Shared decision-making in the context of COVID-19

Conclusion: So far no pharmacological intervention was proven effective and safe to warrant its use in the routine treatment of COVID-19 patients; therefore such patients should ideally be treated in the context of clinical trials. The recommendations herein provided will be revised continuously aiming to capture newly generated evidence.
Source: Revista Brasileira de Terapia Intensiva - Category: Intensive Care Source Type: research

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Two new tests, DnaNudge DNA test and LamPORE swab test, both able to detect COVID-19, influenza and respiratory syncytial viruses in 90 minutes, will be made available to NHS hospitals, care homes and labs. Neither test requires a health professional for operation.
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news
Conditions:   SARS-CoV-2;   Covid19;   H1N1 Influenza;   Computed Tomography Intervention:   Diagnostic Test: Thoraxic computed tomography Sponsors:   Universidad de Guanajuato;   Hospital General Regional de León;   University Medical Center Groningen Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Global social distancing rules targeting coronavirus have pushed influenza infection rates to a record low, early figures show.Reuters Health Information
Source: Medscape Hiv-Aids Headlines - Category: Infectious Diseases Tags: Infectious Diseases News Source Type: news
The last time the U.S. experienced a pandemic, advice to working Americans was similar to the message officials are sharing today—stay home. Similar to today’s COVID-19 outbreak, the 2009 H1N1 pandemic laid bare issues of inequality in the U.S., including disparities in paid sick leave. In 2009, the federal government did not have a federal paid sick leave policy, and it still doesn’t today, forcing U.S. workers to make the impossible choice between financial and personal health. But there are important lessons we can learn from the past, says Keshia Pollack Porter, director of the Johns Hopkins Bloomberg...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Brief COVID-19 News Desk Source Type: news
Countries around the world have introduced stringent control measures to stop COVID-19 outbreaks growing, but now many find themselves facing the same situation again. From Melbourne to Miami, the relaxation of measures had led to increasing flare-ups, which in some places has already meant reclosing schools, businesses or travel routes. Within the U.S. and among different countries, places with wildly varying public-health policies have experienced wildly diverse outcomes. Most ominously, infections are rising rapidly in many places where they once were falling. So how do countries avoid an indefinite, unsustainable, cycl...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized COVID-19 Source Type: news
To the Editor We question the conclusion of Wu et al about the benefit of corticosteroid use in the treatment of coronavirus disease 2019 (COVID-19). The World Health Organization and the US Centers for Disease Control and Prevention have issued clinical guidance against the use of corticosteroids in the treatment of COVID-19 unless another indication is present, such as a chronic obstructive pulmonary disease exacerbation, or as adjunct treatment of septic shock. This guidance was made on the basis of systematic reviews of observational studies of corticosteroids that demonstrated an association with increased mortality a...
Source: JAMA Internal Medicine - Category: Internal Medicine Source Type: research
Source: BMJ Comments - Category: General Medicine Source Type: forums
My boys do not want to wear pants.A small factor, but part of the reason they campaigned for remote learning. My daughter, who generally prefers clothing, remained on the fence.The remote vs. in-person learning decision has so many different factors it is very difficult as a pediatrician to give families a single clear answer.As new data emerges, it further confounds a family ’s decision that seemed crystal clear just 2 internet articles ago.Several people have asked point blank, “What are you doing for your own kids?”If I have left your text unanswered or have not replied to your email or Facebook commen...
Source: A Pediatrician's Blog - Category: Pediatrics Source Type: blogs
Abstract The study aims to describe patients hospitalized for severe acute respiratory illness (SARI) due to COVID-19 (SARI-COVID) in Brazil according to demographic characteristics and comorbidities up to the 21st Epidemiological Week of 2020. The study aimed to compare these characteristics with those of patients hospitalized for SARI due to influenza in 2019/2020 (SARI-FLU) and with the Brazilian general population. The proportions of demographic characteristics, comorbidities, and pregnant and postpartum women among patients hospitalized for SARI-COVID and SARI-FLU were obtained from the SIVEP-Gripe database, ...
Source: Cadernos de Saude Publica - Category: International Medicine & Public Health Authors: Tags: Cad Saude Publica Source Type: research
The new coronavirus SARS-CoV-2, the cause of COVID-19, has become a public health emergency of global concern. Like the SARS and influenza pandemics, there have been a large number of cases coinfected with other viruses, fungi, and bacteria, some of which originate from the oral cavity. Capnocytophaga, Veillonella, and other oral opportunistic pathogens were found in the BALF of the COVID-19 patients by mNGS. Risk factors such as poor oral hygiene, cough, increased inhalation under normal or abnormal conditions, and mechanical ventilation provide a pathway for oral microorganisms to enter the lower respiratory tract and th...
Source: Frontiers in Microbiology - Category: Microbiology Source Type: research
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