Relationship between SARS-CoV-2 and hearing loss: A mini-review

The most reported symptoms of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were initially fever, dry cough, and sore throat. However, as we continue to review the literature, the loss of taste and smell were also added as clinical symptoms of the novel SARS-CoV-2. At present, the effects of SARS-CoV-2 on the auditory system is still not well-understood. This study is mini-review and aims to find out more about the relationship between SARS-CoV-2 and hearing loss through review of the literature. From our findings, hearing loss is the primary otological symptom of SARS-CoV-2, followed by tinnitus and dizziness. In conclusion, SARS-CoV-2 may have an effect on our auditory system, but due to the small sample sizes in the existing literature, further prospective studies are warranted to determine the relationship between the virus and hearing loss.

[Concentration Variation and Source Analysis of Metal Elements in PM2.5 During COVID-19 Control in Suzhou].

To study the variation in concentration and source analysis of metal elements during COVID-19 control in Suzhou, a multi-metal online monitor was used to determine hourly online data of 14 metal elements from December 1, 2019 to March 31, 2020. This study analyzed variation in concentration and source analysis of metal elements using a PMF model before, during, and after shutdown during COVID-19 control. The results showed that the concentrations of Cr, Mn, Zn, and Fe during shutdown decreased the most, by 87.6%, 85.6%, 78.3%, and 72.2%, respectively, compared with those before shutdown. The concentrations of Mn, Cr, Zn, and Fe after shutdown increased the most, by 227.0%, 215.4%, 147.4%, and 113.4%, respectively, compared with those of the previous stage. The diurnal variation in K differed at three stages. Zn showed a single peak shape at three stages, but the peak width and peak time were different. Unlike the concentrations, the diurnal variations in Fe, Mn, Pb, Se, and Hg were not significantly changed. The daily variation characteristics of Ca, Ba, Cu, As, Cr, and Ni during and after shutdown were significantly different from those before shutdown. The results of source analysis by the PMF model showed that metal elements mainly came from dust, motor vehicle, coal burning, industrial smelting, and mixed-combustion sources. Among them, the concentration of industrial smelting sources changed greatly, with the concentration decreasing by 89.0% during shutdown and increasing by 358.0% after shutdown.

Assessment and Management on the Risk of Glucocorticoid-Induced Osteonecrosis After COVID-19 (preprint)

Background: Coronavirus disease 2019 (COVID-19) is an emerging global medical challenge and glucocorticoids remain the most promising therapy. Osteonecrosis (ON) is a disease caused by reduced blood flow to bones in the joints, which will rapidly induce joint destroy. ON had been frequently identified among convalescent patients after Severe Acute Respiratory Syndrome (SARS). Considering the similarity of SARS and COVID-19 on their pathogen, clinical characteristics and therapeutic strategies, it is particularly worrying whether ON will be a common sequela among convalescent COVID-19 patient.Methods: This multi-strategy study integrating different research methods, such as meta-analysis, systematic review and cross-sectional investigation. At first, two meta-analyses were performed on the incidence of osteonecrosis among SARS patients and the clinical data of glucocorticoid exposure among COVID-19 patients. Then, a systematic review of low-dosage glucocorticoid associated osteonecrosis and a real-world cross-sectional investigation of glucocorticoid exposure of COVID-19 patients in China Wuhan were also provided. Moreover, the pathogenesis, diagnosis, prevention, and treatment options for osteonecrosis after COVID-19 infection were further described.Findings: Our meta-analysis showed that 32% of SARS patients had developed ON after receiving glucocorticoid treatment with high dose, and our system review also supported that low level glucocorticoid exposure may lead to the occurrence of ON. Similarly, 40% of COVID-19 patients had undergone glucocorticoid treatment according to our meta-analysis. The cross-sectional investigation in China Wuhan found that the average of cumulative glucocorticoid exposure level was 504 mg calculated by the dosage of methylprednisolone. Notably, a confirmed osteonecrosis case after COVID-19 was identified during our investigation. Preventive management of ON shall better start with regular clinical followup observation.Interpretation: Growing evidence of the glucocorticoid therapy for COVID-19 patients prompts us to put forward the risk-classification-based early screening and early prevention protocol of ON, which may be of clinical significance in favorable prognosis of this disease.Registration Details: PROSPERO, registration number CRD42020203536.Funding Information: This study was supported by the Special Project For COVID-19 Prevention and Management of Ministry of Education of China (2020-JYB-YJ-023), the National Key Research and Development Program of China (2019ZX09731-002) and the State Key Program of National Natural Science Foundation of China (82030122).Declaration of Interests: The authors declare no competing interests.Ethics Approval Statement: The protocol for the investigation study has been registered in the Chinese Clinical Trial Registry (ChiCTR), (URL: http://www.chictr.org.cn/showproj.aspx?proj=61769, No. ChiCTR2000038333). This study was approved by the Ethics Institutional Review Board of the Third Affiliated Hospital of Beijing University of Chinese Medicine (No. BZYSY-2020KYKTPJ-06), and informed consent was obtained from every participant patient.

