Descriptive account of 18 adults with known HIV infection hospitalised with SARS-CoV-2 infection

OBJECTIVE: To report on the clinical characteristics and outcome of 18 people living with HIV (PLWH) hospitalised with SARS-CoV-2 infection in a London teaching hospital. METHODS: The hospital notes of 18 PLWH hospitalised with SARS-CoV-2 infection were retrospectively reviewed alongside data concerning their HIV demographics from an established HIV Database. RESULTS: The majority (16/18) had positive PCR swabs for SARS-CoV-2, and two had negative swabs but typical COVID-19 imaging and history. Most were male (14/18, 78%), median age 63 years (range 47-77 years). Two-thirds were migrants, nine (50%) of Black, Asian and minority ethnicity (BAME). All were diagnosed with HIV for many years (range 8-31 years), and all had an undetectable HIV viral load (<40 copies/mL). The median CD4 prior to admission was 439 (IQR 239-651), and 10/16 (63%) had a CD4 nadir below 200 cells/mm3. Almost all (17/18) had been diagnosed with at least one comorbidity associated with SARS-CoV-2 prior to admission. 3/18 patients died. None received mechanical ventilation. Hospital stay and clinical course did not appear prolonged (median 9 days). CONCLUSIONS: Our data suggest that PLWH may not necessarily have prolonged or complex admissions to hospital when compared with the general hospital and national population admitted with COVID-19. Many had low nadir CD4 counts and potentially impaired functional immune restoration. The PLWH group was younger than generally reported for COVID-19, and the majority were male with multiple complex comorbidities. These patients had frequent contact with hospital settings increasing potential for nosocomial acquisition and increased risk of severe COVID-19

The Student Movement Volume 105 Issue 7: Putting the Finishing Touches on Fall Semester

NEWS Andrews Releases Spring 2021 Opening Plan, Amanda Cho Creating Visions for the Future, Joelle Kim Semester Reflections: Living During a Global Pandemic, Taylor Uphus PULSE The Best Drive-Through Meals, Masy Domecillo Reviewing Leaving the Shadowland of Stress, Depression, and Anxiety , Jessica Rim Study Tips: Re-Examining Routine, Wambui Karanja HUMANS Christmas vs. Thanksgiving, Interviewed by Abigail Lee Interview with Dongchan Kim, AUSA Executive Vice President, Interviewd by Ben Lee Studying Abroad in Argentina: An Interview with Lisiane Umuhire, Interviewed by TJ Hunter ARTS & ENTERTAINMENT Creative Spotlight: Ivan Rachath, Interviewed by Megan Napod Elementary, Hannah Cruse It\u27s Beginning to Sound A Lot Like Christmas!, Megan Napod IDEAS The Good, Kyara Samuels The Power of Resource, Evin N. Musgrove LAST WORD Fallen Titans: Remembering Alex Trebek and Rabbi Jonathan Sacks, Daniel Selfhttps://digitalcommons.andrews.edu/sm-105/1008/thumbnail.jp

Epidemiological Characteristics of Classical Scrapie Outbreaks in 30 Sheep Flocks in the United Kingdom

Most previous analyses of scrapie outbreaks have focused on flocks run by research institutes, which may not reflect the field situation. Within this study, we attempt to rectify this deficit by describing the epidemiological characteristics of 30 sheep flocks naturally-infected with classical scrapie, and by exploring possible underlying causes of variation in the characteristics between flocks, including flock-level prion protein (PrP) genotype profile. In total, the study involved PrP genotype data for nearly 8600 animals and over 400 scrapie cases.We found that most scrapie cases were restricted to just two PrP genotypes (ARQ/VRQ and VRQ/VRQ), though two flocks had markedly different affected genotypes, despite having similar underlying genotype profiles to other flocks of the same breed; we identified differences amongst flocks in the age of cases of certain PrP genotypes; we found that the age-at-onset of clinical signs depended on peak incidence and flock type; we found evidence that purchasing infected animals is an important means of introducing scrapie to a flock; we found some evidence that flock-level PrP genotype profile and flock size account for variation in outbreak characteristics; identified seasonality in cases associated with lambing time in certain flocks; and we identified one case that was homozygous for phenylalanine at codon 141, a polymorphism associated with a very high risk of atypical scrapie, and 28 cases that were heterozygous at this codon.This paper presents the largest study to date on commercially-run sheep flocks naturally-infected with classical scrapie, involving 30 study flocks, more than 400 scrapie cases and over 8500 PrP genotypes. We show that some of the observed variation in epidemiological characteristics between farms is related to differences in their PrP genotype profile; although much remains unexplained and may instead be attributed to the stochastic nature of scrapie dynamics

Sciatic Neuroma Presenting Forty Years After Above-Knee Amputation

We report a case of a sciatic neuroma presenting forty years after above knee amputation. Patients developing neuroma following a limb amputation can present with stump pain which is commonly resistant to medical intervention. The length of interval from the initial injury to presentation is widely variable. Diagnosis relies on clinical suspicion and accurate assessment, radiological imaging and, if indicated, surgical exploration. MRI provides a better soft tissue definition than CT and is more accurate in identifying small lesions than ultrasound. The aim of treatment for symptomatic neuroma is pain relief and improvement of function. This is often achieved by surgical excision

The Student Movement Volume 105 Issue 2: Clubs Fare Well: Clubs Preserve Community During COVID

