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- Gerkin, RC, et al.
(författare)
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The best COVID-19 predictor is recent smell loss: a cross-sectional study
- 2020
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Ingår i: medRxiv : the preprint server for health sciences. - : Cold Spring Harbor Laboratory.
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- BackgroundCOVID-19 has heterogeneous manifestations, though one of the most common symptoms is a sudden loss of smell (anosmia or hyposmia). We investigated whether olfactory loss is a reliable predictor of COVID-19.MethodsThis preregistered, cross-sectional study used a crowdsourced questionnaire in 23 languages to assess symptoms in individuals self-reporting recent respiratory illness. We quantified changes in chemosensory abilities during the course of the respiratory illness using 0-100 visual analog scales (VAS) for participants reporting a positive (C19+; n=4148) or negative (C19-; n=546) COVID-19 laboratory test outcome. Logistic regression models identified singular and cumulative predictors of COVID-19 status and post-COVID-19 olfactory recovery.ResultsBoth C19+ and C19-groups exhibited smell loss, but it was significantly larger in C19+ participants (mean±SD, C19+: -82.5±27.2 points; C19-: -59.8±37.7). Smell loss during illness was the best predictor of COVID-19 in both single and cumulative feature models (ROC AUC=0.72), with additional features providing negligible model improvement. VAS ratings of smell loss were more predictive than binary chemosensory yes/no-questions or other cardinal symptoms, such as fever or cough. Olfactory recovery within 40 days was reported for ∼50% of participants and was best predicted by time since illness onset.ConclusionsAs smell loss is the best predictor of COVID-19, we developed the ODoR-19 tool, a 0-10 scale to screen for recent olfactory loss. Numeric ratings ≤2 indicate high odds of symptomatic COVID-19 (4<OR<10), which can be deployed when viral lab tests are impractical or unavailable.
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| 2. |
- Al-Abri, M., et al.
(författare)
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Chlorination disadvantages and alternative routes for biofouling control in reverse osmosis desalination
- 2019
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Ingår i: npj Clean Water. - : Nature Research. - 2059-7037. ; 2:1
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Tidskriftsartikel (refereegranskat)abstract
- With an ever-increasing human population, access to clean water for human use is a growing concern across the world. Seawater desalination to produce usable water is essential to meet future clean water demand. Desalination processes, such as reverse osmosis and multi-stage flash have been implemented worldwide. Reverse osmosis is the most effective technology, which uses a semipermeable membrane to produce clean water under an applied pressure. However, membrane biofouling is the main issue faced by such plants, which requires continuous cleaning or regular replacement of the membranes. Chlorination is the most commonly used disinfection process to pretreat the water to reduce biofouling. Although chlorination is widely used, it has several disadvantages, such as formation of disinfection by-products and being ineffective against some types of microbes. This review aims to discuss the adverse effect of chlorination on reverse osmosis membranes and to identify other possible alternatives of chlorination to reduce biofouling of the membranes. Reverse osmosis membrane degradation and mitigation of chlorines effects, along with newly emerging disinfection technologies, are discussed, providing insight to both academic institutions and industries for the design of improved reverse osmosis systems.
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