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Studies corner

459 replies

Branster · 02/04/2020 23:00

There are so many snippets of information regarding small tests, case studies and even research from all over the world, some interesting, some surprising, some hopeful. Too many and too small or sometimes obscure to make the main news

If you’d like to share you are welcome to join the thread.

I’ll make a start with these findings from Canada about a potential inhibitor drug

www.sciencedaily.com/releases/2020/04/200402144526.htm

OP posts:
Thread gallery
39
CoffeeandCroissant · 28/08/2020 14:38

Thanks @alreadytaken

Also, it turns out that study from Germany had some significant statistical errors:
jamanetwork.com/journals/jamacardiology/fullarticle/2770026

Translation of tweet below from Google translate:
"At the end of July, a German study claimed that COVID19 very often causes heart damage, even after a mild course. The authors have now had to correct massive statistical errors in the study. After that, the result is much less spectacular. (1 / n)
mobile.twitter.com/christoph_rothe/status/1298721381157199874

mobile.twitter.com/christoph_rothe/status/1298721381157199874

CoffeeandCroissant · 28/08/2020 14:42

Second tweet in the thread gives a summary:

"The results of the COVID19 patients are roughly comparable with those of a control group with similar previous illnesses without COVID19 (at least no statistical differences can be proven due to the small group sizes) "

CoffeeandCroissant · 28/08/2020 15:49

"A 25 yr old patient in Nevada has a confirmed case of #COVID19 reinfection (48 days apart between 1st and 2nd PCR).

This time, unlike the case in Hong Kong, the immune system did not protect this person from reinfection or disease. 1/4

During the 1st infection in April, patient recovered after about a month in isolation, testing negative for viral RNA in 2 subsequent tests. Patient was well until end of May, became ill and tested positive 2nd time. This time needing hospitalization & oxygen support. 2/4

Viral genome of 1st and 2nd isolates differed significantly, indicating that reinfection occurred. 3/4

This case highlights the need for further examination of the range of outcomes from reinfection by #COVID19. As more and more reinfection cases will be reported, we should get a better sense of how well the immune system after natural infection protects against disease. 4/4

mobile.twitter.com/VirusesImmunity/status/1299342270177726464

Preprint: papers.ssrn.com/sol3/papers.cfm?abstract_id=3681489.

Again study has a subject number of 1 person, so difficult to draw any conclusions. Given the high number of global cases (nearly 25 million confirmed, but real figure will be much higher) still likely that short term reinfections very rare.

Or, as the preprint says "We conclude that it is possible for humans to become infected multiple times by SARS-CoV-2, but the generalizability of this finding is not known."

BigChocFrenzy · 28/08/2020 20:24

Infection environment of recorded COVID-19 outbreaks in Germany

Very detailled analysis via track & trace of infection source, age groups etc

(Tables much clearer in German version, but also Google translate for English version)

https://edoc.rki.de/bitstream/handle/176904/6944/ws20119RKIIEB38-2020013.pdf?sequence=1&isAllowed=y

https://translate.google.de/translate?um=1&ie=UTF-8&hl=en&client=tw-ob&sl=de&tl=en&u=https%3A%2F%2Fedoc.rki.de%2Fbitstream%2Fhandle%2F176904%2F6944%2Fws20119RKIIEB38-2020013.pdf%3Fsequence%3D1%26isAllowed%3Dy

BigChocFrenzy · 28/08/2020 20:28

Most infection outbreaks are in the domestic home, but each of these averages only 3 infected people
Outbreaks in care homes average 19 people
Outbreaks in refugee hostels average 21 people infected, which is the highest for any type

Prokupatuscrakedatus · 29/08/2020 07:50

I assume that apart from cramped living conditions the immune systems of refugees are bad because of ongoing stress / past trauma even if they are young.
DD volunteered in her school's welcoming class and the horrors those children went through ...

CoffeeandCroissant · 30/08/2020 12:56

Thread and link to pre-print study on monoclonal antibody therapy (animal testing study (hamsters) in laboratory). 🐹
mobile.twitter.com/michaelmina_lab/status/1299992215763197952

CoffeeandCroissant · 30/08/2020 17:17

Good video on science, the huge volume of Covid19 studies and misinformation:

whatsnext2 · 30/08/2020 20:22

Pre print showing antibody level/production is not age specific and high proportion of negative swab tests later shown to be serological positive in U.K. care homes residents and staff

www.medrxiv.org/content/10.1101/2020.08.10.20171413v1

alreadytaken · 31/08/2020 07:53

In that nursing home study around 40% of tested residents (94 out of 241) had no symptoms, some had a positive test, some a negative test. For staff is was 48%. Not impressed by more than a quarter of staff not being tested.

Interesting that a high proportion of people who are not healthy (or wouldnt be in a nursing home) can still be asymptomatic.

