keyword
https://read.qxmd.com/read/37352211/researching-covid-to-enhance-recovery-recover-adult-study-protocol-rationale-objectives-and-design
#1
JOURNAL ARTICLE
Leora I Horwitz, Tanayott Thaweethai, Shari B Brosnahan, Mine S Cicek, Megan L Fitzgerald, Jason D Goldman, Rachel Hess, S L Hodder, Vanessa L Jacoby, Michael R Jordan, Jerry A Krishnan, Adeyinka O Laiyemo, Torri D Metz, Lauren Nichols, Rachel E Patzer, Anisha Sekar, Nora G Singer, Lauren E Stiles, Barbara S Taylor, Shifa Ahmed, Heather A Algren, Khamal Anglin, Lisa Aponte-Soto, Hassan Ashktorab, Ingrid V Bassett, Brahmchetna Bedi, Nahid Bhadelia, Christian Bime, Marie-Abele C Bind, Lora J Black, Andra L Blomkalns, Hassan Brim, Mario Castro, James Chan, Alexander W Charney, Benjamin K Chen, Li Qing Chen, Peter Chen, David Chestek, Lori B Chibnik, Dominic C Chow, Helen Y Chu, Rebecca G Clifton, Shelby Collins, Maged M Costantine, Sushma K Cribbs, Steven G Deeks, John D Dickinson, Sarah E Donohue, Matthew S Durstenfeld, Ivette F Emery, Kristine M Erlandson, Julio C Facelli, Rachael Farah-Abraham, Aloke V Finn, Melinda S Fischer, Valerie J Flaherman, Judes Fleurimont, Vivian Fonseca, Emily J Gallagher, Jennifer C Gander, Maria Laura Gennaro, Kelly S Gibson, Minjoung Go, Steven N Goodman, Joey P Granger, Frank L Greenway, John W Hafner, Jenny E Han, Michelle S Harkins, Kristine S P Hauser, James R Heath, Carla R Hernandez, On Ho, Matthew K Hoffman, Susan E Hoover, Carol R Horowitz, Harvey Hsu, Priscilla Y Hsue, Brenna L Hughes, Prasanna Jagannathan, Judith A James, Janice John, Sarah Jolley, S E Judd, Joy J Juskowich, Diane G Kanjilal, Elizabeth W Karlson, Stuart D Katz, J Daniel Kelly, Sara W Kelly, Arthur Y Kim, John P Kirwan, Kenneth S Knox, Andre Kumar, Michelle F Lamendola-Essel, Margaret Lanca, Joyce K Lee-Lannotti, R Craig Lefebvre, Bruce D Levy, Janet Y Lin, Brian P Logarbo, Jennifer K Logue, Michele T Longo, Carlos A Luciano, Karen Lutrick, Shahdi K Malakooti, Gail Mallett, Gabrielle Maranga, Jai G Marathe, Vincent C Marconi, Gailen D Marshall, Christopher F Martin, Jeffrey N Martin, Heidi T May, Grace A McComsey, Dylan McDonald, Hector Mendez-Figueroa, Lucio Miele, Murray A Mittleman, Sindhu Mohandas, Christian Mouchati, Janet M Mullington, Girish N Nadkarni, Erica R Nahin, Robert B Neuman, Lisa T Newman, Amber Nguyen, Janko Z Nikolich, Igho Ofotokun, Princess U Ogbogu, Anna Palatnik, Kristy T S Palomares, Tanyalak Parimon, Samuel Parry, Sairam Parthasarathy, Thomas F Patterson, Ann Pearman, Michael J Peluso, Priscilla Pemu, Christian M Pettker, Beth A Plunkett, Kristen Pogreba-Brown, Athena Poppas, J Zachary Porterfield, John G Quigley, Davin