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  1. Article ; Online: Spotlight on COVID-19 rapid guidance: NICE's experience of producing rapid guidelines during the pandemic.

    Southall, Sara / Taske, Nichole / Power, Eric / Desai, Monica / Baillie, Nick

    Journal of public health (Oxford, England)

    2020  Volume 43, Issue 1, Page(s) e103–e106

    Abstract: This article highlights recent guidance from the National Institute for Health and Care Excellence (NICE). It provides an overview of the COVID-19 rapid guidance produced since March 2020, along with an account of how the organization adapted during the ... ...

    Abstract This article highlights recent guidance from the National Institute for Health and Care Excellence (NICE). It provides an overview of the COVID-19 rapid guidance produced since March 2020, along with an account of how the organization adapted during the pandemic, developing resources to guide practice with the limited time and evidence available. The growing COVID-19 evidence base is also considered, with reference to international initiatives supporting production of the best possible information to guide the global pandemic response.
    What’s new?: Since March 2020, the NICE has developed 21 rapid guidelines with NHS England and NHS Improvement (NHSE&I) and a cross-speciality clinical group, supported by specialist societies and royal colleges. The 21 guidelines can be summarized into three groups-managing symptoms and complications, managing conditions that increase risk, and providing services during the pandemic. The rapid guidelines are part of a suite of rapid resources, including innovative technology briefings, shared learning examples and rapid evidence summaries, such as that for Vitamin D in COVID-19 (ES28).
    MeSH term(s) COVID-19 ; Humans ; Practice Guidelines as Topic ; State Medicine ; United Kingdom
    Keywords covid19
    Language English
    Publishing date 2020-10-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2142082-8
    ISSN 1741-3850 ; 1741-3842
    ISSN (online) 1741-3850
    ISSN 1741-3842
    DOI 10.1093/pubmed/fdaa184
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The impact of cross-reactive immunity on the emergence of SARS-CoV-2 variants.

    Thompson, Robin N / Southall, Emma / Daon, Yair / Lovell-Read, Francesca A / Iwami, Shingo / Thompson, Craig P / Obolski, Uri

    Frontiers in immunology

    2023  Volume 13, Page(s) 1049458

    Abstract: Introduction: A key feature of the COVID-19 pandemic has been the emergence of SARS-CoV-2 variants ... of immunity in the population. Immunity against novel SARS-CoV-2 variants may be influenced by prior exposures ... to related viruses, such as other SARS-CoV-2 variants and seasonal coronaviruses, and the level ...

    Abstract Introduction: A key feature of the COVID-19 pandemic has been the emergence of SARS-CoV-2 variants with different transmission characteristics. However, when a novel variant arrives in a host population, it will not necessarily lead to many cases. Instead, it may fade out, due to stochastic effects and the level of immunity in the population. Immunity against novel SARS-CoV-2 variants may be influenced by prior exposures to related viruses, such as other SARS-CoV-2 variants and seasonal coronaviruses, and the level of cross-reactive immunity conferred by those exposures.
    Methods: Here, we investigate the impact of cross-reactive immunity on the emergence of SARS-CoV-2 variants in a simplified scenario in which a novel SARS-CoV-2 variant is introduced after an antigenically related virus has spread in the population. We use mathematical modelling to explore the risk that the novel variant invades the population and causes a large number of cases, as opposed to fading out with few cases.
    Results: We find that, if cross-reactive immunity is complete (i.e. someone infected by the previously circulating virus is not susceptible to the novel variant), the novel variant must be more transmissible than the previous virus to invade the population. However, in a more realistic scenario in which cross-reactive immunity is partial, we show that it is possible for novel variants to invade, even if they are less transmissible than previously circulating viruses. This is because partial cross-reactive immunity effectively increases the pool of susceptible hosts that are available to the novel variant compared to complete cross-reactive immunity. Furthermore, if previous infection with the antigenically related virus assists the establishment of infection with the novel variant, as has been proposed following some experimental studies, then even variants with very limited transmissibility are able to invade the host population.
    Discussion: Our results highlight that fast assessment of the level of cross-reactive immunity conferred by related viruses against novel SARS-CoV-2 variants is an essential component of novel variant risk assessments.
    MeSH term(s) Humans ; SARS-CoV-2/genetics ; COVID-19 ; Pandemics ; Cross Reactions
    Language English
    Publishing date 2023-01-11
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2022.1049458
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Spotlight on COVID-19 rapid guidance: NICE's experience of producing rapid guidelines during the pandemic

    Southall, Sara / Taske, Nichole / Power, Eric / Desai, Monica / Baillie, Nick

    J. public health (Oxf)

    Abstract: This article highlights recent guidance from the National Institute for Health and Care Excellence (NICE). It provides an overview of the COVID-19 rapid guidance produced since March 2020, along with an account of how the organization adapted during ... ...