NEWS Clubs, Clubs, Clubs Galore, Taylor Uphus The Andreasen Center for Wellness Reopening, Amanda Cho Danielle Pilgrim Delivers Inspiring Message, Terika Williams PULSE Planning University Club Events Amidst a Pandemic, Masy Domecillo Research at the Science Complex During COVID-19, Jessica Rim Socializing During a Pandemic: Freshmen Perspectives, Interviewed by Wambui Karanja HUMANS BSCF Club Spotlight, Interviewed by TJ Hunter Distance Learning Student Interview, Sydney Saint-Jean Meet Lamson Hall\u27s Newest Dean, Interviewed by Pearl Parker Spiritual Leadership During COVID-19, Interviewed by Terika Williams ARTS & ENTERTAINMENT More Apples to Byte, Hannah Cruse Playing Out the Pandemic: Our Orchestras Dealing with COVID, Megan Napod Signal Boost: The Domino Effect, Pearl Parker Virtual Game Night: A Virtual Reality, Joshua Deonarine IDEAS How Climate Change is Fueling the West Coast Fires, Lyle Goulbourne Ideas That Heal Us: So You Think You\u27re Self-Aware, Evin N. Musgrove THE LAST WORD What am I Applying for & Who am I?, Daniel Selfhttps://digitalcommons.andrews.edu/sm-105/1002/thumbnail.jp

Epidemiological Characteristics of Classical Scrapie Outbreaks in 30 Sheep Flocks in the United Kingdom

Most previous analyses of scrapie outbreaks have focused on flocks run by research institutes, which may not reflect the field situation. Within this study, we attempt to rectify this deficit by describing the epidemiological characteristics of 30 sheep flocks naturally-infected with classical scrapie, and by exploring possible underlying causes of variation in the characteristics between flocks, including flock-level prion protein (PrP) genotype profile. In total, the study involved PrP genotype data for nearly 8600 animals and over 400 scrapie cases.We found that most scrapie cases were restricted to just two PrP genotypes (ARQ/VRQ and VRQ/VRQ), though two flocks had markedly different affected genotypes, despite having similar underlying genotype profiles to other flocks of the same breed; we identified differences amongst flocks in the age of cases of certain PrP genotypes; we found that the age-at-onset of clinical signs depended on peak incidence and flock type; we found evidence that purchasing infected animals is an important means of introducing scrapie to a flock; we found some evidence that flock-level PrP genotype profile and flock size account for variation in outbreak characteristics; identified seasonality in cases associated with lambing time in certain flocks; and we identified one case that was homozygous for phenylalanine at codon 141, a polymorphism associated with a very high risk of atypical scrapie, and 28 cases that were heterozygous at this codon.This paper presents the largest study to date on commercially-run sheep flocks naturally-infected with classical scrapie, involving 30 study flocks, more than 400 scrapie cases and over 8500 PrP genotypes. We show that some of the observed variation in epidemiological characteristics between farms is related to differences in their PrP genotype profile; although much remains unexplained and may instead be attributed to the stochastic nature of scrapie dynamics

The Student Movement Volume 105 Issue 4: Students Destress in AUSA\u27s Nest

NEWS AU Adelante Club Hosts Vespers, Joelle Kim AUSA Hosts The Nest, Amanda Cho The Gazebo Reopens with GetFood App, Taylor Uphus PULSE Cultural Hispanic Catchphrases, Wambui Karanja Keep Calm and Breathing On (Yourself), Jessica Rim Meet & Make: Reflections, Masy Domecillo HUMANS Event Planning With Malachi Regis, Interviewed by Fitz-Earl McKenzie II Interview with Michael Nixon: Vice President for Diversity & Inclusion, Interviewed by Abigail Lee Meet Professor Pedro Navia, Interviewed by Pearl Parker Torian Hill, Interviewed by TJ Hunter ARTS & ENTERTAINMENT Hispanic Artist Feature: Felix Gillett, Megan Napod Música para el Alma or Music for the Soul, Hannah Cruse Signal Boost, Alannah Tjhatra IDEAS An Defense Against Burnout: Why Meaning Matters, Adoniah Simon Remembering RBG: Part Two, Lyle Goulbourne THE LAST WORD How Does it Change Us?, Daniel Selfhttps://digitalcommons.andrews.edu/sm-105/1004/thumbnail.jp

Trapped in the prison of the mind: notions of climate-induced (im)mobility decision-making and wellbeing from an urban informal settlement in Bangladesh

The concept of Trapped Populations has until date mainly referred to people ‘trapped’ in environmentally high-risk rural areas due to economic constraints. This article attempts to widen our understanding of the concept by investigating climate-induced socio-psychological immobility and its link to Internally Displaced People’s (IDPs) wellbeing in a slum of Dhaka. People migrated here due to environmental changes back on Bhola Island and named the settlement Bhola Slum after their home. In this way, many found themselves ‘immobile’ after having been mobile—unable to move back home, and unable to move to other parts of Dhaka, Bangladesh, or beyond. The analysis incorporates the emotional and psychosocial aspects of the diverse immobility states. Mind and emotion are vital to better understand people’s (im)mobility decision-making and wellbeing status. The study applies an innovative and interdisciplinary methodological approach combining Q-methodology and discourse analysis (DA). This mixed-method illustrates a replicable approach to capture the complex state of climate-induced (im)mobility and its interlinkages to people’s wellbeing. People reported facing non-economic losses due to the move, such as identity, honour, sense of belonging and mental health. These psychosocial processes helped explain why some people ended up ‘trapped’ or immobile. The psychosocial constraints paralysed them mentally, as well as geographically. More empirical evidence on how climate change influences people’s wellbeing and mental health will be important to provide us with insights in how to best support vulnerable people having faced climatic impacts, and build more sustainable climate policy frameworks