Neural alterations of Omicron infection comorbid with insomnia in Chinese: Insight from surface-based morphometry and bibliometric analysis (preprint)

Growing evidence suggests that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can affect the central nervous system (CNS), and insomnia-related acute and long-term CNS sequelae may be suffered by infected patients. Nevertheless, as a common sub-typic strain of SARS-CoV-2, it is currently unknown the impacts of Omicron comorbid with insomnia on brain cortex. The purpose of this study was to mine the neural markers involving cortical grey matter volume (GMV), thickness, and surface area within Omicron individuals either with or without insomnia. Additionally, correlations between these morphological metrics and neuropsychiatric assessments were analyzed. 234 participants were recruited from a prospective cross-sectional study cohort during the Omicron pandemic (December 2022-May 2023) at the Second Xiangya Hospital (China). We further divided participants into healthy controls (HCs), Omicron infection with insomnia group (Omicron_insomnia group), and Omicron infection without insomnia group (Omicron_non_insomnia group). Based on T1-weighted MPRAGE image, cortical thickness, surface area, and GMV were compared via surface-based morphometry (SBM) analysis, and significant morphological metrics were then correlated with neuropsychiatric manifestations. Our findings revealed altered cortical morphology in Omicron individuals. Morphological changes in the temporal, frontal, cingulate, transverse collateral, and lingual gyrus were independent from insomnia comorbidity. The decreased cortical thickness in superior temporal gyrus (STG) was a specific feature for Omicron infection comorbid with insomnia. Then, we discovered greater morphological size indicating neuropsychiatric improvement. This study explores the neural mechanisms underlying Omicron infection comorbid with insomnia, which will help to promote improvement in post-Omicron neuropsychiatric prognosis and clinical management.

Resumption of intravenous anti-cancer therapy in breast cancer: a real-world experience during the SARS-CoV-2 pandemic (preprint)

Purpose The coronavirus disease-2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, has delayed medical consultations, especially for patients receiving intravenous anti-cancer therapy. We aimed to investigate alterations in immune function among breast cancer patients who experienced delayed intravenous therapy due to SARS-CoV-2 infection.Methods We performed an observational investigation of breast cancer patients in Nanjing Drum Tower Hospital from December 27, 2022 to January 20, 2023. The patients recovered from SARS-CoV-2 infection were eligible for enrollment. Peripheral blood samples were taken prior to the restart of intravenous anti-cancer therapy to examine hematologic parameters.Results A total of 131 patients were included in the final analysis. Cough (74.0%), fever (62.6%), and expectoration (46.6%) were identified as the most presenting symptoms of SARS-CoV-2 infection in breast cancer. The average nucleic acid conversion time and delayed treatment time was 13.4 days and 13.9 days, respectively. The patients > 60 years old experienced prolonged nucleic acid conversion time (P = 0.017) and delayed treatment time (P = 0.028) compared to those < = 60 years old. Dysregulated lymphocyte subsets and cytokines were found post-SARS-CoV-2 infection. Treatment-related adverse events of grade 3 or 4 occurred in 7.6% after resuming intravenous anti-cancer therapy.Conclusions Our findings reveal that the SARS-CoV-2 infection led to imbalanced immune responses and postponed intravenous anti-cancer therapy in breast cancer. The safety report encourages the timely resumption of intravenous anti-cancer therapy after adequately weighing the risks and benefits.

Teaching design and practice of ideological and political education in Genetic Engineering based on the spirit of fighting the COVID-19 epidemic

Ideological and political education is an important form of carrying out the fundamental task of "educating people with moral cultivation" in colleges and universities. In the fight against the COVID-19 epidemic, the Chinese nation forged a great spirit of fighting the epidemic by pulling together in times of difficulty and helping each other. This provides the most vivid element for ideological and political education. In this article, we combed and summarized the spirit of fighting the COVID-19 epidemic, and condensed its connotation into five contents. This paper took the nucleic acid detection of the novel coronavirus, the anti-epidemic spirit contained in vaccine development and its mutation as the carrier of thinking and government, selected the corresponding theoretical content in the genetic engineering course, and carried out the ideological and political teaching design and practical research of the Genetic Engineering course focusing on the anti-epidemic spirit. This paper evaluated the teaching effect by using questionnaire method and in-depth interview method. The purpose of this study is to guide students to understand the spirit of fighting the COVID-19 epidemic contained in the course content, while learning professional theoretical knowledge, internalize it into value pursuit, and imperceptibly improve students' ideological awareness and moral cultivation. Meanwhile, it can provide reference for the ideological and political education of other biological majors.