K Quinn, Hengameh Raissy, Candida J Rebello, Uma M Reddy, Rebecca Reece, Harrison T Reeder, Franz P Rischard, Johana M Rosas, Clifford J Rosen, Nadine G Rouphael, Dwight J Rouse, Adam M Ruff, Christina Saint Jean, Grecio J Sandoval, Jorge L Santana, Shannon M Schlater, Frank C Sciurba, Caitlin Selvaggi, Sudha Seshadri, Howard D Sesso, Dimpy P Shah, Eyal Shemesh, Zaki A Sherif, Daniel J Shinnick, Hyagriv N Simhan, Upinder Singh, Amber Sowles, Vignesh Subbian, Jun Sun, Mehul S Suthar, Larissa J Teunis, John M Thorp, Amberly Ticotsky, Alan T N Tita, Robin Tragus, Katherine R Tuttle, Alfredo E Urdaneta, P J Utz, Timothy M VanWagoner, Andrew Vasey, Suzanne D Vernon, Crystal Vidal, Tiffany Walker, Honorine D Ward, David E Warren, Ryan M Weeks, Steven J Weiner, Jordan C Weyer, Jennifer L Wheeler, Sidney W Whiteheart, Zanthia Wiley, Natasha J Williams, Juan P Wisnivesky, John C Wood, Lynn M Yee, Natalie M Young, Sokratis N Zisis, Andrea S Foulkes
IMPORTANCE: SARS-CoV-2 infection can result in ongoing, relapsing, or new symptoms or other health effects after the acute phase of infection; termed post-acute sequelae of SARS-CoV-2 infection (PASC), or long COVID. The characteristics, prevalence, trajectory and mechanisms of PASC are ill-defined. The objectives of the Researching COVID to Enhance Recovery (RECOVER) Multi-site Observational Study of PASC in Adults (RECOVER-Adult) are to: (1) characterize PASC prevalence; (2) characterize the symptoms, organ dysfunction, natural history, and distinct phenotypes of PASC; (3) identify demographic, social and clinical risk factors for PASC onset and recovery; and (4) define the biological mechanisms underlying PASC pathogenesis...
2023: PloS One
https://read.qxmd.com/read/37278994/development-of-a-definition-of-postacute-sequelae-of-sars-cov-2-infection
#2
JOURNAL ARTICLE
Tanayott Thaweethai, Sarah E Jolley, Elizabeth W Karlson, Emily B Levitan, Bruce Levy, Grace A McComsey, Lisa McCorkell, Girish N Nadkarni, Sairam Parthasarathy, Upinder Singh, Tiffany A Walker, Caitlin A Selvaggi, Daniel J Shinnick, Carolin C M Schulte, Rachel Atchley-Challenner, Leora I Horwitz, Andrea S Foulkes, George A Alba, Radica Alicic, Natasha Altman, Khamal Anglin, Urania Argueta, Hassan Ashktorab, Gaston Baslet, Ingrid V Bassett, Lucinda Bateman, Brahmchetna Bedi, Shamik Bhattacharyya, Marie-Abele Bind, Andra L Blomkalns, Hector Bonilla, Patricia A Bush, Mario Castro, James Chan, Alexander W Charney, Peter Chen, Lori B Chibnik, Helen Y Chu, Rebecca G Clifton, Maged M Costantine, Sushma K Cribbs, Sylvia I Davila Nieves, Steven G Deeks, Alexandria Duven, Ivette F Emery, Nathan Erdmann, Kristine