The novel coronavirus has now infected at least 368,196 and killed close to 11,000 people in the US, but White House officials said parts of the country where strict social distancing is in effect are seeing a slowdown in new cases. The governors of New Jersey, New York and Louisiana said they are seeing positive signs, but they cautioned against relaxing mitigation efforts. More than 90% of Americans are now subject to statewide orders to stay home.
High-school seniors who are unable to experience milestones such as graduation due to the pandemic can cope by sharing feelings with classmates, expressing themselves through art and planning a celebration for later, writes licensed clinical social worker Jill Johnson-Young. "Remember that even as we fight this pandemic, and we witness the deaths that are happening, that does not mean your losses count less," she writes.
A study involving 9,380 patients with type 2 diabetes who were observed for 3.5 to 5 years found that there were fewer deaths among those who took liraglutide compared with those who took placebo, whether or not they had history of heart failure. The findings, published in the Journal of the American College of Cardiology, also found that there were 275 first nonfatal myocardial infarction events and 152 first nonfatal stroke events among patients who took liraglutide, compared with 304 and 163 events, respectively, among those who took placebo.
Preventing hypoglycemia during moderate-intensity workouts among individuals with type 1 diabetes was more effective with carbohydrate supplementation, which was easier to implement as it does not need additional planning or changes to a patient's insulin therapy, compared with bolus insulin dose reductions, according to a study in the Canadian Journal of Diabetes. The findings were based on two clinical trials involving 18 adults with type 1 diabetes.
European regulators have given approval to Novo Nordisk's Rybelsus, or oral semaglutide, as the first and only oral GLP-1 receptor agonist for treating type 2 diabetes. Based on data from 10 PIONEER clinical trials, the drug exhibited "statistically significant reductions in HbA1c [compared with] sitagliptin, empagliflozin and liraglutide and with up to 4.3kg weight reduction."
Radiology departments can prepare for viral outbreaks similar to the coronavirus pandemic by improving their standard mass-casualty incident plan, communicating with their hospital's infectious disease department to disseminate best practices, and coordinating with their hospital's environmental services to ensure clean imaging rooms, according to an article in the Journal of the American College of Radiology. "The radiology department should be ready to mobilize equipment and staff to meet the needs of our patients," researchers wrote.
Radiologists in Singapore said their practice ensured sufficient personal protective equipment, staff availability and portable imaging capability; developed stringent infection control protocols; and urged staff to practice social distancing, which they learned from the SARS outbreak, to reduce the likelihood of coronavirus transmission. "[We] believe the underlying principles and rationale of implemented strategies remain relevant and can be adopted or modified by other institutions for their practice in dealing with the current COVID-19 outbreak," researchers wrote in the Journal of the American College of Radiology.
The Council of Medical Specialty Societies, which includes the ACR, sent a letter supporting the American Medical Association's call against employer restriction of "physicians' freedom to advocate for the best interest of their patients" amid the ongoing coronavirus pandemic. Meanwhile, radiologist Dr. Nisha Mehta and Drs. Karla Vital and Carlos Vital began an online petition urging President Donald Trump and other officials to pass the COVID-19 Pandemic Physician Protection Act, which would ensure increased personal protective equipment access for health care providers, help practices through financial hardships and eliminate telehealth restrictions.
The coronavirus pandemic has led to the elimination of routine mammography and ultrasound screenings for breast cancer and a redefinition of urgent appointment criteria, a group of radiologists wrote in an article published in the Journal of Breast Imaging. Breast imaging departments have also implemented additional infection control measures, while radiologists, residents and staff members had altered work schedules amid the pandemic, the authors wrote.
Several recent studies have highlighted the role radiography can play in fighting COVID-19, the illness caused by the novel coronavirus. Radiography has a high specificity in detecting COVID-19-related lung opacities and shows features in chest X-rays that resemble other types of coronaviruses, and portable X-ray, which the ACR's COVID-19 task force supports, can help limit virus transmission.
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