SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Re-imagining the UN Committee on World Food Security

This article argues that the United Nations Committee on World Food Security can and must serve as a space for catalyzing and strengthening public interest-oriented food systems governance grounded in the human rights framework. This would necessarily entail confronting the fragmentation of governance and erasure of accountability promoted by corporate designed multi-stakeholderism, and democratizing multilateralism through genuine participation of rights holders, public scrutiny and participatory science. Pivotal to this endeavor is arresting the growing corporate influence in governance mechanisms and reorienting them towards reinvigorating relationships among people, communities and governments.

UN Food System Summit Fails to Address Real Healthy and Sustainable Diets Challenges

Evidence of the impacts of corporate food systems on people's health raised concerns about the multiple outcomes of malnutrition and climate change, including commodities production and high consumption of ultra-processed food products. The COVID-19 pandemic overwhelms this scenario, highlighting the urgency for improvements in governance spaces and regulatory measures that can tackle the advance of large corporations, which act exclusively based on their private interests.

Interactions between two existential threats: COVID-19 and climate change

The COVID-19 pandemic and climate change are complex existential threats, unpredictable in many ways and unprecedented in modern times. There are parallels between the scale and scope of their impacts and responses. Understanding shared drivers, coupled vulnerabilities, and criteria for effective responses will help societies worldwide prepare for the simultaneous threats of climate change and future pandemics. We summarize some shared characteristics of COVID-19 and climate change impacts and interventions and discuss key policy implications and recommendations.

Perioperative Coronavirus Vaccination - Timing and Implications: A Guidance Document

Cardiothoracic surgical patients are at risk of increased coronavirus disease severity. Several important factors influence the administration of the coronavirus disease vaccine in the perioperative period. This guidance statement outlines current information regarding vaccine types, summarizes recommendations regarding appropriate timing of administration, and provides information regarding side effects in the perioperative period for cardiac and thoracic surgical patients.

Forecasting the impact of environmental stresses on the frequent waves of COVID19

A novel approach to link the environmental stresses with the COVID-19 cases is adopted during this research. The time-dependent data are extracted from the online repositories that are freely available for knowledge and research. Since the time series data analysis is desired for the COVID-19 time-dependent frequent waves, here in this manuscript, we have developed a time series model with the aid of "nonlinear autoregressive network with exogenous inputs (NARX)" approach. The distribution of infectious agent-containing droplets from an infected person to an uninfected person is a common form of respiratory disease transmission. SARS-CoV-2 has mainly spread via short-range respiratory droplet transmission. Airborne transmission of SARS-CoV-2 seems to have occurred over long distances or times in unusual conditions; SARS-CoV-2 RNA was found in PM10 collected in Italy. This research shows that SARS-CoV-2 particles adsorbed to outdoor PM remained viable for a long time, given the epidemiology of COVID-19, outdoor air pollution is unlikely to be a significant route of transmission. In this research, ANN time series is used to analyze the data resulting from the COVID-19 first and second waves and the forecasted results show that air pollution affects people in different areas of Italy and make more people sick with covid-19. The model is developed based on the disease transmission data of Italy.

Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee

The novel coronavirus pandemic has radically changed the landscape of normal surgical practice. Lifesaving cancer surgery, however, remains a clinical priority, and there is an increasing need to fully define the optimal oncologic management of patients with varying stages of lung cancer, allowing prioritization of which thoracic procedures should be performed in the current era. Healthcare providers and managers should not ignore the risk of a bimodal peak of mortality in patients with lung cancer; an imminent spike due to mortality from acute coronavirus disease 2019 (COVID-19) infection, and a secondary peak reflecting an excess of cancer-related mortality among patients whose treatments were deemed less urgent, delayed, or cancelled.

The European Association of Cardiothoracic Anaesthesiology and Intensive Care Thoracic Anesthesia Subspecialty group has considered these challenges and developed an updated set of expert recommendations concerning the infectious period, timing of surgery, vaccination, preoperative screening and evaluation, airway management, and ventilation of thoracic surgical patients during the COVID-19 pandemic.

