@article {pmid41063178,
year = {2025},
author = {Derakhshani, N and Aghdam, ET and Nafar, H and Tavakoli, ME and Gladkova, L and Pouyan, SN and Joudyian, N},
title = {Identifying the effective strategies in reducing the effects of mental health issues caused by COVID-19 pandemic in healthcare providers: a systematic review.},
journal = {BMC health services research},
volume = {25},
number = {1},
pages = {1323},
pmid = {41063178},
issn = {1472-6963},
abstract = {BACKGROUND: The COVID-19 pandemic was among the most stressful global events that caused a significant workload on healthcare systems and profoundly impacted the mental health of healthcare workers. Therefore, this study aims to determine the effectiveness of strategies to reduce the effects of mental health issues caused by the COVID-19 pandemic on healthcare providers.

METHODS: The current research is a systematic review. The required data was obtained from the databases ProQuest, Embase, Web of Knowledge, Scopus, PubMed, and Google Scholar search engine using related keywords. The study had no time limit. EndNote 20 was used to manage the articles. Various quality appraisal JBI tools were used to assess the quality of studies. Content analysis was used to analyze the obtained data.

FINDINGS: Out of the total 7933 primary articles, 20 were selected and entered the current study. The implemented interventions were analyzed based on the utilized strategies and categorized into four primary groups: comprehensive support package strategy, psychological training, psychological support with online consultations, and strategies related to sports and music therapy. These interventions were generally effective in promoting the mental health of healthcare providers in the short term.

CONCLUSION: The results indicated that appropriate interventions for critical conditions and the utilization of modern technologies positively affected healthcare workers' mental health during the COVID-19 pandemic. To improve the sustainability and effectiveness of such interventions, it is recommended that healthcare systems institutionalize psychosocial support within occupational health programs, develop organizational policies for continuous mental health support, and enhance access to digital platforms. Furthermore, incorporating mental health education, conducting regular psychological assessments, and adapting interventions to local socio-cultural contexts can foster greater acceptance and lead to more sustainable outcomes.},
}

@article {pmid41063084,
year = {2025},
author = {Kisa, A and Kisa, S},
title = {Structural racism as a fundamental cause of health inequities: a scoping review.},
journal = {International journal for equity in health},
volume = {24},
number = {1},
pages = {257},
pmid = {41063084},
issn = {1475-9276},
abstract = {BACKGROUND: Structural racism is increasingly recognized as a fundamental cause of health inequities. It operates through laws, institutional policies, and systemic practices that disproportionately disadvantage racially and ethnically minoritized populations. Although the body of evidence on structural racism and health is expanding, much of it remains fragmented across disciplines and sectors. This scoping review synthesized peer-reviewed research by examining the pathways through which structural racism affects health, the most frequent outcomes, and the interventions and policies implemented to address these disparities.

METHODS: The review adhered to frameworks by Arksey and O'Malley, Levac et al., and the Joanna Briggs Institute. Six databases (MEDLINE, Embase, Web of Science, CINAHL, PsycINFO, and Scopus) were searched for English-language, peer-reviewed studies published before February 15, 2025, examining structural, systemic, or institutional racism in relation to health. Two reviewers independently screened and extracted data, and findings were analyzed using thematic synthesis.

RESULTS: Eighty-three studies met the inclusion criteria, covering healthcare, housing, the criminal legal system, environmental exposures, and other intersecting sectors. Structural racism was consistently associated with adverse outcomes in maternal and infant health, cancer, cardiovascular disease, HIV care, mental health, and COVID-19. Key mechanisms included redlining, residential segregation, carceral practices, discriminatory clinical treatment, and environmental injustice. Intersectional burdens were most pronounced among Black, Indigenous, LGBQ, immigrant, and socioeconomically marginalized groups. Although some promising interventions were identified, including culturally tailored perinatal care, community health worker models, and equity-focused quality improvement, few had been rigorously evaluated or embedded in broader structural policy changes.

CONCLUSION: Structural racism was found to operate across institutional and societal systems to perpetuate health disparities. While targeted interventions show promise, significant gaps remain in the development and implementation of scalable, evidence-based reforms. To achieve health equity, public health strategies must prioritize cross-sectoral actions for confronting and dismantling the structural conditions that maintain racial injustice. This synthesis highlights the urgent need for scalable policy reforms and structural accountability measures across sectors.},
}

@article {pmid41063044,
year = {2025},
author = {Björk, S and Brännström, M and Isaksson, U},
title = {Psychometric properties of instruments measuring ethical climate among healthcare professionals in care settings pre-pandemic: a systematic review.},
journal = {BMC medical ethics},
volume = {26},
number = {1},
pages = {125},
pmid = {41063044},
issn = {1472-6939},
abstract = {BACKGROUND: The ethical climate in healthcare is part of the work environment and a basis for professional nursing practice. The ethical climate is crucial as it is closely associated with staff job satisfaction, the quality-of-care provision, and nurses' intention to stay in their current occupation and position. Even though several instruments assessing ethical climate in healthcare have been developed over the years, their psychometric properties have not been systematically reviewed.

OBJECTIVES: This study was conducted to identify and critically appraise the psychometric properties of instruments used to measure the ethical climate among healthcare professionals in care settings prior to the COVID-19 pandemic.

METHODS: A systematic review was performed, covering papers published between 1994 and 2019, excluding grey literature sources. The literature search was performed in October 2019 in Cinahl, PsychINFO, PubMed, and SocIndex. Empirical studies were included describing the psychometric properties of instruments measuring the ethical climate among healthcare professionals in healthcare settings. Data on psychometric properties were extracted and a quality assessment was performed following the quality criteria for measurement properties proposed by Terwee et al. criteria 2007.

RESULT: Our search yielded 15,150 publications. After title and abstract screening, 611 studies were retained for full-text analysis, of which eight studies describing five instruments were included (five instrument development studies and three translation studies). Four studies concerned the Hospital Environment Climate Scale (HECS). All instruments had been assessed for content validity and internal consistency. Information concerning criterion validity, construct validity, and reproducibility was lacking or intermediate. No information concerning floor/ceiling effect or interpretability was reported in most cases. One study reported having performed a test-retest analysis. None of the included studies fulfilled all the Terwee et al. criteria.

CONCLUSION: Five instruments were identified as having undergone psychometric testing; however, none fulfilled all the criteria outlined by Terwee et al. Also, only one of the instruments had been subjected to the well-established test-retest analysis. This highlights a need for further well-structured validation studies of instruments assessing the ethical climate among healthcare professionals in care settings.},
}

@article {pmid41062882,
year = {2025},
author = {Kovačič, T and Haas, H and Stotsky-Oterin, L and Štrancar, A and Bren, U and Peer, D},
title = {The impact of chemical reactivity on the quality and stability of RNA-LNP pharmaceuticals.},
journal = {Nature reviews. Chemistry},
volume = {},
number = {},
pages = {},
pmid = {41062882},
issn = {2397-3358},
abstract = {Lipid nanoparticles (LNPs) are the most established platform for delivery of mRNA payloads. Their tunability and streamlined manufacturing facilitated an unprecedentedly rapid scale-up during the COVID-19 pandemic. However, being multicomponent, complex systems also poses a challenge of controlling their quality and safety. Analytical checkpoints need to be established to characterize LNPs on multiple levels during development and commercialization. This Perspective centres on the chemical reactivity and purity of mRNA-LNP components, which need to be addressed as raw materials, drug substance, excipients, and the fully formed and stored product. Herein, we describe such appropriate orthogonal analytics to design and analyse LNP formulations. For such novel biopharmaceuticals, better controls that go beyond the current analytical workflow and address the nuanced chemical stability, which helps ensure reproducibility, stability and safety, need to be established.},
}

@article {pmid41062406,
year = {2025},
author = {George, A and Tikka, T and Conway, D},
title = {Innovative Approaches to Head and Neck Cancer Diagnosis.},
journal = {Otolaryngologic clinics of North America},
volume = {},
number = {},
pages = {},
doi = {10.1016/j.otc.2025.08.017},
pmid = {41062406},
issn = {1557-8259},
abstract = {Diagnosis, positioned between disease prevention and treatment, is essential for head and neck cancer management. Delays in diagnosis contribute to disease upstaging, leading to more complex treatment with poorer survival and functional outcomes. This article focuses on current and future innovative diagnostic approaches, which vary in maturity and implementation, to promote early diagnosis. These include symptom-based triaging, telemedicine, diagnostic hubs, machine learning, and circulating tumor markers. COVID-19 brought about new diagnostic pathways, many of which remained in place, generating encouraging evidence of pathway efficiency. However, nuanced diagnostic tools for early cancer detection remain far from implementation in a real-world setting.},
}

@article {pmid41062170,
year = {2025},
author = {Houweling, L and Rots, I and Bloemsma, LD and van Vorstenbosch, R and Del Motto, S and Vermeulen, RCH and Maitland-Van der Zee, AH and Golebski, K and Downward, GS},
title = {Impact of air pollution on COVID-19 severity: a systematic review of underlying biological mechanisms.},
journal = {European respiratory review : an official journal of the European Respiratory Society},
volume = {34},
number = {178},
pages = {},
doi = {10.1183/16000617.0070-2025},
pmid = {41062170},
issn = {1600-0617},
mesh = {Humans ; *COVID-19/epidemiology/immunology/virology ; *Air Pollution/adverse effects ; Severity of Illness Index ; SARS-CoV-2 ; Particulate Matter/adverse effects ; *Air Pollutants/adverse effects ; },
abstract = {BACKGROUND: Our recent systematic review highlighted key associations between ambient air pollution (AAP) exposure and COVID-19 severity. This systematic review aims to summarise toxicological studies on the biological mechanisms underlying these associations.

METHODS: On 17 July 2025, PubMed, Embase, Scopus and Web of Science were searched for in vitro, in vivo and in silico studies that examined the biological mechanisms of AAP exposure on COVID-19 health outcomes. Two independent reviewers engaged in the selection and data extraction process. The methodological quality of the included studies was assessed with the Toxicological Data Reliability Assessment Tool. The Integrated Network and Dynamical Reasoning Assembler (INDRA) was used to provide visual biomechanistic summaries of the included studies by creating knowledge graphs of the described mechanisms.

RESULTS: A total of 18 studies were included in this review. Findings consistently indicated that AAP exposure can worsen COVID-19 severity through two key mechanisms 1) increased expression of viral entry factors (e.g. angiotensin-converting enzyme 2 and transmembrane serine protease 2), facilitating infection, and 2) immune dysregulation, resulting in increased inflammation and oxidative stress. These key mechanisms were also identified in the INDRA networks. While studies commonly focused on particulate matter (n=15), similar effects were seen with ultrafine particles and ozone.

CONCLUSION: These findings highlight the impact of AAP exposure on COVID-19 health outcomes on the molecular level. The findings of this review illustrate the urgent need for air quality improvements to help shape public health strategies to reduce and prevent future health impacts caused by AAP exposure.},
}

Humans
*COVID-19/epidemiology/immunology/virology
*Air Pollution/adverse effects
Severity of Illness Index
SARS-CoV-2
Particulate Matter/adverse effects
*Air Pollutants/adverse effects

@article {pmid41062137,
year = {2025},
author = {Daniels, S and Wei, H and McElvenny, DM and van Tongeren, M and Bramwell, D and Coleman, A and Forde, D and Wiggans, R},
title = {Return to work with long COVID: a rapid review of support and challenges.},
journal = {BMJ open},
volume = {15},
number = {10},
pages = {e101698},
doi = {10.1136/bmjopen-2025-101698},
pmid = {41062137},
issn = {2044-6055},
mesh = {Humans ; *Return to Work ; *COVID-19/rehabilitation ; SARS-CoV-2 ; Workplace ; },
abstract = {OBJECTIVES: To explore existing evidence for the provision of support for return to work (RTW) in long COVID (LC) patients and the barriers and facilitators to taking up this support.

DESIGN: A rapid review reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The study was preregistered in PROSPERO (ID: CRD42023478126).

DATA SOURCES: Searches were completed in June 2024 across major databases including MEDLINE, Embase, PsycINFO, evidence-based medicine reviews, Web of Science and Google Scholar.

ELIGIBILITY CRITERIA: Included studies focused on people with LC (PwLC) symptoms lasting over 12 weeks and addressed either: (1) non-workplace- or workplace-based support for RTW and/or (2) barriers and facilitators to RTW in this population.

DATA EXTRACTION AND SYNTHESIS: A quality assessment was conducted using the JBI Systematic Reviews critical appraisal tool. The data were summarised in tabular format and a narrative synthesis.

RESULTS: Twenty-five studies were included. While many studies demonstrated rigorous methodologies and low risk of bias levels, some had high and medium risk levels. Non-workplace-based support was mostly measured quantitatively and included interdisciplinary healthcare programmes, clinical interventions and rehabilitation programmes focusing on pacing and breathing strategies. Compensation and insurance schemes were important funders of these interventions.Workplace-based support was mostly measured qualitatively. Barriers to the provision of support at organisational level included lack of understanding of LC symptoms, insufficient workplace guidance and educational gaps among managers. Individual barriers included threat of income loss, remote working and disconnection from the workplace. Facilitators for support included recognition and validation of LC and its symptoms, and eligibility for disability benefits associated with work.

CONCLUSIONS: RTW is an important outcome of health-related absence and should be systematically recorded in studies of PwLC. The heterogeneity and unpredictability of LC symptoms create challenges for supporting working age populations. Further research is crucial to better understand the specific RTW needs for PwLC and address potential barriers and facilitators to workplace-based support, particularly through interventions, organisational practices and employ-led policies that enable sustained RTW. Consistent guidelines on LC's definition and disability status may facilitate the provision of support and the development of interventions.

PROSPERO REGISTRATION NUMBER: CRD42023478126.},
}

Humans
*Return to Work
*COVID-19/rehabilitation
SARS-CoV-2
Workplace

@article {pmid41061826,
year = {2025},
author = {Sujova, K and Frecer, V},
title = {SARS-CoV-2 N7-Methyltransferase Inhibitors: Towards Selective and Potent Antivirals.},
journal = {European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences},
volume = {},
number = {},
pages = {107312},
doi = {10.1016/j.ejps.2025.107312},
pmid = {41061826},
issn = {1879-0720},
abstract = {Recent studies have identified nsp14 N7-methyltransferase (N7-MTase) as a promising therapeutic target for the development of new antiviral agents against SARS-CoV-2. Utilising S-adenosyl-L-methionine (SAM) as a methyl donor, N7-MTase mediates the first methylation step in viral RNA capping, which is necessary for the replication of SARS-CoV-2 and its immune evasion. To design selective and potent inhibitors of CoV nsp14 N7-MTase, various research groups have focused on targeting the nsp14 binding site for SAM. In this paper, promising CoV N7-MTase inhibitors designed to date are analysed with a particular focus on SAM/S-adenosyl-L-homocysteine (SAH) analogues, which can be further extended to occupy the RNA binding site and/or the adjacent lateral cavity. The structure-activity relationship (SAR) data and binding modes of the inhibitors are also investigated. This study highlights limitations that currently hinder the development of effective antiviral agents, notably limited selectivity and cellular activity, and discusses potential strategies to address them. In particular, the design of C-nucleosides has shown promising results, although no inhibitor has reached clinical trials yet. Thus, further efforts are necessary to identify viable drug candidates.},
}

@article {pmid41061096,
year = {2025},
author = {Wodka-Natkaniec, E and Sówka, J and Skoczek-Sygiet, J and Zyznawska, J},
title = {Digitalization and physical activity in the aspects of health and physiotherapy. Using digital methods to improve physical fitness.},
journal = {Folia medica Cracoviensia},
volume = {65},
number = {1},
pages = {143-156},
doi = {10.24425/fmc.2025.156117},
pmid = {41061096},
issn = {0015-5616},
mesh = {Humans ; *Physical Fitness ; *Exercise ; COVID-19 ; *Physical Therapy Modalities ; Telemedicine ; *Health Promotion/methods ; SARS-CoV-2 ; },
abstract = {BACKGROUND: An important task also faces "lifestyle medicine", in connection with the development of IT services and digital possibilities. Practicing physical activity is an important basis for improving the physical and mental condition of patients. The aim of the work was to determine the usefulness of remote and digital forms to improve physical fitness in currently diverse groups of respondents.

MATERIAL AND METHODS: A review of scientific literature was conducted based on popular science databases Medline, PubMed. Only articles from the last 8 years (2017-2025.03) were taken into account. The search criteria were the following phrases: digital health, sport, physiotherapy, activity. 32 studies containing the above phrases in keywords and article content were included in the study. Papers not related to physical activation or physiotherapy through digital or remote form were rejected.

RESULTS: Almost all studies indicated the usefulness of digital physical activation and, through it, improving physical fitness in various types of subjects. Two of the studies indicated that digital activation should be additionally personalized for specific groups of subjects and that the integration of e-exercise with the stationary form should be improved or e-coaching should be used. One study did not ultimately confirm the effectiveness of the digital physical activation program due to COVID-19.

CONCLUSIONS: It is necessary to optimize the recommendations of online exercise programs and expand existing programs for different groups of exercisers. Digital activation of movement: improves physical fitness, eliminates stress, helps to shape movement habits, is a form of relaxation or fun, is a form of encouragement and motivation, allows to monitor changes or progress of health.},
}

Humans
*Physical Fitness
*Exercise
COVID-19
*Physical Therapy Modalities
Telemedicine
*Health Promotion/methods
SARS-CoV-2

@article {pmid41060732,
year = {2025},
author = {Gaspar Botelho Funari de Faria, M and De Paula Andrade Gonçalves, RL and Maria Lopes, L and Fransiscon Naves, E and Oliveira Bonfim, R and Mendes da Silva, DH and Marques Valença, AB and Roberto Bollela, V and Perón Rujula, MJ and Alexandre Arcêncio, R and Carvalho Pinto, I and Fredemir Palha, P and Garcia de Almeida Balestero, J and Gomes, D and Guo, Z and Farley, J and Reynolds, N and Aparecida Monroe, A},
title = {Impact of the COVID-19 pandemic on the temporal trend of indicators for access to tuberculosis diagnosis: A systematic review.},
journal = {Journal of infection in developing countries},
volume = {19},
number = {9},
pages = {1314-1321},
doi = {10.3855/jidc.21045},
pmid = {41060732},
issn = {1972-2680},
mesh = {Humans ; *COVID-19/epidemiology ; *Tuberculosis/diagnosis/epidemiology ; SARS-CoV-2 ; *Health Services Accessibility ; Incidence ; Pandemics ; },
abstract = {INTRODUCTION: The COVID-19 pandemic influenced the behaviour of numerous diseases, overloading health systems and weakening public health infrastructure and access.

METHODOLOGY: This study aimed to analyse the repercussions of the COVID-19 pandemic on tuberculosis diagnosis indicators. A systematic review was conducted, examining studies published between 2020 and 2024 in Portuguese, English, or Spanish across five databases and Google Scholar. The search, performed in March 2024, led to the identification of 6,378 studies, of which 23 were included after an independent review of titles, abstracts, and full texts. Data were extracted and narratively synthesized following a methodological quality assessment.

RESULTS: The review revealed significant declines in TB incidence, detection, notification, and diagnosis during the pandemic, alongside reduced etiological confirmation of cases.

CONCLUSIONS: The findings highlight a need to reorganize and enhance health service responses to address the disruptions caused by the pandemic. Strengthening these services is crucial to recover missed TB cases and improve indicators, supporting the goal of eliminating TB by 2030.},
}

Humans
*COVID-19/epidemiology
*Tuberculosis/diagnosis/epidemiology
SARS-CoV-2
*Health Services Accessibility
Incidence
Pandemics

@article {pmid41059901,
year = {2025},
author = {Santos, WSD and Carrión-Torres, O and Mussalem, MGVB and Baptista, VS and Yarak, S},
title = {Association between the use of midazolam, fentanyl, propofol, ketamine, and dexmedetomidine and the incidence of delirium in elderly patients in intensive care units: a systematic review.},
journal = {Sao Paulo medical journal = Revista paulista de medicina},
volume = {143},
number = {6},
pages = {e20240311},
doi = {10.1590/1516-3180.2024.0311R1.14072025},
pmid = {41059901},
issn = {1806-9460},
mesh = {Humans ; Dexmedetomidine/adverse effects ; *Intensive Care Units/statistics & numerical data ; Propofol/adverse effects ; Aged ; Midazolam/adverse effects ; *Delirium/chemically induced/epidemiology ; Incidence ; Ketamine/adverse effects ; *Hypnotics and Sedatives/adverse effects ; Fentanyl/adverse effects ; Randomized Controlled Trials as Topic ; Male ; },
abstract = {BACKGROUND: Delirium is a common and serious complication among elderly patients in intensive care units (ICUs), and is often associated with increased morbidity and mortality rates. The choice of sedoanalgesic may influence the incidence of delirium; however, the evidence remains unclear, particularly in the elderly population.

OBJECTIVES: To evaluate the association between the use of different sedoanalgesics and the incidence of delirium in elderly ICU patients, based on data from randomized clinical trials.

DESIGN AND SETTING: This systematic review was conducted using data from randomized clinical trials performed in various ICU settings.

METHODS: A systematic search of the MEDLINE, Embase, and CENTRAL databases was performed in January 2024. The review included randomized clinical trials involving patients aged 60 years or older that examined the relationship between sedoanalgesics (midazolam, fentanyl, propofol, ketamine, and dexmedetomidine) and delirium incidence. Studies involving COVID-19 patients and non-randomized studies were excluded.

RESULTS: A total of 1,331 patients from six studies were included. The mean age of the patients ranged from 71 to 74.7 years. Four studies compared dexmedetomidine with propofol; two found no significant difference in delirium incidence, whereas two suggested a lower incidence with dexmedetomidine. The remaining studies compared propofol with ketamine and dexmedetomidine with midazolam and showed no significant differences in the incidence of delirium.

CONCLUSIONS: Dexmedetomidine may be associated with a lower incidence of delirium than propofol or midazolam in elderly ICU patients. However, further research is needed to confirm these findings and explore the factors contributing to delirium in this population.