M Erlandson, Kacey C Ernst, Rachael Farah-Abraham, Cheryl E Farner, Elen M Feuerriegel, Judes Fleurimont, Vivian Fonseca, Nicholas Franko, Vivian Gainer, Jennifer C Gander, Edward M Gardner, Linda N Geng, Kelly S Gibson, Minjoung Go, Jason D Goldman, Halle Grebe, Frank L Greenway, Mounira Habli, John Hafner, Jenny E Han, Keith A Hanson, James Heath, Carla Hernandez, Rachel Hess, Sally L Hodder, Matthew K Hoffman, Susan E Hoover, Beatrice Huang, Brenna L Hughes, Prasanna Jagannathan, Janice John, Michael R Jordan, Stuart D Katz, Elizabeth S Kaufman, John D Kelly, Sara W Kelly, Megan M Kemp, John P Kirwan, Jonathan D Klein, Kenneth S Knox, Jerry A Krishnan, Andre Kumar, Adeyinka O Laiyemo, Allison A Lambert, Margaret Lanca, Joyce K Lee-Iannotti, Brian P Logarbo, Michele T Longo, Carlos A Luciano, Karen Lutrick, Jason H Maley, Jai G Marathe, Vincent Marconi, Gailen D Marshall, Christopher F Martin, Yuri Matusov, Alem Mehari, Hector Mendez-Figueroa, Robin Mermelstein, Torri D Metz, Richard Morse, Jarrod Mosier, Christian Mouchati, Janet Mullington, Shawn N Murphy, Robert B Neuman, Janko Z Nikolich, Ighovwerha Ofotokun, Elizabeth Ojemakinde, Anna Palatnik, Kristy Palomares, Tanyalak Parimon, Samuel Parry, Jan E Patterson, Thomas F Patterson, Rachel E Patzer, Michael J Peluso, Priscilla Pemu, Christian M Pettker, Beth A Plunkett, Kristen Pogreba-Brown, Athena Poppas, John G Quigley, Uma Reddy, Rebecca Reece, Harrison Reeder, W B Reeves, Eric M Reiman, Franz Rischard, Jonathan Rosand, Dwight J Rouse, Adam Ruff, George Saade, Grecio J Sandoval, Shannon M Schlater, Fitzgerald Shepherd, Zaki A Sherif, Hyagriv Simhan, Nora G Singer, Daniel W Skupski, Amber Sowles, Jeffrey A Sparks, Fatima I Sukhera, Barbara S Taylor, Larissa Teunis, Robert J Thomas, John M Thorp, Paul Thuluvath, Amberly Ticotsky, Alan T Tita, Katherine R Tuttle, Alfredo E Urdaneta, Daisy Valdivieso, Timothy M VanWagoner, Andrew Vasey, Monica Verduzco-Gutierrez, Zachary S Wallace, Honorine D Ward, David E Warren, Steven J Weiner, Shelley Welch, Sidney W Whiteheart, Zanthia Wiley, Juan P Wisnivesky, Lynn M Yee, Sokratis Zisis
IMPORTANCE: SARS-CoV-2 infection is associated with persistent, relapsing, or new symptoms or other health effects occurring after acute infection, termed postacute sequelae of SARS-CoV-2 infection (PASC), also known as long COVID. Characterizing PASC requires analysis of prospectively and uniformly collected data from diverse uninfected and infected individuals. OBJECTIVE: To develop a definition of PASC using self-reported symptoms and describe PASC frequencies across cohorts, vaccination status, and number of infections...
