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  1. Aug 2020
    1. Pre-pandemic, about half of U.S. families reported having trouble finding care for a young child. That number jumped to nearly two-thirds this spring as day cares closed and other caretakers, such as grandparents and nannies, were told to stay home. And with many schools operating remotely, in a hybrid model or abruptly changing course this fall, many more parents, including those with kids in elementary school and beyond, are grappling with a child care crisis.
    2. In the dog days of August, air conditioning is everywhere. Is that a problem when it comes to the spread of the coronavirus? The answer to that question rests on the way the virus is transmitted — a topic that is still being researched.
    1. A report into the global response to coronavirus outbreaks has heavily criticised the “alarming living conditions” in Belgian and Spanish care homes, the former being described as a “true humanitarian crisis.”The report,1 by Médecins Sans Frontières (MSF), documents the first phase of the non-governmental organisation’s global covid-19 response from March until May. During that time it committed “substantial resources” both to developing dedicated covid-19 projects and to maintaining essential healthcare in its existing programmes worldwide, including interventions in Italy, Spain, Belgium, and France.Operations in the four European countries included projects supporting retirement and nursing homes, hospitals, and primary healthcare facilities, as well as providing protection and care to vulnerable groups in reception facilities, refugee camps, homeless shelters, and prisons. Smaller projects were set up in Portugal, the UK, and Switzerland.But it was Belgium and Spain where the living conditions—as well as the lack of protective equipment and sufficient personnel and the enormous emotional burden on caregivers in care homes—caused high concern. This led MSF to alert national authorities on “several occasions.”
    1. Parents should be "reassured" Covid-19 has not caused the deaths of any otherwise healthy schoolchildren in the UK, researchers say.
    1. New open-source technology lets eLife authors publish Executable Research Articles that treat live code and data as first-class citizens.
    1. The coronavirus has caused more than 80,000 deaths in the United States in just four months. Shira Shafir ’99, professor of epidemiology, warns that as in the 1918–19 influenza epidemic a second wave of infections in the COVID-19 crisis could cause more deaths than the first.
    1. How are children, including the most vulnerable, coping with the covid19 pandemic and home schooling? Will the covid-19 pandemic have longer term effects on our education systems? What impact has the pandemic had on adolescents' rites of passage?
    1. As part of our new series on expertise and COVID-19, Mike Kenny and Anna Alexandrova interview Professor Erik Angner of Stockholm University. Erik is a philosopher and an economist writing on behavioral economics, economists as experts, measurement of happiness and wellbeing, Hayek, and the nature of preferences among other topics. Recently he has commented on the need for epistemic humility and the uniqueness of the Swedish response to the pandemic. In the podcast we discuss cultures of expertise, contestation, politics of behavioral science, and the relation of all three to the current crisis:
    1. CODECHECK certificate for paper: The effect of non-pharmaceutical interventions on COVID-19 cases, deaths and demand for hospital services in the UK: a modelling study
    1. Although the benefit of population-level public facial masking to protect others during the COVID-19 pandemic has received a great deal of attention, we discuss for one of the first times the hypothesis that universal masking reduces the “inoculum” or dose of the virus for the mask-wearer, leading to more mild and asymptomatic infection manifestations. Masks, depending on type, filter out the majority of viral particles, but not all. We first discuss the near-century-old literature around the viral inoculum and severity of disease (conceptualized as the LD50 or lethal dose of the virus). We include examples of rising rates of asymptomatic infection with population-level masking, including in closed settings (e.g., cruise ships) with and without universal masking. Asymptomatic infections may be harmful for spread but could actually be beneficial if they lead to higher rates of exposure. Exposing society to SARS-CoV-2 without the unacceptable consequences of severe illness with public masking could lead to greater community-level immunity and slower spread as we await a vaccine. This theory of viral inoculum and mild or asymptomatic disease with SARS-CoV-2 in light of population-level masking has received little attention so this is one of the first perspectives to discuss the evidence supporting this theory.
    1. Physical distancing is an important part of measures to control covid-19, but exactly how far away and for how long contact is safe in different contexts is unclear. Rules that stipulate a single specific physical distance (1 or 2 metres) between individuals to reduce transmission of SARS-CoV-2, the virus causing covid-19, are based on an outdated, dichotomous notion of respiratory droplet size. This overlooks the physics of respiratory emissions, where droplets of all sizes are trapped and moved by the exhaled moist and hot turbulent gas cloud that keeps them concentrated as it carries them over metres in a few seconds.12 After the cloud slows sufficiently, ventilation, specific patterns of airflow, and type of activity become important. Viral load of the emitter, duration of exposure, and susceptibility of an individual to infection are also important.Instead of single, fixed physical distance rules, we propose graded recommendations that better reflect the multiple factors that combine to determine risk. This would provide greater protection in the highest risk settings but also greater freedom in lower risk settings, potentially enabling a return towards normality in some aspects of social and economic life.
    1. Despite the widespread implementation of public health measures, coronavirus disease 2019 (COVID-19) continues to spread in the United States. To facilitate an agile response to the pandemic, we developed How We Feel, a web and mobile application that collects longitudinal self-reported survey responses on health, behaviour and demographics. Here, we report results from over 500,000 users in the United States from 2 April 2020 to 12 May 2020. We show that self-reported surveys can be used to build predictive models to identify likely COVID-19-positive individuals. We find evidence among our users for asymptomatic or presymptomatic presentation; show a variety of exposure, occupational and demographic risk factors for COVID-19 beyond symptoms; reveal factors for which users have been SARS-CoV-2 PCR tested; and highlight the temporal dynamics of symptoms and self-isolation behaviour. These results highlight the utility of collecting a diverse set of symptomatic, demographic, exposure and behavioural self-reported data to fight the COVID-19 pandemic.
    1. Regional quarantine policies, in which a portion of a population surrounding infections are locked down, are an important tool to contain disease. However, jurisdictional governments - such as cities, counties, states, and countries - act with minimal coordination across borders. We show that a regional quarantine policy's effectiveness depends upon whether (i) the network of interactions satisfies a balanced-growth condition, (ii) infections have a short delay in detection, and (iii) the government has control over and knowledge of the necessary parts of the network (no leakage of behaviors). As these conditions generally fail to be satisfied, especially when interactions cross borders, we show that substantial improvements are possible if governments are proactive: triggering quarantines in reaction to neighbors' infection rates, in some cases even before infections are detected internally. We also show that even a few lax governments - those that wait for nontrivial internal infection rates before quarantining - impose substantial costs on the whole system. Our results illustrate the importance of understanding contagion across policy borders and offer a starting point in designing proactive policies for decentralized jurisdictions.
    1. Social distancing measures following the outbreak of COVID-19 have led to a rapid shift to virtual and telephone care. Social workers and mental health providers in VA home-based primary care (HBPC) teams face challenges providing psychosocial support to their homebound, medically complex, socially isolated patient population who are high risk for poor health outcomes related to COVID-19. We developed and disseminated an 8-week telephone or virtual group intervention for front-line HBPC social workers and mental health providers to use with socially isolated, medically complex older adults. The intervention draws on skills from evidence-based psychotherapies for older adults including Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Problem-Solving Therapy. The manual was disseminated to VA HBPC clinicians and geriatrics providers across the United States in March 2020 for expeditious implementation. Eighteen HBPC teams and three VA Primary Care teams reported immediate delivery of a local virtual or telephone group using the manual. In this paper we describe the manual’s development and clinical recommendations for its application across geriatric care settings. Future evaluation will identify ways to meet longer-term social isolation and evolving mental health needs for this patient population as the pandemic continues.
    1. Numerous anecdotal reports suggest that domestic violence has increased globally since the COVID-19 pandemic, but rarely are there cross-country empirical support for this claim. Using two unique datasets which comprises official domestic violence data from Southern China (N = 152 daily data points from January 1st to May 31st, 2020) and Google Trends data across four English-speaking countries (i.e., Australia, Canada, the United Kingdom, and the United States; N = 728 daily data points from January 1st to June 30th, 2020), we test the association between daily confirmed cases of COVID-19 and daily reports of domestic violence. We find that daily new cases are positively associated with domestic violence in Australia, Canada, the United Kingdom, and the United States, but not in China. However, one nuance of our findings in China is that this association is lagged. We speculate that it is because that China is the first to experience the pandemic during which many people were not acutely aware of or affected by COVID-19. These findings suggest that the COVID-19 health toll is beyond its direct costs on its infectees and provide insights into social policies on public health crises. Governments need to balance their COVID-19 responses with corresponding assistance toward women and children who might be at risk of domestic violence in this difficult time.
    1. Blue J, the leading provider of AI-backed legal predictions, announced today the launch of its COVID-19 relief programs and credits guided analysis tools for the United States and Canada. Read More: DataRooms.com Embeds the dtSearch Engine to Enable Instant Searching across Terabytes of Virtual Data Room Content The COVID-19 tools help individuals and organizations identify the available relief programs and credits for which they may be eligible. Frequently updated to help users make relevant and timely decisions, the tools provide direct links outlining contact information, eligibility criteria and application process.
    1. As the COVID-19 pandemic escalates in Canada and around the world, businesses are taking steps to help flatten the curve and support customers through new products, services, and free offerings. This list will outline what Canadian tech companies are offering during the outbreak. The list will be updated each Friday as more information comes in. Reach out via email so BetaKit can add to the list.
    1. The pressing need to restart socioeconomic activities locked-down to control the spread of SARS-CoV-2 in Italy must be coupled with effective methodologies to selectively relax containment measures. Here we employ a spatially explicit model, properly attentive to the role of inapparent infections, capable of: estimating the expected unfolding of the outbreak under continuous lockdown (baseline trajectory); assessing deviations from the baseline, should lockdown relaxations result in increased disease transmission; calculating the isolation effort required to prevent a resurgence of the outbreak. A 40% increase in effective transmission would yield a rebound of infections. A control effort capable of isolating daily  ~5.5% of the exposed and highly infectious individuals proves necessary to maintain the epidemic curve onto the decreasing baseline trajectory. We finally provide an ex-post assessment based on the epidemiological data that became available after the initial analysis and estimate the actual disease transmission that occurred after weakening the lockdown.
    1. Many countries have passed their first COVID-19 epidemic peak. Traditional epidemiological models describe this as a result of nonpharmaceutical interventions pushing the growth rate below the recovery rate. In this phase of the pandemic many countries showed an almost linear growth of confirmed cases for extended time periods. This new containment regime is hard to explain by traditional models where either infection numbers grow explosively until herd immunity is reached or the epidemic is completely suppressed. Here we offer an explanation of this puzzling observation based on the structure of contact networks. We show that for any given transmission rate there exists a critical number of social contacts, DcDc<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML"><mml:msub><mml:mrow><mml:mi>D</mml:mi></mml:mrow><mml:mrow><mml:mi>c</mml:mi></mml:mrow></mml:msub></mml:math>, below which linear growth and low infection prevalence must occur. Above DcDc<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML"><mml:msub><mml:mrow><mml:mi>D</mml:mi></mml:mrow><mml:mrow><mml:mi>c</mml:mi></mml:mrow></mml:msub></mml:math> traditional epidemiological dynamics take place, e.g., as in susceptible–infected–recovered (SIR) models. When calibrating our model to empirical estimates of the transmission rate and the number of days being contagious, we find Dc∼7.2Dc∼7.2<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML"><mml:msub><mml:mrow><mml:mi>D</mml:mi></mml:mrow><mml:mrow><mml:mi>c</mml:mi></mml:mrow></mml:msub><mml:mo>∼</mml:mo><mml:mn>7.2</mml:mn></mml:math>. Assuming realistic contact networks with a degree of about 5, and assuming that lockdown measures would reduce that to household size (about 2.5), we reproduce actual infection curves with remarkable precision, without fitting or fine-tuning of parameters. In particular, we compare the United States and Austria, as examples for one country that initially did not impose measures and one that responded with a severe lockdown early on. Our findings question the applicability of standard compartmental models to describe the COVID-19 containment phase. The probability to observe linear growth in these is practically zero.
    1. Due to the COVID-19 pandemic, many governments imposed lockdowns that forced hundred millions to stay at home. As a result of these measures, Internet traffic of residential users increased, in particular, for remote working, entertainment, commerce, and education. In turn, traffic demands in the Internet core shifted as well. In this paper, using data from a diverse set of vantage points (one ISP, three IXPs, and one metropolitan educational network), we study the effect of these lockdowns on traffic shifts. We find that the traffic volume increased by 15-20% almost within a week--while overall still modest, this constitutes a large increase within this short time period. The Internet infrastruct ure is able to handle this increase, as most traffic shifts occur outside of traditional peak hours. When looking at traffic sources, we find that while hypergiants still contribute a significant fraction of traffic, we see a higher increase in traffic of non-hypergiants. We observe traffic increases in applications such as Web conferencing, VPN, gaming, messaging that people use when at home. While many networks see increased traffic demands, in particular, residential users, others see major decreases, e.g., the in/out ratio of the educational network switched.
    1. The public health response to COVID-19 in India has been highly centralised, resulting in a homogenous strategy applied across a sixth of the world's population. India was placed in a nationwide lockdown on March 24, 2020, with restrictions being relaxed in three phases since June. In May 2020, the prime minister called upon the Indian people to be self-reliant. We discuss here opportunities to modify several aspects of the medical response to echo this sentiment.
    1. After a woman with the coronavirus visited a Starbucks cafe north of Seoul this month, more than two dozen patrons tested positive days later. But the four face mask-wearing employees escaped infection.The Aug. 8 outbreak in the South Korean city of Paju is another example of how rapidly the SARS-CoV-2 virus can spread in confined, indoor spaces -- as well as ways to minimize transmission. With health authorities around the world still debating the evidence around face masks, the 27-person cluster linked to the air-conditioned coffee outlet adds more support for their mandatory use to help limit the spread of the Covid-19-causing virus.
    1. Science is undergoing a crisis that has been referred to, since the early 21st century, as a crisis of confidence and a crisis of replication. This article reviews questions pertaining to the replication crisis; questions addressing the quality and credibility of the sciences; specifically, questions linked to what are known as false positives, null results, and questionable research practices (p‐hacking, harking, cherry‐picking). As an outcome of our review and analysis, a set of recommendations to strengthen the elaboration of reliable and valid research studies is provided. Changes are needed in order to foment meta‐research, open science practices and replication studies; notably, changes are needed in the instruction of research methods; in the use and interpretation of statistical data, as well as in research culture in general. We conclude that the replication crisis presents an opportunity to improve research practices and the quality of scientific production in all fields of research, including research in education.
    1. Benjamin Thompson, Noah Baker, and Amy Maxmen discuss Trump withholding funds from the WHO, and how COVID-19 kills. We also hear about controlling misinformation while communicating risk.
    1. What do we know about how we are coping with the pandemic crisis? David Aaronovitch looks at the impact the three month lockdown has had on people in China and asks how different groups in the UK - just three weeks in - are faring. What are the particular difficulties faced by the most vulnerable and those who have been advised to self isolate, maybe for many months, during the pandemic? He asks what strategies can be put in place to reduce mental hardship now and in the coming weeks. And when normality resumes, how changed might we be?
    1. A novel coronavirus disease (COVID-19) caused by SARS-CoV-2 has been pandemic worldwide. The genetic dynamics of quasispecies afford RNA viruses a great fitness on cell tropism and host range. However, no quasispecies data of SARS-CoV-2 have been reported yet. To explore quasispecies haplotypes and its transmission characteristics, we carried out single-molecule real-time (SMRT) sequencing of the full-length of SARS-CoV-2 spike gene within 14 RNA samples from 2 infection clusters, covering first-to third-generation infected-patients. We observed a special quasispecies structure of SARS-CoV-2 (modeled as ‘One-King’): one dominant haplotype (mean abundance ~70.15%) followed by numerous minor haplotypes (mean abundance < 0.10%). We not only discovered a novel dominant haplotype of F1040 but also realized that minor quasispecies were also worthy of attention. Notably, some minor haplotypes (like F1040 and currently pandemic one G614) could potentially reveal adaptive and converse into the dominant one. However, minor haplotypes exhibited a high transmission bottleneck (~6% could be stably transmitted), and the new adaptive/dominant haplotypes were likely originated from genetic variations within a host rather than transmission. The evolutionary rate was estimated as 2.68-3.86 × 10−3 per site per year, which was larger than the estimation at consensus genome level. The ‘One-King’ model and conversion event expanded our understanding of the genetic dynamics of SARS-CoV-2, and explained the incomprehensible phenomenon at the consensus genome level, such as limited cumulative mutations and low evolutionary rate. Moreover, our findings suggested the epidemic strains may be multi-host origin and future traceability would face huge difficulties.