Front Cover: Aptamers: The Powerful Molecular Tools for Virus Detection (Chem. Asian J. 11/2021)

In recent years, human beings have been suffering from diseases caused by various viruses. In particular, COVID-19 has seriously affected the economy, society, and people?s health of the world. Reliable detection, diagnosis, and treatment technologies and products are needed to address the epidemic and possible future public health events. Nucleic acid aptamers, as antibody-like recognition molecules, will play a role as new molecular tools in these aspects, especially in virus detection. More information can be found in the Minireview by Liyun Zhang et?al.

Association of serum uric acid levels with COVID-19 severity.

AIMS: Hyperuricemia has attracted increasing attention. However, limited concern has been paid to the potential dangers of lowering serum uric acid (SUA). We observed lower levels of SUA in patients with COVID-19. Therefore, we aim to explore whether patients with COVID-19 had SUA lower than normal and the relationship of SUA and the severity of COVID-19. METHODS: This was a case-control study based on 91 cases with COVID-19 and 273 age- and sex-matched healthy control subjects. We first compared SUA levels and uric acid/creatinine (UA/Cr) ratio between patients with COVID-19 and the healthy controls. Then, we examined the association of SUA levels and UA/Cr ratios with COVID-19 severity in COVID-19 cases only, defined according to the fifth edition of China's Diagnosis and Treatment Guidelines of COVID-19. RESULTS: SUA levels in patients with COVID-19 were 2.59% lower, UA/Cr ratios 6.06% lower at admission compared with healthy controls. In sex stratified analysis, levels of SUA and UA/Cr were lower in male patients with COVID-19 while only level of SUA was lower in female patients with COVID-19. Moreover, SUA and UA/Cr values were 4.27 and 8.23% lower in the severe group than that in the moderate group among male COVID-19 patients. Bivariate and partial correlations analysis showed negative correlations between SUA or UA/Cr ratio and COVID-19 after adjusting for age, sex, BMI and eGFR. A multiple linear regression analysis showed that SARS-CoV-2 infection and male sex were independent risk factors associated with lower SUA levels. Male patients with COVID-19 accompanied by low SUA levels had higher risk of developing severe symptoms than those with high SUA levels (incidence rate ratio: 4.05; 95% CI:1.11, 14.72) at admission. Comparing SUA and UA/Cr ratio at three time points (admission, discharge, and follow-up), we found that male patients experienced severe symptoms had lower SUA and UA/Cr ratio levels comparing to moderate patients, but no significant difference between three time points. On the contrary, female patients had lower SUA and UA/Cr ratio at discharge than those at admission, but no significant difference of SUA and UA/Cr ratio between moderate and severe group. CONCLUSION: Patients with COVID-19 had SUA and UA/Cr values lower than normal at admission. Male COVID-19 patients with low SUA levels had a significantly higher crude risk of developing severe symptoms than those with high SUA levels. During disease aggravation, the level of SUA gradually decreased until discharge. At the follow-up exam, the level of SUA was similar to the levels at admission.

Issue Cover

The cover image is based on the Original Article Clinical characteristics of COVID‐19 patients with hepatitis B virus infection — a retrospective study by Rui Liu et al., https://doi.org/10.1111/liv.14774.

Do national cultures matter in the containment of COVID-19?

