus pneumonia on high-resolution computed tomography

Chen,  J,  Wu, et al

Sci Rep

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

We aimed to construct a system based on deep learning for detecting COVID-19 pneumonia on high resolution CT. For model development and validation, 46,096 anonymous images from 106 admitted patients, including 51 patients of laboratory confirmed COVID-19 pneumonia and 55 control patients of other diseases in Renmin Hospital of Wuhan University were retrospectively collected.  The model achieved a per-patient accuracy of 95.24% and a per-image accuracy of 98.85% in internal retrospective dataset.

Exploring diversity of covid-19 based on substitution distance

Chen,  YH,  Wang, et al

Infection and Drug Resistance

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

To explore the diversity of SARS-CoV-2, we use different nucleotide substitution models to calculate the distances of SARS-CoV-2 samples from 3 different areas, China, Europe, and the USA. Then, we use these distances to infer the origin of COVID-19. Results: It is known that COVID-19 originated in Wuhan China and then spread to Europe and the USA. By using different substitution models, the distances of SARS-CoV-2 samples from these areas are significantly different. The analyzed results in most substitution models show that China has the lowest diversity, followed by Europe and lastly by the USA. This outcome coincides with the virus transmission time order that SARS-CoV-2 starts in China, then outbreaks in Europe and finally in the USA.

PMC7641255; The mental health and well-being benefits of exercise during the COVID-19 pandemic: a cross-sectional study of medical students and newly qualified doctors in the UK

Coyle,  C,  Ghazi, et al

Ir J Med Sci

Mental Health |
santé mentale

We aimed to identify the activities respondents found beneficial for their well-being and mental health and recorded a mood score from survey respondents. METHODS: A nationwide study was completed to investigate the mental health impact of the COVID-19 pandemic upon medical students and newly qualified doctors (interim foundation year one). We received 2075 respondents from across the UK. RESULTS: Physical activity was found to be the most common activity used by the survey respondents to help with their mental well-being (80.1%) (medical students, 83.7%; interim foundation doctors, 72.3%). Participants who stated that exercise helped their well-being had a mean score which was significantly higher than those who reported that they did not exercise. Respondents who stated they had used exercise to help with their mental well-being had (on average) a higher mood score than those who did not.

Identification of potential COVID-19 main protease inhibitors using structure-based pharmacophore approach, molecular docking and repurposing studies

Daoud,  S,  Alabed, et al

Acta Pharm

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

In this study, the recently resolved X-ray crystallographic structure of COVID-19 main protease (Mpro) was used to generate a pharmacophore model and to conduct a docking study to capture antiviral drugs as new promising COVID-19 main protease inhibitors. The developed pharmacophore successfully captured five FDA-approved antiviral drugs (lopinavir, remdesivir, ritonavir, saquinavir and raltegravir). The five drugs were successfully docked into the binding site of COVID-19 Mpro and showed several specific binding interactions that were comparable to those tying the co-crystallized inhibitor X77 inside the binding site of COVID-19 Mpro. Three of the captured drugs namely, remdesivir, lopinavir and ritonavir, were reported to have promising results in COVID-19 treatment and therefore increases the confidence in our results.

Incidence, Characteristics, and Outcome of COVID-19 in Adults on Kidney Replacement Therapy: A Regionwide Registry Study

De Meester,  J,  De Bacquer, et al

J Am Soc Nephrol

Epidemiology| Épidémiologie Clinical data| Données cliniques

METHODS: To describe the incidence, characteristics, and outcomes of SARS-CoV-2 infection, we conducted a prospective, multicenter, region-wide registry study in adult patients on RRT versus the general population from March 2 to May 25, 2020. This study comprised all patients undergoing RRT in the Flanders region of Belgium, a country that has been severely affected by coronavirus disease 2019 (COVID-19). RESULTS: We found no excess mortality in the hemodialysis population when compared with mean mortality rates during the same 12-week period in 2015-2019 because COVID-19 mortality was balanced by lower than expected mortality among uninfected patients. Mortality associated with SARS-CoV-2 infection is high in patients on RRT.

Effectiveness of streptococcus pneumoniae urinary antigen testing in decreasing mortality of COVID-19 co-infected patients: A clinical investigation

Desai,  A,  Santonocito, et al

Medicina (Lithuania)

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of this study is to assess the effectiveness of Streptococcus pneumoniae u-Ag testing in coronavirus disease 2019 (COVID-19) patients, in order to assess whether pneumococcal co-infection is associated with different mortality rate and hospital stay in these patients. Materials and Methods: Charts, protocols, mortality, and hospitalization data of a consecutive series of COVID-19 patients admitted to a tertiary hospital in northern Italy during COVID-19 outbreak were retrospectively reviewed. All patients underwent Streptococcus pneumoniae u-Ag testing to detect an underlying pneumococcal co-infection. Results: All u-Ag+ patients underwent treatment with Ceftriaxone and Azithromycin or Levofloxacin. All u-Ag+ patients were hospitalized. Mortality was 15.4% and 25.9% in u-Ag+ and u-Ag-patients, respectively. Survival analysis showed a better prognosis, albeit not significant, in u-Ag+ patients.  he routine use of Streptococcus pneumoniae u-Ag testing helped to better target antibiotic therapy with a final trend of reduction in mortality of u-Ag+ COVID-19 patients having a concomitant pneumococcal infection.

Logistic growth model and modeling of factors for community case transmission

Diouf,  Massamba,  Ndiaye, et al

arXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Transmission

In this article, we analyze the spread of cases resulting from community transmission of COVID-19 in Senegal in order to identify statistical associations. The identification and knowledge of the factors associated with this community transmission can be a decision support tool to limit the spread of the disease. We estimate parameters and evaluate the growth factor, community rate, weekly increase and daily difference, and make forecasting to help on how to find concrete actions to control the situation.

Modeling the Impact of Unreported Cases of the COVID-19 in the North African Countries

Djilali,  S,  Benahmadi, et al

Biology (Basel)

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

Authors study a mathematical model investigating the impact of unreported cases of the COVID-19 in three North African countries: Algeria, Egypt, and Morocco.   They suggest some additional measures that can be considered to reduce the burden of the COVID-19 and would lead to a second wave of the spread of the virus in these countries.

Kindergartens Reopening in the Period of Regular Epidemic Prevention and Control, Benefitial or Harmful?

Dong,  QQ,  Qiu, et al

Current Medical Science

Transmission Clinical data| Données cliniques

Authors explore whether kindergartens reopening will increase the risk of severe acute respiratory syndrome coronavirus 2 spread. They reviewed two pediatric patients with moderate COVID-19, collected the epidemiologic information and monitored the cycle threshold value of rectal specimen and the viral loads, and discussed the transmission of SARS-CoV-2 in pediatric patients and the virulence of feces in children with moderate COVID-19, in order to analyze the risk of kindergartens reopening

Anxiety and Depression Symptoms in COVID-19 Isolated Patients and in Their Relatives

Dorman-Ilan,  S,  Hertz-Palmor, et al

Frontiers in Psychiatry

Mental Health |
santé mentale

The aim of this study was to measure anxiety and depression, and to assess their association with socio-demographic and pandemic-related stress factors in COVID-19 patients and their relatives during the initial stage of hospitalization. Patients and relatives experience similar high anxiety levels which are more robust in women and lower in ultra-orthodox participants.

Telemedicine Usage Among Urologists During the COVID-19 Pandemic: Cross-Sectional Study

Dubin,  JM,  Wyant, et al

J Med Internet Res

Healthcare Response | Réponse des soins de santé

The aim of this study was to investigate current telemedicine usage by urologists, urologists' perceptions on the necessity of in-person clinic appointments, the usability of telemedicine, and the current barriers to its implementation. In the face of this pandemic, urologists' usage of telemedicine nearly tripled, demonstrating their ability to adopt and adapt telemedicine into their practices, but barriers involving the technology itself are still preventing many from utilizing it despite increasing interest.

A Preventive and Control Strategy for COVID-19 Infection: An Experience From a Third-Tier Chinese City

Fan,  S,  Wu, et al

Frontiers in Public Health

Epidemiology| Épidémiologie Public health interventions*| Interventions de sant&amp;eacute; publique

This study describes a novel strategy for preventing and controlling COVID-19 infection in the third-tier city of Liaocheng, China. The strategies of this third-tier Chinese city provide useful insights into approaches to prevent and control COVID-19 spread in other Chinese cities and countries.

Clinical characteristics and treatment strategies of 79 patients with COVID-19

Fang,  XW,  Mei, et al

Chinese Pharmacological Bulletin

Clinical data| Données cliniques Therapeutics| Thérapeutique

The aim of this paper was to analyze the clinical characteristics of patients of corona virus disease 2019 (COVID-19), and summarize the treatment experience, aiming to provide diagnostic and treatment reference for the front-line clinicians. The elderly patients with multiple cardiovascular diseases are more likely to get severe and critical COVID-19.

Community health worker knowledge, attitudes and practices towards COVID-19: learnings from an online cross-sectional survey using a digital health platform, UpSCALE, in Mozambique

Feldman,  Mitra,  Lacey Krylova, et al

medRxiv

Healthcare Response | Réponse des soins de santé

Authors surveyed healthcare workers (HCWs) in Mozambique to determine their knowledge, attitudes and practices (KAP) in relation to the COVID-19 pandemic. The results from the survey were used to support the rapid development and deployment of targeted COVID-19 awareness and education materials for the agentes polivalentes elementares (APEs), as HCW are known as in Mozambique.

Telework Before Illness Onset Among Symptomatic Adults Aged ≥18 Years With and Without COVID-19 in 11 Outpatient Health Care Facilities - United States, July 2020

Fisher,  KA,  Olson, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie Public health interventions*| Interventions de sant&amp;eacute; publique

A case-control investigation was conducted to compare telework between eligible symptomatic persons who received positive SARS-CoV-2 RT-PCR test results (case-patients, 153) and symptomatic persons with negative test results (control-participants, 161). Among employed participants who reported on their telework status during the 2 weeks preceding illness onset (248), the percentage who were able to telework on a full- or part-time basis was lower among case-patients (35%; 42 of 120) than among control-participants (53%; 68 of 128) (p<0.01). Case-patients were more likely than were control-participants to have reported going exclusively to an office or school setting (aOR = 1.8; 95% CI] = 1.2-2.7) in the 2 weeks before illness onset. The association was also observed when further restricting to the 175 participants who reported working in a profession outside the critical infrastructure(†) (aOR = 2.1; 95% CI = 1.3-3.6).

How has Covid-19 affected mental health nurses and the delivery of mental health nursing care in the UK? Results of a mixed methods study

Foye,  Una,  Dalton-Locke, et al

medRxiv

Mental Health |
santé mentale

This paper aims to explore how Covid-19 has affected the ability of mental health nurses to deliver care in community and inpatient mental health services in the UK.  The findings identify areas requiring attention and investment to prepare for future crises and the consequences of the pandemic.

Biometric covariates and outcome in COVID-19 patients: Are we looking close enough?

Fritsch,  Sebastian Johannes,  Sharafutdinov, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of this study was to get a more detailed insight into the influence of biometric covariates on the outcome of COVID-19 patients with high degree of severity. Authors found that survival in mechanical ventilation is affected by complex interactions of covariates differing to the reported covariates, which are hidden in generic, non-stratified studies on risk factors

Prediction of Personal Protective Equipment Use in Hospitals During COVID-19

Furman,  Eugene,  Cressman, et al

arXiv

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

This Canadian study proposes an approach to predict demand for PPE. Specifically, we model the admission of patients to a medical department using multiple independent queues. Each queue represents a class of patients with similar treatment plans and hospital length-of-stay. By estimating the total workload of each class, we derive closed-form estimates for the expected amount of PPE required over a specified time horizon using current PPE guidelines. We apply our approach to a data set of 22,039 patients admitted to the general internal medicine department at St. Michael's hospital in Toronto, Canada from April 2010 to November 2019. We find that gloves and surgical masks represent approximately 90% of predicted PPE usage. We also find that while demand for gloves is driven entirely by patient-practitioner interactions, 86% of the predicted demand for surgical masks can be attributed to the requirement that medical practitioners will need to wear them when not interacting with patients.

Research on the prediction algorithm about the number of workers returning to work based on the COVID-19

Gao,  B,  Zhai, et al

 

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de sant&amp;eacute; publique

Based on the analysis of the existing historical data, this paper predicts the number of people who return to work through intelligent algorithm, so that the government can prepare and distribute epidemic prevention materials. Based on the analysis of the daily power consumption data of the enterprise, combined with the existing number of enterprises returning to work, this paper constructs a prediction model of the number of enterprises returning to work, and completes the prediction of the number of enterprises returning to work in the future. The experimental results based on the simulation data of the number of enterprises returning to work with different distributions show that the intelligent algorithm can effectively predict the number of enterprises returning to work under the background of COVID-19.

The impact of individual lifestyle and status on the acquisition of COVID-19: A case-Control study

Gao,  C,  Zhao, et al

PLoS One

Epidemiology| Épidémiologie

This study aimed to see whether there is an association between lifestyle behaviors and the acquisition of COVID-19. A total of 105 patients diagnosed with COVID-19 and 210 controls were included. Compared with control group, the case group had higher proportions of lack of sleep (30.5% vs. 14.8%, P = 0.001) and increased physical activities (56.2% vs. 32.9%, P < 0.001). And patients in the case group were more likely to have alopecia (28.6% vs. 10.0%, P < 0.001) than people from the control group. Overall, we found that lack of sleep adjusted odds ratio (OR) 1.56, 95% confidence interval (CI) 1.03-2.39)], physical activities (≥ 5 times a week) (adjusted OR 2.05, 95%CI 1.39-3.02) and alopecia (adjusted OR 1.73, 95%CI 1.13-2.66) were independent risk factors for COVID-19 infection. Conversely, low-dose alcohol intake (<100g alcohol per week), hand hygiene, and fruits intake (daily) were significantly associated with a decrease in morbidity.

Longitudinal proteomic profiling of high-risk patients with COVID-19 reveals markers of severity and predictors of fatal disease

Gisby,  Jack,  Clarke, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We performed dense serial blood sampling in hospitalised and non-hospitalised end-stage kidney disease (ESKD) patients with COVID-19,  and used Olink immunoassays to measure 436 circulating proteins. Comparison to 51 non-infected ESKD patients revealed 221 proteins differentially expressed in COVID-19, of which 69.7% replicated in an independent cohort of 46 COVID-19 patients. 203 proteins were associated with clinical severity scores, including IL6, markers of monocyte recruitment, neutrophil activation  and epithelial injury. Random Forests machine learning identified predictors of current or future severity. Survival analysis with joint models revealed 69 predictors of death. Finally, longitudinal modelling with linear mixed models uncovered 32 proteins that display different temporal profiles in severe versus non-severe disease, including integrins and adhesion molecules.

Transmission of SARS-COV-2 Infections in Households - Tennessee and Wisconsin, April-September 2020

Grijalva,  CG,  Rolfes, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie Transmission

Study on household transmission of SARS-CoV-2 in Nashville, Tennessee and Marshfield, Wisconsin.  Index patients and household members completed symptom diaries and self-collected specimens, nasal swabs only or nasal swabs and saliva samples, daily for 14 days.  Specimens from the first 7 days were tested for SARS-CoV-2 using CDC RT-PCR protocols. A total of 191 enrolled household contacts of 101 index patients reported having no symptoms on the day of the associated index patient's illness onset, and among these 191 contacts, 102 had SARS-CoV-2 detected in either nasal or saliva specimens during follow-up, for a secondary infection rate of 53%. Among fourteen households in which the index patient was aged <18 years, the secondary infection rate from index patients aged <12 years was 53% and from index patients aged 12-17 years was 38%. Approximately 75% of secondary infections were identified within 5 days of the index patient's illness onset, and substantial transmission occurred whether the index patient was an adult or a child. Because household transmission of SARS-CoV-2 is common and can occur rapidly after the index patient's illness onset, persons should self-isolate immediately at the onset of COVID-like symptoms, at the time of testing as a result of a high risk exposure, or at the time of a positive test result, whichever comes first.

Natural xanthone compounds as promising drug candidates against COVID-19 - An integrated molecular docking and dynamics simulation study

Gunda,  Shravan Kumar,  KumariP, et al

Research Square prepub

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

To identify the potential inhibitors, we have performed molecular docking against the SARS-CoV-2 main protease (6Y84) with fifteen important natural xanthone compounds. The docking results showed all the compounds exhibited good binding energies and interactions with the main protease. The validation of representative docking complexes through molecular dynamics simulations showed that xanthones binds with a higher binding affinity and lower free energy than the standard ligand with Brasixanthone C and Brasixanthone B on 50 ns. Natural xanthone compounds have also passed the Absorption, Distribution, Metabolism, and Excretion (ADME) property criteria as well as Lipinski’s rule of five. The present integrated molecular docking and dynamics simulations study unveil the use of xanthones as potential antiviral agents against SARS-CoV-2.

These Unprecedented Times: The Dynamic Pattern Of COVID-19 Deaths Around The World

Han,  Zixuan,  Li, et al

arXiv

Epidemiology| Épidémiologie

In this article, we deal with COVID-19 data to study the trend of the epidemic at the global situation. Choosing the mortality rate as an appropriate metric which measures the relative relation between the cumulative confirmed cases and death cases, we utilize the modified kernel estimator for random density function (Petersen and Muller, 2016) to obtain the density of the mortality rate, and apply Frechet change point detection (Dubey and Muller, 2020) to check if there is any significant change on the dynamic pattern of COVID-19 deaths. The analysis shows that the pattern of global COVID-19 mortality rate seems to have an obvious change at 104 days after first day when the reported death cases exceed 30. Then we discuss the reasons of abrupt change of mortality rate trend from aspects both subjective and objective.

Rapid High Throughput Whole Genome Sequencing of SARS-CoV-2 by using One-step RT-PCR Amplification with Integrated Microfluidic System and Next-Gen Sequencing

Hang,  Jun,  Li, et al

bioRxiv

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

The long-lasting global COVID-19 pandemic demands timely genomic investigation of SARS-CoV-2 viruses. Here we report a simple and efficient workflow for whole genome sequencing utilizing one-step RT-PCR amplification on a microfluidic platform, followed by MiSeq amplicon sequencing. The method uses Fluidigm IFC and instruments to amplify 48 samples with 39 pairs of primers in a single step. Application of this method on RNA samples from both viral isolate and clinical specimens demonstrate robustness and efficiency of this method in obtaining the full genome sequence of SARS-CoV-2.

Comparative Analysis of 95 Patients with Different Severity in the Early Outbreak of COVID-19 in Wuhan, China

He,  F,  Ding, et al

Canadian Journal of Infectious Diseases and Medical Microbiology

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aimed to explore the clinical characteristics of patients with different severity in the early outbreak of COVID-19, hoping to provide reference for clinical diagnosis and treatment. We retrospectively analyzed the clinical data of 95 COVID-19 patients in Wuhan Red Cross Hospital of China from January 17 to February 13, 2020.   Outcomes were followed up until April 1, 2020.   Clinical classification included 54 cases of common type, 27 cases of severe type, and 14 cases of critical type. Study reports on common symptoms, laboratory abnormalities, chest CT findings.  Severe and critical cases were older, more likely to have shortness of breath, more likely to have underlying comorbidities, and more likely to have abnormal laboratory findings than common cases. All common and severe patients were cured and discharged from the hospital, while 10 (71.4%) of 14 critical patients died.

33091154; Vaccine design based on 16 epitopes of SARS-CoV-2 spike protein

He,  J,  Huang, et al

Journal of medical virology

Vaccine Research| Recherche sur les vaccins

In this study, 66 epitopes containing pentapeptides of SARS-CoV-2 spike protein in the IEDB database were compared with the amino acid sequence of SARS-CoV-2 spike protein, and 66 potentially immune-related peptides of SARS-CoV-2 spike protein were obtained.The best candidate epitopes were identified and connected by different linkers in silico to obtain vaccine candidate sequences. The results showed that 16 epitopes were relatively conservative, immunological, nontoxic, and nonallergenic, could induce the secretion of cytokines, and were more likely to be exposed on the surface of the spike protein. They were both B- and T-cell epitopes, and could recognize a certain number of HLA molecules and had high coverage rates in different populations. Moreover, epitopes 897-913 were predicted to have possible cross-immunoprotection for SARS-CoV and SARS-CoV-2. The results of vaccine candidate sequences screening suggested that sequences (without linker, with linker GGGSGGG, EAAAK, GPGPG, and KK, respectively) were the best.

A SARS-CoV-2 Outbreak Illustrating the Challenges in Limiting the Spread of the Virus - Hopi Tribe, May-June 2020

Hirschman,  J,  Kaur, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie Transmission Clinical data| Données cliniques

Description of an outbreak of 27 cases in a Hopi Tribe in the USA, resulting from two co-index cases.