    Abstract : This article highlights recent guidance from the National Institute for Health and Care Excellence (NICE). It provides an overview of the COVID-19 rapid guidance produced since March 2020, along with an account of how the organization adapted during the pandemic, developing resources to guide practice with the limited time and evidence available. The growing COVID-19 evidence base is also considered, with reference to international initiatives supporting production of the best possible information to guide the global pandemic response. WHAT'S NEW?: Since March 2020, the NICE has developed 21 rapid guidelines with NHS England and NHS Improvement (NHSE&I) and a cross-speciality clinical group, supported by specialist societies and royal colleges. The 21 guidelines can be summarized into three groups-managing symptoms and complications, managing conditions that increase risk, and providing services during the pandemic. The rapid guidelines are part of a suite of rapid resources, including innovative technology briefings, shared learning examples and rapid evidence summaries, such as that for Vitamin D in COVID-19 (ES28).
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #930056
    Database COVID19

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  4. Article ; Online: Spotlight on COVID-19 rapid guidance

    Southall, Sara / Taske, Nichole / Power, Eric / Desai, Monica / Baillie, Nick

    Journal of Public Health ; ISSN 1741-3842 1741-3850

    NICE’s experience of producing rapid guidelines during the pandemic

    2020  

    Abstract: Abstract This article highlights recent guidance from the National Institute for Health and Care Excellence (NICE). It provides an overview of the COVID-19 rapid guidance produced since March 2020, along with an account of how the organization adapted ... ...

    Abstract Abstract This article highlights recent guidance from the National Institute for Health and Care Excellence (NICE). It provides an overview of the COVID-19 rapid guidance produced since March 2020, along with an account of how the organization adapted during the pandemic, developing resources to guide practice with the limited time and evidence available. The growing COVID-19 evidence base is also considered, with reference to international initiatives supporting production of the best possible information to guide the global pandemic response. What’s new? Since March 2020, the NICE has developed 21 rapid guidelines with NHS England and NHS Improvement (NHSE&I) and a cross-speciality clinical group, supported by specialist societies and royal colleges. The 21 guidelines can be summarized into three groups—managing symptoms and complications, managing conditions that increase risk, and providing services during the pandemic. The rapid guidelines are part of a suite of rapid resources, including innovative technology briefings, shared learning examples and rapid evidence summaries, such as that for Vitamin D in COVID-19 (ES28).
    Keywords Public Health, Environmental and Occupational Health ; General Medicine ; covid19
    Language English
    Publisher Oxford University Press (OUP)
    Publishing country uk
    Document type Article ; Online
    DOI 10.1093/pubmed/fdaa184
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Does informal online media provide supportive or unreliable information about pregnancy and birth during the COVID-19 pandemic?

    Pinto, Alexandra Cardoso / Southall, Emily / Gromala, Justyna / Graf, Vivian

    Clinical medicine (London, England)

    2021  Volume 21, Issue Suppl 2, Page(s) 32–33

    MeSH term(s) COVID-19 ; Female ; Humans ; Pandemics/prevention & control ; Pregnancy ; SARS-CoV-2 ; Social Media
    Language English
    Publishing date 2021-01-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2048646-7
    ISSN 1473-4893 ; 1470-2118
    ISSN (online) 1473-4893
    ISSN 1470-2118
    DOI 10.7861/clinmed.21-2-s32
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Quantifying pupil-to-pupil SARS-CoV-2 transmission and the impact of lateral flow testing in English secondary schools.

    Leng, Trystan / Hill, Edward M / Holmes, Alex / Southall, Emma / Thompson, Robin N / Tildesley, Michael J / Keeling, Matt J / Dyson, Louise

    Nature communications

    2022  Volume 13, Issue 1, Page(s) 1106

    Abstract: A range of measures have been implemented to control within-school SARS-CoV-2 transmission ... can lead to high levels of absences, negatively impacting pupils. To quantify pupil-to-pupil SARS-CoV-2 ...