Registered with PROSPERO, CRD42024575693, available at https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=575693.},
}

Humans
Dexmedetomidine/adverse effects
*Intensive Care Units/statistics & numerical data
Propofol/adverse effects
Aged
Midazolam/adverse effects
*Delirium/chemically induced/epidemiology
Incidence
Ketamine/adverse effects
*Hypnotics and Sedatives/adverse effects
Fentanyl/adverse effects
Randomized Controlled Trials as Topic
Male

@article {pmid41059883,
year = {2025},
author = {Onocko-Campos, R and Salgado, JD and Rover, BO and Poderoso, RE and Miranda, L},
title = {Mental Health Studies Published in the last five years in the Journal Ciência & Saúde Coletiva: time as king.},
journal = {Ciencia & saude coletiva},
volume = {30},
number = {9},
pages = {e12842025},
doi = {10.1590/1413-81232025309.12842025},
pmid = {41059883},
issn = {1678-4561},
mesh = {Humans ; *Periodicals as Topic/trends/statistics & numerical data ; *Mental Health ; COVID-19/epidemiology ; *Bibliometrics ; *Mental Disorders/epidemiology ; Primary Health Care/organization & administration ; Child ; *Publishing/statistics & numerical data/trends ; Adolescent ; },
abstract = {Systematic review of articles on mental health published between 2020 and 2025 in the journal Ciência & Saúde Coletiva. Building on a previous study covering the first twenty-five years of the journal's publications, this review aimed to identify continuities and changes in the most frequent approaches, as well as the emergence of underexplored themes such as mental health in relation to race, gender, violence, and the climate crisis. A total of 162 articles were analyzed, categorized into: epidemiological studies/psychiatric classifications; sociocultural transformations of madness; clinical care in substitute services; implementation and expansion of the service network; the role of Primary Health Care; mental health of children and adolescents; substance use; legislative changes; and others (including mental health of workers, the COVID-19 pandemic, the prison system, housing, race, and therapeutic communities). A significant increase was observed in discussions about child and adolescent mental health, along with advances in topics related to Primary Health Care and clinical practices in substitute services. However, emerging issues such as gender, race, aging, and mental health related to disasters and the environment remain underrepresented in the journal's publications.},
}

Humans
*Periodicals as Topic/trends/statistics & numerical data
*Mental Health
COVID-19/epidemiology
*Bibliometrics
*Mental Disorders/epidemiology
Primary Health Care/organization & administration
Child
*Publishing/statistics & numerical data/trends
Adolescent

@article {pmid41059308,
year = {2025},
author = {Heath, V and Price, CL},
title = {Addressing Health Disparities: How Having a More Diverse Biomedical Workforce Can Contribute to Addressing Health Disparities in Communities that Are Often Underrepresented in the Healthcare System.},
journal = {British journal of biomedical science},
volume = {82},
number = {},
pages = {14973},
pmid = {41059308},
issn = {2474-0896},
mesh = {Humans ; *Healthcare Disparities ; COVID-19/epidemiology ; *Cultural Diversity ; *Delivery of Health Care ; SARS-CoV-2 ; *Health Status Disparities ; Minority Groups ; },
abstract = {Health disparities that are seen in underserved and underrepresented communities are a pressing issue in healthcare. These disparities are embedded into our society through structural inequalities that lead to poorer health outcomes in those from minoritised communities. In its place as the heart of modern healthcare, the biomedical science workforce has the potential to play a crucial role in mitigating these disparities by fostering greater cultural competence, improving patient outcomes and driving innovative solutions. This study reviewed the current literature on the impact of diversity within the biomedical science workforce on health disparities in underserved communities. The review demonstrated where embedded inequities in healthcare lead to worse health outcomes for underserved communities. These disparities are found across healthcare education, diagnostic processes as well as within research and innovation, and this work uses the COVID-19 Pandemic as an example of where health disparities have significant consequences for the communities impacted. This review demonstrates that a diverse biomedical science workforce can not only contribute to better health outcomes, but also to inclusive research agendas and clinical studies by ensuring that research priorities are more representative of a broader population. A more diverse biomedical science workforce can serve as role models and mentors, inspiring the next-generation of biomedical scientists from underrepresented backgrounds creating a continuous cycle of inclusion and representation, helping to reduce health disparities over time. Therefore, a key strategy in promoting health equity is by increasing diversity in the biomedical science field. After review of current published works, the authors have proposed a list of recommendations that outline steps institutions, professional bodies and policymakers could take to a strategic and sustained commitment to improving biomedical science workforce diversity in an effort to reduce health disparities.},
}

Humans
*Healthcare Disparities
COVID-19/epidemiology
*Cultural Diversity
*Delivery of Health Care
SARS-CoV-2
*Health Status Disparities
Minority Groups

@article {pmid41059247,
year = {2025},
author = {Muto, T and Machida, S and Imaizumi, S and Kamoi, K},
title = {Relationship Between COVID-19 and Retinal Vein Occlusions.},
journal = {Journal of ophthalmology},
volume = {2025},
number = {},
pages = {6507997},
pmid = {41059247},
issn = {2090-004X},
abstract = {The relationship between coronavirus disease 2019 (COVID-19) infection or vaccination and retinal vein occlusions (RVOs) remains controversial. RVOs include central and branch RVOs. Previous studies have indicated a link between RVOs and COVID-19. RVOs develop when the retinal blood vessels are clogged by thrombin or lipid deposition. The retina, an important component of the visual apparatus, relays the visual information to the brain after light stimulation. When retinal veins are clogged, the damage can range from slightly reduced vision to complete blindness. SARS-CoV-2, the causative agent for COVID-19, leads to endothelial dysfunction and increased von Willebrand factor (VWF) antigen levels in the blood, which activate the coagulation process and platelet aggregation. Activation of tissue factors initiates the coagulation cascade, leading to fibrin formation through thrombin. Because arteries and veins sometimes cross in the retina, the vein, with its thin vessel wall, may be compressed. As a result, blood flow slows due to venous constriction, and clotting is more likely to occur at the crossing point. RVO ultimately develops through these processes. Patients with COVID-19 have significantly elevated levels of VWF antigen and activity, which likely contribute to the increased risk of thrombosis observed in COVID-19-associated coagulopathy. As RVOs align with conventional approaches, ophthalmologists should consider COVID-19 as a potential etiological factor when evaluating patients presenting with acute vision loss. Enhanced awareness of this association may facilitate timely diagnosis and tailored patient care in affected populations.},
}

@article {pmid41059130,
year = {2025},
author = {Valencia-Arias, A and Jimenez Garcia, JA and Agudelo-Ceballos, E and Oré León, AJA and Martínez Rojas, E and Leyrer Henríquez, J and Ramírez-Ramírez, DM},
title = {Machine learning applications in risk management: Trends and research agenda.},
journal = {F1000Research},
volume = {14},
number = {},
pages = {233},
pmid = {41059130},
issn = {2046-1402},
mesh = {*Machine Learning ; Humans ; COVID-19/epidemiology ; *Risk Management/methods/trends ; SARS-CoV-2 ; Bibliometrics ; },
abstract = {BACKGROUND: Currently, risk management is positioned as a key issue in industries, which is why machine learning technologies have been integrated for impact assessment, prevention, and decision making in different sectors. However, there are still important research gaps, so the aim is to investigate research trends related to the use of machine learning in risk management.

METHODS: A bibliometric analysis is proposed based on the PRISMA-2020 declaration in the Scopus and Web of Science databases.

RESULTS: The results show a growing interest in the use of machine learning for risk management in the scientific literature. China, South Korea and the United States lead the research. The thematic development reflects emerging topics such as urban trees and Covid-19. Key terms include random forest, SVM, and credit risk assessment, while others such as prediction, postpartum depression, big data, and security are considered emerging topics, reflecting the cross-cutting nature and applicability of the topic across different sectors of society. Deep learning and feature selection are also priorities for enhancing machine learning applications in risk management.

CONCLUSIONS: Machine learning in risk management has grown exponentially, shifting focus from stacking to urban trees and Covid-19. Key contributors, journals, and nations shape this evolving research landscape.},
}

*Machine Learning
Humans
COVID-19/epidemiology
*Risk Management/methods/trends
SARS-CoV-2
Bibliometrics

@article {pmid41058315,
year = {2025},
author = {Delli Carpini, G and Mammadov, Z and Leeson, S and Hammer, A and Grigore, M and Ciavattini, A},
title = {The effect of healthcare disruptions during the COVID-19 pandemic on colposcopy services and practice: A systematic review and meta-analysis.},
journal = {Acta obstetricia et gynecologica Scandinavica},
volume = {},
number = {},
pages = {},
doi = {10.1111/aogs.70066},
pmid = {41058315},
issn = {1600-0412},
abstract = {INTRODUCTION: The healthcare reorganization during the COVID-19 pandemic affected colposcopy services and cervical cancer prevention, particularly in those countries where healthcare systems were already under-resourced. This review aimed to quantify the reduction in colposcopy services across countries during the COVID-19 pandemic and to determine whether the data source per study and cervical cancer screening coverage per country influenced the extent of these reductions.

MATERIAL AND METHODS: Studies reporting comparative data on colposcopy services between the COVID-19 pre-pandemic and pandemic period were included. MEDLINE, Embase, EMCare, Covid-19 Research, British Nursing Index, APA PsycINFO, and Allied and Complimentary Medicine databases were searched for studies published from March 2020 to December 2023. The Newcastle-Ottawa scale was used for risk of bias assessment. The number of colposcopies, cervical treatments, pre-invasive lesions diagnoses, and cervical cancer diagnoses per month were compared between the pre-pandemic (before March 2020) and pandemic period (after March 2020). The effect measure was the standardized mean difference. Heterogeneity was evaluated with the chi-squared test and quantified with the I[2] method. A meta-regression was performed, considering the data source (regional/national databases/registries or institutional databases) and the screening coverage according to World Health Organization data (≥70% or <70%) as moderators. The review was registered on PROSPERO (CRD42023447188).

RESULTS: Thirteen studies were included. Twelve were of good/high quality according to the Newcastle-Ottawa scale. The standardized mean difference between the pre-pandemic and pandemic periods was -1.60 (95% CI -2.49 to -0.72, p = 0.004) for colposcopies (4 studies, I[2] = 60.97%, p = 0.075), -1.70 (95% CI -2.50 to -0.90, p < 0.001) for cervical treatments (5 studies, I[2] = 52.92%, p = 0.081), -4.61 (95% CI -7.90 to -1.33, p = 0.006) for pre-invasive lesion diagnoses (4 studies, I[2] = 92.45%, p < 0.001), and -0.85 (95% CI -1.52 to -0.19, p = 0.012) for cervical cancer diagnoses (9 studies, I[2] = 71.07%, p = 0.002). At meta-regression, further reductions for cervical treatments and pre-invasive lesion diagnoses were observed in the case of screening coverage <70%.

CONCLUSIONS: During the COVID-19 pandemic, a reduction in colposcopies, cervical treatments, pre-invasive lesions diagnoses, and invasive cancer diagnoses was observed. Since a screening coverage of <70% heightened these declines, increasing such coverage could lead to better resilience of cervical cancer prevention services to future crises.},
}

@article {pmid41057790,
year = {2025},
author = {Nicolai, M and Ullrich, A and Ruck, J and Jaspers, B and Bialobrzeski, A and Degutsch, R and Oechsle, K and Radbruch, L and Gágyor, I and Hettich-Damm, N},
title = {Unravelling the complexities: a scoping review of the collateral effects on bereaved relatives during and beyond the COVID-19 pandemic.},
journal = {BMC palliative care},
volume = {24},
number = {1},
pages = {244},
pmid = {41057790},
issn = {1472-684X},
mesh = {Humans ; *COVID-19/psychology ; *Family/psychology ; *Bereavement ; Pandemics ; Stress, Psychological ; SARS-CoV-2 ; Adaptation, Psychological ; },
abstract = {The dying phase and the loss of a loved one, as well as the grief that follows, are a difficult process in the lives of relatives. These processes have been exacerbated by the COVID-19 pandemic, as numerous restrictions on contact and care for the dying and deceased have placed an additional burden on relatives. A review was conducted to identify these specific stress factors and their risk factors, as well as support options for bereaved individuals who lost a loved one during the COVID-19 pandemic. The scoping review followed the Joanna Briggs Institute (JBI) methodology for scoping reviews, and the search was conducted in April 2024 (PubMed, Cochrane COVID-19 Study Register, and EBSCO Host, including APA PsychArticles, APA PsychInfo, CINAHL, and Medline). Studies involving adults who had lost a loved one during the official period of the COVID-19 pandemic were included, as well as various quantitative and qualitative study types. Studies that focused exclusively on palliative care and the evaluation of interventions were excluded. Studies were selected according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) phases. A total of 58 primary studies and five review articles with a total of 118,062 participants met the inclusion criteria and were included in the review. The main findings were that the pandemic and the associated measures placed additional burdens on bereaved individuals and exacerbated mental health problems. Visiting restrictions during the dying phase and restrictions on funerals were perceived as particularly stressful. Participants primarily experienced isolation and loneliness, as well as a lack of professional (e.g., from staff accompanying the dying process and the initial grieving process) and social support (e.g., from family and friends). In addition to personal resources and finding meaning, professional and social support were described as the most important factors in coping with grief during and after the pandemic. Consequently, professional, flexible, and comprehensive support from medical and nursing staff in cooperation with counselling centres and psychologists, as well as promotion of social support through networking services, are key issues for future crises.},
}

Humans
*COVID-19/psychology
*Family/psychology
*Bereavement
Pandemics
Stress, Psychological
SARS-CoV-2
Adaptation, Psychological

@article {pmid40802031,
year = {2025},
author = {Lok, KH and Loo, HL and Chuah, LH},
title = {Topical and transdermal lipid-polymer hybrid nanoparticles (LPN): an integration in advancing dermatological treatments.},
journal = {Drug delivery and translational research},
volume = {15},
number = {11},
pages = {4277-4313},
pmid = {40802031},
issn = {2190-3948},
mesh = {Humans ; *Polymers/chemistry/administration & dosage ; *Nanoparticles/chemistry/administration & dosage ; *Lipids/chemistry/administration & dosage ; Administration, Cutaneous ; *Skin Diseases/drug therapy ; Animals ; Drug Carriers/chemistry ; Drug Delivery Systems/methods ; },
abstract = {Lipid-polymer hybrid nanoparticles (LPN) are an integration or "collaboration" between the two distinct drug delivery platforms of lipid and polymeric carriers. The idea centres on coining the advantages of both materials while attempting to overcome the limitations inherent to each component, thus improving biocompatibility, drug loading, stability, size uniformity, and controlled release properties. Since their emergence over two decades ago, LPN have attracted growing interest in various therapeutic areas such as cancer, neurological disorders, osteoarthritis, and COVID-19 viral infections. Their structural diversity has expanded from the classical polymeric core-lipid shell to its inverse structure of lipid core-polymeric shell and homogeneous lipid-polymer blends, producing nine types of LPN under these structural classes. Correspondingly, preparation strategies have evolved from two-step methods to integrated one-step method of nanoprecipitation, single-emulsification-solvent evaporation, and double-emulsification-solvent evaporation in the early 2010s. More recently, novel methods such as self-assembly, modified ionic gelation, modified ethanolic injection, film rehydration, and hot-melt emulsification have been introduced, with hot-melt emulsification showing particular promise for scalability. In this context, the present review proactively introduces an updated structural classification and proposes a revision of existing formulation strategies by expanding the one-step and two-step framework to incorporate emerging methods tailored for dermatological applications. While LPN are often portrayed as a better version of lipid and polymeric-based nanoparticles, their practical applicability in dermatological treatments remains an open question. Therefore, this review evaluates LPN's clinical and translational potential in dermatology applications such as, wounds, skin infections, dermatitis, psoriasis, skin cancer, pain management, and cosmetic applications.},
}

Humans
*Polymers/chemistry/administration & dosage
*Nanoparticles/chemistry/administration & dosage
*Lipids/chemistry/administration & dosage
Administration, Cutaneous
*Skin Diseases/drug therapy
Animals
Drug Carriers/chemistry
Drug Delivery Systems/methods

@article {pmid40660066,
year = {2025},
author = {Shaibie, NA and Mohammad Faizal, NDF and Buang, F and Srichana, T and Mohd Amin, MCI},
title = {Inhaled biologics for respiratory diseases: clinical potential and emerging technologies.},
journal = {Drug delivery and translational research},
volume = {15},
number = {11},
pages = {4098-4114},
pmid = {40660066},
issn = {2190-3948},
mesh = {Humans ; Administration, Inhalation ; *Biological Products/administration & dosage/therapeutic use ; *Drug Delivery Systems/methods ; Dry Powder Inhalers ; Nebulizers and Vaporizers ; COVID-19 Drug Treatment ; COVID-19 ; Metered Dose Inhalers ; *Respiratory Tract Diseases/drug therapy ; },
abstract = {The pulmonary route has gained significant attention as a drug delivery method, particularly for managing respiratory diseases. This approach provides several benefits, such as rapid therapeutic action, minimized systemic exposure, improved patient adherence, and the ability to deliver high drug concentrations directly to the lungs. Advances in inhalation devices, including pressurized metered-dose inhalers (pMDIs), dry powder inhalers (DPIs), and nebulizers, have established the pulmonary route as effective for administering both small-molecule drugs and complex biologics. Recent research has showcased the successful use of inhaled biologics such as monoclonal antibodies, nanobodies, and protein-based treatments in conditions like asthma, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, COVID-19, and respiratory syncytial virus (RSV). These treatments employ innovative mechanisms, such as muco-trapping and immune modulation, to optimize site-specific drug delivery and minimize systemic side effects. As technologies for pulmonary administration continue to evolve, they provide a non-invasive and highly promising platform for enhancing respiratory therapies and broadening the applications of biologics.},
}

Humans
Administration, Inhalation
*Biological Products/administration & dosage/therapeutic use
*Drug Delivery Systems/methods
Dry Powder Inhalers
Nebulizers and Vaporizers
COVID-19 Drug Treatment
COVID-19
Metered Dose Inhalers
*Respiratory Tract Diseases/drug therapy

@article {pmid40000558,
year = {2025},
author = {Idres, YM and Idris, A and Gao, W},
title = {Preclinical testing of antiviral siRNA therapeutics delivered in lipid nanoparticles in animal models - a comprehensive review.},
journal = {Drug delivery and translational research},
volume = {15},
number = {11},
pages = {3899-3916},
pmid = {40000558},
issn = {2190-3948},
mesh = {*RNA, Small Interfering/administration & dosage ; Animals ; *Nanoparticles/chemistry/administration & dosage ; *Antiviral Agents/administration & dosage ; Humans ; Disease Models, Animal ; COVID-19 ; *Lipids/chemistry ; SARS-CoV-2/drug effects ; RNA Interference ; COVID-19 Drug Treatment ; Liposomes ; },
abstract = {The advent of RNA interference (RNAi) technology through the use of short-interfering RNAs (siRNAs) represents a paradigm shift in the fight against viral infections. siRNAs, with their ability to directly target and silence specific posttranscriptional genes, offer a novel mechanism of action distinct from that of traditional pharmacotherapeutics. This review delves into the growing field of siRNA therapeutics against viral infections, highlighting their critical role in contemporary antiviral strategies. Importantly, this review will solely focus on the use of lipid nanoparticles (LNPs) as the ideal antiviral siRNA delivery agent for use in vivo. We discuss the challenges of siRNA delivery and how LNPs have emerged as a pivotal solution to enhance antiviral efficacy. Specifically, this review focuses on work that have preclinically tested LNP formulated siRNA on virus infection animal models. Since the COVID-19 pandemic, we have witnessed a resurgence in the field of RNA-based therapies, including siRNAs against viruses including, SARS-CoV-2. Notably, the critical importance of LNPs as the ideal carrier for precious 'RNA cargo' can no longer be ignored with the advent of mRNA-LNP based COVID-19 vaccines. siRNA-based therapeutics represents an emerging class of anti-infective drugs with a foreseeable future as suitable antiviral agents.},
}

*RNA, Small Interfering/administration & dosage
Animals
*Nanoparticles/chemistry/administration & dosage
*Antiviral Agents/administration & dosage
Humans
Disease Models, Animal
COVID-19
*Lipids/chemistry
SARS-CoV-2/drug effects
RNA Interference
COVID-19 Drug Treatment
Liposomes

@article {pmid41059161,
year = {2025},
author = {Giri, A and Tamgadge, S},
title = {Red Blood Cells in Health and Disease.},
journal = {Journal of microscopy and ultrastructure},
volume = {13},
number = {3},
pages = {130-136},
pmid = {41059161},
issn = {2213-8803},
abstract = {Red blood cells (RBCs) play a crucial role in the normal functioning of the human body, primarily through their ability to transport oxygen and carbon dioxide. Various diseases, including anemia and other hemolytic disorders, can arise when there is an abnormality in RBC structure or function. The pathophysiology of other conditions, such as cancer and cardiovascular disease can also involve changes in RBCs. Advances in RBC research have led to a better understanding of their structure, function, and pathophysiology. The COVID-19 pandemic has also highlighted the critical role of RBCs in disease pathology, with research suggesting that RBCs may be directly affected by the virus. This review provides a comprehensive overview of the current state of RBCs in health and disease, including recent advances in diagnosis, treatment, and the role of RBCs in disease pathology.},
}

@article {pmid41057923,
year = {2025},
author = {Gidey, K and Niriayo, YL and Asgedom, SW and Lubetkin, E},
title = {Health-related quality of life in COVID-19 patients: a systematic review and meta-analysis of EQ-5D studies.},
journal = {Health and quality of life outcomes},
volume = {23},
number = {1},
pages = {97},
pmid = {41057923},
issn = {1477-7525},
support = {1627-RA//EuroQol Research Foundation/ ; 1627-RA//EuroQol Research Foundation/ ; 1627-RA//EuroQol Research Foundation/ ; 1627-RA//EuroQol Research Foundation/ ; },
abstract = {BACKGROUND: COVID-19 has affected millions globally, with a significant proportion experiencing long-COVID and impaired health-related quality of life (HRQoL). This systematic review and meta-analysis aimed to synthesize the existing literature on HRQoL in COVID-19 patients.

METHODS: We conducted a systematic search of PubMed, Embase, Web of Science, Scopus, and the Cochrane Library for studies published between December 2019 and March 2025. Eligible studies were peer-reviewed and assessed HRQoL in COVID-19 patients using the EQ-5D instrument. Study quality and risk of bias were evaluated using the Newcastle-Ottawa Scale. Pooled health utility values were estimated using a random-effects model, and heterogeneity was assessed via I[2] statistics. Predictors of poor HRQoL were qualitatively narrated.

RESULTS: Out of 3539 references, 187 studies with 116,525 participants were analyzed. The majority (80.2%) used the EQ-5D-5 L version. The pooled mean EQ-5D utility score was 0.76 (95% CI 0.74-0.79, I[2] = 99.9%) while the mean EQ-5D Visual Analogue Scale (VAS) score was 70.76 (95% CI 68.48-73.04; I[2] = 99.7%). Pain/discomfort and anxiety/depression were the most affected domains, reported by 51% and 46% of patients, respectively. Subgroup analysis showed significant differences in HRQoL based on national income status (p = 0.038) and geographic region (p < 0.001). Common predictors of lower HRQoL included older age, female gender, disease severity, comorbidities, and post-COVID-19 symptoms.

CONCLUSION: This systematic review demonstrates a substantial reduction in HRQoL among COVID-19 patients compared to the general population. The pooled utility values of COVID-19 contribute to understanding patients' HRQoL and can assist in calculating Quality-Adjusted Life Years. This provides essential data for future economic evaluations and informs health policy decisions.},
}

@article {pmid41057797,
year = {2025},
author = {Bessaguet, C and Bonilla, A and Polin, C and Lacroix, A and Cartz-Piver, L},
title = {A systematic review to find link between past psychiatric history and development of long covid.},
journal = {BMC psychiatry},
volume = {25},
number = {1},
pages = {942},
pmid = {41057797},
issn = {1471-244X},
abstract = {BACKGROUND: Covid-19 is a pandemic acute infectious disease that emerged in 2019. It is estimated that 10-20% will develop persistent symptoms, known as long Covid or post-Covid syndrome. The risk factors for the development of this syndrome are still being studied. Psychosocial factors are known to increase the duration and severity of respiratory infections.

AIMS: (i) to review current knowledge of the link between past psychiatric history and the development of long Covid; (ii) to obtain information on the psychological experience of the initial infection; (iii) to establish a link between the presence of psychiatric symptoms during the acute phase and the development of long Covid.

METHOD: We conducted a systematic review according to PRISMA standards using the Pubmed, Science Direct and Scopus databases. We included observational studies of adult subjects with long Covid whose psychiatric and/or addictive histories were searched.

RESULTS: A total of 36 articles were included in our review. Depression and anxiety appear to be risk factors for the development of long Covid. There is no consensus on the contribution of smoking to the onset of the syndrome. The negative psychological experience of the acute infection favours the persistence of symptoms. Psychological symptoms during the acute phase, studied in only one of our articles, seem to contribute to the persistence of concentration and attention problems.

CONCLUSION: Psychological comorbidities pre-existing COVID-19 infection, in particular depression and anxiety, as well as a poor psychological experience of the acute phase, may favour the development of long Covid.

TRIAL REGISTRATION NUMBER: PROSPERO registration number CRD42023391720.},
}

@article {pmid41057795,
year = {2025},
author = {Mousavi, SM and Younesian, S and Yunesian, M and Fotouhi, A},
title = {The efficacy and effectiveness of COVID-19 vaccines in Iran: a systematic review and meta-analysis.},
journal = {BMC infectious diseases},
volume = {25},
number = {1},
pages = {1245},
pmid = {41057795},
issn = {1471-2334},
abstract = {BACKGROUND: With the end of the COVID-19 pandemic, there is an increasing demand for comprehensive data on vaccine effectiveness disaggregated by country. Such information will provide insights into national immunization policy differences and lay the groundwork for future pandemic readiness plans. This study evaluates the efficacy and effectiveness of COVID-19 vaccines in Iran.

METHODS: A systematic search was conducted in PubMed, Scopus, Web of Science, and Google Scholar up to February 1, 2025. Studies assessing COVID-19 vaccine effectiveness or efficacy in Iran without restrictions on variants or vaccine platforms were included in the systematic review. Meta-analysis using the random effects model was performed to estimate the pooled effectiveness of combined vaccination platforms against hospital admission and death outcomes.

RESULTS: Two randomized controlled trials (RCTs) and 11 observational studies were included in the systematic review, and five observational studies were included in the meta-analysis. Based on the meta-analysis, considering all vaccination platforms combined, the pooled effectiveness of 2-dose COVID-19 vaccines against hospital admission and death was 51.1% (21.8 to 69.5) and 55.7% (-1.5 to 80.7), respectively. Against infection, RCTs reported efficacies of 50.2% and 49.7%, while observational studies reported effectiveness ranging from 63.9% to 87.1% for different vaccines.

CONCLUSION: Vaccine effectiveness varied substantially across the studies, with unique patterns related to Iran's situation during the pandemic, including the high number of different deployed vaccines. The lack of sufficient studies and high heterogeneity between the included studies have limited the understanding of COVID-19 vaccines' effectiveness in Iran.},
}

@article {pmid41057112,
year = {2025},
author = {Viswanathan, V and Boulton, AJ},
title = {Introduction "global progress in diabetic foot care".},
journal = {Diabetes research and clinical practice},
volume = {},
number = {},
pages = {112933},
doi = {10.1016/j.diabres.2025.112933},
pmid = {41057112},
issn = {1872-8227},
}

@article {pmid41056585,
year = {2025},
author = {Klapper, P and Kulasegaran-Shylini, R and Dodgson, A and Sudhanva, M and Blandford, E and Tunkel, S and Hill, S and Hopkins, S and Fowler, T},
title = {Climate change and diagnostic samples - Opening Pandora's (post) box.},
journal = {Public health},
volume = {249},
number = {},
pages = {105983},
doi = {10.1016/j.puhe.2025.105983},
pmid = {41056585},
issn = {1476-5616},
abstract = {OBJECTIVES: To reflect on how climate change is reshaping the practicalities of diagnostic testing, using the UK's COVID-19 home-based testing programme as a case study, and to call for an urgent review of international standards governing the transport of biological samples.

STUDY DESIGN: Narrative-based analysis drawing on operational experience during the UK National Testing Programme's response to COVID-19.