    1. This article reports on a non-invasive approach in detecting and following-up individuals who are at-risk or have an existing COVID-19 infection, with a potential ability to serve as an epidemic control tool. The proposed method uses a developed breath device comprised of a nanomaterial-based hybrid sensors array with multiplexed detection capabilities that can detect disease-specific biomarkers from exhaled breath, thus enabling rapid and accurate diagnosis. An exploratory clinical study with this approach was examined in Wuhan, China during March 2020. The study cohort included 49 confirmed COVID-19 patients, 58 healthy controls and 33 non-COVID lung infection controls. When applicable, positive COVID-19 patients were sampled twice: during the active disease, and after recovery. Discriminant analysis of the obtained signals from the nanomaterial-based sensors achieved very good test discriminations between the different groups. The training and test set data exhibited, respectively, 94% and 76% accuracy in differentiating patients from controls as well as 90% and 95% accuracy in differentiating between patients with COVID-19 and patients with other lung infections. While further validation studies are needed, the results may serve as a base for technology that would lead to a reduction in number of unneeded confirmatory tests and lower the burden on the hospitals, while allowing individuals a screening solution that can be performed in PoC facilities. The proposed method can be considered as a platform that could be applied for any other disease infection with proper modifications to the artificial intelligence and would therefore be available to serve as a diagnostic tool in case of a new disease outbreak.
    1. The efficacy of glucocorticoids in COVID-19 is unclear. This study was designed to determine whether systemic glucocorticoid treatment in COVID-19 patients is associated with reduced mortality or mechanical ventilation. This observational study included 1,806 hospitalized COVID-19 patients; 140 were treated with glucocorticoids within 48 hours of admission. Early use of glucocorticoids was not associated with mortality or mechanical ventilation. However, glucocorticoid treatment of patients with initial C-reactive protein (CRP) ≥20 mg/dL was associated with significantly reduced risk of mortality or mechanical ventilation (odds ratio, 0.23; 95% CI, 0.08-0.70), while glucocorticoid treatment of patients with CRP <10 mg/dL was associated with significantly increased risk of mortality or mechanical ventilation (OR, 2.64; 95% CI, 1.39-5.03). Whether glucocorticoid treatment is associated with changes in mortality or mechanical ventilation in patients with high or low CRP needs study in prospective, randomized clinical trials.
    1. The human microbiota has a close relationship with human disease and it remodels components of the glycocalyx including heparan sulfate (HS). Studies of the severe acute respiratory syndrome coronavirus (SARS-CoV-2) spike protein receptor binding domain suggest that infection requires binding to HS and angiotensin converting enzyme 2 (ACE2) in a codependent manner. Here, we show that commensal host bacterial communities can modify HS and thereby modulate SARS-CoV-2 spike protein binding and that these communities change with host age and sex. Common human-associated commensal bacteria whose genomes encode HS-modifying enzymes were identified. The prevalence of these bacteria and the expression of key microbial glycosidases in bronchoalveolar lavage fluid (BALF) was lower in adult COVID-19 patients than in healthy controls. The presence of HS-modifying bacteria decreased with age in two large survey datasets, FINRISK 2002 and American Gut, revealing one possible mechanism for the observed increase in COVID-19 susceptibility with age. In vitro, bacterial glycosidases from unpurified culture media supernatants fully blocked SARS-CoV-2 spike binding to human H1299 protein lung adenocarcinoma cells. HS-modifying bacteria in human microbial communities may regulate viral adhesion, and loss of these commensals could predispose individuals to infection. Understanding the impact of shifts in microbial community composition and bacterial lyases on SARS-CoV-2 infection may lead to new therapeutics and diagnosis of susceptibility.
    1. Coronavirus disease 2019 (COVID-19) is a mild to moderate respiratory tract infection, however, a subset of patients progress to severe disease and respiratory failure. The mechanism of protective immunity in mild forms and the pathogenesis of severe COVID-19 associated with increased neutrophil counts and dysregulated immune responses remain unclear. In a dual-center, two-cohort study, we combined single-cell RNA-sequencing and single-cell proteomics of whole-blood and peripheral-blood mononuclear cells to determine changes in immune cell composition and activation in mild versus severe COVID-19 (242 samples from 109 individuals) over time. HLA-DRhiCD11chi inflammatory monocytes with an interferon-stimulated gene signature were elevated in mild COVID-19. Severe COVID-19 was marked by occurrence of neutrophil precursors, as evidence of emergency myelopoiesis, dysfunctional mature neutrophils, and HLA-DRlo monocytes. Our study provides detailed insights into the systemic immune response to SARS-CoV-2 infection and reveals profound alterations in the myeloid cell compartment associated with severe COVID-19.
    1. Understanding the mechanism that leads to immune dysfunction induced by SARS-CoV2 virus is crucial to develop treatment for severe COVID-19. Here, using single cell RNA-seq, we characterized the peripheral blood mononuclear cells (PBMC) from uninfected controls and COVID-19 patients, and cells in paired broncho-alveolar lavage fluid (BALF). We found a close association of decreased dendritic cells (DC) and increased monocytes resembling myeloid-derived suppressor cells (MDSC) which correlated with lymphopenia and inflammation in the blood of severe COVID-19 patients. Those MDSC-like monocytes were immune-paralyzed. In contrast, monocyte-macrophages in BALFs of COVID-19 patients produced massive amounts of cytokines and chemokines, but secreted little interferons. The frequencies of peripheral T cells and NK cells were significantly decreased in severe COVID-19 patients, especially for innate-like T and various CD8+ T cell subsets, compared to health controls. In contrast, the proportions of various activated CD4+ T cell subsets, including Th1, Th2 and Th17-like cells were increased and more clonally expanded in severe COVID-19 patients. Patients' peripheral T cells showed no sign of exhaustion or augmented cell death, whereas T cells in BALFs produced higher levels of IFNG, TNF, CCL4 and CCL5 etc. Paired TCR tracking indicated abundant recruitment of peripheral T cells to the patients' lung. Together, this study comprehensively depicts how the immune cell landscape is perturbed in severe COVID-19.
    1. Background: Healthcare systems globally has been challenged following the COVID-19 pandemic, since late 2019. Multiple approaches and strategies have been performed to relieve the pressure and support existing healthcare systems. The Saudi Arabian Ministry of Health (MOH) launched an initiative to support the National Healthcare System. Since the 5th of June 2020, 238 outpatient fever clinics were established across Saudi Arabia. Methods: A cross-sectional study included 2,733 eligible patients subjected to MOH treatment protocol (hydroxychloroquine and zinc) and revisited the clinics within 3-7 days after treatment initiation. This study aimed to assess the safety outcome and reported adverse events from hydroxychloroquine use among suspected COVID-19 patients. The data was collected through an electronic link and cross-checked with that of the national database (Health Electronic Surveillance Network, HESN) and reports from the MOH Morbidity and Mortality (M&M) Committee. Results: Majority of the cases were males (70.4%). Upon reassessing the studied participants within 3-7 days, 240 patients (8.8%) discontinued the treatment protocol because of the development of side effects (4.1%) and for non-clinical reasons in the remaining (4.7%). Medication side effects overall were reported among (6.7%) of all studied participants, including mainly cardiovascular adverse events (2.5%), followed by gastrointestinal (GI) symptoms (2.4%). No Intensive Care Unit (ICU) admission or death were reported among these patients. Conclusion: In our study, results show that the use of hydroxychloroquine for COVID-19 patients in mild to moderate cases in an outpatient setting, within the protocol recommendation and inclusion/exclusion criteria, is safe, highly tolerable, and with minimum side effects.
    1. COVID-19 is characterized by an infectious pre-symptomatic period, when newly infected individuals can unwittingly infect others. We are interested in what benefits facemasks could offer as a non-pharmaceutical intervention, especially in the settings where high-technology interventions, such as contact tracing using mobile apps or rapid case detection via molecular tests, are not sustainable. Here, we report the results of two mathematical models and show that facemask use by the public could make a major contribution to reducing the impact of the COVID-19 pandemic. Our intention is to provide a simple modelling framework to examine the dynamics of COVID-19 epidemics when facemasks are worn by the public, with or without imposed ‘lock-down’ periods. Our results are illustrated for a number of plausible values for parameter ranges describing epidemiological processes and mechanistic properties of facemasks, in the absence of current measurements for these values. We show that, when facemasks are used by the public all the time (not just from when symptoms first appear), the effective reproduction number, Re, can be decreased below 1, leading to the mitigation of epidemic spread. Under certain conditions, when lock-down periods are implemented in combination with 100% facemask use, there is vastly less disease spread, secondary and tertiary waves are flattened and the epidemic is brought under control. The effect occurs even when it is assumed that facemasks are only 50% effective at capturing exhaled virus inoculum with an equal or lower efficiency on inhalation. Facemask use by the public has been suggested to be ineffective because wearers may touch their faces more often, thus increasing the probability of contracting COVID-19. For completeness, our models show that facemask adoption provides population-level benefits, even in circumstances where wearers are placed at increased risk. At the time of writing, facemask use by the public has not been recommended in many countries, but a recommendation for wearing face-coverings has just been announced for Scotland. Even if facemask use began after the start of the first lock-down period, our results show that benefits could still accrue by reducing the risk of the occurrence of further COVID-19 waves. We examine the effects of different rates of facemask adoption without lock-down periods and show that, even at lower levels of adoption, benefits accrue to the facemask wearers. These analyses may explain why some countries, where adoption of facemask use by the public is around 100%, have experienced significantly lower rates of COVID-19 spread and associated deaths. We conclude that facemask use by the public, when used in combination with physical distancing or periods of lock-down, may provide an acceptable way of managing the COVID-19 pandemic and re-opening economic activity. These results are relevant to the developed as well as the developing world, where large numbers of people are resource poor, but fabrication of home-made, effective facemasks is possible. A key message from our analyses to aid the widespread adoption of facemasks would be: ‘my mask protects you, your mask protects me’.
    1. ObjectivesAs schools plan for re-opening, understanding the potential role children play in the coronavirus infectious disease 2019 (COVID-19) pandemic and the factors that drive severe illness in children is critical.Study design: Children ages 0-22 years with suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection presenting to urgent care clinics or being hospitalized for confirmed/suspected SARS-CoV-2 infection or multisystem inflammatory syndrome in children (MIS-C) at Massachusetts General Hospital (MGH) were offered enrollment in the MGH Pediatric COVID-19 Biorepository. Enrolled children provided nasopharyngeal, oropharyngeal, and/or blood specimens. SARS-CoV-2 viral load, ACE2 RNA levels, and serology for SARS-CoV-2 were quantified.ResultsA total of 192 children (mean age 10.2 +/- 7 years) were enrolled. Forty-nine children (26%) were diagnosed with acute SARS-CoV-2 infection; an additional 18 children (9%) met criteria for MIS-C. Only 25 (51%) of children with acute SARS-CoV-2 infection presented with fever; symptoms of SARS-CoV-2 infection, if present, were non-specific. Nasopharyngeal viral load was highest in children in the first 2 days of symptoms, significantly higher than hospitalized adults with severe disease (P = .002). Age did not impact viral load, but younger children had lower ACE2 expression (P=0.004). IgM and IgG to the receptor binding domain (RBD) of the SARS-CoV-2 spike protein were increased in severe MIS-C (P<0.001), with dysregulated humoral responses observed.ConclusionThis study reveals that children may be a potential source of contagion in the SARS-CoV-2 pandemic in spite of milder disease or lack of symptoms, and immune dysregulation is implicated in severe post-infectious MIS-C.
    1. “Plandemic: Indoctornation” is a 75-minute pseudo-documentary that spins an elaborate conspiracy theory about the spread of COVID-19. The video is a follow-up to a shorter version that went viral in May. It repeats several inaccurate and misleading claims about the coronavirus pandemic. Social media platforms like Facebook and Twitter have taken steps to slow the spread of “Plandemic: Indoctornation.”
    1. Centers for Disease Control Director Robert Redfield on Friday forcefully advocated the reopening of U.S. schools, even as colleges and universities around the country have been forced to shut their doors prematurely ahead of the fall session, in order to contain a rise in COVID-19 infections.
    1. Summer in the Northern Hemisphere is coming to an end, and if we're not super careful about reopening our schools and daycare centres, experts warn children could soon play a much bigger role in the pandemic.
    1. We want to thank Mr Griffith and his co-author for their professionalism in voicing their opinions, which, unfortunately, is becoming increasingly rare in the days of social media, an issue we will come back to at the end of this letter. Their professionalism should be congratulated and even celebrated.
    1. Statistical power is a useful but often misunderstood concept. Briefly, it represents the probability of rejecting a null hypothesis under some assumed conditions of a prospective experiment (distribution of the study outcome, planned sample size, and prespecified significance level to be used in the analysis). Most generally, we compute statistical power while planning comparative-effectiveness trials to ensure that the study will be large enough to conclude that an effect is present, if a meaningful effect truly exists.
    1. Background Many articles in the surgical literature were faulted for committing type 2 error, or concluding no difference when the study was “underpowered”. However, it is unknown if the current power standard of 0.8 is reasonable in surgical science. Methods PubMed was searched for abstracts published in Surgery, JAMA Surgery, and Annals of Surgery and from January 1, 2012 to December 31, 2016, with Medical Subject Heading terms of randomized controlled trial (RCT) or observational study (OBS) and limited to humans were included ( n = 403). Articles were excluded if all reported findings were statistically significant ( n = 193), or if presented data were insufficient to calculate power ( n = 141). Results A total of 69 manuscripts (59 RCTs and 10 OBSs) were assessed. Overall, the median power was 0.16 (interquartile range [IQR] 0.08-0.32). The median power was 0.16 for RCTs (IQR 0.08-0.32) and 0.14 for OBSs (IQR 0.09-0.22). Only 4 studies (5.8%) reached or exceeded the current 0.8 standard. Two-thirds of our study sample had an a priori power calculation ( n = 41). Conclusions High-impact surgical science was routinely unable to reach the arbitrary power standard of 0.8. The academic surgical community should reconsider the power threshold as it applies to surgical investigations. We contend that the blueprint for the redesign should include benchmarking the power of articles on a gradient scale, instead of aiming for an unreasonable threshold.
    1. Calls for social justice and police reform have gained momentum as unrest continues across the country in the wake of the killings of George Floyd, Breonna Taylor, Ahmaud Arbery, and Rayshard Brooks. These calls are intersecting with the coronavirus pandemic, which has highlighted long existing health and economic disparities between Black Americans and other groups. Even now, as COVID-19 cases crest more than 2 million in the country, we see disproportionate impacts on black communities, with the overall mortality rate for Black Americans from COVID-19 more than twice as high as those for Whites, Asian and Latino Americans. In this Facebook Live Q&A, David Harris, Managing Director of the Charles Hamilton Houston Institute for Race & Justice at Harvard Law School, discussed the drivers of current unrest and issues of police injustice -- and steps to consider to create a more just society.
