Question: what are the guidelines for triaging patients infected with coronavirus?

A group of geriatricians in Israel formed a committee to develop guidelines for the care of older persons during the COVID-19 pandemic. The main concerns were ensuring practical recommendations while adhering to medical ethics, as older adults are at higher risk for severe illness. Recommendations included prioritizing patient autonomy, using a "soft utilitarian" approach for triage based on function and comorbidity, and emphasizing palliative care. Patient autonomy

A group of geriatricians in Israel formed an ad hoc committee to develop guidelines for the care of older persons during the COVID-19 pandemic. The committee emphasized patient autonomy and the importance of updating advance directives. For triage, a "soft utilitarian" approach was recommended, prioritizing function and comorbidity over chronological age. In an overwhelming crisis, "biological age" could be considered. All ill individuals should receive active palliative care

A dispute in Italy is emerging over triage criteria for critically ill COVID-19 patients and who should make these decisions. Two opposing views exist: some argue healthcare professionals should make decisions based on their clinical judgments and available evidence, while others believe authorities should have the final say. Empirical questions include the level of evidence supporting clinical judgments and the distributive justice accounts used by doctors. Normative questions involve how this evidence should inform triage guidelines and who has the authority to make

The COVID-19 pandemic led to a shift from face-to-face to telehealth visits for palliative care teams in the community setting. To effectively triage and deliver safe and effective care, the Palo Alto Medical Foundation Palliative Care and Support Services team recommends active triaging based on location and acuity, implementing interdisciplinary care with strict infection control guidelines, and thorough COVID-19 symptom screening before patient visits. Communication and mutual consent between

The passage summarizes a review discussing triage procedures for critically ill or injured patients during mass casualty incidents, caused by disasters, pandemics, or terrorist events. It answers common clinician questions such as the definition and timing of triage, types of triage, ethical considerations, governance, and necessary research.

A retrospective study was conducted to identify laboratory biomarkers for effective triage of suspected COVID-19 patients at fever clinics. The study involved 989 patients from Wuhan Union Hospital, China, who were divided into SARS-CoV-2-positive and negative groups. Eosinopenia (<0.02 109/L) and elevated hs-CRP (>4 mg/L) were more

A retrospective study was conducted to identify laboratory biomarkers for effective triage of suspected COVID-19 patients at fever clinics. The study involved 989 patients from Wuhan Union Hospital, divided into SARS-CoV-2-positive and negative groups. Eosinopenia (<0.02 109/L) and elevated hs-CRP (≥4 mg/L) were more common in COVID-

During the COVID-19 pandemic, the cardiovascular system has been affected, leading to changes in access to services and prioritization for patients with chronic cardiovascular diseases unrelated to COVID-19. The expert opinion suggests modifications in diagnostic pathways, healthcare personnel protection, and treatment guidelines. Heart Teams should continue treating valvular heart disease using telemedicine and simplified diagnostic tests. Urgent indications and advanced disease with poor prognosis should be priorit

A triage process for COVID-19 was established in Shaanxi Province, China, to guide patients through a 4-level triage process during hospital visits. The diagnosis of COVID-19 was based on positive nucleic acid testing. The screened rate of suspected COVID-19 was higher in the COVID-19 outpatient clinic (8.28%) compared to the general fever outpatient clinic (1.63%), indicating the effectiveness of the triage

A triage process for COVID-19 was established in Shaanxi Province, China, to guide patients through a 4-level triage during hospital visits. The diagnosis of COVID-19 was based on positive nucleic acid testing. The screened rate of suspected COVID-19 was higher in the COVID-19 outpatient clinic (8.28%) compared to the general fever outpatient clinic (1.63%), indicating the effectiveness of the triage procedure

The COVID-19 pandemic forced urologic surgeons, particularly oncologists, to create triage schemes to preserve resources and reduce viral transmission while continuing patient care. There is varying agreement on prioritizing urologic oncology cases, with a focus on high priority surgical cases as resource preservation and viral transmission prevention become more crucial. Case-by-case decisions will be common, but more nuanced guidelines are needed for the near future.

The passage is a personal account from a New York City resident, who acknowledges being privileged during the Covid-19 pandemic despite not being rich. The author expresses concern about potential hospitalization needs and the allocation of scarce ventilators. New York State guidelines prioritize saving the most lives but do not consider age as a criterion for triage to avoid discrimination against the elderly. Other proposals suggest prioritizing those with more life to live. The author acknowledges the challenges

The passage is a personal account from a New York City resident, who despite not being rich, acknowledges his privilege due to retirement income and no debts. He is self-isolating with food delivery, but concerns the potential need for hospitalization and the allocation of scarce ventilators during the Covid-19 pandemic. New York State guidelines prioritize saving the most lives in resource allocation, but there is ongoing debate regarding age-based selection and fairness in triage committe

A study was conducted on the preview and triage screening of 36 children with suspected COVID-19 at fever clinics outside the Hubei Province epidemic area. The specialists identified 14 children to be transferred to the isolation ward for further testing, all of whom had a fever and 71.43% had a cough, but their results were negative. The suspected and excluded cases had similar epidemiology histories and complete blood count results. Based on this,

The COVID-19 pandemic has impacted spinal surgery practices, affecting both elective and semi-emergent procedures. A review of six articles identified through a database search found that outpatient care has shifted to tele-health and online consultations, while general recommendations favor conservative approaches over surgeries. Spine surgeons should follow principles such as early COVID-19 symptom detection, patient triaging, appropriate investigations, isolation, optimal management, intraoperative best practices

The passage discusses the challenges of providing safe surgical care for thoracic malignancies in Mexico during the COVID-19 pandemic. The authors recommend continuing standard of care for thoracic cancer patients while adjusting traditional surgical care pathways to reduce infection risk. The article provides a consensus of expert recommendations for local strategy planners in thoracic cancer care services in Mexico. Key points include ensuring continuity of surgical care while maintaining patient and staff safety. This

The Critical Care Society of Southern Africa released a consensus statement and accompanying guideline on ICU triage and rationing in South Africa due to resource scarcity and increasing demand for ICU services. The document addresses key questions regarding ICU resource status, efficiency, and fair triage implementation. Recommendations include recognizing and quantifying ICU services, seeking additional resources, maximizing efficiency, evaluating lower level care alternatives, developing a triage guideline, measuring and auditing

The passage discusses the challenges of triaging ICU patients during the COVID-19 pandemic and provides recommendations for a resource-driven triage strategy. The authors suggest using a triage algorithm based on clinical estimations of survival benefit to maximize the number of life-years saved. The algorithm includes prioritization categories such as performance score, ASA score, number of organ failures, and predicted survival. The final decision remains with an experienced critical care specialist physician, and cautious dis

During the COVID-19 pandemic, the Centers for Disease Control and Prevention and the American College of Surgeons recommended postponing non-urgent surgeries, including endocrine surgeries. A multidisciplinary group of Head and Neck Surgical Oncology, Surgical Endocrinology, and Medical Endocrinology developed Surgical Triaging Guidelines for Endocrine Surgery. Most endocrine cases can

The COVID-19 pandemic poses significant challenges to healthcare systems, including changes in access to services and priorities for managing patients with chronic cardiovascular diseases, such as valvular heart disease. The Polish Cardiac Society's Working Groups on Valvular Heart Diseases, Cardiac Surgery, and Cardiovascular Interventions propose modifications to diagnostic pathways, healthcare professional protection guidelines, and treatment prioritization. Valvular heart teams should utilize telemedicine and digital

During the COVID-19 pandemic, this technical note aims to help triage brain tumor patients for radiotherapy and provide safe, evidence-based care. The authors identified protocols with hypofractionated regimens, which have similar outcomes as conventional fractionated regimens but reduce hospital visits and time spent in treatment consoles. They also identified tumors that could safely be avoided or delayed in radiotherapy initiation. The article follows the ALARA principle (as low as reasonable

The COVID-19 pandemic has put a strain on healthcare resources, leading to delays in structural heart disease interventions and increased risk for adverse cardiovascular complications. Triage of patients in need of these interventions has become challenging due to the risk of bringing susceptible patients into the hospital environment. This document provides guidelines for triaging patients and deciding when to proceed with intervention during the pandemic, focusing on transcatheter aortic valve replacement and percutaneous mitral

The COVID-19 pandemic has put a strain on healthcare resources, leading to the postponement of elective procedures for patients with valvular and structural heart disease (SHD), increasing their risk for adverse cardiovascular complications. This consensus statement provides guidelines for triaging SHD patients and deciding when it's appropriate to proceed with interventions during the pandemic. The document focuses on trans-catheter aortic valve replacement and percutaneous mitral valve

The COVID-19 pandemic led to a shift from face-to-face to telehealth visits for palliative care teams in the community setting. To effectively triage and deliver safe and effective care, the Palo Alto Medical Foundation Palliative Care and Support Services team recommends active triaging based on location and acuity, implementing interdisciplinary care with strict infection control guidelines and limited PPE, and thorough COVID-19 symptom screening before patient visits. Communication

The passage discusses the ethical and practical dilemmas raised by pandemics and disasters, focusing on the duty of healthcare workers to continue working despite personal risk. It covers topics such as global governance, resource allocation, and individual liberty restrictions. The text draws on guidelines, ethical considerations, past pandemics, and the H1N1 swine influenza experience to provide insights.

