Radiology providers can bolster virtual interviews with applicants amid the COVID-19 pandemic by emphasizing program strengths, using breakout rooms for certain groups, properly ensuring the interview process is organized, acquainting staff and applicants with the virtual platform, conducting virtual tours of the radiology department and campus, and holding virtual meet-ups, said Dr. Asim Mian of the Boston University Medical Center, who co-wrote an article in the Journal of the American College of Radiology. "Change is challenging, but the pandemic has given us a unique opportunity to create a new paradigm for the residency interview season, which very well may become the new normal," Mian writes.
The COVID-19 pandemic could lead to the replacement of stethoscopes with point-of-care ultrasound, which has shown greater sensitivity and specificity in diagnosing asthma and chronic obstructive pulmonary disease, pleural effusion and congestive heart failure-related lung fluid buildup, compared with auscultation, writes hospitalist Dr. Larry Istrail. POCUS also showed increased sensitivity in identifying COVID-19 than chest X-rays, and it has helped reduce health worker exposure and personal protective equipment use, Istrail writes.
A study in Diabetes, Obesity and Metabolism found that type 2 diabetes patients with no prior use of glucagon-like peptide-1 receptor agonists experienced significant reductions in blood glucose and body weight at three to six months after initiating semaglutide therapy. The therapy yielded similar outcomes regardless of the number of co-therapies or of semaglutide dose, with no significant change in the reported incidence of hypoglycemia or episodes of sudden and serious decreases in blood glucose.
COVID-19 was linked to hyperglycemic emergencies among patients with diabetes, according to a study in The Lancet Diabetes & Endocrinology. Based on data from 35 hospitalized COVID-19 patients in the UK, the findings also found that there was a striking overrepresentation of type 2 diabetes among those who had diabetic ketoacidosis, indicating acute insulinopenia among COVID-19 and type 2 diabetes patients.
Fasting glucose and insulin increased at 12 weeks among healthy women who had unsuccessful in vitro fertilization, compared with women who became pregnant, researchers reported in Clinical Endocrinology. UK registered dietitian Ayla Coussa, a researcher on the study, said it is important to monitor metabolic and endocrine metrics among women who have unsuccessful IVF cycles.
The ACR told members that three of seven Medicare Administrative Contractors are seeking comments regarding local coverage determination for CT-based cerebral perfusion analysis, and the ACR's Contractor Advisory Committee representatives will send written comments from members to their respective contractors. "CAC representatives are vital to influence decisions related to reimbursement at the local level, but this cannot be done without the engagement of subject matter experts in neuroradiology," according to the ACR.
Despite accounting for nearly 50% of the global radioisotope market, the US depends on only three suppliers of molybdenum-99/technetium-99m, while most African countries source them from one supplier, and flight restrictions due to the COVID-19 pandemic have worsened radiopharmaceutical supply issues, researchers reported in the Journal of Nuclear Medicine. Coordination between global nuclear medicine organizations and local groups can help address workforce training issues and determine regulatory and access problems related to location, according to researchers.
The clinical community has learned since the onset of the COVID-19 pandemic about SARS-CoV-2's angiotensin-converting enzyme 2 gene affinity, mode of transmission, risk factors and cytokine release syndrome risk, while health workers have learned about the need for quick mobilization and adaptation, as well the importance of physical distancing measures and personal protective equipment, said Dr. Marie-Pierre Revel, who heads cardiothoracic imaging at Paris-based Hospital Cochin, during the European Congress of Radiology virtual annual meeting. However, questions regarding management of other acute diseases, long-term effects of COVID-19, disease resurgence risk, the size of a potential second disease wave, acquired immunity quality and treatments than can curb severe outcomes are yet to be addressed, Revel said.
End-of-life spending and healthcare utilization among older adults with COPD varies substantially nationwide. Patients with COPD frequently utilize acute care near the end of life; hospice utilization is high, with significant geographic disparities. These findings can inform policies to improve the delivery of patient-centered end-of-life care among older adults with COPD.
Vulvovaginal symptom treatment was accompanied by reduced impact of symptoms on well-being and functioning as measured by the Day-to-Day Impact of Vaginal Aging (DIVA) questionnaire.
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