Clinical characteristics and severity prediction score of Adenovirus pneumonia in immunocompetent adult.

BACKGROUND: Compared with children and immunocompromised patients, Adenovirus pneumonia in immunocompetent adults is less common. Evaluation of the applicability of severity score in predicting intensive care unit (ICU) admission of Adenovirus pneumonia is limited. METHODS: We retrospectively reviewed 50 Adenovirus pneumonia inpatients in Xiangtan Central Hospital from 2018 to 2020. Hospitalized patients with no pneumonia or immunosuppression were excluded. Clinical characteristics and chest image at the admission of all patients were collected. Severity scores, including Pneumonia severity index (PSI), CURB-65, SMART-COP, and PaO2/FiO2 combined lymphocyte were evaluated to compare the performance of ICU admission. RESULTS: Fifty inpatients with Adenovirus pneumonia were selected, 27 (54%) non-ICU and 23 (46%) ICU. Most patients were men (40 [80.00%]). Age median was 46.0 (IQR 31.0-56.0). Patients who required ICU care (n = 23) were more likely to report dyspnea (13[56.52%] vs 6[22.22%]; P = 0.002) and have lower transcutaneous oxygen saturation ([90% (IQR, 90-96), 95% (IQR, 93-96)]; P = 0.032). 76% (38/50) of patients had bilateral parenchymal abnormalities, including 91.30% (21/23) of ICU patients and 62.96% (17/27) of non-ICU patients. 23 Adenovirus pneumonia patients had bacterial infections, 17 had other viruses, and 5 had fungi. Coinfection with virus was more common in non-ICU patients than ICU patients (13[48.15%]VS 4[17.39%], P = 0.024), while bacteria and fungi not. SMART-COP exhibited the best ICU admission evaluation performance in Adenovirus pneumonia patients (AUC = 0.873, p < 0.001) and distributed similar in coinfections and no coinfections (p = 0.26). CONCLUSIONS: In summary, Adenovirus pneumonia is not uncommon in immunocompetent adult patients who are susceptible to coinfection with other etiological illnesses. The initial SMART-COP score is still a reliable and valuable predictor of ICU admission in non-immunocompromised adult inpatients with adenovirus pneumonia.

Risky but alluring: Severe COVID-19 pandemic influence increases risk taking.

The COVID-19 pandemic has changed our lives to a profound extent. In this research, we examined how the pandemic might have influenced people's general risk attitude in their daily lives. Across four studies (two preregistered) using U.S. online worker and Canadian university student samples, we observed that individuals who were severely affected by the pandemic showed higher risk taking toward a variety of risky activities than those who were less severely affected. We attributed this effect to elevated boredom levels and increased perceived benefits from taking risks among the severely affected group and provided supporting evidence. Data ruled out risk perception, income, employment status, and response biases as alternative explanations. Our findings shed light on the psychological consequences of the COVID-19 pandemic, decision under risk, the role of perceived benefits of risk taking, and effective policy interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Differentials of SARS-CoV-2 Viral RNA Re-positivity in Discharged COVID-19 Patients.

The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious RNA coronavirus responsible for the pandemic of the coronavirus disease 2019 (COVID-19). Recent advances in virology, epidemiology, diagnosis, and clinical management of COVID-19 have contributed to the control and prevention of this disease, but re-positivity of SARS-CoV-2 in recovered COVID-19 patients has brought a new challenge for this worldwide anti-viral battle. Reverse transcription polymerase chain reaction (RT-PCR) tests of the SARS-CoV-2 pathogen is widely used in clinical diagnosis, but a positive RT-PCR result may be multifactorial, including false positive, SARS-CoV-2 RNA fragment shedding, reinfection of SARS-CoV-2, or re-activation of COVID-19. Re-infection of SARS-CoV-2 or re-activation of COVID-19 is an indicator of live viral carriers and isolation/treatment is needed, but SARS-CoV-2 RNA fragment shedding is not. SARS-CoV-2 RNA is recently reported to integrate into the host genome, but the far-reaching outcome is currently unclear. Therefore, it is critical for appropriate manipulation and prevention of COVID-19 to distinguish these causal factors of SARS-CoV-2 re-positivity. In this review article, we updated the current knowledge of SARS-CoV-2 re-positivity in discharged COVID-19 patients with a focus on re-infection and re-activation. We proposed a hypothetical flowchart for handling of the SARS-CoV-2 re-positive cases.

Impacts of COVID-19 on Chinese nationals' tourism preferences.

This paper examines the impacts of COVID-19 on Chinese nationals' tourism preferences. Employing a mixed-method research design, two rounds of nation-wide online surveys were conducted, one in February 2020 when COVID-19 cases started to peak in China and another one in June 2020 when COVID-19 was a global pandemic; both survey studies were accompanied with semi-structured in-depth interviews and altogether 37 interviews were conducted in two stages. Based on both quantitative survey data and qualitative interview data, the research identified that: 1) COVID-19 significantly reduced Chinese nationals' preferences to travel to countries with high infection numbers, and geographically faraway, administratively and culturally distant outbound destinations; 2) Chinese nationals reduced their preferences in all travel modes and most of the tourism forms, but most of them would prefer nature-based, rural, and cultural destinations after COVID-19; and 3) shortened trips in short travel distance are preferred after COVID-19. The findings offer rich insights and practical implications for governments, industry organisations, and tourism operators to formulate tourism recovery strategies toward Chinese tourists.