Mouse Chromosome 3

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46995/1/335_2004_Article_BF00648421.pd

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

Introduction: The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures. Methods: In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025. Findings: Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation. Interpretation: After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification. Funding: UK Research and Innovation and National Institute for Health Research

Large-scale phenotyping of patients with long COVID post-hospitalization reveals mechanistic subtypes of disease

One in ten severe acute respiratory syndrome coronavirus 2 infections result in prolonged symptoms termed long coronavirus disease (COVID), yet disease phenotypes and mechanisms are poorly understood1. Here we profiled 368 plasma proteins in 657 participants ≥3 months following hospitalization. Of these, 426 had at least one long COVID symptom and 233 had fully recovered. Elevated markers of myeloid inflammation and complement activation were associated with long COVID. IL-1R2, MATN2 and COLEC12 were associated with cardiorespiratory symptoms, fatigue and anxiety/depression; MATN2, CSF3 and C1QA were elevated in gastrointestinal symptoms and C1QA was elevated in cognitive impairment. Additional markers of alterations in nerve tissue repair (SPON-1 and NFASC) were elevated in those with cognitive impairment and SCG3, suggestive of brain–gut axis disturbance, was elevated in gastrointestinal symptoms. Severe acute respiratory syndrome coronavirus 2-specific immunoglobulin G (IgG) was persistently elevated in some individuals with long COVID, but virus was not detected in sputum. Analysis of inflammatory markers in nasal fluids showed no association with symptoms. Our study aimed to understand inflammatory processes that underlie long COVID and was not designed for biomarker discovery. Our findings suggest that specific inflammatory pathways related to tissue damage are implicated in subtypes of long COVID, which might be targeted in future therapeutic trials

Developing an indicator of the abundance, extent and impact of invasive non-native species. Final report

This report describes an indicator of the abundance, extent and impact of invasive non-native species in Great Britain. The main ideas and options for the abundance indicator and for the impact indicator are considered. A third type of indicator, the annual rate of establishment of new non-native species, is outlined, with provisional data presented only for England. Most of the options for the abundance indicator do not in fact measure abundance, but use either frequency in samples or frequency in recording scheme data as a substitute. An exception is the Breeding Bird Survey, for which numbers of individuals are counted. Several well-recorded groups of organisms have no non-native species (e.g. butterflies and lichens) or exceedingly few non-native species (macro-moths). Datasets selected for the abundance indicator were the Breeding Bird Survey (birds and mammals), Countryside Survey (vascular plants), British Bryological Society data (bryophytes) and Marine Biological Society data (marine organisms). From samples of records in each species group, the non-native component was calculated as proportion of all species sampled. This provided a temporal trend in non-native proportions, which were calculated separately for England, Scotland and Wales. The GB trend was derived by combining the trends for each component country, weighted by the area of each. Finally, the overall trend was calculated as a weighted geometric mean of trends for each species group, converted to an index by dividing by a constant to start at 1 in the baseline year 1990. The weights applied were birds 20%, mammals 20%, vascular plants 30%, bryophytes 10% and marine organisms 20%. There were no suitable datasets from the freshwater environment. No direct measure of impact could feasibly be calculated for all invasive species in Great Britain. As a substitute, an indicator based on the extent of occupation by invasive species was adopted. The methodology for the indicator was based on a scheme developed by the Belgian Forum on Invasive Species. First, a list of the most invasive species was compiled, using a simplified environmental impact assessment protocol to assign species to threat categories. Then the extent of each invasive species was scored for 1960, 1970, 1980, 1990, 2000 and 2007, on a 5-point scale ranging from 0 (absent) to 4 (present in more than half the territory). Extent scores were added to obtain the indicator. Over the period 1990-2007, the mean indexed proportion of records of non-native species in samples of birds, mammals, plants and marine life rose by 23%. Except for mammals, the absolute proportion was still only about 1% of the total. The assessment protocol assigned 49 species in Great Britain to the highest threat category. There were 3 marine plants, 16 marine animals, 4 freshwater plants, 8 freshwater animals, 8 terrestrial plants and 10 terrestrial animals. Over the period 1990-2007, the summed extent scores of these invasive non-native species rose by 40%. The increase of invasive species was particularly large in the freshwater and marine environments. Although non-native species are a potential threat, they are still only a small proportion of the animals and plants to be found in most of the land area and coasts of Great Britain. Vertebrates stand out as the most invasive group. For all groups of organisms reported here, England was the country most affected by non-native species. Scotland was the least affected. Wales was intermediate. In 2008, values of the impact indicator for the three countries were respectively 135, 73 and 95. Most species groups showed a trend over time towards an increasingly non-native biota. If the indicator is to be developed further, the main priority is to include freshwater species in the abundance component. Because the list of invasive species depends on expert judgement, it needs to be reviewed and if necessary updated at regular intervals. Further analytical work is desirable, to improve the signal obtained from recording scheme data

Hearing loss in Union Army Veterans from 1862 to 1920

Objectives: To examine the prevalence of hearing loss (HL) in Union Army (UA) veterans by year, birth cohort, and occupation, and to compare Civil War pension and contemporary disability programs by examining monthly dollar awards. Study Design: A retrospective review of medical records for 17,722 UA veteran pension applicants, a subset of some 35,000 soldiers retrieved randomly from the Military Archives. Methods: The diagnosis of HL was based on review of medical records, which used gross measurements because of the unavailability of audiometric testing. Results: One third (5,891 or 33%) of pensioners sampled received compensation for HL. The veterans with HL suffered predominantly from left-sided HL (4,091 or 70%), which is consistent with noise-induced HL in a right-handed individual firing a rifle. Comparison of civilian occupations reveals minimal variation in prevalence of HL. Civil War pensions for unilateral HL averaged $134.04 per year, representing nearly one third of the average annual income in 1890. Bilateral HL received nearly twice that amount. Today, military veterans receive$1,248 annually for unilateral loss and $27,288 annually for bilateral loss. Social Security disability benefits are granted only for bilateral HL, with an average 60-year-old individual receiving$11,400 per year. Conclusion: HL was a common disability among UA Civil War veterans, with noise exposure a likely etiology for the HL. The differing levels of compensation for HL may reflect differing perceptions on the incapacitating effects of HL