Dan-Yu Lin, Francois Abi Fadel, Shuaiqi Huang, Alex T Milinovich, Gretchen L Sacha, Patricia Bartley, Abhijit Duggal, Xiaofeng Wang
IMPORTANCE: Ritonavir-boosted nirmatrelvir and molnupiravir are currently used in the US and in other countries to treat nonhospitalized patients who have mild-to-moderate COVID-19 and who are at high risk for progression to severe disease. The associations of these 2 oral antiviral drugs with hospitalization and death resulting from infection with new SARS-CoV-2 Omicron subvariants, particularly BQ.1.1 and XBB.1.5, are unknown. OBJECTIVE: To assess the association of nirmatrelvir or molnupiravir use with the risks of hospitalization and death among patients infected with new Omicron subvariants...
September 5, 2023: JAMA Network Open
David R Boulware, Christopher J Lindsell, Thomas G Stewart, Adrian F Hernandez, Sean Collins, Matthew William McCarthy, Dushyantha Jayaweera, Nina Gentile, Mario Castro, Mark Sulkowski, Kathleen McTigue, G Michael Felker, Adit A Ginde, Sarah E Dunsmore, Stacey J Adam, Allison DeLong, George Hanna, April Remaly, Florence Thicklin, Rhonda Wilder, Sybil Wilson, Elizabeth Shenkman, Susanna Naggie
BACKGROUND: The effectiveness of inhaled glucocorticoids in shortening the time to symptom resolution or preventing hospitalization or death among outpatients with mild-to-moderate coronavirus disease 2019 (Covid-19) is unclear. METHODS: We conducted a decentralized, double-blind, randomized, placebo-controlled platform trial in the United States to assess the use of repurposed medications in outpatients with confirmed coronavirus disease 2019 (Covid-19). Nonhospitalized adults 30 years of age or older who had at least two symptoms of acute infection that had been present for no more than 7 days before enrollment were randomly assigned to receive inhaled fluticasone furoate at a dose of 200 μg once daily for 14 days or placebo...
September 21, 2023: New England Journal of Medicine
Rachel Powell, Bruce Parker, Mardi Moore, ThaoMee Xiong, Dorothy Evans, Turquoise Sidibe
The COVID-19 pandemic has exposed shortcomings in the US public health data system infrastructure, including incomplete or disparate processes related to data collection, management, sharing, and analysis. Public health data modernization is critical to ensure health equity is at the core of preparedness and response efforts and policies that prioritize equitable responses to health emergencies. To address the equitable uptake and distribution of COVID-19 vaccinations in communities most disproportionately impacted by the pandemic, the CDC Foundation's Response Crisis and Preparedness Unit began partnering with community-based organizations in March 2021 to provide education and outreach and facilitate access to vaccines...
September 21, 2023: Health Security
Vamsi Krishna Vaddi, Dwayne Mascarenhas, Kirthana S B, Nitu Mundhra, Ruchi Nanavati
Background and Objective : Donor human milk (DHM) from the human milk bank (HMB) is the next best alterative in circumstances when mother's own milk is not available. There was a steep decline in the volume of DHM collected during the coronavirus disease-19 (COVID-19) pandemic due to various factors, while DHM demand increased. Hence, a quality improvement (QI) study was conducted to increase the volume of milk donation to HMB from postpandemic baseline of 300-400 to 1,000 mL/day over 8 weeks. Materials and Methods: Fish bone analysis was used to identify the potential barriers, and four Plan-Do-Study-Act (PDSA) cycles were conducted from January 2021 to March 2021 to address the key barriers...
September 21, 2023: Breastfeeding Medicine
Regina W Hawkins, Kimberly Y Ma, Andrew D Pickett, Gerrit Bakker, Steven S Kipp, Alysia Mihalakos, Paul E Petersen
No abstract text is available yet for this article.
September 21, 2023: Health Security
Tomáš Kliegr, Jiří Jarkovský, Helena Jiřincová, Jaroslav Kuchař, Tomáš Karel, David Chudán, Stanislav Vojíř, Michal Zavřel, Ondřej Šanca, Ruth Tachezy
BackgroundThe sensitivity and specificity of selected antigen detection rapid diagnostic tests (AG-RDTs) for SARS-CoV-2 were determined in the unvaccinated population when the Delta variant was circulating. Viral loads, dynamics, symptoms and tissue tropism differ between Omicron and Delta.AimWe aimed to compare AG-RDT sensitivity and specificity in selected subgroups during Omicron vs Delta circulation.MethodsWe retrospectively paired AG-RDT results with PCRs registered in Czechia's Information System for Infectious Diseases from 1 to 25 December 2021 (Delta, n = 20,121) and 20 January to 24 February 2022 (Omicron, n = 47,104)...