[Impact of the COVID-19 pandemic on hepato-pancreato-biliary surgery and organ transplantation]

Hintergrund und Ziel der Arbeit

Im Rahmen der COVID-19(„coronavirus disease 2019“)-Pandemie wurden weitreichende Ressourceneinschränkungen und -umverteilungen innerhalb des Gesundheitssystems notwendig. Diese Übersichtsarbeit beleuchtet die direkten und indirekten Folgen der COVID-19-Pandemie auf die Bereiche der hepatopankreatobiliären (HPB)-Chirurgie und Organtransplantation unter Berücksichtigung aktueller Literatur und veröffentlichter Expertenmeinungen nationaler und internationaler Fachgesellschaften. Entwicklungen der Operationszahlen wurden über die Eurotransplant Statistics Report Library und eine zentrumsinterne Auswertung HPB-chirurgischer Eingriffe analysiert.

Ergebnisse

In den Bereichen der HPB-Chirurgie und Organtransplantation zeigte sich vor allem in der ersten Pandemiewelle an vielen Zentren ein deutlicher Einbruch der Eingriffszahlen. Interessanterweise konnte meist kein kompensatorischer Zuwachs der Operationen in den Folgemonaten verzeichnet werden. Im Jahrestrend zeigen sich somit leicht rückläufige Zahlen. Ob dieser Trend auf eine erhöhte Sterblichkeit durch verschobene Operationen und geänderte Therapieregimes zurückzuführen ist, lässt sich derzeit zumindest nicht ausschließen. Eine SARS-CoV-2(„severe acute respiratory syndrome coronavirus 2“)-Infektion ist auf jeden Fall mit einem komplikativen Verlauf assoziiert, insbesondere im perioperativen Verlauf und nach Transplantation.

Diskussion

Aufgrund des erhöhten Risikoprofils der genannten Patientengruppen besteht ein erhöhtes Risiko für einen schweren COVID-19-Verlauf. Dies muss bei der Abwägung von Therapiealternativen, der Schutzempfehlungen und der Priorisierung bei Impfungen in Betracht gezogen werden.

Who owns the German subsurface? Ownership and sustainable governance of the subsurface in Germany

In 1980, the Federal Mining Act was introduced to govern the use of the German subsurface. By paying royalties, companies can get permission to exploit resources. Yet, there is no official report breaking down the payments for hydrocarbons and lignite, in particular regarding the effectively levied fees. Hence, the objective of this study is to provide an overview of the ownership and paid royalties, and to discuss the sustainable use and management of the German subsurface in the face of ecological, social, and economic impacts of resource exploitation. Our analysis shows that the subsurface is partly state- and partly company-owned. Lignite is almost exclusively privately owned by two companies. In contrast, hydrocarbons are predominantly state-owned. In 2017, on average 13% was paid in royalties for gas and 11% for petroleum. These royalties have minor impact on state budgets. For instance, in the concerned state of Lower Saxony, the levies amount to 189 million € or 0.6% of the state budget. Thus, the state income from royalties is low. However, local communities and property owners have no financial benefits. Finally, to obtain a more sustainable use of subsurface, the current Federal Mining Act must be adapted to account for environmental and social impacts.

Patrony: A mobile application for pattern recognition learning

Pattern recognition is an important skill of Computational Thinking and is one of the most important competences for solving a problem that involves finding similarities or patterns in small problems to solve more complex ones. In this work, we present the mobile application software Patrony. The main contribution of this work is to promote the learning of Computational Thinking, especially pattern recognition, in specific sectors of education in Mexico through the simple use of a software application. To evaluate the effectiveness of the mobile application, tests were carried out in two elementary schools with a total of 43 students, which were divided into 2 groups: a control group and an experimental group. The results of the tests showed that the learning gain (M = 6.50 in postest compared to M = 4.94 on pretest) of the students who used our mobile application produces a significant difference with respect to students who learned using a traditional method of classroom teaching. The results also infer that computational thinking applications can be used as effective learning tools within some important Mathematics topics in public and private schools in Mexico.

