Some of the principal treatments for osteoporosis could reduce the incidence of COVID-19 - برخی از داروهای اصلی پوکی استخوان باعث کاهش بروز کووید19 می شود

Some of the principal treatments for osteoporosis, denosumab, zoledronate and calcium, could have a protective effect against COVID-19 in patients who take them, specifically a 30 to 40% reduction in the rate of infection, according to the results of a joint study by Hospital del Mar, the Hospital del Mar Medical Research Institute (IMIM), Pompeu Fabra University and the Pere Virgili Health Park. The study, the first of its kind in the world, has just been published the journal Aging.

Release date: 3 November 2020
Source: IMIM (Hospital del Mar Medical Research Institute)

High rate of symptomless COVID-19 infection among grocery store workers - شیوع بالای موارد بی علامت کووید19 در کارکنان سوپرمارکت ها

The researchers studied 104 employees of one grocery store in Boston, Massachusetts. Each employee was tested for SARS-CoV-2, the virus responsible for COVID-19 infection, in May this year as part of a mandatory testing policy across Boston.

But before doing so, they completed detailed questionnaires on: their lifestyle; medical history; employment history; working patterns and role at the store; commuting to and from work; and the protective measures they were able to take against infection at work.

They were also asked to provide information on COVID-19, including any symptoms and exposure to anyone with confirmed SARS-CoV-2 over the past 14 days. Information on mental health was gleaned from two validated questionnaires for depression and anxiety: PHQ-9 and GAD-7.

One in five (21 out of 104) workers tested positive for SARS-CoV-2, indicating a prevalence of 20% at that point in time. This was significantly higher than the prevalence of the infection in the local community at the time: 0.9-1.3%.

Three out of four of those testing positive (76%) had no symptoms. And of those testing positive, most (91%) had a customer facing role compared with 59% of those testing negative.

Workers in customer facing roles were five times more likely to test positive than their colleagues in other types of role, after accounting for potentially influential factors, such as the prevalence of SARS-CoV-2 where they lived. Those in supervisory roles were six times more likely to do so.

Ninety-nine employees filled in the mental health questionnaires: 24 workers reported at least mild anxiety. Only half (46%) of them said they were able to practice social distancing consistently at work, whereas most (76%) of those who weren’t anxious were able to do so.

Eight employees were deemed to be mildly depressed from their questionnaire answers. They were less likely to practice social distancing consistently at work and more likely to travel to and from work on public transport or shared rides compared with those who weren’t depressed.

Those able to commute on foot, by bike or in their own car were 90% less likely to report depressive symptoms.

Journal: Occupational & Occupational Medicine

Release date: 29 October 2020
Source: BMJ

Four major predictors of COVID-19 emerge - چهار عامل مهم در ابتلا به کووید19 مشخص گردید

The study, published in BMC Medicine, identified four significant predictors of COVID-19 cases in New York City: neighborhoods with higher population densities led to an increase in the positivity rate; neighborhoods with younger populations (under 18 years old) also led to an increase; households with a higher income led to a decrease; and race showed a significant association with detected COVID-19 cases – both a lower percentage of white population and higher percentage of Black population led to increased positivity rates.

Release date: 20 October 2020
Source: Texas A&M University

Mouthwashes, oral rinses may inactivate human coronaviruses - دهان شویه ها می توانند باعث غیرفعال شدن ویروس کرونا شوند

The researchers found that several of the nasal and oral rinses had a strong ability to neutralize human coronavirus, which suggests that these products may have the potential to reduce the amount of virus spread by people who are COVID-19-positive.

The 1% baby shampoo solution, which is often used by head and neck doctors to rinse the sinuses, inactivated greater than 99.9% of human coronavirus after a two-minute contact time. Several of the mouthwash and gargle products also were effective at inactivating the infectious virus. Many inactivated greater than 99.9% of virus after only 30 seconds of contact time and some inactivated 99.99% of the virus after 30 seconds.

Release date: 19 October 2020
Source: Penn State

Every month delayed in cancer treatment can raise risk of death by around 10% - هرماه تاخیر در درمان سرطان می تواند خطر مرگ را حدود 10% افزایش دهد

Minimising delays to treatment could improve cancer survival rates, say researchers

People whose treatment for cancer is delayed by even one month have in many cases a 6 to 13% higher risk of dying – a risk that keeps rising the longer their treatment does not begin – suggests research published online in The BMJ.

These studies had data on surgical interventions, systemic therapy (such as chemotherapy), or radiotherapy for seven forms of cancer – bladder, breast, colon, rectum, lung, cervix, and head and neck – that together, represent 44% of all incident cancers globally.

Analysis of the results showed that across all three treatment approaches, a treatment delay of four weeks was associated with an increase in the risk of death.