A group of international aesthetic medicine experts met to establish consensus guidelines for infection control measures in aesthetic clinics during the COVID-19 pandemic. Strict measures are necessary due to one-on-one procedures and the risk of SARS-CoV-2 transmission. Guidelines cover patient scheduling, evaluation, and triaging, with procedures categorized as low-risk, moderate risk, or high-risk. Local guidelines and PPE usage should also be followed. These guidelines

The COVID-19 pandemic has put a strain on healthcare resources, leading to the postponement of elective procedures for patients with valvular and structural heart disease (SHD), increasing their risk for adverse cardiovascular complications. Triage of these patients has become challenging due to the risk of bringing them into the hospital environment versus the risk of delaying necessary procedures. This document provides guidelines for triaging SHD patients, focusing on trans-catheter aortic val

During an influenza or COVID-19 pandemic when ventilator demand exceeds supply, the 2015 New York State Ventilator Allocation Guidelines were updated from the 2007 version to reflect public values and evidence-based clinical data. The triage protocol prioritizes patients with the highest likelihood of short-term survival, using exclusion criteria, SOFA score, and periodic clinical assessments. The guidelines also address secondary triage criteria, other medical

A group of international aesthetic medicine experts met online to develop consensus guidelines for infection control measures in aesthetic clinics during the COVID-19 pandemic. The guidelines cover patient scheduling, evaluation, and triaging, with procedures categorized as low-risk, moderate risk, or high-risk based on SARS-CoV-2 transmission likelihood. The guidelines aim to protect staff and patients but should be supplemented with local regulations.

The COVID-19 outbreak poses significant challenges to ophthalmology practices due to the lack of vaccination or treatment, requiring strict infection control measures. The Tan Tock Seng Hospital Eye Centre in Singapore, which supports the National Centre for Infectious Diseases, shares their strategies and guidelines to maintain a sustainable ophthalmology practice during the outbreak. Challenges include minimizing cross-infection through PPE and surface cleaning, stringent screening and triaging for

This passage summarizes recommendations for dental care during the COVID-19 pandemic, including patient risk assessment through a questionnaire, patient triage using a flow chart, and measures to prevent infection for dental health professionals, dental clinics, and patients. The recommendations were gathered from various sources, including scientific papers and guidelines from legal, ethical, international, and national organizations. The goal is to help dental professionals implement preventative measures during the pandemic.

This rapid review aimed to evaluate the evidence behind UK Government PPE Guidance on the use of surgical masks versus respirators for protecting patient-facing healthcare workers from SARS-CoV-2 infection. The reviewers searched MEDLINE, Google Scholar, and grey literature for studies published on any date containing primary data comparing surgical facemasks and respirators specific to SARS-CoV-2. Three laboratory studies and six clinical studies were

During the COVID-19 pandemic, ethical considerations for allocating scarce resources, including nutrition support, have emerged. Historical shortages of nutrition supplies and products, both in normal circumstances and crises, are discussed. An ethical framework for fair and objective allocation includes multidisciplinary ethics and triage committees to alleviate burdens on healthcare teams, and legal considerations to minimize potential charges against professionals or institutions.

The COVID-19 pandemic has highlighted the ethical dilemmas surrounding the allocation of scarce resources, including nutrition support. This article outlines the historical context of nutrition supply shortages and proposes an ethical framework for fair and objective allocation. A scoring system and multidisciplinary ethics and triage committees are suggested to make decisions. Legal considerations are also discussed to minimize potential charges against healthcare professionals and institutions.

The passage, titled "Recommendations for the organization of electrophysiology and cardiac pacing services during the COVID-19 pandemic," provides guidelines from the Latin American Heart Rhythm Society (LAHRS) and several collaborating societies on managing electrophysiology services during the pandemic. The document addresses the challenge of preventing disease spread while ensuring continued care for patients. Recommendations include triaging procedures, device checks, and clinic visits to determine which can be postpon

The COVID-19 pandemic has led to disruptions in prostate cancer services and increased risk of infection and mortality for patients due to gender, age, and pre-existing conditions. A literature search was conducted to provide evidence-based recommendations for managing PCa patients during the pandemic. Of the 72 initial sources, 23 retrospective studies, 7 research articles, 15 guidelines, and 21 epidemiological data sources were analyzed. PCa patients

The COVID-19 pandemic has put a strain on resources in surgical oncology, leading to triage based on acuity, expected outcomes, availability of resources, and safety. The MD Anderson Head and Neck Surgery Treatment Guidelines Consortium created guidelines for triaging head and neck cancer surgeries based on multidisciplinary consensus, considering subsites such as aerodigestive tract mucosa, sinonasal, salivary, end

A study was conducted to establish safe and effective methods for treating vascular surgical emergencies in an area with Covid-19 outbreak. Four patients were identified as having vascular emergencies and were screened for Covid-19. Two had acute thoracic aortic dissection, one had an infected left foot ulcer, and one had severe carotid artery stenosis. All patients were diagnosed quickly using a triage process and received endov

The COVID-19 pandemic is causing a significant strain on healthcare resources, leading to prioritization of coronavirus infected patients and increased risk for cardiovascular patients. Effective management of cardiac patients in hospitals during the pandemic is a challenge. This passage reviews literature and emerging guidelines on the cardiovascular implications of COVID-19, which will impact patient care, healthcare professionals, and cardiac centers.

In the post-lockdown era, gastrointestinal tract endoscopies pose a risk to staff and uninfected patients due to their aerosol-generating nature. The suppression of coronavirus disease 2019 (COVID-19) spread through lockdown measures will not eliminate the virus. Endoscopy societies have issued guidelines to triage patients and limit procedures to emergencies and urgents cases, postponing routine endoscop

During the COVID-19 pandemic, there is a potential shortage of ventilators. This systematic review aimed to evaluate the number of publicly available US state guidelines for ventilator allocation and the variation in state recommendations. As of May 10, 2020, 26 states had guidelines, with 15 of these recommending the use of the Sequential Organ Failure Assessment score. Six states prioritized specific groups, and many states had exclusion

During the COVID-19 pandemic, there is a potential shortage of ventilators. This systematic review evaluated publicly available ventilator allocation guidelines in US states and found that as of May 10, 2020, 26 states had guidelines, with 15 of these recommending the use of the Sequential Organ Failure Assessment score. Six states prioritized specific groups, and many states had exclusion criteria. Withdrawal of ventilators

The passage discusses the need for bioethical guidelines on scarce medical resource allocation during the Covid-19 pandemic, with a focus on Mexico's proactive approach in creating such a guide. The guide, published by the General Sanitary Council on April 30, 2020, prioritizes social justice and the equal value of all lives. The passage outlines the ethical and legal principles established in the guide, emphasizing the importance of fair and ethical decision-

A cross-sectional observational study in Cairo, Egypt examined patient satisfaction with teledermatology during the COVID-19 pandemic. Using synchronous (live interaction via WhatsApp and Zoom) and asynchronous (WhatsApp, emails) models, patients reported high satisfaction (91.0%), usefulness (93.7%), interface and interaction quality (85.9% and 87.0%), ease and use learnability

