Dutch Oncology COVID-19 consortium:Outcome of COVID-19 in patients with cancer in a nationwide cohort study

Aim of the study: Patients with cancer might have an increased risk for severe outcome of coronavirus disease 2019 (COVID-19). To identify risk factors associated with a worse outcome of COVID-19, a nationwide registry was developed for patients with cancer and COVID-19. Methods: This observational cohort study has been designed as a quality of care registry and is executed by the Dutch Oncology COVID-19 Consortium (DOCC), a nationwide collaboration of oncology physicians in the Netherlands. A questionnaire has been developed to collect pseudonymised patient data on patients' characteristics, cancer diagnosis and treatment. All patients with COVID-19 and a cancer diagnosis or treatment in the past 5 years are eligible. Results: Between March 27th and May 4th, 442 patients were registered. For this first analysis, 351 patients were included of whom 114 patients died. In multivariable analyses, age ≥65 years (p < 0.001), male gender (p = 0.035), prior or other malignancy (p = 0.045) and active diagnosis of haematological malignancy (p = 0.046) or lung cancer (p = 0.003) were independent risk factors for a fatal outcome of COVID-19. In a subgroup analysis of patients with active malignancy, the risk for a fatal outcome was mainly determined by tumour type (haematological malignancy or lung cancer) and age (≥65 years). Conclusion: The findings in this registry indicate that patients with a haematological malignancy or lung cancer have an increased risk of a worse outcome of COVID-19. During the ongoing COVID-19 pandemic, these vulnerable patients should avoid exposure to severe acute respiratory syndrome coronavirus 2, whereas treatment adjustments and prioritising vaccination, when available, should also be considered

Alliance Between Therapist and Multi-stressed Families During the COVID-19 Pandemic: The Effect of Family-Based Videoconferencing

Background: A strong therapeutic alliance or working relationship is essential for effective face-to-face family-based psychotherapy. However, little is known about the use of VC on alliance in family-based therapy. The recent COVID-19 pandemic led to a national lockdown during which most family-based therapy transferred to VC. Objective: The current study analyzed the development and strength of alliance prior and during lockdown for multi-stressed families participating in Multisystemic Therapy (MST). Method: Alliance with the therapist was reported monthly by 846 caregivers (81% female). Using latent growth curve models (longitudinal approach), the development of alliance was estimated for families participating in MST prior to the lockdown, transferring to VC early in treatment or late in treatment. Using regression analyses (cross-sectional approach), lockdown (yes/no) was included as predictor of alliance. In these analyses, type of family (regular; intellectual disability; concerns regarding child abuse or neglect) and gender of caregiver were included as moderators. Results: Both analytical approaches showed that alliance was not affected by VC, except for families with concerns of child abuse, who reported lower alliances during lockdown. However, these results where no longer significant when controlling for multiple testing. Conclusions: Strong alliances can be developed and maintained during family-based VC sessions with multi-stressed families. However, for some subgroups, such as families with concerns of child abuse, VC might not be suitable or sufficient. Future research needs to investigate the potential and limitations of using VC with families

Participation in society in patients with coronary artery disease before and after cardiac rehabilitation frequency, experienced restrictions and satisfaction

Objectives: To assess changes in participation in society (frequency, restrictions, satisfaction) during and after cardiac rehabilitation (CR) and to assess associations between participation and heath-related quality of life (HRQOL). Design: Prospective cohort study. Setting: Outpatient CR center. Participants: Patients with coronary artery disease (NZ121; mean age, 57y; 96 men [79%]). Interventions: Multidisciplinary CR. Main Outcome Measures: Participation in society was assessedwith theUtrecht Scale for Evaluation of Rehabilitation-Participation and HRQOL with theMacNewHeart Disease health-related quality of life questionnaire.Allmeasurementswere performed pre-CR, post-CR, and 1 year after the start ofCR. Results: Frequency of participation did not change during and after CR. The proportion of patients experiencing restrictions in participation decreased from 69% pre-CR to 40% post-CR (P<.001) and 29% at 1 year (P<.001 vs post-CR). Pre-CR, 71% of patients were dissatisfied with their participation. This improved to 49% post-CR (P<.001) and 53% at 1 year (P<.001 vs pre-CR). Experienced restrictions explained 5% to 7% of the improvement in HRQOL during CR and satisfaction with participation explained 10% to 19%. Conclusions: Participation in society improves in patients undergoing CR. Despite these improvements, the presence of coronary artery disease is associated with persistent restrictions and dissatisfaction with participation. Because experienced restrictions and dissatisfaction are related to changes in HRQOL it is important to address these aspects of participation during CR

NOx Emissions Reduction and Rebound in China Due to the COVID-19 Crisis

During the COVID-19 lockdown (24 January–20 March) in China low air pollution levels were reported in the media as a consequence of reduced economic and social activities. Quantification of the pollution reduction is not straightforward due to effects of transport, meteorology, and chemistry. We have analyzed the NOx emission reductions calculated with an inverse algorithm applied to daily NO2 observations from TROPOMI onboard the Copernicus Sentinel-5P satellite. This method allows the quantification of emission reductions per city and the analysis of emissions of maritime transport and of the energy sector separately. The reductions we found are 20–50% for cities, about 40% for power plants, and 15–40% for maritime transport depending on the region. The reduction in both emissions and concentrations shows a similar timeline consisting of a sharp reduction (34–50%) around the Spring festival and a slow recovery from mid-February to mid-March.Atmospheric Remote Sensin

