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June 2020 Briefing - Nursing

Here are what the editors at HealthDay consider to be the most important developments in Nursing for June 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

ID, Isolation of SARS-CoV-2 Vital in Correctional Facilities

TUESDAY, June 30, 2020 (HealthDay News) -- Prompt identification and isolation of individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is important for reducing transmission in correctional and detention facilities, according to research published in the June 29 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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U.S. Could See 100,000 New Cases of COVID-19 Each Day, Fauci Says

TUESDAY, June 30, 2020 (HealthDay News) -- Top U.S. infectious disease expert Anthony Fauci, M.D., warned Congress on Tuesday that COVID-19 infections could climb to 100,000 new cases daily unless ongoing outbreaks are contained.

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FBI Warns of Scammers Selling Fake COVID-19 Antibody Tests

TUESDAY, June 30, 2020 (HealthDay News) -- Fake or unapproved COVID-19 antibody tests are being sold by scammers, the Federal Bureau of Investigation warns.

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Heart Rhythm Disorders Seen in Critically Ill COVID-19 Patients

TUESDAY, June 30, 2020 (HealthDay News) -- Critically ill patients with COVID-19 are more likely to develop heart rhythm disorders than other hospitalized patients, according to a study published online June 22 in Heart Rhythm.

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Mild Fever, Little Respiratory Illness Seen With COVID-19-Positive Infants

TUESDAY, June 30, 2020 (HealthDay News) -- Babies with COVID-19 generally have mild illness, with mostly fever, according to a brief report published online June 17 in The Journal of Pediatrics.

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Latinos Have High Rate of Positivity for SARS-CoV-2

TUESDAY, June 30, 2020 (HealthDay News) -- The rate of positivity for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is over 40 percent for Latinos in the Baltimore-Washington D.C. region, according to a research letter published online June 18 in the Journal of the American Medical Association.

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Intestinal Illness Spurs Recall of Bagged Salads Sold at Walmart, Aldi

MONDAY, June 29, 2020 (HealthDay News) -- Bagged salad mixes sold at Walmart and other stores are linked with an outbreak of Cyclospora infections in eight Midwestern states, the U.S. Centers for Disease Control and Prevention reports.

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COVID-19 Drug Remdesivir Could Cost Up to $3,120 Per Patient

MONDAY, June 29, 2020 (HealthDay News) -- Gilead Sciences, the maker of remdesivir, the first drug that showed promise in treating COVID-19 infections, will charge U.S. hospitals $3,120 for a patient with private insurance, the company announced Monday.

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CDC: U.S. COVID-19 Rates Much Higher Than Reported

MONDAY, June 29, 2020 (HealthDay News) -- Actual COVID-19 infection rates in many areas of the United States are more than 10 times higher than reported rates, a U.S. Centers for Disease Control and Prevention study suggests.

The New York Times Article
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Government E-Cigarette Restrictions on Marketing Lower Use

MONDAY, June 29, 2020 (HealthDay News) -- Comprehensive provincial restrictions on electronic cigarette marketing are associated with lower levels of exposure to marketing and lower prevalence of e-cigarette use, according to a Canadian study published online June 29 in Pediatrics.

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Altered Mental Status Not Uncommon in Severe COVID-19

MONDAY, June 29, 2020 (HealthDay News) -- Altered mental status is the second most common neurological presentation for patients with COVID-19, according to a study published online June 25 in The Lancet Psychiatry.

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Antibody Tests ID COVID-19 Two to Three Weeks After Symptoms

MONDAY, June 29, 2020 (HealthDay News) -- Antibody testing may detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, with sensitivity peaking at three weeks since symptom onset, according to a review published online June 25 in the Cochrane Library.

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NY Health Care Workers Report Distress Related to COVID-19 Care

MONDAY, June 29, 2020 (HealthDay News) -- Many New York City health care workers are experiencing COVID-19-related psychological distress, especially nurses and advanced practice providers, according to a study published in the upcoming September-October issue of General Hospital Psychiatry.

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Trump Administration Asks Supreme Court to Overturn Affordable Care Act

FRIDAY, June 26, 2020 (HealthDay News) -- The Trump administration has asked the Supreme Court to overturn the Affordable Care Act (ACA).

Washington Post Article

Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 22 to 26, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Black Americans More Likely to Know Someone Who Has Died of COVID-19

FRIDAY, June 26, 2020 (HealthDay News) -- Far more black Americans say they know someone personally who has died of COVID-19 than whites, a new poll finds.

Washington Post Article

Older Age, Obesity, Disability Tied to Severe COVID-19 in MS

FRIDAY, June 26, 2020 (HealthDay News) -- For patients with multiple sclerosis (MS), age, obesity, and high Expanded Disability Severity Scale score (EDSS) are significantly associated with increased risk for severe COVID-19, according to a study published online June 26 in JAMA Neurology.

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U.S. Has Second Day of Record Rise in COVID-19 Cases; Young People Fueling Trend

FRIDAY, June 26, 2020 (HealthDay News) -- As the United States reported yet another record-breaking number of COVID-19 cases on Thursday, public health officials warned that younger Americans now account for an ever-growing percentage of infections.

The New York Times Article

CDC Updates List of Who Is at Highest Risk for COVID-19

FRIDAY, June 26, 2020 (HealthDay News) -- The list of conditions that put people at risk for severe COVID-19 illness has been expanded by the U.S. Centers for Disease Control and Prevention.

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Colchicine May Improve Time to Clinical Deterioration in COVID-19

FRIDAY, June 26, 2020 (HealthDay News) -- Hospitalized patients with COVID-19 receiving colchicine have significantly improved time to clinical deterioration, according to a study published online June 24 in JAMA Network Open.

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Heart Failure Ups Risk of Death in Patients With New T2DM

FRIDAY, June 26, 2020 (HealthDay News) -- For patients with newly diagnosed type 2 diabetes (T2D), heart failure development is associated with increased five-year absolute and relative risks of death, according to a study published online June 23 in Circulation: Cardiovascular Quality and Outcomes.