Is older age associated with COVID-19 mortality in the absence of other risk factors? General population cohort study of 470,034 participants

Ho,  FK,  Petermann-Rocha, et al

PLoS One

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study explored the factors mediating the association of whether older age was associated with increased mortality risk in the absence of other risk factors. Current age was associated exponentially with COVID-19 mortality. Overall, participants aged ≥75 years were at 13-fold (95% CI 9.13–17.85) mortality risk compared with those <65 years. Low forced expiratory volume in 1 second, high systolic blood pressure, low handgrip strength, and multiple long-term conditions were significant mediators, and collectively explained 39.3% of their excess risk. The associations between these risk factors and COVID-19 mortality were stronger among older participants. Participants aged ≥75 without additional risk factors were at 4-fold risk (95% CI 1.57–9.96, P = 0.004) compared with all participants aged <65 years.

Parental perceptions of COVID-19-like illness in their children

Hodson,  Ava,  Woodland, et al

medRxiv

Public Health response| Interventions de santé publique

This study aims to explore parents’ perceptions of COVID-19-like symptoms in their child and attitudes towards isolating from others in the household when unwell. We found four themes relating to symptom attribution (‘normalising symptoms’, ‘err on the side of caution’, ‘experience of temperature’, ‘symptoms not normal for us’). In general, parents were more likely to attribute symptoms to COVID-19 if a temperature was present or the symptoms were perceived as ‘unusual’ for their family. Four themes relating to self-isolation (‘difficult to prevent contact with children’, ‘isolation would be no different to lockdown life’, ‘ability to get food and supplies’, ‘limited space’). Parents believed they would find isolation within the household difficult or impossible if they had dependent children, had limited space or could not shop for groceries.

Frequent testing and immunity-based staffing will help mitigate outbreaks in nursing home settings

Holmdahl,  Inga,  Kahn, et al

medRxiv

Public health interventions*| Interventions de santé publique

We aimed to evaluate the reduction in transmission in nursing homes achieved through contact-targeted interventions and testing and to evaluate the effectiveness of two types of screening tests conducted with varying frequency: 1) rapid antigen testing and 2) PCR testing.  Findings show that the frequency and type of testing has a larger impact on the size of outbreaks than the cohorting and staffing interventions. The most effective testing strategies modeled are daily antigen testing of everyone and daily antigen testing of staff with weekly PCR testing for residents. Under all screening testing strategies, the immunity-based staffing intervention reduces the final size of the outbreak. The resident cohorting intervention reduces the final outbreak size under some, but not all, testing scenarios.

Impact of non-pharmaceutical interventions on the incidence of respiratory infections during the COVID-19 outbreak in Korea: a nationwide surveillance study

Huh,  K,  Jung, et al

Clin Infect Dis

Public health interventions*| Interventions de sant&amp;eacute; publique

BACKGROUND: Many countries have implemented non-pharmaceutical interventions (NPIs) to slow the spread of coronavirus disease 2019 (COVID-19). We aimed to determine whether NPIs led to the decline in the incidences of respiratory infections. METHODS: We conducted a retrospective, ecological study using a nationwide notifiable diseases database and a respiratory virus sample surveillance collected from January 2016 through July 2020 in the Republic of Korea. Intervention period was defined as February-July 2020, when the government implemented NPIs nationwide. Observed incidences in the intervention period were compared to the predicted incidences by autoregressive integrated moving average model and the 4-year mean cumulative incidences (CuIs) in the same months of the pre-intervention period. RESULTS: Five infectious diseases met the inclusion criteria: chickenpox, mumps, invasive pneumococcal disease, scarlet fever, and pertussis. The incidences of chickenpox and mumps during the intervention period were significantly lower than the prediction model. The CuIs of chickenpox and mumps were 36.4% (95% CI, 23.9-76.3) and 63.4% (95% CI, 48.0-93.3) of the predicted values. Subgroup analysis showed that the decrease in the incidence was universal for chickenpox, while mumps showed a marginal reduction among those aged <18 years, but not in adults. The incidence of respiratory viruses was significantly lower than both the predicted incidence (19.5%; 95% CI, 11.8-55.4%) and the 4-year mean CuIs in the pre-intervention period (24.5%; P<0.001). CONCLUSIONS: The implementation of NPIs was associated with a significant reduction in the incidences of several respiratory infections in Korea.

Effect of COVID-19 on delivery plans and postnatal depression scores of pregnant women

Hui,  PW,  Ma, et al

Hong Kong Med J

Mental Health |
santé mentale
Public Health response| Interventions de santé publique

The aim of the present study was to investigate the effects of these restrictive measures on delivery plans and risks of postpartum depression in Hong Kong. The delivery rate at a public hospital was reduced during the coronavirus disease 2019 (COVID-19) pandemic. Women who delivered in the public hospital had higher Edinburgh Postnatal Depression Scale scores during the coronavirus alert period. A lower rate of non-pharmacological pain relief and a higher rate of pethidine usage were observed during labour.

Don't wait, re-escalate: delayed action results in longer duration of COVID-19 restrictions

Hurford,  Amy,  Watmough, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de sant&amp;eacute; publique

Assuming that interventions are sufficient to reduce infection prevalence, we use a simple linear SIR model with case importation to determine the relationship between the timing of restrictions, duration of measures necessary to return the incidence to a set point, and the final size of the outbreak. The predictions of our linear SIR model agree well with COVID-19 data from Atlantic Canada, and are consistent with the predictions of more complex deterministic COVID-19 models. We conclude that earlier re-escalation of restrictions results in shorter disruptions, smaller outbreaks, and consequently, lower economic and social costs. Our key message is succinctly summarized as `don't wait, re-escalate' since delaying re-escalation of restrictions results in not only in more infections, but also longer periods of restrictions.

A national study to assess pharmacists' preparedness against COVID-19 during its rapid rise period in Pakistan

Hussain,  I,  Majeed, et al

PLoS One

Healthcare Response | Réponse des soins de santé

To evaluate the pharmacist’s preparedness against the COVID-19 during its rapid rise period in Pakistan, an online cross-sectional study was carried out from March 30 to May 22, 2020. The mean COVID-19 knowledge score of the participants was 6.77±0.5, which indicated that 84% of them had good knowledge about COVID-19. The multiple linear regression model revealed that attitude was significantly associated with gender (p = 0.001), marital status (p<0.0001) and resident (p = 0.013). The mean practice score was 2.85±0.4, showing that 94% of the participants were following adequate preventive practices against this infection. The results from this study suggest that Pharmacists demonstrated good knowledge, positive attitudes, and acceptable practices regarding COVID-19.

Awareness toward COVID-19 precautions among different levels of dental students in King Saud university, Riyadh, Saudi Arabia

Jasser,  RA,  Sarhan, et al

Journal of Multidisciplinary Healthcare

Healthcare Response | Réponse des soins de santé

The aim of the study was to determine the level of awareness among the dental students in Saudi Arabia regarding COVID-19. A mean score of 2.31± 0.32 was recorded for level of knowledge among the dental professionals that indicated a fair level of knowledge among the participants. Similarly, a mean score of 6.5± 0.45 was recorded for attitude of dental professionals towards COVID-19 that indicated a moderate level of attitude. “Novel COVID-19 virus transmits through droplets,” and “masks should be worn most of the time to prevent infection spread,” had the lowest correct answer rates. The practice had a low mean score of 0.81± 0.22. The results depicted statistically significant differences in knowledge, with postgraduate students having the highest mean scores, followed by interns and undergraduate students.

PMC7641253; Back to (new) normality-A CODRAL/AIRO-L survey on cancer radiotherapy in Lombardy during Italian COVID-19 phase 2

Jereczek-Fossa,  B,  Pepa, et al

Med Oncol

Healthcare Response | Réponse des soins de santé

The present survey study, endorsed by CODRAL and AIRO-L, aimed to assess how radiotherapy (RT) departments in Lombardy have dealt with the recovery. The study revealed a particular attention to anti-contagion measures and a return to normal or even higher clinical workload in most RT centres in Lombardy, necessary to carry out current and previously deferred treatments.

Network Characteristics and Visualization of COVID-19 Outbreak in a Large Detention Facility in the United States - Cook County, Illinois, 2020

Kırbıyık,  U,  Binder, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie

Network analyses and visualization can provide information about outbreak transmission dynamics. Analysis of detained person and staff member movements during a COVID-19 outbreak at Cook County Jail in Illinois found fewer connections among detained persons with COVID-19 than expected, suggesting that interventions and medical isolation practices were effective at reducing transmission. Higher than expected connections were identified in staff member networks, suggesting occurrence of additional transmission and areas of focus for transmission interruption. A network-informed approach can identify likely points of high transmission, enabling targeted interventions to reduce transmission, such as by reducing convening of staff members, closing breakrooms, and cessation of contact sports.

33102585; Phytochemicals from Selective Plants Have Promising Potential against SARS-CoV-2: Investigation and Corroboration through Molecular Docking, MD Simulations, and Quantum Computations

Kousar,  K,  Majeed, et al

BioMed Research International

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Herein, we have targeted two nonstructural proteins of SARS-CoV-2, namely, methyltransferase (nsp16) and helicase (nsp13), respectively, due to their substantial activity in viral pathogenesis. A total of 2035 compounds were analyzed for their pharmacokinetics and pharmacological properties. It is concluded that EryvarinM, Silydianin, Osajin, and Raddeanine can be considered potential inhibitors for MTase, while TomentodiplaconeB, Osajin, Sesquiterpene Glycoside, Rhamnetin, and Silydianin for helicase.

Development of an automated chemiluminescence assay system for quantitative measurement of multiple anti-SARS-CoV-2 antibodies

Kubo,  Sousuke,  Ohtake, et al

medRxiv

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

We have developed a high-throughput serological test capable of simultaneously detecting total Ig and IgG against two of the most immunologically relevant SARS-CoV-2 antigens, nucleocapsid protein (NP) and spike protein (SP) and report its performance in detecting COVID-19 in clinical samples. We determined the basal thresholds based on 17 sera obtained from confirmed COVID-19 patients and 600 negative sera. We evaluated the clinical validity of the assay. Results: All of the four test parameters showed 100% specificity individually. The sensitivity of the assay increased proportionally to the elapsed time from symptoms onset, and all the tests achieved 100% sensitivity after 13 days from symptoms onset.

Spatial Profiling of Lung SARS-CoV-2 and Influenza Virus Infection Dissects Virus-Specific Host Responses and Gene Signatures

Kulasinghe,  Arutha,  Tan, et al

medRxiv

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

Here, we use spatial transcriptomics to generate an in-depth picture of the pulmonary transcriptional landscape of COVID-19 (10 patients), pandemic H1N1 (pH1N1) influenza (5) and uninfected control patients (4). Host transcriptomics showed a significant upregulation of genes associated with inflammation, type I interferon production, coagulation and angiogenesis in the lungs of COVID-19 patients compared to non-infected controls. SARS-CoV-2 was non-uniformly distributed in lungs with few areas of high viral load and these were largely only associated with an increased type I interferon response. A very limited number of genes were differentially expressed between the lungs of influenza and COVID-19 patients. Specific interferon-associated genes (including IFI27) were identified as candidate novel biomarkers for COVID-19 differentiating this COVID-19 from influenza. Collectively, these data demonstrate that spatial transcriptomics is a powerful tool to identify novel gene signatures within tissues, offering new insights into the pathogenesis of SARS-COV-2 to aid in patient triage and treatment.

Demographic and psychological correlates of SARS-CoV-2 vaccination intentions in a sample of Canadian families

Lackner,  ChristineL,  Wang, et al

medRxiv

Public Health response| Interventions de santé publique

In this exploratory study, we investigated the demographic, experiential, and psychological factors associated with the anticipated likelihood and speed of having children receive a SARS-CoV-2 vaccine in a sample of 455 Canadian families (857 children). Using linear mixed effects and proportional odds logistic regression models, we demonstrated that older parental age, living in the Prairies (relative to Central Canada), more complete child and parental vaccination history, more positive attitudes towards vaccines generally, higher psychological avoidance of the pandemic and a greater tendency to prioritize the risks of the disease relative to the risks of side effects (i.e., lower omission bias), were associated with higher likelihoods of intention to vaccinate participants' children. In some models, subjective evaluations of proximal COVID-19 risk and higher levels of state anxiety were associated with increased likelihood of having children vaccinated.

Changes in Policy and Endoscopic Procedures during the 2019 Coronavirus Disease Outbreak: A Single Center Experience

Lahat,  A,  Benjamin, et al

Clin Endosc

Healthcare Response | Réponse des soins de santé

Our aim was to review the policies enacted during this outbreak and study their influence on the performance of endoscopic procedures. METHODS: Following the revision of work protocols, personnel were divided into two permanent and physically separate working groups and screening procedures were rescheduled.  The study included data for January-March 2018-2020, and a comparison among the data from each year was performed. RESULTS: As of March 2020, the total number of endoscopic examinations performed reduced by 44% (p<0.0001) as compared to previous years, gastroscopy examinations reduced by 39% , and lower endoscopy procedures reduced by 57%.

The dangers of distrustful complacency: Low concern and low political trust combine to undermine compliance with governmental restrictions in the emerging Covid-19 pandemic

Lalot,  F,  Heering, et al

Group Processes and Intergroup Relations

Public Health response| Interventions de santé publique

The present study focuses on the role of concern and political trust in people’s willingness to comply with governmental restrictions during the Covid-19 pandemic. We conducted a survey amongst Italian and French participants (N = 372) in March 2020 while both countries had imposed full lockdown. Moreover, a subsample of participants reported on their actual levels of compliance one week later (N = 130). We hypothesised that either concern or trust should be sufficient to sustain participants’ willingness to comply and actual behaviour, but that the absence of both (distrustful complacency) would reduce compliance significantly. Results supported this hypothesis. We discuss implications of the interaction between concern and trust for public behaviour strategies as the pandemic progresses.

Anxiety in healthcare workers during the covid-19 pandemic

Lazarević,  M

Medicinski Casopis

Mental Health |
santé mentale

The aim of the study was to determine the degree of anxiety among medical workers employed in the city of Loznica and suburban municipalities at the time of the COVID-19 pandemic. The analysis of the results yielded a mean value of the Beck test for the assessment of fear and anxiety of 6.82 (standard deviation 7.49, rank 0-39), which represents a state of anxiety without clinical significance.

Heat Stress and Thermal Perception amongst Healthcare Workers during the COVID-19 Pandemic in India and Singapore

Lee,  J,  Venugopal, et al

Int J Environ Res Public Health

Healthcare Response | Réponse des soins de santé

We assessed the knowledge, attitudes, and practices of HCWs from India and Singapore regarding PPE usage and heat stress when performing treatment and care activities. One hundred sixty-five HCWs from India (n = 110) and Singapore (n = 55) participated in a survey. HCWs are cognizant of the effects of heat stress but might not adopt best practices due to various constraints. Thermal stress management is better in Singapore than in India. Ice slurry ingestion is shown to be practical and effective in promoting thermal comfort.

Model Calculations of Aerosol Transmission and Infection Risk of COVID-19 in Indoor Environments

Lelieveld,  J,  Helleis, et al

Int J Environ Res Public Health

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Transmission Public health interventions*| Interventions de sant&amp;eacute; publique

Here we present an adjustable algorithm to estimate the infection risk for different indoor environments, constrained by published data of human aerosol emissions, SARS-CoV-2 viral loads, infective dose and other parameters. We evaluate typical indoor settings such as an office, a classroom, choir practice, and a reception/party. Our results suggest that aerosols from highly infective subjects can effectively transmit COVID-19 in indoor environments. This “highly infective” category represents approximately 20% of the patients who tested positive for SARS-CoV-2. A particularly effective mitigation measure is the use of high-quality masks, which can drastically reduce the indoor infection risk through aerosols.

Physical Therapist Management of COVID-19 in the Intensive Care Unit: The West China Hospital Experience

Li,  L,  Yu, et al

Phys Ther

Healthcare Response | Réponse des soins de santé

This article reports a physical therapy service specially commissioned by the Health Commission of Sichuan Province to manage COVID-19 during patients’ stay in the intensive care unit (ICU) at the Public Health Clinical Center of Chengdu in China. The respiratory and physical functions of some patients remained poor at ICU discharge, suggesting that long-term rehabilitation may be required for these patients. Our experience in the management of patients with COVID-19 has revealed that physical therapist intervention is safe and appears to be associated with an improvement in respiratory and physical function in patients with COVID-19 in the ICU.

Elevated Exhaustion Levels of NK and CD8+ T Cells as Indicators for Progression and Prognosis of COVID-19 Disease

Li,  M,  Guo, et al

Frontiers in Immunology

Epidemiology| Épidémiologie Clinical data| Données cliniques

Here, we evaluated the subsets, phenotypic and functional characteristics of natural killer (NK) and T cells in patients with COVID-19 and their associations with disease severity. The functional exhaustion and other subset alteration of NK and T cells may contribute to the progression and improve the prognosis of COVID-19. Surveillance of lymphocyte subsets may in the future enable early screening for signs of critical illness and understanding the pathogenesis of this disease.

Family support as a protective factor for attitudes toward social distancing and in preserving positive mental health during the COVID-19 pandemic

Li,  S,  Xu, et al

J Health Psychol

Mental Health |
santé mentale
Public Health response| Interventions de santé publique

We examined the role of family support in influencing attitudes about social distancing and positive mental health during the COVID-19 pandemic among 1547 Chinese people. These results suggest that strong support from family plays an important role in improving individuals' attitudes about social distancing and maintaining positive mental health during the epidemic.

Human Identical Sequences of SARS-CoV-2 Promote Clinical Progression of COVID-19 by Upregulating Hyaluronan via NamiRNA-Enhancer Network

Li,  Wei,  Yang, et al

bioRxiv

Coronavirology| Coronavirologie

Here, by comparing the genomic sequences of SARS-CoV-2 and human, we identified five fully conserved elements in SARS-CoV-2 genome, which were termed as “human identical sequences (HIS)”. Our results revealed that unprecedented HIS elements of SARS-CoV-2 contribute to the cytokine storm and ARDS in COVID-19 patients. Thus, blocking HIS-involved activating processes or hyaluronan synthesis directly by 4-MU may be effective strategies to alleviate COVID-19 progression.

Comparison of repeated video display vs combined video display and live demonstration as training methods to healthcare providers for donning and doffing personal protective equipment: A randomized controlled trial

Li,  Y,  Wang, et al

Risk Management and Healthcare Policy

Healthcare Response | Réponse des soins de santé RCT

In order to enable medical staff to learn how to don and doff PPE faster and more effectively, we compared two training methods of PPE donning and doffing. Participants in this study were 48 health care workers randomly divided into two groups. Group A watched a 10-minute demonstration (demo) video four times, while Group B watched the same 10-minute demo video twice and then watched a 10-minute live demo twice. The average score of Group B was higher than that Group A, with a mean (SD) of 94.92 (1.72) vs 86.63 (6.34), respectively (P< 0.001).

Pharmacotherapy for Hospitalized Patients with COVID-19: Treatment Patterns by Disease Severity

Lin,  KJ,  Schneeweiss, et al

Drugs

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

The objectives of the study were to evaluate pharmacological treatment patterns by COVID-19 severity and identify the determinants of prescribing for COVID-19. Among 2821 patients hospitalized for COVID-19, we found inpatient mortality increased by severity from 5% for level 1 to 23% for level 5. As compared to patients with severity level 1, those with severity level 5 were 3.53 times (95% confidence interval 2.73–4.57) more likely to receive a medication used to treat COVID-19. Careful consideration of disease severity and other determinants of COVID-19 drug use is necessary for appropriate conduct and interpretation of non-randomized studies evaluating outcomes of COVID-19 treatments.

De novo design of potent and resilient hACE2 decoys to neutralize SARS-CoV-2

Linsky,  TW,  Vergara, et al

Science

Coronavirology| Coronavirologie Therapeutics| Thérapeutique Animal model | Modèle animal

We developed a de novo protein design strategy to swiftly engineer decoys for neutralizing pathogens that exploit extracellular host proteins to infect the cell. Our pipeline allowed the design, validation, and optimization of de novo hACE2 decoys to neutralize SARS-CoV-2. The best decoy, CTC-445.2, binds with low nanomolar affinity and high specificity to the RBD of the spike protein. CTC-445.2d potently neutralizes SARS-CoV-2 infection of cells in vitro and a single intranasal prophylactic dose of decoy protected Syrian hamsters from a subsequent lethal SARS-CoV-2 challenge.

33095246; Seropositive Prevalence of Antibodies Against SARS-CoV-2 in Wuhan, China

Liu,  A,  Li, et al

JAMA network open

Epidemiology| Épidémiologie Immunology | Immunologie

This study found that the seropositive prevalence was 3.9% in a cohort of 35 040 individuals in Wuhan, China. Most individuals tested positive for SARS-CoV-2 IgG antibodies only, indicating a prior infection. We further showed that the seropositive prevalence in the urban districts was higher than that in the suburban and rural areas.