    Abstract A range of measures have been implemented to control within-school SARS-CoV-2 transmission in England, including the self-isolation of close contacts and twice weekly mass testing of secondary school pupils using lateral flow device tests (LFTs). Despite reducing transmission, isolating close contacts can lead to high levels of absences, negatively impacting pupils. To quantify pupil-to-pupil SARS-CoV-2 transmission and the impact of implemented control measures, we fit a stochastic individual-based model of secondary school infection to both swab testing data and secondary school absences data from England, and then simulate outbreaks from 31st August 2020 until 23rd May 2021. We find that the pupil-to-pupil reproduction number, R
    MeSH term(s) Adolescent ; COVID-19/transmission ; COVID-19 Testing ; Child ; Contact Tracing ; Disease Outbreaks ; England ; Epidemiological Models ; Humans ; SARS-CoV-2 ; Schools
    Language English
    Publishing date 2022-03-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2553671-0
    ISSN 2041-1723 ; 2041-1723
    ISSN (online) 2041-1723
    ISSN 2041-1723
    DOI 10.1038/s41467-022-28731-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The crystal structure of mycobacterial epoxide hydrolase A.

    Schulz, Eike C / Henderson, Sara R / Illarionov, Boris / Crosskey, Thomas / Southall, Stacey M / Krichel, Boris / Uetrecht, Charlotte / Fischer, Markus / Wilmanns, Matthias

    Scientific reports

    2020  Volume 10, Issue 1, Page(s) 16539

    Abstract: The human pathogen Mycobacterium tuberculosis is the causative agent of tuberculosis resulting in over 1 million fatalities every year, despite decades of research into the development of new anti-TB compounds. Unlike most other organisms M. tuberculosis ...

    Abstract The human pathogen Mycobacterium tuberculosis is the causative agent of tuberculosis resulting in over 1 million fatalities every year, despite decades of research into the development of new anti-TB compounds. Unlike most other organisms M. tuberculosis has six putative genes for epoxide hydrolases (EH) of the α/β-hydrolase family with little known about their individual substrates, suggesting functional significance for these genes to the organism. Due to their role in detoxification, M. tuberculosis EH's have been identified as potential drug targets. Here, we demonstrate epoxide hydrolase activity of M. thermoresistibile epoxide hydrolase A (Mth-EphA) and report its crystal structure in complex with the inhibitor 1,3-diphenylurea at 2.0 Å resolution. Mth-EphA displays high sequence similarity to its orthologue from M. tuberculosis and generally high structural similarity to α/β-hydrolase EHs. The structure of the inhibitor bound complex reveals the geometry of the catalytic residues and the conformation of the inhibitor. Comparison to other EHs from mycobacteria allows insight into the active site plasticity with respect to substrate specificity. We speculate that mycobacterial EHs may have a narrow substrate specificity providing a potential explanation for the genetic repertoire of epoxide hydrolase genes in M. tuberculosis.
    MeSH term(s) Carbanilides ; Crystallization ; Epoxide Hydrolases/chemistry ; Epoxide Hydrolases/genetics ; Epoxide Hydrolases/physiology ; Genes, Bacterial/genetics ; Inactivation, Metabolic/genetics ; Mycobacterium tuberculosis/enzymology ; Mycobacterium tuberculosis/genetics ; Substrate Specificity
    Chemical Substances Carbanilides ; Epoxide Hydrolases (EC 3.3.2.-)
    Language English
    Publishing date 2020-10-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-020-73452-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Response to chicco et al. communication entitled 'Management and outcomes of mammalian bite injuries during COVID-19 and implications for future practice' Published: November 07, 2020DOI:https://doi.org/10.1016/j.bjps.2020.10.090.

    Friebel, T R / Gardiner, S / Southall, C / Akhavani, M

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2020  Volume 74, Issue 5, Page(s) 1101–1160

    Abstract: The Covid-19 pandemic has forced us to treat mammalian bite injuries more conservatively as resources were redirected to the Covid effort resulting in limited availability of hospital beds and theatre space. When comparing our outcomes before and during ... ...