Thousands of military medical workers in Hubei Province are treating coronavirus patients and summarizing experiences. A new guideline for diagnosing and treating the virus in military hospitals was established based on the 6th edition of China's National Health Commission guidelines. Unique opinions on disease name, diagnosis criteria, antiviral treatment, and glucocorticoid application are included in this military-specific version. This article aims to clarify the guideline and assist in its application

Thousands of military medical workers in Hubei Province are treating coronavirus patients and summarizing experiences. A new guideline for diagnosing and treating the virus in military hospitals was established based on the 6th edition of China's National Health Commission guidelines. Unique opinions on disease naming, diagnosis criteria, antiviral treatment, and glucocorticoid application are included in this military-specific version. This article aims to clarify the guideline and assist in its

The COVID-19 pandemic, caused by SARS-CoV-2, has become a global health concern with over 4 million confirmed cases and 280,000 deaths as of May 12, 2020. The risk of transmission in dental clinics is high due to the nature of dental procedures. This paper provides information on COVID-19's name, characteristics, transmission routes, and risk points in dental clinics, as well

The COVID-19 pandemic, caused by SARS-CoV-2, has become a major global health concern with over 4 million confirmed cases and 280,000 deaths as of May 12, 2020. The risk of transmission between dental specialists and patients is high due to the nature of dental practice. This paper provides information on COVID-19's name, characteristics, transmission routes, and risk points in dental clinics,

During the 2014-2015 Ebola outbreak in West Africa, effective coordination between the curative and public health sectors in the Netherlands was crucial for identifying, referring, and investigating suspected cases. A study evaluated stakeholders' experiences in preparedness and found that while preparations were considered extensive, regional coordination varied and more standardization was needed. The median delay for referred patients with suspected Ebola from first illness to triage was 2.0

A Swiss tertiary care hospital set up a COVID-19 triage unit with pre-triage, triage, and triage plus areas. Between March 10 and April 12, 2020, 1265 patients were screened, of whom 112 (8.9%) tested positive. Females (65%) were younger (mean age 41.1 years) than males (35%, mean age

A Swiss tertiary care hospital set up a COVID-19 triage unit with pre-triage, triage, and triage plus areas. Between March 10th and April 12th, 1,265 patients were screened, of which 112 (8.9%) tested positive. Females (73, 65%) were younger (mean age 41.1 years) than males (39,

The passage discusses the need for and creation of a bioethical guide on scarce medical resource allocation during the Covid-19 pandemic in Mexico. The guide, published by the General Sanitary Council on April 30, 2020, is based on the principle of social justice, which values all lives equally. The passage explains the importance of creating such guidelines to ensure fair and ethical decision-making and prevent decisions motivated by corrupt actions. The guide provides ethical and legal principles

The COVID-19 pandemic, declared a global health emergency by WHO in March 2020, highlights the potential of telemedicine to help contain the virus while maintaining healthcare services. Telemedicine can contribute to triage, diagnosis, treatment, and remote monitoring, particularly for infected individuals and those with chronic diseases. It also allows healthcare personnel to stay connected. However, there are limitations, and it's crucial to establish national guidelines, legal frameworks, and financing

The COVID-19 pandemic has caused a major disruption to surgical practice with over 2.4 million cases and 165,000 deaths. All surgical specialties have had to prioritize procedures and consider non-surgical options. The pandemic has affected ways of working, surgical techniques, patient and staff safety, and training. Guidelines specific to each specialty have been implemented to ensure safe and effective care during the crisis. This review assesses the

The passage discusses proposed modifications to the 6-minute walk test for its potential use in triaging patients with mild COVID-19. The test, which measures a person's endurance by assessing how far they can walk in six minutes, may help identify those at higher risk for severe illness or hospitalization. The proposed modifications aim to make the test more feasible and safe for use in COVID-19 patients, including the option for a 3-minute walk test and

The COVID-19 pandemic has significantly impacted surgical practice with over 4.5 million cases and 300,000 deaths. All specialties have had to triage surgical procedures, consider non-surgical options, and adapt to changes in ways of working, surgical techniques, theatre workflow, patient and staff safety, and training. Guidelines specific to each specialty have been implemented to ensure safe and effective care during the pandemic. This review assess

In a crisis, societal needs and triage guidelines conflict on prioritizing lives or life-years. Neonatal units have ventilators that could be used for adults, raising the question of whether extremely premature babies' treatment should be altered to conserve ventilators. While some adults may have higher survival rates, premature babies, if saved, will likely live longer, maximizing life-years. Fair and unbiased triage guidelines are essential, ensuring equal

The University of Washington has shared experiences on managing the COVID-19 pandemic and preparing for patient surges in radiology departments. With the US having the highest number of COVID-19 cases globally, radiology departments play a crucial role in policy and guideline development, optimizing workflows, volumes, and access for anticipated patient surges. This article outlines the strategies implemented at the University of Washington, which may offer valuable insights for other radiology departments in the early stages of

A mathematical model was used to compare the estimated short-term survival of a critical care population with and without triage during a pandemic. The study identified scenarios where triage could result in more survivors due to more efficient use of critical care bed days based on length of stay. However, the impact of triage is dependent on the level of demand and the scale of differences between included and excluded groups in terms of length of stay and critical care survival. It cannot be assumed that triage will always result

The National Health Commission of China released an updated version (trial version 5) of the guidelines for diagnosing and treating novel coronavirus (2019-nCoV) infection. The new edition includes revisions to recognize, treat, and prevent the disease based on current understanding. Specific contents of the update compared to the fourth edition are not mentioned in the passage.

The National Health Commission of China released an updated version (trial version 5) of the guidelines for diagnosing and treating novel coronavirus (2019-nCoV) infection. The new edition includes revisions to recognize, treat, and prevent the disease based on current understanding. Specific contents of the fifth edition compared to the fourth are not mentioned in the passage.

The COVID-19 pandemic puts extra pressure on healthcare systems and workers, as patients with severe symptoms may also experience acute neurological emergencies like ischemic stroke. Ischemic strokes in COVID-19 patients can be caused by complications of the virus or preexisting cerebrovascular disorders. For patients with large vessel occlusions (LVO), determining eligibility for mechanical thrombectomy (MT) requires consideration of COVID-1

During the early stages of the COVID-19 outbreak in Israel, a study was conducted to describe the status of ophthalmology practice. One hundred and sixty-seven ophthalmologists completed a survey, reporting no reduction in elective clinic visits and surgeries, and no utilization of triage questionnaires. Official guidelines were absent, with COVID-19 guidelines only given to hospital ophthalmologists. Personal protective equipment was used, but often acquired individually

This paper aims to provide dental professionals with international guidelines for caring for pediatric patients during and after the COVID-19 pandemic. The focus is on minimally invasive caries management alternatives to reduce viral cross-infection risk and create a safer clinical environment. The study used an evidence-based literature search and summarized guidelines that emphasize minimizing Aerosol Generating Procedures (AGPs) and treating only emergency and urgent cases. Special attention is given to medically

This systematic review and meta-analysis of 54 studies on 10,898 COVID-19 patients aimed to define the clinical, electrocardiographic, and pathologic spectrum of cardiovascular disease (CVD), frequency of elevated cardiac and inflammatory biomarkers, and their relationship with severity and mortality. Acute cardiac injury occurred in over 25% of cases, mortality was 20 times higher,

The COVID-19 pandemic caused by the SARS-CoV-2 virus has affected over 2.7 million people globally with over 187,000 deaths as of April 2020. A growing body of evidence suggests central nervous system (CNS) involvement. This review summarizes the literature on COVID-19 pathophysiology, neurological manifestations, and recommendations for neuroscience providers. CNS manifestations range from

A large general hospital faced a crisis due to an in-house outbreak of Severe Acute Respiratory Distress Syndrome (SARS). The crisis was managed successfully through a Standard Operation Procedure (SOP), which included containing SARS patients, sorting the hospital into areas, triaging patients, closing the emergency room and outpatient clinics, and setting up an outdoor fever screening station. The quick implementation of these procedures controlled the situation. The central argument is

The passage discusses the potential ophthalmic manifestations of COVID-19, specifically conjunctivitis, based on anecdotal and published reports and previous experiences during the SARS outbreak. Lack of eye protection was identified as a risk factor for transmission of SARS-CoV through ocular secretions. Concerns have been raised about the potential transmission of SARS-CoV-2 through the same route, particularly among eye care providers.

