June 3, 2020 - a podcast by COVID19LST

Your daily COVID-19 LST Report:

— Climate:  Authors from UC, Irvine warn of increased domestic violence during the pandemic, as was seen in past national disasters such as Hurricane Katrina, and advocates for increased allocation of resources to this disproportionately affected population.

— Epidemiology:  Italian dermatologists organize cutaneous manifestations of COVID-19 into 2 groups: 1) Inflammatory exanthems (such as Erythematous, morbilliform, urticarial, and papulovesicular) and 2) Vasculitic lesions - such as chilblain, livedo reticularis, and purpura.

— Transmiission and Prevention:  Researchers from India discuss the current limitations to contact tracing in resource limited settings, and suggest individuals should be "encouraged to maintain their own contact list on a daily basis" to aid in public health efforts.

— Management:  A large observational study of 2,075 hospitalized patients in Spain found the administration of heparin was associated with lower mortality, suggesting prevention against COVID-19 coagulopathy.    

A study of 100 patients in France utilized the Apple Watch ECG feature to effectively monitor QT-intervals in at-risk patients, suggesting that 1-lead ECGs may be effective in quarantined outpatients receiving QT prolonging medications.

— R&D Diagnosis and Treatment: A systematic review and meta-analysis found the accuracy of chest CT for COVID-19 diagnosis to be 94% sensitive and 46% specific, this relatively high sensitivity makes CT a potentially useful adjunct to increase the negative predictive value of current screening methods.

— Mental Health and Resilience:  Art therapy to address the mental health challenges surrounding isolation and fear amid the COVID-19 pandemic. Authors from George Fox University describe how art therapy can be used to promote resilience and mindfulness.

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