    1. The Alan Turing Institute: Causal Inference, Causal decision making under uncertainty Peter Tennant - University Academic Fellow in Health Data Science - University of Leeds Virginia Aglietti - PhD Student - Warwick University Eleanor Murray - Assistant Professor of Epidemiology - Boston University Bringing the world’s most interesting research papers to life. Examining the wider implications, we feature top research published across domains and verticals with exciting interviews with the authors themselves, alongside a curated Q&A session. CogX is hosted by Charlie Muirhead Co-Founder and CEO, and Co-Founder Tabitha Goldstaub. Find out more at: https://cogx.co/ CogX is an award-winning Festival with its roots in artificial intelligence. The fourth edition, June 8th to 10th 2020, adds a Virtual first experience and Global Leadership Summit, and builds on the huge success of the 2019 event, which brought together over 20,000 visitors. 2020 saw over 30,000 participants including 600+ speakers across 18 topic stages and 100+ side events. Our theme this year, “How do we get the next 10 years right?” with aims to: Move the conversation forward with concrete actions Inspire current and future generations of leaders Help reframe the climate emergency as the biggest economic opportunity in the last 200 years Help increase understanding of the current Covid-19 pandemic and champion innovative solutions CogX – Global Leadership Summit and Festival of AI & Breakthrough Technology
    1. Just weeks after the genome sequence of the recently emerged coronavirus was published online, researchers reported the cryogenic electron microscopy structure of the spike protein the virus uses to gain entry to host cells in a 19 February Science paper (https://scim.ag/2WxQ8lY). The insights from their study are already helping to inform vaccines against SARS-CoV-2. On Friday, the coauthors of this study, Jason McLellan and Barney Graham, discussed via Facebook Live how they visualized the spike protein, as well as how their work to improve understanding of SARS-CoV2 viral structure will inform therapeutics against this virus going forward. Show less Show more
    1. in a nutshell, we are asking students to be 1) conspicuously more organized and disciplined, and to take a lot more highly regulated actions, at least in relation to health and symptomatology, 2) be much more socially isolated than before given social distancing and group restrictions; 3) commit to serious communitarian behaviors and attitudes that would be needed in order to comply with many, many additional requests from campus, and 4) tolerate much more uncertainty than normal. 
    1. In unprecedented times, uncertainty abounds. The onset of a global pandemic is no exception. The pandemic is changing the ways we work, socialize, learn, and prosper. To better understand the societal impacts and challenges shaped by COVID-19, we are partnering with the University of Illinois Interdisciplinary Health Sciences Institute for a new series: Ask the Experts: Understanding Contemporary Challenges in the Time of COVID-19
    1. The COVID-19 outbreak is one of the most challenging experiences our society has faced. It is also very much a social and behavioral science issue. Until we have a vaccine or therapeutics that can treat the disease, our primary tools for mitigating the impact of COVID-19 are social and behavioral in nature. Social distancing, washing our hands, not touching our faces, confronting isolation, and coordinating with others, require changes in our behaviors and social conditions that will be transformative for our society and for each of us as individuals. The disease itself will affect some parts of society more than others. Even if we find a way to treat the disease it will most likely change the way we behave and the way we relate to one another for many years. Additionally, coping with the stress of the disease and the convulsion it will cause our society necessitates bringing to bear resources from social policy, and mental as well as physical health. As all of these issues are the purview of social and behavioral scientists, we are sharing information curated by the CSBS team on the social and behavioral issues raised by COVID-19. The goal of this page is to inform and provide resources for the CSBS community in Champaign-Urbana and beyond.
    1. The darkly funny memoir of Sarah Ramey’s years-long battle with a mysterious illness that doctors thought was all in her head—but wasn’t. A revelation and an inspiration for millions of women whose legitimate health complaints are ignored.In her harrowing, defiant, and unforgettable memoir, Sarah Ramey recounts the decade-long saga of how a seemingly minor illness in her senior year of college turned into a prolonged and elusive condition that destroyed her health but that doctors couldn't diagnose or treat. Worse, as they failed to cure her, they hinted that her devastating symptoms were psychological.     The Lady's Handbook for Her Mysterious Illness is a memoir with a mission: to help the millions of (mostly) women who suffer from unnamed or misunderstood conditions--autoimmune illnesses, fibromyalgia and chronic fatigue syndrome, chronic Lyme disease, chronic pain, and many more. Ramey's pursuit of a diagnosis and cure for her own mysterious illness becomes a page-turning medical mystery that reveals a new understanding of today's chronic illnesses as ecological in nature, driven by modern changes to the basic foundations of health, from the quality of our sleep, diet, and social connections to the state of our microbiomes. Her book will open eyes, change lives, and, ultimately, change medicine.
    1. In the bestselling tradition of Stuff Matters and The Disappearing Spoon a clever and engaging look at materials, the innovations they made possible, and how these technologies changed us. In The Alchemy of Us, scientist and science writer Ainissa Ramirez examines eight inventions--clocks, steel rails, copper communication cables, photographic film, light bulbs, hard disks, scientific labware, and silicon chips--and reveals how they shaped the human experience. Ramirez tells the stories of the woman who sold time, the inventor who inspired Edison, and the hotheaded undertaker whose invention pointed the way to the computer. She describes, among other things, how our pursuit of precision in timepieces changed how we sleep; how the railroad helped commercialize Christmas; how the necessary brevity of the telegram influenced Hemingway's writing style; and how a young chemist exposed the use of Polaroid's cameras to create passbooks to track black citizens in apartheid South Africa. These fascinating and inspiring stories offer new perspectives on our relationships with technologies. Ramirez shows not only how materials were shaped by inventors but also how those materials shaped culture, chronicling each invention and its consequences--intended and unintended. Filling in the gaps left by other books about technology, Ramirez showcases little-known inventors--particularly people of color and women--who had a significant impact but whose accomplishments have been hidden by mythmaking, bias, and convention. Doing so, she shows us the power of telling inclusive stories about technology. She also shows that innovation is universal--whether it's splicing beats with two turntables and a microphone or splicing genes with two test tubes and CRISPR.
    1. In the tradition of Susan Cain's Quiet and Scott Stossel's My Age of Anxiety, Atlantic staff writer Olga Khazan reclaims the concept of "weird" and turns it into a badge of honor rather than a slur, showing how being different -- culturally, socially, physically, or mentally -- can actually be a person's greatest strength.Most of us have at some point in our lives felt like an outsider, sometimes considering ourselves "too weird" to fit in. Growing up as a Russian immigrant in West Texas, Olga Khazan always felt there was something different about her. This feeling has permeated her life, and as she embarked on a science writing career, she realized there were psychological connections between this feeling of being an outsider and both her struggles and successes later in life. She decided to reach out to other people who were unique in their environments to see if they had experienced similar feelings of alienation, and if so, to learn how they overcame them. Weird is based on in-person interviews with many of these individuals, such as a woman who is professionally surrounded by men, a liberal in a conservative area, and a Muslim in a predominantly Christian town. In addition, it provides actionable insights based on interviews with dozens of experts and a review of hundreds of scientific studies.Weird explores why it is that we crave conformity, how that affects people who are different, and what they can do about it. First, the book dives into the history of social norms and why some people hew to them more strictly than others. Next, Khazan explores the causes behind-and the consequences of-social rejection. She then reveals the hidden upsides to being "weird," as well as the strategies that people who are different might use in order to achieve success in a society that values normalcy. Finally, the book follows the trajectories of unique individuals who either decided to be among others just like them; to stay weird; or to dwell somewhere in between.Combining Khazan's own story with those of others and with fascinating takeaways from cutting-edge psychology research, Weird reveals how successful individuals learned to embrace their weirdness, using it to their advantage.
    1. Ask any expert in infectious diseases and they’ll tell you that when it comes to pandemics, it’s not a question of if we’ll have another one. It’s a question of when. Today’s episode investigates what the most likely killers might be, and whether we’re prepared or not.
    1. New discoveries, everyday mysteries, and the science behind the headlines — all in about 10 minutes, every weekday. It's science for everyone, using a lot of creativity and a little humor. Join host Maddie Sofia for science on a different wavelength.
    1. Missing documentation and obsolete environments force participants in the Ten Years Reproducibility Challenge to get creative.
    1. Pseudoscience and government conspiracy theories swirl on social media, though most of them stay largely confined to niche communities. In the case of COVID-19, however, a combination of anger at what some see as overly restrictive government policies, conflicting information about treatments and disease spread, and anxiety about the future has many people searching for facts...and finding misinformation. This dynamic creates an opportunity for determined people and skilled marketers to fill the void - to create content and produce messages designed to be shared widely.
    1. The world is in the middle of a global educational emergency. One billion children are out of school because of the Covid-19 crisis; of those, roughly 400 million have lost access to free school meals. Many young people are behind on learning and have lost the structure of a routine. For those living in abusive households, school was a safe space where they could access supportive adults. As countries learn to live with the reality of coronavirus, reopening schools is one of the largest challenges they face. Parents should be kept largely off-site, and teachers should be cautious around one another In the UK, the hardest part of this isn’t opening schools, but ensuring they stay open in the foreseeable future. As the experiences of Israel and several states in the US have shown, if cases jump quickly and community transmission is high, it becomes difficult to keep schools open. Continual outbreaks and cases of Covid-19 within schools can also dent the confidence of parents and teachers, and spur a move towards online learning: in the US, for example, only one in seven parents says their children are returning to school full-time.
    1. The University reported a 31.3 percent positivity rate of COVID-19 tests last week — more than double the 13.6 percent positivity rate from the first week of class. 
    1. Processing information about probabilities is an integral part of decision making under risk. Even when objective probabilities are explicitly provided, people tend to distort them, which is reflected by an inverted S‐shaped probability weighting function. Such distortions depend on different factors such as numeracy and affect. The present study contributes to the understanding of how people use probabilities in risky decision making by introducing the concept of consistency in probability processing―a measure of how coherent people are in using objective probabilities. We hypothesized that consistency would depend on factors similar to those that influence the shape of the probability weighting function. Moreover, we predicted that probability processing consistency would be related to better decision outcomes in an experimental betting task. In three experiments, participants were presented with the probability of a potential gain/loss and had to place a bet on a given chance to maximize their total earnings. We defined probability processing consistency as the variance of bets placed on the same probability value, with higher variance indicating lower consistency. We found that consistency in probability processing was lower in relatively affect‐rich conditions and greater for people with higher numeracy. Additionally, people who exhibited more consistent processing of probabilities gained higher earnings from the experimental task irrespective of whether their betting strategy was optimal and of their risk preference. Our findings imply that consistency in processing probabilities may be an important factor in understanding betting strategies and the quality of decisions.
    1. In this chapter, we provide a necessarily brief and partial survey of recent work in the cognitive sciences directly on or closely related to the psychology of fake news, in particular fake news in the political domain. We focus on whether and why people believe fake news. While we argue that it is likely that a large proportion of people who purport to believe fake news really do, we provide evidence that this proportion might be significantly smaller than is usually thought (and smaller than is suggested by surveys). Assertion of belief is inflated, we suggest, by insincere report, whether to express support for one side of political debate or simply for fun. It is also inflated by the use of motivated inference of one sort or another, which lead respondents to report believing things about which they had no opinion prior to being probed. We then turn to rival accounts that aim to explain why people believe in fake news when they do. While partisan explanations, turning on motivated reasoning, are probably best known, we show they face serious challenges from accounts that explain belief by reference to analytic thinking.
    1. We develop a theory to measure the variance and covariance of probability distributions defined on the nodes of a graph, which takes into account the distance between nodes. Our approach generalizes the usual (co)variance to the setting of weighted graphs and retains many of its intuitive and desired properties. Interestingly, we find that a number of famous concepts in graph theory and network science can be reinterpreted in this setting as variances and covariances of particular distributions: we show this correspondence for Kemeny's constant, the Kirchhoff index, network modularity and Markov stability. As a particular application, we define the maximum-variance problem on graphs with respect to the effective resistance distance, and characterize the solutions to this problem both numerically and theoretically. We show how the maximum-variance distribution can be interpreted as a core-periphery measure, illustrated by the fact that these distributions are supported on the leaf nodes of tree graphs, low-degree nodes in a configuration-like graph and boundary nodes in random geometric graphs. Our theoretical results are supported by a number of experiments on a network of mathematical concepts, where we use the variance and covariance as analytical tools to study the (co-)occurrence of concepts in scientific papers with respect to the (network) relations between these concepts.
    1. Peer review is a cornerstone of modern scientific endeavor. However, there is growing consensus that several limitations of the current peer review system, from lack of incentives to reviewers to lack of transparency, risks to undermine its benefits. Here, we introduce the PRINCIPIA (http://www.principia.network/) framework for peer-review of scientific outputs (e.g., papers, grant proposals or patents). The framework allows key players of the scientific ecosystem -- including existing publishing groups -- to create and manage peer-reviewed journals, by building a free market for reviews and publications. PRINCIPIA's referees are transparently rewarded according to their efforts and the quality of their reviews. PRINCIPIA also naturally allows to recognize the prestige of users and journals, with an intrinsic reputation system that does not depend on third-parties. PRINCIPIA re-balances the power between researchers and publishers, stimulates valuable assessments from referees, favors a fair competition between journals, and reduces the costs to access research output and to publish.
    1. Is there a universal economic pathway individual cities recapitulate over and over? This evolutionary structure—if any—would inform a reference model for fairer assessment, better maintenance, and improved forecasting of urban development. Using employment data including more than 100 million U.S. workers in all industries between 1998 and 2013, we empirically show that individual cities indeed recapitulate a common pathway where a transition to innovative economies is observed at the population of 1.2 million. This critical population is analytically derived by expressing the urban industrial structure as a function of scaling relations such that cities are divided into two economic categories: small city economies with sublinear industries and large city economies with superlinear industries. Last, we define a recapitulation score as an agreement between the longitudinal and the cross-sectional scaling exponents and find that nontradeable industries tend to adhere to the universal pathway more than the tradeable.
    1. Large-scale collaborative projects recently demonstrated that several key findings from the social-science literature could not be replicated successfully. Here, we assess the extent to which a finding’s replication success relates to its intuitive plausibility. Each of 27 high-profile social-science findings was evaluated by 233 people without a Ph.D. in psychology. Results showed that these laypeople predicted replication success with above-chance accuracy (i.e., 59%). In addition, when participants were informed about the strength of evidence from the original studies, this boosted their prediction performance to 67%. We discuss the prediction patterns and apply signal detection theory to disentangle detection ability from response bias. Our study suggests that laypeople’s predictions contain useful information for assessing the probability that a given finding will be replicated successfully.
    1. Zwaan, Etz, Lucas, and Donnelan (2017) argue convincingly that replication needs to be more mainstream. Here, I suggest three practices for achieving that goal: Incremental Replications, which are replications built into each experiment in a series of experiments; Reciprocal Replications, which are reciprocal arrangements of co-replications across labs, and Didactic Replications, which are replications used for training.
    1. Four times as many adolescents are physically abused compared with younger children in England, analysis of police-recorded offences shows, with incidents against 11- to 18-year-olds soaring during the coronavirus lockdown.The numbers and rates of recorded physical abuse offences against older children in England and Wales have increased since 2014-15, the NSPCC said in a report.
    1. In this paper, we present an unsupervised graph-based approach for the detection of symptoms of COVID-19, the pathology of which seems to be evolving. More generally, the method can be applied to finding context-specific words and texts (e.g. symptom mentions) in large imbalanced corpora (e.g. all tweets mentioning #COVID-19). Given the novelty of COVID-19, we also test the proposed approach generalizes to the problem of detecting Adverse Drug Reaction (ADR). We find that the approach applied on Twitter data can detect symptom mentions much prior to their being reported by the Centers for Disease Control (CDC).
    1. Younger teenagers in the South West of England felt less anxious and more connected to school when they were away from it during the COVID-19 global pandemic public lockdown, a first-of-its-kind study has found.
    1. Social gatherings provoke moral indignation—but bringing in law enforcement will promote injustice, not reduce infections.
    1. Nowadays, one of the challenges we face when carrying out modeling of epidemic spreading is to develop methods to control disease transmission. In this article we study how the spreading of knowledge of a disease affects the propagation of that disease in a population of interacting individuals. For that, we analyze the interaction between two different processes on multiplex networks: the propagation of an epidemic using the susceptible-infected-susceptible dynamics and the dissemination of information about the disease—and its prevention methods—using the unaware-aware-unaware dynamics, so that informed individuals are less likely to be infected. Unlike previous related models where disease and information spread at the same time scale, we introduce here a parameter that controls the relative speed between the propagation of the two processes. We study the behavior of this model using a mean-field approach that gives results in good agreement with Monte Carlo simulations on homogeneous complex networks. We find that increasing the rate of information dissemination reduces the disease prevalence, as one may expect. However, increasing the speed of the information process as compared to that of the epidemic process has the counterintuitive effect of increasing the disease prevalence. This result opens an interesting discussion about the effects of information spreading on disease propagation.