A group of international lung cancer radiotherapy experts established consensus recommendations for adapting radiotherapy during the COVID-19 pandemic through a modified Delphi process. In a risk-mitigation scenario, efforts should be made to follow guideline-recommended radiotherapy practice and postpone or interrupt treatment for COVID-19 positive patients to minimize exposure. In a severe scenario with reduced resources, patient triage should consider potential for cure, relative benefit of radiation, life expectancy, and

A group of international lung cancer radiotherapy experts established consensus recommendations for adapting radiotherapy during the COVID-19 pandemic in two scenarios: risk mitigation and severe resource reduction. In the risk mitigation scenario, efforts should be made to follow guideline-recommended radiotherapy practice while postponing or interrupting treatment for COVID-19 positive patients to minimize exposure risks. In the severe resource reduction scenario, patient triage is necessary, considering factors like potential for cure, relative

A group of international lung cancer radiotherapy experts established consensus recommendations for adapting radiotherapy during the COVID-19 pandemic in two scenarios: risk mitigation and severe resource reduction. In the risk mitigation scenario, efforts should be made to follow guideline-recommended radiotherapy practice, while postponing or interrupting treatment for COVID-19 positive patients to minimize infection risk. In the severe resource reduction scenario, patient triage is necessary, considering factors like potential for cure,

A group of international lung cancer radiotherapy experts established consensus recommendations for adapting radiotherapy during the COVID-19 pandemic through a modified Delphi process. In a risk-mitigation scenario, efforts should be made to follow guideline-recommended radiotherapy practice and postpone or interrupt treatment for COVID-19 positive patients to minimize exposure risks. In a severe pandemic scenario with reduced resources, patient triage should consider potential for cure, relative benefit of radiation, life expectancy

A group of 13 spine surgeons from various hospitals in Singapore held a teleconference on April 24, 2020 to discuss the impact of COVID-19 on spine surgery and share best practices. Topics included repurposing of surgeons, continuity of spine services, telemedicine, triaging of spinal surgeries, preoperative testing, new challenges in performing spine surgery, and preparing for the post-pandemic era.

The COVID-19 pandemic has led to concerns about coagulopathy and its complications. This review discusses interim guidelines from the International Society of Thrombosis and Haemostasis for managing COVID-19-induced coagulopathy, their effectiveness, and the response from the scientific community. Patients have not responded well to recommended prophylactic doses of heparin, leading to the consideration of higher doses or alternative anticoag

In late 2019, a new coronavirus (SARS-CoV-2) outbreak in Wuhan spread to Changsha, leading the local hospital to implement triage procedures based on epidemiology. The study of triage data revealed an enrichment of COVID-19 patients in Section A for rapid detection and quarantine, while Section B received three times more visits from patients without epidemiological history. Out of 247 suspected patients, eight

This review summarizes the experience of infection control practices in a pediatric referral and tertiary care hospital during the COVID-19 pandemic. The authors emphasize the importance of preventing transmission to healthcare workers (HCWs) due to the potential role of asymptomatic children in spreading the virus. Four primary themes are identified for infection control: ongoing education, proper clinical triage and isolation, organization of COVID-19 wards, and utilization of personal protective equipment.

The coronavirus disease of 2019 (COVID-19), caused by SARS-CoV-2, has affected over 2.7 million people globally with over 187,000 deaths as of April 2020. Neurological manifestations of COVID-19 range from mild non-specific symptoms to severe neurological impairment. The neurological dysfunction may result from direct viral injury or

A review of the literature and societal guidelines on the risk of asymptomatic SARS-CoV-2 transmission in operating rooms to healthcare workers. Asymptomatic patients may carry the virus before showing symptoms, but the risk of transmission is unclear due to difficulty assessing disease prevalence. Aerosol-generating procedures increase transmission risk from symptomatic patients, but none from asymptomatic ones have been reported. Minimizing aerosols and using personal protective

The COVID-19 pandemic caused by the zoonotic SARS-CoV-2 virus had infected over 1.3 million people and resulted in over 70,000 deaths by the first week of April 2020. The virus can cause severe respiratory infections and there is controversy over its transmission through the eye and conjunctiva. Ophthalmic practices present a risk due to the close proximity of patients and eyecare workers

The passage discusses the global health threat of COVID-19 caused by the SARS-CoV-2 virus, which had infected over 1.3 million people and resulted in over 70,000 deaths by the first week of April 2020. The virus can cause severe respiratory infection and there is controversy over its transmission through the eye and ocular surface. Eyecare workers are at risk due to the virus's ease of

The COVID-19 pandemic caused by the SARS-CoV-2 virus has infected over 1.3 million people and resulted in over 70,000 deaths as of the first week of April 2020. The virus can cause respiratory infection and distress, and there is controversy over whether it can be transmitted through the eye and conjunctiva. The close proximity required in eyecare presents a risk to workers. Various organizations

A retrospective analysis was conducted on the Saudi Ministry of Health's visual triage system for MERS-CoV infection, which was implemented in 2017. The study reviewed cases from a MERS-CoV referral center in Riyadh from 2014 to 2017, totaling 2435 suspected cases. Of these, 1823 (75%) tested negative and 612 (2

In this analysis, the author discusses the evolution of triage criteria for pandemic patients from a critical care perspective during three phases of a pandemic, such as COVID-19. In the first phase, clinical prioritization and decision-making are based on the need for intensive care and prognosis. In the second phase, resources are limited due to an influx of patients and the use of auxiliary beds, leading to the abandonment of patients with uncertain prognoses. In

A narrative review summarizes the risks dentists face in contracting SARS-CoV-2 due to the virus' presence in nasopharyngeal and salivary secretions. The CDC's guidelines and triaging protocols for identifying potential carriers and providing safe treatment to low-risk patients are discussed.

The COVID-19 pandemic has significantly affected healthcare sectors worldwide, leading to recommendations and guidelines for surgical practice and patient management. These guidelines suggest triaging patients, prioritizing emergency surgeries, and delaying elective procedures. However, as COVID-19 may become endemic, current guidelines may no longer be applicable. Surgical practices cannot be suspended indefinitely, so new guidelines are needed to allow surgeons to resume general surgical practice safely.

The COVID-19 pandemic has significantly affected healthcare sectors worldwide, leading to guidelines and recommendations for surgical practice and patient management. These guidelines prioritize emergency surgeries and delay elective procedures. However, as COVID-19 may become endemic, current guidelines may no longer be valid. Surgical practices cannot be suspended indefinitely, so new guidelines are needed to allow surgeons to resume general surgical practice safely.

A review of the evidence on asymptomatic carriage and transmission of SARS-CoV-2 in the operating room. Asymptomatic patients may have detectable viral loads before showing symptoms or may never develop symptoms. Transmission risk depends on the prevalence of disease in the population. Aerosol-generating procedures increase transmission risk from symptomatic patients, but none from asymptomatic ones have been reported. Minimizing aerosols and using personal protective equipment

A study compared patient-led triage systems in Singapore, Japan, Norway, the USA, and the UK based on COVID-19 case scenarios and case fatality rates. Singapore, Japan, and Norway maintained low thresholds for clinical contact, while the USA and the UK had high thresholds, triaging most cases home. There was an inverse correlation between percentage of cases referred and case fatality rates. Singapore, Norway, and Japan performed well in identifying severe cases, while the

The passage discusses the increased risk and potential complications for patients with cardiovascular disease, diabetes, and obesity in the context of the COVID-19 pandemic. The article aims to provide a comprehensive assessment of the impact of these conditions on healthcare systems and propose strategies for managing patients in the COVID-19 settings. Existing recommendations and guidelines have limitations for patients with multiple comorbidities, and the reorganization of health services around the pandemic response further exacerbates

The COVID-19 pandemic has affected cancer care due to lockdowns, reduced hospital beds, and deferral of elective cases. Surgery is crucial for many solid organ tumors, and delaying it during the pandemic may impact long-term outcomes. China, as the source of the pandemic, has been in the post-transitional phase for over three months, and deferring cancer surgeries for this long could have consequences. Triage guidelines for cancer surgery during the


Question: what are best practices in hospitals and at home in maintaining quarantine?