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Neonatal COVID-19 Uncommon, Not Linked to Mode of Delivery

FRIDAY, June 26, 2020 (HealthDay News) -- Neonatal COVID-19 is uncommon and the rate of maternal transmission is not increased with any particular mode of delivery or type of infant feeding, according to a review published online June 12 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Integrated Practice Unit Enhances Pediatric Aerodigestive Care

FRIDAY, June 26, 2020 (HealthDay News) -- Hospitals delivering care with an integrated practice unit (IPU) have improved clinical outcomes and lower costs of pediatric aerodigestive care, according to a study published in the July/August issue of NEJM Catalyst: Innovations in Care Delivery.

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Genomewide Level Associations Identified for Severe COVID-19

FRIDAY, June 26, 2020 (HealthDay News) -- Patients with COVID-19 and severe disease have associations at locus 3p21.31 and 9q34.2, which are significant at the genomewide level, according to a study published online June 17 in the New England Journal of Medicine.

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ED Visits for Childhood Asthma Down During Pandemic

FRIDAY, June 26, 2020 (HealthDay News) -- There has been a dramatic decrease in pediatric asthma-related emergency department use during the COVID-19 pandemic compared to the four previous years, according to research published online June 6 in the Journal of Allergy and Clinical Immunology: In Practice.

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CDC: HIV Testing Occurs at <1 Percent of Physician Visits

THURSDAY, June 25, 2020 (HealthDay News) -- HIV testing occurs at less than 1 percent of physician office and emergency department visits and at less than 3 percent of community health center (CHC) visits, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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CDC: U.S. Salmonella Cases Linked to Backyard Poultry Reach 465

THURSDAY, June 25, 2020 (HealthDay News) -- The number of Salmonella infections linked with backyard poultry has reached 465 in 42 states, an increase of 368 since the last update on May 20, the U.S. Centers for Disease Control and Prevention said Wednesday.

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Texas Pauses Reopening as COVID-19 Cases Rise

THURSDAY, June 25, 2020 (HealthDay News) -- As COVID-19 cases surge in Texas, the state is pausing its reopening process and freeing up hospital beds for COVID-19 patients.

The New York Times Article

Risk for Hospitalization Up for Pregnant Women With COVID-19

THURSDAY, June 25, 2020 (HealthDay News) -- Among women of reproductive age with COVID-19, pregnant women are more likely to be hospitalized and to be admitted to the intensive care unit, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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U.S. Burden of Skin and Subcutaneous Diseases Increasing

THURSDAY, June 25, 2020 (HealthDay News) -- The U.S. burden of skin and subcutaneous diseases is large but varies geographically, according to a study published online June 10 in JAMA Dermatology.

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J&J Ordered to Pay $2.1 Billion in Talcum Product Lawsuit

WEDNESDAY, June 24, 2020 (HealthDay News) -- Johnson & Johnson and a subsidiary must pay $2.1 billion in damages to women who said their ovarian cancers were caused by the company's baby powder and other talcum products, a Missouri appeals court ruled Tuesday.

The New York Times Article

Sanofi Speeds COVID-19 Vaccine Efforts

WEDNESDAY, June 24, 2020 (HealthDay News) -- French drugmaker Sanofi has shortened its timeline to get a COVID-19 vaccine on the market.

The New York Times Article

Cyclospora Outbreak Linked to Bagged Salad Mixes

WEDNESDAY, June 24, 2020 (HealthDay News) -- An outbreak of Cyclospora infections in the U.S. Midwest appears to be linked to bagged salad mixes, the U.S. Centers for Disease Control and Prevention said Tuesday.

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CDC: 10.7 Percent of U.S. Adults Used Rx Pain Meds in 2015 to 2018

WEDNESDAY, June 24, 2020 (HealthDay News) -- In 2015 to 2018, 10.7 percent of U.S. adults aged 20 years or older used one or more prescription pain medications in the previous 30 days, according to a June data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Older Age, Black Race, Diabetes Up Hospitalization in COVID-19

WEDNESDAY, June 24, 2020 (HealthDay News) -- Characteristics that are independently associated with hospitalization for COVID-19 include older age, black race, and having diabetes mellitus, according to research published in the June 17 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Tocilizumab Shows Promise for Treatment of COVID-19

WEDNESDAY, June 24, 2020 (HealthDay News) -- Use of tocilizumab to target cytokine release syndrome (CRS) seems beneficial for patients with COVID-19, according to a study published online June 15 in CHEST.

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Huge Saharan Dust Plume Will Affect Americans' Health

TUESDAY, June 23, 2020 (HealthDay News) -- Meteorologists and health experts are warning that a huge blanket of Sahara Desert dust will engulf parts of the United States this week.

AP News Article

Black, Hispanic Medicare Patients Much More Likely to Be Hospitalized With COVID-19

TUESDAY, June 23, 2020 (HealthDay News) -- Black Medicare recipients are nearly four times more likely and Hispanics are nearly two times more likely than whites to be hospitalized with COVID-19, according to the U.S. government.

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COVID-19 Vaccine May Be Available by Late 2020, Early 2021: Fauci

TUESDAY, June 23, 2020 (HealthDay News) -- There could be a COVID-19 vaccine by the end of this year or early next year, according to Anthony Fauci, M.D., infectious diseases chief at the U.S. National Institutes of Health.

AP News Article

More Sedentary Time Tied to Higher Risk for Cancer Mortality

TUESDAY, June 23, 2020 (HealthDay News) -- Greater sedentary time is independently associated with a higher cancer mortality risk, according to a study published online June 18 in JAMA Oncology.

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RN Staffing Linked to COVID-19 Incidence in Nursing Homes

TUESDAY, June 23, 2020 (HealthDay News) -- Higher registered nurse (RN) staffing is associated with a reduced number of COVID-19 cases and deaths in nursing homes, according to a study published online June 18 in the Journal of the American Geriatrics Society.