PurposeThis paper empirically investigates how cultural variations in individualism and tightness affected the containment of COVID-19 using data from 54 nations during a 30-day period of government intervention.Design/methodology/approachThe authors utilized the hierarchical regression approach to check the effects of three cultural variables – the individualism measure, taken from Hofstede’s six-dimension national culture index, and the measure of cultural tightness, based on the three tightness–looseness indexes calculated by Irem Uz (2015) and their interaction – on the changes in the prevalence rate (ΔPR) and crude mortality rate (ΔCMR) and case fatality rate (CFR) while controlling for the stringency of government responses to COVID-19, median age and population density.FindingsSignificant relationships were found between cultural variables and national performance in slowing the spread of the coronavirus, measured by ΔPR, ΔCMR and CFR. After controlling for the stringency of government responses, median age and population density, the authors found that cultural tightness and individualism as well as their interactions remain to be pivotal. Loose and individualistic cultures led to faster increases in PR and CMR and higher CFR. A four-quadrant conceptual framework is developed to categorize and discuss the national differences.Originality/valueThe paper integrated two constructs – cultural tightness–looseness and individualism–collectivism – to form a theoretical lens to guide the authors’ analyses while using the real-time COVID-19 data as a natural experiment for theorizing and testing. This study’s findings have significant policy implications in government responses, strategic planning, cultural adaptability and policy implementations for the world’s continuous battle against the pandemic.

The Impact of COVID-19 Pandemic on Colorectal Cancer Patients: A Single-Center Retrospective Study (preprint)

Background: Since December 2019, China has experienced the public health emergency of coronavirus disease, which has expanded globally and is impacting the care of cancer patients. This study evaluated the impact of the pandemic on colorectal cancer (CRC) patients at our center and aimed to share lessons learned with clinics currently experiencing this impact. Methods: We retrospectively collected data on CRC patients admitted between January 1, 2020 and May 3, 2020; the control group comprised patients admitted between January 1, 2019 and May 3, 2019. Results: During the pandemic, outpatient volumes decreased significantly, especially among nonlocal and elderly patients, whereas the number of patients who received chemotherapy and surgery were maintained. During the pandemic, 710 CRC patients underwent curative enterectomy. The proportion of laparoscopic surgery was 49.4%, which was significantly higher than the 39.5% patients who received a laparoscopic surgery during the same period in 2019. The proportion of major complication during the pandemic was not significantly different from that of the control group. The mean hospital stay was significantly longer than that of the control group. Conclusions: CRC patients who are confirmed to be infection-free can receive routine treatment. Using online medical counseling and appropriate identification, treatment and follow-up was effectively maintained. Adjuvant and palliative chemotherapy should not be discontinued. Endoscopic polypectomy, elective, palliative, and multidisciplinary surgeries can be postponed, whereas curative surgery should be performed. For elderly CRC patients, endoscopic surgery and neoadjuvant radiotherapy are recommended.Trial registration: retrospectively registered

The impact of COVID-19 pandemic on colorectal cancer patients: A single-center retrospective study (preprint)

Background: Since December 2019, China has experienced the public health emergency of coronavirus disease, which has expanded globally and is impacting the care of cancer patients. This study evaluated the impact of the pandemic on colorectal cancer (CRC) patients at our center and aimed to share lessons learned with clinics currently experiencing this impact. Methods: We retrospectively collected data on CRC patients admitted between January 1, 2020 and May 3, 2020; the control group comprised patients admitted between January 1, 2019 and May 3, 2019. Results: During the pandemic, outpatient volumes decreased significantly, especially among nonlocal and elderly patients, whereas the number of patients who received chemotherapy and surgery were maintained. During the pandemic, 710 CRC patients underwent curative enterectomy. The proportion of laparoscopic surgery was 49.4%, which was significantly higher than the 39.5% patients who received a laparoscopic surgery during the same period in 2019. The proportion of major complication during the pandemic was not significantly different from that of the control group. The mean hospital stay was significantly longer than that of the control group. Conclusions: CRC patients who are confirmed to be infection-free can receive routine treatment. Using online medical counseling and appropriate identification, treatment and follow-up was effectively maintained. Adjuvant and palliative chemotherapy should not be discontinued. Endoscopic polypectomy, elective, palliative, and multidisciplinary surgeries can be postponed, whereas curative surgery should be performed. For elderly CRC patients, endoscopic surgery and neoadjuvant radiotherapy are recommended.