Annals of internal medicine
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Multicenter Study
Probable Evidence of Fecal Aerosol Transmission of SARS-CoV-2 in a High-Rise Building.
The role of fecal aerosols in the transmission of severe acute respiratory syndrome coronavirus 2 has been suspected. ⋯ Key-Area Research and Development Program of Guangdong Province and the Research Grants Council of Hong Kong.
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Review
Addressing Postpandemic Clinician Mental Health : A Narrative Review and Conceptual Framework.
Previous pandemics have seen high psychiatric morbidity among health care workers. Protecting clinician mental health in the aftermath of coronavirus disease 2019 (COVID-19) requires an evidence-based approach to developing and deploying comprehensive clinician mental health support. In a narrative review of 96 articles addressing clinician mental health in COVID-19 and prior pandemics, 7 themes emerged: 1) the need for resilience and stress reduction training; 2) providing for clinicians' basic needs (food, drink, adequate rest, quarantine-appropriate housing, transportation, child care, personal protective equipment); 3) the importance of specialized training for pandemic-induced changes in job roles; 4) recognition and clear communication from leadership; 5) acknowledgment of and strategies for addressing moral injury; 6) the need for peer and social support interventions; and 7) normalization and provision of mental health support programs. ⋯ Studies of previous pandemics demonstrate heightened distress in health care workers years after the event. The COVID-19 pandemic presents unique challenges that surpass those of previous pandemics, suggesting a significant mental health toll on clinicians. Long-term, proactive individual, organizational, and societal infrastructures for clinician mental health support are needed to mitigate the psychological costs of providing care during the COVID-19 pandemic.
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Little is known about the evidence required by the U.S. Food and Drug Administration (FDA) for new approvals of opioid analgesics. ⋯ None.
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Busse JW, Sadeghirad B, Oparin Y, et al. Management of acute pain from non-low back, musculoskeletal injuries: a systematic review and network meta-analysis of randomized trials. Ann Intern Med. 2020;173:730-8. 32805127.