Differential Expression of Viral Transcripts From Single-Cell RNA Sequencing of Moderate and Severe COVID-19 Patients and Its Implications for Case Severity

Liu,  T,  Jia, et al

Frontiers in Microbiology

Epidemiology| Épidémiologie Clinical data| Données cliniques Coronavirology| Coronavirologie

We explored the features and evolutionary difference of viral gene expression in the SARS-CoV-2 infected cells from the bronchoalveolar lavage fluids of patients with moderate and severe COVID-19 using both single cell and bulk tissue transcriptome data. We found SARS-CoV-2 sequences were detectable in 8 types of immune related cells, including macrophages, T cells, and NK cells. These results implicated potential roles and predictive features of viral transcripts in the pathogenesis of COVID-19 moderate and severe patients.

Generation of Chicken IgY against SARS-COV-2 Spike Protein and Epitope Mapping

Lu,  Y,  Wang, et al

Journal of Immunology Research

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

In this study, we raised antibody against the spike (S) protein of SARS-CoV-2 in chickens and extracted IgY (called IgY-S) from egg yolk. IgY-S exhibited high immunoreactivity against SARS-CoV-2 S, and by epitope mapping, we found five linear epitopes of IgY-S in SARS-CoV-2 S, two of which are cross-reactive with SARS-CoV S.

COVID-19 Demographics, Acute Care Resource Use and Mortality by Age and Sex in Ontario, Canada: Population-based Retrospective Cohort Analysis

Mac,  Stephen,  Barrett, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We conducted a population-based cohort study using public health data to describe COVID-19 associated age- and sex-specific acute care use, length of stay (LOS), and mortality. During the observation period, 56,476 COVID-19 cases were reported (72% < 60 years, 52% female). The proportion of cases shifted from older populations (> 60 years) to younger populations (10-39 years) over time. Overall, 10% of individuals were hospitalized, of those 22% were admitted to ICU, and 60% of those used IMV. All outcomes varied by age and decreased over time, overall and within age groups.

Rapid improvement of a critically ill obstetric patient with SARS-CoV-2 infection after administration of convalescent plasma

Magallanes-Garza,  G,  Valdez-Alatorre, et al

Int J Gynaecol Obstet

Clinical data| Données cliniques

On June, 21, 2020, a 33-year-old pregnant woman (27(4) gestational weeks) with SARS-CoV-2 infection presented to Hospital San José Tec Salud, Monterrey, México, with respiratory distress and oxygen saturation below 90% (room oxygen). She had developed fever, asthenia, adynamia, myalgia, dry cough, anosmia, and diarrhea 7 days prior to admission. Her past medical history was significant for smoking, which she had stopped at 4 gestational weeks.

Perception toward quarantine for COVID-19 among adult residents of selected towns in Southwest Ethiopia

Mamo,  Y,  Asefa, et al

International Journal of General Medicine

Public Health response| Interventions de santé publique

The aim of this study was to assess public perceptions toward quarantine for COVID-19 and associated factors among adult residents of selected towns in Southwest Ethiopia, 2020. Only 52.3% of the respondents have a positive perception toward quarantine. Having training on COVID-19, educational status of secondary and above, being a merchant, knowledge of COVID-19 and knowledge of quarantine were significantly associated with a positive perception toward quarantine.

Characterising heterogeneity and sero-reversion in antibody responses to mild SARS‑CoV-2 infection: a cohort study using time series analysis and mechanistic modelling

Manisty,  Charlotte,  Treibel, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques Immunology | Immunologie

We present a detailed temporal analysis of circulating antibody in a cohort of hospital health care workers in a prospective longitudinal multi-centre cohort study with high frequency serial sampling over 16-21 weeks during the first epidemic wave in London, UK. A total of 157/729 (21.5%) participants developed positive SARS-CoV-2 serology by one or other assay, of whom 31.0% were asymptomatic and there were no deaths. Mild SARS CoV 2 infection was associated with heterogenous serological responses in Euroimmun anti-S1 and Roche anti-NP assays. Anti-S1 responses showed faster rates of clearance, more rapid transition from high to low level production rate and greater reduction in production rate after this transition.

An artificial intelligence-based first-line defence against COVID-19: digitally screening citizens for risks via a chatbot

Martin,  A,  Nateqi, et al

Sci Rep

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

Symptoma is a symptom-to-disease digital health assistant that can differentiate more than 20,000 diseases with an accuracy of more than 90%. We tested the accuracy of Symptoma to identify COVID-19 using a set of diverse clinical cases combined with case reports of COVID-19. We showed that Symptoma can accurately distinguish COVID-19 in 96.32% of clinical cases.  When considering only COVID-19 symptoms and risk factors, Symptoma identified 100% of those infected when presented with only three signs.

COVID-19 and Tuberculosis Coinfection in a 51-Year-Old Taxi Driver in Mexico City

Martínez Orozco,  JA,  Sánchez Tinajero, et al

Am J Case Rep

Clinical data| Données cliniques

We report on a case of SARS-CoV-2/Mycobacterium tuberculosis (MBT) coinfection in a 51-year-old taxi driver from Mexico City. The present report underscores the importance of using validated molecular diagnostic tests to identify coinfections in areas where there is a high prevalence of other causes of pneumonia. The patient was discharged from the hospital 10 days later.

Detection of severe acute respiratory syndrome coronavirus 2 and influenza viruses based on CRISPR-Cas12a

Mayuramart,  O,  Nimsamer, et al

Exp Biol Med (Maywood)

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

In this study, CRISPR-Cas12a-based detection was applied for detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), influenza A virus, and influenza B virus. The limit of detection for SARS-CoV-2 was 10 copies/reaction. Moreover, the assays yielded no cross-reactivity against other respiratory viruses. The results revealed that the detection of influenza virus and SARS-CoV-2 by using RT-RPA and CRISPR-Cas12a technology reaches 96.23% sensitivity and 100% specificity for SARS-CoV-2 detection.

The Health Of Us Adolescent Athletes During Covid-19 Related School Closures And Sport Cancellations

McGuine,  TA,  Biese, et al

J Athl Train

Mental Health |
santé mentale

The objective of this study was to describe the health of adolescent athletes during COVID-19 related school closures and sport cancellations. Mental health, physical activity and quality of life variables were compared between sex, grade, sports played and poverty level. Females reported a higher prevalence of moderate to severe anxiety symptoms. Physical activity was highest for grade 9 and lowest for grade 11. The prevalence of depression symptoms was highest in team sport and lowest for individual sport participants. The total Pediatric Quality of Life score was worst for athletes from counties with the highest poverty levels.

SARS-CoV-2 Assembly and Egress Pathway Revealed by Correlative Multi-modal Multi-scale Cryo-imaging

Mendonca,  Luiza,  Howe, et al

bioRxiv

Coronavirology| Coronavirologie

Here, we investigated SARS-CoV-2 replication in Vero cells under the near-native frozen-hydrated condition using a unique correlative multi-modal, multi-scale cryo-imaging approach. Our results reveal at the whole cell level profound cytopathic effects of SARS-CoV-2 infection. Furthermore, cryoET of cell lamellae reveals how viral RNAs are transported from double-membrane vesicles where they are synthesized to viral assembly sites; how viral spikes and RNPs assist in virus assembly and budding; and how fully assembled virus particles exit the cell, thus stablishing a model of SARS-CoV-2 genome replication, virus assembly and egress pathways.

Plasma mediators in patients with severe COVID-19 cause lung endothelial barrier failure

Michalick,  L,  Weidenfeld, et al

Eur Respir J

Clinical data| Données cliniques

This study reports a screening platform for endothelial barrier regulation, that can be utilised to i) identify pathologic mediators and ii) screen for the therapeutic potential of barrier stabilising compounds in COVID-19. Citrate plasma was sampled as part of the prospective observational Pa-COVID-19 cohort study in 14 patients with moderate and 19 with severe COVID-19.  Plasma from COVID-19 patients induced a rapid (within 1–2 h) and sustained (>6 h) increase in endothelial permeability of HPMEC monolayers, which was more pronounced in plasma from patients with severe infection.

Traditional medicinal plants against replication, maturation and transmission targets of SARS-CoV-2: computational investigation

Mondal,  P,  Natesh, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The current study was undertaken to evaluate the therapeutic potential of traditional medicinal plants against COVID-19. The binding energies of several bioactives analyzed with target proteins were relatively comparable and even better than the standard drugs. The selected bioactives were found to have lower toxicity with a higher GI absorption rate and potent anti-inflammatory and anti-viral activities against targets of COVID-19.

Response to "Reduction in skin cancer diagnosis, and overall cancer referrals, during the COVID-19 pandemic"

Murray,  G,  Roche, et al

Br J Dermatol

Healthcare Response | Réponse des soins de santé

An analysis of skin cancer referrals from the National Cancer Control Programme (NCCP) Ireland from January to June in 2019 and 2020 showed that there has been a decrease in referrals since the introduction of the lockdown in March, April and May. Data from Google Trends demonstrated a decrease in internet search activity for both skin cancer and melanoma during  Covid-19. This could suggest that a reduction in online health and information seeking behaviour for skin cancer and  melanoma  is a result of patients’ interests shifting towards that of Covid-19, and thus be a possible factor that has contributed to the reduced skin cancer referrals observed.

Feeling Anxious amid the COVID-19 Pandemic: Psychosocial Correlates of Anxiety Symptoms among Filipina Domestic Helpers in Hong Kong

N,  CYY,  Huang, et al

Int J Environ Res Public Health

Mental Health |
santé mentale

This study examined the psychosocial correlates of probable anxiety among Filipina domestic helpers (FDH) in Hong Kong amid the COVID-19 pandemic. By purposive sampling, FDHs (n = 295) were recruited and invited to complete a cross-sectional survey. Multivariate regression results showed that the insufficiency of protective equipment (OR = 1.58, 95% CI: 1.18, 2.11), increased workload (OR = 1.51, 95% CI: 1.02, 2.25), and worries about being fired if getting COVID-19 (OR = 1.32, 95% CI: 1.04, 1.68) were significantly associated with probable anxiety. Our findings shed light on the importance of addressing employment-related rights and pandemic-specific worries through interventions among FDHs in Hong Kong during pandemic situations.

Modeling and analysis of COVID-19 epidemics with treatment in fractional derivatives using real data from Pakistan

Naik,  PA,  Yavuz, et al

European Physical Journal Plus

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In the present paper, a fractional-order epidemic model with two different operators called the classical Caputo operator and the Atangana–Baleanu–Caputo operator for the transmission of COVID-19 epidemic is proposed and analyzed. The reproduction number R is obtained for the prediction and persistence of the disease. The numerical solution of the proposed COVID-19 fractional-order model under the Caputo operator is obtained by using generalized Adams–Bashforth–Moulton method, whereas for the Atangana–Baleanu–Caputo operator, we have used a new numerical scheme. Furthermore, numerical simulations of the model and their graphical presentations are performed to visualize the effectiveness of our theoretical results and to monitor the effect of arbitrary-order derivative.

Platelet Activating Immune Complexes Identified in COVID-19 Associated Coagulopathy

Nazy,  Ishac,  Jevtic, et al

medRxiv

Clinical data| Données cliniques Immunology | Immunologie

This COVID-19 associated coagulopathy (CAC) shares features with heparin-induced thrombocytopenia (HIT), including mild thrombocytopenia and thrombosis. We thus tested 10 CAC patients for anti-PF4/heparin antibodies and functional platelet activation. HIT was excluded in all samples based on anti-PF4/heparin antibody and serotonin release assay results. Of note, 6 CAC patients demonstrated platelet activation by the serotonin release assay that was inhibited by FcγRIIA receptor blockade, confirming an IgG-specific immune complex (IC)-mediated reaction. All 6 samples were positive for IgG-specific antibodies targeting the receptor binding domain (RBD) or the spike protein of the SARS-CoV-2 virus. These samples were additionally characterized by significant endothelial activation, shown by increased von Willebrand factor antigen and activity. ADAMTS13 activity was not severely reduced, and ADAMTS13 inhibitors were not present, ruling out thrombotic thrombocytopenic purpura. Our study thus identifies platelet-activating ICs as a mechanism that contributes to CAC thrombosis.

Nowcasting and forecasting provincial-level SARS-CoV-2 case positivity using google search data in South Africa

Nsoesie,  ElaineO,  Sy, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In this study, we use searches of COVID-19 symptoms, questions, and at-home remedies submitted to Google to model COVID-19 in South Africa, and assess how well the Google search data forecast short-term COVID-19 trends. Our findings suggest that information seeking trends on COVID-19 could guide models for anticipating COVID-19 trends and coordinating appropriate response measures.

33095253; Association of State Stay-at-Home Orders and State-Level African American Population With COVID-19 Case Rates

Padalabalanarayanan,  S,  Hanumanthu, et al

JAMA network open

Epidemiology| Épidémiologie Public health interventions*| Interventions de sant&amp;eacute; publique

The aim of this study is to investigate whether state-imposed stay-at-home orders (SAHOs) and the proportion of African American population in a state were associated with the state-level COVID-19 cases. This cross-sectional study used daily, state-level data on COVID-19 cases, tests, and fatalities from the COVID Tracking Project. Data from March 1 to May 4, 2020, for all states (except Washington state) as well as the District of Columbia were used. The key exposure variables were state-level SAHO (1 if in place, 0 otherwise), and proportion of state population who are African American. The final sample included 3023 pooled state- and day-level observations. There was a negative association of SAHOs with cumulative case rates (β = -1.166; 95% CI, -1.484 to -0.847; P < .001) and subsequent fatality rates (β = -0.204; 95% CI, -0.294 to -0.113; P < .001).  These findings could help inform policy makers to address the continued COVID-19 pandemic in the US.

Case report of patients with acute respiratory distress syndrome caused by covid-19: Successfully treated by venovenous extracorporeal membrane oxygenation and an ultra-protective ventilation

Park,  MH,  Kim, et al

Medicina (Lithuania)

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

Here, we report three patients that successfully recovered from COVID-19-induced ARDS after venovenous extracorporeal membrane oxygenation (VV-ECMO)  and implementation of an ultra-protective ventilation. This ventilation strategy involved maintaining a peak inspiratory pressure of ≤20 cmH2 O and a positive end-expiratory pressure (PEEP) of ≤10 cmH2 O, which are lower values than have been previously reported. Thus, we suggest that this ultra-protective ventilation be considered during VV-ECMO as it minimizes the ventilator-induced lung injury.

Relationship between stress and weight management behaviors during the COVID-19 pandemic among those enrolled in an internet program

Pellegrini,  CA,  Webster, et al

Obesity Science and Practice

Mental Health |
santé mentale

This study examined how stress was associated with mental well-being and weight loss behaviors during the COVID-19 pandemic among adults enrolled in an internet-based weight loss program. Participants enrolled in a weight-loss program residing in Rhode Island or Massachusetts, USA, completed a brief survey on their mental health and current weight-loss behaviors during the COVID-19 pandemic. Surveys were completed between 14 April 2020 and 21 April 2020, approximately one month after stay-at-home orders were mandated. Greater stress was associated with higher BMI (p = 0.04), higher education (p = 0.04), working more hours (p = 0.003), and having school-age children at home (p = 0.002). Greater stress was also associated with higher levels of anxiety, worry, and concern regarding COVID-19 (p's < 0.001) and having less time to spend on weight-loss efforts (p < 0.001), after controlling for BMI and education. Many individuals enrolled in a weight-loss program experienced more stress during COVID-19 compared to before the pandemic.

Post-COVID-19 Epidemic: Allostatic Load among Medical and Nonmedical Workers in China

Peng,  M,  Wang, et al

Psychother Psychosom

Mental Health |
santé mentale

During the reopening of society, medical and nonmedical workers were compared in terms of allostatic load. An online study was performed; 3,590 Chinese subjects were analyzed. Socio-demographic variables, allostatic load, stress, abnormal illness behavior, global well-being, mental status, and social support were assessed. There was no difference in allostatic load in medical workers compared to nonmedical workers (15.8 vs. 17.8%; p = 0.22). Multivariate conditional logistic regression revealed that anxiety (OR = 1.24; 95% CI 1.18-1.31; p < 0.01), depression (OR = 1.23; 95% CI 1.17-1.29; p < 0.01), somatization (OR = 1.20; 95% CI 1.14-1.25; p < 0.01), hostility (OR = 1.24; 95% CI 1.18-1.30; p < 0.01), and abnormal illness behavior (OR = 1.49; 95% CI 1.34-1.66; p < 0.01) were positively associated with allostatic load. In the post-COVID-19 epidemic time, medical and nonmedical workers had similar allostatic load. Psychological distress and abnormal illness behavior were risk factors for it, while social support could relieve it.

Characteristics and outcomes of COVID-19-associated stroke: a UK multicentre case-control study

Perry,  RJ,  Smith, et al

J Neurol Neurosurg Psychiatry

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this study we set out to determine which characteristics and outcomes of stroke are associated with COVID19. This case-control study included patients admitted with stroke to 13 hospitals in England and Scotland between 9th March and 5th July 2020. We collected data on 86 strokes (81 ischaemic strokes and 5 intracerebral haemorrhages)in patients with evidence of COVID-19 at the time of stroke onset (Cases). They were compared with 1384 strokes(1193 ischaemic strokes and 191 intracerebral haemorrhages) in patients admitted during the same time period who never had evidence of COVID19 (Controls). In addition the whole group of stroke admissions, including another 37 in patients who appear to have developed COVID-19 after their stroke, were included in two logistic regression analyses examining which features were independently associated with COVID-19 status and with inpatient mortality. Cases with ischaemic stroke were more likely than ischaemic controls to occur in Asians (18.8% vs 6.7%, p<0.0002), were more likely to involve multiple large vessel occlusions (17·9% vs 8.1%, p<0·03), were more severe (median NIHSS 8 vs 5, p<0·002), were associated with higher D-dimer levels (p<0·01) and were associated withmore severe disability on discharge (median mRS 4 vs 3, p<0·0001) and inpatientdeath (19.8% vs9·6%, p<0·0001).

Divergent: age, frailty, and atypical presentations of COVID-19 in hospitalized patients

Poco,  PCE,  Aliberti, et al

J Gerontol A Biol Sci Med Sci

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aimed to investigate the association between age, frailty, and clinical characteristics of COVID-19 in hospitalized middle-aged and older adults. Longitudinal observational study comprising 711 patients aged ≥50 years consecutively admitted to a university hospital dedicated to COVID-19 severe cases, between March and May 2020. We defined frailty using the Clinical Frailty Scale (CFS=1-9; frail ≥5). Participants had a mean age of 66±11 years, and 43% were female. Overall, 25% were frail, and 37% died. The most common COVID-19 presentations were dyspnea (79%), cough (74%), and fever (62%), but patients aged ≥65 years were less likely to have a co-occurrence of typical symptoms, both in the absence (OR=0.56; 95%CI=0.39-0.79) and in the presence of frailty (OR=0.52; 95%CI=0.34-0.81). In contrast, older age and frailty were associated with unspecific presentations. Atypical COVID-19 presentations are common in frail and older hospitalized patients.

Effects of misinformation diffusion during a pandemic

Prandi,  L,  Primiero, et al

Applied Network Science

Public Health response| Interventions de santé publique

We studied the process of false information transmission by malicious agents, in the context of a disease pandemic based on data for the COVID-19 emergency in Italy. We model communication of misinformation based on a negative trust relation, supported by findings in the literature that relate the endorsement of conspiracy theories with low trust level towards institutions. We provide an agent-based simulation and consider the effects of a misinfodemic on policies related to lockdown strategies, isolation, protection and distancing measures, and overall negative impact on society during a pandemic. Our analysis shows that there is a clear impact by misinfodemics in aggravating the results of a current pandemic.

Longitudinal Surveillance for SARS-CoV-2 RNA Among Staff in Five Colorado Long-Term Care Facilities: Epidemiologic, Virologic and Sequence Analysis

Quicke,  Kendra,  Gallichote, et al

medRxiv

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

To assess the prevalence and incidence of SARS-CoV-2 among long term care facilities (LTCFs)workers, determine the extent of asymptomatic SARS-CoV-2 infection, and provide information on the genomic epidemiology of the virus within these unique care settings, we collected nasopharyngeal swabs from workers for 8-11 weeks at six Colorado LTCFs, determined the presence and level of viral RNA and infectious virus within these samples, and sequenced 54 nearly complete genomes. Our data reveal a strikingly high degree of asymptomatic/mildly symptomatic infection, a strong correlation between viral RNA and infectious virus, prolonged infections and persistent RNA in a subset of individuals, and declining incidence over time. Our data suggest that asymptomatic SARS-CoV-2 infected individuals contribute to virus persistence and transmission within the workplace, due to high levels of virus. Genetic epidemiology revealed that SARS-CoV-2 likely spreads between staff within an LTCF.C

COVID19 in children with cancer in low- and middle-income countries: Experience from a cancer center in Chennai, India

Radhakrishnan,  V,  Ovett, et al

Pediatr Hematol Oncol

Epidemiology| Épidémiologie Clinical data| Données cliniques

Crowded outpatient clinics and common wards in many hospitals in low and middle-income countries predispose children, caregivers, and health care workers to infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We report on the clinical features and outcomes of 15 children with cancer at our center who tested positive for SARS-CoV-2. Five out of 15 patients were symptomatic, and one patient required intensive care and respiratory support. All the patients in the study have recovered from the SARS-CoV-2 infection without any sequelae and have resumed their cancer treatment.

