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BackgroundThe symptoms, radiography, biochemistry and healthcare utilisation of patients with COVID-19 following discharge from hospital have not been well described.MethodsRetrospective analysis of 401 adult patients attending a clinic following an index hospital admission or emergency department attendance with COVID-19. Regression models were used to assess the association between characteristics and persistent abnormal chest radiographs or breathlessness.Results75.1% of patients were symptomatic at a median of 53 days post discharge and 72 days after symptom onset and chest radiographs were abnormal in 47.4%. Symptoms and radiographic abnormalities were similar in PCR-positive and PCR-negative patients. Severity of COVID-19 was significantly associated with persistent radiographic abnormalities and breathlessness. 18.5% of patients had unscheduled healthcare visits in the 30 days post discharge.ConclusionsPatients with COVID-19 experience persistent symptoms and abnormal blood biomarkers with a gradual resolution of radiological abnormalities over time. These findings can inform patients and clinicians about expected recovery times and plan services for follow-up of patients with COVID-19.

The eruption of A.D. 79 has long dominated archaeological discourse on Vesuvius. Other eruptions, both earlier and later, have received less attention but are no less valuable from an archaeological point of view.1 Those eruptions deposited distinctive volcanic materials often easily identifiable in the stratigraphic record, thereby providing dated termini ante quos, which can in turn offer a snapshot of life around the volcano in different periods. The eruption of A.D. 79 provides just such an horizon for 1st-c. A.D. Campania; the earlier ‘Avellino pumices eruption’ does the same for the Bronze Age.2 By tracking the volcanic deposits that can be tied to such events, the situation on the ground prior to the eruptions can be examined, as can the ways in which communities and landscapes reacted to, and recovered from, them.

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