Air pollutant variations in Suzhou during the 2019 novel coronavirus (COVID-19) lockdown of 2020: High time-resolution measurements of aerosol chemical compositions and source apportionment.

To control the spread of the 2019 novel coronavirus (COVID-19), China imposed rigorous restrictions, which resulted in great reductions in pollutant emissions. This study examines the characteristics of air pollutants, including PM2.5 (particles with aerodynamic diameters < 2.5 µm), gas pollutants, water-soluble ions (WSIs), black carbon (BC) and elements, as well as the source apportionment of PM2.5 in Suzhou before, during and after the Chinese New Year (CNY) holiday of 2020 (when China was under an unprecedented state of lockdown to restrict the COVID-19 outbreak). Compared to those before CNY, PM2.5, BC, SNA (sulfate, nitrate and ammonium), other ions, elements, and NO2 and CO mass concentrations decreased by 9.9%-64.0% during CNY. The lockdown policy had strong (weak) effects on the diurnal variations in aerosol chemical compositions (gas pollutants). Compared to those before CNY, source concentrations and contributions of vehicle exhaust during CNY decreased by 72.9% and 21.7%, respectively. In contrast, increased contributions from coal combustion and industry were observed during CNY, which were recorded to be 2.9 and 1.7 times higher than those before CNY, respectively. This study highlights that the lockdown policy that was imposed in Suzhou during CNY not only reduced the mass concentrations of air pollutants but also modified their diurnal variations and the source contributions of PM2.5, which revealed the complex responses of PM2.5 sources to the rare, low emissions of anthropogenic pollutants that occurred during the COVID-19 lockdown.

How Chemists Achieve Active Learning Online During the COVID-19 Pandemic: Using the Community of Inquiry (Col) Framework to Support Remote Teaching

As numerous varsity campuses remain closed during the coronavirus disease 2019 pandemic, educators must look for suitable digital tools to conduct lessons and engage learners online. In this report, we discuss how to structure the online lessons using the Community of Inquiry framework (CoI). The CoI was applied to the university elective course Learning to Choose Better, taught by chemistry faculty. By using the appropriate digital tools in our course, we found success in achieving engagement, active learning, and team teaching. Until the world finds a resolution to the pandemic, online teaching will continue to be the new normal. Educators could view this time as a prime opportunity to experiment, innovate, and break new grounds in the realm of remote online teaching.

Characterization of the aerosol chemical composition during the COVID-19 lockdown period in Suzhou in the Yangtze River Delta, China.

To control the spread of COVID-19, rigorous restrictions have been implemented in China, resulting in a great reduction in pollutant emissions. In this study, we evaluated the air quality in the Yangtze River Delta during the COVID-19 lockdown period using satellite and ground-based data, including particle matter (PM), trace gases, water-soluble ions (WSIs) and black carbon (BC). We found that the impacts of lockdown policy on air quality cannot be accurately assessed using MODIS aerosol optical depth (AOD) data, whereas the tropospheric nitrogen dioxide (NO2) vertical column density can well reflect the influences of these restrictions on human activities. Compared to the pre-COVID period, the PM2.5, PM10, NO2, carbon monoxide (CO), BC and WSIs during the lockdown in Suzhou were observed to decrease by 37.2%, 38.3%, 64.5%, 26.1%, 53.3% and 58.6%, respectively, while the sulfur dioxide (SO2) and ozone (O3) increased by 1.5% and 104.7%. The WSIs ranked in the order of NO3- > NH4+ > SO42- > Cl- > Ca2+ > K+ > Mg2+ > Na+ during the lockdown period. By comparisons with the ion concentrations during the pre-COVID period, we found that the ions NO3-, NH4+, SO42-, Cl-, Ca2+, K+ and Na+ decreased by 66.3%, 48.8%, 52.9%, 56.9%, 57.9% and 76.3%, respectively, during the lockdown, in contrast to Mg2+, which increased by 30.2%. The lockdown policy was found to have great impacts on the diurnal variations of Cl-, SO42-, Na+ and Ca2+.