    1. Addressing issues with the reproducibility of results is critical for scientific progress, but conflicting ideas about the sources of and solutions to irreproducibility are a barrier to change. Prior work has attempted to address this problem by creating analytical definitions of reproducibility. We take a novel empirical, mixed methods approach to understanding variation in reproducibility conversations, which yields a map of the discursive dimensions of these conversations. This analysis demonstrates that concerns about the incentive structure of science, the transparency of methods and data, and the need to reform academic publishing form the core of reproducibility discussions. We also identify three clusters of discussion that are distinct from the main group: one focused on reagents, another on statistical methods, and a final cluster focused the heterogeneity of the natural world. Although there are discursive differences between scientific and popular articles, there are no strong differences in how scientists and journalists write about the reproducibility crisis. Our findings show that conversations about reproducibility have a clear underlying structure, despite the broad scope and scale of the crisis. Our map demonstrates the value of using qualitative methods to identify the bounds and features of reproducibility discourse, and identifies distinct vocabularies and constituencies that reformers should engage with to promote change.
    1. In the early/mid 20th century, scientists and philosophers advocated for a scientific framework that valued objectivity and certainty. This framework was committed to the value-free ideal, which held that social, political, ethical, and personal values are irrelevant to the process of science. This value system was adopted, both in science and public education systems. Indeed, the value of objectivity is thought to be synonymous with sound scientific practice. However, the “replication crisis” showed objectivity and certainty are illusory, and a value-system that favors objectivity may actually incentivize researchers to hide their biases. Over the last few years, a new value system is emerging, one that embraces uncertainty, encourages openness and transparency, and recognizes bias inherent in the scientific enterprise. These values conflict with those of the previous system, which creates discord among the scientific community. In this paper, we trace the origins of the existing value system and delineate new values emerging in the post-replication-crisis scientific community. This new set of values, objectified by the open science movement, recognizes the scientific process as a social enterprise. Neither set of values is inherently better, but both are reactions to the social environment in which researchers participate. What is important, however, is to recognize the significance of personal values in scientific discovery and to open dialogue about how to leverage these values. We conclude with recommendations about how to overcome both discord and the current incentive structure to increase the validity and reputability of science.
    1. We found that official information about COVID-19 exceeded the recommended reading level, exhibited complex syntax, and used technical terminology. The significant difference in use of difficult terms between the CDC and state resources may reflect the influence of federal oversight mandating government communication that is understandable to the public. Limitations included the focus on text, with no evaluation of multimedia communication, and lack of data about actual comprehension or relevant outcomes such as adherence to mitigation strategies. Nonadherence to readability standards may have a greater influence in communities with lower health literacy, potentially exacerbating the disparate effects of the pandemic. As such, efforts should focus on the urgent development of plain-language COVID-19 resources that conform to established guidelines for clear communication and are more accessible to all audiences.
    1. Controlling the spread of COVID-19 - even after a licensed vaccine is available - requires the effective use of non-pharmaceutical interventions: physical distancing, limits on group sizes, mask wearing, etc. To date, such interventions have neither been uniformly nor systematically implemented in most countries. For example, even when under strict stay-at-home orders, numerous jurisdictions granted exceptions and/or were in close proximity to locations with entirely different regulations in place. Here, we investigate the impact of such geographic inconsistencies in epidemic control policies by coupling search and mobility data to a simple mathematical model of SARS-COV2 transmission. Our results show that while stay-at-home orders decrease contacts in most areas of the US, some specific activities and venues often see an increase in attendance. Indeed, over the month of March 2020, between 10 and 30% of churches in the US saw increases in attendance; even as the total number of visits to churches declined nationally. This heterogeneity, where certain venues see substantial increases in attendance while others close, suggests that closure can cause individuals to find an open venue, even if that requires longer-distance travel. And, indeed, the average distance travelled to churches in the US rose by 13% over the same period. Strikingly, our model reveals that across a broad range of model parameters, partial measures can often be worse than none at all where individuals not complying with policies by traveling to neighboring areas can create epidemics when the outbreak would otherwise have been controlled. Taken together, our data analysis and modelling results highlight the potential unintended consequences of inconsistent epidemic control policies and stress the importance of balancing the societal needs of a population with the risk of an outbreak growing into a large epidemic.
    1. One of the hallmarks of the COVID-19 pandemic in the United States is that the disease disproportionately strikes people of color. But it doesn’t have to be that way, a new study suggests.Researchers analyzed more than 11,000 COVID-19 patients who were sick enough to seek treatment at a hospital and found that Black Americans in the study were no more likely to die of the disease than their white counterparts. Even when they zeroed in on the sickest patients — those who were admitted to an intensive care unit and who had to be put on ventilators — the results were the same.
    1. a group of professors have built a preprint server for education research, with the hope of speeding up the pace of research and reaching communities of teachers and parents. The effort is called EdArXiv (pronounced “ed-archive”). The odd spelling follows the formula set by that pioneering physics preprint server, arXiv, and the new server uses the same underlying software. In disciplines where sharing papers on preprint website is routine—including physics, computer science and mathematics—papers that have early versions posted end up getting cited more widely once they hit official journals, says Amanda Montoya, assistant professor of psychology at UCLA, who is the vice chair of the EdArXiv steering committee.One win for education, she stresses, is that it is a field where a large number of people could benefit from freely accessible findings—teachers, parents and policymakers. “None of those people are people who have all the resources of a university library,” she says.
    1. In recent years, social media has become a ubiquitous and integral part of social networking. One of the major attentions made by social researchers is the tendency of like-minded people to interact with one another in social groups, a concept which is known as Homophily. The study of homophily can provide eminent insights into the flow of information and behaviors within a society and this has been extremely useful in analyzing the formations of online communities. In this paper, we review and survey the effect of homophily in social networks and summarize the state of art methods that has been proposed in the past years to identify and measure the effect of homophily in multiple types of social networks and we conclude with a critical discussion of open challenges and directions for future research.
    1. The public appetite for scientific evidence during the coronavirus pandemic has been voracious. But communicating it well is a fiendish challenge. How can governments give clear advice while also acknowledging uncertainty? How can scientists debate complex evidence while supporting strong interventions? And how can the media scrutinise public health measures without undermining them?
    1. The retraction of a Trojan horse paper on the novel coronavirus has called into question the validity of another article in the same journal which found that hydroxychloroquine is effective against Covid-19. 
    1. In this video I explain what flat earthers believe, why they believe it, and why I think scientists should take flat earthers more seriously.
    1. Las Vegas casinos, open for months now, are a likely hotbed for the spread of COVID-19. For many reasons, contact tracing has proved next to impossible as tourists return to homes across the U.S.
    1. Welcome to COVID-19 Living Evidence. This database is updated daily with published articles from Pubmed and EMBASE and with preprints from medRxiv and bioRxiv. We only include research about SARS-CoV-2 and COVID-19
    1. Is it safe to fly with the coronavirus still circulating? That depends partly on where you are. But while hard evidence is scarce, it appears the risk of being infected with the coronavirus during a flight is relatively low. “Overall, planes are probably safer than poorly ventilated pubs, where similar densities of people do not wear masks and talk a lot and loudly,” says Julian Tang at the University of Leicester in the UK.
    1. Psychology researchers are rapidly adopting open science practices, yet clear guidelines on how to apply these practices to meta-analysis remain lacking. In this tutorial, we describe why open science is important in the context of meta-analysis in psychology, and suggest how to adopt the three main components of open science: preregistration, open materials, and open data. We first describe how to make the preregistration as thorough as possible—and how to handle deviations from the plan. We then focus on creating easy-to-read materials (e.g., search syntax, R scripts) to facilitate reproducibility and bolster the impact of a meta-analysis. Finally, we suggest how to organize data (e.g., literature search results, data extracted from studies) that are easy to share, interpret, and update as new studies emerge. For each step of the meta-analysis, we provide example templates, accompanied by brief video tutorials, and show how to integrate these practices into the Open Science Framework (https://osf.io/q8stz/).
    1. The frequent emergence of diseases with the potential to become threats at local and global scales, such as influenza A(H1N1), SARS, MERS, and recently COVID-19 disease, makes it crucial to keep designing models of disease propagation and strategies to prevent or mitigate their effects in populations. Since isolated systems are exceptionally rare to find in any context, especially in human contact networks, here we examine the susceptible-infected-recovered model of disease spreading in a multiplex network formed by two distinct networks or layers, interconnected through a fraction q<math xmlns="http://www.w3.org/1998/Math/MathML"><mi>q</mi></math> of shared individuals (overlap). We model the interactions through weighted networks, because person-to-person interactions are diverse (or disordered); weights represent the contact times of the interactions. Using branching theory supported by simulations, we analyze a social distancing strategy that reduces the average contact time in both layers, where the intensity of the distancing is related to the topology of the layers. We find that the critical values of the distancing intensities, above which an epidemic can be prevented, increase with the overlap q<math xmlns="http://www.w3.org/1998/Math/MathML"><mi>q</mi></math>. Also we study the effect of the social distancing on the mutual giant component of susceptible individuals, which is crucial to keep the functionality of the system. In addition, we find that for relatively small values of the overlap q<math xmlns="http://www.w3.org/1998/Math/MathML"><mi>q</mi></math>, social distancing policies might not be needed at all to maintain the functionality of the system.
    1. Openness in research can lead to greater reproducibility, an accelerated pace of discovery, and decreased redundancy of effort. In addition, open research ensures equitable access to knowledge and the ability for any community to assess, interrogate, and build upon prior work. It also requires open infrastructure and distributed access; but few institutions can provide all of these services alone. Providing a trustworthy network for perpetual availability of research data is critical to ensuring reproducibility, transparency, and ongoing inquiry. Increased attention on the importance of open research and data sharing has led to a proliferation of platforms to store data, materials, etc., with limited technical integration. This can hinder data sharing, but also complicate coordination with local library expertise and services, thus hampering curation and long-term stewardship. For example, the open source OSF enables researchers to directly create and manage research projects and integrates with other tools researchers use (Google Drive, Dropbox, Box, etc.), but lacks the ability to archive that material locally at a researcher’s institution. Long-term stewardship and preservation requires multiple copies of data archived in different locations, and creating archives seamlessly would be ideal. COS and IA are working together to address these preservation and stewardship challenges by providing open, cooperative infrastructure to ensure long-term access and connection to research data, and by supporting and promoting adoption of open science practices to enhance research reproducibility as well as data sharing and reuse. In this webinar, attendees will learn about both the technical and practical aspects of this collaborative project connecting the researcher tool OSF and the preservation system of Internet Archive. We demonstrate how researchers can improve the openness and reproducibility of their research through preregistration, and how those preregistrations are preserved with Internet Archive. We answer questions and explore use cases for how this powerful workflow can support library curation and stewardship of open research.
    2. Does the digital economy need new regulation to improve citizens’ safety online? When does illegal become harmful? What oversight does regulation involve and what role should social media companies have? How can privacy enhancing technologies help with regards to online harms? Join leading researchers and industry advocates for a discussion on the outlook for online harms and how AI is countering disinformation.
    3. David Spiegelhalter is Chair of the Winton Centre for Risk and Evidence Communication in the University of Cambridge, which aims to improve the way that statistical evidence is used by health professionals, patients, lawyers, media and policy-makers. Apart from academic publications, he has written The Norm Chronicles (with Michael Blastland), Sex by Numbers, and the recently-published The Art of Statistics. He presented the BBC4 documentaries Tails you Win: the Science of Chance and the award-winning Climate Change by Numbers. He was elected Fellow of the Royal Society in 2005, knighted in 2014 for services to medical statistics, and was President of the Royal Statistical Society for 2017-2018. His greatest achievement came in 2011, when he was 7th in an episode of Winter Wipeout.
    4. Since the start of the global pandemic and nationwide protests against racial injustices, there has been a flood of information online. As new information hits our newsfeeds daily, there’s still a lot of uncertainty around the virus and response to the protests. How does the unpredictable nature of the current situations make us susceptible to consuming and potentially sharing misinformation?
    1. Getting children back into school is a “moral duty”, Boris Johnson has declared, despite the open question of how well prepared UK schools are to prevent the spread of Covid-19 – especially with the chief medical officer for England warning that “we have probably reached near the limit or the limits of what we can do in terms of opening up society”. Yet much less is being said about the return of university students to face-to-face teaching this autumn. Many of the 2.5 million students in higher education, most of them undergraduates, will shortly be flooding into towns and cities far from home, more than half a million of them for the first time. They will come into contact with untold millions of local residents, but most closely with nearly half a million university employees, especially those whose job it is to teach them.
    1. Management strategies for control of vector-borne diseases, for example Zika or dengue, include using larvicide and/or adulticide, either through large-scale application by truck or plane or through door-to-door efforts that require obtaining permission to access private property and spray yards. The efficacy of the latter strategy is highly dependent on the compliance of local residents. Here we develop a model for vector-borne disease transmission between mosquitoes and humans in a neighborhood setting, considering a network of houses connected via nearest-neighbor mosquito movement. We incorporate large-scale application of adulticide via aerial spraying through a uniform increase in vector death rates in all sites, and door-to-door application of larval source reduction and adulticide through a decrease in vector emergence rates and an increase in vector death rates in compliant sites only, where control efficacies are directly connected to real-world experimentally measurable control parameters, application frequencies, and control costs. To develop mechanistic insight into the influence of vector motion and compliance clustering on disease controllability, we determine the the basic reproduction number R0 for the system, provide analytic results for the extreme cases of no mosquito movement, infinite hopping rates, and utilize degenerate perturbation theory for the case of slow but non-zero hopping rates. We then determine the application frequencies required for each strategy (alone and combined) in order to reduce R0 to unity, along with the associated costs. Cost-optimal strategies are found to depend strongly on mosquito hopping rates, levels of door-to-door compliance, and spatial clustering of compliant houses, and can include aerial spray alone, door-to-door treatment alone, or a combination of both. The optimization scheme developed here provides a flexible tool for disease management planners which translates modeling results into actionable control advice adaptable to system-specific details.
    1. You may think that statistical causal inference is about inferring causation. You may think that it can not be tackled with standard statistical tools, but requires additional structure, such as counterfactual reasoning, potential responses or graphical representations. I shall try to disabuse you of such woolly misconceptions by locating statistical causality firmly within the scope of traditional statistical decision theory. From this viewpoint, the enterprise of "statistical causality" could fruitfully be rebranded as "assisted decision making".

    1. For knowledge to benefit research and society, it must be trustworthy. Trustworthy research is robust, rigorous, and transparent at all stages of design, execution, and reporting. Assessment of researchers still rarely includes considerations related to trustworthiness, rigor, and transparency. We have developed the Hong Kong Principles (HKPs) as part of the 6th World Conference on Research Integrity with a specific focus on the need to drive research improvement through ensuring that researchers are explicitly recognized and rewarded for behaviors that strengthen research integrity. We present five principles: responsible research practices; transparent reporting; open science (open research); valuing a diversity of types of research; and recognizing all contributions to research and scholarly activity. For each principle, we provide a rationale for its inclusion and provide examples where these principles are already being adopted.
    1. Peer review is a cornerstone of modern scientific endeavor. However, there is grow-ing consensus that several limitations of the current peer review system, from lack ofincentives to reviewers to lack of transparency, risks to undermine its benefits. Here,we introduce the PRINCIPIAabframework for peer-review of scientific outputs (e.g.,papers, grant proposals or patents). The framework allows key players of the scientificecosystem – including existing publishing groups – to create and manage peer-reviewedjournals, by building a free market for reviews and publications. PRINCIPIA’s refereesare transparently rewarded according to their efforts and the quality of their reviews.PRINCIPIA also naturally allows to recognize the prestige of users and journals, withan intrinsic reputation system that does not depend on third-parties. PRINCIPIA re-balances the power between researchers and publishers, stimulates valuable assessmentsfrom referees, favors a fair competition between journals, and reduces the costs to accessresearch output and to publish
    1. However, with inadequate details on the trials and only superficial scrutiny by the public and scientific decision makers, the consequences have had disastrous effects on other clinical trial funding, permissions, recruitment, and interpretation.
