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The Lancet Public Health: Modelling study estimates impact of test to release strategy to reduce - or replace - quarantine for contacts of COVID-19 cases

Quarantine time after contact with a confirmed COVID-19 case could potentially be reduced to 7 days without raising the risk of onward transmission of the virus by testing people on the seventh day of quarantine with either a PCR or lateral flow antigen (LFA) test, findings from an English modelling study published today in The Lancet Public Health journal suggest.

Rescuers at risk: emergency personnel face trauma and post traumatic stress symptoms

A new study in Frontiers in Psychiatry has for the first time, demonstrated differences in the prevalence of post-traumatic stress symptoms (PTSS) in different groups of rescue workers and emergency personnel, including firefighters, police officers and psychiatric nurses. The researchers showed that the varying experiences and circumstances these workers encounter, such as handling aggressive people, working with families or dealing with deaths and suicide, are tied to varying levels of PTSS and suicidal thoughts, with emergency department staff and psychiatric nurses showing the highest levels of PTSS and suicidal thoughts out of the emergency professions studied. The findings highlight the urgent need for bespoke training and counselling services across the rescue and emergency industries, which would help staff to cope with the trauma they experience, improving their quality of life and mental wellbeing in such high-risk professions. The study was led by Dr Leila Soravia and Dr

Set clear rules for vaccinating health care workers against SARS-CoV-2

 E-Mail Provincial and territorial governments should set clear rules for vaccinating health care workers against SARS-CoV-2, the virus that causes COVID-19, in public and private settings, and should not leave this task to employers, according to an analysis in An effective vaccine provided to health care workers will protect both the health workforce and patients, reducing the overall burden of COVID-19 on services and ensuring adequate personnel to administer to people s health needs through the pandemic, writes Dr. Colleen M. Flood, University of Ottawa Research Chair in Health Law & Policy and a professor at the university, with coauthors. The analysis, authored by legal scholars and a physician-researcher, describes legal precedents from attempts to mandate influenza vaccines for health care workers and how those precedents might apply to SARS-CoV-2 vaccination. It also describes the legal justification for mandating SARS-CoV-2 vaccination for health care workers and oth

Primary care physicians account for a minority of spending on low-value care

URL goes live when the embargo lifts Primary care physicians (PCPs) are seen as gatekeepers to reduce spending on low-value health care services, which have been estimated to cost the health care system up to $100 billion annually. A brief research report published in Annals of Internal Medicine analyzed how much low-value spending is directly related to PCPs services and referral decisions. Researchers from the American Board of Family Medicine, Harvard, Mount Sinai, and Stanford analyzed Medicare Part B claims between 2007 and 2014 to estimate the share of Medicare beneficiaries low-value spending that was directly related to their PCP s services or referrals. Low-value services were identified using a consensus set of 31 services previously judged to be low-value by national physician societies, Medicare criteria, and clinical guidelines. Such services include imaging for non-specific back pain, PSA screening for men over the age of 75, and arthroscopic surgery for knee ost

45% of adults over 65 lack online medical accounts, which could affect COVID vaccination

As the vaccination of older adults against COVID-19 begins across the country, new poll data suggests that many of them don t yet have access to the patient portal online systems that could make it much easier for them to schedule a vaccination appointment. The poll finds that 45% of adults aged 65 to 80, and 42% of adults aged 50 to 80, said they hadn t set up an account with their health provider s portal system.

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