Evaluation of olfactory dysfunction persistence after COVID-19: a prospective study

OBJECTIVE

Alterations of the olfactory function in patients affected by COVID-19 often have an early onset and a variable duration ranging from a few weeks to months. The aim of this study was to evaluate olfactory dysfunction persistence after recovery from COVID-19, and potential related clinical-demographic conditions.

PATIENTS AND METHODS

A total of 76 patients recovered from COVID-19 from at least 20 days with olfactory dysfunction during the infection were included in the study. For the subjective evaluation of olfactory function, a visual analogic scale (VAS) was used. The objective evaluation was performed with the use of the Sniffin' Sticks test.

RESULTS

Objective assessment of olfactory function revealed that 48 (63.16%) patients were found to be normosmic (TDI ≥ 30.5), 26 (34.21%) were hyposmic (TDI from 30.5 to 16.5) and two (2.63%) were anosmic (TDI ≤ 16.5) at the time of the evaluation. These results did not show a significant difference between subjective and objective tests (p = 0.45). Most patients recovered their sense of smell within the first two months after recovery while a portion (22.2%) still experienced olfactory alterations 4-6 months after SARS-CoV-2 infection. Patients who had not recovered their sense of smell had a significantly longer period of SARS-CoV-2 positivity compared to patients that fully recovered (36.07 ± 7.78 days vs. 29 ± 7.89 days; p = 0.04).

CONCLUSIONS

Our results suggest that the duration of the infection negatively correlates with the recovery of olfactory function.

Characterization of the normal pulmonary surface and pneumonectomy space by reflected ultrasound

Interest has been increasing in the use of transthoracic ultrasound for the study of the pleuropulmonary disease. US imaging depends mainly on the physical interactions between ultrasound waves and the tissues being examined. In the thoracic region, the prescence of the chest wall and the air-containing pulmonary tissues cause various artifacts that strongly influence the resulting images. At the interface between tissues and air, the ultrasound beam is totally reflected and produces simple reverberation, comet-tail artifacts, and ring-down artifacts.We report the findings of transthoracic ultrasound in normal healthy subjects and in those who had undergone pneumonectomy.This experience shows that, in terms of the ultrasound artifacts mentioned above, the postpneumonectomy cavity is not significantly different from the healthy lung.

Heavy metal contamination of the soils used for stocking raw materials in the former ILVA iron-steel industrial plant of Bagnoli (southern Italy)

The total contents and the chemical and mineralogical forms of the metals Fe, Al, Cu, Co, Cr, Pb, Zn, Ni and Mn in the horizons of a soil profile, representative of an area devoted to stocking raw materials in the dismantled iron-steel industrial plant of ILVA of Bagnoli (Naples), were studied by physical and chemical methods. The geological setting of the study area is the result of volcanic activity in the Phlegrean Fields, a group of polygenic volcanoes to the west of Naples, which give rise to the parent soil material. Soil morphology appeared to be strongly disturbed by the occurrence and stratification of materials used in the industrial process. Fine sediments illuviation down the profile resulted in the occurrence of silt and clay coatings. The total contents of Cu, Co, Cr, Pb, Zn and Ni, in the whole soil samples, especially in the surface layers, were above the regulatory levels (Cu 120, Co 20, Cr 150, Pb 100, Zn 150, Ni 120 mg kg(-1)) stated by the Italian Ministry of Environment for soils in public, private and residential areas, and below the levels (Cu 600, Co 250, Cr 800, Pb 1000, Zn 1500, Ni 500 mg kg(-1)) outlined for soils and subsoils of industrial and commercial areas (Gazzetta Ufficiale della Repubblica Italiana, 1999). Speciation of heavy metals and the determination of the different chemical pools in the fraction < 2 mm identified the large presence of elements trapped in the mineralogical structure of oxides and silicates and occluded in easily reducible manganese or iron oxides. A constant amount of Cu was associated with organic compounds. A significant amount of Zn (> 20%) was extracted in diluted acetic acid solution, indicating that the element was present in a more readily and potentially available form. In the clay fraction (< 2 microm) heavy metals were associated with both amorphous and crystalline iron forms. The presence of iron-rich clay coatings was evident in the illuvial pores of deeper horizons. Enrichment in Cu, Co, Cr and Zn of the coatings was observed. Possible translocation of metals down through the soil profile mainly bound to fine particles of relatively inert forms of iron is hypothesised. The dispersion in water of the clay fraction resulted in an average percentage dispersion of approximately 20% with a peak of 41.7% at 68-72 cm depth. Magnetite, goethite, hematite, calcite and quartz mixed with K-feldspars, clynopyroxenes and mica occurred in the coarse sand fractions (2-0.2 mm) of the soil samples from all the surface horizons. Talcum and goethite together with clay minerals at 1.4 nm, kaolinite and illite were found in the clays (< 2 microm).