Children hospitalized for COVID-19 during first winter of the pandemic in Buenos Aires, Argentina

Raiden,  Silvina,  Cairoli, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study aimed to describe the characteristics of patients hospitalized for COVID-19 in a tertiary pediatric hospital in the City of Buenos Aires, Argentina. Descriptive study, including all patients hospitalized for COVID-19 in a tertiary pediatric hospital, from 04/26/2020 to 10/31/2020. Demographic, clinical and epidemiological characteristics of the patients are described. 578 children and adolescents were hospitalized for COVID-19. The median age was 4.2 years and 83% had a history of close contact with a confirmed COVID-19 case. Regarding severity, 30.8% were asymptomatic, 60.4% mild, 7.4% moderate, and 1.4% severe. Among those with symptoms, the most frequent was fever, followed by sore throat and cough. Conclusion: We reported 578 cases of children and adolescents hospitalized for COVID-19, most of them showed a mild or asymptomatic condition.

Racial and Ethnic Disparities in COVID-19 Outcomes: Social Determination of Health

Raine,  S,  Liu, et al

Int J Environ Res Public Health

Epidemiology| Épidémiologie Clinical data| Données cliniques

Cross-sectional analysis from COVID Boston University's Center for Antiracist Research COVID Racial Data Tracker was performed to evaluate the racial and ethnic distribution of COVID-19 outcomes relative to representation in the United States. Representation quotients (RQs) were calculated to assess for disparity using state-level data from the American Community Survey (ACS). We found that on a national level, Hispanic/Latinx, American Indian/Alaskan Native, Native Hawaiian/Pacific Islanders, and Black people had RQs > 1, indicating that these groups are over-represented in COVID-19 incidence. Dramatic racial and ethnic variances in state-level incidence and mortality RQs were also observed. This study investigates pandemic disparities and examines some factors which inform the social determination of health.

SARS-CoV-2 infection dynamics in Denmark, February through October 2020: Nature of the past epidemic and how it may develop in the future

Rasmussen,  Steen,  Petersen, et al

medRxiv

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

The objective was to develop a robust method for reliable estimation of the epidemic and the healthcare system load in Denmark, both retrospectively and prospectively. A new pandemic simulation was developed, taking into account the size and the infection impact of the infectious incubating and asymptomatic infected individuals (dark numbers). The epidemic simulation is based on a SEIRS (Susceptible - Exposed - Infected - Recovered - Susceptible) model, coupled to a simple healthcare model that also includes deaths outside hospital settings. The SEIRS model has separate assessments of asymptomatic and symptomatic cases with different immunological memories. The main data used for parameter estimation in the models are hospital and ICU occupations, death data, serological data of antibody prevalence from the onset through August 2020 together with hospital data and clinical data about the viral infection. Optimal model parameters are in part identified by Monte Carlo based Least Square Error methods while micro-outbreaks are modeled by noise and explored in Monte Carlo simulations. Estimates for the infected population sizes are obtained by using a quasi steady state method. The age adjusted antibody prevalence in the general population in May 2020 was 1.37%, which yields a relative frequency of symptomatic and asymptomatic cases of 1 to 5.2. Due to the large asymptomatic population found, the actual mortality rate to date is 0.4%. However, with no behavioral and policy restrictions the COVID-19 death toll would have more than doubled the national average yearly deaths within a year. The transmission rate Ro was 5.4 in the initial free epidemic period, 0.4 in the lock-down period and 0.8 -1.0 in the successive re-opening periods through August 2020. The estimated infected population size July 15 to August 15 was 2,100 and 12,200 for October 1 - 20, 2020. The efficiency of the applied daily testing strategy for both periods are estimated to be 40% of the PCR observable infected.

Effect of pre-exposure use of hydroxychloroquine on COVID-19 mortality: a population-based cohort study in patients with rheumatoid arthritis or systemic lupus erythematosus using the OpenSAFELY platform

Rentsch,  ChristopherT,  DeVito, et al

The Lancet Rheumatology

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

Hydroxychloroquine has been shown to inhibit entry of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) into epithelial cells in vitro, but clinical studies found no evidence of reduced mortality when treating patients with COVID-19. We aimed to evaluate the effectiveness of hydroxychloroquine for prevention of COVID-19 mortality, as opposed to treatment for the disease.

Is Quarantine for COVID-19 Pandemic Associated with Psychological Burden in Primary Ciliary Dyskinesia?

Riccio,  MP,  Borrelli, et al

Int J Environ Res Public Health

Mental Health |
santé mentale

This study assessed the psychological well-being of  in primary ciliary dyskinesia (PCD) population during COVID-19 lockdown in Italy. 27 PCD patients and 27 healthy controls were recruited. To assess psychological well-being, psychological general well-being index and parenting stress index-short questionnaires were administered to participants ≥15 years-old and to mothers of participants <15 years-old, respectively. The PCD exacerbations since outbreak onset and frequency of quarantine weekly chest physiotherapy were compared to the same period of 2019. 70% of PCD mothers and 90% of PCD patients did not show parental stress levels or distress levels, respectively, and these groups showed no significant difference in stress compared to controls. The PCD pulmonary exacerbations occurred less frequently and weekly chest physiotherapy sessions significantly increased compared to the same period during 2019 (p < 0.05). PCD population showed psychological well-being.

Variant analysis of 1,040 SARS-CoV-2 genomes

Rouchka,  EC,  Chariker, et al

PLoS One

Coronavirology| Coronavirologie

We have performed a comparative analysis of the sequences, in order to detect common mutations within the population. Analysis of variants occurring within the assembled genomes yields 417 variants occurring in at least 1% of the completed genomes, including 229 within the 5' untranslated region (UTR), 152 within the 3'UTR, 2 within intergenic regions and 34 within coding sequences.

No Detection of SARS-CoV-2 from Urine, Expressed Prostatic Secretions and Semen in 74 Recovered COVID-19 Male Patients: A Perspective and Urogenital Evaluation

Ruan,  Y,  Hu, et al

Andrology

Clinical data| Données cliniques

The objective was to evaluate urogenital involvement in recovered COVID-19 patients. Men aged between 20 years and 50 years who were diagnosed with SARS-CoV-2 infection and recovered when the study was conducted were enrolled in our study. Demographic, clinical characteristics and history of hospitalization were collected and analyzed. Urine, expressed prostatic secretions (EPS) and semen samples were collected for SARS-CoV-2 RNA detection. Semen quality and hormonal profiles were analyzed. Among 74 male recovered COVID-19 patients, 11 (14.9%) were asymptomatic, classified into mild type, and 31 (41.9%) were classified into moderate type. The remaining patients (32/74, 43.2%) had severe pneumonia. No critically ill recovered COVID-19 patient was recruited in our cohort. Direct urogenital involvement was not found in the recovered COVID-19 male patients. SARS-CoV-2 RNA was undetectable in the urogenital secretions, and semen quality declined slightly while hormonal profiles remained normal. Moreover, patients with a long time (≥ 90 days) since recovery had lower total sperm count.

Experiences of geriatric nurses in nursing home settings across four countries in the face of the COVID-19 pandemic

Sarabia-Cobo,  C,  Pérez, et al

J Adv Nurs

Healthcare Response | Réponse des soins de santé

The objective was to explore the emotional impact and experiences of geriatric nurses working in nursing homes and caring for patients with COVID-19. This is a qualitative study with phenomenological method and data were gathered through in-dept interview. The experiences and expectations that nurses are facing during their care duties were explored via video conference, using a semi-structured interview guide. 24 interviews were conducted with nurses from four countries (Spain, Italy, Peru and Mexico) during April 2020. Three main categories were extracted: fear of the pandemic situation, the sense of duty and professional commitment, and emotional exhaustion. Regardless of the country and situation, in the face of the pandemic, dramatic situations have been experienced in nursing homes worldwide, with nursing staff feeling exhausted and overwhelmed, and reflection is urged on a global level to consider the most appropriate model of care in nursing homes.

Identification of Novel SARS-CoV-2 Drug Targets by Host MicroRNAs and Transcription Factors Co-regulatory Interaction Network Analysis

Sardar,  R,  Satish, et al

Frontiers in Genetics

Coronavirology| Coronavirologie

We have used a network biology approach to elucidate the crucial factors involved in host responses involving host–microRNA (miRNA) interactions with host and virus genes using recently published experimentally verified protein–protein interaction data. We were able to identify 311 host genes to be potentially targetable by 2,197 human miRNAs. These miRNAs are known to be involved in various biological processes, such as T-cell differentiation and activation, virus replication, and immune system. Among these, the anti-viral activity of 38 miRNAs to target 148 host genes is experimentally validated. Six anti-viral miRNAs, namely, hsa-miR-1-3p, hsa-miR-17-5p, hsa-miR-199a-3p, hsa-miR-429, hsa-miR-15a-5p, and hsa-miR-20a-5p, are previously reported to be anti-viral in respiratory diseases and were found to be downregulated. The interaction network of the 2,197 human miRNAs and interacting transcription factors (TFs) enabled the identification of 51 miRNAs to interact with 77 TFs inducing activation or repression and affecting gene expression of linked genes. Further, from the gene regulatory network analysis, the top five hub genes HMOX1, DNMT1, PLAT, GDF1, and ITGB1 are found to be involved in interferon (IFN)-α2b induction, epigenetic modification, and modulation of anti-viral activity. The comparative miRNAs target identification analysis in other respiratory viruses revealed the presence of 98 unique host miRNAs targeting SARS-CoV-2 genome. Our findings identify prioritized key regulatory interactions that include miRNAs and TFs that provide opportunities for the identification of novel drug targets and development of anti-viral drugs.

A dangerous consequence of the recent pandemic: Early lung fibrosis following covid-19 pneumonia – case reports

Scelfo,  C,  Fontana, et al

Therapeutics and Clinical Risk Management

Clinical data| Données cliniques

We report two cases of respiratory insufficiency due to COVID-19 pneumonia that occurred in adults without a history of respiratory diseases. Although these patients improved and were discharged from the acute ward, during the hospitalization they both progressed with a subsequent clinical and radiological worsening, pointing out one of the main concerns for these patients at discharge: the possibility of developing persistent lung abnormalities also in healthy people not having other risk factors. In conclusion, these cases represent two examples of early lung fibrosis in patients with COVID-19 pneumonia with different severity disease evolution and highlight the need for long-term follow-up strategies.

Severity of Respiratory Infections due to SARS-CoV-2 in Working Population: Age and Body Mass Index Outweigh ABO Blood Group

Schetelig,  Johannes,  Baldauf, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

DKMS is a non-profit donor center for stem cell donation and reaches out to registered volunteers between 18 and 61 years of age. To identify risk factors for severe COVID-19 courses in this population we performed a cross-sectional study. Self-reported data on oro- or nasopharyngeal swabs, risk factors, symptoms and treatment were collected with a health questionnaire and linked to existing genetic data. We fitted multivariable logistic regression models for the risk of contracting SARS-CoV-2, risk of severe respiratory infection and risk of hospitalization. Findings. Of 4,440,895 contacted volunteers 924,660 (20.8%) participated in the study. Among 157,544 participants tested, 7,948 reported SARS-CoV-2 detection. Of those, 947 participants (11.9%) reported an asymptomatic course, 5,014 (63.1%) mild/moderate respiratory infections, and 1,987 (25%) severe respiratory tract infections. In total, 286 participants (3.6%) were hospitalized for respiratory tract infections. The risk of hospitalization in comparison to a 20-year old person of normal weight was 2.1-fold higher (95%-CI, 1.2-3.69, p=0.01) for a person of same age with a BMI between 35-40 kg/m2, it was 5.33-fold higher (95%-CI, 2.92-9.70, p<0.001) for a 55-year old person with normal weight and 11.2-fold higher (95%-CI, 10.1-14.6, p<0.001) for a 55-year old person with a BMI between 35-40 kg/m2. Blood group A was associated with a 1.15-fold higher risk for contracting SARS-CoV-2 (95%-CI 1.08-1.22, p<0.001) than blood group O but did not impact COVID-19 severity. In this relatively healthy population, the risk for hospitalizations due to SARS-CoV-2 infections was moderate. Age and BMI were major risk factors.

An ultrapotent synthetic nanobody neutralizes SARS-CoV-2 by stabilizing inactive Spike

Schoof,  M,  Faust, et al

Science

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The SARS-CoV-2 virus enters host cells via an interaction between its Spike protein and the host cell receptor angiotensin converting enzyme 2 (ACE2). By screening a yeast surface-displayed library of synthetic nanobody sequences, we developed nanobodies that disrupt the interaction between Spike and ACE2. Cryogenic electron microscopy (cryo-EM) revealed that one nanobody, Nb6, binds Spike in a fully inactive conformation with its receptor binding domains (RBDs) locked into their inaccessible down-state, incapable of binding ACE2. Affinity maturation and structure-guided design of multivalency yielded a trivalent nanobody, mNb6-tri, with femtomolar affinity for Spike and picomolar neutralization of SARS-CoV-2 infection. mNb6-tri retains function after aerosolization, lyophilization, and heat treatment, which enables aerosol-mediated delivery of this potent neutralizer directly to the airway epithelia.

An Ancillary Central Catheter Emergency Support Service Team Staffed by Surgical Personnel Improves Workflow During the Coronavirus Disease 2019 Crisis

Schulberg,  SP,  Jaikaran, et al

Surg Innov

Healthcare Response | Réponse des soins de santé

At our New York City hospital, we developed the ancillary central catheter emergency support service (ACCESS), a team for dedicated central access staffed by surgical residents to assist in the care of critical COVID-19 patients. We conducted a retrospective review of all patients for whom the team was activated. Furthermore, we distributed a survey to the critical care department to assess their perceived time saved per patient. The ACCESS team placed 104 invasive catheters over 10 days with a low complication rate of .96%. All critical care providers surveyed found the service useful and felt it saved at least 30 minutes of procedural time per patient, as patient to critical care provider ratios were increased from 12 patients to one provider to 44 patients to one provider.

COVID-19 and LGBTQ Emerging Adults: Risk in the Face of Social Distancing

Scroggs,  B,  Love, et al

Emerging Adulthood

Mental Health |
santé mentale

The coronavirus pandemic that began in December 2019 (COVID-19) quickly spread globally with an increased transmission in the United States beginning in March 2020. Social distancing guidelines were instituted across the country, limiting contact individuals could have with others. This compared the mental health of lesbian, gay, bisexual, transgender, and queer (LGBTQ) emerging adults who completed the survey before (n = 1,190) many social distancing guidelines went into effect with those who completed the survey after (n = 705). Participants who participated in the survey after social distancing guidelines were initiated reported lower levels of hope for the future, higher levels of alcohol use, a lower sense of connection to and pride regarding the LGBTQ community, and a lower sense of minority stress. Results indicate a detrimental response to social distancing in the days immediately following the onset of such guidelines as confusion reigned and expectations changed day to day. © 2020 Society for the Study of Emerging Adulthood and SAGE Publishing.

Natural Compounds (Thymol, Carvacrol, Hesperidine, and Thymoquinone) Against SARS-CoV-2 Strain Isolated From Egyptian Patients

Seadawy,  Mohamed

Research Square prepub

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The current pandemic of the coronavirus disease-2019 (COVID-19) has badly affected our life during the year 2020. SARS-CoV-2 is the primary causative agent of the newly emerged pandemic. Natural flavonoids, Terpenoid and Thymoquinone are tested against different viral and host-cell protein targets. These natural compounds have a good history in treating Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV). Molecular docking combined with cytotoxicity and plaque reduction assay is used to test the natural compounds against different viral (Spike, RdRp, and Mpro) and host-cell (TMPRSS II, keap 1, and ACE2) targets. The results demonstrate the binding possibility of the natural compounds (Thymol, Carvacrol, Hesperidine, and Thymoquinone) to the viral main protease (Mpro). Some of these natural compounds were approved to start clinical trail from Egypt Center for Research and Regenerative Medicine ECRRM IRB (Certificate No.IRB00012517)

Effect of a Mobile-based Intervention on Mental Health in Frontline Healthcare Workers Against COVID-19: Protocol for a Randomized Controlled Trial

Serrano-Ripoll,  Maria,  Ricci Cabello, et al

medRxiv

Mental Health |
santé mentale

Clinical trial application. Aim to evaluate the impact of a psychoeducational, mobile health intervention based on cognitive behavioural therapy and mindfulness-based approaches on the mental health of healthcare workers at the frontline against COVID-19 in Spain. Will carry out a two−week, individually randomised, parallel group, controlled trial. Participants will be individually randomised to receive the PsyCovidApp intervention or control App intervention. Healthcare workers having attended COVID-19 patients will be randomized to receive the PsyCovidApp intervention (intervention group) or a control App intervention (control group). A total of 440 healthcare workers will be necessary to assure statistical power. Measures will be collected telephonically by a team of psychologists at baseline and immediately after the two weeks intervention period. Measures will include stress, depression and anxiety (DASS−21 questionnaire − primary endpoint), insomnia (ISI), burnout (MBI−HSS), post-traumatic stress disorder (DTS), and self-efficacy (GSE). The findings from this study will help health services and organizations to make informed decisions in relation to the development and implementation of mobile health interventions, allowing them pondering not only their attractive implementability features, but also empirical data about its benefits.

Impact of socio-economic status in patients hospitalised for COVID-19 in the Greater Paris area

Sesé,  L,  Nguyen, et al

Eur Respir J

Epidemiology| Épidémiologie Clinical data| Données cliniques

Evaluated the affects of socioeconomic status (SES) on initial severity of COVID-19 in France. Compared patient characteristics between two districts (Seine-Saint-Denis (SSD), the poorest district of Greater Paris; Hauts-de-Seine (HDS), a rich district of Greater Paris) and determine whether precarity is a risk factor for severe COVID-19. The study population included 112 patients (58.6% men, age: 66.7±16.3 years old, 11.0% Africans or Afro-Caribbeans, and 7.7% current smokers). Body mass index was 27.1±6.23, 30.0% patients had diabetes and 52.7% arterial hypertension. Regarding SES, 33.0% patients had an income below the poverty line, and the mean deprivation index was 38.2±24.4. The proportion of patients with at least one infected home co-resident was 12%. COVID-19 was severe in most cases (59.8%). The distribution of initial severity was similar in both districts, although SSD patients were about 10 years younger than HDS patients (61.8±14.0 versus 71.0±17.1 years). 17% were transferred in ICU and 3% died at hospital. No predictive factors of initial severity were found in the overall population. In the sub-group of patients under 70 years of age, the predictive factors of severity were age, high EPICES score, being retired, and an absence of private insurance coverage.

Artificial Intelligence-Based Classification of Chest X-Ray Images into COVID-19 and Other Infectious Diseases

Sharma,  A,  Rani, et al

International Journal of Biomedical Imaging

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

Created efficient deep learning models, trained with chest X-ray images, for rapid screening of COVID-19 patients. The combination of two best-performing models (each trained on 286 images, rotated through 120° or 140° angle) displayed the highest prediction accuracy for normal, COVID-19, non-COVID-19, pneumonia, and tuberculosis images. AI-based classification models trained through the transfer learning approach can efficiently classify the chest X-ray images representing studied diseases. Our method is more efficient than previously published methods. It is one step ahead towards the implementation of AI-based methods for classification problems in biomedical imaging related to COVID-19.

Lysine 164 is critical for SARS-CoV-2 Nsp1 inhibition of host gene expression

Shen,  Z,  Zhang, et al

J Gen Virol

Coronavirology| Coronavirologie

Given that coronavirus nonstructural protein 1 (nsp1) is a good target for attenuated vaccines, it is of great significance to explore the detailed characteristics of SARS-CoV-2 nsp1. Here, we first confirmed that SARS-CoV-2 nsp1 had a conserved function similar to that of SARS-CoV nsp1 in inhibiting host-protein synthesis and showed greater inhibition efficiency, as revealed by ribopuromycylation and Renilla luciferase (Rluc) reporter assays. Specifically, bioinformatics and biochemical experiments showed that by interacting with 40S ribosomal subunit, the lysine located at amino acid 164 (K164) was the key residue that enabled SARS-CoV-2 nsp1 to suppress host gene expression. Furthermore, as an inhibitor of host-protein expression, SARS-CoV-2 nsp1 contributed to cell-cycle arrest in G0/G1 phase, which might provide a favourable environment for virus production. Taken together, this research uncovered the detailed mechanism by which SARS-CoV-2 nsp1 K164 inhibited host gene expression, laying the foundation for the development of attenuated vaccines based on nsp1 modification.

