ResearchPad - ideas-and-opinions https://www.researchpad.co Default RSS Feed en-us © 2020 Newgen KnowledgeWorks <![CDATA[Health Care Supply Chains: COVID-19 Challenges and Pressing Actions]]> https://www.researchpad.co/article/elastic_article_7342 The supply chain for U.S. health care is really 5 different supply chains, and each one has its own problems and opportunities for improvement. This article explains what we're up against and what we can do about it.

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<![CDATA[Community Pharmacists in Taiwan at the Frontline Against the Novel Coronavirus Pandemic: Gatekeepers for the Rationing of Personal Protective Equipment]]> https://www.researchpad.co/article/Nacbd6e3f-3983-4de9-8f7f-94c4baed7fd3

Compared with other countries, Taiwan has had relatively few cases during the COVID-19 pandemic. One of the many measures the government implemented was a system for rationing and distributing surgical masks to the public while prioritizing allocation of masks to health care workers. This essay describes the role of community pharmacists in implementing the system and distributing masks to the public.

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<![CDATA[The Role of Medical Students During the COVID-19 Pandemic]]> https://www.researchpad.co/article/Ndeaef0e1-2a73-40df-8a84-7ba4598b2190

In this commentary, the authors discuss multiple potential clinical roles for medical students during the coronavirus disease 2019 pandemic.

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<![CDATA[Fighting COVID-19: Enabling Graduating Students to Start Internship Early at Their Own Medical School]]> https://www.researchpad.co/article/N66302838-341e-4c58-9609-7bd3759452b7

This perspective proposes one way to ensure enough doctors, nurses, and pharmacists during the COVID-19 pandemic: Enable graduating students to start internship early at their own medical school.

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<![CDATA[Chest Computed Tomography for Detection of Coronavirus Disease 2019 (COVID-19): Don't Rush the Science]]> https://www.researchpad.co/article/Nc4c7a4fc-32eb-41d0-9c77-e30461664291

This commentary discusses the findings of early studies that addressed the use of chest computed tomography for the detection of COVID-19. The authors urge caution in rushing science and overinterpreting preliminary or flawed data.

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<![CDATA[COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience]]> https://www.researchpad.co/article/N312e331f-d244-4dec-b6b5-f2188ba1a7e3

Caring for patients with the novel coronavirus infection is placing great stress on health care systems and health care workers. On the basis of their experiences responding to other pandemics, the authors summarize lessons learned and offer some best practices for facilitating organizational resilience and supporting health care workers during the COVID-19 pandemic.

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<![CDATA[Intersecting U.S. Epidemics: COVID-19 and Lack of Health Insurance]]> https://www.researchpad.co/article/N8b5c18a2-aca8-474d-afc8-9784e8e981e9

The COVID-19 pandemic has led to an unprecedented surge in unemployment in the United States. For many, job loss carries the added sting of losing health insurance. The authors discuss the problem of lack of health insurance during a time of risk for severe illness and offer potential solutions that policymakers should consider to mitigate harm.

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<![CDATA[Communication Skills in the Age of COVID-19]]> https://www.researchpad.co/article/N71604c16-524a-4a22-8f91-0f7108d2a484

COVID-19 has placed enormous stress on hospitals and health care providers worldwide. Limitations in hospital capacity may result in difficult decisions in how life-sustaining technologies are allocated among patients. The authors of this essay provide guidance on how to communicate with patients who are seriously ill from COVID-19 infection.

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<![CDATA[An Epidemic in the Midst of a Pandemic: Opioid Use Disorder and COVID-19]]> https://www.researchpad.co/article/Nd24af075-0657-4ee5-af27-14673b459476

The COVID-19 pandemic is a particularly grave risk to the millions of Americans with opioid use disorder, who—already vulnerable and marginalized—are heavily dependent on face-to-face health care delivery. These authors propose rapid and coordinated action on the part of clinicians and policymakers to mitigate risks of disrupted care for these patients.

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<![CDATA[When Epidemics Collide: Coronavirus Disease 2019 (COVID-19) and the Opioid Crisis]]> https://www.researchpad.co/article/Na7560071-26ab-4c9f-a990-1ac3574fc99a

COVID-19 could cause infection in persons with opioid use disorder, increase opioid overdose rates, reverse system-level gains in expanding access to medication for opioid use disorder, halt critical research, and prevent exacting legal reparations against opioid manufacturers. The authors call for urgent action to counteract these risks.

