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People in nursing homes have been suffering in isolation during the coronavirus pandemic, with their institutions in constant lockdown to prevent potentially fatal outbreaks. Now that they’re some of the first in line to receive COVID-19 vaccinations, it would be natural for nursing home residents to expect that visits from friends and family will soon resume. That might not happen, though. Uneven vaccination rates and unknowns related to the vaccines could mean that folks in nursing homes will have to remain isolated for a while longer, experts said. “It’s going to be a while before there are enough people immunized to really start to see a reduction in risk,” said Dr. Chris Beyrer, a professor of public health and human rights with the Johns Hopkins Bloomberg School of Public Health, in Baltimore. “There’s going to be this challenging period where we won’t have enough vaccine and we won’t have enough people immunized.” There’s a reason for caution, and it’s the same reason why nursing home residents and workers gained a place in the first wave of vaccinations. People in long-term care facilities have accounted for 40% of all COVID-19 deaths in the United States, even though they represent only 6% of overall infections, according to the U.S. Centers for Disease Control and Prevention. In addition, nearly one in five nursing home residents who contract COVID-19…  read on >  read on >

It may take a village to support teens’ mental health, whether it’s during the pandemic or later. One option is having school-based mental health programs that offer peer support leaders. A new C.S. Mott Children’s Hospital National Poll on Children’s Health at Michigan Medicine found that one in three parents are strongly in favor of a peer support program. The poll also asked questions that got at the heart of pros and cons of this type of program. “Peers may provide valuable support for fellow teens struggling with emotional issues because they can relate to each other,” said Mott Poll co-director Sarah Clark. “Some teens may worry that their parents will overreact or not understand what they’re going through. Teachers and school counselors may also have limited time to talk with students in the middle of other responsibilities.” Teen mental health is a big issue, with one in five teens experiencing symptoms of a mental health disorder, such as anxiety or depression, according to a Michigan Medicine news release. Suicide is the second leading cause of death among teens. Previous research suggests that up to half of children and teens with a treatable mental health disorder don’t get help because of several barriers. Even teens who don’t have a diagnosed condition may experience occasional issues that can increase the risk of developing depression. And three-quarters…  read on >  read on >

If you’re having eye problems, you may not know which type of specialist to consult. Here’s some help from experts who explain the roles of an optometrist, ophthalmologist, pediatric ophthalmologist, orthoptist and optician. Optometrists provide comprehensive eye care, including evaluations for glasses and contact lenses and common eye diseases. “They play a role in monitoring chronic conditions such as cataracts, glaucoma, macular degeneration and diabetes,” Dr. Danielle Natale, an optometrist at the Krieger Eye Institute in Baltimore, said in an institute news release. They can also treat acute eye problems such as pink eye or sties. Ophthalmologists are physicians who have completed four years of medical school and four years of residency training. They diagnose and treat eye diseases and prescribe eyeglasses and contact lenses, and they also perform eye surgery. A pediatric ophthalmologist is specially trained to examine and treat children of all ages and abilities — especially those who are unable or too young to read the letters on an eye chart. “To make the environment more child-friendly, ophthalmologists will often play games with the patients or show them movies during their exam,” said pediatric ophthalmologist Dr. Samantha Feldman, who also practices at the Krieger Eye Institute. Orthoptists aren’t common, with only about 400 in the United States. They aren’t doctors, according to the American Association of Certified Orthoptists. But orthoptists are uniquely…  read on >  read on >