METHODS: We examine the design and implementation of a large-scale home testing model for COVID-19, which relied on the routine postal service to transport biological samples from homes to laboratories. These samples were transported without temperature control, across widely varying environmental conditions. This approach tested the limits of existing logistical assumptions and exposed critical regulatory gaps.

RESULTS: Despite the lack of temperature-controlled logistics, the UK's home testing programme functioned at scale, with internal validation assuring sample stability during both winter and summer extremes. However, this success occurred in the absence of any applicable international standards-such as ISO guidelines-that account for environmental factors in postal transport of biological samples. The experience highlighted a significant blind spot in regulatory frameworks, which currently assume controlled conditions that do not reflect real-world practice in emergency or climate-affected contexts.

CONCLUSIONS: The changing climate and evolving models of healthcare delivery-particularly the move toward near-patient and home-based diagnostics-require a rethinking of how we assure the quality and reliability of biological samples in transit. Existing international standards are no longer fit for purpose in this regard. There is an urgent need to acknowledge environmental resilience as a core requirement in diagnostic logistics, and to develop new standards that are robust to the realities of climate variability and decentralised healthcare.},
}

@article {pmid41055867,
year = {2025},
author = {Felix, E and Green, JG},
title = {Changes in Child and Youth Mental Health Following the Return To In-Person Learning Post-COVID-19 Pandemic.},
journal = {Current psychiatry reports},
volume = {},
number = {},
pages = {},
pmid = {41055867},
issn = {1535-1645},
abstract = {PURPOSE OF REVIEW: Changes in youth mental health during the pandemic have been well documented globally, but research on how mental health changed when schools returned to in-person learning is just emerging. This review summarizes the available global research on child and youth mental health following school reopening for in-person learning.

RECENT FINDINGS: Results varied by the mental health indicator being assessed and by subgroups of children and youth, with age-related differences, and possible gender-related influences. Some modifiable risk and protective factors examined included time spent on homework; internet and social media use; physical activity; communication/conflict with others; optimism; social relationships with family, teacher and peers; parental mental health; and inconsistent discipline. Some youth fared better when schools reopened in-person, but for others mental health challenges persisted. Mental health services shifted during the height of the pandemic, and some supports are no longer available. Continued monitoring is needed to help with recovery and resilience.},
}

@article {pmid41055070,
year = {2025},
author = {Ren, S and Li, T and Zhang, Y and Bai, S and Zhou, Z and Li, S},
title = {Preparing for Potential Health and Safety Risks at the Olympic Games: Scoping Review.},
journal = {JMIR public health and surveillance},
volume = {11},
number = {},
pages = {e66829},
doi = {10.2196/66829},
pmid = {41055070},
issn = {2369-2960},
mesh = {Humans ; *Sports/statistics & numerical data ; *Terrorism/prevention & control/statistics & numerical data ; *Anniversaries and Special Events ; Athletic Injuries/epidemiology/prevention & control ; Crowding ; },
abstract = {BACKGROUND: The Olympic Games are an example of a mass gathering that involves a complex and large crowd composition, with a large number of illnesses and injuries occurring at previous Olympic Games, and the Olympic Games also becoming a target for terrorist attacks.

OBJECTIVE: With the help of mass-gathering medicine as a guide, this study aims to critically summarize and analyze the state of illness, injury, and terrorism during the Olympic Games in order to reduce the incidence of illnesses and injuries in crowds and to offer lessons for the organization of major international sporting events such as the Olympics.

METHODS: The procedure for this scoping review followed the 5-step methodological framework of Arksey and O'Malley. We searched electronic databases such as PubMed, Web of Science, and Scopus. We extracted, summarized, and categorized general information on each study, game characteristics, illness and injury profiles, terrorism characteristics, preventive measures, and surveillance paradigms.

RESULTS: We conducted a database search and retrieved a total of 9587 studies on 2 occasions. After removing duplicates and screening, we included 120 studies. Only 12 studies on the Summer, Winter, and Paralympic Games published before 2000, and 108 studies from 2000 onward, comprise the 120 studies, marking an unprecedented number of studies in this field of research, particularly in recent times. Of the 120 studies, 80 were illness-related, 81 were injury-related, and 2 were terrorism-related. Nine studies explicitly assessed body parts, including shoulders, feet, and dentistry; 26 studies specifically investigated certain illnesses and injuries, such as COVID-19 disease, heat-related illnesses, and concussions. Of the 120 research studies, 18 specifically analyzed sports such as gymnastics and weight lifting, with 11 studies focusing especially on COVID-19 disease. The most studied games were the Tokyo 2021 Olympic or Paralympic Games, the London 2012 Olympic or Paralympic Games, and the Rio 2016 Olympic or Paralympic Games. The system of injury and illness surveillance in the Olympic Games goes through 3 stages of development: the first trial of information technology, the construction of networks, and the enhancement of intelligence.

CONCLUSIONS: A critical summary of studies of illness, injury, and terrorist attacks at previous Olympic Games is important for injury and terrorism prevention at major sporting events such as the Olympic Games. Surveillance methods require improvements in surveillance technology, data sharing, and privacy protection.},
}

Humans
*Sports/statistics & numerical data
*Terrorism/prevention & control/statistics & numerical data
*Anniversaries and Special Events
Athletic Injuries/epidemiology/prevention & control
Crowding

@article {pmid41054502,
year = {2025},
author = {Focosi, D and Franchini, M and Maggi, F and Casadevall, A},
title = {The Emergence of Escape Mutations in COVID-19 Following Anti-Spike Monoclonal Antibody Treatment: How Do We Tackle It?.},
journal = {Infection and drug resistance},
volume = {18},
number = {},
pages = {5207-5217},
pmid = {41054502},
issn = {1178-6973},
abstract = {Treatment-emergent resistance to anti-Spike monoclonal antibody (mAb) was a largely unexpected and dramatic finding along the COVID-19 pandemic. Emergence of resistant strains was particularly common in immunocompromised patients, who often harbored very high SARS-CoV-2 loads when treated with mAb monotherapies. Concerns were raised regarding the risk for some of those resistant variants to propagate in communities. In this review, we will summarize the experience thus far and suggest recommendations to prevent and manage mAb treatment-emergent resistance such as comboing and reliance over polyclonal immunoglobulins.},
}

@article {pmid41053920,
year = {2025},
author = {Muthuka, JK and Mbari-Fondo, DK and Wambura, FM and Oluoch, K and Nzioki, JM and Nyamai, EM and Nabaweesi, R},
title = {Effects of Interventions for the Prevention and Management of Maternal Anemia in the Advent of the COVID-19 Pandemic: Systematic Review and Meta-Analysis.},
journal = {JMIRx med},
volume = {6},
number = {},
pages = {e57626},
doi = {10.2196/57626},
pmid = {41053920},
issn = {2563-6316},
abstract = {BACKGROUND: The COVID-19 pandemic presented many unknowns for pregnant women, with anemia potentially worsening pregnancy outcomes due to multiple factors.

OBJECTIVE: This review aimed to determine the pooled effect of maternal anemia interventions and associated factors during the pandemic.

METHODS: Eligible studies were observational and included reproductive-age women receiving anemia-related interventions during the COVID-19 pandemic. Exclusion criteria comprised non-English publications, reviews, editorials, case reports, studies with insufficient data, sample sizes below 50, and those lacking DOIs. A systematic search of PubMed, Scopus, Embase, Web of Science, and Google Scholar identified articles published between December 2019 and August 2022. Risk of bias was evaluated using the Cochrane Risk of Bias 2 tool for randomized trials and the National Institutes of Health's assessment tool for observational studies. Pooled rate ratios (RRs) with 95% CIs were calculated in Review Manager 5.4.1. Synthesis included subgroup analysis, meta-regression, and publication bias checks to assess intervention effectiveness.

RESULTS: This meta-analysis included 11 studies with 6129 pregnant women. Of these, 3591 (59%) were in the intervention group and 2538 (41%) were in the comparator group. Effects were recorded for 1921 (53.4%) women in the intervention group and 1350 (53.1%) in the comparator group. The cumulative impact ranged from 23% to 81%, averaging 56%. The initial analysis showed no significant effect on anemia prevention (RR 0.79, 95% CI 0.61-1.02; P=.07), with high heterogeneity (I²=97%). Sensitivity analysis excluding 4 outlier studies improved the effect size to a significant level at 39% (RR 0.61, 95% CI 0.43-0.87; P=.006). Subgroup analysis revealed substantial heterogeneity (I²=87.2%). Intravenous sucrose had a poor impact (RR 1.31, 95% CI 1.17-1.47; P<.001), while medicinal or herbal interventions showed benefit (RR 0.81, 95% CI 0.73-0.90; P=.006). Educational interventions yielded a 28% effect (RR 0.72), medicinal administration 19% (RR 0.81), iron supplementation 17% (RR 0.83), and intravenous ferric carboxylmaltose 15% (RR 0.85; P<.02). Additional sensitivity analysis confirmed a pooled positive effect of 17% (RR 0.83, 95% CI 0.79-0.88; P<.001), with minimal heterogeneity (I²=0%). Regionally, effectiveness was highest in Africa (RR 0.84, 95% CI 0.79-0.89; P<.001). Multicenter studies and those with 2020 data were predictive of better outcomes (RR 0.84 and RR 0.50, respectively). Despite initial heterogeneity and publication bias, interventions showed utility in mitigating maternal anemia in targeted subgroups and regions.

CONCLUSIONS: Maternal anemia interventions during the COVID-19 pandemic showed modest, context-specific effectiveness, with declining impact from 2020 to 2022. Although high heterogeneity and study inconsistencies limited generalizability, significant benefits were observed particularly in African and multicenter studies. The pandemic exposed gaps in maternal health systems, emphasizing the need for tailored interventions, stronger data infrastructure, and resilient care strategies in future global crises.},
}

@article {pmid41053865,
year = {2025},
author = {Morrison, C and Natale, I and Branchflower, A and Harvey, C and Lundin, RM},
title = {Harm reduction approaches for the use of benzodiazepines: a scoping review.},
journal = {Harm reduction journal},
volume = {22},
number = {1},
pages = {162},
pmid = {41053865},
issn = {1477-7517},
mesh = {Humans ; *Benzodiazepines/adverse effects/therapeutic use ; *Harm Reduction ; *Substance-Related Disorders/prevention & control ; },
abstract = {BACKGROUND: Benzodiazepines are widely prescribed but are associated with significant risks, particularly when used long-term. The anxiolytic and hypnotic properties of these medications increase their risk of dependence, which can lead to nonmedical and illicit use. Illicit use further compounds these harms, particularly with the emergence of potent novel benzodiazepines on the unregulated market. While tapering remains the standard treatment, not all individuals seek discontinuation. In such cases, harm reduction becomes a key approach to minimise associated risks. This review aimed to identify and synthesise existing harm reduction approaches for people using benzodiazepines.

METHOD: A systematic search was conducted across four databases, PsycINFO (n = 183), MEDLINE (n = 345), Web of Science (n = 382), and Embase (n = 940), following the PRISMA guidelines. Searches were carried out between February 14 and March 30, 2024, using terms related to harm reduction and benzodiazepines. The search was re-run on July 7, 2025, using the same strategy across all four databases.

RESULTS: Thirty-five studies were included and grouped into the following themes: direct interventions (n = 16), policy approaches (n = 9), and population-specific approaches (n = 10). Among direct interventions, drug checking was the most frequently reported approach, with advanced techniques improving the detection of novel benzodiazepines and prompting safer use practices. Benzodiazepine agonist prescribing during the COVID-19 pandemic has yielded positive outcomes; conversely, policy responses such as rescheduling and prescribing changes indicated mixed results. While some studies reported reduced use and improved treatment engagement, others highlighted unintended consequences that may displace or exacerbate harm. Specific populations, such as young people, those who inject benzodiazepines, and members of online communities, highlight the diverse demographics of people who use benzodiazepines and emphasise the importance of developing tailored responses to address unique needs.

CONCLUSION: Drug checking emerged as the most widely reported harm reduction approach for benzodiazepine use, with consistent positive outcomes across studies. Prescribing and policy interventions demonstrated variable impacts, often influenced by broader systemic factors. Critically, a clear gap remains in harm reduction approaches for those not seeking treatment, highlighting a need for inclusive, flexible and pragmatic responses. There is also a need for more robust evaluation of harm reduction interventions to strengthen the evidence base and inform practice.},
}

Humans
*Benzodiazepines/adverse effects/therapeutic use
*Harm Reduction
*Substance-Related Disorders/prevention & control

@article {pmid40668160,
year = {2025},
author = {Hidalgo, JL and Kumar, VK and Akech, SO and Myatra, SN and Jacob, ST and Kortz, T and Vasquez, AA and Jiménez Bazzano, MC and Diaz, M and Rio Rodríguez, JD and Garcia, ALN and Giron, R and Jacobi, J and Madden, MA and Nadkarni, V},
title = {The Sepsis Chain of Survival: A Comprehensive Framework for Improving Sepsis Outcomes.},
journal = {Critical care medicine},
volume = {53},
number = {10},
pages = {e1886-e1892},
pmid = {40668160},
issn = {1530-0293},
support = {K23 AI144029/AI/NIAID NIH HHS/United States ; },
mesh = {Humans ; *Sepsis/therapy/mortality/diagnosis ; *Critical Care/organization & administration/methods ; Fluid Therapy ; Emergency Medical Services/organization & administration ; Resuscitation/methods ; },
abstract = {The "Chain of Survival" concept, developed for cardiac arrest, emphasizes a seamless and interconnected set, of time-critical interventions that are not strictly linear, to improve survival. This paradigm of urgent recognition and response to life-threatening conditions has evolved to apply to acute medical conditions, including sepsis. The "Sepsis Chain of Survival" underscores the importance of early recognition, prompt emergency medical services activation, timely antimicrobial administration and appropriate fluid resuscitation, optimized critical care management, effective source control and infection management, and comprehensive post-sepsis care. By adopting this approach, healthcare systems can improve sepsis outcomes through a coordinated, multifaceted strategy. This model highlights the critical role of public and healthcare worker awareness, education, community response, and continuous monitoring. Addressing the importance and interdependence of each link, this framework aims to improve survival rates and patient recovery by ensuring timely and effective sepsis management across diverse resource settings in infants, children, and adults.},
}

Humans
*Sepsis/therapy/mortality/diagnosis
*Critical Care/organization & administration/methods
Fluid Therapy
Emergency Medical Services/organization & administration
Resuscitation/methods

@article {pmid41053189,
year = {2025},
author = {Ulaş, S and Seçer, İ},
title = {Secondary traumatic stress and burnout in healthcare professional: systematic review and a meta-analysis based on correlation coefficient.},
journal = {Scientific reports},
volume = {15},
number = {1},
pages = {34680},
pmid = {41053189},
issn = {2045-2322},
mesh = {Humans ; *Health Personnel/psychology ; *Burnout, Professional/epidemiology/psychology ; *COVID-19/psychology/epidemiology ; SARS-CoV-2 ; Pandemics ; Compassion Fatigue ; },
abstract = {The challenging conditions faced by healthcare professionals (HCPs) during the pandemic have been extensively discussed in the literature, particularly concerning Secondary Traumatic Stress (STS) and Burnout (BO). This study systematically compiled studies meeting the inclusion criteria and examining the relationship between STS and BO between 2019 and 2024 in the Web of Science and PubMed databases, conducting a correlational meta-analysis. While the PRISMA was adhered to in all stages of this manuscript, the Quality Assessment and Validity Tool for Correlational Studies was adhered to in evaluating the articles that met the inclusion criteria. This analysis included 61 publications involving 33.906 HCPs. When raw r coefficients were transformed into Fisher's z values, the correlation coefficients ranged between 0.1820 and 1.1881, with a 100% positive direction, and the weighted correlation coefficient was 0.6305 (95% CI: 0.5888 to 0.6721). The results indicate a strong positive relationship between the levels of STS and BO among HCPs during the pandemic. The validation of the strong relationship between STS and BO during the COVID-19 period underscores the critical need for the development of information dissemination, resources, support, or policies to strengthen HCPs against STS and BO in the face of future epidemics, pandemics, or situations that could negatively impact the functioning of the healthcare system. In other words, it can be suggested to develop training and awareness programs for HCPs in terms of STS and BO, strengthen support systems, improve workload and working conditions, ensure continuity in monitoring and evaluating HCPs in terms of BO and STS, etc.},
}

Humans
*Health Personnel/psychology
*Burnout, Professional/epidemiology/psychology
*COVID-19/psychology/epidemiology
SARS-CoV-2
Pandemics
Compassion Fatigue

@article {pmid41053126,
year = {2025},
author = {Mauti, E and Hosseinichimeh, N and Abedi, V and Zand, R and Zhou, S and Tian, Z},
title = {Factors associated with post-stroke readmission: a systematic review and meta analysis.},
journal = {Scientific reports},
volume = {15},
number = {1},
pages = {34772},
pmid = {41053126},
issn = {2045-2322},
mesh = {Humans ; *Patient Readmission/statistics & numerical data ; *Stroke/epidemiology/therapy ; Risk Factors ; Patient Discharge/statistics & numerical data ; United States/epidemiology ; },
abstract = {Readmissions following strokes are a significant concern due to their association with adverse outcomes. The Centers for Medicare and Medicaid Services regard hospital readmissions as a measure of suboptimal hospital care and have made reducing readmission rates a national healthcare reform goal. This systematic review and meta-analysis aimed to identify factors associated with 30-day, 90-day, and 1-year ischemic stroke readmissions. We reviewed the databases PubMed and Web of Science for English-language studies on stroke readmissions published between January 1, 2000, and February 5, 2024. A total of 135 studies from 18 countries met the inclusion criteria. Higher 30-day readmissions were linked to advanced age, insurance type, employment status, socioeconomic disadvantage, discharge destination, and conditions such as heart failure and diabetes. Reduced 30-day readmissions were associated with effective discharge planning, post-primary care visits, and thrombolytic therapy administration. Weekend admissions and the COVID-19 period were not significant contributing factors. Our meta-analysis on 30-day readmissions in the U.S. found increased odds with atrial fibrillation (OR, 1.24 [95% CI, 1.12-1.36]), and cancer (OR, 1.50 [95% CI, 1.19-1.89]), while discharge to home (OR, 0.75 [95% CI, 0.55-1.02]) and private insurance (OR, 0.70 [95% CI, 0.66-0.75]) decreased the odds. Advanced age, comorbidities, and discharge planning impacted 90-day readmissions, while 1-year readmissions were influenced by advanced age, discharge location, functional independence, and diseases including diabetes and coronary artery disease. The study highlights the importance of hospital discharge procedures and follow-up care as modifiable factors for mitigating the risk of readmission in stroke patients. Prioritization in care transition enhancements and proper discharge planning for at-risk patients could help improve stroke readmission rates.},
}

Humans
*Patient Readmission/statistics & numerical data
*Stroke/epidemiology/therapy
Risk Factors
Patient Discharge/statistics & numerical data
United States/epidemiology

@article {pmid41052610,
year = {2025},
author = {Xu, H and Li, B and Tang, K and Yang, J and Zhan, P},
title = {Privileged scaffold repurposed: the evolving role of quinolone derivatives in antiviral therapy.},
journal = {Bioorganic & medicinal chemistry letters},
volume = {},
number = {},
pages = {130427},
doi = {10.1016/j.bmcl.2025.130427},
pmid = {41052610},
issn = {1464-3405},
abstract = {Significant advancements have been made in the field of antiviral drug development; however, existing therapies still face considerable challenges regarding safety and efficacy. Moreover, with the frequent emergence of outbreaks caused by viruses such as SARS-CoV-2, monkeypox virus, and Chikungunya virus in recent years, there is an urgent need to develop novel antiviral drugs that are highly effective, low-toxic, and possess broad-spectrum activity against drug-resistant strains. Exploring antiviral agents from privileged structures has long been a tacit shortcut for researchers, and quinolone derivatives, as a class of privileged structures with diverse antiviral activities, have attracted extensive attention in recent years, providing a crucial material basis for the development of next-generation antiviral drugs. This review focuses on the discovery, mechanisms of action, potential clinical applications, and research progress of quinolone derivatives with typical structural characteristics or potent antiviral activity, aiming to provide insights for current and future antiviral drug research.},
}

@article {pmid41051924,
year = {2025},
author = {Ghadirian, MZ and Sarmiento, I and Reinoso Chávez, N and Andersson, N and Cockcroft, A},
title = {Experience of the COVID-19 Pandemic in Rural Nigeria: A Scoping Review of the Literature Contextualized With Local Knowledge Using Fuzzy Cognitive Mapping.},
journal = {Community health equity research & policy},
volume = {},
number = {},
pages = {2752535X251384511},
doi = {10.1177/2752535X251384511},
pmid = {41051924},
issn = {2752-5368},
abstract = {AimCollate and summarise published evidence of the non-clinical effects of the COVID-19 pandemic in rural Nigeria and compare the findings with community stakeholder experiences.MethodsWe searched PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) for peer-reviewed papers published up to January 2024. Included studies used quantitative, qualitative, or mixed methods to examine the influence of the COVID-19 pandemic on the lives of rural Nigerians. Two reviewers conducted title, abstract, and full-text screening independently. We used narrative descriptions and fuzzy cognitive maps to summarise the findings of the review and compared the maps with those previously created by stakeholders in rural communities in Bauchi State, rural Nigeria.ResultsPoverty, hunger and lack of food, and stress and mental health problems were leading themes in both the literature and stakeholder maps. Stakeholder maps highlighted job loss and household conflicts. These topics were rarely explored in the literature, which emphasized reduced health services.ConclusionThis review and stakeholder perspectives confirm the importance of non-clinical impacts of the COVID-19 pandemic in rural Nigeria. Some issues highlighted by local community stakeholders were absent in the literature. Contextualizing published research with local experience provides specific insights to inform recovery policies.},
}

@article {pmid41050627,
year = {2025},
author = {Lin, C and Jennison, AV and Leong, LEX and Speers, DJ and Meumann, EM and Cooley, L and Kennedy, K and Arnott, A and Winter, D and Rawlinson, W and Robson, J and Harris, P and Donald, A and Seemann, T and Ballard, SA and Kirk, M and Sintchenko, V and Williamson, DA and Howden, BP and , },
title = {Communicable diseases genomics network: promoting and harmonising pathogen genomics implementation for public health in Australia.},
journal = {The Lancet regional health. Western Pacific},
volume = {63},
number = {},
pages = {101692},
pmid = {41050627},
issn = {2666-6065},
abstract = {Globally, the utility of pathogen genomics for public health was highlighted by the COVID-19 pandemic. Approaches to enhance coordination and improve implementation of pathogen genomics for public health are needed. The Communicable Diseases Genomics Network (CDGN) was established in 2015 in Australia. The network, embedded at the public health laboratory interface and supported by the Australian Government, has facilitated a coordinated model in Australia for public health pathogen genomics. CDGN activities have facilitated pilot projects to demonstrate use cases, harmonisation of data sharing and governance arrangements, outbreak and pandemic response, translational research, policy development and workforce capacity building. The impact of CDGN has been enabling the significant progress towards public health genomics implementation in Australia, and providing a model that could be applied in other federated settings, aligned with international best practice.},
}

@article {pmid41050344,
year = {2025},
author = {Kapar, A and Li, H and He, Q and Lin, D and Tang, D and Peng, K and Wang, Y and Wang, K},
title = {Real-World Evaluation Study of Azvudine for the Treatment of Patients With COVID-19: A Systematic Review and Meta-Analysis.},
journal = {The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale},
volume = {2025},
number = {},
pages = {3645253},
pmid = {41050344},
issn = {1712-9532},
abstract = {Background: Azvudine, as an antiviral drug, has been approved for the treatment of COVID-19, and multiple randomized controlled trials (RCTs) and retrospective cohort studies have been conducted. This study aimed to systematically evaluate the efficacy and safety of Azvudine in treating COVID-19 patients. Methods: As of December 1, 2023, we searched databases including PubMed, Web of Science, Ovid, ICTRP, Cochrane Library, Clinical Trials, MedRxiv, and Springer Link for relevant RCTs and retrospective cohort studies. EndNote X9 was used for literature screening and management, and R software was employed for meta-analysis. Results: A total of 1142 COVID-19 patients from five RCTs were included, with 575 patients receiving Azvudine treatment. Azvudine significantly reduced the hospitalization time and the time to nucleic acid conversion to negative in patients with mild to moderate COVID-19. However, compared to the control group, Azvudine did not significantly reduce the incidence of adverse events (AEs) (risk ratio: 0.89, 95% confidence interval [CI]: 0.80, 1.00). Additionally, eight ongoing clinical trials were included to evaluate the efficacy and safety of Azvudine. In fourteen retrospective cohort studies, a total of 6602 COVID-19 patients were analyzed, with 3118 patients receiving Azvudine treatment. Azvudine significantly reduced all-cause mortality (odds ratio [OR]: 0.49, 95% CI: 0.38, 0.63). The incidence of AEs in the Azvudine group and the Nirmatrelvir/Ritonavir group was 4.13% (60/1453) and 5.08% (67/1319), respectively, indicating that Azvudine significantly reduced the incidence of AEs compared to Nirmatrelvir/Ritonavir (OR: 0.68, 95% CI: 0.47, 0.98). Conclusions: Azvudine significantly reduced the hospitalization time and the time to nucleic acid conversion to negative in COVID-19 patients and significantly lowered all-cause mortality (Grading of Recommendations Assessment, Development, and Evaluation [GRADE]: high-certainty evidence). In terms of safety, Azvudine demonstrated a favorable safety profile (GRADE: moderate-certainty evidence because of suspected publication bias and residual confounding). Further large-scale studies are needed to validate its efficacy and safety.},
}