Th1 Dominant Nucleocapsid and Spike Antigen-Specific CD4+ and CD8+ Memory T Cell Recall Induced by hAd5 S-Fusion + N-ETSD Infection of Autologous Dendritic Cells from Patients Previously Infected with SARS-CoV-2

Sieling,  Peter,  Zakin, et al

medRxiv

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

Developed a bivalent, human adenovirus serotype 5 (hAd5) SARS-CoV-2 S-Fusion + N-ETSD vaccine that is currently in clinical testing.  Here we report that the hAd5 S-Fusion + N-ETSD vaccine is recognized by anti-sera and T cells from previously SARS-CoV-2 infected patients, and that the presence of N is vital for T-cell recall. The findings presented herein: i. demonstrate specific recognition of hAd5 S-Fusion + N-ETSD infected cells by plasma antibodies from previously SARS-CoV-2 infected patients, but not antibodies from virus-naive subjects; ii. show enhanced binding of plasma SARS-CoV-2 antibodies from previously infected patients to monocyte-derived dendritic cells (MoDCs) expressing the hAd5 S-Fusion + N-ETSD vaccine as compared to hAd5 S-Fusion alone; iii. reveal N-ETSD localizes to vesicles associated with MHC class II antigen presentation, including endosomes, lysosomes, and autophagosomes in MoDCs; iv. demonstrate endosome/lysosome-targeted N-ETSD elicits higher interferon-gamma T-cell responses than cytoplasm-localized N; and v. N-ETSD alone or in the hAd5 S-Fusion + N-ETSD construct induces both CD4+ and CD8+ T cell memory recall. This recognition of hAd5 S-Fusion + N-ETSD vaccine antigens by T cells from previously SARS-CoV-2 infected patients, together with the ability of this vaccine candidate to elicit de novo immune responses in naive mice suggests that it re-capitulates the natural immune response to SARS-CoV-2 to activate both B and T cells towards viral neutralization and recognition of infected cells, critical for prevention of COVID-19 disease.

33097653; Impact of COVID-19 on anxiety levels among patients with cancer actively treated with systemic therapy

Sigorski,  D,  Sobczuk, et al

ESMO Open

Mental Health |
santé mentale

Assessed the relationship between the level of anxiety caused by a neoplasm and the threat of coronavirus infection among patients with cancer actively treated with systemic therapy during the COVID-19 pandemic. Enrolled 306 actively treated patients with cancer and collected their clinical data. The fear/anxiety of SARS-CoV-2 were rated in Fear of COVID-19 Scale (SRA-FCV-19S) and Numerical Anxiety Scale (SRA-NAS). The fear and anxiety associated with cancer (CRA) were rated with the NAS (CRA-NAS). The mean level of SRA-FCV-19S was 18.5±7.44, which was correlated with the SRA-NAS (r=0.741, p65 years (6.73±2.96 vs 5.66±3.24; p=0.007). The need for more attentive psychological care should be provided especially to female patients, patients with breast cancer, those under 65 years of age and treated with curative intention, as these factors are associated with a higher level of anxiety.

COVID-19 seropositivity and asymptomatic rates in healthcare workers are associated with job function and masking

Sims,  MD,  Maine, et al

Clin Infect Dis

Epidemiology| Épidémiologie Immunology | Immunologie

Presence of anti-SARS-CoV-2 IgG in blood and online assessment of demographic, and clinical was collected from 20,614 participants out of ~43,000 total employees at Beaumont Health, Michigan. A total of 1,818 (8.8%) participants were seropositive, 44% reported that they were asymptomatic during collection. Healthcare roles such as phlebotomy, respiratory therapy, and nursing/nursing support exhibited significantly higher seropositivity. Among participants reporting direct exposure to a COVID-19 positive individual, those wearing an N95/PAPR mask had a significantly lower seropositivity rate (10.2%) compared to surgical/other masks (13.1%) or no mask (17.5%).

Predictors of psychological distress among the public in Oman amid coronavirus disease 2019 pandemic: a cross-sectional analytical study

Sinawi,  HA,  Al Balushi, et al

Psychol Health Med

Mental Health |
santé mentale

This was a web-based, cross-sectional study conducted using governmental and private institutional e-mail systems and social media platforms. Anxiety and depression were assessed using both the Generalized Anxiety Disorder-7 Scale and the Patient Health Questionnaire-9. Logistic regression analysis was used to assess the independent predictors. There were a total of 1538 participants in this study (75% female). The prevalence of psychological distress was 30%. Being female, having financial instability, being treated for mental illness and self-medication for coping with stress were independent predictors of psychological distress among the study sample . The results from this study will help public health officials in Oman to plan for and mitigate psychological repercussions of the current and future pandemics.

Point-of-care detection of SARS-CoV-2 in nasopharyngeal swab samples using an integrated smartphone-based centrifugal microfluidic platform

Soares,  RubenRG,  Akhtar, et al

medRxiv

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

Aiming at developing cost-effective viral load detection systems for point-of-care COVID-19 diagnostics in resource-limited and resource-rich settings alike, we report the development of an integrated modular centrifugal microfluidic platform to perform loop-mediated isothermal amplification (LAMP) of viral RNA directly from heat-inactivated nasopharyngeal swab samples. The platform provided results within 1 hour from sample collection and a detection limit between 100 and 1000 RNA copies in 10 μL reaction volume with Ct values below 26, 94% sensitivity and 100% specificity.

The N-terminal domain of spike glycoprotein mediates SARS-CoV-2 infection by associating with L-SIGN and DC-SIGN

Soh,  Wai Tuck,  Liu, et al

bioRxiv

Coronavirology| Coronavirologie Immunology | Immunologie

Angiotensin-converting enzyme 2 (ACE2) is the primary host cell receptor that interacts with the receptor-binding domain (RBD) of the SARS-CoV-2 spike protein. In order to identify the additional receptors for the spike protein, we screened a receptor for the SARS-CoV-2 spike protein from the lung cDNA library. We cloned L-SIGN as a specific receptor for the N-terminal domain (NTD) of the SARS-CoV-2 spike protein. The RBD of the spike protein did not bind to L-SIGN. L-SIGN and DC-SIGN induced membrane fusion by associating with the SARS-CoV-2 spike protein. Serum antibodies from infected patients and a patient-derived monoclonal antibody against NTD inhibited SARS-CoV-2 infection of L-SIGN or DC-SIGN expressing cells. Our results highlight the important role of NTD in SARS-CoV-2 dissemination through L-SIGN and DC-SIGN and the significance of having anti-NTD neutralizing antibodies in antibody-based therapeutics.

Pattern of COVID-19 in Sichuan province, China: A descriptive epidemiological analysis

Song,  H,  Cao, et al

PLoS One

Epidemiology| Épidémiologie

Epidemiological information of 487 COVID-19 cases were collected from the official websites of 21 districts (including 18 cities, 3 autonomous prefecture) health commissions within Sichuan between 21st of January 2020 to 17th of April 2020. The number of single-day confirmed COVID-19 cases reach a peak on January 29 (33 cases), and then decreased. Chengdu (121 cases), Dazhou (39 cases) Nanchong (37 cases) and Ganzi Tibetan Autonomous Prefecture (78 cases) contributed 275 cases (56.5% of the total cases) of Sichuan province. The history of living in or visiting Hubei, close contact, imported and unknown were 170 cases (34.9%), 136 cases (27.9%), 21 cases (4.3%) and 160 cases (32.9%) respectively. The interval from the onset of initial symptoms to laboratory diagnosis was 4.0 days in local cases, while that of imported cases was 4.5 days.

Wastewater Analysis of SARS-CoV-2 as a Predictive Metric of Positivity Rate for a Major Metropolis

Stadler,  LaurenB,  Ensor, et al

medRxiv

Epidemiology| Épidémiologie Surveillance

Wastewater monitoring for SARS-CoV-2 has been suggested as an epidemiological indicator of community infection dynamics and disease prevalence. We report wastewater viral RNA levels of SARS-CoV-2 in a major metropolis serving over 3.6 million people geographically spread over 39 distinct sampling sites. Viral RNA levels were followed weekly for 22 weeks, both before, during, and after a major surge in cases, and simultaneously by two independent laboratories. We found SARS-CoV-2 RNA wastewater levels were a strong predictive indicator of trends in the nasal positivity rate two-weeks in advance. Furthermore, wastewater viral RNA loads demonstrated robust tracking of positivity rate for populations served by individual treatment plants, findings which were used in real-time to make public health interventions, including deployment of testing and education strike teams.

Post-acute COVID-19 syndrome negatively impacts health and wellbeing despite less severe acute infection

Tabacof,  Laura,  Tosto-Mancuso, et al

medRxiv

Long-Term Sequelae |
séquelles à long terme

This was a retrospective cross-sectional observational study. The aim of this research was to characterize post-acute COVID-19 syndrome (PACS). Study survey demographic and clinical data were collected using REDCap from patients recovering from COVID-19 infection in Mount Sinai Hospital. 84 individuals with PACS were included. Symptoms persisted at mean (range) 151 (54 to 255) days. The most prevalent persistent symptoms were fatigue (92%), loss of concentration/memory (74%), weakness (68%), headache (65%) and dizziness (64%). Most participants reported increased levels of disability associated with breathlessness, increased fatigue and reduced quality of life.

Disparities in the Uptake of Telemedicine During the COVID-19 Surge in a Multidisciplinary Head and Neck Cancer Population by Patient Demographic Characteristics and Socioeconomic Status

Tam,  S,  Wu, et al

JAMA Otolaryngol Head Neck Surg

Healthcare Response | Réponse des soins de santé

After Henry Ford Health System clinics closed on March 17, 2020, the need to continue care necessitated a rapid adaptation of telemedicine. This presented an opportunity for widespread telemedicine use within the multidisciplinary head and neck oncology team. The purpose of this article is to describe the associations between patient demographic characteristics and socioeconomic disparities and the engagement in telemedicine during the pandemic.

Elevated COVID-19 outcomes among persons living with diagnosed HIV infection in New York State: Results from a population-level match of HIV, COVID-19, and hospitalization databases

Tesoriero,  JamesM,  Swain, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques Surveillance

NYS HIV surveillance, COVID-19 laboratory confirmed diagnoses, and hospitalization databases were matched and COVID-19 diagnoses, hospitalization, and in-hospital death rates comparing Persons Living with diagnosed HIV (PLWDH) to non-PLWDH were computed. PLWDH were more frequently diagnosed with COVID-19 than non-PLWDH. Per-population COVID-19 hospitalization was higher among PLWDH. PLWDH experienced poorer COVID-related outcomes relative to non-PLWDH, with 1-in-522 PLWDH dying with COVID-19, seemingly driven by higher rates of severe disease requiring hospitalization.

The circulating SARS-CoV-2 spike variant N439K maintains fitness while evading antibody-mediated immunity

Thomson,  EmmaC,  Rosen, et al

bioRxiv

Coronavirology| Coronavirologie Immunology | Immunologie

Herein we demonstrate that the immunodominant SARS-CoV-2 spike (S) receptor binding motif (RBM) is the most divergent region of S, and provide epidemiological, clinical, and molecular characterization of a prevalent RBM variant, N439K. We demonstrate that N439K S protein has enhanced binding affinity to the hACE2 receptor, and that N439K virus has similar clinical outcomes and in vitro replication fitness as compared to wild-type. We observed that the N439K mutation resulted in immune escape from a panel of neutralizing monoclonal antibodies, including one in clinical trials, as well as from polyclonal sera from a sizeable fraction of persons recovered from infection. Immune evasion mutations that maintain virulence and fitness such as N439K can emerge within SARS-CoV-2 S, highlighting the need for ongoing molecular surveillance to guide development and usage of vaccines and therapeutics.

Chest CT Findings after 4 Months from the Onset of COVID-19 Pneumonia: A Case Series

Urciuoli,  L,  Guerriero, et al

Diagnostics (Basel)

Clinical data| Données cliniques

Although the reference standard for SARS-CoV-2 diagnosis is real-time reverse transcription polymerase chain reaction (RT-PCR), computed tomography (CT) is recommended for both initial evaluation and follow-up. There is a growing body of published evidence about CT evolution during the course of COVID-19 pneumonia. Here, we report six confirmed cases of COVID-19 patients who underwent unenhanced chest CT on admission and after 4 months from the onset of symptoms. Chest-CT at first admission showed the typical CT features of COVID-19. Interestingly, the follow-up CT revealed the persistence of lung abnormalities in five cases even if all the patients were completely asymptomatic.

Variation in COVID-19 Data Reporting Across India: 6 Months into the Pandemic

Vasudevan,  V,  Gnanasekaran, et al

Journal of the Indian Institute of Science

Surveillance

In this communication, we assess the quality of COVID-19 data reporting done by the state and union territory governments in India between July 12 and July 25, 2020. We conclude that 6 months into the pandemic, the quality of COVID-19 data reporting across India continues to be highly disparate, which could hinder public health efforts.

Erythrocyte, Platelet, Serum Ferritin, and P-Selectin Pathophysiology Implicated in Severe Hypercoagulation and Vascular Complications in COVID-19

Venter,  C,  Bezuidenhout, et al

Int J Mol Sci

Clinical data| Données cliniques Immunology | Immunologie

Progressive respiratory failure is seen as a major cause of death in severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2)-induced infection. Relatively little is known about the associated morphologic and molecular changes in the circulation of these patients. In particular, platelet and erythrocyte pathology might result in severe vascular issues, and the manifestations may include thrombotic complications. These thrombotic pathologies may be both extrapulmonary and intrapulmonary and may be central to respiratory failure. Previously, we reported the presence of amyloid microclots in the circulation of patients with coronavirus disease 2019 (COVID-19). Here, we investigate the presence of related circulating biomarkers, including C-reactive protein (CRP), serum ferritin, and P-selectin. These biomarkers are well-known to interact with, and cause pathology to, platelets and erythrocytes. We also study the structure of platelets and erythrocytes using fluorescence microscopy (using the markers PAC-1 and CD62PE) and scanning electron microscopy. Thromboelastography and viscometry were also used to study coagulation parameters and plasma viscosity. We conclude that structural pathologies found in platelets and erythrocytes, together with spontaneously formed amyloid microclots, may be central to vascular changes observed during COVID-19 progression, including thrombotic microangiopathy, diffuse intravascular coagulation, and large-vessel thrombosis, as well as ground-glass opacities in the lungs. Consequently, this clinical snapshot of COVID-19 strongly suggests that it is also a true vascular disease and considering it as such should form an essential part of a clinical treatment regime.

Perceptions and experiences of healthcare workers during the COVID-19 pandemic in the UK

Vindrola-Padros,  C,  Andrews, et al

BMJ Open

Healthcare Response | Réponse des soins de santé

The aim of this study was to explore the perceptions and experiences of healthcare workers (HCWs) in relation to COVID-19 and care delivery models implemented to deal with the pandemic in the UK. Staff working in the UK during the COVID-19 pandemic advocated clear and consistent guidelines, streamlined testing of HCWs, administration of PPE and acknowledgement of the effects of PPE on routine practice.

The Japanese version of the Fear of COVID-19 scale: Reliability, validity, and relation to coping behavior

Wakashima,  K,  Asai, et al

PLoS One

Public Health response| Interventions de santé publique

The aim of the present study was to verify the reliability and validity of the Japanese version of the Fear of COVID-19 Scale (FCV-19S) and to ascertain FCV-19S effects on assessment of Japanese people's coping behavior. These results suggest that the Japanese FCV-19S psychometric scale has equal reliability and validity to those of the original FCV-19S.

Virology of SARS-CoV-2

Wang,  D,  Hu, et al

 

Coronavirology| Coronavirologie

This report briefly introduces SARS-CoV-2's structure, basic characterization and replication process.

Epidemiological characteristics of patients with severe COVID-19 infection in Wuhan, China: evidence from a retrospective observational study

Wang,  F,  Cao, et al

Int J Epidemiol

Epidemiology| Épidémiologie

We report the characteristics of patients with severe or critical severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in Wuhan city, China, and the risk factors related to infection severity and death.  Advanced age, male sex and a history of chronic disease were associated with COVID-19 critical illness and death.

Phase 1 trial of a Candidate Recombinant Virus-Like Particle Vaccine for Covid-19 Disease Produced in Plants

Ward,  BrianJ,  Gobeil, et al

medRxiv

Vaccine Research| Recherche sur les vaccins RCT

The SARS-CoV-2 spike protein  produced by transient expression in Nicotiana benthamiana formed Virus-Like-Particles (CoVLP). Phase 1 study intended to assess the safety, tolerability, and immunogenicity of CoVLP at three dose levels (3.75 microgram, 7.5 microgram, and 15 microgram) unadjuvanted or adjuvanted with either CpG 1018 or AS03 in 180 SARS-CoV-2 seronegative healthy adults 18 to 55 years of age. The primary endpoints were the safety and tolerability of the vaccine. Secondary endpoints were anti-spike antibody responses by ELISA and neutralizing antibodies measured by live virus plaque reduction neutralization test (PRNT) assay at Days 0, 21 and 42. CoVLP administered with either CpG1018 or AS03 has a safety profile similar to other candidate vaccines for SARS-CoV-2.   The antibody titers achieved were either similar to (CoVLP+CpG1018) or at least 10-times higher (CoVLP+AS03) than those seen in convalescent plasma.

Characteristics of three different chemiluminescence assays for testing for SARS-CoV-2 antibodies

Weber,  Myriam,  Risch, et al

medRxiv

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

A chemiluminescent microparticle immunoassay (CMIA; Abbott Diagnostics, USA), a luminescence immunoassay (LIA; Diasorin, Italy), and an electrochemiluminescence immunoassay (ECLIA; Roche Diagnostics, Switzerland) test for SARS CoV 2 antibodies were investigated.Although the diagnostic accuracy of the three investigated assays is comparable, their performance in low prevalence settings is different.

Distinct antibody responses to SARS-CoV-2 in children and adults across the COVID-19 clinical spectrum

Weisberg,  SP,  Connors, et al

Nat Immunol

Clinical data| Données cliniques Immunology | Immunologie

We show distinct antibody responses in children and adults after SARS-CoV-2 infection. Children are largely spared from respiratory illness but can develop a life-threatening multisystem inflammatory syndrome (MIS-C). Children with and without MIS-C had reduced neutralizing activity as compared to both adult COVID-19 cohorts, indicating a reduced protective serological response.

Awareness towards corona virus disease (COVID-19) and its prevention methods in selected sites in Wolaita Zone, Southern Ethiopia: A quick, exploratory, operational assessment

Wolka,  E,  Zema, et al

Risk Management and Healthcare Policy

Public Health response| Interventions de santé publique

The aim of this study was to explore the level of awareness and prevention methods of COVID-19 among residents in Wolaita Zone, Southern Ethiopia. A total of 22 in-depth interviews were done. The findings revealed that 95.5% of the participants had heard about the disease COVID-19 and realized common modes of transmission. Some participants linked the disease with resentment of God on people or anger of God towards human kind. Importance of consuming hot drinks, ginger or garlic to prevent the disease was reported by participants. Negative attitude towards quarantine and isolation centers and stigmatizing people with a cough were documented in this assessment. Stigma and fear of isolation centers may prevent people from reporting the symptom of the disease and this can create favorable ground for the transmission. Challenges like problem of consistent availability of water supply, affordability of materials used to keep hygiene by rural poor, and keeping physical distancing in different public gathering places were reported.

Birth and Infant Outcomes Following Laboratory-Confirmed SARS-CoV-2 Infection in Pregnancy - SET-NET, 16 Jurisdictions, March 29-October 14, 2020

Woodworth,  KR,  Olsen, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie Surveillance

Through the Surveillance for Emerging Threats to Mothers and Babies Network (SET-NET), 16 jurisdictions collected supplementary information on pregnancy and infant outcomes among 5,252 women with laboratory-confirmed SARS-CoV-2 infection reported during March 29-October 14, 2020. Among 3,912 live births with known gestational age, 12.9% were preterm (<37 weeks), higher than the reported 10.2% among the general U.S. population in 2019 (4). Among 610 infants (21.3%) with reported SARS-CoV-2 test results, perinatal infection was infrequent (2.6%) and occurred primarily among infants whose mother had SARS-CoV-2 infection identified within 1 week of delivery.  Because the majority of pregnant women with COVID-19 reported thus far experienced infection in the third trimester, ongoing surveillance is needed to assess effects of infections in early pregnancy, as well the longer-term outcomes of exposed infants.