Now that federal guidelines have expanded COVID-19 vaccine eligibility to include people over 65 and those of all ages with underlying health conditions, drug stores say they are ready, willing and able to start giving the shots. There’s just one slight glitch: supply. But with two vaccines already available and others moving toward emergency use authorization, experts say supply will likely soon catch up with demand. As of Jan. 14, the Federal Retail Pharmacy Partnership Program has tapped two pharmacy chains per state to offer free COVID-19 vaccines. Pharmacies will be notified if they can take part in this initial rollout. Spearheaded by Operation Warp Speed, the government’s vaccine development program, this plan will ultimately allow more than 40,000 pharmacies across the nation to inject 100 million vaccines in a month’s time. Already signed on as partners are CVS, Walgreens, Duane Reade, Costco, Walmart, Rite Aid, Publix and more. Fully 250 million people in the United States are now eligible for COVID-19 vaccines, and pharmacies can help speed the slower-than-expected vaccine distribution process, said Kathleen Jaeger, senior vice president of pharmacy care and patient advocacy at the National Association of Chain Drug Stores (NACDS), an Alexandria, Virginia-based trade group representing chain pharmacies. “With 40,000 drug stores and one vaccinator per store, it would be very easy to deliver 100 million vaccine doses in one month,”…  read on >  read on >

An inhaled medication might make every day physical activity a bit easier for patients with serious scarring of the lungs, a new clinical trial finds. The study, published online Jan. 13 in the New England Journal of Medicine, involved patients with high blood pressure in the lungs caused by interstitial lung disease (ILD). ILD is a broad term for progressive scarring of the tissue surrounding the lungs’ air sacs and blood vessels. It can have a range of causes, from smoking, to occupational exposure to toxins like asbestos, as well as autoimmune diseases like rheumatoid arthritis. Sometimes, no cause can be found. A potential, and serious, complication of that scarring is pulmonary hypertension, in which the vessels that supply blood to the lungs become hard and narrow. Once pulmonary hypertension arises, patients can become so short of breath they have difficulty walking, and often need to use more supplemental oxygen. The complication may also shorten their lives. Right now, no medication is approved specifically for pulmonary hypertension caused by ILD, said Dr. Steven Nathan, senior researcher on the new trial. He’s director of the Advanced Lung Disease and Lung Transplant Program at Inova Fairfax Hospital in Falls Church, Va. There are, however, drugs for another form of pulmonary hypertension, known as pulmonary arterial hypertension. Those medications are vasodilators, which means they help blood vessels in…  read on >  read on >

If you’re having eye problems, you may not know which type of specialist to consult. Here’s some help from experts who explain the roles of an optometrist, ophthalmologist, pediatric ophthalmologist, orthoptist and optician. Optometrists provide comprehensive eye care, including evaluations for glasses and contact lenses and common eye diseases. “They play a role in monitoring chronic conditions such as cataracts, glaucoma, macular degeneration and diabetes,” Dr. Danielle Natale, an optometrist at the Krieger Eye Institute in Baltimore, said in an institute news release. They can also treat acute eye problems such as pink eye or sties. Ophthalmologists are physicians who have completed four years of medical school and four years of residency training. They diagnose and treat eye diseases and prescribe eyeglasses and contact lenses, and they also perform eye surgery. A pediatric ophthalmologist is specially trained to examine and treat children of all ages and abilities — especially those who are unable or too young to read the letters on an eye chart. “To make the environment more child-friendly, ophthalmologists will often play games with the patients or show them movies during their exam,” said pediatric ophthalmologist Dr. Samantha Feldman, who also practices at the Krieger Eye Institute. Orthoptists aren’t common, with only about 400 in the United States. They aren’t doctors, according to the American Association of Certified Orthoptists. But orthoptists are uniquely…  read on >  read on >

Now that federal guidelines have expanded COVID-19 vaccine eligibility to include people over 65 and those of all ages with underlying health conditions, drug stores say they are ready, willing and able to start giving the shots. There’s just one slight glitch: supply. But with two vaccines already available and others moving toward emergency use authorization, experts say supply will likely soon catch up with demand. As of Jan. 14, the Federal Retail Pharmacy Partnership Program has tapped two pharmacy chains per state to offer free COVID-19 vaccines. Pharmacies will be notified if they can take part in this initial rollout. Spearheaded by Operation Warp Speed, the government’s vaccine development program, this plan will ultimately allow more than 40,000 pharmacies across the nation to inject 100 million vaccines in a month’s time. Already signed on as partners are CVS, Walgreens, Duane Reade, Costco, Walmart, Rite Aid, Publix and more. Fully 250 million people in the United States are now eligible for COVID-19 vaccines, and pharmacies can help speed the slower-than-expected vaccine distribution process, said Kathleen Jaeger, senior vice president of pharmacy care and patient advocacy at the National Association of Chain Drug Stores (NACDS), an Alexandria, Virginia-based trade group representing chain pharmacies. “With 40,000 drug stores and one vaccinator per store, it would be very easy to deliver 100 million vaccine doses in one month,”…  read on >  read on >