@article {pmid41049923,
year = {2025},
author = {Pedraza, A and Bonnice, S and Won, MN and Kesselman, MM and Demory Beckler, M},
title = {Impact of COVID-19 on the Gut Microbiome: A Review.},
journal = {Cureus},
volume = {17},
number = {9},
pages = {e91470},
pmid = {41049923},
issn = {2168-8184},
abstract = {Coronavirus Disease 2019 (COVID-19) has resulted in over 6 million deaths worldwide in fewer than four years and is a result of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The protein that mediates SARS-CoV-2 host cell entry is the angiotensin-converting enzyme 2 (ACE2), which is highly expressed on the membrane of gastrointestinal (GI) cells. Consequently, infection can lead to direct damage to the GI tract and gut dysbiosis, which is associated with an imbalance of microbiota, inflammation, and other systemic infections and diseases. In this review, we will focus on the impact of COVID-19 on the GI system. We will examine the pathophysiology of gut dysbiosis in COVID-19 patients, as well as emphasize the significance of probiotics in addressing this condition. Additionally, we will identify key areas of interest that warrant further investigation.},
}

@article {pmid41049897,
year = {2025},
author = {Castellano, B and Castellano, C and Sobczak, A and Khanna, D},
title = {Long-Term Manifestations of COVID-19: A Review.},
journal = {Cureus},
volume = {17},
number = {9},
pages = {e91492},
pmid = {41049897},
issn = {2168-8184},
abstract = {Although most coronavirus disease 2019 (COVID-19) cases resolve within a few weeks after the onset of infection, a considerable number of patients still suffer from prolonged or recurrent symptoms evident after weeks or months post-COVID-19 recovery. This paper analyzed the current literature related to long-term manifestations of COVID-19 and aimed to identify the common symptoms reported four weeks or more after the initial onset of the disease. COVID-19 has been shown to have lasting systemic effects on an array of organ systems, such as the lungs, heart, brain, and gastrointestinal systems. Common symptoms include, but are not limited to, fatigue, brain fog, respiratory difficulties, and loss of taste and smell. The impact of COVID-19 on multiple organ systems is thought to be associated with its ability to bind angiotensin-converting enzyme 2 (ACE2) receptors throughout the body and promote cytokine release. This study provides insight into common long-term manifestations of COVID-19. Future studies should look at how long COVID-19 syndrome affects various subpopulations differently.},
}

@article {pmid41049734,
year = {2025},
author = {Gao, Y and Zhang, J},
title = {The role of SARS-CoV-2 main protease in innate immune regulation: From molecular mechanisms to therapeutic implications.},
journal = {Acta pharmaceutica Sinica. B},
volume = {15},
number = {9},
pages = {4497-4510},
pmid = {41049734},
issn = {2211-3835},
abstract = {The main protease (M[pro]) of SARS-CoV-2 plays a pivotal role in viral replication and immune evasion. Accumulating evidence highlights its significant role in suppressing innate immunity. In this review, we provide a comprehensive overview of how M[pro] modulates host innate immune responses, including its interference with retinoic acid-inducible gene I (RIG-I)-like receptor (RLR) and cyclic GMP-AMP synthase (cGAS)-stimulator of interferon gene (STING) signaling pathways, inhibition of interferon production, and disruption of inflammasome activities. As a protease, M[pro] cleaves a variety of host proteins to attenuate antiviral innate immunity, a process dependent on its catalytic dyad (Cys145-His41), which is crucial for its proteolytic activity. Meanwhile, M[pro] also exerts innate immune regulatory functions in a protease-independent manner. Notably, inhibitors targeting M[pro] have demonstrated efficacy in restoring immune functions and suppressing viral replication, offering potential therapeutic strategies against SARS-CoV-2 infection.},
}

@article {pmid41048938,
year = {2025},
author = {Wang, Y and Zhu, J and Ma, Q and Zhou, W and Yang, L and Sheng, S and Zhu, F and Xia, Z},
title = {Trends in mesenchymal stem cell-derived extracellular vesicles clinical trials 2014-2024: is efficacy optimal in a narrow dose range?.},
journal = {Frontiers in medicine},
volume = {12},
number = {},
pages = {1625787},
pmid = {41048938},
issn = {2296-858X},
abstract = {BACKGROUND: Mesenchymal stem cell-derived extracellular vesicles (MSC-EVs) are emerging as promising cell-free therapeutic agents due to their immunomodulatory and regenerative properties. However, the lack of standardized protocols and dose optimization strategies has limited their clinical translation. While procedures for the isolation, expansion, and therapeutic use of mesenchymal stem cells (MSCs) have been standardized, there remains a lack of standardized protocols for the isolation and purification of EVs and exosomes (Exos).

METHODS: This review Comprehensive statistical summary global clinical trials involving MSC-EVs and Exos registered between 2014 and 2024, with a particular focus on dose-effect relationships and administration routes. Data were collected from ClinicalTrials.gov, the Chinese Clinical Trial Registry, and the Cochrane Register of Studies. A total of 66 eligible trials were included after screening.

RESULTS: Intravenous infusion and aerosolized inhalation were identified as the predominant administration methods, especially in trials targeting respiratory diseases. Notably, dose-effect results revealed that nebulization therapy achieved therapeutic effects at doses around 108 particles, significantly lower than those required for intravenous routes. This suggests a relatively narrow and route-dependent effective dose window. However, large variations in EVs characterization, dose units, and outcome measures were observed across trials, underscoring the lack of harmonized reporting standards.

CONCLUSION: This review highlights dose-response as a critical but underappreciated gap in current MSC-EVs clinical research. The findings emphasize the urgent need for standardized dosing frameworks, potency assays, and harmonized clinical protocols to advance the safe and effective translation of MSC-EVs therapies. The analysis underscores the need for standardized protocols, global collaboration, and a deeper understanding of the biological mechanisms underlying MSC-EVs and Exos therapies to advance clinical applications and ensure safety and efficacy.},
}

@article {pmid41048920,
year = {2025},
author = {Ferreira, DBB and Santos, RMS and Machado, MCL and Rezende, VHM and de Marco, PG and Romano-Silva, MA and de Miranda, DM},
title = {Suicidality and self-harm in adolescents before and after the COVID-19 pandemic: a systematic review.},
journal = {Frontiers in psychiatry},
volume = {16},
number = {},
pages = {1643145},
pmid = {41048920},
issn = {1664-0640},
abstract = {INTRODUCTION: Adolescent mental health, self-harm, and suicidality are critical concerns during this developmental stage, marked by intense physical, emotional, and social changes. The COVID - 19 pandemic has further intensified these vulnerabilities by disrupting daily routines, increasing social isolation, limiting access to mental health services, and exacerbating academic and emotional stressors.

METHODS: This systematic review followed the PRISMA 2020 guidelines and employed the PECO strategy to identify relevant studies. A total of 55 quantitative studies published between 2010 and 2024 were included. These studies examined the prevalence and risk factors of self-harm and suicidal behaviors among adolescents aged 10 to 19 years, comparing findings from the pre-pandemic and pandemic periods. Psychosocial, economic, and cultural determinants were also evaluated.

RESULTS: The analysis revealed a consistent increase in self-harm and suicidality during the pandemic, with adolescent girls being disproportionately affected. Gender disparities were observed across diverse cultural contexts. Contributing factors included social isolation, excessive screen time, reduced access to education and healthcare, and increased family or financial stress. Cultural variability shaped both prevalence and clinical expression.

DISCUSSION: These findings underscore the amplifying effect of the COVID - 19 pandemic on adolescent mental health vulnerabilities and highlight the need for culturally sensitive, gender-informed preventive strategies. Public policies should prioritize mental health support for youth and address systemic inequities to mitigate the psychological consequences of global crises. This review offers important insights into adolescent mental health in times of collective adversity.

CLINICAL TRIAL REGISTRATION: PROSPERO https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024538641, identifier CRD42024538641.},
}

@article {pmid41048326,
year = {2025},
author = {Abdul-Mutakabbir, JC},
title = {Area-based Deprivation Indices and Healthcare-Associated Infections: A Narrative Review of Evidence.},
journal = {Current infectious disease reports},
volume = {27},
number = {1},
pages = {20},
pmid = {41048326},
issn = {1523-3847},
abstract = {PURPOSE OF REVIEW: Since the coronavirus disease-19 (COVID-19) pandemic started, there has been a rise in published studies using area-based deprivation indices to explore the link between neighborhood-level social determinants of health (SDoH) and susceptibility to infectious diseases. However, questions remain about how these deprivation indices were developed and how effective they are at identifying and addressing healthcare-associated infection (HAI) disparities. This review aims to clarify the origins of the most commonly used deprivation indices in HAI epidemiology research and to offer key considerations and recommendations for their use to enhance prevention strategies and advocacy efforts.

RECENT FINDINGS: The two most frequently used area-based deprivation indices in HAI epidemiology research are the area deprivation index and the social vulnerability index. Of interest, both indices use data from the American Community Survey disseminated by the US Census Bureau to describe area-level socioeconomic and material deprivation across various geographic areas nationwide. Researchers have combined these area-based indices with clinical and individual-level sociodemographic variables and found that higher levels of disadvantage correlate with an increased occurrence of HAIs. Despite similarities in findings when using these indices, they have distinct differences that should be considered.

SUMMARY: Area-level deprivation can increase an individual's risk of HAIs, and deprivation indices are tools that can quantify this relationship. Despite the availability of relevant data, there is a need to expand the existing literature using deprivation indices in HAI research. Ultimately, this exploratory research has the potential to inform prevention strategies and policy reforms aimed at reducing disparities in HAIs.},
}

@article {pmid41048263,
year = {2025},
author = {Verma, A and Naidu, SV and Sulthana, H and Ullah, A and Shabil, M and Sah, R and Mehta, R and Jan, A and Ain, NU and Rahim, A and Abu Nahla, U},
title = {Musculoskeletal manifestations in post-acute sequelae of SARS-CoV-2 infection: a systematic review and meta-analysis.},
journal = {Frontiers in public health},
volume = {13},
number = {},
pages = {1662953},
pmid = {41048263},
issn = {2296-2565},
mesh = {Humans ; *COVID-19/complications/epidemiology ; *Musculoskeletal Diseases/epidemiology/etiology ; SARS-CoV-2 ; Post-Acute COVID-19 Syndrome ; Prevalence ; Incidence ; Myalgia/epidemiology ; },
abstract = {BACKGROUND: The COVID-19 pandemic has highlighted a spectrum of long-term sequelae, with musculoskeletal symptoms being a substantial component of Post-Acute Sequelae of SARS-CoV-2 infection (PASC). This systematic review and meta-analysis aimed to evaluate the incidence and nature of musculoskeletal manifestations in individuals recovering from COVID-19.

METHODS: A systematic search across PubMed, Embase, and Web of Science was performed up to February 15, 2024, to identify studies reporting on musculoskeletal symptoms post-COVID-19. Observational studies which reported any musculoskeletal symptoms of PASC were included. Data were pooled using a random-effects model to calculate the incidence of symptoms, with subgroup analyses based on time since infection. Statistical analysis were conducted in R software (V 4.3).

RESULTS: Sixty-four studies were included, demonstrating a pooled prevalence of muscle pain at 28% (95% CI: 22%-35%), which increased to 25.9% (95% CI: 20.7%-31.7%) at 12 months post-infection. Joint pain showed a pooled prevalence of 14.8% (95% CI: 10.6%-20.2%), with no significant temporal change. Muscle weakness was observed in 12.9% (95% CI: 4.2%-32.9%) of patients. Notable heterogeneity was observed across studies (I [2] > 89% for all symptoms).

CONCLUSION: Musculoskeletal symptoms are prevalent in individuals with PASC, with muscle pain being the most common. The findings highlight the need for comprehensive clinical management and continuous research to create targeted treatments and revise care protocols as the pandemic evolves.},
}

Humans
*COVID-19/complications/epidemiology
*Musculoskeletal Diseases/epidemiology/etiology
SARS-CoV-2
Post-Acute COVID-19 Syndrome
Prevalence
Incidence
Myalgia/epidemiology

@article {pmid41048103,
year = {2025},
author = {Pariano, M and Puccetti, M and Fabi, C and Nunzi, E and Balucchi, S and Perioli, L and Ricci, M and Giovagnoli, S and Garaci, E and Romani, L},
title = {Updates on Candida albicans infections: pathogenesis, resistance, and emerging nanopharmaceutical strategies.},
journal = {Expert review of anti-infective therapy},
volume = {},
number = {},
pages = {},
doi = {10.1080/14787210.2025.2569831},
pmid = {41048103},
issn = {1744-8336},
abstract = {INTRODUCTION: Candidiasis comprises a spectrum of infections ranging from superficial mucosal to life-threatening systemic infections caused by the opportunistic yeast, Candida, a genus containing several species of heterogeneous behavior and unique pathogenesis in the human host. Candida albicans is the most prevalent species. The aim of this review is to provide an update on pathogenesis, resistance and emerging therapeutic strategies in candidiasis, with a focus on C. albicans.

AREAS COVERED: We discuss recent advancements that have deepened our understanding of Candida pathogenesis, particularly the roles of morphological plasticity, metabolic flexibility, biofilm formation, multidrug resistance and gut dysbiosis. We interrogated three major databases, mainly PubMed, Scopus and Google Scholar for the latest (with emphasis on the works published in the last 5 years) developments in antifungal resistance trends, diagnostic innovations, and novel therapeutic strategies, including next-generation antifungals, combination therapies and nanopharmaceuticals. Additionally, we explore emerging strategies, such as probiotics, vaccines, and antifungal stewardship, and discuss the impact of post-COVID-19 immunosuppression, cancer therapies, and climate change on candidiasis epidemiology.

EXPERT OPINION: The future of C. albicans management lies in personalized approaches, leveraging genomics, host-pathogen interactions and advanced drug-delivery platforms to combat resistance, overcome the limitations of current systemic therapy and improve patient outcomes.},
}

@article {pmid41046898,
year = {2025},
author = {Fadaee, M and Mahrooghi, D and Lahouty, M and Oskouei, SA and Nezhadi, J},
title = {Postbiotics and extracellular vesicles: Mechanisms of action and clinical promise in respiratory infections and inflammation.},
journal = {Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases},
volume = {},
number = {},
pages = {105837},
doi = {10.1016/j.meegid.2025.105837},
pmid = {41046898},
issn = {1567-7257},
abstract = {Postbiotics are bioactive metabolites and structural components derived from probiotic microorganisms that exert health benefits without the requirement for live bacteria. These include short-chain fatty acids, peptides, polysaccharides, and bacterial cell wall fragments, all of which demonstrate immunomodulatory, anti-inflammatory, and antimicrobial properties. Compared with probiotics, postbiotics are more stable, safer, and increasingly recognized as potential therapeutic agents. Extracellular vesicles (EVs) released by probiotics have likewise emerged as important mediators of host-microbe interactions. In respiratory diseases such as pneumonia, influenza, coronavirus disease 2019 (COVID-19), asthma, cystic fibrosis, tuberculosis, and allergic rhinitis, postbiotics strengthen epithelial barriers, regulate immune responses, disrupt pathogenic biofilms, and enhance the effectiveness of conventional therapies. Their capacity to influence the gut-lung axis further extends their benefits beyond the respiratory system, contributing to systemic immune balance and microbiota homeostasis. Moreover, postbiotics show potential in mitigating antimicrobial resistance by selectively targeting pathogens while preserving commensal microbes. Taken together, the safety, versatility, and therapeutic promise of postbiotics highlight their potential as adjuncts to standard treatments and as innovative strategies for infection control and respiratory health management.},
}

@article {pmid41046876,
year = {2025},
author = {Khabarov, IA and Sergazy, SD and Amanzhan, A and Maikenova, AS and Zhabayeva, AN and Adekenov, SM},
title = {Polyphenolic phytosomes for targeted drug delivery.},
journal = {Fitoterapia},
volume = {},
number = {},
pages = {106920},
doi = {10.1016/j.fitote.2025.106920},
pmid = {41046876},
issn = {1873-6971},
abstract = {Currently, the attention of researchers is attracted by natural polyphenolic compounds, including flavonoids, which exhibit pronounced antioxidant, anti-inflammatory, and antitumor properties. More than 8500 phenolic compounds have been isolated and characterized from plant sources. Despite their therapeutic potential, clinical translation is limited by low water solubility, poor membrane permeability, and extensive first-pass metabolism, resulting in suboptimal bioavailability. This review provides a comprehensive analysis of phytosome technology, including the mechanism of complex formation, structural advantages compared to traditional nanocarriers, and its impact on pharmacokinetics and bioefficacy. Polyphenolic compounds, such as silybin, curcumin, quercetin, epigallocatechin gallate (EGCG), and grape seed proanthocyanidins, have been successfully formulated into phytosomes, resulting in a significant enhancement of oral bioavailability and therapeutic efficacy in both preclinical and clinical studies. It also highlights evidence from clinical trials involving phytosomal formulations in various disease contexts, including cancer, liver and metabolic disorders, neurodegeneration, and COVID-19. The safety profile of phytosomes is favorable, with most formulations well-tolerated even under long-term use. Current limitations, including formulation instability, lack of regulatory clarity, and challenges in industrial scale-up, are discussed alongside future directions in targeted delivery and combination therapies. Phytosomes represent a clinically viable platform that bridges natural product pharmacology with modern drug delivery technologies, offering a scalable and biocompatible strategy for improving the clinical impact of polyphenols.},
}

@article {pmid41046202,
year = {2025},
author = {Mutsonziwa, GA and Glew, P and Pillay, R},
title = {The influences of nursing students' prevention and control practice behaviours on emerging and re-emerging respiratory viral illnesses: An integrative review and narrative synthesis.},
journal = {Nurse education in practice},
volume = {},
number = {},
pages = {104564},
doi = {10.1016/j.nepr.2025.104564},
pmid = {41046202},
issn = {1873-5223},
abstract = {AIM: To gather, analyse and synthesise empirical evidence regarding the influences of Infection Prevention and Control practice (IPC) behaviours for nursing students on emerging and re-emerging respiratory viral illnesses.

BACKGROUND: In many countries, undergraduate nursing students are often deployed at the point-of-care, as part of their Professional Experience Placement; where they provide direct care to patients with respiratory viral illnesses. Despite this exceptional situation offering learning opportunities for them, nursing students often endure challenging experiences that have an impact on their learning trajectories. To set up strategies for improvement, an understanding of the influences of their behaviours on IPC practices and care responsibilities in the context of common respiratory viral illnesses is warranted.

DESIGN: An integrative systematic review and narrative synthesis.

METHODS: Whittemore and Knafl's (2005) five-step framework was adopted. The databases searched were CINAHL, MEDLINE, Scopus and PsycINFO (August to November 2024). The search process identified sixteen studies, which were screened for quality using the Covidence tool and appraised using Joanna Briggs' checklist. A Synthesis Without Meta-analysis (SWiM) reporting tool was used to ensure transparency in the review process.

RESULTS: The review included sixteen studies that explored the topic in the context of COVID-19, MERS and Influenza. The overarching influences emerged as Academic Support, Personal Attributes and Point-of-Care Support.

CONCLUSION: Academic Support, Personal Attributes and Point-of-Care Support influences emphasise a direction for the future nursing workforce's readiness to respond effectively to existing and re-emerging respiratory viral illnesses. Reinvisioning IPC practices for nursing students is crucial for promoting a strong safety culture.},
}

@article {pmid41046104,
year = {2025},
author = {Ristroph, KD and Pinkerton, NM and Markwalter, CE and D'Addio, SM and Gindy, ME and Pagels, RF},
title = {20 years of flash nanoprecipitation - from controlled precipitation to global medicine.},
journal = {Advanced drug delivery reviews},
volume = {},
number = {},
pages = {115700},
doi = {10.1016/j.addr.2025.115700},
pmid = {41046104},
issn = {1872-8294},
abstract = {In the twenty years since the development of Flash NanoPrecipitation (FNP) technology, an antisolvent precipitation technique that uses rapid turbulent mixing to drive self-assembly of polymeric or lipid nanoparticles, the platform has been used for a wide variety of drug delivery applications in research and industry - most notably as the enabling technology for the global manufacture of the Pfizer-BioNTech COMIRNATY® mRNA lipid nanoparticle vaccine against SARS-CoV-2. Importantly, this makes FNP the only publicly-known manufacturing technology for global commercial-scale lipid nanoparticle formulation. This situation makes the technique remarkable and noteworthy and worth discussing broadly, which this article aims to do. It also sets FNP mixing as the benchmark technology against which other LNP manufacturing processes should be compared. Here we review the principles underpinning this continuous antisolvent precipitation technique, its scalability and use with downstream unit operations, and its utility in nanomedicine research. We discuss the current intellectual property landscape surrounding FNP technology and give examples of its industrial implementation for SARS-CoV-2 and low-cost antimalarial formulations. We end with a survey on recent improvements and extensions to the platform that enable the encapsulation of new classes of molecules and greater flexibility in manufacturing as FNP moves into its third decade.},
}

@article {pmid41045582,
year = {2025},
author = {Inoda, A and Suzuki, K and Tomita, H and Okada, H},
title = {Glycocalyx shedding as a clinical biomarker in critical illness.},
journal = {Experimental and molecular pathology},
volume = {144},
number = {},
pages = {104997},
doi = {10.1016/j.yexmp.2025.104997},
pmid = {41045582},
issn = {1096-0945},
abstract = {The endothelial glycocalyx, a carbohydrate-rich layer lining the vascular endothelium, plays a critical role in maintaining vascular homeostasis by regulating permeability, leukocyte adhesion, and inflammatory signaling. Its degradation has been implicated in endothelial dysfunction and organ damage in various diseases. Biomarkers derived from glycocalyx components, particularly Syndecan-1 (SDC-1) and heparan sulfate (HS), can be detected in blood and urine, providing a potential window into vascular injury. In this narrative review, we explore the clinical potential of glycocalyx-derived biomarkers, with a focus on SDC-1, in a broad spectrum of conditions, including sepsis, coronavirus disease, acute respiratory distress syndrome, kidney diseases, cardiovascular disorders, autoimmune diseases, cancer, trauma, and pregnancy-related complications. We highlight the pathophysiological mechanisms of glycocalyx degradation, assess the diagnostic and prognostic utility of SDC-1, and summarize emerging therapeutic strategies to preserve glycocalyx integrity. Given their strong association with disease severity and outcomes, glycocalyx-derived biomarkers may enable earlier diagnosis, improved risk stratification, and personalized treatment, supporting more informed clinical decision-making across diverse medical conditions.},
}

@article {pmid41045404,
year = {2025},
author = {Ahmed, H and Abideen, ZU and Azmat, A and Irfan, M and Anjum, S and Dirie, A},
title = {Impact of COVID-19 on the prevalence of multi-drug-resistant bacteria: a literature review and meta-analysis.},
journal = {Antonie van Leeuwenhoek},
volume = {118},
number = {11},
pages = {165},
pmid = {41045404},
issn = {1572-9699},
mesh = {Humans ; *COVID-19/epidemiology ; *Drug Resistance, Multiple, Bacterial ; Prevalence ; SARS-CoV-2 ; *Bacterial Infections/epidemiology/microbiology ; Anti-Bacterial Agents/pharmacology/therapeutic use ; *Bacteria/drug effects ; },
abstract = {The COVID-19 pandemic affected the global healthcare delivery system, raising concerns about its influence on antimicrobial resistance (AMR). This systematic review and meta-analysis assessed the impact of the COVID-19 pandemic on the prevalence of MDR bacteria in different healthcare environments. A systematic search was carried out in PubMed-MEDLINE, Embase, Web of Science, BIOSIS, Scopus, and Google Scholar for articles published from December 2019 to January 2024. After screening 77 full-text studies, 28 studies were included in the analysis. The inclusion criteria included original human studies presenting MDR bacteria incidence before and during/after COVID-19 with reference to Carbapenem-resistant Acinetobacter baumannii, Carbapenem-resistant Enterobacteriaceae, Vancomycin Resistant Enterococci, Carbapenem-Resistant Pseudomonas aeruginosa, Methicillin-resistant Staphylococcus aureus, and Extended-Spectrum Beta-Lactamase-producing Enterobacteriaceae. The overall odds ratio (OR = 0.91, 95% CI: 0.70-1.17) indicates no significant change in the prevalence of multidrug-resistant (MDR) bacterial infection between the pre-COVID-19 and the COVID-19 period. There was no significant change in the prevalence of MRSA, ESBL, and VRE pre- and post-COVID. However, there was a significant reduction in the prevalence of CR-Ab, CRE, and CRPA pre- and during/after-COVID-19. MDR prevalence was significantly increased in Asia (18%) while it decreased slightly in North America (10.3%), showing variations in antibiotic use. The findings show that COVID-19 has different effects on the prevalence of MDR bacteria across geographical regions and healthcare facilities.},
}

