Scientists warn about the likelihood of post-traumatic stress disorder for patients discharged from the intensive care unit.
Covid-19 isn’t the first epidemic to cause a domino effect of persisting psychiatric health problems across a population. The current pandemic has been compared to the severe adult respiratory syndrome (SARS) outbreak in 2003 and the Middle East respiratory syndrome (MERS) outbreak in 2014 in Saudi Arabia—both diseases caused by coronaviruses. In an analysis of international studies from the SARS and MERS outbreaks, researchers found that among recovered patients, the prevalence of PTSD was 32.2 percent, depression was 14.9 percent and anxiety disorders was 14.8 percent.
The entire article is worth reading. And from The BMJ probable PTSD in hospital workers too.
Nearly half of intensive care unit (ICU) and anaesthetic staff surveyed for a study reported symptoms consistent with a probable diagnosis of post-traumatic stress disorder (PTSD), severe depression, anxiety, or problem drinking.1
The preprint, produced by researchers at King’s College London, aimed to get a picture of the rates of probable mental health disorders in ICU and anaesthetic staff in six English hospitals during June and July 2020.
The pandemic and the parallel economic crisis have fueled new concern about access to mental health care. An estimated 40% of American adults are have a condition involving mental illness or substance abuse. In June, federal health officials reported nearly 11% percent of adults surveyed seriously considered suicide during the past 30 days.
Through 2019, the way movie theaters tried to deal with this structural decline in moviegoers was by raising ticket prices, offering big comfortable chairs to justify those ticket prices, installing bars with overpriced beer and food, and cranking up prices for popcorn and sodas. Fewer people paying a lot more money was the trick to maintain revenue growth.
And because going to the movies got so expensive and because much cheaper options have increasingly been available on the big screen at home, the number of tickets sold continued to drop. Go figure.
In the general linear model adjusted for age, sex, comorbidities, and BMI, serum 25(OH)D concentrations were significantly lower among COVID-19 patients than the 2018–2019 controls [ln transformed values of 3.32 ± 0.04 vs. 3.46 ± 0.022 ln (nmol/L), P = 0.014]. Multivariable logistic regression showed that male sex (OR: 2.26; 95% CI: 1.06, 4.82), advanced age (≥65 y) (OR: 4.93; 95% CI: 1.44, 16.9), and vitamin D deficiency (<30 nmol/L) (OR: 2.72; 95% CI: 1.23, 6.01) were significantly associated with COVID-19 severity (all P < 0.05).
These findings suggested that vitamin D deficiency impacts COVID-19 hospitalization and severity in the Chinese population.
Vitamin D Deficiency Is Inversely Associated with COVID-19 Incidence and Disease Severity in Chinese People — The Journal of Nutrition, Volume 151, Issue 1, January 2021, Pages 98–103, https://doi.org/10.1093/jn/nxaa332
Serum’s Covishield and Bharat Biotech’s Covaxin are examples of atmanirbhar (self-reliance) but have an element of non-Indian science — and at least to me that is fine, says Dr. Gagandeep Kang. Though Covaxin uses inactivated virus, neutralising antibodies against the spike protein are critical for reinfection. So if Covaxin is based on an old viral […]
U.S. counties with large colleges or universities with remote instruction (n = 22) experienced a 17.9% decrease in incidence and university counties with in-person instruction (n = 79) experienced a 56% increase in incidence, comparing the 21-day periods before and after classes started. Counties without large colleges or universities (n = 3,009) experienced a 6% decrease in incidence during similar time frames.
Leidner AJ, Barry V, Bowen VB, et al. Opening of Large Institutions of Higher Education and County-Level COVID-19 Incidence — United States, July 6–September 17, 2020. MMWR Morb Mortal Wkly Rep 2021;70:14–19. DOI: http://dx.doi.org/10.15585/mmwr.mm7001a4external icon
So, it might not come as a shock that after this past year Colorado Parks and Wildlife reported a 30 percent increase in visitations through Nov. 2020, as noted by the Denver Post; a staggering number considering that just one year prior, the Outdoor Foundation reported that nearly half of the U.S. population did not participate in outdoor recreation.The Roaring Fork Valley (RFV) is no outlier to this outdoor participation trend, and with more travel and a dangerous snowpack this season, the risks are intensified. Fortunately, outdoor leaders in the RFV have noticed that recreationists are taking risk management – the ability to independently assess the risks of an activity – seriously.
A new study out of the University of Chicago Medicine following young adult drinkers for 10 years has found that individuals who reported the highest sensitivity to alcohol’s pleasurable and rewarding effects at the start of the trial were more likely to develop an alcohol use disorder (AUD) over the course of the study.
University of Chicago Medical Center. “Increase in pleasurable effects of alcohol over time can predict alcohol use disorder: New research challenges existing dogma that higher tolerance for stimulating and rewarding effects of alcohol leads to addiction.” ScienceDaily. http://www.sciencedaily.com/releases/2021/01/210105084649.htm (accessed January 7, 2021).
Journal Reference: Andrea King, Ashley Vena, Deborah S. Hasin, Harriet deWit, Sean J. O’Connor, Dingcai Cao. Subjective Responses to Alcohol in the Development and Maintenance of Alcohol Use Disorder. American Journal of Psychiatry, 2021; appi.ajp.2020.2 DOI: 10.1176/appi.ajp.2020.20030247
The Centers for Disease Control and Prevention said at present it looks like anaphylaxis cases are occurring at a rate of about 5.5 per 1 million vaccine doses given, though the agency cautioned that figure may change as the vaccination effort continues.
The allergic reactions do not change CDC’s recommendations on who can be vaccinated against Covid-19, with senior officials stressing that the risk of severe illness and death from the disease still outweighs the risk of developing anaphylaxis after vaccination.
Hospital officials initially reported an outbreak of 44 infections traced back to the apparently impromptu Christmas celebration, but this would be the first fatality associated with the informal Dec. 25 visit. All 44, including the employee who died, had been working in the emergency department that day, according to NBC Bay Area, which also described the outbreak’s first victim as a woman who worked as a registration clerk in the department.