Patient-reported health outcomes of SARS-CoV-2-tested patients presenting to emergency departments: a propensity score-matched prospective cohort study

OBJECTIVE

This study aimed to compare the long-term physical and mental health outcomes of matched severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive and SARS-CoV-2-negative patients controlling for seasonal effects.

STUDY DESIGN

This was a retrospective cohort study.

METHODS

This study enrolled patients presenting to emergency departments participating in the Canadian COVID-19 Emergency Department Rapid Response Network. We enrolled consecutive eligible consenting patients who presented between March 1, 2020, and July 14, 2021, and were tested for SARS-CoV-2. Research assistants randomly selected four site and date-matched SARS-CoV-2-negative controls for every SARS-CoV-2-positive patient and interviewed them at least 30 days after discharge. We used propensity scores to match patients by baseline characteristics and used linear regression to compare Veterans RAND 12-item physical health component score (PCS) and mental health component scores (MCS), with higher scores indicating better self-reported health.

RESULTS

We included 1170 SARS-CoV-2-positive patients and 3716 test-negative controls. The adjusted mean difference for PCS was 0.50 (95% confidence interval [CI]: -0.36, 1.36) and -1.01 (95% CI: -1.91, -0.11) for MCS. Severe disease was strongly associated with worse PCS (β = -7.4; 95% CI: -9.8, -5.1), whereas prior mental health illness was strongly associated with worse MCS (β = -5.4; 95% CI: -6.3, -4.5).

CONCLUSION

Physical health, assessed by PCS, was similar between matched SARS-CoV-2-positive and SARS-CoV-2-negative patients, whereas mental health, assessed by MCS, was worse during a time when the public experienced barriers to care. These results may inform the development and prioritization of support programs for patients.

Scatterometry and diffractometry techniques to monitor surfaces textured by rapid ultra-short pulse laser

The overall aim of the PROMETHEUS project is to develop high power ultra-short pulse lasers and the associated optics to enable the precise periodic texturing of surfaces to impart a range of surface functionalities at unprecedented processing speeds. The project focusses upon the industrial application of ultra-short pulse lasers for manufacturing and on the development of high power ultra-short pulse laser technologies in the range of 700 ps – 10 ns. In summary, new textures will be manufactured to achieve functional surfaces utilising fewer raw materials, less energy and less waste; improve accuracy, power and control over existing technologies; increase achievable precision and minimize heat impact on sensitive materials. This article will provide the outcomes of the first results achieved from the monitoring solutions being used to assess surface textures with micrometer resolution.

Acousto-holographic optical tweezers

Acousto-optic deflectors (AODs) allow the creation of multiple optical traps by time-sharing, that is, by rapidly cycling the laser focus between designated spatial locations. The traps thus formed are not permanent. In this Letter, we successfully demonstrate the creation of multiple and permanent traps by means of AODs driven by specially encoded radio frequency signals. The generation of complex acoustic signals allows us to treat such devices as super-fast spatial light modulators. Using this technique, it is possible to generate several static optical trap arrays and switch them at kilohertz (kHz) rates, allowing independent control of each trap group. Additionally, we discuss the compatibility of this method with precise force and position measurements, and the improvement in their frequency bandwidth compared to time-sharing optical tweezers, especially when many objects are trapped.