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Could wearing a mask for long periods be detrimental to health? – The Jerusalem Post

May 17th, 2020

Could the requirement to wear masks in public to prevent the spread of the coronavirus be doing more harm than good to people’s health? A retired neurosurgeon believes so, pointing toward studies that found that wearing masks for prolonged periods can cause serious side effects. In an article published by Technocracy News, Dr. Russell Blaylock wrote that the side effects from prolonged wearing of a face mask “can vary from headaches, to increased airway resistance, carbon dioxide accumulation, to hypoxia, all the way to serious life-threatening complications.”The side effects differ between cloth or paper surgical masks and N95 respirator masks because the N95, being a more effective filter, also limits breathing to a greater degree, and is therefore more commonly associated with headaches, Blaylock reported. He highlighted one study of 212 healthcare workers who were asked to report on the presence of headaches while using the N95 mask, including the duration of the headache, the type of headache, and whether the person had pre-existing headaches. The study found that around a third of workers developed headaches when using the N95 mask, the majority had pre-existing headaches that were made worse by the use of the mask, and around three in five required pain medication to relieve the headache. And although tight straps or pressure from the mask were considered as potential causes, the evidence pointed to the headaches being caused by reduced blood oxygenation, or an increase in carbon dioxide in the blood. “It is known that the N95 mask, if worn for hours, can reduce blood oxygenation as much as 20%,” Blaylock wrote. This, he said, “can lead to a loss of consciousness, as happened to the hapless fellow driving around alone in his car wearing an N95 mask, causing him to pass out, and to crash his car and sustain injuries. I am sure that we have several cases of elderly individuals or any person with poor lung function passing out, hitting their head. This, of course, can lead to death.”A more recent study of 159 healthcare workers between the ages of 21 and 35 found that 81% developed headaches through the use of face masks, to the level at which their work performance was affected. And a third study measured the blood oxygen of 53 surgeons using an oximeter before and after surgery. “The researchers found that the mask reduced the blood oxygen levels (pa02) significantly. The longer the duration of wearing the mask, the greater the fall in blood oxygen levels,” Blaylock wrote. The potential for masks to reduce oxygen levels in the wearer are important not only because this can lead to passing out, but also because lower oxygen levels have been linked to reduced natural immunity.  “In essence, your mask may very well put you at an increased risk of infections, and if so, having a much worse outcome,” Blaylock wrote. Little is definitively known about how effective the use of masks is in controlling the spread of COVID-19 because no studies have yet been carried out specifically upon the coronavirus and use of masks,  From the outset of the pandemic it has been assumed that the coronavirus behaves like other respiratory viruses in terms of spread as well as symptoms. However, Dr Blaylock points to a 2012 study titled, “The use of masks and respirators to prevent transmission of influenza: A systematic review of the scientific evidence,” which looked at 17 of the best studies in the field and concluded: “None of the studies established a conclusive relationship between mask/respirator use and protection against influenza infection.”He also highlights that both the Center for Disease Control and Prevention (CDC) and the World Health Organisation initially recommended that only those already known to be infected with the coronavirus need wear a mask, to limit the spread to others, a policy which is considered good practice in other diseases also. “When a person has TB we have them wear a mask, not the entire community of non-infected,” Blaylock wrote. “The recommendations by the CDC and the WHO [for everyone to wear a mask] are not based on any studies of this virus and have never been used to contain any other virus pandemic or epidemic in history.”The current advice given on the WHO’s website is still not to use masks unless you have the virus and are at risk of infecting others, or looking after those who may be infected with coronavirus. An information video by WHO titled, “Can wearing a mask protect you against coronavirus?” advises: “Medical masks cannot protect against the new coronavirus when used alone. When you use them, you must combine with hand hygiene and other preventative measures. “WHO only recommends the use of masks in specific cases,” the video continues. “If you have a cough, fever and difficulty breathing, you should wear a mask and seek medical care. If you do not have these symptoms, you do not have to wear masks because there is no evidence that they protect people who are not sick.” It is currently a requirement to wear a mask while in public spaces in Israel.

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Facebook launched its Bitmoji-like Avatars. Here’s how to make yours – CNN

May 17th, 2020

Apple reopening 25 more US stores, will soon top 100 worldwide – New York Post

May 17th, 2020

Assassin’s Creed Odyssey And Rainbow Six Siege Microtransaction Spending Is Growing – GameSpot

May 17th, 2020

Virtual PC game box collection helps relive the heyday of floppies and CDs – Engadget

May 17th, 2020

‘Straight-Up Fire’ in His Veins: Teen Battles New Coronavirus Syndrome – The New York Times

May 17th, 2020

When a sprinkling of a reddish rash appeared on Jack McMorrow’s hands in mid-April, his father figured the 14-year-old was overusing hand sanitizer — not a bad thing during a global pandemic.

