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pearl
1
Road safety interventions addressing speed would save about 350,000 lives globally each year.
Vecino-Ortiz AI, Nagarajan M, Elaraby S et al. Saving lives through road safety risk factor interventions: global and national estimates. Lancet. 2022 Jul 16; 400 (10347): 237-250.
  Daniel Jolley
pearl
1
Patient satisfaction with anaesthesia is unchanged by post-operative anaesthetist visit.
Saal D, Heidegger T, Nuebling M et al. Does a postoperative visit increase patient satisfaction with anaesthesia care? Br J Anaesth. 2011 Nov 1;107(5):703-9.
  Daniel Jolley
comment
1
See the more recent 2022 article, Return to exercise post-COVID-19 infection: A pragmatic approach in mid-2022, which also sets out a graduated return to exercise, though is perhaps even more pragmatic.
Jewson J, McNamara A, Fitzpatrick J. Life after COVID-19: The importance of a safe return to physical activity. Aust J Gen Pract. 2020 Nov 25; 49.
  Daniel Jolley
pearl
1
After recovering from mild COVID infection with minimal or no symptoms, most recreational athletes can gradually increase exercise intensity over six days, returning to normal activity on day 7 if graduation is well tolerated.
Hughes DC, Orchard JW, Partridge EM et al. Return to exercise post-COVID-19 infection: A pragmatic approach in mid-2022. J Sci Med Sport. 2022 Jul 1; 25 (7): 544-547.
  Daniel Jolley
pearl
0
After COVID recovery, most vaccinated elite athletes achieve pre-morbid fitness levels by day 7-14.
Hughes DC, Orchard JW, Partridge EM et al. Return to exercise post-COVID-19 infection: A pragmatic approach in mid-2022. J Sci Med Sport. 2022 Jul 1; 25 (7): 544-547.
  Daniel Jolley
summary
1
This editorial from authors working in elite sport, exercise medicine and sports cardiology, contextualises the best current advice on returning to exercise after COVID infection, specifically acknowledging the Omicron variant and its potential differences.
"...with over 6 million cases recorded in Australia & NZ in the first 4 months of 2022, and few reports of serious adverse outcomes with exercise, the approach to return to exercise has become more pragmatic."
The author's experience has been that most vaccinated elite athletes achieve pre-morbid fitness levels after COVID recovery by day 7-14. Recreational athletes are recommended to pursue a more conservative course, but nonetheless they suggest:
"...a quick return to moderate exercise with a more cautious return to higher intensity exercise."
For those with no or minimal symptoms, the authors describe a graduated approach of exercise return over 6 days (days 1-3, 50% intensity for 15-30 min, then days 4-6, 75% intensity for 30 min), culminating in return to normal activity on day 7 if the graduation is well tolerated.
Elite athletes with close medical and training supervision may be able to undertake an accelerated progression of training intensity.
The full-text article includes a useful decision flowchart.
Hughes DC, Orchard JW, Partridge EM et al. Return to exercise post-COVID-19 infection: A pragmatic approach in mid-2022. J Sci Med Sport. 2022 Jul 1; 25 (7): 544-547.
  Daniel Jolley
pearl
1
Nuvaxoid is safe and 90% effective against the Alpha (B.1.1.7) SARS-CoV-2 variant.
Dunkle LM, Kotloff KL, Gay CL et al. Efficacy and Safety of NVX-CoV2373 in Adults in the United States and Mexico. N. Engl. J. Med. 2022 Feb 10; 386 (6): 531543531-543.
  Daniel Jolley
pearl
0
Nuvaxoid is safe and 90% effective against the Alpha (B.1.1.7) SARS-CoV-2 variant.
Heath PT, Galiza EP, Baxter DN et al. Safety and Efficacy of NVX-CoV2373 Covid-19 Vaccine. N. Engl. J. Med. 2021 Sep 23; 385 (13): 117211831172-1183.
  Daniel Jolley
pearl
1
Statin use is associated with decreased COVID mortality.
AFMZ Zein, Sulistiyana CS, Khasanah U et al. Statin and mortality in COVID-19: a systematic review and meta-analysis of pooled adjusted effect estimates from propensity-matched cohorts. Postgrad Med J. 2022 Jul 1; 98 (1161): 503508503-508.
  Daniel Jolley
comment
0
The usual 'correlation is not causation' qualifier is very necessary here. Perhaps doubly-so because this is a meta-analysis using pooled data of over 1 million people.
It's completely possible that someone who chooses to receive an influenza vaccine is also someone who makes more cautious health decisions and is more risk-averse, reducing their COVID exposure risk. The vaccinated are also more likely to be from better health-serviced locations and probably from higher socio-economic groups.
Still, interesting association nonetheless.
Su W, Wang H, Sun C et al. The Association Between Previous Influenza Vaccination and COVID-19 Infection Risk and Severity: A Systematic Review and Meta-analysis. Am J Prev Med. 2022 Jul 1; 63 (1): 121-130.
  Daniel Jolley