September 2023: Euro Surveillance
Kamille Fogh, Tine Graakjær Larsen, Cyril Jean-Marie Martel, Frederik Trier Møller, Lasse Skafte Vestergaard, Ramona Trebbien, Anne-Marie Vangsted, Tyra Grove Krause
BackgroundDuring the COVID-19 pandemic, the Danish National Institute for Infectious Disease, Statens Serum Institute (SSI) developed a home-based SARS-CoV-2 surveillance system.AimsWe wanted to determine whether a cohort of individuals performing self-administered swabs for PCR at home could support surveillance of SARS-CoV-2, including detection and assessment of new variants. We also aimed to evaluate the logistical setup.MethodsFrom May to July 2022, 10,000 blood donors were invited to participate, along with their household members...
September 2023: Euro Surveillance
Meryem Kaygısız Yiğit, Rıdvan Akyol, Beyza Yalvaç, Meryem Etöz
OBJECTIVE: The aim of this study is to compare the pre-COVID-19 and post-COVID-19 dental radiological findings of individuals with positive rRT-PCR test results and with healthy controls using the apical periodontitis grade scale (APGS), radiographic-based periodontal bone loss (R-PBL), and radiographic DMFT indices, and to investigate the relatively long-term dental effects of COVID-19. METHODS: This study included people who had two panoramic radiographs taken between 2018 and 2022...
September 21, 2023: Oral Radiology
Stephan T Staudner, Simon B Leininger, Manuel J Vogel, Julian Mustroph, Ute Hubauer, Christine Meindl, Stefan Wallner, Petra Lehn, Ralph Burkhardt, Frank Hanses, Markus Zimmermann, Gregor Scharf, Okka W Hamer, Lars S Maier, Julian Hupf, Carsten G Jungbauer
Coronavirus SARS-CoV-2 spread worldwide, causing a respiratory disease known as COVID-19. The aim of the present study was to examine whether Dipeptidyl-peptidase 3 (DPP3) and the inflammatory biomarkers IL-6, CRP, and leucocytes are associated with COVID-19 and able to predict the severity of pulmonary infiltrates in COVID-19 patients versus non-COVID-19 patients. 114 COVID-19 patients and 35 patients with respiratory infections other than SARS-CoV-2 were included in our prospective observational study. Blood samples were collected at presentation to the emergency department...
September 21, 2023: Clinical and Experimental Medicine
Melanie J Zimmer-Gembeck, Ellen A Skinner, Riley A Scott, Katherine M Ryan, Tanya Hawes, Alex A Gardner, Amanda L Duffy
Adolescents face many academic pressures that require good coping skills, but coping skills can also depend on social resources, such as parental support and fewer negative interactions. The aim of this study was to determine if parental support and parental negative interactions concurrently and longitudinally relate to adolescents' ways of academic coping, above and beyond the impact of three types of academic stress, students' achievement at school (i.e., grades in school), and age. Survey data were collected from 839 Australian students in grades 5 to 10 (Mage  = 12...
September 21, 2023: Journal of Youth and Adolescence
Chiharu Ohira, Kengo Tomita, Mao Kaneki, Naoki Iwashita, Yoshiichi Takagi, Takashi Kurihara, Masaki Nagane, Junichi Kamiie, Tomoki Fukuyama
Ozone gas is widely used in hospitals as well as homes to control COVID-19 infection owing to its cost-effectiveness. Safety standard value and the tolerable value of ozone gas are set at 0.05 ppm and 0.1 ppm, respectively, in developed countries; however, this value was principally determined for healthy individuals, and the risks associated with ozone gas inhalation in patients with pulmonary diseases remains unknown. Recently, we demonstrated that 0.1 ppm ozone gas exposure significantly aggravates the symptoms of acute lung injury in mice...
September 21, 2023: Archives of Toxicology
Charee M Thompson, Sara Babu, Emily Gerlikovski, Maeve McGuire, Shana Makos, Annalisa Ranallo, Isabella Robieson
It is estimated that there are 65 million people globally - 19 million U.S. adults alone - who have long COVID, or persistent symptoms and conditions that continue or develop after an initial SARS-CoV-2 infection. Amidst their suffering and the ambiguity surrounding their health, people with long COVID engage processes of reintegrating from disruptions brought upon by their COVID-19 infection and its fallout, as well as the pandemic writ large. This process is communicative resilience (Buzzanell, 2010, 2017, 2019), and the purpose of this study is to document the experiences of people with long COVID as they sensemake, adapt, and transform their lives through communication...
September 21, 2023: Health Communication
Sara Garber, Jens O Brunner, Axel R Heller, Georg Marckmann, Christina C Bartenschlager
The significant increase in patients during the COVID-19 pandemic presented the healthcare system with a variety of challenges. The intensive care unit is one of the areas particularly affected in this context. Only through extensive infection control measures as well as an enormous logistical effort was it possible to treat all patients requiring intensive care in Germany even during peak phases of the pandemic, and to prevent triage even in regions with high patient pressure and simultaneously low capacities...