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Asthma Seems Not to Be Linked to COVID-19 Hospitalization

TUESDAY, June 22, 2020 (HealthDay News) -- Asthma seems not to be associated with COVID-19 hospitalization, according to a study published online June 9 in the Journal of Allergy and Clinical Immunology.

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Physical Activity Helps Avert Premature Mortality Worldwide

TUESDAY, June 23, 2020 (HealthDay News) -- Physical activity prevalence has contributed to averting premature mortality on a global scale, with about 3.9 million premature deaths averted annually, according to a study published in the July issue of The Lancet Global Health.

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USPSTF Advises Hypertension Screening for All Adults

TUESDAY, June 23, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening all adults for hypertension with office-based blood pressure measurement (OBPM). This recommendation is included in a draft recommendation statement, published online June 23 by the USPSTF.

Draft Evidence Review
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Small Increase Seen in Risk for Subdeltoid Bursitis With Flu Shot

TUESDAY, June 23, 2020 (HealthDay News) -- There is a small increased risk for subdeltoid bursitis after influenza vaccination, according to a study published online June 23 in the Annals of Internal Medicine.

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COVID-19 Hospitalization Up With Prednisone in Rheumatic Disease

TUESDAY, June 23, 2020 (HealthDay News) -- For patients with rheumatic disease with COVID-19, glucocorticoids are associated with increased odds of hospitalization, according to a study published in the July issue of the Annals of Rheumatic Diseases.

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Safety Climate Perceptions Linked to Health Provider Stress

MONDAY, June 22, 2020 (HealthDay News) -- Safety climate perceptions are associated with care practitioner-reported stress and job satisfaction, according to a study published in the May-June issue of the Journal of Healthcare Management.

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Children's Robitussin Honey Cough and Chest Congestion DM Recalled

MONDAY, June 22, 2020 (HealthDay News) -- Two lots of Children's Robitussin Honey Cough and Chest Congestion DM and one lot of Children's Dimetapp Cold and Cough have been recalled because they have incorrect dosing cups that could put children at risk for an overdose.

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Sugar-Sweetened Beverage Tax Will Generate Health Gains

MONDAY, June 22, 2020 (HealthDay News) -- Sugar-sweetened beverage tax designs are expected to generate substantial health gains and cost savings, according to a study published online June 22 in Circulation.

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Adult T2DM Susceptibility May Be Identifiable in Children

MONDAY, June 22, 2020 (HealthDay News) -- Metabolic traits associated with adult diabetes risk may be detectable by age 8 years, according to a study published online June 19 in Diabetes Care.

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Smoking Cessation Messages Focusing on Child Most Important

MONDAY, June 22, 2020 (HealthDay News) -- Smoking cessation messages that emphasize the impact on children and with outcomes focused on respiratory health, cancer, or general health are ranked as most important by parent smokers, according to a study published online June 22 in Pediatrics.

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Transmissibility of SARS-CoV-2 High Within Households

MONDAY, June 22, 2020 (HealthDay News) -- Severe acute respiratory syndrome coronavirus 2 has high transmissibility within households, according to a study published online June 17 in The Lancet Infectious Diseases.

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Depression, Anxiety Up for New Moms During COVID-19

MONDAY, June 22, 2020 (HealthDay News) -- There was a considerable increase in self-reported maternal depression and anxiety from prepandemic to current times, with physical activity mitigating the likelihood of anxiety and depression, according to a study published online June 19 in Frontiers in Global Women's Health.

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Poll: Parents Most Concerned About Diseases From Tick Bites

FRIDAY, June 19, 2020 (HealthDay News) -- Parents are more concerned about diseases from tick bites than from mosquito bites, according to a new C.S. Mott Children's Hospital national poll from the University of Michigan in Ann Arbor.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 15 to 19, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Early Data Show No Protest-Related Increases in COVID-19 Infections

FRIDAY, June 19, 2020 (HealthDay News) -- Antiracism protests in the United States have not led to increases in new cases of the coronavirus that causes COVID-19, early data show.

The Wall Street Journal Article

Scientists Say Journal Should Retract Mask Study

FRIDAY, June 19, 2020 (HealthDay News) -- A study on the use of masks to protect against the new coronavirus should be retracted by the Proceedings of the National Academy of Sciences because it contains "egregious errors" and "verifiably false" statements, a group of scientists say in a letter to the journal's editors.

The New York Times Article

Isolation, Contact Tracing Combo Can Cut COVID-19 Transmission

FRIDAY, June 19, 2020 (HealthDay News) -- Combined isolation and tracing strategies can reduce COVID-19 transmission more than mass testing or self-isolation alone, according to a study published online June 16 in The Lancet Infectious Diseases.

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Prone Position Ups Oxygenation in Patients With Severe COVID-19

FRIDAY, June 19, 2020 (HealthDay News) -- The use of the prone position for awake, spontaneously breathing patients with COVID-19-related severe hypoxemic respiratory failure is associated with improved oxygenation, according to a research letter published online June 17 in JAMA Internal Medicine.

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Heart Transplant Patients May Have Higher COVID-19 Mortality

FRIDAY, June 19, 2020 (HealthDay News) -- Heart transplant patients admitted to the hospital with COVID-19 symptoms may be sicker than nontransplant patients, but they present with the same symptoms as the general population, according to a study recently published in the Journal of Cardiac Failure.

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Sociodemographic Gaps Found in COVID-19 Incidence, Knowledge

THURSDAY, June 18, 2020 (HealthDay News) -- There are sociodemographic gaps in the reported incidence of COVID-19 and knowledge regarding its spread and symptoms, according to a study published online June 18 in JAMA Network Open.

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Nine Texas Mayors Ask Governor for Power to Mandate Face Masks

THURSDAY, June 18, 2020 (HealthDay News) -- Mayors in Houston, Dallas, Austin, San Antonio, and five other Texas municipalities want Gov. Greg Abbott to give them the power to require people to wear masks in public "where physical distancing cannot be practiced."