When Jack’s parents noticed that his eyes looked glossy, they attributed it to late nights of video games and TV.

When he developed a stomachache and didn’t want dinner, “they thought it was because I ate too many cookies or whatever,” said Jack, a ninth-grader in Woodside, Queens, who loves Marvel Comics and has ambitions to teach himself “Stairway to Heaven” on the guitar.

But over the next 10 days, Jack felt increasingly unwell. His parents consulted his pediatricians in video appointments and took him to a weekend urgent care clinic. Then, one morning, he awoke unable to move.

He had a tennis ball-size lymph node, raging fever, racing heartbeat and dangerously low blood pressure. Pain deluged his body in “a throbbing, stinging rush,” he said.

“You could feel it going through your veins and it was almost like someone injected you with straight-up fire,” he said.

Jack, who was previously healthy, was hospitalized with heart failure that day, in a stark example of the newly discovered severe inflammatory syndrome linked to the coronavirus that has already been identified in about 200 children in the United States and Europe and killed several.

The condition, which the Centers for Disease Control and Prevention is calling Multisystem Inflammatory Syndrome in Children, has shaken widespread confidence that children were largely spared from the pandemic. Instead of targeting lungs as the primary coronavirus infection does, it causes inflammation throughout the body and can cripple the heart. It has been compared to a rare childhood inflammatory illness called Kawasaki disease, but doctors have learned that the new syndrome affects the heart differently and erupts mostly in school-age children, rather than infants and toddlers. The syndrome often appears weeks after infection in children who didn’t experience first-phase coronavirus symptoms.

At a Senate hearing last week, Dr. Anthony Fauci, a leader of the government’s coronavirus response, warned that because of the syndrome, “we’ve got to be careful that we are not cavalier and thinking that children are completely immune to the deleterious effects.”

ImageNewYork-Presbyterian Morgan Stanley Children’s Hospital, where Jack McMorrow was treated, has cared for at least 17 children with the mysterious syndrome.
NewYork-Presbyterian Morgan Stanley Children’s Hospital, where Jack McMorrow was treated, has cared for at least 17 children with the mysterious syndrome.Credit…Gabriela Bhaskar for The New York Times

Jack’s recovery and the experience of other survivors are Rosetta stones for doctors, health officials and parents anxious to understand the mysterious condition.

“He could have definitely died,” said Dr. Gheorghe Ganea, who, along with his wife, Dr. Camelia Ganea, has been Jack’s primary doctor for years. “When there’s cardiovascular failure, other things can follow. Other organs can fail one after another, and survival becomes very difficult.”

“Everyone is doing everything they can to help look into this from all different angles just to get the answers that parents want, that we want,” said Dr. Thomas Connors, a pediatric critical care physician who treated Jack at NewYork-Presbyterian Morgan Stanley Children’s Hospital.

Neither Jack nor his parents, John McMorrow and Doris Stroman, know how he became infected with coronavirus. After cleaning out his locker at Monsignor McClancy High School on March 18 to continue school online at home, he only left the apartment once, they said, to help his mother wash clothes in their high-rise building’s laundry room. His parents and 22-year-old sister also avoided going out and the tests they’ve had turned up negative.

After Jack’s father, John McMorrow, choked up recounting his son’s illness, Jack embraced him.Credit…Gabriela Bhaskar for The New York Times

Last week, in their apartment festooned with welcome-home balloons, the family — Jack wearing a blue bandanna as a mask, his mother in a mask with the Rolling Stones tongue logo on it — recounted their story. His father, a recently laid-off truck driver for the film industry, briefly choked up and Jack bounded over to hug him.

The week after his hand rash and stomachache, about a month after he’d last set foot in school, Jack developed a 102 degree fever and sore throat. Worried, his mother arranged a video visit with their pediatricians, who started him on an antibiotic for possible bacterial infection. For several days, he felt about the same, but then other symptoms rapidly emerged: swollen neck, nausea, dry cough, a metallic taste.

On Saturday, April 25, his fever spiked to 104.7, his chest felt tight, and when he took deep breaths, “it hurt down in the bottom,” he said.