    1. A new saliva-based diagnostic does not require a “brain-tickling” swab, and it can be used with a range of chemical reagents
    1. The COVID-19 pandemic has seen health and medical research promoted as countries establish resilient health systems and rapidly responsive prevention, detection, and treatment methods. However, the pandemic will probably negatively affect the capacity and outcomes of the health and medical research sector itself.1
    1. A crucial area in which information overload is experienced is news consumption. Ever increasing sources and formats are becoming available through a combination of traditional and new (digital) media, including social media. In such an information and media rich environment, understanding how people access and manage news during a global health epidemic like COVID-19 becomes even more important. The designation of the current situation as an infodemic has raised concerns about the quality, accuracy and impact of information. Instances of misinformation are commonplace due, in part, to the speed and pervasive nature of social media and messaging applications in particular. This paper reports on data collected using media diaries from 15 university students in the United Arab Emirates documenting their news consumption in April 2020. Faced with a potentially infinite amount of information and news, participants demonstrate how they are managing news overload (MNO) using a number of complementary strategies. Results show that while consumption patterns vary, all diaries indicate that users’ ability to navigate the news landscape in a way that fulfils their needs is influenced by news sources; platform reliability and verification; sharing activity; and engagement with news.
    1. Honest disclosures of COVID-19 behaviors and symptoms is critical. A sample of adults on MTurk (N = 451, 20–82 years of age) were asked if they have concealed social distancing practices, COVID-19 symptoms, and quarantine instructions, as well as how they evaluated others’ COVID-19 concealment. Those who believed they had contracted COVID-19 engaged in greater rates of concealment and evaluated concealment more positively compared to those without the virus. As age and communal orientation increased, COVID-19 concealment behaviors decreased, and evaluations of this concealment were rated more negatively. Implications for public health initiatives and psychological theory on concealing health information is discussed.
    1. Making work freely available online allows psychological scientists to get feedback on scholarly work in progress, speed dissemination of work, and ensure public access to completed work. Public access to research (Open Access) manifests core scientific values. Most scholars support Open Access, and most publishers in psychology allow it. Yet, most scholarship in psychology is not accessible to the public. This paper offers information and guidance to psychological scientists who want to self-archive their work. We first review terminology and provide a historical and legal overview of Open Access, and then give step by step guidance to psychological scientists who want to self-archive their work informed by legal, ethical, and logistical constraints.
    1. Objective: We study employee perspectives on return to physical workspaces to ultimately inform employers’ and policy makers’ decision making around the return to work during COVID-19. Methods: We tested the three-component conceptual model using survey data collected in the United States in May 2020 from samples of energy workers (N = 333). Results: Females, non-Caucasians, and employees living in multi-generational households were less willing to return. Concerns about childcare were negatively related to willingness to return, whereas organizational strategies for mitigating COVID-19 transmission at work were positively related to willingness to return. COVID-19 infections in an employees’ network were also negatively related to employees’ willingness to return. Conclusions: Blanket policies may miss the nuanced needs of different employee groups. Employers and policy makers should adopt flexible approaches to ensure a return to workspaces that addresses employee concerns and needs.
    1. Do we praise prosocial acts because they produce social benefits or because they entail a personal sacrifice? Six studies demonstrate that consumers primarily rely on personal cost rather than social benefit when evaluating prosocial actors. This occurs because sacrifice, but not benefit, is taken as a signal of moral character and an input to reputational judgments (Studies 1 and 2), reflecting a “character = sacrifice” heuristic predicted by costly signaling theory. The studies test four possible boundary conditions, finding that the effects are similar for actions that benefit one’s own country versus foreigners (Study 3), but differ for donations of time (Study 4), when information about personal sacrifice is unavailable (Study 5), and when high-cost but ineffective acts are pitted directly against low-cost but effective acts in joint evaluation (Study 6). These results help to account for the ineffectiveness of many charitable activities but also suggest directions for incentivizing effective charity.
    1. Most countries in the world recommend or mandate face masks in public places during the COVID-19 pandemic. Yet, until very recently, no studies have examined the potentially adverse effect of face masks on face-touching. Here, we video observed face-touching behavior among members of the public in Amsterdam, the Netherlands, during the pandemic. Our confirmatory analysis shows that face masks are not associated with face-touching, defined as touches of the face or the mask. However, a subsequent exploratory analysis found suggestive evidence that face masks are specifically associated with direct face contact. Our results add to the growing body of evidence suggesting that face masks are either not associated or negatively associated with face-touching, and thus are unlikely to have any adverse self-touching effect, as this has been raised as a concern.
    1. Decades of work has been dedicated to developing and testing models that characterize how people make inter-temporal choices. Although parameter estimates from these models are often interpreted as indices of latent components of the choice process, little work has been done to examine their reliability. This is problematic, because estimation error can bias conclusions that are drawn from these parameter estimates. We examine the reliability of inter-temporal choice model parameter estimates by conducting a parameter recovery analysis of 11 prominent models. We find that the reliability of parameter estimation varies considerably between models and the experimental designs upon which parameter estimates are based. We conclude that many parameter estimates reported in previous research are likely unreliable and provide recommendations on how to enhance reliability for those wishing to use inter-temporal choice models for measurement purposes.
    1. Coalitions have a long history as part of the field of community psychology. While community psychologists often work with coalitions, these entities engage in a wide range of activities and structures that are not well defined within the field. In this paper, we explore the following questions: (1) What are the characteristics of coalitions that community psychologists study? (2) What are the themes in the way authors define coalitions in their work? To address these questions, we conducted a systematic review of articles about coalitions in journals serving community psychologists. Findings suggest coalitions can be characterized by a focus on local level community issues around health and wellness and include a diverse group of stakeholders. Coalitions are defined by a focus on three types of coordination: knowledge coordination, negotiated coordination, and action coordination. These types of coordination are used to address specific problems coalitions encounter and define the goals and techniques appropriate for resolving them.
    1. Decades of research has pointed to emotion regulation (ER) as a critical ingredient for health, well-being, and social functioning. However, the vast majority of this research has examined emotion regulation in a social vacuum, despite the fact that in everyday life individuals frequently regulate their emotions with help from other people. The present collection of pre-registered studies examined whether social help increases the efficacy of reappraisal, a widely-studied ER strategy that involves changing how one thinks about emotional stimuli. In Study 1 (N = 40 friend pairs), we compared the efficacy of reinterpreting the content of negative stimuli alone (independent ER) to listening to a friend reinterpret the stimuli (social ER). We found that social ER was more effective than independent ER, and that the efficacy of these strategies was correlated within individuals. In Studies 2 and 3, we replicated effects from Study 1, and additionally tested alternate explanations for our findings. In Study 2 (N = 40 individuals), we ruled out the possibility that social ER was more effective than independent ER due to a difference in the quality of reinterpretations, and in Study 3 (N = 40 friend pairs), we found that social help did not attenuate negative affect in the absence of reappraisal. In sum, we found that social help selectively potentiates the efficacy of reappraisal, and that this effect was not merely the outcome of social buffering. Together, these results provide insight into how social relationships can directly lend a hand in implementing ER strategies.
    1. Manipulation checks are thought to offer confidence in the validity of a causal explanation. As a general principle, it is worthwhile to have some degree of certainty that a manipulation or treatment caused variation in the independent variable of interest. However, this paper purports that manipulation checks do not pave the way towards inferential confidence. Specifically, this paper posits that a) manipulation checks do not improve our causal explanations, and b) that they are potential threats to internal validity. It is argued that rather than useful, manipulation checks are at best uninformative, but more likely compromise the interpretation of experimental results. As an alternative to manipulation checks, this paper proposes an approach to test a causal explanation which relies on falsification rather than confirmation. I conclude that rather than relying on manipulation checks as a ‘Band-Aid’ method to alleviate validity concerns, inferential rigor can be improved by attempting to cast doubt on the presumed explanation of the findings
    1. Background: Critics of Attention Deficit/Hyperactivity Disorder (ADHD) warn against overdiagnosis and overtreatment of millions of children. Objective: The goal of this article is to raise awareness to manipulations and "spins" that might occur in attention disorders research. Method: An in-depth inspection was conducted on a high-profile study that suggested that ADHD increases the risk for infection with COVID-19 and that stimulants reduce that risk1. Two additional studies by the same first author were inspected as well – one that was published in the same journal and one that relied on the same dataset. Results: Seven manipulations and spins were identified, including inappropriate operational definitions, misrepresentations, and omissions that produced bogus results and might have concealed potential adverse effects of medications on COVID-19 outcomes. Without correcting for these distortions, it is therefore not possible to determine that ADHD increases the risk of COVID-19 and that stimulant medications reduce this risk. Conclusions: The manipulations and spins identified in this article may raise awareness to poor methodologies and biases that occur in the field of attention disorders, mainly due to the contaminating influences of the pharmaceutical industry. In turn, these biases may contribute to the ethically problematic phenomena of overdiagnosis and overmedication. Altogether, this article may encourage physicians to apply healthy scientific skepticism and serve scientists who wish to conduct reliable and transparent research on ADHD and its related medications.
    1. Affective polarization is a defining feature of 21st century American politics—partisans harbor considerable dislike and distrust of those from the other party. Does this animus have consequences for citizens’ opinions? Such effects would highlight not only the consequences of polarization, but also shed new light onto how citizens form preferences more generally. Normally, this question is intractable, but the outbreak of the novel coronavirus allows us to answer it. We find that affective polarization powerfully shapes citizens’ attitudes about the pandemic, as well as the actions they have taken in response to it. However, these effects are conditional on the local severity of the outbreak, as the effects decline in areas with high caseloads—threat vitiates partisan reasoning. Our results clarify that closing the divide on important issues requires not just policy discourse but also attempts to reduce inter-partisan hostility.
    1. Background The COVID-19 pandemic has unprecedented consequences on population health, with governments worldwide issuing public health directives which have major impacts on normal living. In the absence of a vaccine, a key way to control the pandemic is through behavioural change: people adhering to transmission-reducing behaviours (TRBs), such as physical distancing, regular hand washing, and wearing face covering, especially when physical distancing is difficult. The application of behavioural science is central to understanding factors that influence adherence to TRBs. Non-adherence may be explained by theories of how people think about the illness (the common-sense model of self-regulation) and/or how they think about the TRBs (social cognition theory and protection motivation theory). In addition, outbreaks of infectious diseases and the measures employed to curb them are likely to have detrimental effects on people’s mental and general health. Therefore, in representative repeated surveys we will apply behavioural theories to model adherence to TRBs, explain variations in adherence, and the effects on mental and general health in the Scottish population from June to November 2020, following the initial outbreak of the COVID-19 pandemic. Methods Repeated 20-minute structured telephone surveys will be conducted with nationally representative random samples of 500 adults from throughout Scotland. The first 6 weeks the survey will be conducted weekly, thereafter fortnightly, for a total of 14 waves (total n=7000). Ipsos MORI will recruit participants through random digit dialling. The core survey will measure adherence to TRBs, mental and general health, and explanatory variables from the theories. Further questions will be added, enabling more detailed measurement of constructs in the core survey, additional themes, and questions that align with the evolving pandemic. Discussion This study will provide insights into the link between (changes in) adherence to TRBs and explanatory factors, and their effects on mental and general health, including event-related changes (e.g., when government directives change). Governments and other decision-makers may use these findings to tailor public health promotion, target specific population groups, and develop behaviourally informed interventions over the duration of the COVID-19 pandemic (along with any subsequent equivalent events) to protect health and limit the spread of COVID-19.
    1. Misinformation often has a continuing effect on people’s reasoning despite clear correction. One factor assumed to affect post-correction reliance on misinformation is worldview-driven motivated reasoning. For example, a recent study with an Australian undergraduate sample found that when politically-situated misinformation was retracted, political partisanship influenced the effectiveness of the retraction. This worldview effect was asymmetrical, that is, particularly pronounced in politically-conservative participants. However, the evidence regarding such worldview effects (and their symmetry) has been inconsistent. Thus, the present study aimed to extend previous findings by examining a sample of 429 pre-screened U.S. participants supporting either the Democratic or Republican Party. Participants received misinformation suggesting that politicians of either party were more likely to commit embezzlement; this was or was not subsequently retracted, and participants’ inferential reasoning was measured. While political worldview (i.e., partisanship) influenced the extent to which participants relied on the misinformation overall, retractions were equally effective across all conditions. There was no impact of political worldview on retraction effectiveness, let alone evidence of a backfire effect, and thus we did not replicate the asymmetry observed in the Australian-based study. This pattern emerged despite some evidence that Republicans showed a stronger emotional response than Democrats to worldview-incongruent misinformation.
    1. COVID-19 has plagued the globe since January 2020, infecting millions and claiming the lives of several hundreds of thousands (at the time of writing). Despite this, many individuals have ignored public health guidance and continued to socialize in groups. Emergent work has highlighted the potential role that ideology plays in such behavior, and judgements of it. In response to this contemporary cultural phenomenon, we tested whether judgements of those allegedly flouting the guidance on social distancing were influenced by an interaction between the ideologies of those providing judgements, and those allegedly breaking the rules. Our data suggest that judgements of those flouting social distancing guidance are influenced by ideology in a symmetrical way. That is, both liberals and conservatives condemn outgroup flouting more than ingroup flouting. We discuss this finding in the context of theoretical work into ideological symmetries, and the implications of growing ideological polarization in contemporary Western democracies.
    1. Religion and science are two major sources of knowledge. Some accounts suggest that religious belief inhibits people from trusting scientific information, and encourages conflict between religion and science. We draw from theories of human motivation to challenge this claim, instead suggesting that religious people perceive less conflict between science and religion than non-religious people, that religious—but not non-religious—people use both science and religion when they explain phenomena, and that religious people rely on science more than non-religious people think they do. Five studies support our account. A pilot study uses a large representative sample of Americans to show that religious people perceive less conflict between science and religion than non-religious people. Studies 1-2 show that religious people view religion and science as equally and moderately instrumental for explaining extraordinary events (Study 1) and life’s “big questions” (Study 2), whereas non-religious people view science as highly instrumental and religion as not at all so. Study 3 finds that non-religious people mischaracterize religious people as more reliant on religion and less reliant on science than they really are, and also suggests that religious people view science and religion as orthogonal whereas non-religious people view them as hydraulic. Study 4 applies these findings to the COVID-19 pandemic, showing that faith-based strategies of avoiding infection do not inhibit adoption of science-based strategies. Religious people may be more open to science than many non-religious people think.
    1. Introduction In this study, we aimed to explore the attitude of medical students toward their roles and social accountability in this pandemic era. An online survey asked questions covering the topics of 1) the role of medical students in the pandemic era; 2) Medical education in the ‘new normal,’ and 3) the impact of COVID-19 on medical students. Methods The online survey, developed by a team consisting of 3 medical students, 3 psychiatric residents, and 3 psychiatric professors, was distributed to medical students, graduates, and professors in a single South Korean medical school. Anxiety symptom rating scales, including the Stress and Anxiety to Viral Epidemic - 6 (SAVE-6) scale and the Generalized Anxiety Disorder - 7 (GAD-7) scale, were also applied to measure participant anxiety level. Results All of the 213 medical students, 180 graduates, and 181 professors that participated in this online survey were at the same medical school. Medical students indicated their willingness to join the healthcare response to the COVID-19 pandemic if requested; however, graduates and professors recommended that medical students continue their medical school curriculum rather than join the response. In the new normal era, medical education was considered to be changed appropriately. Moreover, adequate knowledge of COVID-19 infection and spread must be considered for the continuation of clinical clerkships during the pandemic. Overall, medical students who indicated anxiety about treating possible or confirmed cases rated higher on the SAVE-6 scale. Finally, medical students who reported that COVID-19 had an influence on their studies and daily life rated higher on the general anxiety scale (GAD-7). Conclusion Social accountability is an important issue for medical students in the pandemic era. At the same time, cultivating professionalism is also important for the readiness for the future healthcare responses.
    1. Children are more likely to be harmed by not returning to school next month than if they catch coronavirus, the UK's chief medical adviser says.
    1. Statement from the Chief Medical Officers and Deputy Chief Medical Officers of England, Scotland, Northern Ireland and Wales on the evidence of risks and benefits to health from schools and childcare settings reopening.
    1. Lead time bias is a well-recognized challenge especially when it comes to studies and statistics looking at cancer screenings. As the entry on the AHCJ website explains, lead time bias is a type of bias that can “artificially inflate the survival time of someone with a disease.”