Humans
*COVID-19/epidemiology
*Drug Resistance, Multiple, Bacterial
Prevalence
SARS-CoV-2
*Bacterial Infections/epidemiology/microbiology
Anti-Bacterial Agents/pharmacology/therapeutic use
*Bacteria/drug effects

@article {pmid41045051,
year = {2025},
author = {Longacre, MM and Ibla, JC},
title = {TEG and ROTEM: Technology and Clinical Applications, 2026 Update.},
journal = {American journal of hematology},
volume = {},
number = {},
pages = {},
doi = {10.1002/ajh.70074},
pmid = {41045051},
issn = {1096-8652},
abstract = {Viscoelastic testing (VET) has evolved significantly since its inception in the mid-20th century, when it was first developed to guide transfusion strategies in trauma and surgical patients. Initially, VET technologies such as TEG and ROTEM assessed clot formation by measuring the mechanical resistance of a pin or piston within a blood sample. Recent advances have introduced automated, cartridge-based systems and novel detection methods-including resonance frequency and ultrasound-based sonorheometry-these new systems allow for more precise, rapid, and user-friendly assessment of clot dynamics at the point of care. VET is now indicated for a wide range of clinical scenarios where complex coagulopathy is anticipated, including trauma, cardiac surgery, liver transplantation, obstetric hemorrhage, and hematologic disorders such as DIC. Its use is expanding into new populations, including pediatric cardiac surgery, patients with inflammatory bowel disease, and those with COVID-19. However, VET remains limited in its ability to reliably detect therapeutic anticoagulants and certain congenital bleeding disorders, such as von Willebrand disease and deficiencies of protein C, S, and antithrombin. Technical limitations, including potential discrepancies between in vitro and in vivo clot formation, and lack of FDA approval for pediatric use have imposed implementation barriers to centers interested in pediatric VET. Looking forward, the integration of VET data with electronic medical records, the development of predictive models, artificial intelligence, and continued innovation in platelet function assessment and detection technologies are poised to enhance the clinical utility of VET. As guidelines and evidence continue to evolve, VET is positioned to become an increasingly important tool for real-time, individualized management of coagulopathy in diverse patient populations.},
}

@article {pmid41044254,
year = {2025},
author = {Nayak, S and Reddy, BN and Kintali, SV},
title = {The invisible agitators: exploring the viral interplay in psoriatic immune dysregulation.},
journal = {Immunologic research},
volume = {73},
number = {1},
pages = {140},
pmid = {41044254},
issn = {1559-0755},
mesh = {Humans ; *Psoriasis/immunology/virology ; *Virus Diseases/immunology/complications ; *SARS-CoV-2/immunology ; Animals ; *COVID-19/immunology ; Cytokines/metabolism ; },
abstract = {This review explores the complex interplay between viral infections and psoriasis. It emphasizes how viruses like HIV, hepatitis, herpes, human papillomavirus, and SARS-CoV-2 can provoke and worsen psoriatic inflammation by disturbing immune balance. A key focus of the discussion is the IL-23/Th-17 pathway, which drives the production of proinflammatory cytokines that promote keratinocyte overgrowth and perpetuate chronic skin inflammation. Our article further investigates how disrupted intracellular pathways-such as those involving PI3K, Wnt signaling, and caveolin-affect the severity of the disease. This review supports the idea that viral infections can not only trigger psoriatic lesions but may also increase the risk of additional viral reactivation, thereby complicating the clinical picture of psoriasis. This thorough evaluation highlights the necessity for focused research to create innovative therapeutic strategies aimed at these viral triggers.},
}

Humans
*Psoriasis/immunology/virology
*Virus Diseases/immunology/complications
*SARS-CoV-2/immunology
Animals
*COVID-19/immunology
Cytokines/metabolism

@article {pmid41042962,
year = {2025},
author = {Barański, J},
title = {Mobile Technologies in Infectious Disease Monitoring: Benefits and limitations.},
journal = {Przeglad epidemiologiczny},
volume = {79},
number = {2},
pages = {263-279},
doi = {10.32394/pe/207617},
pmid = {41042962},
issn = {0033-2100},
mesh = {Humans ; COVID-19/prevention & control ; *Mobile Applications ; *Communicable Disease Control/methods ; Zika Virus Infection/prevention & control ; *Communicable Diseases/epidemiology ; Pandemics ; Malaria/prevention & control ; Telemedicine ; SARS-CoV-2 ; Contact Tracing/methods ; },
abstract = {Infectious diseases, such as the COVID-19 pandemic, Zika virus, malaria, and Ebola, pose a serious threat to public health worldwide. Their impact on society can be significant, especially in the context of globalization, migration, and climate change. These diseases can spread quickly and efficiently, which requires the use of modern monitoring and control tools. In this context, mobile technologies can play a crucial role in preventing and controlling the spread of infectious diseases. This article will discuss both the benefits and limitations of using mobile technologies in monitoring and combating infectious diseases, such as contact-tracing apps, systems for collecting epidemiological data, and platforms supporting health education.},
}

Humans
COVID-19/prevention & control
*Mobile Applications
*Communicable Disease Control/methods
Zika Virus Infection/prevention & control
*Communicable Diseases/epidemiology
Pandemics
Malaria/prevention & control
Telemedicine
SARS-CoV-2
Contact Tracing/methods

@article {pmid41042687,
year = {2025},
author = {McElrone, M and Holden, E and Brown, C and Ballew, J},
title = {Evaluating the Implementation of Public Health Strategies to Address COVID-19 Disparities in a Community Setting: A Qualitative Study Using the RE-AIM Framework.},
journal = {Public health nursing (Boston, Mass.)},
volume = {},
number = {},
pages = {},
doi = {10.1111/phn.70021},
pmid = {41042687},
issn = {1525-1446},
support = {//Office of the Assistant Secretary for Health/ ; #1CPIMP211293-01-00//Office of Minority Health (OMH)/ ; },
abstract = {BACKGROUND: Health disparities, particularly among racial and ethnic minority populations, were exacerbated by the COVID-19 pandemic due to factors like social determinants of health, vaccine hesitancy, and pre-existing health conditions. Local government leaders within an urban city received federal funds to address these disparities by improving health literacy and engaging in culturally responsive outreach and education among Black and Latinx communities within a mid-sized city in the southeastern United States.

OBJECTIVE: To identify facilitators and barriers to implementing public health strategies aimed at addressing COVID-19 health disparities in a community guided by the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework.

DESIGN: The research team conducted qualitative, semi-structured interviews via telephone, Zoom, or in person between March 20th and April 12th, 2024.

PARTICIPANTS/SETTING: Fifteen participants, including local governmental health office staff (e.g., nurse navigators, administrative staff) and employees from community center partner sites, were included in the study.

ANALYSIS: Two coders applied both a priori codes guided by the RE-AIM framework and data-driven inductive codes to transcripts in NVivo 14. A final interrater reliability measurement, Cohen's kappa coefficient (k = 0.74), was calculated, indicating a moderate level of agreement between coders. NVivo 14 data visualization tools (e.g., coding matrices) were used to inform thematic content analysis.

RESULTS: Themes were identified within each RE-AIM dimension, highlighting various facilitators and barriers to implementing the selected public health strategies. Working in synergy with community center staff and other community partners to create tailored services and resources was vital for successful implementation. Transparency and timely communication, additional full-time program implementers (i.e., nurse navigators), and sustainable funding sources were identified as key elements to enhance effective implementation.

CONCLUSIONS: Insights from the local governmental health office and community center staff's experiences in this study highlight recommendations for effective implementation of locally tailored public health strategies to address COVID-19 health disparities in similar community-based settings. Future research should capture the perceptions and experiences of community members to better understand acceptability, accessibility, and utilization in similar initiatives.},
}

@article {pmid41041753,
year = {2025},
author = {Theofilou, PE and Bonotis, P and Angelidis, P},
title = {Real-World Breast Cancer Mobile Applications for Patients in the Treatment Stage: A Post-Pandemic Scoping Review.},
journal = {Studies in health technology and informatics},
volume = {332},
number = {},
pages = {93-97},
doi = {10.3233/SHTI251503},
pmid = {41041753},
issn = {1879-8365},
mesh = {Humans ; *Mobile Applications ; *Breast Neoplasms/therapy ; *COVID-19/epidemiology ; Female ; *Telemedicine ; SARS-CoV-2 ; Pandemics ; },
abstract = {Many current digital health tools are not designed to support the complex needs of breast cancer patients undergoing active treatment, even though they frequently endure severe physical and emotional burdens. This gap is particularly important given the growing dependence on mobile health (mHealth) technologies, which have been accelerated by the COVID-19 pandemic. This scoping review aims to identify mobile health applications for breast cancer published since 2020, and to analyze their core functionalities, target populations, and reported limitations. Following PRISMA-ScR guidelines, we included primary studies describing real-world use beyond prototype or pilot phases. Five unique apps were identified, most offering lifestyle coaching, symptom tracking, or psycho-oncological support. This review serves as an initial step toward understanding the current digital landscape, with the goal of informing the development of a new application grounded in real patient needs and designed through participatory methodologies.},
}

Humans
*Mobile Applications
*Breast Neoplasms/therapy
*COVID-19/epidemiology
Female
*Telemedicine
SARS-CoV-2
Pandemics

@article {pmid41041361,
year = {2025},
author = {Dascalu, S and Raiu, CV and Olteanu, E and Comanici, AV and Comanici, MM and Toma, TP and Robu, BI and Mihailov, R and Mina-Raiu, L and Dumitra, GG and Azoicai, D and Popovici, ED and Apetrei, C},
title = {The deadly triple M (mistrust, misinformation, and missed opportunities): understanding Romania's COVID-19 vaccination campaign and its lasting impact on public health.},
journal = {Frontiers in public health},
volume = {13},
number = {},
pages = {1631799},
pmid = {41041361},
issn = {2296-2565},
mesh = {Humans ; Romania/epidemiology ; *COVID-19/prevention & control/epidemiology ; *Public Health ; *Communication ; *COVID-19 Vaccines/administration & dosage ; *Vaccination Hesitancy/psychology ; *Trust ; *Immunization Programs ; SARS-CoV-2 ; Politics ; *Vaccination ; Health Policy ; },
abstract = {Romania's COVID-19 vaccination campaign presents a compelling case study on the intersection of public health policy, societal dynamics, and political influences in pandemic response. Despite an initially promising rollout, Romania ultimately achieved one of the lowest vaccination rates in the European Union, with severe consequences during the subsequent pandemic waves. This review examines the key factors contributing to the campaign's shortcomings, including pre-existing vaccine hesitancy, widespread misinformation, inadequate governmental communication strategies, and the politicisation of public health efforts. We explore the deep-seated mistrust in governmental institutions, exacerbated by restrictive measures implemented without adequate public engagement, as well as the influential role of religious communities and the rise of populist political forces that actively opposed vaccination efforts. Additionally, we discuss the impact of media sensationalism, conspiracy theories, and the failure to regulate anti-vaccine rhetoric within the medical profession. While logistical and infrastructural challenges were largely addressed, the inability to effectively engage key societal stakeholders led to lagging of vaccine uptake. The consequences of this failure extended beyond COVID-19, contributing to a severe measles outbreak in 2023, which underscored the long-term deleterious effects of vaccine hesitancy. Drawing from Romania's experience, we highlight critical lessons for future public health campaigns, emphasising the need for trust-building initiatives, targeted misinformation countermeasures, stronger community engagement, and enhanced collaboration with religious and cultural institutions. By addressing these challenges, countries worldwide can strengthen their public health frameworks and improve the resilience of their immunisation programmes in the face of future crises.},
}

Humans
Romania/epidemiology
*COVID-19/prevention & control/epidemiology
*Public Health
*Communication
*COVID-19 Vaccines/administration & dosage
*Vaccination Hesitancy/psychology
*Trust
*Immunization Programs
SARS-CoV-2
Politics
*Vaccination
Health Policy

@article {pmid41041302,
year = {2025},
author = {Chen, Z and Wan, C and Chen, B and Mo, Q and Ju, M and Deng, K and Li, X and Qin, D},
title = {Immunogenicity and safety of the booster COVID-19 vaccine among people with HIV: a systematic review and meta-analysis.},
journal = {Frontiers in immunology},
volume = {16},
number = {},
pages = {1668576},
pmid = {41041302},
issn = {1664-3224},
mesh = {Humans ; *COVID-19/prevention & control/immunology ; *COVID-19 Vaccines/immunology/adverse effects/administration & dosage ; *HIV Infections/immunology ; *Immunization, Secondary/adverse effects ; *SARS-CoV-2/immunology ; *Immunogenicity, Vaccine ; Seroconversion ; Antibodies, Viral/blood ; },
abstract = {BACKGROUND: Human immunodeficiency virus (HIV) and COVID-19 continue to pose significant global public health challenges. Although vaccination is essential for preventing COVID-19 in people with HIV (PWH), evidence on the immunogenicity and safety of booster doses remains limited. This systematic review aimed to assess the immunogenicity and safety of COVID-19 booster vaccination in PWH.

METHODS: We conducted a comprehensive literature search in PubMed, EMBASE, and the Cochrane Library. Eligible studies included PWH who had received three or more doses of a COVID-19 vaccine.

RESULTS: Across 54 included studies, 4,685 of 5,229 PWH achieved seroconversion following a third or subsequent COVID-19 vaccine dose-an improvement over rates observed after the primary vaccine series. In 23 studies comparing 2,284 PWH with 1,813 healthy controls (HC), no significant differences in seroconversion rates were found (p ≥ 0.05). Among PWH, 22 studies reported significantly higher seroconversion rates in individuals with CD4[+] T cell counts >200 cells/mm³ compared to those with counts <200 cells/mm³. Booster vaccination enhanced CD4[+] T cell responses to levels comparable to HC, although CD8[+] T cell responses remained markedly lower. Five studies reported adverse events following booster doses, none of which were classified as serious.

CONCLUSION: COVID-19 booster vaccination is effective in enhancing immune protection and reducing severe disease in PWH. Optimal vaccine dosing is especially important in individuals with low CD4[+] T cell counts. Tailoring booster strategies may improve seroconversion and overall immune response in this population.

https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42024605151.},
}

Humans
*COVID-19/prevention & control/immunology
*COVID-19 Vaccines/immunology/adverse effects/administration & dosage
*HIV Infections/immunology
*Immunization, Secondary/adverse effects
*SARS-CoV-2/immunology
*Immunogenicity, Vaccine
Seroconversion
Antibodies, Viral/blood

@article {pmid41041288,
year = {2025},
author = {Jiang, Q and Jiang, M and Lv, Y and Zhang, X and Wang, S and Zhao, J},
title = {Disulfiram as an anti-inflammatory agent: mechanisms, nano-delivery strategies, and applications in non-oncologic diseases.},
journal = {RSC advances},
volume = {15},
number = {43},
pages = {36344-36364},
pmid = {41041288},
issn = {2046-2069},
abstract = {Disulfiram (DSF), an FDA-approved drug for alcoholism, has recently emerged as a potent anti-inflammatory agent. It achieves this by targeting gasdermin D (GSDMD)-mediated pyroptosis, a key driver of inflammatory responses. This review explores the multifaceted anti-inflammatory mechanisms of DSF, including its inhibition of GSDMD pore formation, modulation of the STING pathway, suppression of RIPK1-dependent necroptosis, and disruption of FROUNT-mediated macrophage migration. Despite its promising in vitro efficacy, DSF's clinical application is hindered by its poor solubility, low bioavailability, and rapid metabolism. To overcome these limitations, advanced nano-delivery carriers-such as lipid-based nanoparticles, polymeric carriers, metal-organic frameworks, and peptide conjugates-have been developed to enhance targeted delivery, prolong circulation, and reduce off-target effects. These innovations hold significant promise for the treatment of diverse inflammatory diseases, including respiratory disorders (e.g., COVID-19 and acute lung injury), autoimmune conditions (e.g., lupus and graft-versus-host disease), and metabolic ailments (e.g., hepatitis and colitis). While challenges remain in clinical translation, integrating DSF with nanotechnology offers a transformative approach to harnessing its anti-inflammatory properties. This review highlights current advancements, unresolved questions, and future directions for optimizing DSF-based therapies in inflammation management.},
}

@article {pmid41041226,
year = {2025},
author = {Bhardwaj, P and Joshi, NK and Bhati, Y and Goel, AD and Jain, YK and Soni, JK and Singh, P},
title = {Effectiveness of pressure swing adsorption oxygen plants: A scoping review in Indian context.},
journal = {Journal of family medicine and primary care},
volume = {14},
number = {8},
pages = {3179-3185},
pmid = {41041226},
issn = {2249-4863},
abstract = {CONTEXT: Pressure swing adsorption (PSA) is a gas separation technique that separates some gas species from a mixture of gases under pressure based on the species' molecular characteristics and affinity for an adsorbent material. During the peak of the coronavirus pandemic, the need for medical oxygen was critical due to the overwhelming surge in respiratory-related cases. The establishment of PSA plants across the country was a strategic move to ensure a continuous and reliable supply of oxygen to healthcare facilities.

OBJECTIVES: The objective of this review was to systematically collect and assess evidence regarding the effectiveness of PSA.

DESIGN: A scoping review was carried out using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist.

STUDY SELECTION: Studies, reports, review articles, and gray literature that addressed the economic viability, ease of operation, overall feasibility, and reliability of PSA plants in the Indian context were particularly considered for inclusion.

MAIN OUTCOME MEASURES: This review aims to assess the effectiveness of PSA technology, focusing on its cost efficiency, user-friendliness, overall feasibility, and reliability. The goal is to offer a clear understanding of the practical implications and outcomes related to the adoption of PSA plants in the Indian context.

RESULTS: Sixty-four relevant records were reviewed and analyzed. After considering all the eligibility criteria 33 records were included. The scoping review revealed the different characteristics of PSA plant. A total of six studies from the reviewed literature collectively state that this advancement marks a significant progress toward establishing a dependable and renewable supply of medical-grade oxygen, eliminating the dependency on external sources, and thereby enhancing hospital security.

CONCLUSION: This review showed that properly maintained, and operated, PSA oxygen plants can be highly effective in providing a reliable source of medical-grade oxygen, especially in higher level of health facility where patient load is more.},
}

@article {pmid40967971,
year = {2025},
author = {Odoom, A and Obeng, EM and Dzuvor, CKO},
title = {Multivalent decoy receptor therapeutics to combat viral pandemics and evolution.},
journal = {Trends in pharmacological sciences},
volume = {46},
number = {10},
pages = {935-939},
doi = {10.1016/j.tips.2025.08.010},
pmid = {40967971},
issn = {1873-3735},
mesh = {Humans ; Pandemics/prevention & control ; Animals ; *Antiviral Agents/therapeutic use/pharmacology ; SARS-CoV-2 ; *Virus Diseases/drug therapy ; },
abstract = {Viruses are likely to cause future pandemics due to their inherent ability to evolve and spread rapidly, with limited treatment options. Engineered multivalent decoy receptors (EMDRs) offer a broad-spectrum alternative treatment option. We propose and evaluate EMDRs and their delivery methods to guide future efforts toward pandemic preparedness.},
}

Humans
Pandemics/prevention & control
Animals
*Antiviral Agents/therapeutic use/pharmacology
SARS-CoV-2
*Virus Diseases/drug therapy

@article {pmid40705503,
year = {2025},
author = {Marchetta, M and Golino, M and Markley, JD and Abbate, A},
title = {Rare but Severe Cardiovascular Complications of SARS-CoV-2 Vaccination: A Call for Awareness.},
journal = {Journal of cardiovascular pharmacology},
volume = {86},
number = {4},
pages = {317-320},
doi = {10.1097/FJC.0000000000001740},
pmid = {40705503},
issn = {1533-4023},
mesh = {Humans ; *COVID-19 Vaccines/adverse effects/administration & dosage ; *COVID-19/prevention & control/epidemiology ; *Cardiovascular Diseases/chemically induced/epidemiology/diagnosis ; *Vaccination/adverse effects ; Risk Assessment ; *SARS-CoV-2/immunology ; Male ; Risk Factors ; },
abstract = {The extensive use of severe acute respiratory syndrome coronavirus 2 vaccines has played a crucial role in controlling the coronavirus disease 2019 pandemic, underscoring the remarkable advantages and efficacy of novel vaccine technologies. However, rare but life-threatening cardiovascular complications such as myocarditis, pericarditis, and thrombosis have emerged, predominantly affecting young males after their second vaccine dose. These adverse events highlight the importance of continued pharmacovigilance and transparent communication about potential risks. Because the global epidemiologic context has shifted, now characterized by widespread natural, vaccine-induced, or hybrid immunity, it is important to re-evaluate the risk-benefit ratio of repeated vaccine administration in low-risk individuals. Data regarding severe acute respiratory syndrome coronavirus 2 vaccines complications are still largely based on the early phases of the pandemic (2020-2021), when population-level immunity was minimal and severe coronavirus disease 2019 outcomes more frequent. Today, such comparisons may no longer be appropriate. Updated real-world evidence is needed to better inform decision making and ensure that public health strategies remain aligned with the contemporary risk landscape.},
}

Humans
*COVID-19 Vaccines/adverse effects/administration & dosage
*COVID-19/prevention & control/epidemiology
*Cardiovascular Diseases/chemically induced/epidemiology/diagnosis
*Vaccination/adverse effects
Risk Assessment
*SARS-CoV-2/immunology
Male
Risk Factors

@article {pmid38334977,
year = {2025},
author = {Kapur, R and Okumura, K and Ohira, S and Isath, A and Gandhi, A and Keller, M and Nog, R and Gass, A and Spielvogel, D and Lansman, S and Dhand, A},
title = {Coronavirus Disease 2019 (COVID-19) in Heart Transplant Recipients and Anti-SARS-CoV-2 Monoclonal Antibodies: Experience, Lessons Learnt, and Future Challenges.},
journal = {Cardiology in review},
volume = {33},
number = {6},
pages = {522-530},
doi = {10.1097/CRD.0000000000000640},
pmid = {38334977},
issn = {1538-4683},
mesh = {Humans ; *Heart Transplantation ; *COVID-19/prevention & control/epidemiology ; SARS-CoV-2 ; Antibodies, Monoclonal, Humanized/therapeutic use ; Male ; Middle Aged ; Retrospective Studies ; Female ; *COVID-19 Drug Treatment ; *Antibodies, Monoclonal/therapeutic use ; Adult ; Aged ; Transplant Recipients ; Drug Combinations ; Antibodies, Neutralizing ; },
abstract = {Solid organ transplant recipients (SOTRs), including heart transplant (HT) recipients, infected with Coronavirus disease 2019 (COVID-19) are at higher risk of hospitalization, mechanical ventilation, or death when compared with general population. Advances in diagnosis and treatment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have reduced COVID-19-related mortality rates from ~30% in the early pandemic to <3% in 2022 among HT recipients. We performed a retrospective chart review including adult HT recipients at Westchester Medical Center from January 1, 2020 to December 10, 2022, who received anti-SARS-CoV-2 monoclonal antibodies (mAbs) for treatment of mild-to-moderate COVID-19, and those who received tixagevimab/cilgavimab for preexposure prophylaxis. Additionally, a comprehensive review of the literature involving SOTRs who received mAbs for COVID-19 was conducted. In this largest single-center study in this population, 42 adult HT recipients received casirivimab/imdevimab (36%), sotrovimab (31%), or bebtelovimab (29%) for treatment of mild-to-moderate COVID-19. Among these recipients, no infusion-associated adverse effects, progression of disease, COVID-19-associated hospitalizations, or death were noted. Preexposure prophylaxis with tixagevimab/cilgavimab was given to 63 HT recipients in a dedicated infusion center (40%), inpatient setting (33%), or at time of annual heart biopsy (27%). No immediate adverse events were noted. There were 11 breakthrough infections, all mild. Overall, the data suggests that HT recipients receiving mAbs have reduced rates of hospitalization, need for intensive care unit care, or death. Use of anti-SARS-CoV-2 mAbs in SOTRs is resource intensive and requires a programmatic team approach for optimal administration and to minimize any risk of disparities in their use.},
}

Humans
*Heart Transplantation
*COVID-19/prevention & control/epidemiology
SARS-CoV-2
Antibodies, Monoclonal, Humanized/therapeutic use
Male
Middle Aged
Retrospective Studies
Female
*COVID-19 Drug Treatment
*Antibodies, Monoclonal/therapeutic use
Adult
Aged
Transplant Recipients
Drug Combinations
Antibodies, Neutralizing

@article {pmid41039591,
year = {2025},
author = {Katzmarzyk, D and Holle, D and Roes, M},
title = {Implementing PTSD interventions for hospital nurses and physicians during COVID-19: A scoping review.},
journal = {Archives of public health = Archives belges de sante publique},
volume = {83},
number = {1},
pages = {235},
pmid = {41039591},
issn = {0778-7367},
abstract = {BACKGROUND: Nurses and physicians in hospitals are particularly affected by the impacts of the COVID-19 pandemic as shown in the high prevalence of post-traumatic stress disorder (PTSD). To handle the urgent and high demand for psychological support, PTSD-related interventions had to be applied rapidly. Thus, interventions that were already evidence-based were adapted to pandemic conditions, or new interventions were developed. To implement these interventions sustainably, and be prepared for future disease outbreaks, we need to identify which strategies are necessary for the successful implementation. From this perspective, four years after the COVID-19 outbreak, we address the following: What are the [1] interventions that address symptoms of post-traumatic stress disorder in hospital-based nurses and physicians during the COVID-19 pandemic? What are the [2] implementation strategies for the identified interventions?