Jack arriving at the children’s hospital in an ambulance.Credit…via McMorrow family
Jack in his hospital bed.Credit…via McMorrow family

That morning, Dr. Camelia Ganea video-conferenced with the family while still in her pajamas, discovering Jack could barely open his mouth. She prescribed steroids and suggested they visit an urgent care clinic. There, Jack was tested for the coronavirus, but it would be two days before results arrived.

By Monday, pain was “flowing through me like lightning,” Jack said, and a rosy rash covered his feet.

“I was very very emotional,” Jack said. He paused. “I’m using the word emotional to cover up the fact I was crying like a baby.”

Lying on the sofa, he couldn’t move on his own and grasped for words to describe what was happening.

“Rooftop,” he implored his parents, seeking a shorthand way to ask them to bend his leg like a peaked roof.

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“I didn’t know what I was trying to say, but I knew what I meant,” he explained later.

With a home monitor, they discovered his blood pressure was very low. Mr. McMorrow lifted him, placing Jack’s feet on top of his own, and shuffled him to the car. At NewYork-Presbyterian/Weill Cornell hospital, doctors gave Jack intravenous fluids and tried to diagnose his condition. He didn’t have the obvious respiratory distress of Covid-19. And then they got the results of his Saturday coronavirus test: negative.

Suspecting he might have a condition like mononucleosis, they prepared to discharge him, thinking he could be safely watched at home with instructions to return if his blood pressure dropped again, his parents said.

His mother was urging them to keep Jack longer when his eyes turned red with a “raging case of pinkeye” and rolled back in his head, she said. After a conversation with Jack’s pediatrician, the hospital conducted its own coronavirus test. It was positive.

The doctor decided Jack should be transferred to NewYork-Presbyterian’s pediatric affiliate, Morgan Stanley Children’s Hospital, which is treating many coronavirus cases. Jack begged to go home.

The doctor responded bluntly, saying that she knew teenagers often think they’re invincible.

“She told me if I go home now, by tomorrow, I’ll be dead,” Jack said. “I would say that scared me to death, but it more scared me to life. It scared me to fight as hard as I could.”

Pain was “flowing through me like lightning,” Jack said, recalling the morning he woke up and couldn’t move.Credit…Gabriela Bhaskar for The New York Times

Jack arrived at the children’s hospital so feverish that his father was “washing me down with ice-cold water and it only felt like a tingle,” he said.

His resting heart rate was 165 beats per minute, about twice as high as normal, as his heart struggled to compensate for his alarmingly low blood pressure, which was hampering its ability to circulate blood and supply his vital organs with oxygen and nutrients.

This condition is a form of heart failure called cardiogenic shock, and Jack’s was “pretty severe,” said Dr. Steven Kernie, chief of pediatric critical care medicine at the hospital and Columbia University. “Over all, his heart wasn’t working very well,” he said. “It wasn’t pumping as strongly as normal.”

Doctors couldn’t explain why Jack’s heart function had suddenly become impaired. Its structure and rhythm were normal. But blood vessels throughout his body were inflamed, a condition called vasculitis, so the vessels’ muscles were “not controlling blood flow as well as they should,” Dr. Kernie said.

Doctors also suspected the heart was inflamed, known as myocarditis, which in untreated serious cases can cause lasting damage.

Jack’s condition wasn’t only distressing, it reflected a frightening new pattern. “I remember that morning having admitted multiple children with a similar syndrome,” Dr. Connors said, “and it was kind of like, ‘What’s going on here?’”

The inflammation seemed driven by a hyperactive immune response, and Jack received medication for bacterial infection until tests ruled that out. “Whenever kids come in in shock you have to treat for everything,” Dr. Kernie said.

Jack’s positive coronavirus test was a clue, but others with similar symptoms had negative diagnostic test results, Dr. Connors said. The doctors then decided to check the other children for evidence of the coronavirus with a different test, one for antibodies, which signal they had an earlier, no-longer-active infection. Most children ended up having either a positive diagnostic or antibody test result.

By April 29, Jack’s third day in I.C.U., the blood pressure medication wasn’t helping enough and doctors began planning to insert a central line through his groin to deliver additional medications. They also prepared to put Jack, who was receiving nasal oxygen, on a ventilator, something doctors deem necessary when “your heart’s not doing its job,” Dr. Connors said. “We didn’t know which way this was going.”

The situation, especially the prospect of a ventilator, was terrifying to Mr. McMorrow, 51, who stayed in Jack’s hospital room round-the-clock, and Ms. Stroman, 52, who was at home communicating by text and FaceTime because only one parent was allowed in the hospital.