The passage summarizes research on functional assessment and function-based treatment for challenging behavior delivered via telehealth during the COVID-19 pandemic. The article provides a brief overview of studies that have used telehealth for behavior analysis, focusing on functional assessment and treatment. The authors discuss the findings of these studies and their implications for behavior analysts, suggesting areas for further research to advance the practice of telehealth in behavior analysis.

The AAHA ICPB Guidelines emphasize the importance of infection control, prevention, and biosecurity in veterinary practices to protect patients, clients, and staff from medical, social, and financial consequences of breaches. Recommendations include limiting pathogen exposure, using surveillance methods, and upgrading ICPB efforts through establishing an infection control practitioner, developing standard operating procedures, assessing facility strengths, creating a staff education and training plan, cataloging client education material,

The passage discusses the impact of home quarantine on physical activity among older adults during the COVID-19 pandemic. Older adults are at higher risk for severe complications from SARS CoV-2 and need to avoid a sedentary lifestyle to maintain independence, mental health, and well-being. The study conducted semistructured interviews with professionals and older adults to evaluate the impact of quarantine on physical activity programs and discuss alternatives for older adults to avoid a sedentary

A national survey was conducted to evaluate the condition of pulmonary hypertension patients in China during the COVID-19 outbreak. Of the 120 patients and 23 family members who participated, most were in home quarantine and had heart function well maintained. One patient was confirmed to have COVID-19, and two were hospitalized due to worsening heart function. Nearly 70% of participants reported medication shortages, and 24.2%

A home hospitalization system using IoT, Fog computing, and Cloud computing is proposed to address the challenges of accommodating elderly patients with chronic diseases and reducing the risk of virus transmission in hospitals. This system enables remote monitoring of patient health and hospitalization room conditions, allowing doctors to make recommendations through mobile applications and monitoring units. The results indicate high acceptance from both patients and doctors.

A new SEIDIUQHRD model was proposed and calibrated to describe COVID-19 transmission dynamics in Russia, Brazil, India, and Bangladesh. The model was calibrated using publicly available data and a Trust-Region-Reflective algorithm. The study predicted epidemic peak sizes and dates for each country, estimating Russia's peak at around 15,774 cases in early June, Brazil's at 26,449

The passage summarizes the epic3 guidelines for preventing healthcare-associated infections (HCAI) in National Health Service (NHS) hospitals in England. Originally published in 2001 and updated in 2007, these evidence-based guidelines undergo regular reviews to incorporate new research and technological advances. The updated evidence base indicated that the epic2 guidelines remain relevant but required some adjustments for clarity and new recommendations. The guidelines provide comprehensive recommendations for preventing HCA

The passage discusses the importance of maintaining local and regional stockpiles of medical supplies, medications, and equipment for mass casualty incidents. While the Centers for Disease Control and Prevention (CDC) manages federally stockpiled materials, hospitals and regional organizations are responsible for their locally owned caches. The article provides best practices and recommendations from literature on assessing, inventorying, storing, managing, tracking, and deploying stockpiled materials. Alternative inventory methods

During the COVID-19 outbreak, home confinement causes unprecedented stress that can disrupt sleep, leading to increased daytime stress, anxiety, and depression. Sleep disturbance can negatively impact emotional functioning. This paper summarizes the stress-sleep link, effects of confinement on sleep, and effective insomnia treatment. Adaptations of cognitive behavioral therapy elements are suggested for those with changed work schedules, health anxiety, and childcare responsibilities, while recognizing limitations on

During the COVID-19 pandemic in the US, pregnant persons, including those living with HIV (PLHIV), are considering home births due to quarantine policies and concerns about acquiring the virus in hospitals. While hospital birth is recommended for PLHIV, this article discusses counseling and preparation for those considering home birth or at risk for unintentional home births. Key points include the increase in home birth interest due to the pandemic, the pursuit of home birth by PLH

During the COVID-19 pandemic in the US, pregnant persons, including those living with HIV (PLHIV), are considering home births due to quarantine policies and concerns about acquiring the virus in hospitals. While hospital birth is recommended for PLHIV, this article discusses counseling and preparation for those considering home birth or at risk for unintentional home births. Key points include the increased interest in home births due to the pandemic and the importance of safe planning for PL

Dental practices should implement frequent cleaning policies to reduce the risk of coronavirus transmission. Public places like supermarkets and workplaces have contaminated surfaces, increasing the possibility of bringing germs into dental practices and homes.

A retrospective study was conducted to evaluate a telemedicine system developed to monitor and manage home-quarantined patients with COVID-19 using WeChat. The system allowed patients to self-assess their conditions and update a multidisciplinary team, enabling timely treatment decisions. Among 188 individuals using the system, 63% of confirmed COVID-19 patients required continued monitoring, with 6 of these patients eventually being hospitalized due to

The International Scientific Forum on Home Hygiene released a report addressing community concerns about methicillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile (C. difficile), and Extended-spectrum β-lactamase (ESBL)-producing Escherichia coli. These organisms, while primarily associated with healthcare settings, are also a concern in the community due to their potential

Radiology departments must quickly implement home PACS workstations to ensure radiologic services during the COVID-19 pandemic and comply with physical distancing and quarantine orders. The article shares an experience of successfully deploying such workstations.

The article shares an experience of rapidly deploying home workstations for radiology services in response to the COVID-19 pandemic to ensure radiologic expertise and facilitate physical distancing.

Nursing homes, which are at the center of the COVID-19 pandemic due to the rapid spread among residents and staff, face challenges in implementing isolation of suspected or confirmed cases due to the cognitive impairments of many residents with dementia. While involuntary confinement is ethically and legally justifiable, there is a risk of unintended harm and a lack of guidance for safe and compassionate isolation care planning. This commentary suggests strategies for effective, safe, and

Nursing homes, which have become hotspots for COVID-19 outbreaks, face challenges in isolating suspected or confirmed cases due to the cognitive impairments of many residents with dementia. While involuntary confinement is ethically and legally justifiable, potential harm is high, and guidance for safe and compassionate isolation is limited. This commentary suggests strategies for effective isolation care planning and presents a case study of a person with dementia in quarantine.

The COVID-19 pandemic and resulting home quarantine have negatively impacted sleep parameters and quality in healthy individuals. Participants reported delayed bedtimes and wake-up times, poorer sleep quality, and more daily disturbances during quarantine. These effects were observed in all chronotypes. The study concludes that home quarantine has a detrimental impact on sleep and suggests online interventions for improving sleep and managing stress.

The passage discusses the identification of a high-risk population for severe COVID-19 infection, estimated to be around 5% of the population, based on comorbid medical illness and age. This population, which includes individuals with respiratory and cardiovascular diseases, immunocompromised status, morbid obesity, diabetes mellitus, and significant kidney or liver impairment, represents a significant number of people requiring intensive care unit admission and

The COVID-19 pandemic poses significant challenges to maintaining treatment services for people who use drugs, including opiate agonist treatment and needle syringe programs. Staff availability and patient isolation requirements may impact the supply of opiate treatment, necessitating changes such as monthly depot buprenorphine and moving from supervised dosing. Home delivery of methadone and buprenorphine, as well as access to take-home naloxone, is crucial to reduce over

The COVID-19 pandemic poses significant challenges to treatment services for people who use drugs, including opiate agonist treatment and needle syringe programs. Staff availability and patient isolation requirements may disrupt traditional treatment methods, necessitating changes such as monthly depot buprenorphine and home delivery of methadone and buprenorphine. People who use drugs are more vulnerable during the pandemic due to health literacy issues, stigma, and potential prioritization of drug use over

The passage discusses the use of mathematical models, specifically the SEIR model with time-varying transmission rate Beta and removal rate Gamma (TVBG-SEIR model), for analyzing the spread of COVID-19 and predicting the impact of public health interventions. The authors aim to extend the classical SIR/SEIR models by incorporating time-varying parameters to better reflect the changing dynamics of the epidemic. They have developed a tool based on the

This study aimed to identify factors influencing individuals' decision to comply with a hypothetical avian influenza quarantine order. A survey of 1204 Pennsylvania adults revealed women and the unemployed were more willing to comply, while those who didn't attend religious services were less willing. Demographic variables, overall knowledge of avian influenza, attitudes about its severity, and belief in contracting it were predictive. The findings can help health planners and policym