CNN Article

Healthy Lifestyle May Lower Risk for Alzheimer Dementia

THURSDAY, June 18, 2020 (HealthDay News) -- A healthy lifestyle is associated with a reduced risk for Alzheimer dementia, according to a study published online June 17 in Neurology.

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Face-Mask Use May Mitigate Spread of COVID-19

THURSDAY, June 18, 2020 (HealthDay News) -- Requiring face-mask use in public may help to mitigate the spread of COVID-19, according to a report published online June 16 in Health Affairs.

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Hyperglycemia Common in T1DM Patients With COVID-19

THURSDAY, June 18, 2020 (HealthDay News) -- Presentation patterns are similar in patients with type 1 diabetes admitted with confirmed or suspected COVID-19, according to a study published online June 5 in Diabetes Care.

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Clinical, Epidemiological Features of Pediatric SARS-CoV-2 ID'd

THURSDAY, June 18, 2020 (HealthDay News) -- Clinical and epidemiological characteristics of pediatric severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections are described in an article published online June 16 in PLOS Medicine.

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Survival Without Major Morbidity Up for Very Low Birth Weight

THURSDAY, June 18, 2020 (HealthDay News) -- For very low-birth-weight infants in California, there was a consistent increase in survival without major morbidity from 2008 to 2017, according to a study published online June 17 in Pediatrics.

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Changes Proposed for Newborn Congenital Heart Disease Screen

WEDNESDAY, June 17, 2020 (HealthDay News) -- Changes have been suggested for the newborn critical congenital heart disease (CCHD) screening algorithm, according to a study published online June 4 in Pediatrics.

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Strong Support Found for Protective Practices Related to COVID-19

WEDNESDAY, June 17, 2020 (HealthDay News) -- Most adults in New York City, Los Angeles, and the United States support stay-at-home orders and nonessential business closures during the COVID-19 pandemic and report always or often wearing face coverings in public areas, according to research published in the June 12 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Record-High Spikes in COVID-19 Cases Seen in Arizona, Florida, Texas

WEDNESDAY, June 17, 2020 (HealthDay News) -- After reopening, states such as Arizona, Florida, and Texas are all seeing record-high one-day increases in COVID-19 cases.

The New York Times Article

U.S. Insurers Should Not Charge Copays for COVID-19 Vaccine

WEDNESDAY, June 17, 2020 (HealthDay News) -- Health insurance companies are expected to cover vaccines for the new coronavirus without charging copays, U.S. officials say.

AP News Article

Globally, ~11 Percent of Children Live With One of Four Disabilities

WEDNESDAY, June 17, 2020 (HealthDay News) -- Overall, 11.2 percent of the 2.6 billion children and adolescents worldwide had one of the following in 2017: childhood epilepsy, intellectual disability, vision loss, or hearing loss, according to a study published online June 17 in Pediatrics.

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Antibiotic Prescribing High in Low-, Middle-Income Countries

WEDNESDAY, June 17, 2020 (HealthDay News) -- Antibiotic prescription rates are high in low- and middle-income countries (LMIC), with a pooled prevalence proportion of antibiotic prescribing of 52 percent, according to a review published online June 16 in PLOS Medicine.

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Risk for COVID-19 Reinfection Remains Unknown

WEDNESDAY, June 17, 2020 (HealthDay News) -- The potential risk for reinfection with COVID-19 remains a concern, but evidence is scarce, according to Jeffrey Shaman, Ph.D., director of the climate and health program at Columbia University, who recently spoke with HD Live! about his research and the risk for reinfection with COVID-19.

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CVD, Non-CVD Mortality Increased With Azithromycin Use

WEDNESDAY, June 17, 2020 (HealthDay News) -- Outpatient azithromycin use is associated with an increased risk for cardiovascular and noncardiovascular mortality, according to a study published online June 17 in JAMA Network Open.

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Proactive Monitoring Program Beneficial for COVID-19 Home Care

WEDNESDAY, June 17, 2020 (HealthDay News) -- A proactive monitoring program for COVID-19 can track illness, provide support, and identify cases that need hospitalization, according to a study published online June 16 in NEJM Catalyst.

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Hormone Therapies Tied to Brain Changes in Menopausal Women

WEDNESDAY, June 17, 2020 (HealthDay News) -- In recently menopausal women using hormone treatment (HT), circulating levels of pituitary-ovarian hormones are associated with changes in white matter hyperintensities (WMH), according to a study published online June 8 in Menopause.

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CDC: Cumulative Incidence of COVID-19 403.6 Per 100,000 in U.S.

TUESDAY, June 16, 2020 (HealthDay News) -- The cumulative incidence of COVID-19 is 403.6 cases per 100,000 persons in the United States, and hospitalization and death rates are six and 12 times higher, respectively, for those with underlying conditions, according to research published in the June 15 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Self-Collected Nasal Swabs Acceptable for SARS-CoV-2 Testing

TUESDAY, June 16, 2020 (HealthDay News) -- Patient-collected lower nasal specimens may be acceptable for severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) testing, according to a research letter published online June 12 in JAMA Network Open.

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Face Masks Most Effective Means to Avert COVID-19 Transmission

TUESDAY, June 16, 2020 (HealthDay News) -- Mandated face coverings represent the most effective means to prevent interhuman transmission of COVID-19, according to a study published online June 11 in the Proceedings of the National Academy of Sciences.

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Steroid May Reduce COVID-19 Death Risk by Up to One-Third

TUESDAY, June 16, 2020 (HealthDay News) -- The cheap and widely available steroid dexamethasone reduced the risk for death among seriously ill COVID-19 patients by up to a third, according to researchers in England.

AP News Article

Correlates of COVID-19 ID'd on American Indian Reservations

TUESDAY, June 16, 2020 (HealthDay News) -- The rate of COVID-19 cases is increased on American Indian reservations with larger proportions of homes lacking complete indoor plumbing, according to a study published in the July/August issue of the Journal of Public Health Management & Practice.