Versatile and multivalent nanobodies efficiently neutralize SARS-CoV-2

Xiang,  Y,  Nambulli, et al

Science

Coronavirology| Coronavirologie Therapeutics| Thérapeutique Immunology | Immunologie

We used camelid immunization and proteomics to identify a large repertoire of highly potent neutralizing nanobodies (Nbs) to the SARS-CoV-2 spike (S) protein receptor-binding domain (RBD). We discovered Nbs with picomolar to femtomolar affinities that inhibit viral infection at sub-ng/ml concentration and determined a structure of one of the most potent in complex with RBD. Structural proteomics and integrative modeling revealed multiple distinct and non-overlapping epitopes and indicated an array of potential neutralization mechanisms. We constructed multivalent Nb constructs that achieved ultrahigh neutralization potency (IC50s as low as 0.058 ng/ml) and may prevent mutational escape. These thermostable Nbs can be rapidly produced in bulk from microbes and resist lyophilization, and aerosolization.

Effects of SARS-CoV-2 Infection on Male Sex-related Hormones in Recovering Patients

Xu,  H,  Wang, et al

Andrology

Long-Term Sequelae |
séquelles à long terme

To assess whether SARS-CoV-2 infection can affect sex-related hormones and testicular function in recovering patients. The patients were separately classified according to the duration of viral shedding (long-term positive vs normal-term group, with the former cases having a duration >50 days) and disease severity (moderate vs severe group). A total of 39 COVID-19 patients were included in this study. In males infected with SARS-CoV-2, most sex-related hormones (T, FSH and LH levels) remain within the normal reference ranges after recovery from COVID-19, and no significant associations were observed between T level and disease duration or severity.

CT-based Rapid Triage of COVID-19 Patients: Risk Prediction and Progression Estimation of ICU Admission, Mechanical Ventilation, and Death of Hospitalized Patients

Xu,  Qinmei,  Zhan, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We performed CT-based analysis combined with electronic health records and clinical laboratory results on Cohort 1 (n = 1662 from 17 hospitals) with prognostic estimation for the rapid stratification of PCR confirmed COVID-19 patients. These models, validated on Cohort 2 (n = 700) and Cohort 3 (n = 662) constructed from 9 external hospitals, achieved satisfying performance for predicting ICU, MV and death of COVID-19 patients (AUROC 0.916, 0.919 and 0.853), even on events happened two days later after admission (AUROC 0.919, 0.943 and 0.856). Both clinical and image features showed complementary roles in events prediction and provided accurate estimates to the time of progression (p<.001). Our findings are valuable for delivering timely treatment and optimizing the use of medical resources in the pandemic of COVID-19.

Should we remain hopeful? The key 8 weeks: spatiotemporal epidemic characteristics of COVID-19 in Sichuan Province and its comparative analysis with other provinces in China and global epidemic trends

Xu,  X,  Zeng, et al

BMC Infect Dis

Epidemiology| Épidémiologie

The number of confirmed cases, daily growth, incidence and length of time from the first reported case to the end of the local cases were compared by spatial and temporal classification and visualization of the development and changes of the epidemic situation by layers through maps. In the first wave, a total of 539 cases were reported in Sichuan, with an incidence rate of 0.6462/100,000. The closer to Hubei the population centres were, the more pronounced the epidemic was. Eight weeks after the Wuhan lockdown, the health crisis had eased. The longest epidemic length at the city level in China (except Wuhan, Taiwan, and Hong Kong) was 53 days, with a median of 23 days. Most countries outside China began to experience a rapid rise in infection rates 4 weeks after their first case. Some European countries experienced that rise earlier than the USA. The pandemic in Germany, Spain, Italy, and China took 28, 29, 34, and 18 days, respectively, to reach the peak of daily infections, after their daily increase of up to 20 cases. During this time, countries in the African region and Southeast Asian region were at an early stage of infections, those in the Eastern Mediterranean region and region of the Americas were in a rapid growth phase.

Antihypertensive drugs are associated with reduced fatal outcomes and improved clinical characteristics in elderly COVID-19 patients

Yan,  F,  Huang, et al

Cell Discovery

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

In this multicenter retrospective study, we identified 2190 adult patients admitted for laboratory-confirmed COVID-19. Multivariate logistic regression was conducted in patients with comorbid hypertension to examine the potential association between clinical outcomes, disease severity, and clinical characteristics with the use of ACEI, ARB, calcium-channel blockers (CCB), beta-blockers (BB), and thiazide diuretics. The clinical outcome, dyspnea, and fatigue were significantly improved in patients, especially elderly patients who were older than 65 years, who took ARB drugs prior to hospitalization compared to patients who took no drugs. The reduction of disease severity of elderly COVID-19 patients was associated with CCB and ACEI users. Clinical indices, including CRP, lymphocyte count, procalcitonin D dimer, and hemoglobin, were significantly improved in elderly ARB users. In addition, the clinical outcomes were statistically significantly improved in patients who took antihypertension drugs ARB, BB, and CCB after statistical adjustment by all ages, gender, baseline of blood pressures, and coexisting medical conditions.

Viral RNA level, serum antibody responses, and transmission risk in recovered COVID-19 patients with recurrent positive SARS-CoV-2 RNA test results: a population-based observational cohort study

Yang,  C,  Jiang, et al

Emerg Microbes Infect

Transmission Long-Term Sequelae |
séquelles à long terme
Immunology | Immunologie

We performed a population-based observational study to characterize the viral RNA level and serum antibody responses in recurrent-positive patients and evaluate their viral transmission risk. Of 479 recovered COVID-19 patients, 93 (19%) recurrent-positive patients were identified, characterized by younger age, with a median discharge-to-recurrent-positive length of 8 days. After readmission, recurrent-positive patients exhibited mild (28%) or absent (72%) symptoms, with no disease progression. The viral RNA level in recurrent-positive patients ranged from 1.8 to 5.7 log10 copies/mL. There are generally no significant differences in antibody levels between recurrent-positive and non-recurrent-positive patients, or in recurrent-positive patients over time. Virus isolation of nine representative specimens returned negative results. Whole genome sequencing of six specimens yielded only genomic fragments. 96 close contacts and 1,200 candidate contacts of 23 recurrent-positive patients showed no clinical symptoms. Recurrent-positive patients pose a low transmission risk, a relatively relaxed management of recovered COVID-19 patients is recommended.

Analytical and Clinical Analysis of Two Automated Anti-SARS-CoV-2 Immunoassays in Pre-pandemic and Pandemic Patient Populations

Yang,  J,  Pederson, et al

J Appl Lab Med

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

We evaluated the analytical and clinical performance of the Abbott SARS-CoV-2 IgG and the Roche Anti-SARS-CoV-2 immunoassays. 246 specimens from 70 patients with COVID-19 diagnosis were tested to study the sensitivity. 73 non-COVID-19 control specimens were measured to study the specificity. All specimens were analyzed by both assays.  Total analytic variability (CV) of the negative and positive controls were 5.5% and 3.6% for the Abbott assay and 4.5% and 1.9% for the Roche assay. Both assays demonstrated 100% qualitative reproducibility of negative and positive controls. The clinical specificities of the Abbott and the Roche assays were 100% (95% CI: 94% - 100%) and 97% (95% CI: 90% - 100%), respectively. The clinical sensitivities of the Abbott assay were 49% (95% CI: 41% - 56%), 86% (95% CI: 74% - 93%) and 100% (95% CI: 76% - 100%) for samples collected at 0-6 days, 7-13 days and ≥14 days after the first RT-PCR, while the sensitivities of the Roche assay were 55% (95% CI: 47% - 62%), 86% (95% CI: 74% - 93%) and 100% (95% CI: 76% - 100%).

Patient-derived SARS-CoV-2 mutations impact viral replication dynamics and infectivity in vitro and with clinical implications in vivo

Yao,  H,  Lu, et al

Cell Discovery

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

We report the mutation spectrum, replication dynamics, and infectivity of 11 patient-derived viral isolates in diverse cell lines, including the human lung cancer cell line Calu-3. We observed 46 mutations, including 9 different mutations in the spike gene. Importantly, these viral isolates show significant and consistent variations in replication dynamics and infectivity in tested cell lines, up to a 1500-fold difference in viral titers at 24 h after infecting Calu-3 cells. We show that the variations in viral titers among viral isolates are positively correlated with blood clotting function but inversely correlated with the amount of red blood cell and hemoglobin in patients. Therefore, we provide direct evidence that naturally occurring mutations in SARS-CoV-2 can substantially change its replication dynamics and infectivity in diverse human cell lines, with clinical implications in vivo.

Effect of the Novel Coronavirus Pneumonia Pandemic on Medical Students’ Psychological Stress and Its Influencing Factors

Ye,  W,  Ye, et al

Frontiers in Psychology

Mental Health |
santé mentale

This cross-sectional, survey-based, region-stratified study collected demographic data and mental measurement from 2,498 medical students and 1,177 non-medical students in 31 provinces from March 5, 2020, to March 10, 2020, in China. The psychological stress was measured using the Chinese Perceived Stress Scales (CPSS) under a self-design questionnaire. Sociodemographic, major characteristics, and knowledge of the novel coronavirus pneumonia were also identified as potential influencing factors of stress. The study revealed that medical students are suffering from more stress than non-medical students almost in all provinces of China. Four influencing factors including level of familiarity with the novel coronavirus, family income, major of students, and status of the intern student can be significantly related to students’ stress in the medical group by using the univariate and multivariate analysis. Further analysis showed that students with low stress had a greater number of positive psychological emotions and a lower number of negative psychological emotions than with medical students with high stress. In addition, high stress caused low enthusiasm for learning in these medical students and lead to little/no willingness to do professional medical work in the future.

Development and Validation of Early Warning Score Systems for COVID-19 Patients

Youssef,  Alexey,  Kouchaki, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

We evaluated the ability of six common Early Warning Scores (EWS) to identify respiratory deterioration defined as the need for advanced respiratory support (high-flow nasal oxygen, continuous positive airways pressure, non-invasive ventilation, intubation) within a prediction window of 24 hours in a retrospective cohort of patients with symptoms of COVID-19. We show these scores perform sub-optimally at this specific task. Therefore, we develop an alternative Early Warning Score based on a Gradient Boosting Trees (GBT) algorithm that is able to predict deterioration within the next 24 hours with high AUROC 94% and an accuracy, sensitivity and specificity of 70%, 96%, 70%, respectively. Our GBT model outperformed the best EWS (LDTEWS:NEWS), increasing the AUROC by 14%. Our GBT model makes the prediction based on the current and baseline measures of routinely available vital signs and blood tests.

A Workflow of Integrated Resources to Catalyze Network Pharmacology Driven COVID-19 Research

Zahoranszky-Kohalmi,  Gergely,  Siramshetty, et al

bioRxiv

Therapeutics| Thérapeutique

Here, we describe a workflow we designed for a semi-automated integration of rapidly emerging datasets that can be generally adopted in a broad network pharmacology research setting. The workflow was used to construct a COVID-19 focused multimodal network that integrates 487 host-pathogen, 74,805 host-host protein and 1,265 drug-target interactions. The resultant Neo4j graph database named "Neo4COVID19" is accessible via a web interface and via API calls based on the Bolt protocol. We believe that our Neo4COVID19 database will be a valuable asset to the research community and will catalyze the discovery of therapeutics to fight COVID-19

Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status - United States, January 22-October 3, 2020

Zambrano,  LD,  Ellington, et al

MMWR Morb Mortal Wkly Rep

Epidemiology| Épidémiologie Clinical data| Données cliniques

This report provides updated information about symptomatic women of reproductive age (15-44 years) with laboratory-confirmed infection with SARS-CoV-2, the virus that causes COVID-19. During January 22-October 3, CDC received reports through national COVID-19 case surveillance or through the National Notifiable Diseases Surveillance System (NNDSS) of 1,300,938 women aged 15-44 years with laboratory results indicative of acute infection with SARS-CoV-2. Data on pregnancy status were available for 461,825 (35.5%) women with laboratory-confirmed infection, 409,462 (88.7%) of whom were symptomatic. Among symptomatic women, 23,434 (5.7%) were reported to be pregnant. After adjusting for age, race/ethnicity, and underlying medical conditions, pregnant women were significantly more likely than were nonpregnant women to be admitted to an intensive care unit (ICU) (10.5 versus 3.9 per 1,000 cases; adjusted risk ratio aRR] = 3.0; 95% confidence interval CI] = 2.6-3.4), receive invasive ventilation (2.9 versus 1.1 per 1,000 cases; aRR = 2.9; 95% CI = 2.2-3.8), receive extracorporeal membrane oxygenation (ECMO) (0.7 versus 0.3 per 1,000 cases; aRR = 2.4; 95% CI = 1.5-4.0), and die (1.5 versus 1.2 per 1,000 cases; aRR = 1.7; 95% CI = 1.2-2.4).

Prevalence and severity of depression, anxiety, stress and perceived stress in hospitalized patients with COVID-19

Zandifar,  A,  Badrfam, et al

Journal of Diabetes and Metabolic Disorders

Mental Health |
santé mentale

In this cross-sectional study, 106 inpatients with COVID-19 who had stable clinical conditions were evaluated psychologically by two questionnaires: Depression, Anxiety and Stress Scales-21 (DASS-21) and Perceived Stress Scale (PSS-4).  More than one third of patients had underlying disease. Overall, 97.2% of patients with COVID-19 had some degree of depression. Severity of depression, according to the DASS questionnaire, was 85.8%. All patients (100%) had severe (0.9%) and very severe (99.1%) anxiety. 97.1% of patients had some degree of stress. In the severity of stress category, 84.9% of patients had severe and very severe stress. In terms of perceived stress, 73.6% of patients had high levels and 22.6% had moderate levels. A positive strong correlation was found between depression and perceived stress (Coefficient: 0.33, P-value: 0.001). Correlation between anxiety and perceived stress was statistically significant (Coefficient: 0.2, P-value: 0.04).

CoSinGAN: Learning COVID-19 Infection Segmentation from a Single Radiological Image

Zhang,  P,  Zhong, et al

Diagnostics (Basel)

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

We explore the feasibility of learning deep models for lung and COVID-19 infection segmentation from a single radiological image by resorting to synthesizing diverse radiological images. Specifically, we propose a novel conditional generative model, called CoSinGAN, which can be learned from a single radiological image with a given condition, i.e., the annotation mask of the lungs and infected regions. Our CoSinGAN is able to capture the conditional distribution of the single radiological image, and further synthesize high-resolution (512 × 512) and diverse radiological images that match the input conditions precisely. We evaluate the efficacy of CoSinGAN in learning lung and infection segmentation from very few radiological images by performing 5-fold cross validation on COVID-19-CT-Seg dataset (20 CT cases) and an independent testing on the MosMed dataset (50 CT cases). Both 2D U-Net and 3D U-Net, learned from four CT slices by using our CoSinGAN, have achieved notable infection segmentation performance, surpassing the COVID-19-CT-Seg-Benchmark, i.e., the counterparts trained on an average of 704 CT slices, by a large margin. Such results strongly confirm that our method has the potential to learn COVID-19 infection segmentation from few radiological images in the early stage of COVID-19 pandemic.

How critical activities within COVID-19 intensive care units increase nurses' daily occupational calling

Zhu,  Y,  Chen, et al

J Appl Psychol

Mental Health |
santé mentale

In this study, we investigate the possibility that occupational calling fluctuates across days during situations of crisis, and we identify antecedents and consequence of such fluctuations. To test our model, we conducted a daily diary study of 66 nurses working in intensive care units over 5 consecutive work days in a specialized Wuhan hospital that only admitted confirmed COVID-19 patients during the peak of the pandemic in China. We found that the daily number of code blue events (i.e., cardiopulmonary resuscitation efforts with the primary goal of patient revival) was positively related to daily occupational calling for nurses. Moreover, individual differences in prosocial motivation predicted the average level and variability of occupational calling over the 5 days, which subsequently related to the nurses' job performance.

Variable Performance in 6 Commercial SARS-CoV-2 Antibody Assays May Affect Convalescent Plasma and Seroprevalence Screening

Zilla,  M,  Wheeler, et al

Am J Clin Pathol

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

Six SARS-CoV-2 antibody assays from Beckman Coulter, Euroimmun (IgG, IgA), Roche, and Siemens (Centaur, Vista) were assessed for specificity (n = 184), sensitivity (n = 154), and seroconversion in a defined cohort with clinical correlates and molecular SARS-CoV-2 results. Assay specificity was 99% or greater for all assays except the Euroimmun IgA (95%). Sensitivity at more than 21 days from symptom onset was 84%, 95%, 72%, 98%, 67%, and 96% for Beckman Coulter, Centaur, Vista, Roche, Euroimmun IgA, and Euroimmun IgG, respectively. Average day of seroconversion was similar between assays (8-10 d), with 2 patients not producing nucleocapsid antibodies during hospitalization. SARS-CoV-2 nucleocapsid antibodies may be less reliably produced early in disease than spike protein antibodies. Assessment of convalescent plasma donors at more than 30 days from symptom onset and seroprevalence studies should use assays with defined sensitivity at time points of interest because not all assays detected antibodies reliably at more than 30 days.

Mathematical Models for COVID-19 Pandemic: A Comparative Analysis

Adiga,  A,  Dubhashi, et al

Journal of the Indian Institute of Science

Review Literature| Revue de littérature

 

Ocular surface manifestations of coronavirus disease 2019 (COVID-19): A systematic review and meta-analysis

Aggarwal,  K,  Agarwal, et al

PLoS One

Review Literature| Revue de littérature

SR-MA:  PubMed, Web of Science, CINAHL, OVID and Google scholar weres searched through 31st May 2020.  The most common reported ocular presentations of COVID-19 included ocular pain, redness, discharge, and follicular conjunctivitis. A small proportion of patients had viral RNA in their conjunctival/tear samples.

A comparative study on the strategies adopted by the United Kingdom, India, China, Italy, and Saudi Arabia to contain the spread of the COVID-19 pandemic

Alanezi,  F,  Aljahdali, et al

Journal of Healthcare Leadership

Review Literature| Revue de littérature

 

33095205; Chemical disinfectants of COVID-19: an overview

Al-Sayah,  M

Journal of water and health

Review Literature| Revue de littérature

 

PMC7642243; Nanobiosensors as new diagnostic tools for SARS, MERS and COVID-19: from past to perspectives

Antiochia,  R

Mikrochim Acta

Review Literature| Revue de littérature

 

The wide spectrum of Kawasaki-like disease associated with SARS-CoV-2 infection

Berardicurti,  O,  Conforti, et al

Expert Rev Clin Immunol

Review Literature| Revue de littérature

 

Coagulation disorders in covid-19: Role of toll-like receptors

Biswas,  I,  Khan, et al

Journal of Inflammation Research

Review Literature| Revue de littérature

 

The Pandemic in India and Its Impact on Footloose Labour

Breman,  J

Indian Journal of Labour Economics

Review Literature| Revue de littérature

 

Systematic Review of the Literature About the Effects of the COVID-19 Pandemic on the Lives of School Children

Cachón-Zagalaz,  J,  Sánchez-Zafra, et al

Frontiers in Psychology

Review Literature| Revue de littérature

SR: Web of Science (WOS), Scopus, and Dialnet databases were searched.  After concluding the systematic review, it has been detected that there are few studies that have focused their attention on the psychological, motor, or academic problems that can occur to minors after a situation of these characteristics. Similarly, a small number of studies have been found that promote actions at the family and school level to reverse this situation when life returns to normal.

Studies of Physical Activity and COVID-19 During the Pandemic: A Scoping Review

Caputo,  EL,  Reichert, et al

J Phys Act Health

Review Literature| Revue de littérature

ScR:  A search in 6 databases (PubMed, Embase, SPORTDiscus, Scopus, Web of Science, and CINAHL) was conducted on July 23, 2020. Most of the evidence identified a decrease in PA levels due to social distancing measures and that PA might help to decrease the mental health burden related to the COVID-19 outbreak.