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<![CDATA[Collision of the COVID-19 and Addiction Epidemics]]> https://www.researchpad.co/article/Ndd358980-8b87-49b5-95da-539c3acb14a0

People with substance use disorder may be especially susceptible to COVID-19, and compromised lung function from COVID-19 could also put at risk those who have opioid use disorder and methamphetamine use disorder. This commentary describes the risks of the collision of the COVID-19 and addiction epidemics.

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<![CDATA[Use of Hydroxychloroquine and Chloroquine During the COVID-19 Pandemic: What Every Clinician Should Know]]> https://www.researchpad.co/article/Nf45a2fc9-634c-436f-a1c1-05e2f2d89ef7

Two medications often used for treatment of immune-mediated conditions, hydroxychloroquine and chloroquine, have recently attracted widespread interest as potential therapies for coronavirus disease 2019. The authors of this commentary provide guidance for clinical decision making for patients with coronavirus disease 2019 as well as for patients with rheumatologic conditions, such as systemic lupus erythematosus and rheumatoid arthritis

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<![CDATA[A Rush to Judgment? Rapid Reporting and Dissemination of Results and Its Consequences Regarding the Use of Hydroxychloroquine for COVID-19]]> https://www.researchpad.co/article/Ne0cceee9-236e-4692-854a-aa0fa0c46c29

Hydroxychloroquine, an essential treatment for many patients with rheumatologic conditions, has recently garnered widespread attention as a potential treatment for COVID-19 infection. The authors appraise the study generating this interest and highlight the potential consequences of rapid dissemination of overinterpreted data, particularly for people with conditions for which hydroxychloroquine has demonstrated benefits in preventing organ damage and life-threatening disease flares.

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<![CDATA[A War on Two Fronts: Cancer Care in the Time of COVID-19]]> https://www.researchpad.co/article/N1e524452-dcae-4fda-9085-d21a6917706f

Initial reports suggest that COVID-19 can be particularly lethal in patients with cancer. This commentary discusses how to balance a delay in cancer diagnosis or treatment against the risk for a potential COVID-19 exposure, mitigate the risks for significant care disruptions associated with social distancing behaviors, and manage the appropriate allocation of limited health care resources in this unprecedented time of health care crisis.

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<![CDATA[Supporting Clinicians During the COVID-19 Pandemic]]> https://www.researchpad.co/article/N37e32c4e-b05b-4069-9af6-4d877476136e

The COVID-19 pandemic has upended clinicians' sense of order and control, creating the potential for stress in the short term and burnout over the long term. This commentary offers suggestions to encourage a culture that will sustain the clinician workforce during the pandemic.

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<![CDATA[How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)?]]> https://www.researchpad.co/article/N903dd270-76b4-49cf-a7f5-ef0019159fec

Estimates suggest that COVID-19 will stress bed capacity, equipment, and health care personnel in U.S. hospitals in ways not previously experienced. How can health systems prepare to care for a large influx of patients with this disease?

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<![CDATA[Managing Emerging Infectious Diseases: Should Travel Be the Fifth Vital Sign?]]> https://www.researchpad.co/article/N5462f945-8c55-47d1-9da8-0af0096bd299

In the setting of emerging infections, such as COVID-19, this commentary argues that all members of the health care team need training on how to integrate key epidemiologic information, such as travel history, into their risk assessments in the same way they are trained to ask about tobacco exposure to assess cancer and heart disease risk.

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<![CDATA[Coronavirus Disease 2019 (COVID-19): Protecting Hospitals From the Invisible]]> https://www.researchpad.co/article/Ne7101de8-173e-45f8-96bb-a1c84c854085

Coronavirus disease 2019 (COVID-19) is optimized to spread widely: Its signs and symptoms are largely indistinguishable from those of other respiratory viruses. This commentary specifically addresses best ways to protect our hospitals against COVID-19.

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<![CDATA[Renal Fibrosis and Mitochondrial Damage]]> https://www.researchpad.co/article/5c1844a9d5eed0c4847f94bf ]]>