Molecular analysis of arterial stenosis in rat carotids

A new model of surgical injury for the induction and development of stenosis in common rat carotids is described. This model differs from balloon angioplasty or vein graft systems currently applied on animals to develop stenosis, since it involves the entire vessel wall layers and mimics the injury occurring during arterial grafts, endarterectomy or organ transplantation. At different times following arterial damage, the pattern of expression of genes already known to be involved in the proliferation, differentiation, and apoptosis of smooth muscle cells (c-myc, Angiotensin II receptor 1, Bcl-2 and Bax alpha), as well as of Rb and Rb2 genes, whose pattern of expression after arterial injury has not yet been reported, was analyzed by semi-quantitative reverse transcription-polymerase chain reaction technique. Histological and histochemical analysis on carotid sections shows the morphological changes which occurred 30 days after surgical injury in the vessel wall. Molecular and histological data demonstrate that this model of surgical injury induces neointimal proliferation in about 30% of rats. In about 70% of the remaining rats, it induces the processes responsible for negative remodelling, namely the significant accumulation of extracellular matrix and fibers and disorganization of arterial tunics. This model is therefore available for further studies on the expression of genes involved in the arterial stenotic process, as well as for testing drugs aimed at limiting this recurrent pathophysiological phenomenon.

Detection of DNA in ancient bones using histochemical methods

We describe histochemical techniques for detecting DNA within the osteocytic lacunae of ancient bones. The bones examined were fragments of femurs from two human individuals found in the Pompeian C. I. Polybius house and fragments of metacarpals from two horses (Equus sp.) found in the Pompeian "Casti Amanti" house. Both buildings were buried by the 79 A. D. Vesuvius eruption. Fragments of femurs from a modern horse, a modern swine and a modern amphibian also were studied as controls. Some bone sections were stained with two different DNA-specific fluorochromes, 4'-'6-diamidino-2-phenylindole (DAPI) and chromomycin A3 (CMA), while others were stained by the Feulgen reaction. All of the techniques gave a positive reaction within the osteocytic lacunae. Histological analysis of the undecalcified, ground and unstained sections agreed well with results of bone sections stained with either the fluorochromes or the Feulgen reaction. Bones showing good histology also were positive by our DNA-specific stain. Histochemical and histological analyses correlated well with the success of DNA extraction and amplification. Using conventional DNA-specific histochemical techniques in conjunction with histological analysis can be useful in the study of DNA extracted from ancient bone remains while reducing both the amount of time and cost.

Lung mechanics in subjects showing increased residual volume without bronchial obstruction

Fourteen subjects showing an increase of residual volume (RV) without any clinical or functional signs of bronchial obstruction were studied. Maximum expiratory flow volume (MEFV) curves were obtained with a pressure-corrected volume plethysmograph. Static pressure-volume curves were obtained by stepwise interruption of a slow expiration from total lung capacity (TLC) to RV. Static compliance was measured by the slope of pressure-volume curve between functional residual capacity (FRC) and FRC+20% of TLC. Maximum flow static recoil (MFSR) curves were constructed by plotting MEF obtained from MEFV curves against elastic pressure (Pst) obtained from pressure-volume curves at the same lung volumes. Most patients demonstrated a decrease of MEF 50% and 25% of VC. From the MFSR curves it was clear that this reduction was not the result of increased airways resistance, but rather of loss of elastic recoil. Most patients showed a significant decrease of Pst at different volumes and changes seem likely to be evidence of emphysema.

The capnogram in the study of chronic obstructive lung disease

The purpose of this study is: 1) to emphasize the importance of the capnogram in the investigation of ventilatory disorders of the obstructive type; 2) to propose a numerical parameter representative of the capnogram; 3) to ascertain, by means of this parameter, possible correlations between capnogram changes and other tests of lung function. This parameter enables a quantitative criterion to be substituted for a descriptive one in assessment of the capnogram; The study covered 245 patients with chronic obstructive lung disease; We observed that as the capnographic tracing becomes more and more pathological, the lung function tests show progressive deterioration.