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Stressful Life Events May Up CHD Risk in Type 2 Diabetes

TUESDAY, June 16, 2020 (HealthDay News) -- Higher levels of stressful life events are associated with a higher risk for coronary heart disease (CHD) among postmenopausal women with type 2 diabetes, according to a study published online June 4 in Diabetes Care.

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COVID-19 Cases Rising in Many States as Reopening Continues

MONDAY, June 15, 2020 (HealthDay News) -- With most state reopenings well underway, many are now seeing alarming surges in COVID-19 cases, and New York Governor Andrew Cuomo warned that a return to lockdown for his state was possible.

CNN News Article

FDA Pulls Emergency Approval of Hydroxychloroquine for COVID-19

MONDAY, June 15, 2020 (HealthDay News) -- The U.S. Food and Drug Administration has withdrawn its emergency authorization for the use of chloroquine phosphate and hydroxychloroquine sulfate in the fight against COVID-19.

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Blood Donors Will Get Results of Coronavirus Antibody Test, Red Cross Says

MONDAY, June 15, 2020 (HealthDay News) -- The American Red Cross will test all blood, platelet, and plasma donations for COVID-19 antibodies so donors can learn whether they have been exposed to the new coronavirus.

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Black Americans Much More Likely to Have Lost Loved Ones to COVID-19

MONDAY, June 15, 2020 (HealthDay News) -- Black Americans are much more likely than other Americans to say a relative or close friend has died of COVID-19, surveys reveal.

AP News Article

Nearly 43,000 Pounds of Ground Beef Products Recalled

MONDAY, June 15, 2020 (HealthDay News) -- Nearly 43,000 pounds of ground beef products have been recalled by New Jersey-based Lakeside Refrigerated Services due to possible contamination with potentially deadly Escherichia coli O157:H7, the U.S. Department of Agriculture Food Safety and Inspection Service (FSIS) says.

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More Than One in Four Parents Hesitant About Flu Vaccine

MONDAY, June 15, 2020 (HealthDay News) -- About 6.1 percent of parents are hesitant about routine childhood vaccines, while 25.8 percent are hesitant about influenza vaccines, with only 26 percent strongly agreeing that influenza vaccines are effective, according to a study published online June 15 in Pediatrics.

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Nonpharmaceutical Interventions Slow COVID-19 Growth

MONDAY, June 15, 2020 (HealthDay News) -- Nonpharmaceutical interventions have been beneficial for slowing COVID-19 growth on a global level and within Europe, according to two studies published online June 8 in Nature.

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Gastrointestinal Symptoms Not Uncommon With COVID-19

MONDAY, June 15, 2020 (HealthDay News) -- Approximately 12 percent of patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection report gastrointestinal symptoms, according to a review published online June 11 in JAMA Network Open.

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Pediatric COVID-19 Symptoms Differ From Those Seen in Adults

MONDAY, June 15, 2020 (HealthDay News) -- Clinical manifestations of COVID-19 in children differ widely from adult cases, according to a review published online June 3 in Pediatric Pulmonology.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 8 to 12, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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PPE Supplies Sent by FEMA to Nursing Homes Often Defective

FRIDAY, June 12, 2020 (HealthDay News) -- A Trump administration plan to boost nursing homes' supplies of personal protective equipment (PPE) is falling short, critics say.

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Stay-at-Home Orders Challenging Obese Patients

FRIDAY, June 11, 2020 (HealthDay News) -- Obese patients are reporting physical and mental health challenges during the COVID-19 stay-at-home orders, according to a study published online June 9 in Clinical Obesity.

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Cesarean Delivery Tied to Clinical Deterioration in SARS-CoV-2

FRIDAY, June 12, 2020 (HealthDay News) -- Cesarean birth is associated with clinical deterioration in women with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and with an increased risk for neonatal intensive care unit (NICU) admission, according to a research letter published online June 8 in the Journal of the American Medical Association.

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Signs, Symptoms Vary Widely for Children Presenting With PIMS-TS

FRIDAY, June 12, 2020 (HealthDay News) -- Children presenting with pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; PIMS-TS) have a wide range of presenting symptoms, according to a study published online June 8 in the Journal of the American Medical Association.

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Risk Up for Families After One Sudden Unexpected Infant Death

FRIDAY, June 12, 2020 (HealthDay News) -- For infants born after one sudden unexpected death in infancy (SUDI), the SUDI rate for infants is 3.93 per 1,000 live births, with an unexplained cause of death in most cases, according to a study published online June 10 in the Archives of Disease in Childhood.

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Many of the Initial COVID-19 Treatment Trials Poorly Designed

FRIDAY, June 12, 2020 (HealthDay News) -- Many clinical trials for COVID-19 treatments are limited by their design, with one-third excluding clinical end points, according to research published online June 9 in BMJ Open.

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Risk or Fear of COVID-19 Should Not Delay Bystander CPR

FRIDAY, June 12, 2020 (HealthDay News) -- Bystander cardiopulmonary resuscitation (CPR) remains a vital, lifesaving endeavor for out-of-hospital cardiac arrest (OHCA), even during the COVID-19 pandemic, according to a study published online June 4 in Circulation.

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Exclusive Breastfeeding May Prevent Weight Gain in At-Risk Children

FRIDAY, June 12, 2020 (HealthDay News) -- Exclusive breastfeeding to 5 months can attenuate the impact of genetic risk on body mass index (BMI) increase during childhood, according to a study published online June 11 in PLOS Genetics.

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Face-Mask Use by Public Can Mitigate Spread of COVID-19

THURSDAY, June 11, 2020 (HealthDay News) -- Face-mask use by the public, in combination with physical distancing and periods of lockdown, can mitigate the spread of the new coronavirus, according to a study published online June 10 in the Proceedings of the Royal Society A.