For surgery, this was a 6-8% increase in the risk of death for every four-week treatment delay whereas the impact was even more marked for some radiotherapy and systemic indications, with a 9% and 13% increased risk of death for definitive head and neck radiotherapy and adjuvant (follow-up) systemic treatment for colorectal cancer, respectively.

Hanna concludes: “A four week delay in treatment is associated with an increase in mortality across all common forms of cancer treatment, with longer delays being increasingly detrimental.

“In light of these results, policies focused on minimising system level delays in cancer treatment initiation could improve population level survival outcomes.”

Release date: 4 November 2020
Source: BMJ

almost 20 per cent of COVID-19 patients only show gastrointestinal symptoms - کرونا در حدود 20% موارد صرفا علایم گوارشی دارد

Almost one in five patients with COVID-19 may only show gastrointestinal symptoms, according to a review of academic studies published in the journal Abdominal Radiology. The findings of the review suggest abdominal radiologists need to remain vigilant during the pandemic while imaging patients.

Gastrointestinal symptoms associated with COVID-19 vary widely but can include loss of appetite, nausea, vomiting, diarrhea and generalized abdominal pain. The researchers who conducted the review report that 18 per cent of patients presented with such symptoms, while 16 per cent of COVID-19 cases may only present with gastrointestinal symptoms.

In addition to gastrointestinal symptoms, they also determined potential signs radiologists should look for while conducting abdominal imaging that could be evidence of COVID-19 infection. Those signs include inflammation of the small and large bowel, air within the bowel wall (pneumatosis) and bowel perforation (pneumoperitoneum). The signs are quite rare, said the researchers, and could indicate patients with advanced disease.

Release date: 3 November 2020
Source: University of Alberta Faculty of Medicine & Dentistry

Social isolation puts women at higher risk of hypertension - تنهایی باعث افزایش فشارخون در بانوان می شود

It’s no secret that loneliness and social isolation have a negative impact on the mental and physical health of older adults. Now, researchers at the University of British Columbia are discovering that social isolation affects the health of men and women in different ways—including placing women at higher risk of high blood pressure.

In a study in the Journal of Hypertension, researchers discovered that middle aged and older women who lacked social ties were much more likely than men to suffer from hypertension—a known risk factor for heart disease, which is the leading cause of death among women—and stroke.

Release date: 28  October 2020
Source: University of British Columbia

Over 80 percent of COVID-19 patients have vitamin D deficiency - اکثریت بیماران مبتلا به کووید 19 دچار کمبود ویتامین دی هستند

Over 80 percent of 200 COVID-19 patients in a hospital in Spain have vitamin D deficiency, according to a new study published in the Endocrine Society’s Journal of Clinical Endocrinology & Metabolism.

Vitamin D is a hormone the kidneys produce that controls blood calcium concentration and impacts the immune system. Vitamin D deficiency has been linked to a variety of health concerns, although research is still underway into why the hormone impacts other systems of the body. Many studies point to the beneficial effect of vitamin D on the immune system, especially regarding protection against infections.

The researchers found 80 percent of 216 COVID-19 patients at the Hospital Universitario Marqués de Valdecilla had vitamin D deficiency, and men had lower vitamin D levels than women. COVID-19 patients with lower vitamin D levels also had raised serum levels of inflammatory markers such as ferritin and D-dimer.

Release date: 27 October 2020
Source: The Endocrine Society

Aspirin Use Reduces Risk of Death in Hospitalized COVID-19 Patients - آسپرین خطر مرگ در بیماران بستری مبتلا به کرونا را کاهش می دهد

Hospitalized COVID-19 patients who were taking a daily low-dose aspirin to protect against cardiovascular disease had a significantly lower risk of complications and death compared to those who were not taking aspirin.

The researchers found aspirin use was associated with a 44 percent reduction in the risk of being put on a mechanical ventilator, a 43 percent decrease in the risk of ICU admission and – most importantly – a 47 percent decrease in the risk of dying in the hospital compared to those who were not taking aspirin. The patients in the aspirin group did not experience a significant increase in adverse events such as major bleeding while hospitalized.

The study, published today in the journal Anesthesia and Analgesia.

Release date: 22 October 2020
Source: University of Maryland School of Medicine

High flavanol diet may lead to lower blood pressure - تغذیه مناسب بیماران مبتلا به فشارخون بالا

People who consume a diet including flavanol-rich foods and drinks, including tea, apples and berries, could lead to lower blood pressure, according to the first study using objective measures of thousands of UK residents’ diet.

The findings, published in Scientific Reports, studied the diet of more than 25,000 people in Norfolk, UK and compared what they ate with their blood pressure. In contrast to most other studies investigating links between nutrition and health, the researchers did not rely on study participants reporting their diet, but instead measured flavanol intake objectively using nutritional biomarkers  – indicators of dietary intake, metabolism or nutritional status that are present in our blood.

Release date: 21 October 2020
Source: University of Reading