September 21, 2023: Anaesthesiologie
Shuhei Nomura, Cyrus Ghaznavi, Kazuki Shimizu, Alton Cao, Miho Sassa, Manae Uchibori, Rauniyar Santosh Kumar, Lisa Yamasaki, Hana Tomoi, Haruka Sakamoto
BACKGROUND: Official Development Assistance (ODA) significantly aids sustainable development in low- and middle-income countries (LMICs). However, the COVID-19 pandemic has impacted aid allocation, posing challenges for attaining the Sustainable Development Goals (SDGs). OBJECTIVE: This study explores and underscores the profound implications of shifts in ODA allocation by Development Assistance Committee (DAC) member countries, resulting from the COVID-19 pandemic, offering a unique perspective on the evolving landscape of international aid...
December 31, 2023: Global Health Action
Wen-Yi Liu, Zhu Liduzi Jiesisibieke, Ching-Wen Chien, Tao-Hsin Tung
PURPOSE: We conducted this umbrella review to review the current evidence on the relationship between COVID-19 and sexual health in both men and women. METHODS: We conducted searches in Pubmed, Embase, and the Cochrane dataset for meta-analyses that met our pre-set inclusion criteria. We included studies with detailed information investigating the link between COVID-19 and sexual health in men/women. We did not limit the language. RESULTS: The results of the included studies frequently relied on the Female Sexual Function Index to assess sexual health in women...
2023: Annals of Medicine
Hugh Silk
The author expresses themselves with a poem about their experiences with COVID-19. They talk about how the about the lack of connection and grief during the pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
September 2023: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Linda B Piacentine, Hannah C Barbosa, Kristin A Haglund, Lauren E Opielinski, Sandra K Hunter, Paula E Papanek, Marie Hoeger Bement, Norah L Johnson
INTRODUCTION: The cumulative number of COVID-19 cases has surpassed 579 million globally. Symptoms during and after COVID-19 infection vary from mild cold symptoms to severe multisystem illness. Given the wide range of symptom presentations and complications post-COVID-19, the purpose of this study was to describe the lived experience of American adults surviving COVID-19. METHOD: This study employed an exploratory qualitative description design. Semi-structured interviews were conducted with a sample of 35 individuals (White [94%], female [71%], Mage = 43...
September 2023: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Allen Wellman, Tiffany Johnson, Marcus Frohm
Cutaneous reactions following immunization, while rare, are a known adverse effect of many vaccinations. The precise etiology of such dermatologic manifestations and their long-term effects are largely unknown. This case study describes a 37-year-old female patient who initially presented with an edematous, pruritic facial rash that developed one day after vaccination against COVID-19, progressively worsened, and proved resistant to various forms of treatment. Following extensive workup, patch testing revealed a previously non-existent allergy to gold sodium thiosulfate...
June 2023: South Dakota Medicine: the Journal of the South Dakota State Medical Association
Brandon N Johnson, Leslie Cooper, Jeffrey J Beck, Casey T Finnicum, Christel M Davis, Austin J Van Asselt, Noah Kallsen, Cody Silvernail, Sarah Viet, Kayla Long, Patricia Huizenga, Ethan Vaselaar, Mackenzie Pfeifle, Laiken Nelson, Zachary Streier, Cory Katz, Kayli B Leonard, Neil Matthiesen, Nicholas Buschette, Lisa Weisser, Mike Jahnke, Krista Bohlen, Samuel L Young, Raed A Sulaiman, Bruce R Prouse, David A Basel, Mike Black, Ryan Hansen, Jason L Petersen, Gonneke Willemsen, Dorret I Boomsma, Michelle J Bleile, Erik A Ehli
INTRODUCTION: During the coronavirus disease 2019 (COVID-19) pandemic, real-time reverse transcription polymerase chain reaction (RT-PCR) became an essential tool for laboratories to provide high-sensitivity qualitative diagnostic testing for patients and real-time data to public health officials. Here we explore the predictive value of quantitative data from RT-PCR cycle threshold (Ct) values in epidemiological measures, symptom presentation, and variant transition. METHODS: To examine the association with hospitalizations and deaths, data from 74,479 patients referred to the Avera Institute for Human Genetics (AIHG) for COVID-19 testing in 2020 were matched by calendar week to epidemiological data reported by the South Dakota Department of Health...
June 2023: South Dakota Medicine: the Journal of the South Dakota State Medical Association
Rodman E Turpin, C J Mandell, Aaron D Camp, Rochelle R Davidson Mhonde, Typhanye V Dyer, Kenneth H Mayer, Hongjie Liu, Thomas Coates, Bradley Boekeloo
BACKGROUND: The Covid-19 pandemic has created substantial and profound barriers to several forms of healthcare engagement. For Black sexual minority men, this may include engagement with pre-exposure prophylaxis (PrEP) to prevent HIV infection, with significant implications for HIV disparities. Our study explored how the Covid-19 pandemic affected Black sexual minority men, with a focus on relationships between Covid-19 and PrEP engagement. SETTING: We sampled 24 Black sexual minority men attending HIV prevention-related events in the greater D...
September 15, 2023: Journal of Acquired Immune Deficiency Syndromes: JAIDS
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