May 25, 2023: JAMA
https://read.qxmd.com/read/36042219/deconvoluting-complex-correlates-of-covid-19-severity-with-a-multi-omic-pandemic-tracking-strategy
#3
JOURNAL ARTICLE
Victoria N Parikh, Alexander G Ioannidis, David Jimenez-Morales, John E Gorzynski, Hannah N De Jong, Xiran Liu, Jonasel Roque, Victoria P Cepeda-Espinoza, Kazutoyo Osoegawa, Chris Hughes, Shirley C Sutton, Nathan Youlton, Ruchi Joshi, David Amar, Yosuke Tanigawa, Douglas Russo, Justin Wong, Jessie T Lauzon, Jacob Edelson, Daniel Mas Montserrat, Yongchan Kwon, Simone Rubinacci, Olivier Delaneau, Lorenzo Cappello, Jaehee Kim, Massa J Shoura, Archana N Raja, Nathaniel Watson, Nathan Hammond, Elizabeth Spiteri, Kalyan C Mallempati, Gonzalo Montero-Martín, Jeffrey Christle, Jennifer Kim, Anna Kirillova, Kinya Seo, Yong Huang, Chunli Zhao, Sonia Moreno-Grau, Steven G Hershman, Karen P Dalton, Jimmy Zhen, Jack Kamm, Karan D Bhatt, Alina Isakova, Maurizio Morri, Thanmayi Ranganath, Catherine A Blish, Angela J Rogers, Kari Nadeau, Samuel Yang, Andra Blomkalns, Ruth O'Hara, Norma F Neff, Christopher DeBoever, Sándor Szalma, Matthew T Wheeler, Christian M Gates, Kyle Farh, Gary P Schroth, Phil Febbo, Francis deSouza, Omar E Cornejo, Marcelo Fernandez-Vina, Amy Kistler, Julia A Palacios, Benjamin A Pinsky, Carlos D Bustamante, Manuel A Rivas, Euan A Ashley
The SARS-CoV-2 pandemic has differentially impacted populations across race and ethnicity. A multi-omic approach represents a powerful tool to examine risk across multi-ancestry genomes. We leverage a pandemic tracking strategy in which we sequence viral and host genomes and transcriptomes from nasopharyngeal swabs of 1049 individuals (736 SARS-CoV-2 positive and 313 SARS-CoV-2 negative) and integrate them with digital phenotypes from electronic health records from a diverse catchment area in Northern California...
August 30, 2022: Nature Communications
https://read.qxmd.com/read/35801588/anti-nucleocapsid-antibody-levels-and-pulmonary-comorbid-conditions-are-linked-to-post-covid-19-syndrome
#4
JOURNAL ARTICLE
Xiaolin Jia, Shu Cao, Alexandra S Lee, Monali Manohar, Sayantani B Sindher, Neera Ahuja, Maja Artandi, Catherine A Blish, Andra L Blomkalns, Iris Chang, William J Collins, Manisha Desai, Hena Naz Din, Evan Do, Andrea Fernandes, Linda N Geng, Yael Rosenberg-Hasson, Megan Ruth Mahoney, Abigail L Glascock, Lienna Y Chan, Sharon Y Fong, Maira Phelps, Olivia Raeber, Natasha Purington, Katharina Röltgen, Angela J Rogers, Theo Snow, Taia T Wang, Daniel Solis, Laura Vaughan, Michelle Verghese, Holden Maecker, Richard Wittman, Rajan Puri, Amy Kistler, Samuel Yang, Scott D Boyd, Benjamin A Pinsky, Sharon Chinthrajah, Kari C Nadeau
BACKGROUNDProlonged symptoms after SARS-CoV-2 infection are well documented. However, which factors influence development of long-term symptoms, how symptoms vary across ethnic groups, and whether long-term symptoms correlate with biomarkers are points that remain elusive.METHODSAdult SARS-CoV-2 reverse transcription PCR-positive (RT-PCR-positive) patients were recruited at Stanford from March 2020 to February 2021. Study participants were seen for in-person visits at diagnosis and every 1-3 months for up to 1 year after diagnosis; they completed symptom surveys and underwent blood draws and nasal swab collections at each visit...
July 8, 2022: JCI Insight
https://read.qxmd.com/read/35783080/factors-driving-burnout-and-professional-fulfillment-among-emergency-medicine-residents-a-national-wellness-survey-by-the-society-for-academic-emergency-medicine
#5
JOURNAL ARTICLE
Jeffrey T Sakamoto, Justin Lee, Dave W Lu, Vandana Sundaram, Steven B Bird, Andra L Blomkalns, Al'ai Alvarez
Objectives: This study aimed to identify rates of and contributors to burnout and professional fulfillment among emergency medicine (EM) resident physicians. Methods: This was a cross-sectional, national survey of resident members of the Society for Academic Emergency Medicine (SAEM). Primary outcomes were burnout and professional fulfillment measured using a previously validated instrument with additional domains pertaining to the academic environment. The survey included question domains examining organizational factors (e...
