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Background/Objectives: Long COVID (LC) causes persistent symptoms, including fatigue, musculoskeletal (MSK) pain, and a lower quality of life. It is hypothesised that chronic low-grade inflammation in LC could impact bone, joints, and muscle microcirculation, but evidence is limited. Our aim is to
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Background/Objectives: Long COVID (LC) causes persistent symptoms, including fatigue, musculoskeletal (MSK) pain, and a lower quality of life. It is hypothesised that chronic low-grade inflammation in LC could impact bone, joints, and muscle microcirculation, but evidence is limited. Our aim is to assess health-related quality of life (HRQoL) and circulating inflammation, bone turnover markers (BTM), and vitamin D in LC individuals to explore their potential association with MSK function. Methods: Prospective longitudinal cohort; LC n = 45, well-recovered (WR) n = 40; 12 ± 2 months follow-up. Baseline and follow-up assessments included evaluations of HRQoL and pain-rating questionnaires, and blood analysis of inflammatory and bone turnover markers (BTM). Results: More females were in the LC group. LC reported significantly lower HRQoL compared to WR, with no change over 12 months. LC had higher vitamin D levels at baseline, median 29.46 ng/mL (23.75; 35.06) compared to WR 20.36 ng/mL (15.995; 27.65) (p = 0.0021). Both groups experienced significant increases in vitamin D after 12 months: WR median from 21.4 ng/mL (16.34; 27.89) to 29.58 ng/mL (25.33; 41.74), (p =< 0.001) and LC median from 32.695 ng/mL (23.665; 35.1) to 35.89 ng/mL (30.1; 41.2), (p = 0.0023). Pain rating showed LC also experienced more hand pain at baseline median 1 (0; 5), (p = 0.003). There were no differences between groups in BTM or cytokines over time. Conclusions: This feasibility cohort showed that LC is associated with a reduction in HRQoL and joint symptoms; however, no significant changes were observed in the inflammatory markers, indicating the need for ongoing monitoring. Future studies should explore MSK, muscle function via imaging, and ways to enhance musculoskeletal health and well-being.
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Ilen Adriana Diaz-Torres, Isamu Daniel Cabrera-Takane, Fanny Yasmin Ortega-Vargas, Aldo Agustin Herrera-González, Miguel Leonardo Garcia-León, Patricia Bautista-Carbajal, Daniel E. Noyola, Maria Susana Juárez-Tobías, Pedro Antonio Martínez-Arce, María del Carmen Espinosa-Sotero, Verónica Tabla-Orozco, Gerardo Martínez-Aguilar, Fabian Rojas-Larios and Rosa María Wong-Chew
Background/Objectives: Respiratory syncytial virus (RSV) significantly affects young children. In 2020, at the beginning of the COVID-19 pandemic, widespread public health measures temporarily interrupted RSV transmission. However, by mid-2021, an atypical resurgence of RSV was observed. The objective of this study was to
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Background/Objectives: Respiratory syncytial virus (RSV) significantly affects young children. In 2020, at the beginning of the COVID-19 pandemic, widespread public health measures temporarily interrupted RSV transmission. However, by mid-2021, an atypical resurgence of RSV was observed. The objective of this study was to compare the clinical and epidemiological characteristics of RSV infections in children before and during the second half of the SARS-CoV-2 pandemic in Mexico. Methods: A comparative ambispective longitudinal epidemiological study was conducted using two distinct cohorts: one from 2010 to 2013 and another from 2021 to 2023. The study included children under five years of age diagnosed with RSV-related pneumonia. Statistical analyses included Student’s t-tests, chi-square tests, and logistic regression to identify risk factors associated with severe pneumonia. Incidence density was calculated as the number of RSV-positive pneumonia cases per 10 new pneumonia admissions per month. Results: The mean age of affected children increased from 10 to 15 months. RSV activity began earlier in 2021, emerging during the summer months, and showed a higher incidence than in previous seasons. RSV type B was significantly more common during the pandemic period (58.5% vs. 3.8%), and the proportion of co-infections also increased (60% vs. 39%), indicating a change in the viral landscape. Conclusions: These findings indicate a shift in RSV seasonality toward summer and autumn, increased case incidence, and infections in older children. These observations underscore the need for ongoing surveillance to better understand evolving RSV patterns, especially in the context of complex public health scenarios like the COVID-19 pandemic.