    1. Amid the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, substantial effort is being directed toward mining databases and publishing case series and reports that may provide insights into the epidemiology and clinical management of coronavirus disease 2019 (COVID-19). However, there is growing concern about whether attempts to infer causation about the benefits and risks of potential therapeutics from nonrandomized studies are providing insights that improve clinical knowledge and accelerate the search for needed answers, or whether these reports just add noise, confusion, and false confidence. Most of these studies include a caveat indicating that “randomized clinical trials are needed.” But disclaimers aside, does this approach help make the case for well-designed randomized clinical trials (RCTs) and accelerate their delivery?1 Or do observational studies reduce the likelihood of a properly designed trial being performed, thereby delaying the discovery of reliable truth?
    1. A long-standing question in infectious disease dynamics is the role of transmission heterogeneities, particularly those driven by demography, behavior and interventions. Here we characterize transmission risk between 1,178 SARS-CoV-2 infected individuals and their 15,648 close contacts based on detailed contact tracing data from Hunan, China. We find that 80% of secondary transmissions can be traced back to 14% of SARS-CoV-2 infections, indicating substantial transmission heterogeneities. Regression analysis suggests a marked gradient of transmission risk scales positively with the duration of exposure and the closeness of social interactions, after adjusted for demographic and clinical factors. Population-level physical distancing measures confine transmission to families and households; while case isolation and contact quarantine reduce transmission in all settings. Adjusted for interventions, the reconstructed infectiousness profile of a typical SARS-CoV-2 infection peaks just before symptom presentation, with ~50% of transmission occurring in the pre-symptomatic phase. Modelling results indicate that achieving SARS-CoV-2 control would require the synergistic efforts of case isolation, contact quarantine, and population-level physical distancing measures, owing to the particular transmission kinetics of this virus.
    1. Conventional methods for viral genome sequencing largely use metatranscriptomic approaches or, alternatively, enrich for viral genomes by amplicon sequencing with virus-specific PCR or hybridization-based capture. These existing methods are costly, require extensive sample handling time, and have limited throughput. Here, we describe V-seq, an inexpensive, fast, and scalable method that performs targeted viral genome sequencing by multiplexing virus-specific primers at the cDNA synthesis step. We designed densely tiled reverse transcription (RT) primers across the SARS-CoV-2 genome, with a subset of hexamers at the 3’ end to minimize mis-priming from the abundant human rRNA repeats and human RNA PolII transcriptome. We found that overlapping RT primers do not interfere, but rather act in concert to improve viral genome coverage in samples with low viral load. We provide a path to optimize V-seq with SARS-CoV-2 as an example. We anticipate that V-seq can be applied to investigate genome evolution and track outbreaks of RNA viruses in a cost-effective manner. More broadly, the multiplexed RT approach by V-seq can be generalized to other applications of targeted RNA sequencing.
    1. The recently emerged SARS-CoV-2 virus is currently causing a global pandemic and cases continue to rise. The majority of infected individuals experience mildly symptomatic coronavirus disease 2019 (COVID-19), but it is unknown whether this can induce persistent immune memory that might contribute to herd immunity. Thus, we performed a longitudinal assessment of individuals recovered from mildly symptomatic COVID-19 to determine if they develop and sustain immunological memory against the virus. We found that recovered individuals developed SARS-CoV-2-specific IgG antibody and neutralizing plasma, as well as virus-specific memory B and T cells that not only persisted, but in some cases increased numerically over three months following symptom onset. Furthermore, the SARS-CoV-2-specific memory lymphocytes exhibited characteristics associated with potent antiviral immunity: memory T cells secreted IFN-γ and expanded upon antigen re-encounter, while memory B cells expressed receptors capable of neutralizing virus when expressed as antibodies. These findings demonstrate that mild COVID-19 elicits memory lymphocytes that persist and display functional hallmarks associated with antiviral protective immunity.
    1. The ongoing COVID-19 epidemic worldwide necessitates the development of novel effective agents against SARS-CoV-2. ACE2 is the main receptor of SARS-CoV-2 S1 protein and mediates viral entry into host cells. Herein, the membrane nanoparticles prepared from ACE2-rich cells are discovered with potent capacity to block SARS-CoV-2 infection. The membrane of human embryonic kidney-239T cell highly expressing ACE2 is screened to prepare nanoparticles. The nanomaterial termed HEK-293T-hACE2 NPs contains 265.1 ng mg−1 of ACE2 on the surface and acts as a bait to trap SARS-CoV-2 S1 in a dose-dependent manner, resulting in reduced recruitment of the viral ligand to host cells. Interestingly, SARS-CoV-2 S1 can translocate to the cytoplasm and affect the cell metabolism, which is also inhibited by HEK-293T-hACE2 NPs. Further studies reveal that HEK-293T-hACE2 NPs can efficiently suppress SARS-CoV-2 S pseudovirions entry into human proximal tubular cells and block viral infection with a low half maximal inhibitory concentration. Additionally, this biocompatible membrane nanomaterial is sufficient to block the adherence of SARS-CoV-2 D614G-S1 mutant to sensitive cells. Our study demonstrates a easy-to-acheive memrbane nano-antagonist for curbing SARS-CoV-2, which enriches the existing antiviral arsenal and provides new possibilities to treat COVID-19.
    1. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing the current pandemic, coronavirus disease 2019 (COVID-19), has taken a huge toll on human lives and the global economy. Therefore, effective treatments against this disease are urgently needed. Here, we established a fluorescence resonance energy transfer (FRET)-based high-throughput screening platform to screen compound libraries to identify drugs targeting the SARS-CoV-2 main protease (Mpro), in particular those which are FDA-approved, to be used immediately to treat patients with COVID-19. Mpro has been shown to be one of the most important drug targets among SARS-related coronaviruses as impairment of Mpro blocks processing of viral polyproteins which halts viral replication in host cells. Our findings indicate that the anti-malarial drug tafenoquine (TFQ) induces significant conformational change in SARS-CoV-2 Mpro and diminishes its protease activity. Specifically, TFQ reduces the α-helical content of Mpro, which converts it into an inactive form. Moreover, TFQ greatly inhibits SARS-CoV-2 infection in cell culture system. Hence, the current study provides a mechanistic insight into the mode of action of TFQ against SARS-CoV-2 Mpro. Moreover, the low clinical toxicity of TFQ and its strong antiviral activity against SARS-CoV-2 should warrant further testing in clinical trials.
    1. The emergence of SARS-CoV-2 led to pandemic spread of coronavirus disease 2019 (COVID-19), manifesting with respiratory symptoms and multi-organ dysfunction. Detailed characterization of virus-neutralizing antibodies and target epitopes is needed to understand COVID-19 pathophysiology and guide immunization strategies. Among 598 human monoclonal antibodies (mAbs) from ten COVID-19 patients, we identified 40 strongly neutralizing mAbs. The most potent mAb CV07-209 neutralized authentic SARS-CoV-2 with IC50 of 3.1 ng/ml. Crystal structures of two mAbs in complex with the SARS-CoV-2 receptor-binding domain at 2.55 and 2.70 Å revealed a direct block of ACE2 attachment. Interestingly, some of the near-germline SARS-CoV-2 neutralizing mAbs reacted with mammalian self-antigens. Prophylactic and therapeutic application of CV07-209 protected hamsters from SARS-CoV-2 infection, weight loss and lung pathology. Our results show that non-self-reactive virus-neutralizing mAbs elicited during SARS-CoV-2 infection are a promising therapeutic strategy.
    1. A safe, effective, and scalable vaccine is urgently needed to halt the ongoing SARS-CoV-2 pandemic. Here, we describe the structure-based design of self-assembling protein nanoparticle immunogens that elicit potent and protective antibody responses against SARS-CoV-2 in mice. The nanoparticle vaccines display 60 copies of the SARS-CoV-2 spike (S) glycoprotein receptor-binding domain (RBD) in a highly immunogenic array and induce neutralizing antibody titers roughly ten-fold higher than the prefusion-stabilized S ectodomain trimer despite a more than five-fold lower dose. Antibodies elicited by the nanoparticle immunogens target multiple distinct epitopes on the RBD, suggesting that they may not be easily susceptible to escape mutations, and exhibit a significantly lower binding:neutralizing ratio than convalescent human sera, which may minimize the risk of vaccine-associated enhanced respiratory disease. The high yield and stability of the protein components and assembled nanoparticles, especially compared to the SARS-CoV-2 prefusion-stabilized S trimer, suggest that manufacture of the nanoparticle vaccines will be highly scalable. These results highlight the utility of robust antigen display platforms for inducing potent neutralizing antibody responses and have launched cGMP manufacturing efforts to advance the lead RBD nanoparticle vaccine into the clinic.
    1. The development of vaccines against SARS-CoV-2 would be greatly facilitated by the identification of immunological correlates of protection in humans. However, to date, studies on protective immunity have only been performed in animal models and correlates of protection have not been established in humans. Here, we describe an outbreak of SARS-CoV-2 on a fishing vessel associated with a high attack rate. Predeparture serological and viral RT-PCR testing along with repeat testing after return to shore was available for 120 of the 122 persons on board over a median follow-up of 32.5 days (range 18.8 to 50.5 days). A total of 104 individuals had an RT-PCR positive viral test with Ct <35 or seroconverted during the follow-up period, yielding an attack rate on board of 85.2% (104/122 individuals). Metagenomic sequencing of 39 viral genomes suggested the outbreak originated largely from a single viral clade. Only three crewmembers tested seropositive prior to the boat's departure in initial serological screening and also had neutralizing and spike-reactive antibodies in follow-up assays. None of these crewmembers with neutralizing antibody titers showed evidence of bona fide viral infection or experienced any symptoms during the viral outbreak. Therefore, the presence of neutralizing antibodies from prior infection was significantly associated with protection against re-infection (Fisher's exact test, p=0.002).
    1. What is already known about this topic? Multisystem inflammatory syndrome in children (MIS-C) is a rare but severe condition that has been reported approximately 2–4 weeks after the onset of COVID-19 in children and adolescents. What is added by this report? Most cases of MIS-C have features of shock, with cardiac involvement, gastrointestinal symptoms, and significantly elevated markers of inflammation, with positive laboratory test results for SARS-CoV-2. Of the 565 patients who underwent SARS-CoV-2 testing, all had a positive test result by RT-PCR or serology. What are the implications for public health practice? Distinguishing MIS-C from other severe infectious or inflammatory conditions poses a challenge to clinicians caring for children and adolescents. As the COVID-19 pandemic continues to expand in many jurisdictions, health care provider awareness of MIS-C will facilitate early recognition, early diagnosis, and prompt treatment.
    1. PurposeThis study aimed to assess whether youth cigarette and electronic cigarette (e-cigarette) use are associated with coronavirus disease 2019 (COVID-19) symptoms, testing, and diagnosis.MethodsAn online national survey of adolescents and young adults (n = 4,351) aged 13–24 years was conducted in May 2020. Multivariable logistic regression assessed relationships among COVID-19–related symptoms, testing, and diagnosis and cigarettes only, e-cigarettes only and dual use, sociodemographic factors, obesity, and complying with shelter-in-place.ResultsCOVID-19 diagnosis was five times more likely among ever-users of e-cigarettes only (95% confidence interval [CI]: 1.82–13.96), seven times more likely among ever-dual-users (95% CI: 1.98–24.55), and 6.8 times more likely among past 30-day dual-users (95% CI: 2.40–19.55). Testing was nine times more likely among past 30-day dual-users (95% CI: 5.43–15.47) and 2.6 times more likely among past 30-day e-cigarette only users (95% CI: 1.33–4.87). Symptoms were 4.7 times more likely among past 30-day dual-users (95% CI: 3.07–7.16).ConclusionsCOVID-19 is associated with youth use of e-cigarettes only and dual use of e-cigarettes and cigarettes, suggesting the need for screening and education.
    1. In what may be the world’s most important math puzzle, researchers are trying to figure out how many people in a community must be immune before the coronavirus fades.
    1. There’s no vaccine for Covid-19, but there’s one for influenza. With the season’s first doses now shipping, officials are struggling over how to get people to take it.
    1. President Donald Trump, who has previously touted antimalarial drugs as unproven treatments for Covid-19, is now reportedly seeking approval from the Food and Drug Administration for an extract from the oleander plant—another remedy with weak scientific backing—to be used to treat the coronavirus after being endorsed by a member of his cabinet and Trump-supporting MyPillow CEO, Mike Lindell
    1. An essential mechanism for SARS-CoV-1 and -2 infection begins with the viral spike protein binding to the human receptor protein angiotensin-converting enzyme II (ACE2). Here we describe a stepwise engineering approach to generate a set of affinity optimized, enzymatically inactivated ACE2 variants that potently block SARS-CoV-2 infection of cells. These optimized receptor traps tightly bind the receptor binding domain (RBD) of the viral spike protein and prevent entry into host cells. We first computationally designed the ACE2-RBD interface using a two-stage flexible protein backbone design process that improved affinity for the RBD by up to 12-fold. These designed receptor variants were affinity matured an additional 14-fold by random mutagenesis and selection using yeast surface display. The highest affinity variant contained seven amino acid changes and bound to the RBD 170-fold more tightly than wild-type ACE2. With the addition of the natural ACE2 collectrin domain and fusion to a human Fc domain for increased stabilization and avidity, the most optimal ACE2 receptor traps neutralized SARS-CoV-2 pseudotyped lentivirus and authentic SARS-CoV-2 virus with half-maximal inhibitory concentrations (IC50) in the 10-100 ng/ml range. Engineered ACE2 receptor traps offer a promising route to fighting infections by SARS-CoV-2 and other ACE2-utilizing coronaviruses, with the key advantage that viral resistance would also likely impair viral entry. Moreover, such traps can be pre-designed for viruses with known entry receptors for faster therapeutic response without the need for neutralizing antibodies isolated or generated from convalescent patients.
    1. Background: Unprecedented demand for N95 respirators during the coronavirus disease 2019 (COVID-19) pandemic has led to a global shortage of these masks. We validated a rapidly applicable, lowcost decontamination protocol in compliance with regulatory standards to enable the safe reuse of N95 respirators. Methods: We inoculated 4 common models of N95 respirators with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and evaluated viral inactivation after disinfection for 60 minutes at 70°C and 0% relative humidity. Similarly, we evaluated thermal disinfection at 0% to 70% relative humidity for masks inoculated with Escherichia coli. We assessed masks subjected to multiple cycles of thermal disinfection for structural integrity using scanning electron microscopy and for protective functions using standards of the United States National Institute for Occupational Safety and Health for particle filtration efficiency, breathing resistance and respirator fit.Results: A single heat treatment rendered SARS-CoV-2 undetectable in all mask samples. Compared with untreated inoculated control masks, E. coli cultures at 24 hours were virtually undetectable from masks treated at 70°C and 50% relative humidity (optical density at 600 nm wavelength, 0.02 ± 0.02 v. 2.77 ± 0.09, p < 0.001), but contamination persisted for masks treated at lower relative humidity. After 10 disinfection cycles, masks maintained fibre diameters similar to untreated masks and continued to meet standards for fit, filtration efficiency and breathing resistance.Interpretation: Thermal disinfection successfully decontaminated N95 respirators without impairing structural integrity or function. This process could be used in hospitals and long-term care facilities with commonly available equipment to mitigate the depletion of N95 masks..
    1. BackgroundThe accurate detection of SARS-CoV-2 through respiratory sampling is critical for the prevention of further transmission and the timely initiation of treatment for COVID-19. There is a diverse range of SARS-CoV-2 detection rates in reported studies, with uncertainty as to the optimal sampling strategy for COVID-19 diagnosis and monitoring.MethodsWe performed a systematic review and meta-analysis of studies comparing respiratory sampling strategies for the detection of SARS-CoV-2 RNA. The inclusion criteria were studies that assessed at least two respiratory sampling sites (oropharyngeal swab, nasopharyngeal swab, and sputum) in participants with COVID-19. The percentage positive tests were compared between sampling modalities by constructing a Z-test assuming independence and using the standard errors obtained from the random effects meta-analysis.• View related content for this articleFindingsFrom 1039 total studies, we identified 11 studies that met our inclusion criteria, with SARS-CoV-2 testing results from a total of 3442 respiratory tract specimens. Compared to nasopharyngeal swab sampling, sputum testing resulted in significantly higher rates of SARS-CoV-2 RNA detection while oropharyngeal swab testing had lower rates of viral RNA detection. Earlier sampling after symptom onset was associated with improved detection rates, but the differences in SARS-CoV-2 RNA detection by sampling method was consistent regardless of the duration of symptoms.InterpretationThe results support sputum sampling as a valuable method of COVID-19 diagnosis and monitoring, and highlight the importance of early testing after symptom onset to increase the rates of COVID-19 diagnosis.