“You had a cardiologist, a pulmonary specialist, infectious disease experts all throwing numbers and prescriptions to each other, and this is stuff that’s French to me,” Mr. McMorrow said.

Jack mustered the energy to ask the doctors questions. “I needed to know because how am I supposed to fight something I don’t know I’m fighting,” he said.

He concluded that his condition essentially boiled down to: “Your coronary and pulmonary responses come back and bite you in the butt.”

But then doctors began giving Jack steroids, which can have anti-inflammatory and immunosuppressant effects. At last, something seemed to work. Within hours, Jack needed less blood pressure medication. As the family’s pediatrician, Dr. Ganea, who has training in infectious diseases and spoke to the hospital team, put it: “Jack turned into a normal Jack.”

Doctors aren’t sure the steroids made the difference, but since then, they’ve administered them much earlier to children with the syndrome, with encouraging results, Dr. Kernie said.

But Jack wasn’t out of the woods even after moving to a regular hospital room. His heart rate was in the 30s, about half what it should be. The low heart rate might have been because of the steroids, doctors said, but they couldn’t be sure, so they moved Jack to a unit with continual cardiac monitoring.

Over the next week, Jack recovered. He emailed his biology teacher from his hospital bed: “I would like to thank you for educating me as you did, and for providing me the educational support to understand my body when I need to most.”

His mother knew Jack was his old self when, on the phone, he asked to speak with his sister, quoting the family’s favorite movie, “Midnight Run”: “Is this moron No. 1? Put moron No. 2 on the phone.”

Jack’s mother, Doris Stroman, clasped his wrist as she recalled his frightening ordeal.Credit…Gabriela Bhaskar for The New York Times
Jack and his parents on the balcony of their Woodside, Queens, apartment, a few days after he came home from the hospital.Credit…Gabriela Bhaskar for The New York Times

On May 7, 10 days after being hospitalized, Jack went home and traipsed around the apartment channeling Pinocchio: “I’m a boy! There are no strings on me!”

He’ll require follow-up cardiology appointments and will take steroids and blood thinners for a while. He may have some heart-valve tears and residual cardiac inflammation, but doctors expect those to heal on their own. Jack and his family have taken genetic tests as part of research into the syndrome, and he and other survivors will be followed as doctors strive to learn how to recognize and treat it.

Pausing near a model of Darth Vader’s castle on his desk, Jack said he once considered becoming an actor. He was even an extra on the TV show “Gotham,” playing a kidnapped orphan. But before getting sick, he was thinking about studying medicine. “I was really into the heart,” he said. Now, he’s even more interested.

“I just want to do more with my life now that I have it back,” he said, gesturing with his Captain America shield.

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Apple Details Safety Measures When Reopening Apple Retail Stores, Including Curbside Pickup and Drop-off… – Mac Rumors

May 17th, 2020

Mysterious illness linked to COVID-19 in children confirmed in eastern Iowa – kwwl.com

May 17th, 2020

IOWA (WHOTV) — The medical community is keeping a close eye on a new COVID-19-linked illness affecting children.

According to NBC affiliate WHO-TV, a spokesperson from MercyOne confirmed Iowa’s first case of multisystem inflammatory syndrome in children, or MIS-C, in eastern Iowa.

CDC report says the syndrome is associated with COVID-19 and that the cases so far appeared in children who tested positive for the virus. At least three young people have died in New York, where more than 100 cases have been reported, according to NBC News.

MercyOne says the most distinctive symptom of MIS-C is a persistent fever for more than three days. Other symptoms include inflammation, rash and gastrointestinal issues.

“Parents should not be afraid. It is extremely rare and the [CDC] advisory says that and parents should not be afraid. They should just know their child, and if they’re running a fever, keep an eye on it. Whenever they have a question, reach out to their family doctor or pediatrician,” said MercyOne spokesman Gregg Lagan.

A group of pediatric doctors and health care workers first reported this case in Iowa on Friday. They have not released any information about the patient or said exactly where this first case was reported.

The CDC says it is currently unknown if multisystem inflammatory syndrome is specific to children or if it also occurs in adults. There is also limited information currently available to the CDC about treatment for MIS-C.

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2021 Porsche 911 Targa lets the good light in – CNET

May 17th, 2020

A new render shows an iPhone 12 with a 5.4-inch OLED display – Notebookcheck.net

May 17th, 2020