Lifeboat Foundation

The pandemic marks another grim milestone: 1 in 500.

Americans have died of covid-19.

The idea, he said, was to prevent “the humanitarian disaster” that occurred in New York City, where ambulance sirens were a constant as hospitals were overwhelmed and mortuaries needed mobile units to handle the additional dead.

Continue reading “The pandemic marks another grim milestone: 1 in 500 Americans have died of covid-19” »

Common side effects of covid-19 vaccination listed by the UK’s Medicines and Healthcare Products Regulatory Agency (MHRA) include a sore arm, fever, fatigue, and myalgia.1 Changes to periods and unexpected vaginal bleeding are not listed, but primary care clinicians and those working in reproductive health are increasingly approached by people who have experienced these events shortly after vaccination. More than 30 000 reports of these events had been made to MHRA’s yellow card surveillance scheme for adverse drug reactions by 2 September 2,021 across all covid-19 vaccines currently offered.

Most people who report a change to their period after vaccination find that it returns to normal the following cycle and, importantly, there is no evidence that covid-19 vaccination adversely affects fertility. In clinical trials, unintended pregnancies occurred at similar rates in vaccinated and unvaccinated groups.2 In assisted reproduction clinics, fertility measures and pregnancy rates are similar in vaccinated and unvaccinated patients.

Read related article.

Dementia has many faces, and because of the wide range of ways in which it can develop and affect patients, it can be very challenging to treat. Now, however, using supercomputer analysis of big data, researchers from Japan were able to predict that a single protein is a key factor in the damage caused by two very common forms of dementia.

In a study published this month in Communications Biology, researchers from Tokyo Medical and Dental University (TMDU) have revealed that the protein HMGB1 is a key player in both frontotemporal lobar degeneration and Alzheimer disease, two of the most common causes of dementia.

Frontotemporal lobar degeneration can be caused by mutation of a variety of genes, which means that no one treatment will be right for all patients. However, there are some similarities between frontotemporal lobar degeneration and Alzheimer disease, which led the researchers at Tokyo Medical and Dental University (TMDU) to explore whether these two conditions cause damage to the brain in the same way.

The Kidney Project’s implantable bioartificial kidney, one that promises to free kidney disease patients from dialysis machines and transplant waiting lists, took another big step toward becoming reality, earning a $650,000 prize from KidneyX for its first-ever demonstration of a functional prototype of its implantable artificial kidney.

KidneyX is a public–private partnership between the U.S. Department of Health and Human Services (HHS) and the American Society of Nephrology (ASN) founded to “accelerate innovation in the prevention, diagnosis, and treatment of kidney diseases.”

Continue reading “The Kidney Project successfully tests a prototype bioartificial kidney” »

In the early days of the pandemic, with commercial COVID tests in short supply, Rockefeller University’s Robert B. Darnell developed an in-house assay to identify positive cases within the Rockefeller community. It turned out to be easier and safer to administer than the tests available at the time, and it has been used tens of thousands of times over the past nine months to identify and isolate infected individuals working on the university’s campus.

Now, a new study in PLOS ONE confirms that Darnell’s test performs as well, if not better, than FDA-authorized nasal and oral swab tests. In a direct head-to-head comparison of 162 individuals who received both Rockefeller’s “DRUL” saliva test and a conventional swab test, DRUL caught all of the cases that the swabs identified as positive—plus four positive cases that the swabs missed entirely.

“This research confirms that the test we developed is sensitive and safe,” says Darnell, the Robert and Harriet Heilbrunn professor and head of the Laboratory of Molecular Neuro-Oncology. “It is inexpensive, has provided excellent surveillance within the Rockefeller community, and has the potential to improve safety in communities as the pandemic drags on.”

Jan. 29 2021 — An international team of researchers studying COVID-19 has made a startling and pivotal discovery: The virus appears to cause the body to make weapons to attack its own tissues.

The finding could unlock a number of COVID’s clinical mysteries. They include the puzzling collection of symptoms that can come with the infection; the persistence of symptoms in some people for months after they clear the virus, a phenomenon dubbed long COVID; and why some children and adults have a serious inflammatory syndrome, called MIS-C or MIS-A, after their infections.

“It suggests that the virus might be directly causing autoimmunity, which would be fascinating,” says lead study author Paul Utz, MD, who studies immunology and autoimmunity at Stanford University in Stanford, CA.

September 15 2021 — Breathe in, breathe out. That’s how easy it is for SARS-CoV-2, the virus that causes COVID-19, to enter your nose. And though remarkable progress has been made in developing intramuscular vaccines against SARS-CoV-2 such as the readily available Pfizer, Moderna and Johnson & Johnson vaccines, nothing yet – like a nasal vaccine – has been approved to provide mucosal immunity in the nose, the first barrier against the virus before it travels down to the lungs.

But now, we’re one step closer.

Navin Varadarajan, University of Houston M.D. Anderson Professor of Chemical and Biomolecular Engineering, and his colleagues, are reporting in iScience the development of an intranasal subunit vaccine that provides durable local immunity against inhaled pathogens.