Revealing the relationship between solar activity and COVID-19 and forecasting of possible future viruses using multi-step autoregression (MSAR)

The number of sunspots shows the solar activity level. During the high solar activity, emissions of matter and electromagnetic fields from the Sun make it difficult for cosmic rays to penetrate the Earth. When solar energy is high, cosmic ray intensity is lower, so that the solar magnetic field and solar winds affect the Earth externally and originate new viruses. In this paper, we assess the possible effects of sunspot numbers on the world virus appearance. The literature has no sufficient results about these phenomena. Therefore, we try to relate solar ray extremum to virus generation and the history of pandemics. First, wavelet decomposition is used for smoothing the sunspot cycle to predict past pandemics and forecast the future time of possible virus generation. Finally, we investigate the geographical appearance of the virus in the world to show vulnerable places in the world. The result of the analysis of pandemics that occurred from 1750 to 2020 shows that world's great viral pandemics like COVID-19 coincide with the relative extrema of sunspot number. Based on our result, 27 pandemic (from 36) incidences are on sunspot extrema. Then, we forecast future pandemics in the world for about 110 years or 10 cycles using presented multi-step autoregression (MSAR). To confirm these phenomena and the generation of new viruses because of solar activity, researchers should carry out experimental studies.

Geological and hydrometeorological hazards and related disasters amid COVID-19 pandemic in Greece: Post-disaster trends and factors affecting the COVID-19 evolution in affected areas

Since the first confirmed COVID-19 case in December 2019 the pandemic has severely affected humanity in various ways on all sectors of the everyday life. Natural hazards and related disasters did not stop for the novel virus. The parallel evolution of disasters and the pandemic have high potential for producing compound emergencies characterized by new unprecedented challenges. Greece was no exception. It was struck by disasters induced by geological and hydrometeorological hazards amid the pandemic. The most destructive events in terms of human and economic losses were the Mw = 5.7 Epirus and Mw = 6.9 Samos earthquakes on March 21 and October 30 respectively, the Evia flood on August 9 and the Ianos medicane in mid-September 2020. We studied the daily recorded laboratory confirmed COVID-19 cases in the disaster-affected areas in selected pre- and post- disaster periods. Increase of the reported COVID-19 cases in the post-disaster period has been detected only after the Ianos medicane in affected areas. No change in cases was observed after the studied earthquakes and flood. We examined various factors related to the evolving pandemic, the studied disasters and their management plan that may have contributed to the post-disaster evolution of cases. It is shown that the preexisting viral load and the infection rate in the affected areas, the intensity of the disaster effects and the measures adopted for the effective disaster management of the compound emergencies have the potential to affect the post-disaster evolution of the pandemic in the disaster affected areas.

Surgical Treatment and Outcomes of Colorectal Cancer Patients During the COVID-19 Pandemic: A National Population-based Study in England

To compare the management and outcomes of colorectal cancer (CRC) patients during the first 2 months of the COVID-19 pandemic with the preceding 6 months.

BACKGROUND

The pandemic has affected the diagnosis and treatment of CRC patients worldwide. Little is known about the safety of major resection and whether creating "cold" sites (COVID-free hospitals) is effective.

METHODS

A national study in England used administrative hospital data for 14,930 CRC patients undergoing surgery between October 1, 2019, and May 31, 2020. Mortality of CRC resection was compared before and after March 23, 2020 ("lockdown" start).

RESULTS

The number of elective CRC procedures dropped sharply during the pandemic (from average 386 to 214 per week), whereas emergency procedures were hardly affected (from 88 to 84 per week). There was little change in characteristics of surgical patients during the pandemic. Laparoscopic surgery decreased from 62.5% to 35.9% for elective and from 17.7% to 9.7% for emergency resections. Surgical mortality increased slightly (from 0.9% to 1.2%, P = 0.06) after elective and markedly (from 5.6% to 8.9%, P = 0.003) after emergency resections. The observed increase in mortality during the first phase of the pandemic was similar in "cold" and "hot" sites (P > 0.5 elective and emergency procedures).