Novel Evidence of Acute Kidney Injury in COVID-19

Chueh,  TI,  Zheng, et al

J Clin Med

Review Literature| Revue de littérature

 

'Learning from home': role of e-learning methodologies and tools during novel coronavirus pandemic outbreak

Deepika,  V,  Soundariya, et al

Postgrad Med J

Review Literature| Revue de littérature

 

Evaluation of the prophylaxis and treatment of COVID-associated coagulopathy

Elbeddini,  A,  Gerochi, et al

Journal of Pharmaceutical Policy and Practice

Review Literature| Revue de littérature

 

Treatment considerations for Behçet's disease in the era of COVID-19: a narrative review

Elmas Ö,  F,  Demirbaş, et al

Dermatol Ther

Review Literature| Revue de littérature

 

Physical Exercise and the Renin Angiotensin System: Prospects in the COVID-19

Evangelista,  FS

Frontiers in Physiology

Review Literature| Revue de littérature

 

Cultural and Practical Implications for Psychiatric Telehealth Services: A Response to COVID-19

Goldin,  D,  Maltseva, et al

J Transcult Nurs

Review Literature| Revue de littérature

 

Unveiling the diversity of scholarly debate on living labs: A bibliometric approach

Greve,  K,  Leminen, et al

International Journal of Innovation Management

Review Literature| Revue de littérature

 

Kidney involvement in COVID-19 and its treatments

Han,  X,  Ye, et al

J Med Virol

Review Literature| Revue de littérature

 

COVID-19 and COPD: a narrative review of the basic science and clinical outcomes

Higham,  A,  Mathioudakis, et al

Eur Respir Rev

Review Literature| Revue de littérature

 

Treatment options for severe acute respiratory syndrome, middle east respiratory syndrome, and coronavirus disease 2019: A review of clinical evidence

Hoang,  T,  Thi Anh, et al

Infection and Chemotherapy

Review Literature| Revue de littérature

 

The Tokyo Olympic Games and the Risk of COVID-19

Hoang,  VT,  Al-Tawfiq, et al

Current Tropical Medicine Reports

Review Literature| Revue de littérature

 

Antimicrobial Peptides: Classification, Design, Application and Research Progress in Multiple Fields

Huan,  Y,  Kong, et al

Frontiers in Microbiology

Review Literature| Revue de littérature

 

COVID-19 Vaccines Currently under Preclinical and Clinical Studies, and Associated Antiviral Immune Response

Jain,  S,  Batra, et al

Vaccines (Basel)

Review Literature| Revue de littérature

 

The impact of the COVID-19 pandemic on the care and management of patients with acute cardiovascular disease: a systematic review

Kiss,  P,  Carcel, et al

Eur Heart J Qual Care Clin Outcomes

Review Literature| Revue de littérature

SR:  PubMed, MedRxiv and Google Scholar were searched for observational studies published up to August 12, 2020.  The COVID-19 pandemic has led to a substantial decrease in the rate of admissions for acute CVD, reductions in the number of procedures, shortened lengths of stay at the hospital and longer delays between the onset of the symptoms and hospital treatment.

Universal anti-influenza vaccines based on viral HA2 and M2e antigens

Kostolanský,  F,  Tomčíková, et al

Acta Virol

Review Literature| Revue de littérature

 

Psychological resilience, coping behaviors, and social support among healthcare workers during the COVID-19 pandemic: a systematic review of quantitative studies

Labrague,  Leodoro

medRxiv

Review Literature| Revue de littérature

SR: PubMed, CINAHL, SCOPUS, MEDLINE and PsychINFO were searched. Substantial evidence supports the effectiveness of coping behaviours, psychological resilience, and social support to preserve psychological and mental health among HCWs during the COVID-19 pandemic.

Consideration of the Psychological and Mental Health of the Elderly during COVID-19: A Theoretical Review

Lee,  K,  Jeong, et al

Int J Environ Res Public Health

Review Literature| Revue de littérature

 

Nanomaterials for Airborne Virus Inactivation: A Short Review

Li,  R,  Cui, et al

Aerosol Science and Engineering

Review Literature| Revue de littérature

 

A review of neuro-ophthalmological manifestations of human coronavirus infection

Luís,  ME,  Hipólito-Fernandes, et al

Eye and Brain

Review Literature| Revue de littérature

 

PMC7643523; A public health timeline to prepare for COVID-19 vaccines in Canada

MacDonald,  NE,  Comeau, et al

Can J Public Health

Review Literature| Revue de littérature

 

An overview on the use of antivirals for the treatment of patients with COVID19 disease

Malinis,  M,  McManus, et al

Expert Opin Investig Drugs

Review Literature| Revue de littérature

 

SARS-CoV-2 and inflammatory responses: from mechanisms to the potential therapeutic use of intravenous immunoglobulin

Mascolo,  S,  Carleo, et al

J Med Virol

Review Literature| Revue de littérature

 

Diagnostic accuracy of serological tests and kinetics of severe acute respiratory syndrome coronavirus 2 antibody: A systematic review and meta-analysis

Mekonnen,  D,  Mengist, et al

Rev Med Virol

Review Literature| Revue de littérature

SR-MA: MEDLINE through PubMed, Scopus, medRxiv and bioRxiv were sources of articles. As immunoglobulin isotope-related DTA was heterogeneous, our data have insufficient evidence to recommend CLIA/ELISA for clinical decision-making, but likely to have comparative advantage over RT-qPCR in certain circumstances and geographic regions.

Traditional Herbal Medicine Candidates as Complementary Treatments for COVID-19: A Review of Their Mechanisms, Pros and Cons

Nugraha,  RV,  Ridwansyah, et al

Evidence-based Complementary and Alternative Medicine

Review Literature| Revue de littérature

 

The shadow pandemic: Inequitable gendered impacts of COVID-19 in South Africa

Parry,  BR,  Gordon, et al

Gender, Work and Organization

Review Literature| Revue de littérature

 

PMC7641654; Social Determinants of Poor Management of Type 2 Diabetes Among the Insured

Patel,  MR

Curr Diab Rep

Review Literature| Revue de littérature

 

Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review

Pollock,  A,  Campbell, et al

Cochrane Database Syst Rev

Review Literature| Revue de littérature

SR: On 28 May 2020 we searched the Cochrane Database of Systematic Reviews, CENTRAL, MEDLINE, Embase, Web of Science, PsycINFO, CINAHL, Global Index Medicus databases and WHO Institutional Repository for Information Sharing. We also searched ongoing trials registers and Google Scholar.

Epidemiology of SARS-CoV-2/COVID-19: Current status

Salzberger,  B,  Buder, et al

Gastroenterologe

Review Literature| Revue de littérature

 

Review on selected potential nutritional intervention for treatment and prevention of viral infections: possibility of recommending these for Coronavirus 2019

Shirani,  F,  Khorvash, et al

International Journal of Food Properties

Review Literature| Revue de littérature

 

The COVID-19 Pandemic: An Unprecedented Tragedy in the Battle Against Childhood Obesity

Storz,  MA

Clin Exp Pediatr

Review Literature| Revue de littérature

 

MATH+ and I-MASK+ Protocols for Prevention and Treatment of All Phases of COVID-19 – A Short Review

Turkia,  Mika

SSRN- Lancet prepublication

Review Literature| Revue de littérature

 

Remdesivir and Coronavirus Disease 2019 (COVID-19): Essential Questions and Answers for Pharmacists and Pharmacy Technicians

Veronin,  MA,  Lang, et al

Journal of Pharmacy Technology

Review Literature| Revue de littérature

 

Disinfection mechanisms of UV light and ozonization

Wang,  YF,  Militky, et al

 

Review Literature| Revue de littérature

 

Staff wellbeing in times of COVID-19

Wong,  A,  Olusanya, et al

Journal of the Intensive Care Society

Review Literature| Revue de littérature

 

Digestive system manifestations and clinical significance of coronavirus disease 2019 (COVID-19): a systematic literature review

Ye,  L,  Yang, et al

J Gastroenterol Hepatol

Review Literature| Revue de littérature

SR: searched PubMed database and Google articles published in both English and Chinese up to June 3, 2020.  GI symptoms are common in COVID-19. Strengthening the recognition on abnormalities in digestive system of patients with COVID-19 is crucial for early identification and timely treatment, especially for those atypical patients. Hygiene protection and keep drainpipe free-flowing are necessary for everyone.

Remdesivir in COVID-19 management: availability and relevance to low- and middle-income countries

Adhikari,  S,  Khadka, et al

Drugs and Therapy Perspectives

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and dwindling indian federalism

Agrawal,  P

Economic and Political Weekly

Commentary/Editorial| Commentaire/Éditorial

 

Frequencies of CD33+CD11b+HLA-DR–CD14–CD66b+ and CD33+CD11b+HLA-DR–CD14+CD66b– Cells in Peripheral Blood as Severity Immune Biomarkers in COVID-19

Alberca,  RW,  Andrade, et al

Frontiers in Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Surgery during the COVID-19 pandemic

Alderman,  Joseph

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Pandemic performance: Women leaders in the Covid-19 crisis

Aldrich,  AS,  Lotito, et al

Politics and Gender

Commentary/Editorial| Commentaire/Éditorial

 

Framework for curriculum delivery during COVID-19 pandemic in a health sciences university

Al-Kadri,  H,  Al Moamary, et al

Annals of Thoracic Medicine

Commentary/Editorial| Commentaire/Éditorial

 

33097101; The Impact of COVID-19 within Academic Settings: A High-Speed Pivot

Almost,  J

Nursing leadership (Toronto, Ont.)

Commentary/Editorial| Commentaire/Éditorial

 

Serial Screening for COVID-19 in Asymptomatic Patients Receiving Anticancer Therapy in the United Arab Emirates

Al-Shamsi,  H,  Coomes, et al

JAMA Oncol

Commentary/Editorial| Commentaire/Éditorial

 

Put me on the front line: Doctors who have recovered from coronavirus should treat patients with COVID-19

Altshuler,  E

BMJ Leader

Commentary/Editorial| Commentaire/Éditorial

 

33094936; Who should we treat: elective surgical admissions or patients with COVID-19?

Antkowiak,  PS,  Cocchi, et al

The American Journal of Managed Care

Commentary/Editorial| Commentaire/Éditorial

 

Fighting COVID-19 Using Molecular Dynamics Simulations

Arantes,  PR,  Saha, et al

ACS Central Science

Commentary/Editorial| Commentaire/Éditorial

 

Commentary: A Human Pluripotent Stem Cell-Based Platform to Study SARS-CoV-2 Tropism and Model Virus Infection in Human Cells and Organoids

Ardestani,  A,  Maedler, et al

Frontiers in Endocrinology

Commentary/Editorial| Commentaire/Éditorial

 

Teleneuropsychology for Monolingual and Bilingual Spanish-Speaking Adults in the Time of COVID-19: Rationale, Professional Considerations, and Resources

Arias,  F,  Safi, et al

Arch Clin Neuropsychol

Commentary/Editorial| Commentaire/Éditorial

 

Fiscal solidarity: The conditional role of political knowledge

Armingeon,  K

European Union Politics

Commentary/Editorial| Commentaire/Éditorial

 

Mini-Lectures Interleaved with Exercises Found Beneficial in Online Learning

Au,  OTS

 

Commentary/Editorial| Commentaire/Éditorial

 

[Pregnancy care during COVID-19 epidemic, a drive for change?]

Baena-Antequera,  F,  Jurado-García, et al

Rev Esp Salud Publica

Commentary/Editorial| Commentaire/Éditorial

 

Starting a regional collaborative research group for COVID-19 in pregnancy: the Southern Michigan experience

Bahado-Singh,  R,  Hassan, et al

J Perinat Med

Commentary/Editorial| Commentaire/Éditorial

 

Challenges in visceral medicine during COVID-19: Experiences from a hospital with basic and standard care facilities

Banysch,  M,  Heuer, et al

Gastroenterologe

Commentary/Editorial| Commentaire/Éditorial

 

Sitagliptin: a potential drug for the treatment of COVID-19?

Bardaweel,  SK,  Hajjo, et al

Acta Pharm

Commentary/Editorial| Commentaire/Éditorial

 

33095546; Lessons Learned from the COVID-19 Pandemic for Pediatric Workplaces

Beal,  JA

MCN.The American journal of maternal child nursing

Commentary/Editorial| Commentaire/Éditorial

 

The pandemic of pictures: Visual and bio-political rhetoric of a world marked by covid-19

Beiguelman,  G

Revista Latinoamericana de Psicopatologia Fundamental

Commentary/Editorial| Commentaire/Éditorial

 

Social policy responses to COVID-19 in Canada and the United States: Explaining policy variations between two liberal welfare state regimes

Béland,  D,  Dinan, et al

Social Policy and Administration

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 pandemic as disjuncture: Lifelong learning in a context of fear

Bjursell,  C

International Review of Education

Commentary/Editorial| Commentaire/Éditorial

 

Did Targeting Financial Constraints During COVID-19 Make Sense?

Boddin,  Dominik,  D'Acunto, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

33103512; The probiotic Bifidobacterium in the management of Coronavirus: A theoretical basis

Bozkurt,  HS,  Quigley, et al

International Journal of Immunopathology and Pharmacology

Commentary/Editorial| Commentaire/Éditorial

 

Assessing the Impact of the COVID-19 Pandemic on Student Wellbeing at Universities in the United Kingdom: A Conceptual Analysis

Burns,  D,  Dagnall, et al

Frontiers in Education

Commentary/Editorial| Commentaire/Éditorial

 

Challenges posed to the psychoanalytic clinic (And its future) in the context of the covid-19 pandemic: Reflections on clinical experience

Capoulade,  F,  Pereira, et al

Revista Latinoamericana de Psicopatologia Fundamental

Commentary/Editorial| Commentaire/Éditorial

 

32890757; Real-life experience of an allergy and clinical immunology department in a Portuguese reference COVID-19 hospital

Carneiro-Leão,  L,  Amaral, et al

Journal of Allergy and Clinical Immunology: In Practice

Commentary/Editorial| Commentaire/Éditorial

 

Annals On Call - Remdesivir as Treatment for COVID-19

Centor,  RM,  Andrews, et al

Ann Intern Med

Commentary/Editorial| Commentaire/Éditorial

 

Holiday in the time of Covid-19: Use the long break to get ready for the challenges of the new academic year

Chandler-Grevatt,  A

Education in Chemistry

Commentary/Editorial| Commentaire/Éditorial

 

Caution in Interpretation of Abnormal Carbon Monoxide Diffusion Capacity in COVID-19 Patients

Chapman,  DG,  Badal, et al

Eur Respir J

Commentary/Editorial| Commentaire/Éditorial

 

ChAdOx1 nCoV-19 vaccine for SARS-CoV-2

Chauhan,  Anil,  Agarwal, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19—The largest isolation study in history: the value of shared learnings from spaceflight analogs

Choukér,  A,  Stahn, et al

npj Microgravity

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19 consequences: The fallout from the pandemic will be far-reaching and won't just affect pupils

Clatworthy,  L

Education in Chemistry

Commentary/Editorial| Commentaire/Éditorial

 

Surgery during the COVID-19 pandemic – Authors' reply

Collaborative,  OVIDS C

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Mass Air Medical Repatriation of Coronavirus Disease 2019 Patients

Cornelius,  B,  Cornelius, et al

Air Medical Journal

Commentary/Editorial| Commentaire/Éditorial

 

The psychopathology of the pandemic: Literature, science and politics

D‘agord,  MRL,  Lang, et al

Revista Latinoamericana de Psicopatologia Fundamental

Commentary/Editorial| Commentaire/Éditorial

 

Grief in the times of COVID-19: Challenges to mental health care during the pandemics

Dantas,  CR,  de Azevedo, et al

Revista Latinoamericana de Psicopatologia Fundamental

Commentary/Editorial| Commentaire/Éditorial

 

33044748; Factors associated with reattendance to emergency services following COVID-19 hospitalization

Daunt,  A,  Perez-Guzman, et al

Journal of medical virology

Commentary/Editorial| Commentaire/Éditorial

 

Writing, memory and care – health workers testimonies in times of pandemic

de Serpa,  OD,  Jr, et al

Revista Latinoamericana de Psicopatologia Fundamental

Commentary/Editorial| Commentaire/Éditorial

 

Sex differences in COVID-19 case fatality: do we know enough?

Dehingia,  Nabamallika,  Raj, et al

The Lancet Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Highlights in the fight against COVID-19: does autophagy play a role in SARS-CoV-2 infection?

Delorme-Axford,  E,  Klionsky, et al

Autophagy

Commentary/Editorial| Commentaire/Éditorial

 

Remodeling dentistry and dental technologies after coronavirus disease 2019 (COVID-19)

Dhar,  U,  Nagarajappa, et al

Journal of Oral Research

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Care home residents in England should have "safe spaces" for visits from family and friends, says guidance

Dyer,  C

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Strategy, coordinated implementation, and sustainable financing needed for COVID-19 innovations

Dzau,  VictorJ,  Balatbat, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

AI Transforming Healthcare Management during COVID-19 Pandemic

Efthymiou,  Panagiota Iris-,  Sidiropoulos, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 crisis and complexity: A soft systems approach

El-Taliawi,  O,  Hartley, et al

Journal of Contingencies and Crisis Management

Commentary/Editorial| Commentaire/Éditorial

 

33102152; SARS-CoV-2 infection in pregnant women and their newborns

Etti,  M,  Sekikubo, et al

Annals of Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Characterization, indication and passivation of SARS-CoV-2

Faheem,  S,  Militky, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

Beyond 2020: converging crises demand integrated responses: Statement by the RACC International Advisory Committee following the RACC-12 International Forum

Falk,  J,  Colwell, et al

Sustainability Science

Commentary/Editorial| Commentaire/Éditorial

 

Why asthma might surprisingly protect against poor outcomes in COVID-19

Farne,  H,  Singanayagam, et al

Eur Respir J

Commentary/Editorial| Commentaire/Éditorial

 

Pandemic, necropolitics and the real of abandonment

Ferrari,  IF,  Januzzi, et al

Revista Latinoamericana de Psicopatologia Fundamental

Commentary/Editorial| Commentaire/Éditorial

 

NATO assures over collective defence in face of Covid-19

Fiorenza,  N

IHS Jane's Defence Weekly

Commentary/Editorial| Commentaire/Éditorial

 

Intravenous immunoglobulin immunotherapy for coronavirus disease-19 (COVID-19)

Galeotti,  C,  Kaveri, et al

Clinical and Translational Immunology

Commentary/Editorial| Commentaire/Éditorial

 

The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy

Galiero,  R,  Pafundi, et al

Journal of Diabetes Research

Commentary/Editorial| Commentaire/Éditorial

 

Corporate social responsibility during COVID-19 pandemic

García-Sánchez,  IM,  García-Sánchez, et al

Journal of Open Innovation: Technology, Market, and Complexity

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Lehren für die Universitäten

Gärtner,  P

Nachrichten aus der Chemie

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2 seroprevalence in Spain

George,  Thukalan Paulose

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

The Effect of a Major Pandemic on Risk Preferences - Evidence from Exposure to COVID-19

Graeber,  Daniel,  Schmidt, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

[Travelling to High Altitude Destinations after Recovery from COVID-19-infection: New Aspects of Medical Advice in Altitude Medicine]

Grannemann,  JJ,  Röper, et al

Pneumologie

Commentary/Editorial| Commentaire/Éditorial

 

Severity in pediatric type 1 diabetes mellitus debut during the COVID-19 pandemic

Güemes,  M,  Storch-de-Gracia, et al

J Pediatr Endocrinol Metab

Commentary/Editorial| Commentaire/Éditorial

 

The Gray Rhino of Pandemic Preparedness: Proactive digital, data, and organizational infrastructure to help humanity build resilience in the face of pandemics

Gupta,  Abhishek

arXiv

Commentary/Editorial| Commentaire/Éditorial

 

Surgery during the COVID-19 pandemic

Hamid,  HythamKS

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Reporting on suicidal behaviour and COVID-19—need for caution

Hawton,  Keith,  Marzano, et al

The Lancet Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Clinical protocols in dental practice: Post-COVID-19

Hegde,  M,  Qaiser, et al

Journal of Conservative Dentistry

Commentary/Editorial| Commentaire/Éditorial

 

The country brand in times of confinement: Analyzing the publicity message of tourism promotion of Spain and Colombia during COVID-19

Hernández-Zelaya,  SL,  Peláez-Muñoz, et al

RISTI - Revista Iberica de Sistemas e Tecnologias de Informacao

Commentary/Editorial| Commentaire/Éditorial

 

Risk of severe COVID-19 disease with ACE inhibitors and angiotensin receptor blockers: cohort study including 8.3 million people

Hippisley-Cox,  J,  Tan, et al

Heart

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2 seroprevalence in Spain

Hoffmann,  Christian,  Wolf, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Offline: Managing the COVID-19 vaccine infodemic

Horton,  Richard

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Copper coated textiles for inhibition of virus spread

Hu,  S,  Wang, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

Early triple antiviral therapy for COVID-19 – Authors' reply

Hung,  Ivan Fan-Ngai,  Yuen, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: NHS is placed on highest alert level as intensive care beds fill up

Iacobucci,  G

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: NHS hospitals are urged to recruit more patients to Recovery trial to find what treatments work

Iacobucci,  G

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19, HIV and key populations: cross-cutting issues and the need for population-specific responses

Iversen,  J,  Sabin, et al

Journal of the International AIDS Society

Commentary/Editorial| Commentaire/Éditorial

 

Hypoxia: A key feature of COVID-19 launching activation of HIF-1 and cytokine storm

Jahani,  M,  Dokaneheifard, et al

Journal of Inflammation (United Kingdom)

Commentary/Editorial| Commentaire/Éditorial

 

Notes from the Field: Development of an Enhanced Community-Focused COVID-19 Surveillance Program - Hopi Tribe, June‒July 2020

Jenkins,  R,  Burke, et al

MMWR Morb Mortal Wkly Rep

Commentary/Editorial| Commentaire/Éditorial

 

Understanding the Epidemic Course in Order to Improve Epidemic Forecasting

Jia,  P

GeoHealth

Commentary/Editorial| Commentaire/Éditorial

 

Hydroxychloroquine in the prevention of COVID-19 mortality

Jorge,  April

The Lancet Rheumatology

Commentary/Editorial| Commentaire/Éditorial

 

Fear, perplexity, negationism, consternation – and grief: Affects of the subject during the pandemic

Jorge,  MAC,  Mello, et al

Revista Latinoamericana de Psicopatologia Fundamental

Commentary/Editorial| Commentaire/Éditorial

 

Conducting of Web-Based Workshops for Final Year Medical Students Preparing to Enter the Workforce During the COVID-19 Pandemic

Kan,  JYL,  Zhu, et al

Medical Science Educator

Commentary/Editorial| Commentaire/Éditorial

 

Non-face-to-face basic surgical skill education in the novel coronavirus disease 2019 (COVID-19) outbreak: Obstacle vs. opportunity?

