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email article COVID-19 patients treated in a randomized trial with the anti-parasitic drug ivermectin did no better than a placebo group, Colombian researchers said. Median time to recovery among mild COVID-19 patients in the ivermectin group was 10 days versus 12 days among those receiving placebo, and rates of symptom resolution at day 21 were about equal, reported Eduardo López-Medina, MD, of Centro de Estudios en Infectología Pediátrica, and colleagues, writing in But the trial was far from perfect. The initial primary outcome was time from randomization until worsening of sympt...

email article WASHINGTON -- Vaccine hesitancy could be greatly reduced if people had a better chance to talk about COVID-19 vaccination with their primary care physician, public health specialists told the House Ways & Means Health Subcommittee. Vaccine efficacy is complex, said Ashish Jha, MD, dean of the Brown University School of Public Health, in Providence, Rhode Island, at a hearing Friday. For example, many people don't understand that the Johnson & Johnson vaccine, which received emergency use authorization from the FDA on Saturday, was tested in countries such as South Africa...

The American Medical Association (AMA) has never been a trailblazer on issues of social and racial justice. As in society as a whole, attitudes at the AMA have changed, albeit at a glacial pace. In 2008, the AMA broke new ground and apologized for its long history of discrimination against Black physicians -- it didn't admit its first Black delegate to its policy-setting House of Delegates until 1950, more than a century after its founding -- and entered on what it calls a path of racial healing and reconciliation. Thirteen years later, AMA leadership again felt a sting of conscience abou...

email article Joe Flores, NP, JD, has been defending nurses against investigations by the Texas Board of Nursing for several years. Flores, a Corpus Christi attorney and part-time hospice care nurse practitioner, rarely turns away these clients. He feels it's important they have representation if they have a case. But since the pandemic started, Flores has had to turn away many cases. Demand for his services is up, he says, as nurses are being investigated by the Board even as they struggle to perform their jobs with the added stress of the pandemic. The nature of the complaints is also...

Three Ways to Bolster Telehealth In the urgency to deploy telehealth programs during the COVID-19 pandemic, healthcare providers may have overlooked key processes that now need attention, according to Figuring out how to accelerate virtual care is no longer enough. Health providers also need to consider three things: whether they're delivering the best experience; how telehealth fits into their overall care model; and how to build patient trust, especially as concerns about privacy and data breeches are rising. Because of the extraordinary circumstances when the pandemic started, "people wou...