The New York Institute for All Hazard Preparedness and the New York City Department of Health and Mental Hygiene's Healthcare Emergency Preparedness Program conducted two full-scale exercises at Kings County Hospital Center's quarantine unit to identify gaps in preparedness for quarantine and increase hospital readiness. The exercises evaluated five activities: Activation of the Unit, Staffing, Charting/Admission, Symptom Monitoring and Infection Control, and Client Management

The COVID-19 pandemic is disrupting diabetic limb preservation care, increasing the risk of infections, hospitalizations, amputations, and death for patients with diabetes and foot ulcers. Podiatric care reduces diabetes-related amputations, ER visits, hospitalizations, and costs. Podiatrists need to shift from hospital care to community-based care, using triage systems, in-home visits, higher acuity office visits, telemedicine,

The COVID-19 pandemic is disrupting diabetic limb preservation care, increasing the risk of infections, hospitalizations, amputations, and death for patients with diabetes and foot ulcers. Podiatric care can prevent amputations, ER visits, hospitalizations, and reduce costs. Podiatrists need to shift from hospital care to community-based care through the Pandemic Diabetic Foot Tria System, in-home visits, higher acuity office visits,

The passage discusses a study using an age-specific SEIR-HQD model to examine the impact of early interventions on the age-specific incidence of COVID-19 in four cities: New York, Los Angeles, Daegu, and Nairobi. The findings reveal that the spread of COVID-19 varies significantly among cities due to differences in population age structures and interaction rates. Early interventions, such as school closures, working from home, and reduction in mobility

A study assessed the immediate stress and psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. The study involved 1800 hospital practitioners and 73 patients undergoing hemodialysis. The Impact of Events Scale–Revised (IES-R) was used to measure stress levels among practitioners, while patients completed the Mini International Neuropsychiatric Interview and Hospital Anxiety and Dep

During the COVID-19 quarantine, individuals with Type 1 Diabetes Mellitus (T1DM) maintained good glycemic control despite reduced physical activity. A retrospective study of 13 individuals using HCL system found an increase in Time in Range (TIR) and a decrease in Time Below Range (TBR) during the quarantine period. Those who continued physical activity at home had even better glycemic control. The study suggests that

Filipino teachers cope with anxiety caused by the COVID-19 outbreak through practices such as virtual learning, communicating with their professional community, following quarantine requirements, and engaging in purposeful activities. A survey revealed these findings after collecting data on teachers' coping mechanisms during the quarantine period.

During the COVID-19 pandemic, primary care played a crucial role as the first line of defense, reinforcing public health messages, managing patients at home, and identifying those requiring hospital care. In response, primary care quickly adapted by promoting physical distancing, encouraging self-quarantine, and converting in-person care to virtual using telehealth. Practices also used registries to reach out to high-risk patients and managed most suspected COVID-19 cases at home

A severe intellectual disabilities hospital in Hong Kong implemented several precautions during the SARS outbreak in 2003, including assessing risk, creating operational guidelines, implementing infection control measures, educating and training staff, conducting audits, and carrying out environmental improvement work. Patients were at risk of infection from carers, visitors, volunteers, and staff and patients of general hospitals. A quarantine unit and isolation ward were opened to prevent infection. No day or home leave was

During the COVID-19 quarantine, individuals with type 1 diabetes mellitus using a hybrid closed loop system maintained good glycemic control. There was an increase in time in range (72%) and a decrease in time below range (1%) during the complete lockdown compared to when movements were only reduced. Those who continued physical activity during quarantine had a greater improvement in time in range. The presence of physical activity during quarantine was the only significant predictor of

A review of 24 studies on the psychological impact of quarantine due to the December, 2019 coronavirus outbreak found negative effects such as post-traumatic stress symptoms, confusion, and anger. Stressors included quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Officials should keep quarantine periods as short as necessary, provide clear information, and ensure adequate supplies. Appe

Chapter 7 discusses Indoor Environmental Quality (IEQ), focusing on factors affecting it and methods to optimize it. Topics include building-related illness (BRI) and sick building syndrome (SBS), the importance of interior air quality, and health risks from inorganic contaminants like asbestos, radon, and lead, as well as organic contaminants such as aldehydes, volatile organic compounds, semivolatile organic compounds, and

COVID-19, a new coronavirus, has infected over 12 million people and killed over 67,000 as of April 6, 2020, in 208 countries. With no vaccine or treatment available, social distancing through home isolation is the best prevention. Three novel epidemic models have been developed to account for this, including susceptible population, immigrant population, home isolation population, infectious population, hospital quarantine population,

A systematic-dynamic model was built to study SARS transmission and the impact of control measures in Beijing. Key variables for transmission included mean duration between disease onset and hospital admission, and contacts of infectious individuals. For control, important factors were physician alertness, quarantine and isolation measures, ventilation, and disinfection. "Screening for fever" practice at hospital entrances had minimal impact. The study concluded that Beijing's current disease control measures were effective in controlling the

A high-volume Italian inflammatory bowel disease (IBD) center experienced significant clinical and organizational challenges during the COVID-19 pandemic. Routine follow-up visits for stable patients were cancelled or rescheduled, but access to the hospital for therapy or unstable patients was not postponed. Patients and staff were advised to follow hand hygiene, social distancing, and mask-wearing guidelines. A control station was set up at the entrance for thermal sc

A 34-year-old man with no medical history or comorbidities developed fever and shortness of breath, and was admitted to a hospital in Dhaka, Bangladesh. He had not traveled to COVID-19 prone areas or been in contact with positive patients. His chest X-ray showed ground-glass opacity in the right middle and lower lung zones, and an initial COVID-19 PCR test was negative. However, a second RT-PCR

A 34-year-old man with no medical history or comorbidities developed fever and shortness of breath, and was admitted to a hospital in Dhaka, Bangladesh. His chest X-ray showed signs of COVID-19, but initial PCR tests were negative. A second RT-PCR test was positive, and the patient was treated with chloroquine and azithromycin. He was discharged after 12 days,

Quarantine during the COVID-19 pandemic leads to unhealthy diet and reduced physical activity due to stress and depression. This can increase the risk of cardiovascular disease, as vitamins, particularly Vitamin D, have been identified as important in fighting the virus. The WHO recommends strategies to encourage healthy habits at home, including increasing physical activity and following a balanced diet. Long-term effects of quarantine on cardiovascular disease include unhealthy lifestyle and anxiety.

Quarantine during the COVID-19 pandemic leads to unhealthy diet and reduced physical activity due to stress and depression. This can increase the risk of cardiovascular disease, as vitamins, particularly Vitamin D, have been identified as important in fighting the virus. The WHO recommends strategies to encourage healthy habits at home. Long-term effects of quarantine on cardiovascular disease include unhealthy lifestyle and anxiety. Post-quarantine, global action is needed

The passage summarizes the development and update of national evidence-based guidelines for preventing healthcare-associated infections (HCAI) in National Health Service (NHS) hospitals in England. The guidelines, published in 2001, cover standard principles for preventing HCAI, infections associated with urethral catheters, and infections associated with central venous catheters. The evidence for these guidelines was identified through systematic reviews and expert opinion. In 2

The passage discusses the effectiveness of quarantine in containing the spread of infectious diseases during a pandemic, but notes the challenges of economic hardship and social norm disruptions that can lead to non-compliance. In some cases, health authorities may obtain court orders to enforce quarantine, balancing individual freedom with public interest. The article provides guidance on the legal and ethical considerations of this process during the COVID-19 pandemic.