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First Large Clinical Trial of COVID-19 Vaccine in U.S. Could Begin in July

THURSDAY, June 11, 2020 (HealthDay News) -- A large clinical trial of the first U.S. COVID-19 vaccine could begin next month, according to Moderna Inc., which developed the vaccine with the U.S. National Institutes of Health.

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COVID-19 Behavior Seems Consistent With Seasonal Virus

THURSDAY, June 11, 2020 (HealthDay News) -- Eight cities with substantial community outbreaks of COVID-19 are distributed along restricted latitude, temperature, and humidity measurements, consistent with behavior of a seasonal respiratory virus, according to a study published online June 11 in JAMA Network Open.

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~18 Million at Increased COVID-19 Risk Underinsured in U.S.

THURSDAY, June 11, 2020 (HealthDay News) -- A total of 16.9 percent of those at increased risk for severe COVID-19 were inadequately insured at the start of the outbreak, according to a study published online June 10 in the Journal of General Internal Medicine.

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Personal Protective Equipment Prevents SARS-CoV-2 Infection

THURSDAY, June 11, 2020 (HealthDay News) -- Appropriate personal protective equipment can protect frontline health care professionals who care for patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, according to a study published online June 10 in The BMJ.

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Volunteering Linked to Reduced Risk for Mortality in Seniors

THURSDAY, June 11, 2020 (HealthDay News) -- For adults older than 50 years, volunteering is associated with a reduced risk for mortality and physical functioning limitations, according to a study published online June 11 in the American Journal of Preventive Medicine.

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Joint Framework Issued to Spur Diabetes Education, Support

THURSDAY, June 11, 2020 (HealthDay News) -- In a joint position statement from seven leading diabetes organizations, published online June 8 in Diabetes Care, a framework is presented to increase use of diabetes self-management education and support (DSMES) in patients with type 2 diabetes.

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Risk Factors for Suicide ID'd in Health Care Professionals

THURSDAY, June 11, 2020 (HealthDay News) -- Modifiable and nonmodifiable risk factors for suicide have been identified among health care professionals, according to a study published online June 10 in JAMA Surgery.

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Stroke Risk Increased in African Americans Who Smoke Cigarettes

THURSDAY, June 11, 2020 (HealthDay News) -- Current cigarette smoking is associated with stroke risk in blacks, with a dose-dependent pattern observed, according to a study published online June 10 in the Journal of the American Heart Association.

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Acalabrutinib Promising for Treatment of Severe COVID-19

THURSDAY, June 11, 2020 (HealthDay News) -- For patients with severe COVID-19, treatment with acalabrutinib, a selective bruton tyrosine kinase (BTK) inhibitor, appears to improve oxygenation and reduce measures of inflammation, according to a study published in the June 5 issue of Science Immunology.

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Obesity Linked to Greater Severity of Pediatric COVID-19

WEDNESDAY, June 10, 2020 (HealthDay News) -- Obesity is the most common comorbidity among children and adolescents with COVID-19 and is associated with disease severity, according to a study published online June 3 in JAMA Pediatrics.

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VA May Not Have Enough PPE for Second COVID-19 Wave

WEDNESDAY, June 10, 2020 (HealthDay News) -- The U.S. Department of Veterans Affairs says it may not have enough personal protective equipment for medical staff if there is a second wave of the COVID-19 pandemic.

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Study Will Assess Drugs Used to Treat Young COVID-19 Patients

WEDNESDAY, June 10, 2020 (HealthDay News) -- A study to assess several drugs currently being used to treat COVID-19 in infants, children, and teens has been announced by the U.S. National Institute of Child Health and Human Development (NICHD).

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Nine U.S. States Seeing Spikes in COVID-19 Hospitalizations

WEDNESDAY, June 10, 2020 (HealthDay News) -- In another troubling sign that the spread of COVID-19 might be accelerating, new U.S. data show hospitalizations in at least nine states have been on the rise since Memorial Day.

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Troponin I Elevation Linked to Death in COVID-19 Patients

WEDNESDAY, June 10, 2020 (HealthDay News) -- Among patients hospitalized with COVID-19, troponin I elevation is associated with an increased risk for death, according to a study published online June 8 in the Journal of the American College of Cardiology.

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Good Outcomes Seen in Hospitalized Pregnant Women With COVID-19

WEDNESDAY, June 10, 2020 (HealthDay News) -- Most pregnant women admitted to U.K. hospitals with confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have good outcomes, according to a study published online June 8 in The BMJ.

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USPSTF Urges Primary Care Docs to Ask Adults About Drug Use

WEDNESDAY, June 10, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians ask adults about drug use and connect them to services for treatment and appropriate care. These recommendations form the basis of a final recommendation statement published in the June 9 issue of the Journal of the American Medical Association.

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Record-High Numbers of New COVID-19 Cases Seen in 14 States, Puerto Rico

TUESDAY, June 9, 2020 (HealthDay News) -- A new analysis shows that parts of the country that had been spared the worst of the COVID-19 pandemic are now tallying record-high cases of new infections.

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WHO Backpedals on Claim That Asymptomatic Transmission of New Coronavirus Is Rare

TUESDAY, June 9, 2020 (HealthDay News) -- A claim that transmission of the COVID-19-causing coronavirus by people without symptoms is "very rare" was quickly reversed by the World Health Organization.

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Electronic Nicotine Delivery Systems Tied to Smoking Relapse

TUESDAY, June 9, 2020 (HealthDay News) -- Electronic nicotine delivery systems (ENDS) are associated with an increased risk for cigarette smoking relapse, while adults who vape nontobacco flavored electronic cigarettes are more likely to quit smoking, according to two studies published online June 5 in JAMA Network Open.

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Diet, Activity Guideline Updated by American Cancer Society

TUESDAY, June 9, 2020 (HealthDay News) -- The diet and physical activity guideline for the prevention of cancer has been updated by the American Cancer Society; the guideline was published online June 9 in CA: A Cancer Journal for Clinicians.

