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Meta-analysis of Cognitive Function Following Non-severe SARSCoV2 Infection

Paywall:
https://link.springer.com/article/10.1007/s11065-024-09642-6

"The aim of this meta-analysis is to describe objective cognitive impairment in individuals with non-severe (mild or moderate) cases in the post-acute stage of infection”

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2/

"Significantly increased Cho concentrations & decreased NAA/Cho were found in the CCS in the older subjects"

"may be related to the microstructural reorganization in the corpus callosum (also reported in diffusion measurements) rather than increased membrane turnover"

==============
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  • tomkindlon , to AusCOVID19 group
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    New French study

    Persistent brain metabolic impairment in long COVID patients with persistent clinical symptoms: a nine-month follow-up [18F]FDG-PET study

    Abstract:
    https://link.springer.com/article/10.1007/s00259-024-06775-x

    ====================
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    "SARS-CoV-2 provokes persistent long-term brain metabolic changes on brain FDG PET in the selected population of patients with prolonged long COVID symptoms, without progressive worsening of the hypometabolisms."

    ================
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    New German study

    Altered brain perfusion and oxygen levels relate to sleepiness and attention in

    Free full text:
    https://onlinelibrary.wiley.com/doi/10.1002/acn3.52121

    "our study shows widespread reductions in cerebral blood oxygen levels in PCS that are related to symptoms of daytime dysfunction and cognitive impairment (contd)"

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    "(Contd) Changes in oxygen metabolism and blood perfusion may serve as an adaptive mechanism to mediate brain vascular damage and/or as a mode of maintaining normal daily functioning."

    ========================
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    Press release:
    “Risk factors for revealed”
    https://www.eurekalert.org/news-releases/1048330

    “Although studies have suggested many patients with long experience mental health challenges, we did not find that depressive symptoms prior to infection were a major risk factor for long COVID”

    @longcovid


    @covid19 @auscovid19

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    ABC News (Australia): Too many children with are suffering in silence

    https://t.ly/SrKjj

    "One of the things that shocks Dr Scoullar most, though, is how many of her patients have struggled with other doctors,especially paediatricians”

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    From: Long Covid Advocacy 💙
    @LongCovidAdvoc on the bird site :

    🏳️‍🌈It's & thank you to Taipai Queen for talking about the intersection with

    "It's never too late to start wearing your mask again"

    😷Protect Others Protect Yourself 😷

    @longcovid

    @covid19
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    video/mp4

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    From David Tuller DrPH

    “In a recent piece Betsy Ladyzhets [from The Sick Times] reports about problems with RECOVER based on documents obtained through the Freedom of Information Act. We talked the other day about her findings.”

    https://virology.ws/2024/06/13/trial-by-error-betsy-ladyzhets-on-problems-with-nihs-recover-initiative/

    @longcovid


    @novid

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    tomkindlon , to AusCOVID19 group
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    Interesting German #Covid paper:

    Persistent symptoms & clinical findings in adults with post-acute sequelae of #COVID19 / #postCOVID19 syndrome in the second year after acute infection: population-based, nested case-control study

    https://www.medrxiv.org/content/10.1101/2024.05.22.24307659v1

    @longcovid
    #LongCovid #PwLC #PostCovidSyndrome #LC #PASC #postcovid
    #CovidBrain
    @covid19 #COVIDー19 #COVID_19 #SARSCoV2 @novid #novid #auscovid19 @auscovid19

    1/

    tomkindlon OP ,
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    2/
    "This nested population-based case-control study demonstrates the majority of PCS cases do not recover in the second year of their illness, with patterns of reported symptoms remaining essentially similar, nonspecific & dominated by fatigue, exercise intolerance & cognitive complaints”

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    Growth Differentiation Factor-15 Is Considered a Predictive Biomarker of in Non-hospitalized Patients

    https://t.ly/eYkfB

    "Elevated serum GDF-15 levels in acute phase of may act as a predictive biomarker with onset of long "

    Sample sizes very small

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    Circulating microaggregates as biomarkers for the

    https://t.ly/0Eseu

    "We report on a patient suffering from fatigue, post exertional malaise, pain & neurological symptoms as a consequence of the second infection. Using live confocal microscopy on native whole blood samples we detected microaggregates of thrombocytes, leukocytes and plasma proteins in peripheral blood”

    @longcovid

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    New-ish US [Mayo Clinic] study:

    Pro Inflammatory Cytokines Profiles of Patients With Long Differ Between Variant Epochs

    Free:
    https://journals.sagepub.com/doi/10.1177/21501319241254751

    "When stratified by variant epoch, patients with early epoch Long COVID had persistently elevated peripheral pro-inflammatory cytokine levels when compared to later epoch . (contd)"

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    tomkindlon OP ,
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    "(Contd) Patients with Long COVID have similar clusters of symptoms across epochs, suggesting that the underlying pathology is independent of the peripheral cytokine signature."

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    •First network meta-analysis of oral antiviral drugs effects on condition ( )

    •Early use of oral antiviral drugs in acute phase of has a protective effect against PCC

    •Nirmatrelvir-ritonavir may be a superior choice over molnupiravir on reducing risk of PCC

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    tomkindlon OP ,
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    ‪3/‬
    ‪Early use of oral antiviral drugs and the risk of post COVID-19 syndrome: a systematic review and network meta-analysis‬

    https://www.journalofinfection.com/article/S0163-4453(24)00124-5/fulltext‬

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    @covid19 @novid @auscovid19

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    3/

    "(Contd) While pacing was an essential skill for many, it was a constant balancing act , that also came at a cost on their productivity, satisfaction, and overall feelings of fulfillment"

    @longcovid

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    tomkindlon OP ,
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    5/

    "A notable feature of episodic disability in the context of Long COVID in this study was PESE or PEM which transcended physical, cognitive and mental-emotional dimensions, highlighting the ability of the framework to encompass critical features of disability experienced in the context of "

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    3/
    Figure S-1 Definition figure: 2024 NASEM Long COVID definition

    From:
    A new definition for Long COVID that has been launched today by the National Academies in the US
    https://nap.nationalacademies.org/cart/download.cgi?record_id=27768

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    tomkindlon OP ,
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    4/
    "Frequencies of new onset symptoms (in )

    Among participants with , the most common symptoms were post-exertional malaise (87%), fatigue (85%), brain fog (64%), dizziness or lightheadedness (62%), GI (59%), & palpitations (57%)."

    From pp.46

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  • tomkindlon OP ,
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    5/
    "National Academies Issue New Broad Definition of Long COVID"

    On the Medscape website widely used by healthcare professionals

    https://www.medscape.com/viewarticle/national-academies-issue-new-broad-definition-long-covid-2024a1000ayc (may require free registration)

    Includes a statement from Drs Lucinda Bateman & Brayden Yellman

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  • tomkindlon , to MECFS group
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