Radiology practices can address burnout among breast radiologists by assigning navigators or coordinators for patient counseling, hiring nurse practitioners or physician assistants to administer procedures, adopting artificial intelligence software, facilitating camaraderie between breast radiologists and other specialties, promoting work schedule flexibility, and being upfront about productivity expectations, researchers reported in Current Problems in Diagnostic Radiology. "While both individual and organizational approaches to addressing burnout exist, it is essential for institutions to take an active role in embracing these concepts and encouraging their staff to have honest discussions about wellness, work-life balance, and burnout," researchers wrote.
A study in the American Journal of Roentgenology found that people with COVID-19 had increased odds of having thromboembolic findings on imaging scans, compared with those without COVID-19. The findings should prompt radiologists to "raise concern for COVID-19 when identifying thromboembolic abdominopelvic findings during this pandemic," researchers wrote.
Veterinary scientists at Kansas City Zoo are working with their colleagues at the Frozen Zoo in San Diego to bank skin cells from endangered and extinct species, such as the Western black rhinoceros, for cloning and species reintroduction in the future. "Participation in the Frozen Zoo gives us a future hope, and what better time to have hope than during the [COVID-19] pandemic?" said veterinarian Kirk Suedmeyer, Kansas City Zoo's director of animal health and conservation research.
Many, and possibly all, birds have a brain region comparable to the mammalian neocortex that enables advanced behaviors and abilities, according to two studies published in Science. The dorsal ventricular ridge and wulst in bird brains are constructed similarly to the neocortex, imparting advanced abilities, and activity in the nidopallium caudolaterale shows birds have the ability to remember sensory experiences.
People who live in low-income communities with high barriers to health care readily adopted an app designed specifically with their needs in mind, with resources in both Spanish and English, researchers reported in the journal Circulation: Cardiovascular Quality and Outcomes. Community health workers guided the app's rollout, and participants were willing to share data collected on wearable devices, have their health records stored in a central location, access EHRs using a mobile device, and participate in research.
Lower levels of zinc were associated with greater inflammation and poorer outcomes in hospitalized COVID-19 patients, compared with more healthful levels, researchers reported at the European Society of Clinical Microbiology and Infectious Disease's Conference on Coronavirus Disease. Pulmonologist Dr. Len Horovitz of Lenox Hill Hospital in New York City commented that one potential explanation is that zinc may have a protective anti-inflammatory effect.
The COVID-19 pandemic has exposed the severity of health disparities in the US, and choices made by health care professionals can perpetuate and amplify them, write Dr. Ezekiel Emanuel and Dr. Risa Lavizzo-Mourey of the University of Pennsylvania. They outline five steps to reduce disparities and improve health equity: federalize Medicaid, increase Medicaid payments, support hospitals that address social determinants of health, diversify the health care workforce and train health care workers on implicit bias.
Vivian Anugwom, who became manager of health equity at Allina Health in Minneapolis months before the killing of George Floyd, said her work has always been personal, and she sees it as her way to contribute to the struggle for justice. When data showed fewer Black patients received referrals to hospice, conversations with clinicians indicated they were affected by past experience with patients who did not want hospice, leading to a training that emphasized the importance of not withholding information about services.
There is a trend toward teaching medical residents and students in the US how climate change affects patient health so they can apply that knowledge to their chosen specialty. There are no specific hospital curricula for teaching the effects of climate change, but researchers published a framework in the journal Academic Medicine that can serve as a starting point.
A study in the Journal of Breast Imaging showing a slower decline in breast cancer mortality rates among Black women should prompt the US Preventive Services Task Force and other health organizations to follow the lead of the ACR and other groups in recommending that mammogram screening begin at age 40, rather than at age 50, said Dr. Murray Rebner, the study's lead author. It is also important that patients, referring physicians and other health professionals are educated on how the benefits of earlier breast cancer screening outweigh its risks, Rebner said.
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