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WPSI Advises Screening for Anxiety in Women, Teen Girls

TUESDAY, June 9, 2020 (HealthDay News) -- Screening for anxiety is recommended for women and adolescent girls, according to a review and clinical guideline published online June 9 in the Annals of Internal Medicine.

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Vision, Balance Issues Common With Pediatric Concussions

TUESDAY, June 9, 2020 (HealthDay News) -- Vision and balance issues are common in younger children with concussion, according to a study published online June 4 in The Journal of Pediatrics.

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Preoperative COVID-19 Incidence <1 Percent in Pediatric Patients

TUESDAY, June 9, 2020 (HealthDay News) -- Among children undergoing preoperative screening, the overall incidence of COVID-19 is less than 1 percent, with considerable variation between regions, according to a research letter published online June 4 in JAMA Surgery.

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Weaning Occurs Earlier for Infants With In-Hospital Formula Feeding

TUESDAY, June 9, 2020 (HealthDay News) -- The hazard of weaning is increased for infants exposed to in-hospital formula feeding (IHFF), according to a study published online June 9 in Pediatrics.

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Adverse Childhood Environment Tied to Later Health Problems

MONDAY, June 8, 2020 (HealthDay News) -- An adverse childhood family environment is associated with cardiovascular disease (CVD) incidence and all-cause mortality later in life, according to a study published in the May 5 issue of the Journal of the American Heart Association.

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Jail Cycling Is Significant Predictor of SARS-CoV-2 Infection

MONDAY, June 8, 2020 (HealthDay News) -- Jail cycling is a significant predictor of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, according to a report published online June 4 in Health Affairs.

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WHO: People Should Wear Masks if Unable to Social Distance

MONDAY, June 8, 2020 (HealthDay News) -- People who live in areas where the new coronavirus is spreading should wear fabric masks when they are shopping or on public transit and cannot social distance, the World Health Organization says in updated recommendations.

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Partnership Would Bypass Drug Industry to Sell COVID-19 Vaccine

MONDAY, June 8, 2020 (HealthDay News) -- A partnership that would bypass the drug industry to sell a potential vaccine against the new coronavirus has been formed by a laboratory at Imperial College London.

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Educational Video May Effectively Inform Families About Hospice Care

MONDAY, June 8, 2020 (HealthDay News) -- An educational video may better inform advanced cancer patients and their caregivers about hospice care, according to a study published online June 8 in Cancer.

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Kawasaki-Like Disease More Common in Children of African Ancestry

MONDAY, June 8, 2020 (HealthDay News) -- A Kawasaki-like multisystem inflammatory syndrome, which is temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among children in Paris, seems more common among children of African ancestry, according to a study published online June 3 in The BMJ.

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Newborn Respiratory Distress Up With Maternal Antidepressant Use

MONDAY, June 8, 2020 (HealthDay News) -- Risk for newborn respiratory distress increases in a dose-response manner in association with maternal use of prenatal antidepressants, according to a study published online June 8 in Pediatrics.

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Encounters for Suicidal Ideation in ED Down During 'Stay at Home'

MONDAY, June 8, 2020 (HealthDay News) -- Suicide ideation (SI) complaints to the emergency department decreased during the "stay at home" order for COVID-19, while the percentage of alcohol use presentations increased, according to a research letter published online June 1 in the American Journal of Emergency Medicine.

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Nitrous Oxide Safe, Effective for Pain Relief During Labor

FRIDAY, June 5, 2020 (HealthDay News) -- Nitrous oxide (N2O) is a useful, safe option for labor analgesia, according to a study published online May 26 in the Journal of Midwifery & Women's Health.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of June 1 to 5, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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NIH Head Fears Some Will Bypass a COVID-19 Vaccine

FRIDAY, June 5, 2020 (HealthDay News) -- Francis Collins, M.D., Ph.D., who heads the U.S. National Institutes of Health, is worried that antivaxxers will disrupt efforts to convince Americans to get vaccinated against the new coronavirus, CNN reported Thursday.

CNN Article

Nurse Understaffing May Up Risk for Multiple Organ Failure in ICU Patients

FRIDAY, June 5, 2020 (HealthDay News) -- Understaffing and increased nursing workload are associated with multiple organ failure in intensive care unit patients, according to a study published online June 3 in the Journal of Advanced Nursing.

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Some COVID-19 Outpatients Say Famotidine Eased Symptoms

FRIDAY, June 5, 2020 (HealthDay News) -- A small number of nonhospitalized patients with COVID-19 who self-medicated with high-dose famotidine reported some relief of their symptoms, according to a case series published online June 4 in Gut.

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Missed Opportunities for Preventing Congenital Syphilis ID'd

THURSDAY, June 4, 2020 (HealthDay News) -- The most commonly missed opportunity for prevention of congenital syphilis is lack of adequate maternal treatment despite timely diagnosis, according to research published in the June 5 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Hydroxychloroquine No Use for COVID Postexposure Prophylaxis

THURSDAY, June 4, 2020 (HealthDay News) -- For individuals with high- or moderate-risk exposure to COVID-19, postexposure prophylaxis with hydroxychloroquine does not prevent illness compatible with COVID-19, according to a study published online June 3 in the New England Journal of Medicine.

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Systemic Inflammation Rare in Pediatric COVID-19 Patients

THURSDAY, June 4, 2020 (HealthDay News) -- Pediatric patients with COVID-19 rarely have systemic inflammation, according to a study published online June 3 in JAMA Network Open.

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Acute Kidney Injury Common in COVID-19 Patients at NYC Hospital

THURSDAY, June 4, 2020 (HealthDay News) -- Patients admitted to a New York City hospital with COVID-19 faced major morbidity and mortality, with 78.0 percent of those admitted to the intensive care unit (ICU) developing acute kidney injury, according to a study published online May 29 in The BMJ.

