miércoles, 1 de abril de 2020

An accelerated test for AI against Covid-19, resources for non-English speakers, & injuries on motorized scooters

Morning Rounds
Shraddha Chakradhar

Covid-19: Stanford launches an accelerated test of AI to help with Covid-19 care

Researchers at Stanford are working on deploying an algorithm that could quickly identify which Covid-19 patients are going to need the most intensive care. But the challenge with the AI program is not going to be in its development, but in ensuring that it's carefully rolled out and applied appropriately. STAT's Rebecca Robbins has more here
  • As hospitals deal with shortages of medical equipment, a new problem that's cropped up is a shortage of medicines needed to keep those on ventilators comfortable and out of pain. STAT's Ed Silverman has more here
  • Alteon Health, a private equity company that employs around 1,700 emergency physicians across the country, is suspending paid time off, matching contributions to employees’ 401(K) retirement accounts, and discretionary bonuses in response to the pandemic, according to an email obtained by STAT.
  • In a new STAT First Opinion, Iraq War veteran and physician assistant Rachel Smith warns about "moral injury" that health care workers now fighting Covid-19 are likely to face. She experienced that after the war, she writes, just as doctors now will be strained as they "see people die under terrible circumstances" and potentially "have to make heart-wrenching choices." 



Rudy Giuliani pushes FDA to fast-track a stem cell therapy for Covid-19

Rudy Giuliani, President Trump's personal attorney, has recently used his Twitter account and podcast to encourage the FDA to approve an experimental stem cell therapy for Covid-19 patients. The therapy, being developed by New Jersey-based Celularity, involves injecting patients with an infusion of natural killer T cells, which the company believes will revive the otherwise depleted immune system of those with Covid-19 infection. But the therapy has thus far shown little evidence of working and Celularity is waiting on the FDA to approve starting a clinical trial. In the meantime, experts are concerned that Giuliani's comments on Twitter — including calling the FDA's approval process "cumbersome" — could attract the attention of President Trump and inadvertently lead to the promotion of a therapy that has not yet been proven. STAT's Adam Feuerstein has more here.



New effort aims to provide Covid-19 resources to a wide range of non-English speakers

Covid-19 information from the CDC and other public health resources in the U.S. isn't widely available in many non-English languages. To close this gap, a new effort from Harvard Medical School has created Covid-19 fact sheets in over 35 languages, including Navajo and Urdu. STAT's Shafaq Zia spoke with Pooja Chandrashekar, a first-year medical student at HMS and founder of the Covid-19 Health Literacy Project, to learn more.

Why is such a service needed?
The real lack of access for health information … makes it difficult for folks who don't speak English, who are predominantly from immigrant communities, to know where and how to seek care. All communities have a right to know when and how to seek care.

How do you ensure that the information is accurately translated?
We have two checks in place. ... Harvard Medical School faculty and physicians check all of the [English] content. That includes both infectious disease physicians and primary care physicians. The translation is then vetted by a faculty physician who is a native speaker or is proficient [in that language].

Read the rest of their conversation here.



New effort aims to provide Covid-19 resources to a wide range of non-English speakers

Covid-19 information from the CDC and other public health resources in the U.S. isn't widely available in many non-English languages. To close this gap, a new effort from Harvard Medical School has created Covid-19 fact sheets in over 35 languages, including Navajo and Urdu. STAT's Shafaq Zia spoke with Pooja Chandrashekar, a first-year medical student at HMS and founder of the Covid-19 Health Literacy Project, to learn more.

Why is such a service needed?
The real lack of access for health information … makes it difficult for folks who don't speak English, who are predominantly from immigrant communities, to know where and how to seek care. All communities have a right to know when and how to seek care.

How do you ensure that the information is accurately translated?
We have two checks in place. ... Harvard Medical School faculty and physicians check all of the [English] content. That includes both infectious disease physicians and primary care physicians. The translation is then vetted by a faculty physician who is a native speaker or is proficient [in that language].

Read the rest of their conversation here.



Research underscores the importance of wearing protective gear on motorized scooters

Standing motorized scooters have grown in popularity as sharing companies such as Bird and Lime have established a presence in major cities. A small new study suggests that injuries on such scooters happen more often when riders aren't wearing protective equipment or are under the influence of alcohol or illicit drugs. Scientists looked at ED data from one Arizona hospital between October 2018 and October 2019 and identified 61 patients who had been treated for scooter-related injuries, none of whom had been wearing protective gear. More than half of the patients were intoxicated — the majority were positive for alcohol in their system, while a smaller number were found to have illicit drugs or both drugs and alcohol. The majority of injuries were fractures, in the head, face, or neck areas, and didn't lead to the patients losing consciousness.



New documentary highlights the genetics of breast and ovarian cancer

PBS will air a new documentary today called "Inheritance," which follows three women as they undergo medical procedures to try and reduce their inherited risk for developing breast and ovarian cancers. Director Jonathan Silvers was inspired by his wife's journey: She learned that she carried the BRCA1 mutation, and given her family history of cancer, opted for a double mastectomy and ovary removal in order to reduce her chances of developing breast or ovarian cancer. The documentary also dives into how some minority groups are disproportionately affected by hereditary risk, and future interventions for reducing cancer risk. Check your local listings or stream the documentary online here.



What to read around the web today

  • Taxpayers paid millions to design a low-cost ventilator for a pandemic. Instead, the company is selling versions of it overseas. ProPublica
  • Major retailers have opened only 5 drive-thru testing locations, none available to the general public. CNN
  • For autistic youths entering adulthood, a new world of challenge awaits. National Geographic
  • Cambridge biotech seeks OK for coronavirus test that delivers results in 15 minutes. The Boston Globe

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