June 2022: AEM Education and Training
https://read.qxmd.com/read/35442908/taking-aim-at-the-injury-prevention-curriculum-educating-residents-on-talking-to-patients-about-firearm-injury
#6
JOURNAL ARTICLE
Kristen L Mueller, Andra L Blomkalns, Megan L Ranney
The medical community recognizes that firearm injury is a public health problem. Yet we lack both the tools for and the implementation of evidence-based firearm injury screening and counseling techniques. One reason for these deficits is the lack of clinical training related to engaging patients in firearm injury risk reduction. In this issue, Rickert et al describe a pre-post evaluation of a 2-part firearm injury prevention training curriculum for first-year medical residents at a single academic medical center...
April 19, 2022: Academic Medicine
https://read.qxmd.com/read/35132998/role-of-prostaglandin-d2-receptors-in-the-pathogenesis-of-abdominal-aortic-aneurysm-formation
#7
JOURNAL ARTICLE
Neal L Weintraub, Andra L Blomkalns, Mourad Ogbi, Tetsuo Horimatsu, Tyler W Benson, Yuqing Huo, David J Fulton, Gautam Agarwal, Richard Lee, Michael A Winkler, Lufei Young, Ken Fujise, Avirup Guha, Tohru Fukai, Masuko Ushio-Fukai, Xiaochun Long, Brian H Annex, Ha Won Kim
Prostaglandin D2 (PGD2) released from immune cells or other cell types activates its receptors, D prostanoid receptor (DP)1 and 2 (DP1 and DP2), to promote inflammatory responses in allergic and lung diseases. Prostaglandin-mediated inflammation may also contribute to vascular diseases such as abdominal aortic aneurysm (AAA). However, the role of DP receptors in the pathogenesis of AAA has not been systematically investigated. In the present study, DP1-deficient mice and pharmacological inhibitors of either DP1 or DP2 were tested in two distinct mouse models of AAA formation: angiotensin II (AngII) infusion and calcium chloride (CaCl2) application...
March 18, 2022: Clinical Science (1979-)
https://read.qxmd.com/read/35111870/association-between-sars-cov-2-rnaemia-and-postacute-sequelae-of-covid-19
#8
JOURNAL ARTICLE
Nikhil Ram-Mohan, David Kim, Angela J Rogers, Catherine A Blish, Kari C Nadeau, Andra L Blomkalns, Samuel Yang
Determinants of Post-Acute Sequelae of COVID-19 are not known. Here we show that 83.3% of patients with viral RNA in blood (RNAemia) at presentation were symptomatic in the post-acute phase. RNAemia at presentation successfully predicted PASC, independent of patient demographics, worst disease severity, and length of symptoms.
February 2022: Open Forum Infectious Diseases
https://read.qxmd.com/read/35064998/institutional-solutions-addressing-disparities-in-compensation-and-advancement-of-emergency-medicine-physicians-a-critical-appraisal-of-gaps-and-associated-recommendations
#9
JOURNAL ARTICLE
Tracy E Madsen, Sheryl Heron, Michelle D Lall, Andra Blomkalns, Christian Arbelaez, Bernard Lopez, Michelle Lin, Kirsten Rounds, Kinjal N Sethuraman, Basmah Safdar
BACKGROUND: Disparities in salary and advancement of emergency medicine (EM) faculty by race and gender have been consistently demonstrated for over three decades. Prior studies have largely focused on individual-level solutions. To identify systems-based interventions, the Society for Academic Emergency Medicine (SAEM) formed the Research Equity Task Force in 2018 with members from multiple academies (the Academy of Academic Chairs in Emergency Medicine [AACEM], the Academy of Academic Administrators in Emergency Medicine [AAAEM], the Academy for Women in Academic Emergency Medicine [AWAEM], and the Academy for Diversity and Inclusion in Emergency Medicine [ADIEM]) and sought recommendations from EM departmental leaders...