An inhaled medication might make every day physical activity a bit easier for patients with serious scarring of the lungs, a new clinical trial finds. The study, published online Jan. 13 in the New England Journal of Medicine, involved patients with high blood pressure in the lungs caused by interstitial lung disease (ILD). ILD is a broad term for progressive scarring of the tissue surrounding the lungs’ air sacs and blood vessels. It can have a range of causes, from smoking, to occupational exposure to toxins like asbestos, as well as autoimmune diseases like rheumatoid arthritis. Sometimes, no cause can be found. A potential, and serious, complication of that scarring is pulmonary hypertension, in which the vessels that supply blood to the lungs become hard and narrow. Once pulmonary hypertension arises, patients can become so short of breath they have difficulty walking, and often need to use more supplemental oxygen. The complication may also shorten their lives. Right now, no medication is approved specifically for pulmonary hypertension caused by ILD, said Dr. Steven Nathan, senior researcher on the new trial. He’s director of the Advanced Lung Disease and Lung Transplant Program at Inova Fairfax Hospital in Falls Church, Va. There are, however, drugs for another form of pulmonary hypertension, known as pulmonary arterial hypertension. Those medications are vasodilators, which means they help blood vessels in…  read on >  read on >

If you’re having eye problems, you may not know which type of specialist to consult. Here’s some help from experts who explain the roles of an optometrist, ophthalmologist, pediatric ophthalmologist, orthoptist and optician. Optometrists provide comprehensive eye care, including evaluations for glasses and contact lenses and common eye diseases. “They play a role in monitoring chronic conditions such as cataracts, glaucoma, macular degeneration and diabetes,” Dr. Danielle Natale, an optometrist at the Krieger Eye Institute in Baltimore, said in an institute news release. They can also treat acute eye problems such as pink eye or sties. Ophthalmologists are physicians who have completed four years of medical school and four years of residency training. They diagnose and treat eye diseases and prescribe eyeglasses and contact lenses, and they also perform eye surgery. A pediatric ophthalmologist is specially trained to examine and treat children of all ages and abilities — especially those who are unable or too young to read the letters on an eye chart. “To make the environment more child-friendly, ophthalmologists will often play games with the patients or show them movies during their exam,” said pediatric ophthalmologist Dr. Samantha Feldman, who also practices at the Krieger Eye Institute. Orthoptists aren’t common, with only about 400 in the United States. They aren’t doctors, according to the American Association of Certified Orthoptists. But orthoptists are uniquely…  read on >  read on >

When the coronavirus pandemic began, one U.S. children’s hospital saw an increase in trauma cases from recreational and outdoor activities, even as total ER visits dropped by 50%, researchers report. What happened? Their new study suggests that being in lockdown, with schools closed, may have prompted more kids to go outside and play — and potentially get injured doing so. At the same time, parents may have feared taking their children to the hospital unless it was a dire injury. Study author Dr. Zaid Haddadin, a postdoctoral research fellow at Vanderbilt University Medical Center in Nashville, and his colleagues looked at the number of emergency room visits for respiratory illnesses or trauma between March and May 2020. Over that time, a total of nearly 6,400 pediatric emergency room visits occurred in 2020, compared with more than 12,000 in 2019. Meanwhile, the number of respiratory care for kids visits dropped by 58% in 2020, the researchers found. “Community efforts to control the spread of the SARS-CoV-2 might have played a role in decreasing the spread of other respiratory viruses in children,” Haddadin explained. But at the same time, there was a significant increase in the number of trauma visits related to activities like all-terrain vehicles (ATVs) and motorcycles, which might have been related to school closings, Haddadin said. “Most schools were closed starting mid-March in our…  read on >  read on >