Kang,  CM

Annals of Surgical Treatment and Research

Commentary/Editorial| Commentaire/Éditorial

 

Addressing Social Determinants of Liver Disease during the COVID-19 Pandemic and Beyond: A Call to Action

Kardashian,  A,  Wilder, et al

Hepatology

Commentary/Editorial| Commentaire/Éditorial

 

Authors' reply Re: Implications for the future of Obstetrics and Gynaecology following the COVID-19 pandemic: a commentary

Kasaven,  LS,  Saso, et al

Bjog

Commentary/Editorial| Commentaire/Éditorial

 

Wie effektiv waren Distanzierungsmaβnahmen in der COVID-19-Pandemie bislang?

Klein,  F

Deutsche medizinische Wochenschrift

Commentary/Editorial| Commentaire/Éditorial

 

Platelets and COVID-19: Inflammation, Hyperactivation and Additional Questions

Koupenova,  M,  Freedman, et al

Circ Res

Commentary/Editorial| Commentaire/Éditorial

 

Pandemic sex workers’ resilience: COVID-19 crisis met with rapid responses by sex worker communities

Lam,  E

International Social Work

Commentary/Editorial| Commentaire/Éditorial

 

Measures to overcome the negative impacts of COVID-19 on the mental health of dentists

Laureano,  ICC,  Cavalcanti, et al

Journal of Oral Research

Commentary/Editorial| Commentaire/Éditorial

 

Early triple antiviral therapy for COVID-19

Lee,  Nelson,  Ison, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Clustering cases of Chlamydia psittaci pneumonia in COVID-19 screening ward staff

Lei,  JH,  Xu, et al

Clin Infect Dis

Commentary/Editorial| Commentaire/Éditorial

 

Student-led action during COVID-19: Countering discrimination at school

Lencz,  IÁ,  Hancock, et al

Intercultural Education

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Experts debate merits of lockdowns versus "focused protection"

Lenzer,  J

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Rapid Development of a Hospital Checklist in a Time of COVID-19

Lintern,  G,  Motavalli, et al

Ergonomics in Design

Commentary/Editorial| Commentaire/Éditorial

 

ChAdOx1 nCoV-19 vaccine for SARS-CoV-2

Lodge,  Archie

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

How discourses of gender equity during COVID-19 become exclusionary: Lessons from parenthood

Lorello,  GR,  Kuper, et al

J Eval Clin Pract

Commentary/Editorial| Commentaire/Éditorial

 

The Exploration and Practice of IT Solutions for Online Classes in Higher Education during COVID-19 Pandemic

Lu,  F,  Chen, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

Understanding COVID-19: In the end it is the endothelium-what else?

Lüscher,  TF

European heart journal

Commentary/Editorial| Commentaire/Éditorial

 

A university students’ response to an article on the psychological impacts of COVID-19 pandemic among university students in Bench-Sheko zone [letter]

Malik,  SI,  Ahmed, et al

Psychology Research and Behavior Management

Commentary/Editorial| Commentaire/Éditorial

 

Massive and Microscopic Sensemaking During COVID-19 Times

Markham,  AN,  Harris, et al

Qualitative Inquiry

Commentary/Editorial| Commentaire/Éditorial

 

Pandemic and Sport: The Challenges and Implications of Publicly Financed Sporting Venues in an Era of No Fans

Mayer,  M,  Cocco, et al

Public Works Management and Policy

Commentary/Editorial| Commentaire/Éditorial

 

Surgery during the COVID-19 pandemic

Meecham,  Lewis,  Shakarchi, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

33097102; Community Care and COVID-19: A Case Study

Mildon,  B

Nursing leadership (Toronto, Ont.)

Commentary/Editorial| Commentaire/Éditorial

 

A Testimony of the Surgent SARS-CoV-2 in the Immunological Panorama of the Human Host

Minakshi,  R,  Jan, et al

Frontiers in Cellular and Infection Microbiology

Commentary/Editorial| Commentaire/Éditorial

 

Vascular microthrombosis associated with increased interleukin-6. A severe acute respiratory distress syndrome in covid-19 patients treated with tocilizumab

Mohebbi,  N,  Abedini, et al

Advances in Respiratory Medicine

Commentary/Editorial| Commentaire/Éditorial

 

What could fair allocation of an efficacious COVID-19 vaccine look like in South Africa?

Moodley,  Keymanthri,  Rossouw, et al

The Lancet Global Health

Commentary/Editorial| Commentaire/Éditorial

 

Social Inclusion, Cash Transfers, and Discrimination in Latin America, Plus a Quick Assessment of the Repercussions of the Covid-19 Pandemic in Key Countries

Morales,  I

Latin American Policy

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 in haematology patients: a multicentre West Midlands clinical outcomes analysis on behalf of the West Midlands Research Consortium

Morrissey,  H,  Ball, et al

Br J Haematol

Commentary/Editorial| Commentaire/Éditorial

 

Collateral Damage as Crises Collide: Perioperative Opioids in the COVID-19 Era

Mudumbai,  SC,  Mariano, et al

Pain Med

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus Pandemic - SARS-CoV-2 in Orthopedics and Trauma Surgery

Müller,  M,  Stöckle, et al

Z Orthop Unfall

Commentary/Editorial| Commentaire/Éditorial

 

Doing tourism in Southern Africa amid the coronavirus pandemic: Navigating political, socio-economic and environmental inequalities

Musavengane,  R,  Leonard, et al

Development Southern Africa

Commentary/Editorial| Commentaire/Éditorial

 

The scientific approach to defeating COVID-19 disease

Muula,  AS

Malawi Medical Journal

Commentary/Editorial| Commentaire/Éditorial

 

33097098; A Cockeyed Optimist

Nagle,  LM

Nursing leadership (Toronto, Ont.)

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 pandemic in Brazil: Searching for meaning in the midst of a tragedy

Oda,  AMGR,  Leite, et al

Revista Latinoamericana de Psicopatologia Fundamental

Commentary/Editorial| Commentaire/Éditorial

 

Natural Plant Products: A Less Focused Aspect for the COVID-19 Viral Outbreak

Pandey,  A,  Khan, et al

Frontiers in Plant Science

Commentary/Editorial| Commentaire/Éditorial

 

Low-dose radiation therapy for coronavirus disease-2019 pneumonia: Is it time to look beyond apprehensions?

Pandey,  BN

Annals of Thoracic Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Acute Kidney Injury associated with COVID-19 - Cumulative Evidence and Rationale supporting Against Direct Kidney Injury (Infection)

Parmar,  MS

Nephrology (Carlton)

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19, big data: how it will change the way WE practice medicine

Pasipoularides,  A

Qjm

Commentary/Editorial| Commentaire/Éditorial

 

Reducing social worker burnout during COVID-19

Peinado,  M,  Anderson, et al

International Social Work

Commentary/Editorial| Commentaire/Éditorial

 

33039648; Ten Rules for Implementation of a Telemedicine Program to Care for Patients with Asthma

Persaud,  YK,  Portnoy, et al

Journal of Allergy and Clinical Immunology: In Practice

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2, “common cold” coronaviruses' cross-reactivity and “herd immunity”: The razor of Ockham (1285-1347)?

Petrosillo,  N

Infectious Disease Reports

Commentary/Editorial| Commentaire/Éditorial

 

Invoking indigenous wisdom for management learning

Pio,  E,  Waddock, et al

Management Learning

Commentary/Editorial| Commentaire/Éditorial

 

33099460; Living with covid-19

Ploumpidis,  D

Psychiatrike = Psychiatriki

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2 seroprevalence in Spain – Authors' reply

Pollán,  Marina,  Pérez-Gómez, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Pandemic and Cancer: The Importance of Early Palliative Care

Potenza,  L,  Luppi, et al

Oncologist

Commentary/Editorial| Commentaire/Éditorial

 

Classroom teaching at universities and colleges under the conditions of the SARS-CoV-2 pandemic: Recommendations on technical, organizational and personal protective measures for occupational health and safety

Preisser,  AM,  Pieter, et al

Zentralblatt fur Arbeitsmedizin, Arbeitsschutz und Ergonomie

Commentary/Editorial| Commentaire/Éditorial

 

Ocular MR Imaging as a Substitute for Ultrasound during the COVID-19 Pandemic

Purcell,  YM,  Bergès, et al

AJNR Am J Neuroradiol

Commentary/Editorial| Commentaire/Éditorial

 

Guaranteeing the health rights of people with disabilities in the COVID-19 pandemic: Perspectives from China

Qi,  F,  Wang, et al

Risk Management and Healthcare Policy

Commentary/Editorial| Commentaire/Éditorial

 

Study and practice on hand-made production technology of single-use medical face mask

Qu,  M,  Zhou, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

Evidence suggests children are being left behind in COVID-19 mental health research

Racine,  N,  Korczak, et al

Eur Child Adolesc Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Identifying Actions to Control and Mitigate the Effects of the COVID-19 Pandemic on Construction Organizations: Preliminary Findings

Raoufi,  M,  Fayek, et al

Public Works Management and Policy

Commentary/Editorial| Commentaire/Éditorial

 

An Examination of COVID-19 Outbreaks in Prisons and Jails in North America, Central America, and the Caribbean

Rapisarda,  SS,  Byrne, et al

Victims and Offenders

Commentary/Editorial| Commentaire/Éditorial

 

A Framework for Improving Policy Priorities in Managing COVID-19 Challenges in Developing Countries

Rasul,  G

Frontiers in Public Health

Commentary/Editorial| Commentaire/Éditorial

 

Vaccine: Genetic piece of corona wrapped in cold virus. Leiden pharmaceutical company is working hard on protection against COVID-19

Reinders,  C

Pharmaceutisch weekblad

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 personal protective equipment sterilization system

Reischl,  U

 

Commentary/Editorial| Commentaire/Éditorial

 

Making the Case for Centralized Dementia Care Through Adaptive Reuse in the Time of COVID-19

Roberts,  E,  Carter, et al

Inquiry (United States)

Commentary/Editorial| Commentaire/Éditorial

 

Surgery during the COVID-19 pandemic

Rodrigues,  Jeremy,  Chan, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Basic Cardiovascular Sciences Scientific Sessions 2020: Emerging Opportunities in Cardiovascular Diseases

Sadayappan,  S,  Tardiff, et al

Circ Res

Commentary/Editorial| Commentaire/Éditorial

 

Does the pandemic help us make education more equitable?

Sahlberg,  P

Educational Research for Policy and Practice

Commentary/Editorial| Commentaire/Éditorial

 

Androgen-deprivation therapy and SARS-Cov-2 infection: the potential double-face role of testosterone

Salciccia,  S,  Del Giudice, et al

Therapeutic Advances in Endocrinology and Metabolism

Commentary/Editorial| Commentaire/Éditorial

 

[Ethical considerations during health crisis: about SARS-CoV-2 coronavirus pandemic.]

Santillán-García,  A,  Ferrer-Arnedo, et al

Rev Esp Salud Publica

Commentary/Editorial| Commentaire/Éditorial

 

The COVID-19 Pandemic: A Pandemic of Lockdown Loneliness and the Role of Digital Technology

Shah,  SGS,  Nogueras, et al

J Med Internet Res

Commentary/Editorial| Commentaire/Éditorial

 

Surgery during the COVID-19 pandemic

Shanthanna,  Harsha,  Uppal, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus testing finally gathers speed

Sheridan,  C

Nat Biotechnol

Commentary/Editorial| Commentaire/Éditorial

 

From a figment of your imagination: Disabled marginal cases and underthought experiments

Shew,  A

Human Affairs

Commentary/Editorial| Commentaire/Éditorial

 

Importance of involving patients and public in health research in Bangladesh and Nepal

Simkhada,  B,  van Teijlingen, et al

Int J Technol Assess Health Care

Commentary/Editorial| Commentaire/Éditorial

 

Why did it not work? Reflections on regulating Airbnb and the complexity and agency of platform capitalism

Smigiel,  C

Geographica Helvetica

Commentary/Editorial| Commentaire/Éditorial

 

Myocardial Injury in Adults Hospitalized with COVID-19

Smilowitz,  NR,  Jethani, et al

Circulation

Commentary/Editorial| Commentaire/Éditorial

 

Halting Coronavirus Replication

Smith,  Kira

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Emergency use authorisation for COVID-19 vaccines: lessons from Ebola

Smith,  MaxwellJ,  Ujewe, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Spotlight on COVID-19 rapid guidance: NICE's experience of producing rapid guidelines during the pandemic

Southall,  S,  Taske, et al

J Public Health (Oxf)

Commentary/Editorial| Commentaire/Éditorial

 

33095547; Protecting Milk Supply During the COVID-19 Pandemic

Spatz,  DL

MCN.The American journal of maternal child nursing

Commentary/Editorial| Commentaire/Éditorial

 

PMC7197618; Role of Serology in the Coronavirus Disease 2019 Pandemic

Stowell,  SR,  Guarner, et al

Clin Infect Dis

Commentary/Editorial| Commentaire/Éditorial

 

N95 respirator and surgical mask in the pandemic of COVID-19

Sureka,  B,  Garg, et al

Annals of Thoracic Medicine

Commentary/Editorial| Commentaire/Éditorial

 

Economists tackle the challenges of a pandemic

Swonk,  D,  Cook, et al

Business Economics

Commentary/Editorial| Commentaire/Éditorial

 

32652395; Disposable aluminum covering for electrodes during nerve conduction studies in COVID-19 patients

Takata,  T,  Kobara, et al

Clinical neurology and neurosurgery

Commentary/Editorial| Commentaire/Éditorial

 

Growing up in the shadow of COVID-19

The Lancet,  Child,  amp, et al

The Lancet Child & Adolescent Health

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 in Latin America: a humanitarian crisis

The,  Lancet

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Scientists aghast as hopes for landslide Biden election victory vanish

Tollefson,  J

Nature

Commentary/Editorial| Commentaire/Éditorial

 

Novel device to prevent droplets in bronchoscopy during the SARS-CoV-2 pandemic

Uchimura,  K,  Yamasaki, et al

Thorac Cancer

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19-induced atypical pulmonary lymphocytes

Vergé,  V,  Soufan, et al

Blood

Commentary/Editorial| Commentaire/Éditorial

 

ChAdOx1 nCoV-19 vaccine for SARS-CoV-2 – Authors' reply

Voysey,  Merryn,  Pollard, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Surgery during the COVID-19 pandemic

Vuthaluru,  Seenu,  Koliyadan, et al

The Lancet

Commentary/Editorial| Commentaire/Éditorial

 

Hydrogen therapy as an effective and novel adjuvant treatment against COVID-19

Wang,  M,  Peng, et al

Qjm

Commentary/Editorial| Commentaire/Éditorial

 

Response to: Hydrogen therapy as an effective and novel adjuvant treatment against COVID-19

Wang,  ST,  Xu, et al

Qjm

Commentary/Editorial| Commentaire/Éditorial

 

ACE2 and SARS-CoV-2 - tissue or plasma, good or bad?

Wenzel,  UO,  Kintscher, et al

Am J Hypertens

Commentary/Editorial| Commentaire/Éditorial

 

Ensuring that COVID-19 research is inclusive: guidance from the NIHR INCLUDE project

Witham,  MD,  Anderson, et al

BMJ Open

Commentary/Editorial| Commentaire/Éditorial

 

Abnormal Saccadic Oscillations Associated with Severe Acute Respiratory Syndrome Coronavirus 2 Encephalopathy and Ataxia

Wright,  D,  Rowley, et al

Movement Disorders Clinical Practice

Commentary/Editorial| Commentaire/Éditorial

 

Prevention and Emergency Management in Cardiac Intensive Care Units After Effective Control of the COVID-19: A Chinese Tertiary Hospital Experience

Wu,  Zhijian,  Li, et al

Research Square prepub

Commentary/Editorial| Commentaire/Éditorial

 

Cause analysis of liver injury in patients infected by novel Coronavirus and suggestion of drug monitoring

Xuan,  ZX,  Zhang, et al

Chinese Pharmacological Bulletin

Commentary/Editorial| Commentaire/Éditorial

 

Comparative analysis of China’s Health Code, Australia’s COVIDSafe and New Zealand’s COVID Tracer Surveillance Apps: a new corona of public health governmentality?

Yang,  F,  Heemsbergen, et al

Media International Australia

Commentary/Editorial| Commentaire/Éditorial

 

Analysis of the current status and development trend of medical protective clothing standards

Zhang,  J,  Pan, et al

 

Commentary/Editorial| Commentaire/Éditorial

 

PMC7527351; Characteristics Analysis and Implications on the COVID-19 Reopening of Victoria, Australia

Zhang,  L,  Tao, et al

Innovation (N Y)

Commentary/Editorial| Commentaire/Éditorial

 

On the sources of brand value of textile enterprises - Multiple case analysis in the fight against COVID-19

Zhou,  CL

 

Commentary/Editorial| Commentaire/Éditorial

 

COVID research updates: Many surfaces carry coronavirus RNA - but not much of it

 

Nature

Commentary/Editorial| Commentaire/Éditorial

 

Sniffing out asymptomatic cases of Covid-19 How might dogs help in the fight against the coronavirus?

 

Education in Chemistry

Commentary/Editorial| Commentaire/Éditorial

 

 


 

Appendix: Process and definitions. 

 

A daily search for new publications is conducted in PubMed, Scopus, BioRxiv and MedRxiv, SSRN, Research Square, arXiv for all publications related to COVID-19 disease or SARS-CoV-2 using the search terms (COVID-19 OR SARS-CoV-2 OR "novel CoV" OR "novel coronavirus" OR nCoV) adapted to each database.  The capture is cross-referenced with publication announcements on the COVID-19 dashboards set up by a number of publishers and google.  Publishers include Lancet, Elsevier, The New England Journal of Medicine, BMJ, Wiley, Springer Nature, ChinaCDCweekly. Additionally the database is cross-referenced with other literature scans and activities by collaborators.  Members of the Emerging Sciences group examine and shorten the abstract or develop 1 -2 point summaries of each publication. Please email Lisa Waddell for additional information: Lisa.Waddell@canada.ca.  References are compiled in a reworks database that has citations since the beginning of the outbreak.  All references can be accessed at this link and by the categories listed below.  The daily scan has also been compiled in an excel sheet and copies can be provided upon request or accessed here.

 

Category Definitions:

Modelling/ prediction: Predictive modeling is a process that uses data mining and probability to forecast outcomes. Each model is made up of a number of predictors, which are variables that are likely to influence future results.

Epidemiology: the branch of medicine which deals with the incidence, distribution, and possible control of diseases and other factors relating to health. Includes Ro, attack rates, case number doubling time, case fatality rate, serial interval, clinical attack rate, asymptomatic fraction, proportion of asymptomatic and infective*

Transmission: The passage of a pathogen causing communicable disease from an infected host to an uninfected host via direct or indirect routes.

Clinical data of cases: Includes clinical parameters such as incubation period, latent period, period of communicability, duration of illness, duration of hospitalization, host risk factors, as well as clinical profiles of patients; presenting symptoms, symptoms over course of illness, comorbidities.* 

Long-term Sequelae: Data or Studies that describe the long-term effects of COVID-19 from lingering symptoms to severe conditions that persiste after acute infection has resolved.

Mental Health: All studies on mental health impacts or consequences of the pandemic for both general population and healthcare workers. 

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: Articles in this category include: COVID-19 AND substance abuse, domestic violence, social media analysis, adherence to public health measures and knowledge, attitudes and beliefs studies related to the pandemic.  

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.* 

Séquelles à long terme: Données ou études décrivant les effets à long terme du COVID-19, des symptômes persistants aux affections graves qui persistent après la résolution de l'infection aiguë.

Santé mentale: Toutes les études sur les impacts ou les conséquences de la pandémie sur la santé mentale tant pour la population générale que pour les travailleurs de la santé.

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 : Les articles de cette catégorie comprennent: COVID-19 ET toxicomanie, violence domestique, analyse des médias sociaux, respect des mesures de santé publique et études sur les connaissances, les attitudes et les croyances liées à la pandémie.

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