January 22, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/34718468/a-randomized-placebo-controlled-clinical-trial-of-bamlanivimab-and-etesevimab-together-in-high-risk-ambulatory-patients-with-covid-19-and-validation-of-the-prognostic-value-of-persistently-high-viral-load
#10
RANDOMIZED CONTROLLED TRIAL
Michael Dougan, Masoud Azizad, Bharat Mocherla, Robert L Gottlieb, Peter Chen, Corey Hebert, Russell Perry, Joseph Boscia, Barry Heller, Jason Morris, Chad Crystal, Awawu Igbinadolor, Gregory Huhn, Jose Cardona, Imad Shawa, Princy Kumar, Andra Blomkalns, Andrew C Adams, Jacob Van Naarden, Kenneth L Custer, Jack Knorr, Gerard Oakley, Andrew E Schade, Timothy R Holzer, Philip J Ebert, Richard E Higgs, Janelle Sabo, Dipak R Patel, Matan C Dabora, Mark Williams, Paul Klekotka, Lei Shen, Daniel M Skovronsky, Ajay Nirula
BACKGROUND: Based on interim analyses and modeling data, lower doses of bamlanivimab and etesevimab together (700/1400 mg) were investigated to determine optimal dose and expand availability of treatment. METHODS: This Phase 3 portion of the BLAZE-1 trial characterized the effect of bamlanivimab with etesevimab on overall patient clinical status and virologic outcomes in ambulatory patients ≥12 years old, with mild-to-moderate coronavirus disease 2019 (COVID-19), and ≥1 risk factor for progressing to severe COVID-19 and/or hospitalization...
August 24, 2022: Clinical Infectious Diseases
https://read.qxmd.com/read/34533570/assessment-of-allergic-and-anaphylactic-reactions-to-mrna-covid-19-vaccines-with-confirmatory-testing-in-a-us-regional-health-system
#11
JOURNAL ARTICLE
Christopher Michael Warren, Theo Thomas Snow, Alexandra S Lee, Mihir Mukesh Shah, Anja Heider, Andra Blomkalns, Brooke Betts, Anthony S Buzzanco, Joseph Gonzalez, R Sharon Chinthrajah, Evan Do, Iris Chang, Diane Dunham, Grace Lee, Ruth O'Hara, Helen Park, Mohamed H Shamji, Lisa Schilling, Sayantani B Sindher, Deepak Sisodiya, Eric Smith, Mindy Tsai, Stephen J Galli, Cezmi Akdis, Kari C Nadeau
Importance: As of May 2021, more than 32 million cases of COVID-19 have been confirmed in the United States, resulting in more than 615 000 deaths. Anaphylactic reactions associated with the Food and Drug Administration (FDA)-authorized mRNA COVID-19 vaccines have been reported. Objective: To characterize the immunologic mechanisms underlying allergic reactions to these vaccines. Design, Setting, and Participants: This case series included 22 patients with suspected allergic reactions to mRNA COVID-19 vaccines between December 18, 2020, and January 27, 2021, at a large regional health care network...
September 1, 2021: JAMA Network Open
https://read.qxmd.com/read/34521621/empowering-patients-simplifying-discharge-instructions
#12
JOURNAL ARTICLE
Charisma DeSai, Keri Janowiak, Beatrice Secheli, Eleanor Phelps, Sam McDonald, Gary Reed, Andra Blomkalns
Patients who do not have enough information about their discharge plans have decreased treatment compliance, decreased patient safety, increased emergency department (ED) recidivism, and poor satisfaction. This project aimed to develop and implement a method to assess and improve patient understanding of treatment and discharge plan in the ED. The authors developed a questionnaire to assess patient knowledge using Centers for Medicare and Medicaid Services and Joint Commission recommendations, areas of communication deficits reported in other manuscripts, and ED staff and provider input...
September 2021: BMJ Open Quality
https://read.qxmd.com/read/34518843/association-between-sars-cov-2-rnaemia-and-post-acute-sequelae-of-covid-19
#13
Nikhil Ram-Mohan, David Kim, Angela J Rogers, Catherine A Blish, Kari C Nadeau, Andra L Blomkalns, Samuel Yang
Determinants of Post-Acute Sequelae of COVID-19 are not known. Here we show that 75% of patients with viral RNA in blood (RNAemia) at presentation were symptomatic in the post-acute phase. RNAemia at presentation successfully predicted PASC, independent of patient demographics, initial disease severity, and length of symptoms.