    Abstract The Covid-19 pandemic has forced us to treat mammalian bite injuries more conservatively as resources were redirected to the Covid effort resulting in limited availability of hospital beds and theatre space. When comparing our outcomes before and during the first Covid-19 lockdown, this more conservative approach, which resulted in 24% less admissions and 19% less washouts in theatre, did not result in an increased infection rate. An increased rate of bite injuries during the national lockdown period was also noted. We support the conclusion by Chicco et al. that the majority of patients with bite injuries can 'safely be managed with washout under local anaesthesia, oral antibiotics and discharge on the same day with safety net advice'. It is interesting that in some aspects of our care we may find Covid-19 has been beneficial in de-medicalising management of certain injuries and conditions.
    MeSH term(s) Animals ; COVID-19 ; Communicable Disease Control ; Communication ; Humans ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2020-12-30
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2020.12.053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Decoding gene regulation in the fly brain.

    Janssens, Jasper / Aibar, Sara / Taskiran, Ibrahim Ihsan / Ismail, Joy N / Gomez, Alicia Estacio / Aughey, Gabriel / Spanier, Katina I / De Rop, Florian V / González-Blas, Carmen Bravo / Dionne, Marc / Grimes, Krista / Quan, Xiao Jiang / Papasokrati, Dafni / Hulselmans, Gert / Makhzami, Samira / De Waegeneer, Maxime / Christiaens, Valerie / Southall, Tony / Aerts, Stein

    Nature

    2022  Volume 601, Issue 7894, Page(s) 630–636

    Abstract: The Drosophila brain is a frequently used model in neuroscience. Single-cell transcriptome ... ...

    Abstract The Drosophila brain is a frequently used model in neuroscience. Single-cell transcriptome analysis
    MeSH term(s) Animals ; Brain/metabolism ; Drosophila/genetics ; Gene Expression Regulation ; Gene Expression Regulation, Developmental ; Gene Regulatory Networks/genetics ; Transcription Factors/metabolism
    Chemical Substances Transcription Factors
    Language English
    Publishing date 2022-01-05
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 120714-3
    ISSN 1476-4687 ; 0028-0836
    ISSN (online) 1476-4687
    ISSN 0028-0836
    DOI 10.1038/s41586-021-04262-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The impact of cross-reactive immunity on the emergence of SARS-CoV-2 variants

    Thompson, Robin N / Southall, Emma / Daon, Yair / Lovell-Read, Francesca A / Iwami, Shingo / Thompson, Craig P / Obolski, Uri

    medRxiv

    Abstract: A key feature of the COVID-19 pandemic has been the emergence of SARS-CoV-2 variants with different ... in the population. Immunity against novel SARS-CoV-2 variants may be influenced by prior exposures to related ... viruses, such as other SARS-CoV-2 variants and seasonal coronaviruses, and the level of cross-reactive ...

    Abstract A key feature of the COVID-19 pandemic has been the emergence of SARS-CoV-2 variants with different transmission characteristics. However, when a novel variant arrives in a host population, it will not necessarily lead to many cases. Instead, it may fade out, due to stochastic effects and the level of immunity in the population. Immunity against novel SARS-CoV-2 variants may be influenced by prior exposures to related viruses, such as other SARS-CoV-2 variants and seasonal coronaviruses, and the level of cross-reactive immunity conferred by those exposures. Here, we investigate the impact of cross-reactive immunity on the emergence of SARS-CoV-2 variants in a simplified scenario in which a novel SARS-CoV-2 variant is introduced after an antigenically related virus has spread in the population. We use mathematical modelling to explore the risk that the novel variant invades the population and causes a large number of cases, as opposed to fading out. If cross-reactive immunity is complete (i.e. someone infected by the previously circulating virus is no longer susceptible to the novel variant), the novel variant must be more transmissible than the previous virus to invade the population. However, in a more realistic scenario in which cross-reactive immunity is partial, we show that it is possible for novel variants to invade, even if they are less transmissible than previously circulating viruses. This is because partial cross-reactive immunity effectively increases the pool of susceptible hosts that are available to the novel variant compared to complete cross-reactive immunity. Furthermore, if previous infection with the antigenically related virus assists the establishment of infection with the novel variant, as has been proposed following some experimental studies, then even variants with very limited transmissibility are able to invade the host population. Our results highlight that fast assessment of the level of cross-reactive immunity conferred by related viruses on novel SARS-CoV-2 variants is an essential component of novel variant risk assessments.
    Keywords covid19
    Language English
    Publishing date 2022-09-20
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2022.09.20.22280161
    Database COVID19

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