A retrospective chart review of 54 adult kidney transplant patients diagnosed with Covid-19 in New York State was conducted to understand the clinical course and identify therapeutic strategies. Of the 54 patients, 39 with moderate to severe symptoms were hospitalized and 15 with mild symptoms were managed at home. Hospitalized patients were more likely to be male, Hispanic, and have cardiovascular disease. Immunosuppressive drugs, such as

The passage discusses the effectiveness of isolation, testing, contact tracing, and physical distancing in reducing the transmission of SARS-CoV-2 using a model based on data from the BBC Pandemic study. The study simulated various scenarios and found that combined testing and tracing strategies reduce transmission more than mass testing or self-isolation alone (50-65% vs. 2-30%). Manual contact tracing of acquaintances with limits on gatherings could

This study used mathematical modeling to estimate the effectiveness of various COVID-19 control measures, including isolation, testing, contact tracing, and physical distancing, in different settings. The analysis showed that combined isolation and contact tracing strategies were more effective in reducing transmission than mass testing or self-isolation alone. The study also estimated that in a scenario with 1000 new symptomatic cases per day, manual contact tracing of acquaintances alone could have a similar effect on transmission reduction as

This study used mathematical modeling to estimate the effectiveness of various COVID-19 control measures, including isolation, testing, contact tracing, and physical distancing, in different settings. The study found that combined isolation and contact tracing strategies were more effective in reducing transmission than mass testing or self-isolation alone. The study also estimated that in a scenario with 1000 new symptomatic cases per day, manual contact tracing of acquaintances alone could have a similar effect on transmission reduction as

The Infectious Diseases Society of America (IDSA) released an updated clinical practice guideline in 2008 for evaluating fever and infection in older adults residing in long-term care facilities (LTCFs). Older adults in LTCFs are at high risk for infections due to their age and multiple comorbidities. Recognizing infection can be challenging as fever may be absent in over half of LTCF residents with serious infections. L

This study investigates the relationship between quarantine experiences, attitudes towards COVID-19, and mental health in China using a cross-sectional online survey and quantile regression analysis. The findings suggest that home self-quarantine is linked to decreased depression and increased happiness, while community-level quarantine is associated with decreased happiness, particularly for those in the lower happiness quantile. Favorable attitudes towards COVID-19, including confidence in real-time updates and epid

The passage discusses the implementation of telepalliative medicine consultations in the inpatient setting during the COVID-19 pandemic due to the need to decrease provider exposure and minimize personal protective equipment use while maintaining high-quality patient care. The authors describe their experience with implementing telepalliative medicine consultations for their inpatient palliative care teams and share lessons learned and recommendations for programs considering similar care models.

The passage emphasizes the importance and cost-effectiveness of promoting hygiene to prevent infectious diseases, but investment in hygiene is low in both the health and water and sanitation sectors. Improved handwashing and safe stool disposal have proven benefits. New approaches to changing hygiene behavior include a better understanding of what drives it and creative partnerships. However, there is a need for more research on interventions to improve food hygiene and making safe hyg

The COVID-19 pandemic has led to the cancellation of in-person clinic visits for head and neck cancer patients, resulting in a rapid growth of telemedicine use. However, there is a lack of education for patients and physicians on how to optimally use telemedicine services. This passage aims to provide guidelines for both parties to ensure effective telemedicine visits for head and neck cancer patients.

During the COVID-19 pandemic, many hospitals and practices have shifted from in-person outpatient clinic visits for head and neck cancer patients to telemedicine to maintain continuity of care. The sudden increase in telemedicine use has left patients and physicians unprepared, resulting in a learning curve. This passage aims to provide guidelines for both parties to optimize their telemedicine visits.

A study was conducted in Lombardia, Italy, to examine the impact of biologics on the risk of SARS-CoV-2 infection, hospitalization, ICU admission, and death in patients with psoriatic disease. The study involved 1193 psoriatic patients treated with biologics and small molecules, and the entire Lombardia population served as controls. The results showed that patients on biologics had a higher risk

A study was conducted in Lombardia, Italy, to examine the impact of biologics on SARS-CoV-2 infection and related outcomes in patients with psoriatic disease. The study involved 1193 psoriatic patients treated with biologics and small molecules, and the entire Lombardia population served as controls. The findings showed that biologic users had a higher risk of testing positive for COVID-19, self-

The COVID-19 pandemic caused by the SARS-CoV-2 virus has spread to 209 countries and territories, resulting in 1,455,519 confirmed cases and 83,664 deaths as of April 8, 2020. Clinical manifestations include fever, coughing, fatigue, headache, diarrhea, and trouble breathing, among others. Preventive measures such as wearing

During the SARS epidemic in Beijing, China, in 2003, approximately 30,000 residents were quarantined. A survey conducted by the Chinese Field Epidemiology Training Program found that quarantine should be limited to those in close contact with an ill SARS patient, as the risk of acquiring the disease was low among other quarantined individuals. Quarantine was part of a larger SARS control program that also included enhanced

The COVID-19 pandemic prompted countries to implement social distancing measures using an IBM SEIR model to study the impact of quarantine duration, start date, and intensity on the infection curve's height and position. The model's stochastic effects result in variable outcomes, necessitating probability calculations. Outcomes are categorized as best and worst scenarios. Long and intense quarantines are the most effective in ending the epidemic but challenging to implement. Shorter, intense quarant

The COVID-19 pandemic has led to an increase in cases and a need for healthcare systems to decrease provider exposure and minimize PPE use while maintaining high-quality patient care. Inpatient telepalliative medicine consultations have become necessary to reach isolated hospitalized patients and maintain provider availability. The authors describe their rapid implementation of telepalliative medicine consultations for inpatient palliative care teams and share lessons learned and recommendations for similar care models.

A study was conducted to identify risk factors for feline infectious peritonitis (FIP) in private breeding catteries and animal shelters, excluding genetic predisposition. Over a year, 275 cats from 7 catteries and a shelter were observed monthly. FIP development was not linked to cattery size, age, sex, antibody titer, husbandry practices, or concurrent diseases. However, individual cat age, coronavirus t

A model was developed using an agent-based local stochastic approach to simulate the spread of COVID-19 in Massachusetts, USA. The model takes into account geographic and population data to evaluate the impact of quarantine strategies during the initial stages of the epidemic. The results demonstrate the significance of implementing quarantines at different time points to minimize the number of cases and deaths. This interactive desktop and web-based application can be adapted to other regions to aid decision-makers in protecting

The COVID-19 pandemic is leading to a shift in medical practice, with vulnerable and immunocompromised healthcare practitioners working from home to reduce exposure. Trusts are implementing telephone or video outpatient appointments. This article outlines the necessary equipment for healthcare practitioners to set up a home office and discusses opportunities for teaching, learning, audits, quality improvement work, and offering psychological support.

During the COVID-19 pandemic, managing acute ischemic strokes requires modifications due to the overwhelming healthcare system. Guidelines should be relaxed while maintaining high-quality care to prevent the spread of COVID-19 and conserve limited resources. Recommendations for acute stroke management during the pandemic include:

1. Telemedicine consultations for initial stroke assessment and triage.
2. Prehospital thrombolysis and transport to specialized stroke centers if

The passage discusses the challenges of ensuring mental health care during the SARS-CoV-2 epidemic in France, with a focus on the vulnerabilities of patients with mental disorders and the limitations of the mental health healthcare system. Four major vulnerabilities are identified: medical comorbidities, age, cognitive and behavioral disorders, and psychosocial vulnerability. The mental health care system is also vulnerable due to resource shortages and structural issues. Proposed solutions include the creation of

This review aimed to assess the impact of hospital visiting hours on patients and their visitors by evaluating relevant studies. The inclusion criteria were pediatric and adult hospital patients and visitors in medical/surgical units, critical care, pediatrics, maternity, or general hospital wards, excluding post-operative and post-anaesthesia care units, dementia wards, long-term care settings, retirement homes, or delivery rooms. Studies evaluating visiting policies

The Lennar Corporation, a major US homebuilder, implemented health checks and contact tracking through its enterprise resource planning system to ensure sick employees stayed home and exposed associates quarantined during the COVID-19 pandemic. Other safety measures such as remote work and communication helped the company function safely and successfully. Real-world data from Lennar's experience could provide valuable lessons for other companies preparing to reopen.

Patients with hypertension have a poor prognosis in COVID-19, but there's no direct evidence that hypertension increases infection risk or worsens outcomes independently of age and other factors. RAS inhibitors use is not associated with increased infection risk or worsened COVID-19 course. Biomarkers like troponin, N-terminal pro-B-type natriuretic peptide, D-dimer, and ser

Patients with hypertension have a poor prognosis in COVID-19, but there's no direct evidence that hypertension increases the risk of new infection or worsens outcomes independently of age and other factors. The use of renin-angiotensin system inhibitors is a concern due to the role of angiotensin-converting enzyme 2 receptors in the entry of the virus, but there's little evidence of increased infection

During Covid-19 quarantine, office workers are spending more time at home and experiencing increased complaints of neck, shoulder, and lower back pain. This passage provides home-based exercise notes to prevent musculoskeletal disorders among office workers, based on guidelines from the American College of Sports Medicine.