September 7, 2021: medRxiv
https://read.qxmd.com/read/34363718/emergency-medicine-research-2030-strategic-goals
#14
JOURNAL ARTICLE
Robert W Neumar, Andra L Blomkalns, Charles B Cairns, Gail D'Onofrio, Nathan Kuppermann, Roger J Lewis, Craig D Newgard, Brian J O'Neil, Niels K Rathlev, Richard E Rothman, David W Wright
All academic medical specialties have the obligation to continuously create new knowledge that will improve patient care and outcomes. Emergency medicine (EM) is no exception. Since its origins over 50 years ago, EM has struggled to fulfill its research mission. EM ranks last among clinical specialties in the percentage of medical school faculty who are National Institutes of Health (NIH)-funded principal investigators (PIs; 1.7%) and the percentage of medical school departments with NIH-funded PIs (33%)...
February 2022: Academic Emergency Medicine
https://read.qxmd.com/read/34128959/multi-omic-profiling-reveals-widespread-dysregulation-of-innate-immunity-and-hematopoiesis-in-covid-19
#15
JOURNAL ARTICLE
Aaron J Wilk, Madeline J Lee, Bei Wei, Benjamin Parks, Ruoxi Pi, Giovanny J Martínez-Colón, Thanmayi Ranganath, Nancy Q Zhao, Shalina Taylor, Winston Becker, David Jimenez-Morales, Andra L Blomkalns, Ruth O'Hara, Euan A Ashley, Kari C Nadeau, Samuel Yang, Susan Holmes, Marlene Rabinovitch, Angela J Rogers, William J Greenleaf, Catherine A Blish
Our understanding of protective versus pathological immune responses to SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), is limited by inadequate profiling of patients at the extremes of the disease severity spectrum. Here, we performed multi-omic single-cell immune profiling of 64 COVID-19 patients across the full range of disease severity, from outpatients with mild disease to fatal cases. Our transcriptomic, epigenomic, and proteomic analyses revealed widespread dysfunction of peripheral innate immunity in severe and fatal COVID-19, including prominent hyperactivation signatures in neutrophils and NK cells...
August 2, 2021: Journal of Experimental Medicine
https://read.qxmd.com/read/34080210/asthma-phenotypes-associated-comorbidities-and-long-term-symptoms-in-covid-19
#16
JOURNAL ARTICLE
Lauren E Eggert, Ziyuan He, William Collins, Alexandra S Lee, Gopal Dhondalay, Shirley Y Jiang, Jessica Fitzpatrick, Theo T Snow, Benjamin A Pinsky, Maja Artandi, Linda Barman, Rajan Puri, Richard Wittman, Neera Ahuja, Andra Blomkalns, Ruth O'Hara, Shu Cao, Manisha Desai, Sayantani B Sindher, Kari Nadeau, R Sharon Chinthrajah
BACKGROUND: It is unclear whether asthma and its allergic phenotype are risk factors for hospitalization or severe disease from SARS-CoV-2. METHODS: All patients over 28 days old testing positive for SARS-CoV-2 between March 1 and September 30, 2020, were retrospectively identified and characterized through electronic analysis at Stanford. A sub-cohort was followed prospectively to evaluate long-term COVID-19 symptoms. RESULTS: 168,190 patients underwent SARS-CoV-2 testing, and 6,976 (4...