    1. Development of effective strategies to detect, treat, or prevent COVID-19 requires a robust understanding of the natural immune response to SARS-CoV-2, including the cellular response mediated by T cells. We used an unbiased, genome-wide screening technology, termed T-Scan, to identify specific epitopes in SARS-CoV-2 that are recognized by the memory CD8+ T cells of 25 COVID-19 convalescent patients, focusing on epitopes presented by the six most prevalent Human Leukocyte Antigen (HLA) types: A*02:01, A*01:01, A*03:01, A*11:01, A*24:02, and B*07:02. For each HLA type, the patients' T cells recognized 3-8 immunodominant epitopes that are broadly shared among patients. Remarkably, 94% of screened patients had T cells that recognized at least one of the three most dominant epitopes for a given HLA, and 53% of patients had T cells that recognized all three. Subsequent validation studies in 18 additional A*02:01 patients confirmed the presence of memory CD8+ T cells specific for the top six identified A*02:01 epitopes, and single-cell sequencing revealed that patients often have many different T cell clones targeting each epitope, but that the same T cell receptor Valpha regions are predominantly used to recognize these epitopes, even across patients. In total, we identified 29 shared epitopes across the six HLA types studied. T cells that target most of these immunodominant epitopes (27 of 29) do not cross-react with the endemic coronaviruses that cause the common cold, and the epitopes do not occur in regions with high mutational variation. Notably, only 3 of the 29 epitopes we identified reside in the spike protein, highlighting the need to design new classes of vaccines that recapitulate natural CD8+ T cell responses to SARS-CoV-2.
    1. The distal lung contains terminal bronchioles and alveoli that facilitate gas exchange and is affected by disorders including interstitial lung disease, cancer, and SARS-CoV-2-associated COVID-19 pneumonia. Investigations of these localized pathologies have been hindered by a lack of 3D in vitro human distal lung culture systems. Further, human distal lung stem cell identification has been impaired by quiescence, anatomic divergence from mouse and lack of lineage tracing and clonogenic culture. Here, we developed robust feeder-free, chemically-defined culture of distal human lung progenitors as organoids derived clonally from single adult human alveolar epithelial type II (AT2) or KRT5+ basal cells. AT2 organoids exhibited AT1 transdifferentiation potential, while basal cell organoids progressively developed lumens lined by differentiated club and ciliated cells. Organoids consisting solely of club cells were not observed. Upon single cell RNA-sequencing (scRNA-seq), alveolar organoids were composed of proliferative AT2 cells; however, basal organoid KRT5+ cells contained a distinct ITGA6+ITGB4+ mitotic population whose proliferation segregated to a TNFRSF12Ahi subfraction. Clonogenic organoid growth was markedly enriched within the TNFRSF12Ahi subset of FACS-purified ITGA6+ITGB4+ basal cells from human lung or derivative organoids. In vivo, TNFRSF12A+ cells comprised ~10% of KRT5+ basal cells and resided in clusters within terminal bronchioles. To model COVID-19 distal lung disease, we everted the polarity of basal and alveolar organoids to rapidly relocate differentiated club and ciliated cells from the organoid lumen to the exterior surface, thus displaying the SARS-CoV-2 receptor ACE2 on the outwardly-facing apical aspect. Accordingly, basal and AT2 “apical-out” organoids were infected by SARS-CoV-2, identifying club cells as a novel target population. This long-term, feeder-free organoid culture of human distal lung alveolar and basal stem cells, coupled with single cell analysis, identifies unsuspected basal cell functional heterogeneity and exemplifies progenitor identification within a slowly proliferating human tissue. Further, our studies establish a facile in vitro organoid model for human distal lung infectious diseases including COVID-19-associated pneumonia.
    1. A successful SARS-CoV-2 vaccine must be not only safe and protective but must also meet the demand on a global scale at low cost. Using the current influenza virus vaccine production capacity to manufacture an egg-based inactivated Newcastle disease virus (NDV)/SARS-CoV-2 vaccine would meet that challenge. Here, we report pre-clinical evaluations of an inactivated NDV chimera stably expressing the membrane-anchored form of the spike (NDV-S) as a potent COVID-19 vaccine in mice and hamsters. The inactivated NDV-S vaccine was immunogenic, inducing strong binding and/or neutralizing antibodies in both animal models. More importantly, the inactivated NDV-S vaccine protected animals from SARS-CoV-2 infections or significantly attenuated SARS-CoV-2 induced disease. In the presence of an adjuvant, antigen-sparing could be achieved, which would further reduce the cost while maintaining the protective efficacy of the vaccine.
    1. Background Viral load kinetics and the duration of viral shedding are important determinants for disease transmission. We aim i) to characterise viral load dynamics, duration of viral RNA, and viable virus shedding of SARS-CoV-2 in various body fluids and ii) to compare SARS-CoV-2 viral dynamics with SARS-CoV-1 and MERS-CoV. Methods: Medline, EMBASE, Europe PMC, preprint servers and grey literature were searched to retrieve all articles reporting viral dynamics and duration of SARS-CoV-2, SARS-CoV-1 and MERS-CoV shedding. We excluded case reports and case series with < 5 patients, or studies that did not report shedding duration from symptom onset. PROSPERO registration: CRD42020181914. Findings: Seventy-nine studies on SARS-CoV-2, 8 on SARS-CoV-1, and 11 on MERS-CoV were included. Mean SARS-CoV-2 RNA shedding duration in upper respiratory tract, lower respiratory tract, stool and serum were 17.0, 14.6, 17.2 and 16.6 days, respectively. Maximum duration of SARS-CoV-2 RNA shedding reported in URT, LRT, stool and serum was 83, 59, 35 and 60 days, respectively. Pooled mean duration of SARS-CoV-2 RNA shedding was positively associated with age (p=0.002), but not gender (p = 0.277). No study to date has detected live virus beyond day nine of illness despite persistently high viral loads. SARS-CoV-2 viral load in the upper respiratory tract appears to peak in the first week of illness, while SARS-CoV-1 and MERS-CoV peak later. Conclusion: Although SARS-CoV-2 RNA shedding in respiratory and stool can be prolonged, duration of viable virus is relatively short-lived. Thus, detection of viral RNA cannot be used to infer infectiousness. High SARS-CoV-2 titres are detectable in the first week of illness with an early peak observed at symptom onset to day 5 of illness. This review underscores the importance of early case finding and isolation, as well as public education on the spectrum of illness. However, given potential delays in the isolation of patients, effective containment of SARS-CoV-2 may be challenging even with an early detection and isolation strategy. Funding: No funding was received.
    1. Background: A significant number of infectious diseases display seasonal patterns in their incidence, including human coronaviruses. Betacoronaviruses such as MERS-CoV and SARS-CoV are not thought to be seasonal. Methods: We examined climate data from cities with significant community spread of COVID-19 using ERA-5 reanalysis, and compared to areas that are either not affected, or do not have significant community spread.Findings: To date, Coronavirus Disease 2019 (COVID-19), caused by SARS-CoV-2, has established significant community spread in cities and regions along a narrow east west distribution roughly along the 30-50o N’ corridor at consistently similar weather patterns consisting of average temperatures of 5-11oC, combined with low specific (3-6 g/kg) and absolute humidity (4-7 g/m3). There has been a lack of significant community establishment in expected locations that are based only on population proximity and extensive population interaction through travel. Interpretation: The distribution of significant community outbreaks along restricted latitude, temperature, and humidity are consistent with the behavior of a seasonal respiratory virus. Additionally, we have proposed a simplified model that shows a zone at increased risk for COVID-19 spread. Using weather modeling, it may be possible to predict the regions most likely to be at higher risk of significant community spread of COVID-19 in the upcoming weeks, allowing for concentration of public health efforts on surveillance and containment.
    1. Although unmeasured confounding remains the most likely explanation for the discrepancies, a robust meta-analysis is still lacking, and we believe that hydroxychloroquine should be further tested in randomised trials. When best to start treatment is also a question that needs to be addressed in ad-hoc randomized studies.
    1. A computer model of the cruise-ship outbreak found that the virus spread most readily in microscopic droplets light enough to linger in the air.
    1. Grim jobless and economic growth data on Thursday underscored how badly the coronavirus pandemic has damaged the world’s largest economy, as still rising COVID-19 diagnoses in the Sun Belt region amplify concerns for the recovery, and America’s ability to contain the fallout.The U.S. continues a concerning upward trend in cases and deaths, with Texas, California and Florida all surpassing New York as states with the highest cases in the past week, surpassing 4.4 million cases. The Empire State, a former hotspot, continues to see hospitalizations and casualties decline amid slowly spreading cases.Meanwhile, the political world was jolted by news that former GOP presidential candidate Herman Cain lost his battle with COVID-19 Thursday, making him the latest victim among the more than 150,000 in the U.S. that have now died from the virus. In recent weeks, high profile politicians like Atlanta’s Mayor and Oklahoma’s governor have tested positive for the virus
    1. Alan Stein from Oxford's Department of Psychiatry will discuss his team’s work on the psychological implications of COVID-19. In the midst of the devastating death toll and hospitalisations, the effect of this unfolding pandemic on children’s mental health has been unconscionably overlooked. The overwhelming media coverage and barrage of public health messages, especially when families are in lockdown, sustains a high level of threat which is intensely observed by children. Thus, when adults talk to children, the information needs to consider the child's age to ensure they have a coherent narrative and emotional support for their experiences. The team have created a platform of resources to help make impossible conversations possible for healthcare professionals, families, care home staff and teachers.
    1. Gina M. Piscitello, MD joins JAMA Network Open Editors to discuss a systematic review that examines US state guidelines for ventilator allocation decision-making during the coronavirus disease 2019 pandemic.
    1. The transition to online schooling and stay-at-home orders during the coronavirus pandemic required at least one adult in the home to focus on the children — helping them with schoolwork and supervising them all day. While there was no immediate impact on detachment or unemployment, working mothers in states with early stay-at-home orders and school closures were 53.2% more likely to take leave from their jobs than working mothers in states where closures happened later, according to new research by the U.S. Census Bureau and Federal Reserve.
    1. As California enters another dangerous fire season, the COVID-19 pandemic has depleted the ranks of inmate fire crews that are a key component of the state’s efforts to battle out-of-control wildfires
    1. n this issue of JAMA, Wang et al present evidence that universal masking of health care workers (HCWs) and patients can help reduce transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections
    1. A study documenting an alarming rise in abuse-related head injuries among children in the United Kingdom adds to increasing evidence that the novel coronavirus pandemic and efforts to contain it are taking a serious toll on children.
    1. The coronavirus disease 2019 (COVID-19) pandemic has created an urgent need for therapeutics that inhibit the SARS-CoV-2 virus and suppress the fulminant inflammation characteristic of advanced illness. Here, we describe the anti-COVID-19 potential of PTC299, an orally available compound that is a potent inhibitor of dihydroorotate dehydrogenase (DHODH), the rate-limiting enzyme of the de novo pyrimidine biosynthesis pathway. In tissue culture, PTC299 manifests robust, dose-dependent, and DHODH-dependent inhibition of SARS CoV-2 replication (EC50 range, 2.0 to 31.6 nM) with a selectivity index >3,800. PTC299 also blocked replication of other RNA viruses, including Ebola virus. Consistent with known DHODH requirements for immunomodulatory cytokine production, PTC299 inhibited the production of interleukin (IL)-6, IL-17A (also called IL-17), IL-17F, and vascular endothelial growth factor (VEGF) in tissue culture models. The combination of anti-SARS-CoV-2 activity, cytokine inhibitory activity, and previously established favorable pharmacokinetic and human safety profiles render PTC299 a promising therapeutic for COVID-19.
    1. BackgroundThe epidemic of COVID-19 presents a special threat to older adults. However, information on kidney damage in older patients with COVID-19 is limited. Acute kidney injury (AKI) is common in hospitalized adults and associated with poor prognosis. We sought to explore the association between AKI and mortality in older patients with COVID-19.MethodsWe conducted a retrospective, observational cohort study in a large tertiary care university hospital in Wuhan, China. All consecutive inpatients older than 65 years with COVID-19 were enrolled in this cohort. Demographic data, laboratory values, comorbidities, treatments, and clinical outcomes were all collected. Data were compared between patients with AKI and without AKI. The association between AKI and mortality was analyzed.ResultsOf 1764 in-hospital patients, 882 older adult cases were included in this cohort. The median age was 71 years (interquartile range: 68–77), 440 (49.9%) were men. The most presented comorbidity was cardiovascular diseases (58.2%), followed by diabetes (31.4%). Of 882 older patients, 115 (13%) developed AKI and 128 (14.5%) died. Patients with AKI had higher mortality than those without AKI (68 [59.1%] vs 60 [7.8%]; p < .001). Multivariable Cox regression analysis showed that increasing odds of in-hospital mortality are associated with higher interleukin-6 on admission, myocardial injury, and AKI.ConclusionsAcute kidney injury is not an uncommon complication in older patients with COVID-19 but is associated with a high risk of death. Physicians should be aware of the risk of AKI in older patients with COVID-19.
    1. Vaccine efforts against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) responsible for the current COVID-19 pandemic are focused on SARS-CoV-2 spike glycoprotein, the primary target for neutralizing antibodies. Here, we performed cryo-EM and site-specific glycan analysis of one of the leading subunit vaccine candidates from Novavax based on a full-length spike protein formulated in polysorbate 80 (PS 80) detergent. Our studies reveal a stable prefusion conformation of the spike immunogen with slight differences in the S1 subunit compared to published spike ectodomain structures. Interestingly, we also observed novel interactions between the spike trimers allowing formation of higher order spike complexes. This study confirms the structural integrity of the full-length spike protein immunogen and provides a basis for interpreting immune responses to this multivalent nanoparticle immunogen.
    1. A vaccine for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is needed to control the global coronavirus infectious disease (COVID-19) public health crisis. Atomic-level structures directed the application of prefusion-stabilizing mutations that improved the expression and immunogenicity of betacoronavirus spike proteins1. Using this established immunogen design, the release of SARS-CoV-2 sequences triggered immediate rapid manufacturing of an mRNA vaccine expressing the prefusion-stabilized SARS-CoV-2 spike trimer (mRNA-1273). Here we show that mRNA-1273 induces both potent neutralizing antibody responses to wild-type (D614) and D614G mutant2 SARS-CoV-2 and CD8 T cell responses, and protects against SARS-CoV-2 infection in the lungs and noses of mice without evidence of immunopathology. mRNA-1273 is currently in Phase 3 efficacy evaluation.
    1. Current bottlenecks for improving accessibility and scalability of SARS-CoV-2 testing include diagnostic assay costs, complexity, and supply chain shortages. To resolve these issues, we developed SalivaDirect. The critical component of our approach is to use saliva instead of respiratory swabs, which enables non-invasive frequent sampling and reduces the need for trained healthcare professionals during collection. Furthermore, we simplified our diagnostic test by (1) not requiring nucleic acid preservatives at sample collection, (2) replacing nucleic acid extraction with a simple proteinase K and heat treatment step, and (3) testing specimens with a dualplex quantitative reverse transcription PCR (RT-qPCR) assay. We validated SalivaDirect with reagents and instruments from multiple vendors to minimize the risk for supply chain issues. Regardless of our tested combination of reagents and instruments from different vendors, we found that SalivaDirect is highly sensitive with a limit of detection of 6-12 SARS-CoV-2 copies/μL. When comparing paired nasopharyngeal swabs and saliva specimens using the authorized ThermoFisher Scientific TaqPath COVID-19 combo kit and our SalivaDirect protocol, we found high agreement in testing outcomes (>94%). Being flexible and inexpensive ($1.29-$4.37/sample), SalivaDirect is a viable and accessible option to help alleviate SARS-CoV-2 testing demands. We submitted SalivaDirect as a laboratory developed test to the US Food and Drug Administration for Emergency Use Authorization on July 14th, 2020, and current details can be found on our website (covidtrackerct.com/about-salivadirect/).