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Test of 10 Million in Wuhan Finds Few Infections

WEDNESDAY, June 3, 2020 (HealthDay News) -- Few new COVID-19 infections were found in the 10 million residents of Wuhan, China, after testing, the Associated Press reports.

AP News Article

Fauci Says Any COVID-19 Vaccine Would Be in Plentiful Supply by 2021

WEDNESDAY, June 3, 2020 (HealthDay News) -- According to Anthony Fauci, M.D., director of the U.S. National Institute of Allergy and Infectious Diseases, 100 million doses of a coronavirus vaccine will be available by year's end.

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COVID-19 Drug Studies Questioned

WEDNESDAY, June 3, 2020 (HealthDay News) -- Two premiere medical journals are questioning the validity of the data in two studies: one that showed the use of blood pressure drugs was safe in COVID-19 patients and another that showed the antimalarial drug hydroxychloroquine was dangerous, the Associated Press reported Wednesday.

AP News Article
Expression of Concern: The Lancet
Expression of Concern: NEJM

Review: Physical Distancing, Face Masks Avert Virus Transmission

WEDNESDAY, June 3, 2020 (HealthDay News) -- Physical distancing of 1 m or more, face mask use, and eye protection are all associated with reduced odds of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission, according to a review published online June 1 in The Lancet.

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Young With Intellectual Disability More Likely to Die of COVID-19

WEDNESDAY, June 3, 2020 (HealthDay News) -- Age-related differences in COVID-19 trends are seen among those with intellectual and developmental disabilities (IDD), with a higher concentration of cases and increased case fatality in younger individuals with IDD, according to a study published online May 24 in the Disability and Health Journal.

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Delayed Vaccination Enabled Measles Spread During 2018-2019 in NYC

WEDNESDAY, June 3, 2020 (HealthDay News) -- Delayed vaccination enabled the initial spread and increased infectious contact facilitated transmission of measles in the 2018 to 2019 outbreak in New York City, according to a study published in the May 27 issue of Science Advances.

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USPSTF Advises Pharmacotherapy to Aid Smoking Cessation

TUESDAY, June 2, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends behavioral interventions and pharmacotherapy for smoking cessation in adults and behavioral interventions for pregnant women. These recommendations form the basis of a draft recommendation statement published online June 2 by the USPSTF.

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Out-of-Pocket Spending Averages $2,414 Per Year for T1DM Costs

TUESDAY, June 2, 2020 (HealthDay News) -- For privately insured patients with type 1 diabetes, mean out-of-pocket spending is $2,414 per year, according to a research letter published online June 1 in JAMA Internal Medicine.

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Hydroxychloroquine Prescriptions Surge in U.S. During Pandemic

TUESDAY, June 2, 2020 (HealthDay News) -- A surge in prescriptions for hydroxychloroquine/chloroquine was seen during the COVID-19 pandemic, according to a study published online May 28 in the Journal of the American Medical Association.

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High Rates of DVT Seen in Critically Ill COVID-19 Patients

TUESDAY, June 2, 2020 (HealthDay News) -- Despite anticoagulant prophylaxis, many intensive care unit (ICU) patients with severe COVID-19-related pneumonia develop deep vein thrombosis, according to a research letter published online May 29 in JAMA Network Open.

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High-Potency Cannabis Tied to Increased Use, Anxiety Disorder

TUESDAY, June 2, 2020 (HealthDay News) -- High-potency cannabis is associated with increased cannabis use and problems and an increased likelihood of anxiety disorders, according to a study published online May 27 in JAMA Psychiatry.

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Rates of Hip Fracture High for Nursing Home Residents

TUESDAY, June 2, 2020 (HealthDay News) -- Nursing home residents have persistently high rates of hip fracture, and one-year mortality is high following fracture, according to a study recently published in the Journal of Bone and Mineral Research.

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Guideline Details Pharmacologic Management of COPD

TUESDAY, June 2, 2020 (HealthDay News) -- In an American Thoracic Society clinical practice guideline, published in the May 1 issue of the American Journal of Respiratory and Critical Care Medicine, recommendations are presented for the pharmacologic management of patients with chronic obstructive pulmonary disease (COPD) complaining of exercise intolerance or dyspnea.

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Number of COVID-19-Infected Cruise Ship Passengers Underestimated

MONDAY, June 1, 2020 (HealthDay News) -- The majority of COVID-19-positive passengers and crew on one cruise ship were asymptomatic, according to a study published online May 27 in Thorax.

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Human Trial of Antibody Therapy to Treat COVID-19 Underway

MONDAY, June 1, 2020 (HealthDay News) -- The first human trial of an antibody therapy to treat COVID-19 is underway, CNN reported Monday.

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COVID-19 May Drive Increase in Childhood Obesity Rates

MONDAY, June 1, 2020 (HealthDay News) -- The U.S. childhood obesity rate may increase by 2.4 percent if school closures continue into December as a result of the COVID-19 pandemic, according to a study published online May 23 in the Journal of Sport and Health Science.

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ABCDE Bundle Can Reduce Ventilation Time for ICU Patients

MONDAY, June 1, 2020 (HealthDay News) -- Use of the awakening and breathing coordination, delirium monitoring/management, and early mobility (ABCDE) bundle can reduce ventilation time for patients admitted to the intensive care unit (ICU), according to a study recently published in AACN Advanced Critical Care.

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Thyroid Dysfunction in Pregnancy Overdiagnosed, Overtreated

MONDAY, June 1, 2020 (HealthDay News) -- Current practice patterns relating to testing and management of thyroid-stimulating hormone (TSH) during pregnancy are associated with overdiagnosis and overtreatment of hypothyroidism, according to a study published online June 1 in CMAJ, the journal of the Canadian Medical Association.

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Italian Health Care Workers' Mental Health Suffering During COVID-19

MONDAY, June 1, 2020 (HealthDay News) -- Health care workers (HCWs) in Italy who treated COVID-19 patients self-report substantial mental health symptoms, according to a research letter published online May 28 in JAMA Network Open.

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