January 2022: Allergy
https://read.qxmd.com/read/33949665/sars-cov-2-rnaemia-predicts-clinical-deterioration-and-extrapulmonary-complications-from-covid-19
#17
JOURNAL ARTICLE
Nikhil Ram-Mohan, David Kim, Elizabeth J Zudock, Marjan M Hashemi, Kristel C Tjandra, Angela J Rogers, Catherine A Blish, Kari C Nadeau, Jennifer A Newberry, James V Quinn, Ruth O'Hara, Euan Ashley, Hien Nguyen, Lingxia Jiang, Paul Hung, Andra L Blomkalns, Samuel Yang
BACKGROUND: The determinants of COVID-19 disease severity and extrapulmonary complications (EPCs) are poorly understood. We characterized relationships between SARS-CoV-2 RNAemia and disease severity, clinical deterioration, and specific EPCs. METHODS: We used quantitative (qPCR) and digital (dPCR) PCR to quantify SARS-CoV-2 RNA from plasma in 191 patients presenting to the Emergency Department (ED) with COVID-19. We recorded patient symptoms, laboratory markers, and clinical outcomes, with a focus on oxygen requirements over time...
May 5, 2021: Clinical Infectious Diseases
https://read.qxmd.com/read/33819128/sars-cov-2-igg-seropositivity-and-acute-asymptomatic-infection-rate-among-firefighter-first-responders-in-an-early-outbreak-county-in-california
#18
JOURNAL ARTICLE
Jennifer A Newberry, Marc Gautreau, Katherine Staats, Eli Carrillo, William Mulkerin, Samuel Yang, Michael A Kohn, Loretta Matheson, Scott D Boyd, Benjamin A Pinsky, Andra L Blomkalns, Matthew C Strehlow, Peter A D'Souza
Objective: Firefighter first responders and other emergency medical services (EMS) personnel have been among the highest risk healthcare workers for illness during the SARS-CoV-2 pandemic. We sought to determine the rate of seropositivity for SARS-CoV-2 IgG antibodies and of acute asymptomatic infection among firefighter first responders in a single county with early exposure in the pandemic. Methods: We conducted a cross-sectional study of clinically active firefighters cross-trained as paramedics or EMTs in the fire departments of Santa Clara County, California...
May 6, 2021: Prehospital Emergency Care
https://read.qxmd.com/read/33769342/establishing-a-data-science-unit-in-an-academic-medical-center-an-illustrative-model
#19
JOURNAL ARTICLE
Manisha Desai, Mary Boulos, Gina M Pomann, Gary K Steinberg, Frank M Longo, Mary Leonard, Thomas Montine, Andra L Blomkalns, Robert A Harrington
The field of data science has great potential to address critical questions relevant for academic medical centers. Data science initiatives are consequently being established within academic medicine. At the cornerstone of such initiatives are scientists who practice data science. These scientists include biostatisticians, clinical informaticians, database and software developers, computational scientists, and computational biologists. Too often, however, those involved in the practice of data science are viewed by academic leadership as providing a noncomplex service to facilitate research and further the careers of other academic faculty...
March 23, 2021: Academic Medicine
https://read.qxmd.com/read/33398290/sars-cov-2-rnaaemia-predicts-clinical-deterioration-and-extrapulmonary-complications-from-covid-19
#20
Nikhil Ram-Mohan, David Kim, Elizabeth J Zudock, Marjan M Hashemi, Kristel C Tjandra, Angela J Rogers, Catherine A Blish, Kari C Nadeau, Jennifer A Newberry, James V Quinn, Ruth O'Hara, Euan Ashley, Hien Nguyen, Lingxia Jiang, Paul Hung, Andra L Blomkalns, Samuel Yang
Background: The determinants of COVID-19 disease severity and extrapulmonary complications (EPCs) are poorly understood. We characterise the relationships between SARS-CoV-2 RNAaemia and disease severity, clinical deterioration, and specific EPCs. Methods: We used quantitative (qPCR) and digital (dPCR) PCR to quantify SARS-CoV-2 RNA from nasopharyngeal swabs and plasma in 191 patients presenting to the Emergency Department (ED) with COVID-19. We recorded patient symptoms, laboratory markers, and clinical outcomes, with a focus on oxygen requirements over time...
December 22, 2020: medRxiv
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