A model for simultaneous evaluation of NO2, O3, and PM10 pollution in urban and rural areas: handling incomplete data sets with multivariate curve resolution analysis

A powerful methodology, based on the multivariate curve resolution alternating least squares (MCR-ALS) method with quadrilinearity constraints, is proposed to handle complex and incomplete four-way atmospheric data sets, providing concise results that are easy to interpret. Changes in air quality by nitrogen dioxide (NO2), ozone (O3), and particulate matter (PM10) in eight sampling stations located in the Barcelona metropolitan area and other parts of Catalonia during the COVID-19 lockdown period (2020) with respect to previous years (2018 and 2019), are investigated using such methodology. The MCR-ALS simultaneous analysis of the three contaminants among the eight stations and for the 3 years allows the evaluation of potential correlations among the pollutants, even when having missing data blocks. Correlated profiles are shown by NO2 and PM10 due to similar pollution sources (traffic and industry), evidencing a decrease in 2019 and 2020 due to traffic restriction policies and the COVID-19 lockdown period, especially noticeable in the most transited urban areas (i.e., Vall d'Hebron, Granollers and Gràcia). The O3 evidences an opposed interannual trend, showing higher amounts in 2019 and 2020 with respect to 2018 due to the decreased titration effect, more significant in rural areas (Begur) and in the control site (Obserbatori Fabra).

Genomic Characterization of Host Factors Related to SARS-CoV-2 Infection in People with Dementia and Control Populations: The GR@ACE/DEGESCO Study.

Emerging studies have suggested several chromosomal regions as potential host genetic factors involved in the susceptibility to SARS-CoV-2 infection and disease outcome. We nested a COVID-19 genome-wide association study using the GR@ACE/DEGESCO study, searching for susceptibility factors associated with COVID-19 disease. To this end, we compared 221 COVID-19 confirmed cases with 17,035 individuals in whom the COVID-19 disease status was unknown. Then, we performed a meta-analysis with the publicly available data from the COVID-19 Host Genetics Initiative. Because the APOE locus has been suggested as a potential modifier of COVID-19 disease, we added sensitivity analyses stratifying by dementia status or by disease severity. We confirmed the existence of the 3p21.31 region (LZTFL1, SLC6A20) implicated in the susceptibility to SARS-CoV-2 infection and TYK2 gene might be involved in COVID-19 severity. Nevertheless, no statistically significant association was observed in the COVID-19 fatal outcome or in the stratified analyses (dementia-only and non-dementia strata) for the APOE locus not supporting its involvement in SARS-CoV-2 pathobiology or COVID-19 prognosis.

Temporal air quality (NO2, O3, and PM10) changes in urban and rural stations in Catalonia during COVID-19 lockdown: an association with human mobility and satellite data.

In this study, changes in air quality by NO2, O3, and PM10 in Barcelona metropolitan area and other parts of Catalonia during the COVID-19 lockdown with respect to pre-lockdown and to previous years (2018 and 2019) were evaluated. Selected air monitoring stations included 3 urban (Gràcia, Vall d'Hebron, and Granollers), 1 control site (Fabra Observatory), 1 semi-urban (Manlleu), and 3 rural (Begur, Bellver de Cerdanya, and Juneda). NO2 lockdown levels showed a diminution, which in relative terms was maximum in two rural stations (Bellver de Cerdanya, - 63% and Begur, - 61%), presumably due to lower emissions from the ceasing hotel and ski resort activities during eastern holidays. In absolute terms and from an epidemiologic perspective, decrease in NO2, also reinforced by the high amount of rainfall registered in April 2020, was more relevant in the urban stations around Barcelona. O3 levels increased in the transited urban stations (Gràcia, + 42%, and Granollers, + 64%) due to the lower titration effect by NOx. PM10 lockdown levels decreased, mostly in Gràcia, Vall d'Hebron, and Granollers (- 35, - 39%, and - 39%, respectively) due to traffic depletion (- 90% in Barcelona's transport). Correlation among mobility index in Barcelona (- 100% in retail and recreation) and contamination was positive for NO2 and PM10 and negative for O3 (P < 0.001). Satellite images evidenced two hotspots of NO2 in Spain (Madrid and Barcelona) in April 2018 and 2019 that disappeared in 2020. Overall, the benefits of lockdown on air quality in Catalonia were evidenced with NO2, O3 and PM10 levels below WHOAQG values in most of stations opposed to the excess registered in previous years.

A Pandemic within Other Pandemics. When a Multiple Infection of a Host Occurs: SARS-CoV-2, HIV and Mycobacterium tuberculosis.

By the middle of 2021, we are still immersed in the coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The concurrence of this new pandemic in regions where human immunodeficiency virus (HIV) and tuberculosis (TB) infections possess the same epidemiological consideration, has arisen concerns about the prognosis, clinical management, symptomatology, and treatment of patients with triple infection. At the same time, healthcare services previously devoted to diagnosis and treatment of TB and HIV are being jeopardized by the urgent need of resources and attention for COVID-19 patients. The aim of this review was to collect any article considering the three conditions (HIV, TB, and SARS-CoV-2), included in PubMed/Medline and published in the English language since the beginning of the COVID-19 pandemic. We focused on detailed descriptions of the unusual cases describing the three co-infections. Eighty-four out of 184 publications retrieved met our inclusion criteria, but only three of them reported cases (five in total) with the three concomitant infections. The clinical evolution, management, and therapy of all of them were not different from mild/severe cases with exclusive COVID-19; the outcome was not worse either, with recovery for the five patients. Cases of patients with COVID-19 besides HIV and TB infections are scarce in literature, but studies deliberately embracing the triple infection as a priori inclusion criterion should be carried out in order to provide a complete understanding of joint influence.

Dementia Care in Times of COVID-19: Experience at Fundació ACE in Barcelona, Spain.

BACKGROUND: Fundació ACE is a non-profit organization providing care based on a holistic model to persons with cognitive disorders and their families for 25 years in Barcelona, Spain. Delivering care to this vulnerable population amidst the COVID-19 pandemic has represented a major challenge to our institution. OBJECTIVE: To share our experience in adapting our model of care to the new situation to ensure continuity of care. METHODS: We detail the sequence of events and the actions taken within Fundació ACE to swiftly adapt our face-to-face model of care to one based on telemedicine consultations. We characterize individuals under follow-up by the Memory Unit from 2017 to 2019 and compare the number of weekly visits in 2020 performed before and after the lockdown was imposed. RESULTS: The total number of individuals being actively followed by Fundació ACE Memory Unit grew from 6,928 in 2017 to 8,147 in 2019. Among those newly diagnosed in 2019, most patients had mild cognitive impairment or mild dementia (42% and 25%, respectively). Weekly visits dropped by 60% following the suspension of face-to-face activity. However, by April 24 we were able to perform 78% of the visits we averaged in the weeks before confinement began. DISCUSSION: We have shown that Fundació ACE model of care has been able to successfully adapt to a health and social critical situation as COVID-19 pandemic. Overall, we were able to guarantee the continuity of care while preserving the safety of patients, families, and professionals. We also seized the opportunity to improve our model of care.