METHODS: We used a scoping review approach and conducted a literature search from February to April 2023 in PubMed, PsychINFO and CINHAL. Primary studies (protocols) and concept papers focused on PTSD-related interventions for nurses and physicians and their implementation in hospitals during the COVID-19 pandemic, and published between 2020 and 2023 were included. Data extraction and analysis were performed in MaxQDA using deductive content analysis based on the (a) template for intervention description and replication (TIDieR) and the (b) Expert recommendations for implementing change (ERIC) framework.

RESULTS: A total of 16 interventions were adapted or developed world wide during the COVID-19 pandemic between 2020 and 2023. Evidence of effectiveness exist in only six of the 16 interventions. Most of them were designed using digital approaches and were primarly delivered through iterative implementation cycles, whereas the implementation of face-to-face interventions focused on interactions with various stakeholders.

CONCLUSION: Our findings can be used to support the implementation of PTSD-related interventions for nurses and physicians in hospitals under pandemic conditions. Future research should focus on evaluating the effectiveness of these interventions and identifying strategies for a beneficial and sustainable implementation.},
}

@article {pmid41039517,
year = {2025},
author = {Sänger, N and Elling, JM and Hetzel, C and Schwarz, B},
title = {Return to work for people with chronic health conditions after medical or vocational rehabilitation during the COVID-19 pandemic: a scoping review.},
journal = {BMC public health},
volume = {25},
number = {1},
pages = {3292},
pmid = {41039517},
issn = {1471-2458},
support = {0421/40-64-50-91//German Pension Insurance/ ; 0421/40-64-50-91//German Pension Insurance/ ; 0421/40-64-50-91//German Pension Insurance/ ; 0421/40-64-50-91//German Pension Insurance/ ; },
}

@article {pmid41039149,
year = {2025},
author = {Chilton, CH and Viprey, V and Normington, C and Moura, IB and Buckley, AM and Freeman, J and Davies, K and Wilcox, MH},
title = {Clostridioides difficile pathogenesis and control.},
journal = {Nature reviews. Microbiology},
volume = {},
number = {},
pages = {},
pmid = {41039149},
issn = {1740-1534},
abstract = {Clostridioides difficile infection (CDI) continues to be a notable burden worldwide, both in terms of patient mortality and morbidity, and the economic costs associated with treatment, diagnosis and management. The epidemiology of C. difficile has changed markedly over the decades, with high CDI rates driven by clinical pressures exacerbated by the severe acute respiratory syndrome coronavirus 2 pandemic, antibiotic resistance and selective pressures caused by antimicrobial use. C. difficile is challenging to diagnose and treat as it forms spores and can persist asymptomatically within the gut. Some strains express multiple virulence factors, including adhesins and toxins. The gut microbiota is crucially important in CDI, as a healthy microbiota is resistant to colonization with C. difficile. Dysbiosis, often caused by antimicrobial exposure, enables C. difficile spores to germinate and produce toxin, causing symptoms that can range from mild diarrhoea to fulminant colitis and death. This Review describes changes in epidemiology and effects on diagnosis, discusses recent breakthroughs in the understanding of pathogenesis and antibiotic resistance and explores the role of microbiota dysbiosis in CDI and novel microbiota therapies in CDI treatment.},
}

@article {pmid41038267,
year = {2025},
author = {Thomas, D and Yang, PC and Wu, JC and Sayed, N},
title = {Decoding long COVID-associated cardiovascular dysfunction: Mechanisms, models, and new approach methodologies.},
journal = {Journal of molecular and cellular cardiology},
volume = {},
number = {},
pages = {},
doi = {10.1016/j.yjmcc.2025.09.008},
pmid = {41038267},
issn = {1095-8584},
abstract = {The COVID-19 pandemic has revealed that the impact of SARS-CoV-2 infection extends well beyond the acute phase, with long-term sequelae affecting multiple organ systems, most notably, the cardiovascular system. Long COVID, or post-acute sequelae of SARS-CoV-2 infection (PASC), is characterized by persistent symptoms such as fatigue, dyspnea, chest pain, and palpitations, which can last for months or even years after initial recovery. Increasing evidence implicates immune dysregulation, endothelial dysfunction, persistent viral antigens, and coagulopathy as central drivers of cardiovascular complications. Mechanistic studies demonstrate that direct viral infection of cardiac and vascular cells, along with autoantibody formation and cytokine-mediated injury, contribute to myocardial inflammation, fibrosis, and arrhythmias. Sex-based immunological differences and underlying comorbidities further influence individual susceptibility and disease trajectory. Large-scale epidemiological studies have confirmed significantly increased risks of pericarditis, cardiomyopathy, dysrhythmias, and heart failure among COVID-19 survivors. In parallel, the emergence of advanced preclinical platforms, including patient-derived induced pluripotent stem cell (iPSC)-based cardiac organoids, engineered heart tissues, and organ-on-a-chip systems has enabled mechanistic dissection of Long COVID pathophysiology. These human-relevant models, when integrated with clinical datasets and artificial intelligence (AI)-driven analytics, offer powerful tools for biomarker discovery, risk stratification, and precision therapeutic development. This review synthesizes the current understanding of cardiovascular involvement in Long COVID, highlights key mechanistic insights from both clinical and preclinical studies, and outlines future directions for diagnostic and therapeutic innovation.},
}

@article {pmid41037996,
year = {2025},
author = {Beran, RK and Vijjapurapu, A and Nair, V and Du Pont, V},
title = {Host-targeted antivirals as broad-spectrum inhibitors of respiratory viruses.},
journal = {Current opinion in virology},
volume = {73},
number = {},
pages = {101492},
doi = {10.1016/j.coviro.2025.101492},
pmid = {41037996},
issn = {1879-6265},
abstract = {Respiratory viruses, including influenza virus, respiratory syncytial virus, human rhinovirus, and severe acute respiratory syndrome coronavirus 2, are among the leading causes of acute respiratory infections worldwide. Strategies for antiviral drug development include direct-acting antivirals (DAAs), which inhibit viral proteins, or host-targeting antivirals (HTAs), which target host factors required for the viral life cycle. DAAs are often virus-specific, leaving gaps for emerging viruses such as novel coronaviruses and influenza viruses, or less common respiratory viruses such as human metapneumovirus. Moreover, DAAs are prone to viral resistance due to the low fidelity of viral polymerases, whereas HTAs act on conserved host proteins that are less susceptible to viral escape due to greater genetic stability. A variety of HTAs are currently being investigated that target viral entry, replication, assembly, or egress. The key challenges for the development of effective broad-spectrum HTAs are related to safety and translation of in vitro potency to in vivo efficacy. This review examines host factors crucial for respiratory virus lifecycles - including sialic acid receptors, lipids, phosphoinositide kinases, mitogen-activated protein kinases, cellular helicases, and nucleotide biosynthesis pathways - and the small-molecule inhibitors and biologics that are being explored to target them.},
}

@article {pmid41037977,
year = {2025},
author = {Muñoz, J and Ruíz-Cacho, R and Fernández-Araujo, NJ and Candela, A and Visedo, LC and Muñoz-Visedo, J},
title = {Systematic review and meta-analysis of artificial intelligence models for diagnosing and subphenotyping ARDS in adults.},
journal = {Heart & lung : the journal of critical care},
volume = {75},
number = {},
pages = {144-163},
doi = {10.1016/j.hrtlng.2025.09.017},
pmid = {41037977},
issn = {1527-3288},
abstract = {BACKGROUND: Artificial intelligence (AI) has emerged as a promising tool to improve the diagnosis and characterization of ARDS, including the identification of subphenotypes.

OBJECTIVES: To evaluate the diagnostic performance and methodological quality of AI models for identifying ARDS and its subphenotypes in adults.

METHODS: We conducted a systematic review and meta-analysis of 63 studies (n = 135,762) published between 2013 and 2024 in PubMed, Embase, and the Cochrane Library. Extracted outcomes included sensitivity, specificity, AUROC, and validation methods. Risk of bias was assessed with PROBAST, and AI-specific metrics (overfitting, generalization, interpretability, discrimination, calibration) were reported.

RESULTS: Pooled sensitivity was 0.89 (95 % CI 0.84-0.93), specificity 0.88 (95 % CI 0.83-0.92), and AUROC 0.90 (95 % CI 0.86-0.94), with high heterogeneity (I² > 85 %). Twenty-two studies (31 %) were rated high quality, with sensitivity 0.86 (95 % CI 0.82-0.89) and specificity 0.82 (95 % CI 0.78-0.85). Deep learning models (n = 14) achieved sensitivity 0.91, while machine learning models (n = 19) showed 0.87. Imaging-based models (n = 15) outperformed non-imaging approaches. COVID-19 studies (n = 9) reported sensitivity 0.90 with comparable AUROC and specificity. Only seven studies (18 %) investigated subphenotyping, identifying hyperinflammatory and hypoinflammatory profiles with potential therapeutic relevance. Calibration reporting was missing in 47 % and external validation in most (29/63).

CONCLUSION: AI models for ARDS demonstrate promising diagnostic accuracy but are limited by poor calibration and scarce external validation. Subphenotyping remains exploratory but suggests opportunities for real-time patient stratification. Prospective validation and standardized reporting are essential for clinical adoption.},
}

@article {pmid41037751,
year = {2025},
author = {Johnson, KL and Gordon, MS and Gordon, HG},
title = {Comparing Prevalence of Burnout in Psychiatric Doctors Before and After the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.},
journal = {The Journal of clinical psychiatry},
volume = {86},
number = {4},
pages = {},
doi = {10.4088/JCP.24r15697},
pmid = {41037751},
issn = {1555-2101},
mesh = {Humans ; *COVID-19/psychology/epidemiology ; *Burnout, Professional/epidemiology ; Prevalence ; *Psychiatry/statistics & numerical data ; *Physicians/psychology/statistics & numerical data ; Pandemics ; SARS-CoV-2 ; },
abstract = {Objective: To determine the prevalence of burnout among psychiatry residents, fellows, and attendings ("psychiatry doctors") prior to and following the COVID-19 pandemic. Data sources: A systematic search of MEDLINE, Embase, PsycINFO, and PubMed databases was performed to identify studies reporting the prevalence of burnout pre-COVID-19 (pre-March 2020) and post-COVID-19 (post March 2020). The search was limited to articles written in English and published in peer-reviewed journals from January 1, 2010, until June 27, 2024. Study selection: There were 1,825 studies screened by 2 independent reviewers, with 36 eligible for inclusion. Observational studies and randomized controlled trials reporting the prevalence of burnout using validated tools were eligible for inclusion. Data extraction: Prevalence data were independently extracted by 2 authors and pooled using a random effects model. A subgroup analysis was performed, stratifying burnout by country income status. Results: The prevalence of burnout was 37.5% (95% confidence interval [CI], 28.2-47.3; 25 studies; 12,524 psychiatry doctors) prior to the COVID-19 pandemic and 32.0% (95% CI, 18.6-47.0; 12 studies; 7,458 psychiatry doctors) following the COVID-19 pandemic. Almost 1 in 2 psychiatry doctors from middle-income countries reported burnout pre-COVID-19 (49.8% [95% CI, 34.5-65.1]; 3 studies), with no studies reporting the prevalence of burnout in low-income countries. There was significant heterogeneity between studies. Conclusions: Burnout among psychiatry doctors is common, affecting 1 in 3 both prior to and following the COVID-19 pandemic. Additional studies are needed from psychiatrists in low- and middle-income countries to better characterize the prevalence of burnout in this cohort.},
}

Humans
*COVID-19/psychology/epidemiology
*Burnout, Professional/epidemiology
Prevalence
*Psychiatry/statistics & numerical data
*Physicians/psychology/statistics & numerical data
Pandemics
SARS-CoV-2

@article {pmid41037459,
year = {2025},
author = {Masuoka, S and Hiyama, T and Ishiguro, T and Saida, T and Kano, S and Miyazaki, O and Matsuki, M and Minami, M and Chernyak, V and Mori, H and Nakajima, T},
title = {Practical Imaging Approach to Determining the Cause of Nonneoplastic Lymphadenopathy.},
journal = {Radiographics : a review publication of the Radiological Society of North America, Inc},
volume = {45},
number = {11},
pages = {e240147},
doi = {10.1148/rg.240147},
pmid = {41037459},
issn = {1527-1323},
mesh = {Humans ; *Lymphadenopathy/diagnostic imaging/etiology ; Diagnosis, Differential ; *Lymphatic Diseases/diagnostic imaging/etiology ; },
abstract = {In the daily clinical practice of radiologists, unexpected lymphadenopathy is frequently encountered, the majority of which is nonneoplastic. The causes of nonneoplastic lymphadenopathy are variable, and nonspecific histologic findings may challenge the accurate diagnosis. Therefore, inferring or identifying the cause based on imaging findings carries substantial clinical relevance. The causes of nonneoplastic lymphadenopathy can be broadly categorized as follows: (a) infections that lead to lymphadenitis; (b) systemic disorders such as sarcoidosis, Kawasaki disease, rheumatoid arthritis, systemic lupus erythematosus, immunoglobulin G4-related disease, Castleman disease, dermatopathic lymphadenopathy, and histiocytosis; (c) iatrogenic causes including drug-induced lymphadenopathy and COVID-19 vaccine-related lymphadenopathy; and (d) miscellaneous causes including congestion from heart failure, foreign body lymphadenopathy from substances such as silicone, epithelial inclusions in lymph nodes, and tumor-associated reactive lymphadenopathy. The distribution of lymphadenopathy, imaging characteristics of the enlarged lymph nodes themselves (eg, necrosis, cystic changes, hypervascularity, or calcification), and additional imaging findings in other organs can help narrow down the differential diagnosis and potentially identify the most likely cause. Even when the underlying cause of lymphadenopathy does not require treatment, establishing the likely cause and correctly excluding malignancy can prevent unnecessary tests and excessive interventions, such as biopsies. Thus, radiologists can play a crucial role in directing the management of such patients and must be familiar with the various conditions that result in nonneoplastic lymphadenopathy, their imaging findings, and their clinical manifestations. The authors provide an overview of these conditions and their imaging appearances and discuss approaches for identifying the cause of nonneoplastic lymphadenopathy based on imaging findings as well as clinical information. [©]RSNA, 2025 Supplemental material is available for this article.},
}

Humans
*Lymphadenopathy/diagnostic imaging/etiology
Diagnosis, Differential
*Lymphatic Diseases/diagnostic imaging/etiology

@article {pmid41037346,
year = {2025},
author = {Eastman, RT and Rusinova, R and Herold, KF and Huang, XP and Voss, T and White, AD and Hemmings, HC and Andersen, OS and Dahlin, JL},
title = {Membrane Perturbations and Assay Interferences by Ivermectin Explain Its In Vitro SARS-CoV-2 Antiviral Activities and Lack of Translatability.},
journal = {Journal of medicinal chemistry},
volume = {},
number = {},
pages = {},
doi = {10.1021/acs.jmedchem.5c01610},
pmid = {41037346},
issn = {1520-4804},
abstract = {The antiparasitic drug ivermectin was proposed as a repurposed drug for the treatment of SARS-CoV-2 infection based on in vitro studies, but proved ineffective in high-quality clinical trials. When exploring possible reasons for this disconnect, we found that ivermectin interferes with AlphaScreen assays by quenching singlet oxygen transmission, calling into question the original justifications for pursuing ivermectin as an antiviral agent. Furthermore, at the low micromolar concentrations where ivermectin reduced SARS-CoV-2 viral burden in vitro, ivermectin decreased cell viability, modified membrane bilayer properties, and nonspecifically dysregulated membrane protein functions. In this Perspective, we provide molecular-level rationale for why ivermectin, an effective and safe antiparasitic drug at low nanomolar concentrations, becomes cytotoxic at low micromolar concentrations and, in turn, why ivermectin has not translated into an effective antiviral agent. We highlight lessons learned from the failed ivermectin repurposing effort and provide a workflow for identifying membrane-perturbing bioactivity early in drug development.},
}

@article {pmid41036706,
year = {2025},
author = {Hussein, M},
title = {Advancing regenerative therapies with umbilical cord-derived mesenchymal stem cells: A review.},
journal = {Biomolecules & biomedicine},
volume = {},
number = {},
pages = {},
doi = {10.17305/bb.2025.13147},
pmid = {41036706},
issn = {2831-090X},
abstract = {Umbilical cord-derived mesenchymal stem cells (UC-MSCs) are a clinically attractive regenerative and immunomodulatory platform that combines ethical accessibility, low immunogenicity, rapid expansion, genetic stability, and a potent paracrine secretome. This study aimed to synthesize evidence on safety, efficacy, and translational readiness by conducting a focused PubMed review (2014-2024) restricted to clinical studies and trials, using predefined inclusion and exclusion criteria and structured data extraction. Across indications, UC-MSCs show a consistent safety profile and signals of benefit mediated by tissue repair and immune regulation: in musculoskeletal disease they improve osteoarthritis pain and function and may slow osteonecrosis; in hepatology they sustain gains in decompensated cirrhosis, mitigate acute allograft rejection, and aid recovery from ischemic-type biliary lesions; as induction in renal transplantation they are feasible with early graft benefits; in type 2 diabetes responders improve glycemic control and inflammation, while maternal and obstetric factors can shape intrinsic cell properties; in neurology, studies in cerebral palsy, chronic spinal cord injury, and traumatic optic neuropathy report motor, sensory, and visual improvements; in COVID-19-related acute respiratory distress syndrome (ARDS) trials show better oxygenation, radiological recovery, quality of life, and modulation of the TNF-sTNFR2 axis; in immune-mediated and transplant settings they reduce graft-versus-host disease, with signals in systemic lupus erythematosus, refractory immune thrombocytopenia, Crohn's fistulas, and as cotransplant support in aplastic anemia. The limitations of this study encompass small sample sizes, single-center designs, and short-duration trials. Additionally, there is significant heterogeneity concerning the source, manufacturing processes, dosage, administration routes, and endpoints. Other challenges include adherence to good manufacturing practices (GMP), issues related to potency, biobanking, logistical constraints, cost factors, and regulatory obstacles. Large multicenter randomized trials with standardized protocols and long-term follow-up, and combination strategies with biomaterials, gene engineering, and extracellular vesicle or exosome products, are needed to confirm durable benefit and enable routine clinical integration.},
}

@article {pmid41036688,
year = {2025},
author = {Saif-Ur-Rahman, KM and Nurdin, N and Movsisyan, A and Kothari, K and Gleeson, C and Conway, T and Tierney, M and Taneri, E and Mulholland, D and Tricco, AC and Dinnes, J and Devane, D},
title = {Effectiveness of SARS-CoV-2 testing strategies inreducing COVID-19 cases, hospitalisations, and deaths.},
journal = {The Cochrane database of systematic reviews},
volume = {10},
number = {},
pages = {CD016192},
pmid = {41036688},
issn = {1469-493X},
mesh = {Humans ; *COVID-19/mortality/diagnosis ; *Hospitalization/statistics & numerical data ; *COVID-19 Testing/methods ; *SARS-CoV-2/isolation & purification ; Randomized Controlled Trials as Topic ; Asymptomatic Infections ; COVID-19 Nucleic Acid Testing/methods ; Controlled Before-After Studies ; Non-Randomized Controlled Trials as Topic ; },
abstract = {RATIONALE: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has substantially affected daily life. Sustainable testing practices are essential to balance the resource demands of widespread testing with the need to reduce the health impacts of COVID-19. However, the effectiveness of specific testing strategies for symptomatic and asymptomatic individuals in reducing COVID-19 cases, hospitalisations, and deaths remains uncertain.

OBJECTIVES: To evaluate the effectiveness of different SARS-CoV-2 testing strategies in reducing COVID-19 cases, hospitalisations, and deaths amongst suspected cases and asymptomatic individuals.

SEARCH METHODS: We searched CENTRAL, MEDLINE (Ovid), Embase (Elsevier), Europe PMC, ClinicalTrials.gov, and the World Health Organization (WHO) International Clinical Trials Registry Platform. We also conducted reference checks, citation searches, and contacted study authors to identify eligible studies. The most recent search was conducted on 07 October 2024.

ELIGIBILITY CRITERIA: We included randomised controlled trials (RCTs), non-randomised studies of interventions (NRSIs), controlled before-and-after studies (CBA), matched cohort studies, and observational studies with a comparison group involving suspected or asymptomatic individuals. Eligible studies compared testing strategy versus no testing or standard care or usual practice; one testing strategy with another, such as antigen-detecting rapid diagnostic tests (RDTs) versus nucleic acid amplification testing (NAAT), including reverse transcription polymerase chain reaction (RT-PCR); home-based versus provider-administered testing; one-time testing versus repeated testing at different frequencies; and targeted testing versus widespread testing. Combinations of these components were also considered. In this review, we define 'SARS-CoV-2 testing strategy' as a complex intervention comprising multiple varying components, including test type (e.g. NAAT, antigen-detecting RDT), sample type (e.g. nasopharyngeal swab, saliva), target population (e.g. symptomatic, contacts), setting (e.g. home, clinic, congregate), frequency of testing (e.g. one-time, weekly, daily), and response protocol (e.g. isolation, confirmatory testing, treatment). We excluded single-arm studies, reviews, theses, editorials, letters, commentaries, studies reported solely in abstract form, laboratory or animal studies, mathematical modelling studies, and diagnostic test accuracy studies.

OUTCOMES: Our critical outcomes were: COVID-19 cases avoided (reduction in new cases); COVID-19-related hospitalisations avoided (reduction in hospital admissions); COVID-19-related deaths avoided (reduction in mortality); and serious adverse events related to testing, including unnecessary interventions, employment impacts, isolation effects, and psychological harms.

RISK OF BIAS: We used the Risk of bias 2 (RoB 2) tool to assess the risk of bias in RCTs and the ROBINS-I tool to assess the risk of bias in NRSIs, CBA studies, and matched cohort studies.

SYNTHESIS METHODS: As a meta-analysis was not feasible due to the nature of the data, we applied Synthesis Without Meta-analysis (SWiM) methods. We assessed the certainty of the evidence for each outcome using the GRADE approach.

INCLUDED STUDIES: We included 21 studies (10 RCTs and 11 NRSIs) with 13,312,327 participants. Among these, 13 studies-comprising eight RCTs and five NRSIs-either reported one or more prespecified outcomes (four studies), provided relevant information through proxy measurements (five studies), or supplied information following author correspondence (four studies).

SYNTHESIS OF RESULTS: We present the prioritised comparisons and critical outcomes. For the comparison testing strategy versus no testing or standard care or usual practice, one included study measured two critical outcomes. The study did not measure the other critical outcomes: COVID-19 cases avoided, and serious adverse events related to testing. No studies measured any critical outcomes for the other prioritised comparison: antigen-detecting RDT versus NAAT testing. Benefits and harms of testing strategy versus no testing or standard care or usual practice One observational study with a comparison group, conducted in a long-term care facility in Israel, compared weekly SARS-CoV-2 RT-PCR testing with no testing and measured two of our critical outcomes. Based on the analysis, the evidence is very uncertain about the effect of SARS-CoV-2 RT-PCR testing on reducing hospitalisation (decrease in the hospitalisation rate from 13.59% to 11.41%; 1 study, 162,205 participants, very low-certainty evidence) and mortality (33.8% decrease in expected mortality; 1 study, 162,205 participants, very low-certainty evidence) compared to no testing. We downgraded the certainty of the evidence because of methodological limitations, indirectness, and imprecision.

AUTHORS' CONCLUSIONS: The available data are of very low-certainty. Only one of the 21 included studies reported hospitalisations or deaths; therefore, we cannot draw conclusions about the effects of testing strategy versus no testing on reducing hospitalisation and mortality. No studies evaluated other critical outcomes i.e. COVID-19 cases avoided, and serious adverse events related to testing. Future research should aim for consistency and relevance by using clearly defined outcomes, preferably based on a standardised core outcome set. A qualitative evidence synthesis (QES) would help identify barriers and facilitators to routine SARS-CoV-2 testing in healthcare settings, which could help inform intervention development. The QES would explore factors affecting the implementation of routine testing, drawing on the perspectives of healthcare providers, patients, and other interest holders.

FUNDING: This Cochrane review was partially funded by the World Health Organization (WHO) and the Health Research Board of Ireland.

