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The Darkest Hour: Little PPE, No Vaccine Led to Moral Injury
A fascinating and disturbing study captures the emotions and attitudes of healthcare workers in 2020 when COVID-19 emerged. Personal protective equipment was in short supply, and the first COVID-19 vaccines would not be available until the end of the year. There was a general despairing feeling in this period that there was not “enough” of anything, including reliable information.
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Moral Injury in HCWs at Level of Combat Vets
Moral injury is a fairly well-established syndrome in combat soldiers, but researchers found healthcare workers suffered a comparable level of mental turmoil and ethical conflict during the first two years of the pandemic.
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Dealing with Toxic Employees
Everyone has met him or her — and would prefer not to meet them again. But there they are when you arrive for duty: The toxic co-worker.
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Survey: 87% of Acute Care Sites Short of Nurses
Healthcare delivery is at a critical tipping point due to a nursing shortage crisis that is projected to get worse, and no clear consensus on new labor models to meet the crisis, according to a survey and report by two companies involved in medical education and labor solutions. Even before the pandemic drove workers from the clinical bedside, experts projected 1 million more nurses would be needed by 2030.
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Healthcare Workers Likely Will Be Offered New Vaccine
Healthcare workers likely will be offered a new COVID-19 vaccine the FDA is pushing to roll out for this fall and winter. The FDA Vaccines and Related Biological Products Advisory Committee approved “the inclusion of a SARS-CoV-2 omicron component for COVID-19 booster vaccines in the United States.”
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COVID-19: Duration of Shedding of Transmissible Virus
Patients with COVID-19 were found, by culture, to shed replication-competent virus after an initial PCR test for median durations of four to five days.
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COVID-19 Rebound
Symptomatic and virologic recrudescence after treatment of patients with COVID-19 with Paxlovid occurs in a tiny percentage of patients and generally is mild and self-limited.
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Inflammatory Foods Could Accelerate Brain Aging
In the Framingham Offspring cohort of subjects, those with a higher index of inflammatory foods recorded smaller brain volume, less grey matter.
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The Value of Stress Testing in Patients with Known Coronary Artery Disease
A comparison of adenosine stress single-photon emission CT, PET, and MRI in stable patients with known coronary artery disease (CAD) showed PET to be more sensitive for detecting invasive fractional flow reserve-identified ischemic lesions. However, the sensitivity was disappointing. Patients with known CAD and new symptoms should be referred directly to invasive coronary angiography.
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Rivaroxaban Monotherapy for Atrial Fibrillation in Coronary Artery Disease Patients
For patients with atrial fibrillation and stable coronary artery disease, rivaroxaban monotherapy was superior to dual therapy for preventing thrombotic and bleeding events and was associated with a lower mortality rate.