BigChocFrenzy · 31/08/2020 22:59

Royal Society DELVE Initiative - Report on Face Masks for the General Public - An Update

rs-delve.github.io/addenda/2020/07/07/masks-update.html

1	Longitudinal data support initial findings that the majority of SARS-CoV2 infected individuals remain asymptomatic throughout infection. 
<span class="italic">Even individuals who become symptomatic can have a several-day asymptomatic incubation period.</span>
<span class="italic">Multiple new studies suggest that transmission of SARS-CoV2 by asymptomatic individuals is a substantial driver of transmission, including through droplets, aerosols and super spreader events.</span>

2	<strong>Evidence continues to accrue that masks, including cloth masks, prevent onward transmission of infection.</strong>
This is based on observational and modeling data in humans, on the effectiveness of masks in intercepting droplets and aerosols and on controlled studies of experimental animals. 
<strong>Evidence is also accumulating that masks may additionally protect the wearer</strong>

....
4 New evidence finds that the use of clear plastic face shields can prevent onward transmission of droplets and aerosols.
This addresses concerns from individuals and communities who/that cannot use masks, e.g., deaf people and individuals with breathing disorders,

alreadytaken · 01/09/2020 10:06

I've seen some plastic masks now - time the government recommended them for schools. They have a bit of plastic to hold them to the chin but come up in front of the mouth and nose.

CoffeeandCroissant · 01/09/2020 23:04

^"Large antibody study offers hope for virus vaccine efforts
By MARILYNN MARCHIONE

Antibodies that people make to fight the new coronavirus last for at least four months after diagnosis and do not fade quickly as some earlier reports suggested, scientists have found.

Tuesday’s report, from tests on more than 30,000 people in Iceland, is the most extensive work yet on the immune system’s response to the virus over time, and is good news for efforts to develop vaccines.

If a vaccine can spur production of long-lasting antibodies as natural infection seems to do, it gives hope that “immunity to this unpredictable and highly contagious virus may not be fleeting,” scientists from Harvard University and the U.S. National Institutes of Health wrote in a commentary published with the study in the New England Journal of Medicine."^

Full article:
apnews.com/bc8888eb4e70c1dd77566e536404afe5?utm_campaign=SocialFlow&utm_medium=AP&utm_source=Twitter

Study:
www.nejm.org/doi/full/10.1056/NEJMoa2026116?query=featured_home

Extract from commentary:
"This study focused on a homogeneous population largely from a single ethnic origin and geographic region. Thus, future extended longitudinal studies will be necessary to more accurately define the half-life of SARS-CoV-2 antibodies. That said, this study provides hope that host immunity to this unpredictable and highly contagious virus may not be fleeting and may be similar to that elicited by most other viral infections.

Whether antibodies that persist confer protection and retain neutralizing or other protective effector functions that are required to block reinfection remains unclear. Nevertheless, the data reported by Stefansson and colleagues point to the utility of antibody assays as highly cost-effective alternatives to PCR testing for population-level surveillance, which is critical to the safe reopening of cities and schools, and as biomarkers and possible effectors of immunity — useful tools that we can deploy now, while we scan the horizon (and the pages of medical journals) for the wave of vaccines that will end the pandemic of Covid-19."
Full commentary: www.nejm.org/doi/full/10.1056/NEJMe2028079

BigChocFrenzy · 02/09/2020 11:03

Outbreak of COVID-19 in a nursing home associated with aerosol transmission as a result of inadequate ventilation

Dutch psychogeriatric nursing home with 7 wards

This was during a period of v low community levels of infection, 0.77%, in the NL

1 ward had air con which recirculated indoor air unless C02 reached a threshhold
Due to v low activity level of residents, this threshhold was likely not reached some, or most, of the time
==> indoor air circulating

The other 6 wards always had air from outside

81% of residents and 50% of staff were infected in the ward with recirculated indoor air

Nobody in the other 6 wards was infected

https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa1270/5898577?searchresult=1

Baaaahhhhh · 02/09/2020 12:25

...

BigChocFrenzy · 03/09/2020 12:38

US Dept Homeland Security: Master Question List for COVID-19

Useful tables of info, summarising what is known and what needs to be discovered

https://www.dhs.gov/sites/default/files/publications/mqlsars-cov-22-cleareddforpubliccrelease20200818.pdf

tootyfruitypickle · 03/09/2020 12:45

Upset stomach and nausea could be added to covid-19 symptoms for children according to Queens Uni in Belfast.
Personally of interest as DD had a week off school just before lockdown with nausea. Although I’d be surprised not to have had symptoms myself.

BigChocFrenzy · 06/09/2020 21:13

Factors associated with adherence to self-isolation and lockdown measures in the UK; a cross-sectional survey

Only 20% of those reporting symptoms of COVID-19 in England report fully self-isolating by staying home

https://www.medrxiv.org/content/10.1101/2020.06.01.20119040v1

whatsnext2 · 07/09/2020 19:54

More evidence backing up Vitamin D deficit and Covid risk

www.medrxiv.org/content/10.1101/2020.09.04.20188268v1

Jrobhatch29 · 07/09/2020 20:10

[quote whatsnext2]More evidence backing up Vitamin D deficit and Covid risk

www.medrxiv.org/content/10.1101/2020.09.04.20188268v1[/quote]
Do you know what they mean by:

acquisition of liquid vitamin D formulations is associated with decreased risk for Covid-19 infection.

What do they mean by liquid forms?

BigChocFrenzy · 09/09/2020 22:27

Vitamin D can be given in either liquid or tablet form
Maybe large doses are more convenient as liquid ?

BigChocFrenzy · 10/09/2020 12:52

A serological survey of SARS-CoV-2 in cats in Wuhan

No evidence whatsoever of cats to human transmission, but there was significant cat to cat transmission

www.tandfonline.com/doi/full/10.1080/22221751.2020.1817796

"Our data demonstrated that SARS-CoV-2 has infected cats in Wuhan during the outbreak and provided serum antibody dynamics in cats,"

CoffeeandCroissant · 10/09/2020 13:05

Interesting study about the 🐈

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