How to evaluate intensive care unit performance during the COVID-19 pandemic

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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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
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
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
By MICHEL ACCAD, MD With cases of COVID-19 either disappeared or rapidly diminishing from places like Wuhan, Italy, New York, and Sweden, many voices are speculating that herd immunity may have been reached in those areas and that it may be at hand in the remaining parts of the world that are still struggling with the pandemic.  Lockdowns should end—or may not have been needed to begin with, they conclude. Adding plausibility to their speculation is the discovery of biological evidence suggesting that prior exposure to other coronaviruses may confer some degree of immunity against SARS-CoV...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: COVID-19 Health Policy immunity MICHEL ACCAD Pandemic Source Type: blogs
With no evidence of seasonal variations, the WHO warns the initial coronavirus pandemic is continuing and acceleratingCoronavirus – latest updatesSee all our coronavirus coverageThe Covid-19 pandemic is currently unfolding in “one big wave” with no evidence that it follows seasonal variations common to influenza and other coronaviruses, such as the common cold, the World Health Organization has warned.Amid continued debates over what constitutes a second wave, a resurgence or seasonal return of the disease, Margaret Harris, a WHO spokesperson, insisted that these discussions are not a helpful way to under...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Coronavirus outbreak World news World Health Organization Infectious diseases Science Source Type: news
Teresa Joseph Thanks to a U.S. Department of Defense contract for as much as $9.5 million, the University of Arizona College of Medicine – Phoenix and partners aim to develop a portable device to easily and accurately detects biological threats, including the virus that causes COVID-19. Today College of Medicine – Phoenix2017.07.28 ANBM Lab Shoot-1854-web-web.jpg Researchers in the Center for Applied NanoBioscience and Medicine in the College of Medicine – Phoenix work to create devices and diagnostics focused on personalized medicine. The center is leading an effort to develop a device for easy, qu...
Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
Recognition of the association between acute and subacute different neuropsychiatric manifestations with the infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of the ongoing coronavirus disease 2019 (COVID-19) pandemic, is progressively being recognized [1]. The potential emergence of late onset neuropsychiatric manifestations after infection with SARS-CoV-2 remains to be discussed. After the “Spanish” influenza pandemic in the 20th century, an outbreak of encephalitis lethargica (EL) [2], a neuropsychiatric disorder of possible autoimmune origin emerged occurring soon after t...
Source: Journal of the Neurological Sciences - Category: Neurology Authors: Source Type: research
heraz Khan The novel coronavirus (SARS-CoV-2) has spread globally and has been declared a pandemic by the World Health Organization. While influenza virus shows seasonality, it is unknown if COVID-19 has any weather-related affect. In this work, we analyze the patterns in local weather of all the regions affected by COVID-19 globally. Our results indicate that approximately 85% of the COVID-19 reported cases until 1 May 2020, making approximately 3 million reported cases (out of approximately 29 million tests performed) have occurred in regions with temperature between 3 and 17 °C and absolute humidity between ...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
If physical distancing measures in the United States are relaxed while there is still no COVID-19 vaccine or treatment and while personal protective equipment remains in short supply, the number of resulting infections could be about the same as if distancing had never been implemented to begin with, according to a UCLA-led team of mathematicians and scientists.The researchers compared the results of three related mathematical models of disease transmission thatthey used to analyze data emerging from local and national governments, including one thatmeasures thedynamic reproduction number — the average number of susc...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news
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