Publications by authors named "Raphael Udeh"

The symptoms of long COVID are well-documented. However, the long-term effects beyond 2 years remain poorly understood due to a lack of data. This systematic review and meta-analysis examined the prevalence of persistent symptoms in COVID-19 survivors 3 years following initial SARS-CoV-2 infection.

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Vaccine-induced immunosuppression can reactivate the varicella-zoster virus, potentially leading to the development of herpes zoster. However, the literature on this topic is inconsistent, resulting in limited clarity. Therefore, we aimed to enhance our understanding of vaccine-associated herpes zoster and establish guidelines for future research, utilizing a global database to improve global public health.

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  • Research on the neurological side effect Guillain-Barré syndrome (GBS) related to vaccines is limited, prompting this study to investigate its global impact and risk factors using data from the WHO’s VigiBase from 1967 to 2023.
  • The study found 15,377 reports of vaccine-associated GBS, particularly increasing since the start of COVID-19 vaccinations in 2020, with influenza vaccines showing the highest association.
  • The risk of GBS was similar across genders but increased with age, and while COVID-19 vaccines had the lowest association with GBS, vigilance during the week after vaccination is recommended, especially for older adults.
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  • Uveitis, an eye inflammation condition, is rare after vaccination but some cases were reported during the COVID-19 pandemic, prompting a study on its association with vaccines from 1967 to 2023.
  • The study found a significant connection between uveitis and vaccines, especially noted in females of all ages, with COVID-19 mRNA vaccines showing the highest risk.
  • These results highlight the need for ongoing monitoring of vaccines post-approval to ensure safety and manage possible side effects.
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  • Vision impairment (VI) and eye diseases like cataracts and age-related macular degeneration (AMD) may be linked to problems with thinking and memory, but not much research has been gathered about this yet.
  • Researchers looked at many studies to see if there is any strong evidence connecting vision issues to dementia and other memory problems.
  • They found some suggestive links, particularly between cataracts and Alzheimer's disease, but overall, none of the evidence was super strong or certain.
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Background: Despite the widespread use of attention-deficit hyperactivity disorder (ADHD) medications and their known sympathomimetic effects on the cardiovascular system, cardiovascular risk assessment of these medications using comprehensive global data is limited. This study investigated the association between individual ADHD medications and cardiovascular disease (CVD) using global pharmacovigilance data.

Methods: Reports from the World Health Organization international pharmacovigilance database were utilized (1967-2023; total reports, n=131,255,418).

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  • - Vaccine-associated rheumatic diseases (RADs) are rare but concerning adverse effects of vaccines, yet there's limited large-scale research on the topic, particularly since the COVID-19 pandemic began.
  • - A comprehensive study analyzed 131 million reports in the WHO's database from 1967 to 2023, finding an increase in RAD reports, particularly after 2020, mainly related to COVID-19 mRNA vaccines.
  • - The highest risk for RADs was linked to hepatitis B vaccines, followed by COVID-19 mRNA and anthrax vaccines, with young females and older males being more likely to report these adverse reactions.
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Background: The coronavirus disease 2019 (COVID-19) pandemic, a global health crisis, profoundly impacted all aspects of daily life. Adolescence, a pivotal stage of psychological and social development, is heavily influenced by the psychosocial and socio-cultural context. Hence, it is imperative to thoroughly understand the psychosocial changes adolescents experienced during the pandemic and implement effective management initiatives.

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Kawasaki disease (KD) is a self-limited febrile disease predominantly affecting infants and children under 5 years old. Coronary artery lesions (CAL) are a prevalent complication, highlighting the necessity for swift diagnosis and treatment. A comprehensive review of biomarkers applicable for the diagnosis and treatment of Kawasaki disease (KD) in clinical settings is imperative.

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Background: An increase in the demand for quality of life following spinal cord injuries (SCIs) is associated with an increase in musculoskeletal (MSK) pain, highlighting the need for preventive measure research.

Objective: This study aimed to evaluate the incidence and hazards of MSK morbidities among Korean adults with SCIs, as well as the influence of SCI location on MSK morbidities.

Methods: Patient populations were selected from Korean National Health Insurance Service data (n = 276).

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The potential of physical activity in preventing mental health issues has garnered interest among health professionals. We conducted a systematic umbrella review of evidence supporting the relationship between physical activity and the prevention of mental health complications. Our findings revealed a significant association between higher physical activity levels and reduced risk of depression (OR = 0.

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There's critical need for risk predictors in long COVID. This meta-analysis evaluates the evidence for an association between plasma lactate dehydrogenase (LDH) and long COVID and explores the contribution of LDH to symptoms persistent across the distinct post-acute sequelae of COVID-19 (PASC) domains. PubMed, EMBASE, Web of Science, and Google Scholar were searched for articles published up to 20 March 2023 for studies that reported data on LDH levels in COVID-19 survivors with and without PASC.

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Long-term sequelae conditions of COVID-19 at least 2-year following SARS-CoV-2 infection are unclear and little is known about their prevalence, longitudinal trajectory, and potential risk factors. Therefore, we conducted a comprehensive meta-analysis of survivors' health-related consequences and sequelae at 2-year following SARS-CoV-2 infection. PubMed/MEDLINE, CENTRAL, and EMBASE were systematically searched up to February 10, 2023.

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in children and adolescents may increase risk for a variety of post-acute sequelae including new-onset type 1 diabetes mellitus (T1DM). Therefore, this meta-analysis aims to estimate the risk of developing new-onset type 1 diabetes in children and adolescents as post-acute sequelae of SARS-CoV-2 infection. PubMed/MEDLINE, CENTRAL, and EMBASE were systematically searched up to March 20, 2023.

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COVID-19 has been shown to present with varied clinical course, necessitating a need for more specific diagnostic tools that could identify severe cases and predict outcomes during COVID-19 infection. Recent evidence has shown an expanded potential role for calprotectin, both as a diagnostic tool and also as a tool in stratifying COVID-19 patients in terms of severity. Therefore, this systematic review and meta-analysis aims to evaluate the levels of calprotectin in severe and non-severe COVID-19 and also identify the implication of raised calprotectin levels.

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