The discriminatory power of the UVB variable is somewhat limited in this study, because UVB radiation is low at this time of the year, particularly at the high northern latitude of UK—larger effects might be observed if variation in UVB is greater. We only used ambient UVB, and did not capture individual behavioural differences that would determine the actual level of vitamin D synthesis in the skin, such as duration and time of day spent outside, clothing, etc. It is important to note that time of year is the strongest predictor of vitD-UVB. To avoid bias control dates were assigned to follow the same distribution as case dates, which might have led to artificially diminished differences in vitD-UVB between cases and controls, however analysis relating to hospitalisation and death are not affected by this. We also conducted an analysis of the genetically-predicted vitamin D and a number of state-of-the-art MR analyses. However, the main limitation is the lack of power. Given the small number of COVID-19 patients and the relatively small percentage of variance (4.2%) explained by vitamin D-related genetic variants, this MR study was not adequately powered to detect small causal effect and negative results should be interpreted with caution. Additionally, MR studies only consider linear effects between 25-OHD levels and COVID-19 risk, which do not capture what happens at the extremes of vitamin D deficiency. Therefore, it cannot rule out the possibility that seriously ill patients (due to an underlying pathology) with extremely low vitamin D levels could be predisposed to COVID-19 infection and increased COVID-19 severity and mortality. Furthermore, 25-OHD levels are the used biomarker of vitamin D status in the study population, nevertheless, they correlate poorly with the active form of vitamin D (1,25-OH2D), which exerts the effects of vitamin D on a cellular level. Thus, this study cannot exclude effects of 1,25-OH2D on COVID-19 risk.

Another limitation of this cohort relates to the fact that not all participants have been tested for present (or past) COVID-19 infection; consequentially, taking participants who were not tested as controls could be a potential source of bias, given that misclassification of controls might be substantial due to the presence of asymptomatic infected individuals, further driving our findings to the null. This is evident from the 1:2 ratio between outpatient vs. inpatient cases. It should be acknowledged that the COVID-19 cases in UK biobank have a high rate of hospitalisation due to the very limited and targeted testing at this stage of the pandemic in the UK, so this study reflects mainly those with more severe COVID-19 and gives less information about true infection risk, or risk of milder disease. In addition, we excluded individuals with a negative COVID-19 testing result from the controls due to the risk of those being false negatives. Although there is a risk of introducing selection bias, we believe that the risk of introducing misclassification bias if we included them in the analysis could be higher^22,23. Additionally, given the presence of asymptomatic infected individuals, taking participants who were not tested as controls could also be another potential source of bias. Our study assessed the effect of genetically predicted vitamin D levels on COVID-19 risk while taking into consideration of ambient UVB radiation during the pandemic. We show an indication of an inverse association between genetically predicted vitamin D levels and severe COVID-19. Findings from our study are consistent with a recent randomised controlled trial (RCT) that found protective effect of vitamin D supplementation among those hospitalised with COVID-19²⁴. However, other clinical trials did not show an effect. For instance, a randomised trial of 240 patients showed that supplementation with a single very large dose of 200,000 IU of vitamin D₃ that increased serum vitamin D levels (21–44 ng/ml) was nonetheless ineffective in decreasing the length of hospital stay or any other clinical outcomes among hospitalized patients with severe COVID-19²⁵. It has been estimated that one SD change in standardized natural-log transformed 25-OHD levels corresponds to a change in 25-OHD levels of 29.2 nmol/l in vitamin D insufficient individuals (serum 25-OHD levels 50 nmol/l), which is comparable to the 21.2 nmol/l mean increase in 25-OHD levels conferred by taking daily 400 IU of cholecalciferol, the amount of vitamin D most often found in vitamin D supplements²⁶. This estimation has clinical implication on the dose of vitamin D supplement for disease prevention. Given the lack of highly effective therapies against COVID-19, it is important to remain open-minded to emerging results from rigorously conducted studies of vitamin D.

In conclusion, we found no significant associations between COVID-19 risk and measured 25-OHD levels after adjusted for covariates, but this finding is limited by the fact that the vitamin D levels were measured on average 11 years before the pandemic. Ambient UVB was strongly and inversely associated with COVID-19 hospitalization and death. The main MR analysis did not show that genetically-predicted vitamin D levels were causally associated with COVID-19 risk, although MR sensitivity analyses indicated a potential causal effect. Overall, the effect of vitamin D levels on the risk or severity of COVID-19 remains controversial, further studies are needed to validate vitamin D supplementation as a means of protecting against worsened COVID-19.

Since the spread of virus causing COVID-19 continues, experts recommended wearing homemade facemasks when surgical or N95 masks are not available to prevent the spread of the pandemic. While such makeshift masks are more economical and accessible in low-capita countries, the effectiveness of cloth masks has not been studied in depth.

In Physics of Fluids, researchers from the Indian Institute of Science studied the fate of a large-sized surrogate cough droplets at different velocities, corresponding from mild to severe, while using various locally procured fabrics as masks.

“Our results show cotton, towel-based fabrics were most effective among the considered fabrics and must be stitched together as multiple layers for making homemade facemasks,” said author Saptarshi Basu. “A three or more-layered homemade mask is recommended, since it can suppress aerosolization significantly.”