    1. This study characterized a genetically adapted Pseudomonas aeruginosa small colony variant isolated from a COVID-19 patient who suffered persistent bacterial coinfection and eventually recovered from critical illness. Specification and modification of the isolates discovered at genomic and transcriptomic levels with aligned phenotypic observations indicated that these isolates formed excessive biofilm with elevated quorum sensing systems.
    1. Background - There currently is substantial controversy about the role played by SARS-CoV-2 in aerosols in disease transmission, due in part to detections of viral RNA but failures to isolate viable virus from clinically generated aerosols. Methods - Air samples were collected in the room of two COVID-19 patients, one of whom had an active respiratory infection with a nasopharyngeal (NP) swab positive for SARS-CoV-2 by RT-qPCR. By using VIVAS air samplers that operate on a gentle water-vapor condensation principle, material was collected from room air and subjected to RT-qPCR and virus culture. The genomes of the SARS-CoV-2 collected from the air and of virus isolated in cell culture from air sampling and from a NP swab from a newly admitted patient in the room were sequenced. Findings - Viable virus was isolated from air samples collected 2 to 4.8m away from the patients. The genome sequence of the SARS-CoV-2 strain isolated from the material collected by the air samplers was identical to that isolated from the NP swab from the patient with an active infection. Estimates of viable viral concentrations ranged from 6 to 74 TCID50 units/L of air. Interpretation - Patients with respiratory manifestations of COVID-19 produce aerosols in the absence of aerosol-generating procedures that contain viable SARS-CoV-2, and these aerosols may serve as a source of transmission of the virus.
    1. Our analyses suggest children younger than 5 years with mild to moderate COVID-19 have high amounts of SARS-CoV-2 viral RNA in their nasopharynx compared with older children and adults. Our study is limited to detection of viral nucleic acid, rather than infectious virus, although SARS-CoV-2 pediatric studies reported a correlation between higher nucleic acid levels and the ability to culture infectious virus.5 Thus, young children can potentially be important drivers of SARS-CoV-2 spread in the general population, as has been demonstrated with respiratory syncytial virus, where children with high viral loads are more likely to transmit.
    1. The burden of malaria is heavily concentrated in sub-Saharan Africa (SSA) where cases and deaths associated with COVID-19 are rising1. In response, countries are implementing societal measures aimed at curtailing transmission of SARS-CoV-22,3. Despite these measures, the COVID-19 epidemic could still result in millions of deaths as local health facilities become overwhelmed4. Advances in malaria control this century have been largely due to distribution of long-lasting insecticidal nets (LLINs)5, with many SSA countries having planned campaigns for 2020. In the present study, we use COVID-19 and malaria transmission models to estimate the impact of disruption of malaria prevention activities and other core health services under four different COVID-19 epidemic scenarios. If activities are halted, the malaria burden in 2020 could be more than double that of 2019. In Nigeria alone, reducing case management for 6 months and delaying LLIN campaigns could result in 81,000 (44,000–119,000) additional deaths. Mitigating these negative impacts is achievable, and LLIN distributions in particular should be prioritized alongside access to antimalarial treatments to prevent substantial malaria epidemics.
    1. Researchers at the George Washington University (GW) discovered five biomarkers (medical indicators found in the blood) associated with higher odds of clinical deterioration and death in Covid-19 patients.
    1. While most children who catch the coronavirus have either no symptoms or mild ones, they are still at risk of developing "severe" symptoms requiring admission to an intensive care unit, the Centers for Disease Control and Prevention said in a new report released Friday.
    1. With the global pandemic compelling us to remain at a distance, it is timely to consider if we may experience a reversal of trends concentrating population and earnings in large cities. Indeed, both policymakers and businesses (perhaps inspired by Churchill’s advice to “never let a good crisis go to waste”) should be asking some questions: What long-lasting structural changes can we expect to result from this pandemic shock? How will those structural changes affect the value we derive from clustering together despite the congestion costs of city living? And what implications do these resulting effects have for where businesses and workers choose to locate, and hence the productivity of and income earned for work done in big cities as compared to less populous places?
    1. The COVID-19 pandemic has disordered the educational process across the globe, as schools suddenly had to provide their teaching in an online environment. One question that raised immediate concern is the potential effects of this forced and rapid digitalization on inequalities in the learning process by social class, migration background and sex. Elaborating on the literature on the digital divide, we study inequalities in digital preparedness of students and schools, before the pandemic took place. Using data from the International Computer and Information Literacy Study (ICILS) on seven countries, and the Teaching and Learning International Survey (TALIS) on 45 countries, both from 2018, we demonstrate that schools and students vary in their preparedness for digital education, but that school variation is not systematically related to the student composition by socioeconomic and migration background. More important drivers for a digital divide in corona-times are the ICT skills students have, which are strongly related to socioeconomic background (known as the second level of the digital divide). We found little evidence for a hypothesized ‘fourth level’ of the digital divide, which would result from social gradients in the preparedness of school environments for digital education.
    1. From suggestions that 5G technology created the Coronavirus to stories that frame Bill Gates as a sly mass murderer, misinfornation and conspiracy theories can sound tempting to believe. However, much of it might be inaccurate and are potentially dangerous. Zahid Jadwat speaks to a panel of psychological experts, misinformation researchers and conspiracy theory researchers to find out just how much one can believe and the dangers of the misinformation that often thrives on social media.
    1. Close relationships will play a crucial role in protecting health and well-being during the COVID-19 pandemic. Yet, the pandemic and quarantines to contain COVID-19 present acute, ongoing demands that put couples at risk of relationship problems. The current research tested how (1) couples’ pre-existing vulnerabilities assessed prior to the pandemic (attachment insecurity) and (2) stress during a mandated quarantine predicted residual changes in relationship problems, satisfaction and commitment. When people experienced high levels of stress, greater own and partner attachment anxiety (assessed prior to the quarantine) predicted residual increases in relationship problems, and in turn, residual decreases in satisfaction and commitment (controlling for pre-quarantine problems, satisfaction and commitment). These vulnerability x stress patterns demonstrate that key models in relationship science can identify which couples are at most risk of relationship problems in the unprecedented context of a global pandemic and mandated quarantine.
    1. Early work indicates the significant impact of the COVID-19 pandemic on the mental health of children. The current study investigated associations between family factors, and children’s mental health during the early phase of COVID-19. Parents (N = 385) across a number of countries reported on their mental health, distress, and parenting behaviors, in addition to mental health changes in their 5-17 year old children (N = 481) during April/May 2020. Analyses revealed significant associations between family factors (perceived impact of COVID-19, parent mental health, parenting behaviors, family cohesion, and parent-child COVID-19 communication) and changes in child mental health. Further, some associations were more pronounced for disadvantaged and single parent families.
    1. To be trustworthy and rigorous, science must be correctable. If scientific claims are not adequately validated or confirmed, time and money are misspent, true or chance findings are difficult to separate, and public trust in expertise is eroded. However, the ability to correct the scientific record is not always possible because the act of correction is pitted against inappropriate cultural norms or vested interests. Science is an activity that is dependent on economic demands. In academia, there is a highly competitive job market, with scarce opportunities for research funding. Hiring and promotion criteria rely on publication and grant-funding track records, which means verifying evidence can come second to the next publishable and lucrative ‘groundbreaking’ research. Inevitably, criticism can make career prospects even more precarious, with significant costs to those who attempt to criticise and - in particular - whistleblow. However, is the status quo fixed? Is the environment in fact conducive to rigorous science? Is there no room for improvement? To explore these and many more questions, an esteemed panel has been brought together to discuss the issues at the heart of why we struggle to correct bad science. In what promises to be an exciting joint conversation from different perspectives of the research lifecycle and career stage, our panelists will discuss the barriers to correcting bad science and the costs borne by those who have tried to. The aim is to raise awareness and to instigate a discussion on how to substantiate the ability to correct science when necessary. In affiliation with ReproducibiliTea, RIOT Science Club, and The Crick Institute, it gives us great pleasure in inviting you to The Cost of Correcting Bad Science!
    1. Schaake offered a hopeful vision for the new values that could animate Silicon Valley—values that were democratic, incremental, and even traditional. Many talented software engineers, she said, “are looking for more value than the value of money. They also see the homeless people in the streets in the areas where they live, and they can’t afford homes themselves.” If tech companies could be regulated by voters, she said, then laws could be passed that limited the civic and economic damage those platforms caused. Legislation could protect privacy and increase transparency about how companies use data; revised liability laws could hold companies accountable for what they disseminate, and improve public debate; antitrust actions could check the flow of wealth to the small number of companies that control platforms, aggregators, and algorithms. Stronger taxation might fund a more effective and comprehensive social safety net. There might be less homelessness in the Bay Area. Possibly, people at Silicon Valley cocktail parties would no longer introduce each other by referencing their net worth. The world would be a bit more sane.
    1. Preprints—manuscripts that have not undergone peerreview—were first embraced in physics, catalysed bythe creation in the early 1990s of arXiv.org, an openonline repository for scholarly papers.1It was notuntil 2013 that similar initiatives were embraced bythe biological and then medical sciences,2and novelpublishing platforms continue to emerge. Somecommentators believe the potential for harm isoutweighed by the benefits,1 3 4but others have raisedspecific concerns regarding medical preprints andmitigating the risk of harm to the public.2Thesediscussions need to be revisited in the context of thecovid-19 pandemic, which has been accompanied byan explosion of preprint publications.
    1. Social distancing is the core policy response to coronavirus disease 2019 (COVID-19). But, as federal, state and local governments begin opening businesses and relaxing shelter-in-place orders worldwide, we lack quantitative evidence on how policies in one region affect mobility and social distancing in other regions and the consequences of uncoordinated regional policies adopted in the presence of such spillovers. To investigate this concern, we combined daily, county-level data on shelter-in-place policies with movement data from over 27 million mobile devices, social network connections among over 220 million Facebook users, daily temperature and precipitation data from 62,000 weather stations, and county-level census data on population demographics to estimate the geographic and social network spillovers created by regional policies across the United States. Our analysis shows that the contact patterns of people in a given region are significantly influenced by the policies and behaviors of people in other, sometimes distant, regions. When just one-third of a state’s social and geographic peer states adopt shelter-in-place policies, it creates a reduction in mobility equal to the state’s own policy decisions. These spillovers are mediated by peer travel and distancing behaviors in those states. A simple analytical model calibrated with our empirical estimates demonstrated that the “loss from anarchy” in uncoordinated state policies is increasing in the number of noncooperating states and the size of social and geographic spillovers. These results suggest a substantial cost of uncoordinated government responses to COVID-19 when people, ideas, and media move across borders.
    1. What are we doing? And why?The ProblemIt is difficult for people new to open scholarship ideas and practices to find and apply existing materials.It is difficult for educators to bring open scholarship concepts and exercises into their courses.The open scholarship landscape changes quickly, so materials can become outdated. Our SolutionOur Project Roadmap outlines our approach: Build a knowledge base platform and a community of contributors to organize information on the what, why, and how of open scholarship so it is easy to find and apply. Contributors keep the information up-to-date and curate modules for self-learning or teaching.
    1. As severe acute respiratory syndrome coronavirus 2 continues to spread worldwide, there have been increasing reports from Europe, North America, Asia, and Latin America describing children and adolescents with COVID-19-associated multisystem inflammatory conditions. However, the association between multisystem inflammatory syndrome in children and COVID-19 is still unknown. We review the epidemiology, causes, clinical features, and current treatment protocols for multisystem inflammatory syndrome in children and adolescents associated with COVID-19. We also discuss the possible underlying pathophysiological mechanisms for COVID-19-induced inflammatory processes, which can lead to organ damage in paediatric patients who are severely ill. These insights provide evidence for the need to develop a clear case definition and treatment protocol for this new condition and also shed light on future therapeutic interventions and the potential for vaccine development.
    1. This study empirically examined studies on fake news through a content analysis of 103 peer-reviewed articles obtained from the eight major databases. The articles were published between 2000 and 2018. This systematic review of the journals, progression, theories, methodologies, media genres, common used words, and geospatial distribution indicated that the majority of the articles were published in Journalism Practice, Popular Communication, Digital Journalism, and Journalism Studies. Regarding progression, the highest number of publications was recorded for 2017 and 2018. At least one article was published each year beginning in 2005; 2006 and 2014 were exceptions. The results indicate that the majority of the articles were atheoretical. Qualitative research methods, content analysis, and surveys which were applied oftentimes. The studies were equally distributed across all media genres (traditional, digital, and social media). However, television and Twitter were the platforms that received the greatest amount of scholarly attention. The articles focused on the United States more than any other country. Finally, “news,” “media,” and “fake” were the most regularly frequently occurring words.
    1. Pandemic SARS-CoV-2 was first reported in Wuhan, China on December 31, 2019. Twenty-one days later, the US identified its first case––a man who had traveled from Wuhan to the state of Washington. Recent studies in the Wuhan and Seattle metropolitan areas retrospectively tested samples taken from patients with COVID-like symptoms. In the Wuhan study, there were 4 SARS-CoV-2 positives and 7 influenza positives out of 26 adults outpatients who sought care for influenza-like-illness at two central hospitals prior to January 12, 2020. The Seattle study reported 25 SARS-CoV-2 positives and 442 influenza positives out of 2353 children and adults who reported acute respiratory illness prior to March 9, 2020. Here, we use these findings to extrapolate the early prevalence of symptomatic COVID-19 in Wuhan and Seattle.
    1. When it comes to leading a happy and fulfilled life, many of us focus on long-term goals: what job we want, whether or not we want children, or how to reach a certain level of skill at a particular hobby or interest. There’s a reason so much research looks at how to achieve the things you value in life.
    1. Mediation analysis empirically investigates the process underlying the effect of an experimental manipulation on a dependent variable of interest. In the simplest mediation setting, the experimental treatment can affect the dependent variable through the mediator (indirect effect) and/or directly (direct effect). Recent methodological advances made in the field of mediation analysis aim at developing statistically reliable estimates of the indirect effect of the treatment on the outcome. However, what appears to be an indirect effect through the mediator may reflect a data generating process without mediation, regardless of the statistical properties of the estimate. To overcome this indeterminacy where possible, we develop the insight that a statistically reliable indirect effect combined with strong evidence for conditional independence of treatment and outcome given the mediator is unequivocal evidence for mediation (as the underlying causal model generating the data) into an operational procedure. Our procedure combines Bayes factors as principled measures of the degree of support for conditional independence, i.e., the degree of support for a Null hypothesis, with latent variable modeling to account for measurement error and discretization in a fully Bayesian framework. We illustrate how our approach facilitates stronger conclusions by re-analzing a set of published mediation studies.
    1. Viral immunologists say that results so far have been predictable — here’s why that’s good news.
    1. Russian president Vladimir Putin announced yesterday that the country has approved a vaccine against SARS-CoV-2, the coronavirus that causes covid-19. Putin said that the vaccine is safe and effective. Russia apparently plans to start mass vaccinations in October. However, the announcement has caused global concern. Immunologists say there is no way to be sure that the vaccine is safe, let alone effective, and that Russia seems to be cutting corners.
    1. In the last decade Open Science principles, such as Open Access, study preregistration, use of preprints, making available data and code, and open peer review, have been successfully advocated for and are being slowly adopted in many different research communities. In response to the COVID-19 pandemic many publishers and researchers have sped up their adoption of some of these Open Science practices, sometimes embracing them fully and sometimes partially or in a sub-optimal manner. In this article, we express concerns about the violation of some of the Open Science principles and its potential impact on the quality of research output. We provide evidence of the misuses of these principles at different stages of the scientific process. We call for a wider adoption of Open Science practices in the hope that this work will encourage a broader endorsement of Open Science principles and serve as a reminder that science should always be a rigorous process, reliable and transparent, especially in the context of a pandemic where research findings are being translated into practice even more rapidly. We provide all data and scripts at https://osf.io/renxy/.