REGISTRATION: Protocol (2025) DOI: 10.1002/14651858.CD016192.},
}

Humans
*COVID-19/mortality/diagnosis
*Hospitalization/statistics & numerical data
*COVID-19 Testing/methods
*SARS-CoV-2/isolation & purification
Randomized Controlled Trials as Topic
Asymptomatic Infections
COVID-19 Nucleic Acid Testing/methods
Controlled Before-After Studies
Non-Randomized Controlled Trials as Topic

@article {pmid41036636,
year = {2025},
author = {Liu, H and Deng, Y and Liu, J and Wang, Z and Hu, XQ and Duan, Y and Chen, Y and Xie, Z},
title = {Plasma Kallikrein Inhibitors for Multiple Disorders: Current Advances and Perspectives.},
journal = {Journal of medicinal chemistry},
volume = {},
number = {},
pages = {},
doi = {10.1021/acs.jmedchem.5c02234},
pmid = {41036636},
issn = {1520-4804},
abstract = {Plasma kallikrein (PKal) is a pivotal serine protease involved in the regulation of the kallikrein-kinin system, the complement system, and several other biological pathways. Inhibition of PKal has become a key therapeutic strategy for hereditary angioedema, with four PKal-targeting agents approved by the U.S. FDA. The therapeutic potential of PKal inhibition is also being actively explored in other conditions, such as diabetic macular edema and COVID-19, through ongoing clinical trials. Here, we provide a comprehensive analysis of the biological functions of PKal across diverse signaling pathways, PKal-associated diseases, and recent clinical advancements of PKal-targeting agents. Furthermore, we spotlight the optimization strategies and key structure-activity relationships underlying the discovery and development of small-molecule PKal inhibitors, offering insights that may inform future PKal drug development for hereditary angioedema and other PKal-related diseases.},
}

@article {pmid41035849,
year = {2025},
author = {Cepni, AB and Kirschmann, JM and Rodriguez, A and Johnston, CA},
title = {When Routines Break: The Health Implications of Disrupted Daily Life.},
journal = {American journal of lifestyle medicine},
volume = {},
number = {},
pages = {15598276251381626},
pmid = {41035849},
issn = {1559-8284},
abstract = {Disruptions to daily routines, such as those caused by holidays or the COVID-19 pandemic, have been linked to unhealthy changes in physical activity, sleep, and diet. The Structured Days Hypothesis (in children) and the Social Zeitgeber Model (in adults) provide theoretical frameworks that explain how routines influence lifestyle behaviors. Together, these models highlight daily routines as a modifiable behavioral risk factor that can promote healthier lifestyles. Integrating routine-building strategies into clinical practice, especially during times when routines are most vulnerable to disruption, represents a low-cost and scalable approach to health promotion. This article outlines practical strategies that health care providers can use to help patients establish and sustain daily routines.},
}

@article {pmid41035096,
year = {2025},
author = {Fenta, ET and Endeshaw, D and Adal, O and Tareke, AA and Kebede, N and Delie, AM and Bogale, EK and Anagaw, TF and Tiruneh, MG},
title = {Determinants of antenatal care dropout among pregnant women in Africa: a systematic review and meta-analysis.},
journal = {Systematic reviews},
volume = {14},
number = {1},
pages = {186},
pmid = {41035096},
issn = {2046-4053},
mesh = {Humans ; Female ; Pregnancy ; *Prenatal Care/statistics & numerical data ; Africa/epidemiology ; *Patient Dropouts/statistics & numerical data ; Pregnancy Complications/epidemiology ; *Pregnant People/psychology ; },
abstract = {BACKGROUND: Antenatal care (ANC) is a comprehensive healthcare service designed to support pregnant women through education, monitoring, and interventions to promote a healthy pregnancy and ensure a positive childbirth. Regular ANC visits play a crucial role in preventing complications, managing existing health conditions, and promoting the overall well-being of both the mother and the unborn child. Dropout from ANC visits results in potential complications during pregnancy, and these complications can involve the mother's health, the fetus's health, or both. Common complications of pregnancy include high blood pressure, gestational diabetes, anemia, preeclampsia, preterm labor, stillbirth, and miscarriage. The objective of this study is to estimate the prevalence of dropout from antenatal care and determinant factors among pregnant women in Africa.

METHODS: This systematic review and meta-analysis included with open or free access to full text all full, English-language original research articles, and doctoral dissertations on observational studies (cross-sectional, case control, or cohort) conducted worldwide between 2000 and December 15, 2023, which were published in peer-reviewed journals that report dropout rates from prenatal care and its determinants. We follow PRISMA checklist. Using keywords, papers were retrieved from the electronic databases PubMed, Cochrane Library, Google Scholar, and gray literature. Stata 17 was used to conduct the meta-analysis. The Egger's regression, Begg's test, and funnel plot were employed to investigate publication bias. To ascertain the level of heterogeneity, the I[2] statistics were employed.

RESULTS: The overall magnitude of antenatal care dropout among pregnant women, as pooled from the 16 studies, was found to be 29.44%, with a 95% confidence interval (CI) ranging from 19.16% to 39.72%. The pooled odds ratio showed that rural pregnant women (AOR = 3.55, 95 CI (1.17-5.92). women who had no formal education (AOR = 3.88, 95 CI (- 0.24-8.00), inaccessible PHC facilities (AOR = 5.90, 95 CI (0.54-11.26), lack of support from family or husband (AOR = 4.91 CI (- 1.31-11.19), and women with poor economic status (AOR = 2.50, 95 CI (1.19-3.81) were determinant factors for maternal dropout from antenatal care service.

CONCLUSIONS: This systematic review and meta-analysis revealed that the prevalence of antenatal care dropout was high based on the included 16 articles. According to the review, pregnant women's antenatal care dropout was significantly correlated with living in a rural area, being unable to access a primary health facility, lacking formal education, not having support from her husband or family, and having low socioeconomic status. These findings suggest that various socio-economic and geographical factors play a significant role in determining whether pregnant women continue with antenatal care services. Addressing these determinants, such as improving access to healthcare facilities, providing educational support, and enhancing economic conditions, may contribute to reducing the dropout rates and improving overall maternal healthcare outcomes. Additionally, understanding these factors is essential for tailoring interventions to specific populations and regions to ensure effective ANC retention.},
}

Humans
Female
Pregnancy
*Prenatal Care/statistics & numerical data
Africa/epidemiology
*Patient Dropouts/statistics & numerical data
Pregnancy Complications/epidemiology
*Pregnant People/psychology

@article {pmid40916950,
year = {2025},
author = {Martin, I and Ratjen, F and Flume, P},
title = {Evolving cystic fibrosis care models in the modulator era.},
journal = {Current opinion in pulmonary medicine},
volume = {31},
number = {6},
pages = {644-649},
pmid = {40916950},
issn = {1531-6971},
mesh = {Humans ; *Cystic Fibrosis/therapy/drug therapy ; Telemedicine ; *COVID-19/epidemiology ; SARS-CoV-2 ; Cystic Fibrosis Transmembrane Conductance Regulator ; Disease Progression ; },
abstract = {PURPOSE OF REVIEW: The advent of CFTR modulators and the adoption of telemedicine during the COVID-19 pandemic have prompted reconsideration of cystic fibrosis (CF) care models. This review explores how care delivery may evolve in response to these changes.

RECENT FINDINGS: Emerging evidence highlights the heterogeneity in response to CFTR modulators, with some patients continuing to experience disease progression. Preliminary trial data have explored therapy de-escalation, but long-term safety remains uncertain. Challenges in microbiological surveillance, particularly due to reduced sputum production, complicate monitoring. Early efforts to define "stability" have led to position statements advocating risk-stratified, hybrid care models.

SUMMARY: CF care models should shift toward individualized, flexible approaches that prioritize equity and safety. Clinical trials and registry analyses will be essential to validate such models. Until then, conservative implementation with continued multidisciplinary support and objective monitoring are advised.},
}

Humans
*Cystic Fibrosis/therapy/drug therapy
Telemedicine
*COVID-19/epidemiology
SARS-CoV-2
Cystic Fibrosis Transmembrane Conductance Regulator
Disease Progression

@article {pmid40752767,
year = {2025},
author = {Davido, B and Loubet, P},
title = {The silent surge: the under-recognised burden of respiratory syncytial virus, human metapneumovirus, and parainfluenza viruses in adults.},
journal = {International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases},
volume = {159},
number = {},
pages = {108006},
doi = {10.1016/j.ijid.2025.108006},
pmid = {40752767},
issn = {1878-3511},
mesh = {Humans ; *Paramyxoviridae Infections/diagnosis/epidemiology ; *Respiratory Syncytial Virus Infections/diagnosis/epidemiology ; Metapneumovirus/isolation & purification ; Adult ; Respiratory Syncytial Virus, Human ; COVID-19/epidemiology/diagnosis ; Aged ; },
abstract = {Respiratory syncytial virus (RSV), human metapneumovirus (HMPV), and parainfluenza viruses (PIV) drive substantial morbidity in adults, yet remain underdiagnosed due to diagnostic gaps. While influenza and COVID-19 benefit from rapid triplex antigenic tests and PCR, HMPV and PIV lack routine diagnostics, and RSV testing is underutilised in adults, leading to frequent misdiagnosis as common colds or bacterial infections. This opinion paper highlights the burden of these "forgotten viruses" in elderly and comorbid populations, where RSV and HMPV cause significant hospitalizations. Misdiagnosis fuels cardiovascular complications and antimicrobial resistance through inappropriate antibiotic use. Recent RSV vaccine successes offer a blueprint for HMPV and PIV, but improved diagnostics are critical to guide vaccine strategies and inform prevention efforts. Addressing these gaps can reduce healthcare costs and protect vulnerable populations from these hidden respiratory threats.},
}

Humans
*Paramyxoviridae Infections/diagnosis/epidemiology
*Respiratory Syncytial Virus Infections/diagnosis/epidemiology
Metapneumovirus/isolation & purification
Adult
Respiratory Syncytial Virus, Human
COVID-19/epidemiology/diagnosis
Aged

@article {pmid40660830,
year = {2025},
author = {Pagliano, P and Salzano, F and D'Amore, C and Spera, A and Conti, V and Folliero, V and Franci, G and Ascione, T},
title = {How do drug discovery scientists address the unmet need of long COVID syndrome therapeutics and what more can be done?.},
journal = {Expert opinion on drug discovery},
volume = {20},
number = {10},
pages = {1251-1265},
doi = {10.1080/17460441.2025.2534056},
pmid = {40660830},
issn = {1746-045X},
mesh = {Humans ; *COVID-19/complications/physiopathology ; Post-Acute COVID-19 Syndrome ; *Drug Discovery/methods ; *COVID-19 Drug Treatment ; *Antiviral Agents/pharmacology/therapeutic use/administration & dosage ; COVID-19 Vaccines/administration & dosage ; SARS-CoV-2 ; },
abstract = {INTRODUCTION: Long COVID (LC), also known as post-acute COVID-19 syndrome (PASC), has emerged as a significant public health concern characterized by persistent symptoms following SARS-CoV-2 infection. This condition affects regardless of initial illness severity and can significantly impair daily functioning. Understanding the implications of LC is crucial, given that approximately 6.9 % of adults reported related symptoms in 2022, with increased prevalence among women and individuals of Hispanic descent. The pathogenesis of LC is multifactorial, involving mechanisms such as endothelial dysfunction, chronic inflammation, immune dysregulation, and potential viral persistence. The clinical manifestations include fatigue, cognitive impairment, musculoskeletal pain, and sleep disturbances. Current research emphasizes the importance of early antiviral interventions and vaccines to mitigate the risk of developing LC. Despite promising therapies like anti-inflammatory agents and metabolic enhancers, the lack of established biomarkers complicates diagnosis and treatment.

AREAS COVERED: The authors provide an overview of the pathogenesis of LC and briefly review the currently available therapy. The authors then give their perspectives on how best future drug discovery efforts can be utilized to address the current demand for novel LC therapeutics to reduce the burden of this public health problem.

EXPERT OPINION: Progress has been made in understanding the pathophysiology and potential treatment options, as well as in establishing reliable biomarkers for potential tailored strategies. Future research should prioritize both pharmacological and non-pharmacological interventions to enhance patient outcomes and quality of life. Addressing these challenges is essential for developing comprehensive care protocols for individuals affected by LC.},
}

Humans
*COVID-19/complications/physiopathology
Post-Acute COVID-19 Syndrome
*Drug Discovery/methods
*COVID-19 Drug Treatment
*Antiviral Agents/pharmacology/therapeutic use/administration & dosage
COVID-19 Vaccines/administration & dosage
SARS-CoV-2

@article {pmid41033372,
year = {2025},
author = {Alshammari, A},
title = {Immunological Insights and Vaccine Advances Against Apicomplexan Parasites: Emerging Concepts and Innovations.},
journal = {Microbial pathogenesis},
volume = {},
number = {},
pages = {108074},
doi = {10.1016/j.micpath.2025.108074},
pmid = {41033372},
issn = {1096-1208},
abstract = {The apicomplexan parasites are globally considered as the major cause of numerous infectious diseases in humans and animals. Apicomplexan parasites include Plasmodium, Toxoplasma gondii, Cryptosporidium, Eimeria and Babesia. The rise in the drug resistance have made the traditional control measures, such as chemotherapy and vector management, inadequate against them. These are the intracellular infectious agent and possess complex life cycles, antigenic variability, and immune evasion abilities. These different abilities hinder the development of vaccines against them. Hence, there is urgent need for development of effective vaccines by novel measures. However, notable progress has been made in past years due to the advancements in immunology, molecular biology, and biotechnology. Different types of vaccines including subunit vaccines have been developed and have demonstrated favorable efficiency. In the meantime, live-attenuated vaccines (LAV) continue to provide protection in animals. Apart from that, there are different innovations like CRISPR/Cas9 gene editing that have enabled the creation of genetically attenuated strains for T. gondii and Eimeria. These attenuated strains are used for the development of vaccines. Furthermore, mRNA vaccine technology, which was successfully utilized during the COVID-19 pandemic, is now being used against parasitic infections. It is now offering fast and rapid development along with vigorous cellular immunity. The use of nanoparticles and novel adjuvants such as TLR agonists and saponins has improved the stability and effectiveness of vaccines. Approaches like mucosal delivery, especially for enteric parasites such as Cryptosporidium and Eimeria, is achieving attention for their ability to provide the localized protection. In spite of these advancements some challenges still persist. Antigenic diversity, short-lived immunity, regulatory barriers, and limited funding need to be addressed. Some of the emerging technologies including systems vaccinology, reverse vaccinology, and vectored delivery platforms, are paving the way for more targeted and effective vaccination. There is need for concerted effort incorporating multidisciplinary research, One Health integration, and scalable manufacturing methodologies for effective translation of these scientific innovations into solutions. By harnessing these emerging technologies within a One Health framework, the next generation of vaccines has the potential to transform the management of apicomplexan diseases worldwide.},
}

@article {pmid41033120,
year = {2025},
author = {Singh, G and Singh, A and Kainth, T and Menon, SS and Jain, S and Spektor, V and Prasanna, P and Manjila, S},
title = {Extended reality in the changing landscape of cranial neurosurgery: Role of image fusions and connectomics in precision and safety.},
journal = {Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia},
volume = {142},
number = {},
pages = {111652},
doi = {10.1016/j.jocn.2025.111652},
pmid = {41033120},
issn = {1532-2653},
abstract = {Recently, augmented reality (AR), virtual reality (VR) and mixed reality (MR) technologies, collectively termed Extended Reality (XR), have been adopted to support enhanced visualizations for neurosurgeons by augmenting the clinical environment with relevant digital content. These groundbreaking technologies, including connectomics, have been successfully integrated into neurosurgery as tools for preoperative rehearsals, surgical simulation, and intraoperative augmentation. Adaptation of XR within the surgical field has assisted neurosurgeons with preoperative planning using connectomics and anticipation of potential complications. XR enables neurosurgeons to explore operative fields from various angles and visualize hidden neurovascular anatomy, enhancing precision in keyhole approaches. It also addresses resident work hour restrictions and challenges like COVID-19, offering advanced training tools for novices and experts alike. Additionally, XR facilitates telecasting, patient education, remote telecollaboration, and helps bridge global educational gaps in neurosurgery, including credentialing and recertification. This paper outlays the conceptual differences between AR, VR, and MR, emphasizing the benefits and limitations of XR, along with the growing role of connectomics in micro-neurosurgery and endoscopic neurosurgery. The role of 2D versus 3D imaging, merger of preoperative versus real-time imaging, fusion of additional imaging data such as ICG, 5-ALA, or fluorescein angiography, and utilization of emerging technologies like Surgical Theater, QuickTome, etc. are highlighted. We also bring forth the pivotal role of visuo-spatial orientation of co-participants, apart from shared intentions and varied competence during the use of MR in neurosurgery. We explore the latest XR applications in neurosurgery and discuss exciting future directions, limitations, and ethical implications for the trailblazing technology.},
}

@article {pmid41033047,
year = {2025},
author = {Godat, A and Chistoforidis, D and Greuter, T},
title = {COVID-19 and inflammatory bowel disease - what to know.},
journal = {Current opinion in immunology},
volume = {97},
number = {},
pages = {102661},
doi = {10.1016/j.coi.2025.102661},
pmid = {41033047},
issn = {1879-0372},
abstract = {Inflammatory bowel disease (IBD) represents a chronic inflammation of the gastrointestinal tract that arises from a complex interplay between a dysregulated immune response in genetically predisposed individuals. IBD can further be classified into its two main subtypes, Crohn's disease and ulcerative colitis. Both subtypes have shown increasing prevalence and incidence rates worldwide, and IBD is now considered a global epidemic. About three million patients are estimated to suffer from this disease, both in the US and Europe, with most of them requiring maintenance treatment including immunosuppressive agents, putting them at risk for opportunistic infections. In 2020, coronavirus disease 2019 (COVID-19) hit the world with a long pandemic period resulting in dramatic numbers of hospitalizations, Intensive care unit (ICU) admissions, and deaths. Patients with chronic illnesses, such as IBD, were rapidly considered to be at an increased risk for both infection and infection-related complications. For IBD and its treatment, however, evidence over the last few years showed no increased risk for SARS-CoV-2 infection or COVID-related complications. In this review, we will discuss the latest insights about COVID-19 in IBD patients with a particular focus on the disease course of COVID-19 and on IBD-related adverse outcomes.},
}

@article {pmid41031563,
year = {2025},
author = {Shi, S and Zhai, M and Wu, B and Sun, W},
title = {Mitochondrial Disruption in Viral-Mediated Neuronal Injury: A Mechanistic Perspective.},
journal = {Journal of medical virology},
volume = {97},
number = {10},
pages = {e70626},
doi = {10.1002/jmv.70626},
pmid = {41031563},
issn = {1096-9071},
support = {//This work was supported by grants from the National Natural Science Foundation of China (No. 82171378, 82401438), Shenzhen Municipal Science, Technology and Innovation Commission (No. JCYJ20240813114512016, and No. JCYJ20240813152049062), Shenzhen Nanshan District Healthcare System Science and Technology Key Projects (No. NSZD2023003), Medical-Engineering Interdisciplinary Research Foundation of Shenzhen University (2023YG031)./ ; },
mesh = {Humans ; *Mitochondria/pathology/virology/metabolism ; *Neurons/virology/pathology ; COVID-19/virology/pathology ; SARS-CoV-2/pathogenicity ; Hepacivirus/pathogenicity ; HIV Infections/virology/pathology ; },
abstract = {Neuronal injury is a major pathological issue that cannot be ignored during viral infections. Mitochondria, the energy factories of the cell, play a unique role in this scenario and are severely impacted when viruses infect host cells. Viruses invade and infect cells via specific mechanisms, causing changes in cellular structure and function. These changes not only directly affect mitochondria but also disrupt their normal function through indirect pathways. This paper reviews the mechanisms of mitochondrial damage induced by infections with SARS-CoV-2, herpesviruses, human immunodeficiency virus (HIV), and hepatitis C virus (HCV), providing new insights and strategies for preventing and treating neuronal injury.},
}

Humans
*Mitochondria/pathology/virology/metabolism
*Neurons/virology/pathology
COVID-19/virology/pathology
SARS-CoV-2/pathogenicity
Hepacivirus/pathogenicity
HIV Infections/virology/pathology

@article {pmid41030634,
year = {2025},
author = {Johnson, BL},
title = {"In-Flu-Enza and Out-Flew Hair:" Post-Epidemic Health and the Importance of the History of Epidemics.},
journal = {The Yale journal of biology and medicine},
volume = {98},
number = {3},
pages = {341-348},
pmid = {41030634},
issn = {1551-4056},
mesh = {Humans ; *COVID-19/epidemiology/history ; History, 20th Century ; *Influenza, Human/epidemiology/history ; SARS-CoV-2 ; *Epidemics/history ; Pandemics/history ; History, 21st Century ; Influenza Pandemic, 1918-1919/history ; },
abstract = {When COVID-19 survivors reported ongoing symptoms or new health concerns following their infections in 2020 and early 2021, many medical practitioners and health agencies questioned the connection between novel viruses and long-term health impacts. Medical historians studying epidemics understand the connection between viral infection and health complications emerging immediately or years or decades later. In this essay, I explore the similarities between the medical fallout of the 1918 influenza and COVID-19 pandemics. Despite the differences between the viruses, these novel strains produced similar medium- and long-term health difficulties, including cardiovascular dysfunction and crushing fatigue. As I demonstrate, a significant difference between these two pandemics is in the response by medical practitioners. Following influenza, practitioners expected new and worsening health issues and took their patients' complaints seriously, offering support through food delivery, convalescent care, specialist oversight, and in-home nursing. Early in the COVID-19 pandemic, many practitioners characterized ongoing or new symptoms as anxiety. Patients led efforts to recognize Long COVID as an authentic medical condition, and today, physicians around the country refer their patients to Long COVID clinics. The value of medical history is apparent in this comparison-if practitioners understand how historical epidemics impacted various populations, they expect that in the epidemic aftermath or the period following an acute epidemic crisis, not all patients get well. Including the history of epidemics in public health education, continuing education programming, and even medical school curricula can resist epidemic erasure and empower medical practitioners to expect the unexpected.},
}

Humans
*COVID-19/epidemiology/history
History, 20th Century
*Influenza, Human/epidemiology/history
SARS-CoV-2
*Epidemics/history
Pandemics/history
History, 21st Century
Influenza Pandemic, 1918-1919/history

@article {pmid41029595,
year = {2025},
author = {Numbere, NK},
title = {Post-steroid rebound in COVID-19 pneumonitis: a case series and review of the literature.},
journal = {BMC pulmonary medicine},
volume = {25},
number = {1},
pages = {440},
pmid = {41029595},
issn = {1471-2466},
mesh = {Humans ; Middle Aged ; Aged ; Male ; *COVID-19/complications ; Female ; Retrospective Studies ; Aged, 80 and over ; *COVID-19 Drug Treatment ; SARS-CoV-2 ; Recurrence ; *Glucocorticoids/therapeutic use ; *Pneumonia/drug therapy ; },
abstract = {UNLABELLED: We report a retrospective case series of COVID-19 pneumonitis (C19P) patients in hypoxic respiratory failure who experienced a symptom rebound upon cessation or weaning of steroids following an initial positive response. The post-steroid rebound phenomenon in C19P is not well described in the literature and we aim to add to the body of evidence exploring this pathology.

METHODS: Post-steroid rebound COVID-19 pneumonitis (PSRCP) cases at our institution were identified for notes review from respiratory department follow-up records. The inclusion criteria were as follows: 1. Hospital admissions with radiologically and PCR-confirmed C19P. 2. Administration of a corticosteroid course for the indication of hypoxia due to C19P. 3. An objective relapse of the index presentation with differential diagnoses other than post-steroid rebound excluded by appropriate clinicians. A literature search was performed using Medline, Ovid and Google Scholar and the search terms "rebound and COVID-19", "rebound and COVID-19 and pneumonitis" "post-COVID and pneumonitis" "relapse and COVID-19", "relapse and coronavirus and pneumonitis".

RESULTS: Eighteen patients were identified between 2021 and 2024 with ages ranging from 48 to 80 years. The most common comorbidities were hypertension (50%) and obesity (39%) while 89% had a history of regular smoking. Seventeen of the 18 had evidence of hyperinflammation at first C19P presentation with a C-reactive protein (CRP) ≥ 75 mg/dl. Notably, 15 patients had a CRP blood test at least 48 h prior to discharge, steroid cessation or weaning and of these, 11 (73%) showed persisting CRP elevation. Seventeen of the 18 responded upon diagnosis of PSRCP to steroid rechallenge with survival to discharge.

CONCLUSIONS: As COVID-19 becomes endemic, clinicians should remain wary of the risk of PSRCP. Greater recognition of the importance of steroid weans and rechallenges in C19P narratives will help avoid poor outcomes, readmissions and the risk of post-C19P sequelae. Awareness of the PSRCP phenomenon should lower the threshold for slow steroid weans upon an initial C19P diagnosis over the standard UK regimen of a 10-day duration or less dexamethasone course. A definition for PSRCP is proposed as well as a decision aid around steroid strategies in patients both with and at risk of PSRCP.},
}

Humans
Middle Aged
Aged
Male
*COVID-19/complications
Female
Retrospective Studies
Aged, 80 and over
*COVID-19 Drug Treatment
SARS-CoV-2
Recurrence
*Glucocorticoids/therapeutic use
*Pneumonia/drug therapy

@article {pmid41029573,
year = {2025},
author = {Yang, X and He, Y and Guo, T and Fang, J and Chen, S and Zhang, Q and Lin, Y and Xu, N and Pan, X and Li, H},
title = {The efficacy analysis of neoadjuvant chemoimmunotherapy followed by surgery in stage III locally advanced non-small cell lung cancer: a systematic review and meta-analysis.},
journal = {BMC cancer},
volume = {25},
number = {1},
pages = {1443},
pmid = {41029573},
issn = {1471-2407},
support = {2021CXA001//Research on intelligent recommendation decision model of geriatrics based on big data/ ; 00902409//Research on the development and prevention and control strategies of key viral infectious diseases in the post-COVID-19 era/ ; 82002457//the National Natural Science Foundation of China/ ; 2019-ZQNB-1//the Young and Middle-aged Backbone Research Fund of Fujian Provincial Health Care Commission/ ; 2023J01117//the Natural Science Foundation of Fujian Province/ ; 2020Y9023//Fujian Provincial Medical Science and Technology Innovation Joint Fund Project/ ; },
mesh = {Humans ; *Carcinoma, Non-Small-Cell Lung/pathology/therapy/drug therapy/mortality/surgery ; *Lung Neoplasms/pathology/therapy/drug therapy/mortality ; *Neoadjuvant Therapy/methods ; Neoplasm Staging ; Treatment Outcome ; Immunotherapy/methods ; Immune Checkpoint Inhibitors/therapeutic use ; Pneumonectomy ; *Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; },
abstract = {BACKGROUND: Locally advanced non-small cell lung cancer (NSCLC) has the potential for surgical cure after neoadjuvant immunotherapy in the era of immunotherapy. In this study, we conducted a meta-analysis of published data to systematically assess the efficacy and safety of neoadjuvant chemoimmunotherapy for stage III NSCLC.

