Charles C. Swart

Background: Observational studies of the long-term effects of COVID-19 infection generally focus on individual symptoms rather than health status. Objective: Longitudinal assessment of general health status following COVID-19 infection. Design: Observational study, with data collected from two telephone surveys at 32 ± 10 and 89 ± 25 days after discharge from the hospital or emergency department (ED) for a COVID-19 infection. Medicaid or no insurance was our marker of low socioeconomic status (SES). Acute disease severity was determined by summing 10 severity markers (yes-no) from the health encounter. Baseline comorbidity was a modified Charlson Index. Participants: 40 patients. Mean age was 54 ± 15 years, 50% were female, and 40% had low socioeconomic status. Main Measures: (1) the 20-item Medical Outcomes Study Short-Form General Health Survey (SF-20); (2) Dyspnea (modified Medical Research Council); (3) Psychological symptoms (Patient Health Questionnaire for Anxiety and Depression); (4) Cognitive function (Cognitive Change Questionnaire); (5) Fatigue (Short Fatigue Questionnaire); (6) A 10-item review of systems (ROS) questionnaire. Key Results: Percentages with abnormal symptoms at the first and second surveys were (respectively): Dyspnea (40, 33), Fatigue (53, 50), Anxiety (33, 18), Depression (20, 10), PHQ-4 Composite (25, 13), and Cognitive (18, 10). Mean scores on the SF-20 subscales, Physical Functioning, Role Functioning, Social Functioning, Health Perception, Mental Health, and Pain were numerically lower than means from a published study of elderly outpatients. With the exception of Pain, all SF-20 subscale scores improved significantly by the second survey. In multivariable analyses, dyspnea was predictive of impairment in all SF-20 subscales at the second survey. Conclusions: COVID-19 infection causes persistent abnormality across multiple patient-reported outcome areas, including health status. The persistence of impairment in each health status component is influenced by baseline dyspnea.

Introduction: A small group of Gastropods possessing giant neurons have long been used to study a wide variety of fundamental neurophysiological phenomena. However, the majority of gastropods do not have large neurons but instead have large numbers of small neurons and remain largely unstudied. We explored neuron size and rate of increase in neuron numbers in the Chinese mud snail,Cipangopaludina chinensis.Methods: Using histological sections and whole mounts of the cerebral ganglia, we collected cross‐sectional data on neuron number and size across the lifespan of this animal. Neurogenesis was verified using Click‐it EdU staining.Results: We found that total neuron number in the cerebral ganglia increases throughout the lifespan of this species at a constant rate. New neurons arise primarily near the nerve roots. Females live longer (up to 7 years) than males (up to 5 years) and thus achieve larger numbers of neurons in the cerebral ganglion. Neuron size is consistently small (C. chinensisand similar species of Caenogastropoda are good candidates for studying gastropod neurogenesis, senescence, and sex differences in the nervous system.

Evidence for ecological character displacement must include correlation between the morphological character in question and the function of that character in the organisms' environment. Examination of the cranial skeletons and jaw components of sympatric populations of Plethodon cinereus and Plethodon hoffmani correlate well with the sympatric shift in diet in these two species relative to their respective allopatric populations. This hypothesized relationship between cranial features and diet is consistent with ecological character displacement. A biomechanical model predicts a stronger, slower jaw in sympatric P. cinereus and a faster, weaker jaw in P. hoffmani relative to their respective allopatric populations. Inherent in this model is the assumption that no differences in the jaw muscles exist. Here we test this assumption using data on jaw muscle mass and tooth number in sympatric and allopatric populations of P. cinereus and P. hoffmani. Our findings indicate significant differences between species, but no consistent pattern of character displacement in these structures. We discuss the consistency of our data with the previously proposed biomechanical model and alternative hypotheses.