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According to the U.S. Department of Commerce, there is strong evidence of a significant bounce in global e-commerce sales following the paradigm shift caused by COVID-19 in everyday life. The global e-commerce market size is projected to reach $6.33 trillion in 2024, with
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According to the U.S. Department of Commerce, there is strong evidence of a significant bounce in global e-commerce sales following the paradigm shift caused by COVID-19 in everyday life. The global e-commerce market size is projected to reach $6.33 trillion in 2024, with the top five countries being China, the United States, the United Kingdom, Japan, and the Republic of Korea (hereafter, Korea). Among the top five global players, two countries, Korea and Japan, are particularly noteworthy because Korea has the lowest retail e-commerce sales among the top five countries despite a high penetration rate while Japan shows the lowest penetration rate while maintaining a similar level of retail e-commerce sales. The e-commerce industry in Korea and Japan is facing a new inflection point regarding sustainable growth and survival. However, the sustainability of e-commerce firms in Korea and Japan has not yet been investigated from a comparative perspective. In the context of an extremely challenging global business environment, this study focuses on a representative e-commerce firm from each country: Coupang in Korea and Rakuten in Japan. By examining these cases, this study provides important insights into sustainable management practices in the e-commerce industry from a comparative perspective.
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Wastewater-based epidemiology (WBE) is an effective tool for assessing health risks in rural areas with limited access to health care. Wastewater treatment plants (WWTPs) allow for the monitoring of pathogenic microorganisms, which is key to detecting viral integrity and bacterial viability to assess
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Wastewater-based epidemiology (WBE) is an effective tool for assessing health risks in rural areas with limited access to health care. Wastewater treatment plants (WWTPs) allow for the monitoring of pathogenic microorganisms, which is key to detecting viral integrity and bacterial viability to assess health risks. This study evaluated five rural WWTPs in Chile during 2022 in two seasons (autumn–winter and spring–summer). SARS-CoV-2, norovirus GI/GII, and HAdV-F40/41 was analyzed, along with antibiotic-resistant coliforms. Influent and effluent samples were used, with viral integrity analysis by propidium monoazide and culture methods to assess bacterial resistance. Despite the low number of clinical cases, SARS-CoV-2 was detected in all influent samples. Intact viral particles of NoV GI (78%), NoV GII (72%), and HAdV-F40/41 (65%) were found. This suggests that they may still be infectious. Viral removal ranged from 74% to 100%, although intact HAdV was detected in effluent (6.2%). Coliforms resistant to various antibiotics were detected and partially removed (22–100%). Removal efficiency depends on the type of treatment and the season of the year. WWTPs act as temporary reservoirs of infectious agents. This study reinforces the usefulness of WBE in rural contexts and WWTPs as barriers or not to these contaminants to the environment.
Full article
The changes in charge distribution caused by mutations in the spike protein may play a crucial role in balancing infectivity and immune evasion during the evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). To explore how charge increments in spike protein variants
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The changes in charge distribution caused by mutations in the spike protein may play a crucial role in balancing infectivity and immune evasion during the evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). To explore how charge increments in spike protein variants influence viral evolution, a statistical analysis was conducted on 57 SARS-CoV-2 variants, examining relationships between charge distribution, lineage divergence, angiotensin-converting enzyme 2 (ACE2) affinity, immune evasion, and receptor-binding domain (RBD) expression. A phylogenetic tree was also reconstructed using only the charge properties of mutation sites. Results indicated that with increasing lineage divergence, overall positive charge initially rose sharply and then more gradually. Partitioning the spike protein into three domains—the RBD, the N-terminal flanking region (B-RBD), and the C-terminal flanking region (A-RBD)—revealed distinct patterns: positive charge increased in the RBD and A-RBD, whereas the B-RBD accumulated negative charge. Charge increments were negatively associated with ACE2 affinity and RBD expression but positively correlated with immune evasion. The k-mer-based tree derived from charge-reduced sequences showed a topology consistent with the whole-genome tree. These findings suggest that charge distribution in spike proteins is closely linked to viral evolution, with the opposing trends in the RBD and B-RBD potentially reflecting a balance between infectivity and immune escape.