CONCLUSIONS

The pandemic resulted in a 50% reduction in elective CRC procedures during the initial surge and a substantial increase in mortality after emergency resection. There was no evidence that surgery in COVID-free "cold" sites led to better outcomes in the first 2 months.

Thromboembolic Complications of SARS-CoV-2 and Metabolic Derangements: Suggestions from Clinical Practice Evidence to Causative Agents

Severe Acute Respiratory Syndrome (SARS) Coronavirus (CoV)-2 is a recently identified positive sense single-strand RNA (ssRNA) β-coronavirus. The viral spike proteins infect human hosts by binding to the cellular receptor angiotensin-converting enzyme 2 (ACE2). The infection causes a systemic illness involving cell metabolism. This widespread involvement is implicated in the pathophysiology of the illness which ranges from mild to severe, requiring multi organ support, ranging from oxygen supplementation to full cardiovascular and respiratory support. Patients with multiple co-existing comorbidities are also at a higher risk. The aim of this review is to explore the exact mechanisms by which COVID-19 affects patients systemically with a primary focus on the bleeding and thrombotic complications linked with the disease. Issues surrounding the thrombotic complications following administration of the ChAdOx1 nCoV-19 (Astra-Zeneca-Oxford) vaccine have also been illustrated. Risk stratification and treatment options in these patients should be tailored according to clinical severity with input from a multidisciplinary team.

Climate scientists set the bar of proof too high

Standards of proof for attributing real world events/damage to global warming should be the same as in clinical or environmental lawsuits, argue Lloyd et al. The central question that we raise is effective communication. How can climate scientists best and effectively communicate their findings to crucial non-expert audiences, including public policy makers and civil society? To address this question, we look at the mismatch between what courts require and what climate scientists are setting as a bar of proof. Our first point is that scientists typically demand too much of themselves in terms of evidence, in comparison with the level of evidence required in a legal, regulatory, or public policy context. Our second point is to recommend that the Intergovernmental Panel on Climate Change recommend more prominently the use of the category "more likely than not" as a level of proof in their reports, as this corresponds to the standard of proof most frequently required in civil court rooms. This has also implications for public policy and the public communication of climate evidence.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s10584-021-03061-9.

An observation-based scaling model for climate sensitivity estimates and global projections to 2100

We directly exploit the stochasticity of the internal variability, and the linearity of the forced response to make global temperature projections based on historical data and a Green's function, or Climate Response Function (CRF). To make the problem tractable, we take advantage of the temporal scaling symmetry to define a scaling CRF characterized by the scaling exponent H, which controls the long-range memory of the climate, i.e. how fast the system tends toward a steady-state, and an inner scale τ ≈ 2   years below which the higher-frequency response is smoothed out. An aerosol scaling factor and a non-linear volcanic damping exponent were introduced to account for the large uncertainty in these forcings. We estimate the model and forcing parameters by Bayesian inference which allows us to analytically calculate the transient climate response and the equilibrium climate sensitivity as: 1 . 7 - 0.2 + 0.3   K and 2 . 4 - 0.6 + 1.3   K respectively (likely range). Projections to 2100 according to the RCP 2.6, 4.5 and 8.5 scenarios yield warmings with respect to 1880-1910 of: 1 . 5 - 0.2 + 0.4 K , 2 . 3 - 0.5 + 0.7   K and 4 . 2 - 0.9 + 1.3   K. These projection estimates are lower than the ones based on a Coupled Model Intercomparison Project phase 5 multi-model ensemble; more importantly, their uncertainties are smaller and only depend on historical temperature and forcing series. The key uncertainty is due to aerosol forcings; we find a modern (2005) forcing value of[ - 1.0 , - 0.3 ] Wm - 2 (90 % confidence interval) with median at - 0.7 Wm - 2 . Projecting to 2100, we find that to keep the warming below 1.5 K, future emissions must undergo cuts similar to RCP 2.6 for which the probability to remain under 1.5 K is 48 %. RCP 4.5 and RCP 8.5-like futures overshoot with very high probability.