Quantification of nitrogen oxides emissions from build-up of pollution over Paris with TROPOMI

Nitrogen dioxide (NO2) is a regulated air pollutant that is of particular concern in many cities, where concentrations are high. Emissions of nitrogen oxides to the atmosphere lead to the formation of ozone and particulate matter, with adverse impacts on human health and ecosystems. The effects of emissions are often assessed through modeling based on inventories relying on indirect information that is often outdated or incomplete. Here we show that NO2 measurements from the new, high-resolution TROPOMI satellite sensor can directly determine the strength and distribution of emissions from Paris. From the observed build-up of NO2 pollution, we find highest emissions on cold weekdays in February 2018, and lowest emissions on warm weekend days in spring 2018. The new measurements provide information on the spatio-temporal distribution of emissions within a large city, and suggest that Paris emissions in 2018 are only 5–15% below inventory estimates for 2011–2012, reflecting the difficulty of meeting NOx emission reduction targets.</p

Prevalence, recovery patterns and predictors of quality of life and costs after non-fatal injury: the Brabant Injury Outcome Surveillance (BIOS) study

Item does not contain fulltextINTRODUCTION: Trauma is a major public health problem worldwide that leads to high medical and societal costs. Overall, improved understanding of the full spectrum of the societal impact and burden of injury is needed. The main purpose of the Brabant Injury Outcome Surveillance (BIOS) study is to provide insight into prevalence, predictors and recovery patterns of short-term and long-term health-related quality of life (HRQoL) and costs after injury. MATERIALS AND METHODS: This is a prospective, observational, follow-up cohort study in which HRQoL, psychological, social and functional outcome, and costs after trauma will be assessed during 24 months follow-up within injured patients admitted in 1 of 10 hospitals in the county Noord-Brabant, the Netherlands. Data will be collected by self-reported questionnaires at 1 week (including preinjury assessment), and 1, 3, 6, 12 and 24 months after injury. If patients are not capable of filling out the questionnaires, proxies will be asked to participate. Also, information about mechanism and severity of injury, comorbidity and indirect and direct costs will be collected. Mixed models will be used to examine the course of HRQoL, functional and psychological outcome, costs over time and between different groups, and to identify predictors for poor or good outcome. RELEVANCE: This study should make a substantial contribution to the international collaborative effort to assess the societal impact and burden of injuries more accurately. The BIOS results will also be used to develop an outcome prediction model for outcome evaluation including, besides the classic fatal, non-fatal outcome. TRIAL REGISTRATION NUMBER: NCT02508675

Efeito da velocidade do estímulo no desempenho de uma tarefa de antecipação-coincidência em destros e canhotos

Destros e canhotos diferem quando comparados em algumas tarefas motoras, parecendo os canhotos usufruir de alguma vantagem em tarefas visuo-motoras. Neste estudo foi analisado, em cada grupo de preferência manual, o efeito da velocidade do estímulo, do sexo e da mão de execução no desempenho de uma tarefa simples de antecipação-coincidência. Participaram 12 destros e 12 canhotos de ambos os sexos, estudantes universitários de Desporto. Empregou-se o "Bassin Anticipation Timer" para avaliar a capacidade de antecipação-coincidência em três velocidades: 268 cm/s, 402,3 cm/s e 536,4 cm/s (6, 9 e 12 mph, respectivamente). Os sujeitos executaram a tarefa tanto com a mão preferida como com a mão não preferida. Principais resultados: 1) apenas os destros foram afetados pela variável velocidade do estímulo, apresentando antecipação das respostas e maior variabilidade na velocidade 268 cm/s, enquanto nas velocidades 402,3 cm/s e 536,4 cm/s as respostas foram enviesadas no sentido do atraso da resposta e com variabilidade menos acentuada na velocidade mais alta; 2) o sexo teve um efeito significativo apenas nos canhotos, sendo o sexo masculino mais preciso e menos enviesado nas suas respostas do que o sexo feminino; 3) a assimetria manual manifestou-se apenas nos canhotos na velocidade de 268 cm/s e no Erro Variável. Concluímos que cada grupo de preferência manual parece comportar-se de forma diferenciada em tarefas perceptivas de Antecipação-Coincidência onde a velocidade do estímulo é manipulada.Right- and left-handers differ when compared in some motor tasks, and left-handers enjoy some advantage over right-handers in visuo-motor tasks. In this study we intend to analyze the effect of stimulus speed, in a simple coincidence-anticipation task, depending on handedness. Twelve right-handers and twelve left-handers of both sexes, students of Physical Education, participated in this study. The Bassin Anticipation Timer was used to evaluate the coincidence-anticipation ability at three different and random velocities: 268 cm/s, 402.3 cm/s e 536.4 cm/s (6, 9 e 12 mph, respectively). The subjects were evaluated performing the task with the preferred hand and non-preferred hand. The results revealed that: 1) only right-handers were affected by the variable stimulus speed, anticipating responses and being more variable at 268cm/s, while at 402.3 cm/s and 536.4 cm/s responses were late; moreover they were less variable at 536.4cm/s; 2) sex as a main factor was significant only in the left-handed group, males being more accurate and less biased in their responses than females; 3) manual asymmetry was only apparent in the left-handed group at the 268cm/s and in the variable error. The perceptual component of the task seems to be crucial in distinguishing right-handers and left-handers where the speed of the stimulus is manipulated