During the COVID-19 pandemic, managing acute ischemic strokes requires modifications due to the overwhelming healthcare system. Guidelines should be relaxed while maintaining high-quality care to prevent the spread of COVID-19 and conserve limited resources. Recommendations for acute stroke management during the pandemic are presented.

A scoping review was conducted to summarize how home-based exercise is defined and reported in the literature in oncology. Home-based exercise can be completed at home, outdoors, in community facilities, or in self-selected environments. Supportive elements for home-based models include print materials, exercise equipment, telephone support, home visits, and technology, with varying levels of supervision and resources. The review highlights the heterogeneity in home-based exercise definitions and provides recommendations to

Singapore experienced a Severe Acute Respiratory Syndrome (SARS) outbreak from February to May 2003. Control measures included high vigilance, temperature monitoring, early identification and isolation, hospital restrictions, staff education, and border control. Schools were closed, public education on hygiene was provided, and laboratories were audited and upgraded for virus culture. Travel restrictions and health declarations were implemented to prevent cross-border transmission.

The Canadian Society of Nephrology (CSN) Rapid Response Team has released recommendations for managing end-stage kidney disease patients on home dialysis during the COVID-19 pandemic. The team gathered information from various sources, including program-specific documents, national and international kidney agencies, webinars, and academic literature. Recommendations were developed through a consensus-based approach involving a CSN work-group, ethicists, and nephrologists. Seven

The International Fluid Optimization Group, composed of 14 researchers from a 2011 meeting in Chicago, reviewed data from 162 studies on perioperative fluid therapy over three years. They concluded that effective circulating blood volume must be maintained to ensure adequate organ perfusion, and overhydration and underhydration are both harmful. The group recommends individualized fluid therapy based on physiologic targets, administered when patients require perfusion augment

The COVID-19 pandemic poses unique challenges for otolaryngologists due to their expertise in airway management. Airway procedures, including endoscopy, expose operators to infectious aerosols, increasing the risk of transmission. This commentary discusses critical considerations for reducing aerosol contact, best practices for airway management during the pandemic, and the implications of increased demand for tracheostomies. Safety for both patients and healthcare teams is emphasized.

The COVID-19 pandemic presents unique challenges for health care systems and otolaryngologists due to their expertise in airway management. Otolaryngologists must collaborate with anesthesiologists and front-line teams to provide essential services while minimizing transmission risks. Airway management and endoscopy procedures generate infectious aerosols, increasing the risk for operators. This commentary discusses the pandemic background, aerosol mitigation strategies, and best practices for airway

The passage discusses a study that projects the demand for hospital beds in Brazil due to COVID-19 under different quarantine policies for the next 30 days. The study considers the current hospital infrastructure and estimates how long it would take for the demand to exceed the available beds. COVID-19, an airborne disease, has led many countries to adopt quarantine measures and border closures. Brazil is currently debating the best way to manage the quarantine relaxation while considering hospital infrastructure constraints

A qualitative study was conducted to explore the experience of home quarantine during the SARS outbreak in Toronto in 2003. Twenty-one individuals were selected using stratified random sampling and interviewed using a semistructured guide. The experience of quarantine followed a trajectory of stages, with common themes of uncertainty, isolation, and coping. Public Health plays a dual role in monitoring compliance and providing support during quarantine. The findings have implications for public health policy and practice

A study aims to use System Dynamics, a systems modeling methodology, for rural disaster preparedness and planning. The approach has been successful in analyzing complex systems in healthcare and disaster planning. The study will create simulation models as tools for planners to explore various disaster scenarios and identify best practices. Issues like hospital surge capacity, employee competence, and community coordination can be analyzed. The evidence-based approach will help tie data to decision-making and improve interactions among emergency planning committee agencies

This expert review updates gastroenterologists on the current state of multiple endoscopic bariatric therapies (EBTs) in the US, their role in managing obesity and metabolic disease, and provides practice advice. The review is based on a comprehensive search of English-language databases and manual review of relevant publications.

Best practices for EBTs include:
1. Considering EBTs for patients with obesity who have not responded

An online pilot survey was conducted among 100 people with diabetes from MV Hospital in India during the COVID-19 lockdown to understand how they were managing their condition. Ninety-two percent of the participants had Type 2 diabetes, and only 28% were checking their blood glucose levels regularly. Eighty percent reported following regular exercise and diet control, while 40% expressed anxiety about the viral infection. The study concluded that regular self-monitoring

The Surgeon General's urging of a nationwide halt to elective surgeries in March 2020 due to the COVID-19 pandemic caused anxiety and confusion for hospital systems, orthopaedic practices, and patients. Many small and mid-sized orthopaedic groups were already struggling financially and were further devastated by the crisis. The authors, representing larger musculoskeletal multispecialty groups, provide recommendations to help

The passage emphasizes the importance of preventing Venous Thromboembolism (VTE) complications in hospitalized patients, as they are the leading cause of preventable in-hospital mortality and morbidity in the US. Initiatives by various organizations aim to improve VTE prevention and risk assessment. Clinical practice involves individual risk assessment using a validated scoring system, which leads to the best care in preventing VTE. Hospitals should have a local care path

During the COVID-19 outbreak, neonatal health surveillance and follow-up have become challenging due to quarantine measures, potentially leading to overlooked cases of severe jaundice and bilirubin encephalopathy. To address this issue, an online follow-up program for monitoring newborns' bilirubin levels at home has been developed to prevent extreme hyperbilirubinemia and adapt neonatal jaundice management strategies to infection

The essay is a personal reflection by Ian Douglas on his 55-year career journey from applied geography to socio-ecological practice research. He answers questions about his inspirations, reorientations, measures of success, important attributes for a fulfilling life, work-life balance, and advice for younger scholars. He shares experiences and insights to help the next generation of geographers and socio-ecological practice researchers.

This study provides forecasts for hospital demand and deaths due to the COVID-19 pandemic in the USA and European Economic Area (EEA). Using data on confirmed COVID-19 deaths, hospital capacity, and utilization, the researchers developed a model to estimate the trajectory of cumulative and daily death rates based on social distancing measures. In the USA, excess demand for hospital beds, ICUs, and ventilators at the epidemic peak is predicted to be 9,0

The passage discusses the prediction of ICU bed requirements for COVID-19 patients in Italy during the epidemic peak, taking into account new government measures. Based on clinical relevance and robustness, an average of 9.9% of daily active confirmed cases were assumed to require intensive care. Five scenarios were modeled, with the most positive one suggesting a peak of nearly 89,000 daily active confirmed cases and a requirement of 8,791 IC

A rapid review was conducted to identify factors influencing adherence to quarantine during infectious disease outbreaks. The search resulted in 14 studies out of 3163, with adherence ranging from 0% to 92.8%. Factors affecting adherence include knowledge about the disease and quarantine procedure, social norms, perceived benefits, and practical issues. To improve adherence, officials should provide clear information, emphasize social norms

A rapid review was conducted to identify factors influencing adherence to quarantine during infectious disease outbreaks. The study found that adherence ranged from 0-92.8%, with factors including knowledge about the disease and quarantine procedure, social norms, perceived benefits, and practical issues. To improve adherence, public health officials should provide clear information, emphasize social norms, increase perceived benefits, and ensure essential supplies.

A rapid review was conducted to identify factors influencing adherence to quarantine during infectious disease outbreaks. The search yielded 3163 papers, with 14 included in the review. Adherence ranged from 0-92.8%, influenced by knowledge about the disease and quarantine, social norms, perceived benefits, and practical issues. To improve adherence, officials should provide clear information, emphasize social norms, increase perceived benefits,

Seven patients with moderate COVID-19, who met discharge criteria, were quarantined at home for 4 weeks and monitored for symptoms. All were asymptomatic, but three tested positive for SARS-CoV-2 nucleic acid in respiratory swabs 5-7 days after discharge. It is recommended that patients with current discharge criteria undergo an additional 7-day hospital quarantine and follow-up viral testing.