Full article
GPS tracking has made ski injury data abundant, yet few studies have mapped where incidents actually occur or how those patterns differ between skiers and snowboarders. To address this gap, we analyzed 8719 GPS-located incidents (4196 skier; 4523 snowboarder) spanning four seasons (2017–2022,
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GPS tracking has made ski injury data abundant, yet few studies have mapped where incidents actually occur or how those patterns differ between skiers and snowboarders. To address this gap, we analyzed 8719 GPS-located incidents (4196 skier; 4523 snowboarder) spanning four seasons (2017–2022, excluding 2019–2020 due to COVID-19) at a large West Coast resort in California. Incidents were aggregated into 45 m hexagons and analyzed using Getis–Ord Gi* hot spot analysis, Local Outlier Analysis (LOA), and a space–time cube with time-series clustering. Hot spot analysis identified both activity-specific and overlapping high-injury concentrations at the 99% confidence level (p < 0.01). The LOA revealed no spatial overlap between skier and snowboarder High-High classifications (areas with high incident counts surrounded by other high-count areas) at the 95% confidence level. Temporal analysis exposed distinct patterns by activity: Time Series Clustering revealed skier incidents concentrated at holiday-sensitive locations versus stable zones, while snowboarder incidents separated into sustained high-activity versus baseline areas. These findings indicate universal safety strategies may be insufficient; targeted, activity-specific interventions may warrant investigation. The methodology provides a reproducible framework for spatial injury surveillance applicable across the ski industry.
Full article
The first webinar in the series, held on 17 April 2020, saw both Prof. Dr. Antoine Flahault, Director of the Institute of Global Health, University of Geneva, Switzerland, and Prof. Dr. Evelyne Bischof, Associate Professor, Shanghai University of Medicine and Health Sciences, Shanghai, China and Research physician, University Hospital of Basel, Basel, Switzerland speak on this topic.
The second webinar in the series, entitled “Coronaviruses: history, replication, innate immune antagonism”, saw Prof. Dr. Susan R. Weiss, Professor of Microbiology, Perelman School of Medicine, University of Pennsylvania speak on this topic.
WEBINAR 3: Could the COVID-19 Crisis be the Opportunity to Make Cities Carbon Neutral, Liveable and Healthy
The third webinar in this series was presented by Prof. Dr. Mark Nieuwenhuijsen, a world leading expert in environmental exposure assessment, epidemiology, and health risk/impact assessment with a strong focus and interest on healthy urban living.
WEBINAR 4: COVID-19 - Global Supply Chains and the SDGs
For the fourth webinar of this series, Prof. Dr. Max Bergman, Dr. Dorothea Schostok and Prof. Dr. Patrick Paul Walsh gave a presentation on Global Supply Chains and the SDGs.
WEBINAR 5: The New Role of Family Physicians in Times of COVID-19
The fifth webinar of the COVID-19 Series saw Prof. Dr. Christos Lionis discuss the new role of family physicians that emerged during the COVID-19 pandemic.
WEBINAR 6: Survey on Symptoms/Signs, Protective Measures, Level of Awareness and Perception Regarding COVID-19 Outbreak among Dentists
In the sixth webinar of this series, Prof. Dr. Guglielmo Campus and Prof. Dr. Maria Grazia present and discuss the risk and the preventions that can and should be taken by dentists during this pandemic.
WEBINAR 7: Living with COVID-19: An Early Intervention Therapeutic Strategy to Control the Pandemic
The seventh webinar of the COVID-19 series, Dr. Hamid Merchant discussed the different therapeutic strategies that can be adopted in the early stages of the infection.
WEBINAR 8: Impact of COVID-19 on Routine Immunization, Reproduction and Pregnancy Outcome
For the eighth COVID-19 webinar, Prof. Dr. Jon Øyvind Odland discussed the effect that COVID-19 seems to have on pregnant women; whereas Prof. Dr. Giovanni Gabutti discussed the role of routine immunization as a way of fighting COVID-19.