METHODS: A comprehensive search was conducted on the Cochrane Library, PubMed, Web of Science, and Embase databases from January, 2000 to September, 2024 to identify studies concentrated on neoadjuvant chemoimmunotherapy followed by surgery for treating stage III NSCLC. The effectiveness and safety data were collected for meta-analysis. Study endpoints included resection rate, major pathological response (MPR), pathological complete response (pCR), objective response rate (ORR), treatment-related adverse events (TRAEs), severe adverse events (SAEs). Data analysis was conducted using R 4.1.3 software, and P < 0.05 was considered statistically significant.

RESULTS: A total of 1043 patients from 22 studies were included in this meta-analysis, of whom 892 cases underwent surgery. The pooled MPR rate, pCR rate, and ORR rate were 65%, 38%, and 73%, respectively. The pooled incidence of TRAEs was 84% and the pooled incidence of SAEs was 13%. The results of the subgroup analysis showed that nivolumab- and pembrolizumab-based neoadjuvant chemoimmunotherapy showed a higher MPR rate (nivolumab 69%, pembrolizumab 68%) and pCR rate (nivolumab 51%, pembrolizumab 38%) than other immune checkpoint inhibitors (ICIs).

CONCLUSION: Neoadjuvant chemoimmunotherapy demonstrates clinical benefits for patients with stage III NSCLC.},
}

Humans
*Carcinoma, Non-Small-Cell Lung/pathology/therapy/drug therapy/mortality/surgery
*Lung Neoplasms/pathology/therapy/drug therapy/mortality
*Neoadjuvant Therapy/methods
Neoplasm Staging
Treatment Outcome
Immunotherapy/methods
Immune Checkpoint Inhibitors/therapeutic use
Pneumonectomy
*Antineoplastic Combined Chemotherapy Protocols/therapeutic use

@article {pmid41027462,
year = {2025},
author = {Nunes Nóra de Souza, L and Coimbra, DR and Bueno, JCA and Andrade, A},
title = {Effects of home-based exercise on the mental and physical health of older adults: a systematic review and meta-analysis of randomized clinical trials.},
journal = {Aging & mental health},
volume = {29},
number = {10},
pages = {1746-1763},
doi = {10.1080/13607863.2025.2541186},
pmid = {41027462},
issn = {1364-6915},
mesh = {Humans ; Aged ; Randomized Controlled Trials as Topic ; *COVID-19/psychology ; *Depression/therapy/prevention & control ; *Exercise Therapy/methods ; *Mental Health ; Postural Balance/physiology ; *Exercise ; },
abstract = {OBJECTIVES: This study aimed to analyze the effects of home-based exercise programs on the mental and physical health of older adults during the COVID-19 pandemic, through a systematic review and meta-analysis.

METHOD: Searches were conducted in PubMed, Web of Science, SCOPUS, EBSCO, and Embase until June 2024. In total, 14 Randomized Clinical Trials (RCTs) were included.

RESULTS: Home-based exercise presented a small effect on depressive symptoms (standard mean difference [SMD]: -0.38; 95% Confidence Interval [CI]: -0.65 to -0.12) and a large effect on dynamic balance [SMD]: 0.81; 95% CI: 0.49 to 1.13). No effects were found for home-based exercise on other outcomes.

CONCLUSION: This meta-analysis found that home-based exercise was effective in reducing depression and improving dynamic balance in older adults. However, further studies are needed due to methodological issues related to the intervention and some concerns identified about the risk of bias.

PROSPERO NUMBER: CRD42023397441.},
}

Humans
Aged
Randomized Controlled Trials as Topic
*COVID-19/psychology
*Depression/therapy/prevention & control
*Exercise Therapy/methods
*Mental Health
Postural Balance/physiology
*Exercise

@article {pmid41027405,
year = {2025},
author = {Lemoine, J and Svenne, S and Ulrich, R and Hensel, J},
title = {Crisis and Post-Crisis Virtual Mental Health Care: A Scoping Review.},
journal = {Telemedicine journal and e-health : the official journal of the American Telemedicine Association},
volume = {},
number = {},
pages = {},
doi = {10.1177/15305627251381632},
pmid = {41027405},
issn = {1556-3669},
abstract = {Objectives: Crisis services are often a first point of contact for individuals needing mental health assessment and intervention. The rapid expansion of virtual care in recent years has enabled remote assessment and introduced novel ways to support crisis stabilization in the community. This scoping review aims to summarize the extent of the literature on virtual crisis assessment and intervention models. Methods: PubMed, PsycINFO, CINAHL, and ProQuest databases were searched for English- and French-language literature published between January 1, 2018, and June 30, 2024. Database search results were imported into the online Covidence review management program. A minimum of two reviewers screened titles and abstracts. Target information was extracted from included full texts and summarized thematically across study characteristics and outcomes. Results: A total of 5,345 titles were reviewed, with 45 publications included. Publications represented models from around the globe supporting youth and/or adult service users. Data synthesis highlighted the feasibility and potential for virtual care models supporting comprehensive crisis assessment (services that go beyond hotline de-escalation and triage), inpatient admission alternatives, and post-crisis follow-up. Conclusion: The available literature suggests that virtual crisis care options are growing, especially during and in the aftermath of the COVID-19 pandemic. Although few rigorous evaluations exist, there is strong evidence of feasibility with emerging and encouraging evidence for effectiveness. Further research focused on outcomes, comparisons of virtual and in-person models, and cost-effectiveness is warranted. Additional research could focus on virtual care models for the geriatric population, which is underrepresented in the available literature.},
}

@article {pmid41027283,
year = {2025},
author = {Mello Sampaio, JL and Cunha, A and Lima Santos, DWC and Junior, AP},
title = {Brazilian guide for the diagnosis of severe community-acquired pneumonia and hospital-acquired pneumonia.},
journal = {Clinics (Sao Paulo, Brazil)},
volume = {80},
number = {},
pages = {100793},
doi = {10.1016/j.clinsp.2025.100793},
pmid = {41027283},
issn = {1980-5322},
abstract = {UNLABELLED: Pneumonia is one of the main causes of intensive care unit admission and death in Brazil. There is a need to standardize the use of microbiological tests for the diagnosis of pneumonia.

OBJECTIVE: To evaluate microbiological diagnostic data for severe pneumonia.

METHOD: Comparative studies that evaluated the microbiological diagnosis of community pneumonia and hospital-acquired pneumonia were analyzed. The literature review was guided by two questions and used flowcharts prepared by experts.

RESULTS AND DISCUSSION: Diagnostic tests for pneumonia should be requested based on the severity of the disease, the patient´s immune status, and the risk of infection by multidrug-resistant bacteria. Gram staining may aid in excluding S. aureus pneumonia and evaluating the quality of respiratory samples, while culture of these clinical samples may identify the infectious agent in up to half of the cases and allow antimicrobial susceptibility testing to be carried out. Blood cultures have a low sensitivity but may be useful for diagnosing extrapulmonary infections or situations involving sepsis or septic shock. Rapid molecular panels have high sensitivity and specificity for viral and bacterial targets for both types of pneumonia, and their use can reduce the length of hospital and intensive care stays and allow optimization of antimicrobial therapy. RT-PCR is highly accurate in diagnosing SARS-CoV-2 pneumonia.

CONCLUSION: The rational use of molecular panels for the diagnosis of severe pneumonia can reduce the length of hospital and intensive care stays and 90-day mortality.},
}

@article {pmid41027235,
year = {2025},
author = {Wang, J and Yan, X and Li, H and Shen, Y and Yun, C and Zhang, J},
title = {MAP4K3/GLK: Structure, molecular pharmacology and drug development.},
journal = {Bioorganic chemistry},
volume = {165},
number = {},
pages = {109043},
doi = {10.1016/j.bioorg.2025.109043},
pmid = {41027235},
issn = {1090-2120},
abstract = {GLK (also known as MAP4K3), classified as a member of the MAP4K family, is a Ste20-like serine/threonine kinase. GLK plays a pivotal role in multiple cellular signaling pathways, including TCR-mediated immune responses, as well as the JNK, mTOR, and NF-κB signaling pathways. Due to its critical role in these key regulatory networks, GLK has been implicated in the pathogenesis of various diseases, including autoimmune diseases, cancer, aging, and COVID-19 infection. Consequently, GLK represents a promising molecular target for the development of novel therapeutic interventions for immunotherapy and oncotherapy. This review comprehensively summarizes the signaling pathways and human diseases regulated by GLK, focusing on GLK protein kinase structure, GLK-specific regulators, and profiling strategies for developing GLK-specific small-molecule inhibitors.},
}

@article {pmid41027126,
year = {2025},
author = {Baumbusch, J and Sloan Yip, I and Bandara, NA},
title = {Always on duty - Fostering climate resilience in the nursing profession: A discussion paper.},
journal = {International journal of nursing studies},
volume = {172},
number = {},
pages = {105227},
doi = {10.1016/j.ijnurstu.2025.105227},
pmid = {41027126},
issn = {1873-491X},
abstract = {BACKGROUND & PURPOSE: As with the SARS-CoV-2 pandemic, climate change is a global phenomenon reshaping the nursing profession. While nursing organizations have produced numerous position statements on nursing and climate change, these tend to focus exclusively on the profession's important role in mitigating and adapting health systems and providing climate-informed patient care. However, to adequately prepare for the acceleration of climate change impacts, we also need to focus on supporting the health and wellbeing of the nursing workforce. The purpose of this discussion paper is to examine key areas of climate vulnerability for nursing and provide recommendations that address these factors.

DISCUSSION: We consider three factors that may negatively impact on nurses' health and well-being in relation to climate change. First, there are social locations at the individual and population level, in particular gender, as the majority of nurses are women, and age, as the global workforce is aging. Both of these social locations are well documented areas of climate vulnerability. Second, the aging infrastructure of healthcare facilities puts nurses at risk by exposing them to harmful environments, such as extreme heat and poor air quality. Third, there are consequences for nurses' mental health as a result of providing care during climate-related weather emergencies and growing awareness of the impacts of climate change.

RECOMMENDATIONS: In response to these risk factors, we recommend urgent actions that will support and promote nurses' health and well-being. For example, workplace policies and environments should be adjusted to address the unique healthcare issues of an aging workforce that is primarily women. As well, actions that promote climate-resilient healthcare systems are needed. These actions include updating physical infrastructures as well as ensuring adequate staffing during climate-related weather emergencies. There is also a pressing need for interventions that provide mental health supports and psychological safety in the workplace for nurses.},
}

@article {pmid41027080,
year = {2025},
author = {Li, D and Ye, Q and Bai, J and Wan, W},
title = {Emerging and Re-emerging viral infections and their ocular manifestations: A focus on ocular neovascularization.},
journal = {Molecular aspects of medicine},
volume = {106},
number = {},
pages = {101396},
doi = {10.1016/j.mam.2025.101396},
pmid = {41027080},
issn = {1872-9452},
abstract = {Emerging and re-emerging viral infections represent a significant and escalating global health concern, frequently associated with a spectrum of systemic complications. Among these, ocular manifestations are increasingly recognized, contributing substantially to visual morbidity. The present review aims to provide an overview of the ocular sequelae of major emerging and re-emerging viral pathogens, highlighting their suggested and established roles in ocular neovascularization (ONV). It discusses the virological and immunological mechanisms, including direct viral cytopathic effects, virally-induced inflammation, dysregulation of angiogenic and anti-angiogenic factors (e.g., Vascular Endothelial Growth Factor), and activation of hypoxia-inducible pathways, which can contribute to neovascular processes in various ocular compartments such as the cornea, iris, retina, and choroid. The major viral agents addressed in this review are Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Human Immunodeficiency Virus (HIV), West Nile virus (WNV), Dengue Virus (DENV), and other viruses with known or suspected ONV association. This study reviewed and summarized the literature regarding case reports and experimental models describing the association of these viral agents with ONV. Furthermore, it addresses diagnostic considerations and therapeutic strategies. Understanding the intricate interplay between these viral infections and ocular neovascular pathways is crucial for developing targeted therapeutic strategies to prevent vision loss in affected populations.},
}

@article {pmid41026493,
year = {2025},
author = {Rozelle, M and Haslam, A and Prasad, V},
title = {Methods of Pediatric Post-COVID Condition Studies in High-Impact Journals: A Systematic Review.},
journal = {JAMA network open},
volume = {8},
number = {9},
pages = {e2529659},
doi = {10.1001/jamanetworkopen.2025.29659},
pmid = {41026493},
issn = {2574-3805},
mesh = {Humans ; *COVID-19/complications/epidemiology ; Child ; Adolescent ; *Journal Impact Factor ; SARS-CoV-2 ; Female ; *Research Design ; Male ; Pediatrics ; },
abstract = {IMPORTANCE: Preexisting health conditions complicate post-COVID condition diagnosis in children and adolescents, while the lack of standardized clinical phenotypes challenges its definition and epidemiological estimates. Prospective studies with robust methodologies are needed to minimize bias and confounders, yet they remain scarce in high-impact factor journals.

OBJECTIVE: To review, characterize, and assess the methodology used in studies examining post-COVID condition in children and pediatric populations in highly cited studies, which have greater visibility and are likely to be used in informing policy.

EVIDENCE REVIEW: Studies on PubMed and studies with high citations on Web of Science published through July 2024 were reviewed. Pediatric studies from journals with an impact factor of 5 or higher were included if they employed observational or risk-benefit designs. Studies were classified based on whether they included a SARS-CoV-2 test-negative control group or a non-test-negative group, which included studies with either no comparator or a different type of comparator. Joanna Briggs Institute and Risk of Bias in Nonrandomized Studies of Exposures tools assessed the risk of bias.

FINDINGS: Of 426 publications, 24 were analyzed; 9 studies (38%) used test-negative controls, while 15 studies (63%) did not (P < .001). Among studies with test-negative groups, 4 (44%) used prospective cohort designs vs 5 (33%) studies without a test-negative group. Demographic reporting of post-COVID condition cases varied. Sex was reported in 12 studies (50%), but the median (IQR) sample size was small (27 female patients [14-110]; 21 male patients [10-79]). Psychiatric history was often not reported (20 patients [83%]), as well as a lack of history of comorbidities (16 patients [67%]) or body mass index (15 patients [63%]). Among 9 test-negative control studies, 4 (44%) used matched control design, while only 1 (11%) accounted for confounders by sex-stratifying results.

CONCLUSIONS AND RELEVANCE: These findings highlight the need for rigorous study designs that minimize bias and confounding, ensuring a clearer definition of pediatric post-COVID condition and its sequelae. Employing true test-negative matched controls is essential for distinguishing common symptoms and assessing risk factors, while standardizing demographic reporting strengthens comparability and ensures consistency in patient selection.},
}

Humans
*COVID-19/complications/epidemiology
Child
Adolescent
*Journal Impact Factor
SARS-CoV-2
Female
*Research Design
Male
Pediatrics

@article {pmid41026135,
year = {2025},
author = {Farkas, K and Kaya, D and Maal-Bared, R and Al-Mustapha, AI and Tandukar, S and Keenum, I and Gunnar, T and Bivins, A and J Wade, M and Bibby, K and Pitkänen, TM and Tiwari, A},
title = {Communicating wastewater-based surveillance data to drive action.},
journal = {Journal of water and health},
volume = {23},
number = {9},
pages = {1095-1108},
pmid = {41026135},
issn = {1477-8920},
mesh = {Humans ; *COVID-19/epidemiology ; *Wastewater/virology ; *Communication ; Public Health ; SARS-CoV-2 ; *Wastewater-Based Epidemiological Monitoring ; *Information Dissemination ; },
abstract = {As exemplified during the COVID-19 pandemic, wastewater-based surveillance (WBS) can deliver near real-time, population-level pathogen data to guide public health action. Its impact, however, hinges on timely, transparent, and context-specific communication to stakeholders, including health authorities, policymakers, scientists, clinicians, and the public. This review examines current WBS communication practices, identifies persistent challenges, and proposes strategies to enhance relevance. Key challenges include data complexity, lack of standardised communication frameworks, ethical and privacy concerns, and variable stakeholder capabilities. The strategic use of digital platforms, such as dashboards, reports, press releases, and social media, alongside traditional media, can broaden reach and aid interpretation. Rapid, accurate, and empathetic communication is essential during health crises to maintain trust and counter misinformation. Standardised messaging, simplified data visualisations, and integration with clinical surveillance systems enhance credibility and usability. Strengthening cross-sector collaboration, improving data interpretation, and translating findings into actionable insights are essential to maximising the public health benefits of WBS. Immediate efforts should prioritise building globally coordinated, adaptive communication networks that can evolve alongside surveillance technologies and emerging health threats. Overall, the review underscores the key role of strategic communication in advancing WBS for global health preparedness and optimising public health actions.},
}

Humans
*COVID-19/epidemiology
*Wastewater/virology
*Communication
Public Health
SARS-CoV-2
*Wastewater-Based Epidemiological Monitoring
*Information Dissemination

@article {pmid39360539,
year = {2025},
author = {Momani, A and Halimi, A and Nazari, SSH and Al-Marzouqi, Z and Jarrahi, AM and Al-Yateem, N and Rahman, SA and Al-Marzouqi, A},
title = {The Effect of COVID-19 Lockdown Among Adolescents with Type 1 Diabetes: A Systematic Review and Meta-Analysis.},
journal = {Current diabetes reviews},
volume = {21},
number = {10},
pages = {95-107},
pmid = {39360539},
issn = {1875-6417},
mesh = {Humans ; *Diabetes Mellitus, Type 1/blood/epidemiology ; *COVID-19/prevention & control/epidemiology ; Adolescent ; Blood Glucose/analysis/metabolism ; SARS-CoV-2 ; Glycated Hemoglobin/analysis/metabolism ; Child ; *Quarantine ; Glycemic Control ; },
abstract = {OBJECTIVE: The aim of this study was to assess how the lockdown of the COVID-19 pandemic had affected the glycaemic control of adolescents aged 10-19 with type 1 diabetes.

METHODS: A comprehensive search of literature was performed in PubMed, Scopus, Web of Science, and ProQuest. Published articles up to September 2022 were included. The Glucose Monitoring Index (GMI) and HbA1c level were defined as outcome variables. Average glucose level was found to be a common variable in both HbA1c levels and GMI; therefore, HbA1c and GMI were converted to average glucose (mg/dL) using appropriate formulas. Studies reported the outcomes in two or three periods (pre-lockdown, lockdown, and post-lockdown) were included in the analysis. A paired wise meta-analysis was performed among the studies that reported all three periods. Homogeneity across studies was assessed using I2 statistic.

RESULT: Fourteen studies were included in the study. The pooled average glucose during the lockdown decreased to 166.9 mg/dL (95% CI, 153.78, 180.02) from 205.793 mg/dL (95% CI, 188.412, 223.173) during the pre-lockdown period, then it increased to 204.23 mg/dL (95% CI, 186.17, 222.29) during the post-lockdown period. A paired wise meta-analysis indicated a reduction in average glucose levels. However, it was not statistically significant, possibly due to the small number of studies that reported data from all three periods.

CONCLUSION: Although the descriptive analysis of our study showed that the lockdown had affected (decreased) the average glucose level among adolescents with type 1 diabetes, this was not statistically significant in the pooled analysis.},
}

Humans
*Diabetes Mellitus, Type 1/blood/epidemiology
*COVID-19/prevention & control/epidemiology
Adolescent
Blood Glucose/analysis/metabolism
SARS-CoV-2
Glycated Hemoglobin/analysis/metabolism
Child
*Quarantine
Glycemic Control

@article {pmid41025094,
year = {2025},
author = {Kelleni, MT},
title = {Real-life practice of Kelleni's protocol in treatment and post exposure prophylaxis of SARS-CoV-2 HV.1 and JN.1 subvariants.},
journal = {World journal of virology},
volume = {14},
number = {3},
pages = {107903},
doi = {10.5501/wjv.v14.i3.107903},
pmid = {41025094},
issn = {2220-3249},
abstract = {This article discusses the evolving real-world practice using nitazoxanide, non-steroidal anti-inflammatory drugs (NSAIDs) and/or azithromycin (Kelleni's protocol) to manage the evolving manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron EG.5.1, its descendant HV.1 as well as BA.2.86 and its descendant JN.1 subvariants in Egypt in 2024. These subvariants are well-known for their highly evolved immune-evasive properties and the manifestations include some peculiar manifestations as persistent cough besides high fever in young children as well as high fever, persistent severe cough, change of voice, loss of taste and smell, epigastric pain, nausea, vomiting, diarrhea, generalized malaise and marked bone aches in adults including the high-risk groups. It's suggested that the ongoing SARS-CoV-2 evolution is continuing to mostly affect the high-risk groups of patients, to some of whom we've also successfully prescribed nitazoxanide and/or NSAIDs for post-exposure prophylaxis of all household contacts. We also continue to recommend starting the immune-modulatory antiviral Kelleni's protocol as soon as possible in the course of infection and adjusting it in a personalized manner to be more aggressive from the beginning for the high risk patients, at least until the currently encountered surge of infections subsides.},
}

@article {pmid41025090,
year = {2025},
author = {Gavkare, AM and Nanaware, NL and Sonar, MN and Dhotre, SV and Mumbre, SS and Nagoba, BS},
title = {Gut microbiome and viral infections: A hidden nexus for immune protection.},
journal = {World journal of virology},
volume = {14},
number = {3},
pages = {111912},
doi = {10.5501/wjv.v14.i3.111912},
pmid = {41025090},
issn = {2220-3249},
abstract = {The gut microbiome plays a crucial role in regulating immune responses, influencing susceptibility to viral infections, shaping disease progression, and its outcomes. Emerging research highlights the intricate relationship between gut microbial communities and viral pathogenesis, demonstrating that dysbiosis can compromise antiviral defenses while a balanced microbiome enhances immune resilience. This review explores key microbial mechanisms, including microbiome-mediated immune modulation, interactions with viral replication, and the impact of microbiome on systemic inflammation, highlighting how dietary interventions, such as probiotics, prebiotics, and bioactive compounds, offer potential strategies to modulate gut microbiota and mitigate viral infections. Special emphasis is placed on viruses affecting the gastrointestinal and respiratory systems, including severe acute respiratory syndrome coronavirus 2, norovirus, and influenza. Furthermore, we explore how nutrition-driven microbiome interventions may serve as adjunct therapeutic strategies, improving vaccine efficacy and post-viral recovery. Understanding the role of gut microbiome in viral infections can pave the way for microbiome-driven strategies to combat viral diseases and improve overall health outcomes.},
}

@article {pmid41025000,
year = {2025},
author = {Terrington, I and Cox, O and Copley, P and Eastwood, B and Webb, E and McKenzie, C and Saeed, K and Conway-Morris, A and Grocott, MPW and Dushianthan, A},
title = {The role of corticosteroids in the management of non-COVID-19 severe community-acquired pneumonia in the intensive care unit: A narrative review.},
journal = {Journal of the Intensive Care Society},
volume = {},
number = {},
pages = {17511437251374816},
doi = {10.1177/17511437251374816},
pmid = {41025000},
issn = {1751-1437},
abstract = {Severe community-acquired pneumonia (sCAP) is associated with a significant health burden, both in the UK and globally, with intensive care support needed for many patients. The high morbidity and mortality associated with sCAP has led to the exploration of adjunctive therapies that may help reduce disease burden and improve clinical outcomes. One such proposed treatment is corticosteroids, aiming to moderate the disproportionate inflammation caused by sCAP. Despite several studies suggesting potential benefits, the use of corticosteroids in patients with sCAP remains contentious, with recent large trials producing conflicting results. These variations in trial outcomes have resulted in conflicting national and international guidelines. Such discrepancies align with findings from a recent national survey that indicated ongoing clinical uncertainty regarding the use of corticosteroids for sCAP in UK intensive care units. Several factors contribute to these conflicting outcomes, including patient population, the severity classification utilised, the type and duration of interventions provided, and, perhaps most importantly, the lack of pre-phenotyping to identify patients who may benefit most from the treatment. This narrative review aims to examine the recent literature, current guidelines, and evidence for using corticosteroids in sCAP, while exploring the candidate phenotypes of relevance in the design of clinical trials.},
}