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Monthly Archives: June 2020

Altered mental status is the second most common neurological presentation for patients with COVID-19

Altered Mental Status Not Uncommon in Severe COVID-19

Altered mental status includes encephalopathy or encephalitis and primary psychiatric diagnosis
Antibody testing may detect severe acute respiratory syndrome coronavirus 2 infection

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

After onset of symptoms, sensitivity is low in first week, increases in second week, peaks in third week
Many New York City health care workers are experiencing COVID-19-related psychological distress

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

Higher percentage of nurses/advanced practice providers screened positive versus attending physicians
The incidence of venous thromboembolism and major bleeding is high among patients with primary central nervous system lymphoma

Incidence of VTE, Major Bleeding High in Primary CNS Lymphoma

VTE risk up with chemotherapy, radiation therapy; major bleeding risk up with PE, proximal DVT
Higher blood pressure is connected to narrowing of retinal arterioles in young children

Blood Pressure, Retinal Vessel Diameters Connected in Children

Children with narrower central retinal arteriolar equivalent have higher systolic BP at follow-up
Comprehensive provincial restrictions on electronic cigarette marketing are associated with lower levels of exposure to marketing and lower prevalence of e-cigarette use

Government E-Cigarette Restrictions on Marketing Lower Use

Findings among repeated surveys of 16 to 19-year-olds in Canada
Primary care practices are estimated to lose more than $67

Large Losses Anticipated for Primary Care Practices in 2020

Loss of gross revenue over 2020 due to COVID-19 estimated at $67,774 per full-time physician
Overall

Suicide Rate Up for Schizophrenia Spectrum Disorders

Predictors of suicide death include male sex, later age at first diagnosis, prior mood disorder diagnosis
Actual COVID-19 infection rates in many areas of the United States are more than 10 times higher than reported rates

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

As of April 1, NYC had reported 53,800 cases, but actual number of infections was 12 times higher
Resident physicians randomly assigned to schedules that eliminate extended shifts during their intensive care unit rotation make more serious errors than those with extended shifts

Serious Resident Errors Increase When Extended ICU Shifts Are Cut

But after adjustment for number of patients per resident, errors not increased with ≤16-hour shifts