Keeping COVID at Bay

National Institute for Health Care Management

People who previously had COVID-19 are becoming reinfected from new omicron subvariants. The pace of COVID-19 deaths has plateaued since May, with 12,500 Americans dying of COVID-19 in July. The Pfizer antiviral Paxlovid keeps high-risk COVID-19 patients out of the hospital. 

Resources & Initiatives:

 

Ultrasound Imaging Gets Small and Wearable

National Institutes of Health | By Vicki Contie

Ultrasound is a noninvasive technique that lets clinicians peer inside the body to monitor health or diagnose disease. Imaging sessions are generally brief because ultrasound often requires the expertise of trained technicians working in medical settings.

Several research groups have been seeking more versatile approaches that would allow longer-term ultrasound monitoring in a variety of settings via wearable devices. To date, most of these efforts have provided relatively low-resolution images or are unable to visualize deep tissues or organs.

Now, an NIH-funded research team led by Dr. Xuanhe Zhao at the Massachusetts Institute of Technology has developed a new type of wearable ultrasound patch that overcomes many of the limitations of earlier approaches. This multi-layered device is about the size of a thick postage stamp, and it adheres to skin in both wet and dry environments. The device was described in Science on July 29, 2022.

Ultrasound works by first placing a probe, or transducer, on the body. The transducer emits high-frequency sound waves that enter the body and bounce off internal tissues, creating echoes that are captured and transmitted to instruments that translate the data into pictures or videos. A soft gel applied between the skin and probe helps to enhance soundwave transmission.

The patch created by Zhao’s team used several advanced techniques to combine all of these ultrasound components in a miniature package. A thin, rigid array of ultrasound probes sits atop a tough but flexible hydrogel layer. An elastomer membrane protects the hydrogel from drying out, and a bioadhesive binds the probe strongly to skin. The combination of a rigid probe array and flexible hydrogel-elastomer layers enables more stable and higher-resolution imaging than other wearable ultrasound devices that are thin and stretchy.

The researchers tested the patch on 15 human volunteers. They showed that the device could be comfortably worn for at least 48 hours. Depending on placement, the patch could provide continuous imaging of blood vessels, heart, muscle, diaphragm, stomach, or lung. The heart or lungs could be stably and continuously imaged even while volunteers were jogging or cycling.

Despite the patch’s potential for on-the-fly mobile imaging, the device currently must be hooked to computer systems for intensive data processing. But Zhao and his team foresee future possibilities:

“We envision a few patches adhered to different locations on the body, and the patches would communicate with your cellphone, where AI algorithms would analyze the images on demand,” Zhao says. “We believe this represents a breakthrough in wearable devices and medical imaging.”

 

Monkeypox a Federal Public Health Emergency

On 08/04/2022, the Biden administration declared a federal public health emergency (PHE) for monkeypox.

During a call with reporters, HHS Secretary Xavier Becerra said that some 6,600 cases of the virus had already been reported for the week compared to less than 5,000 the week before.

The virus has spread primarily through close contact with someone who is infected. Treatment includes isolation and pain management, often at home. It is rarely fatal.

Designating the outbreak as a PHE allows federal agencies to access emergency funding and allocate funds and other resources to help prevent the spread of the virus. Such declarations also permit the waiver of some laws and requirements to allow healthcare providers to respond to the disease.

On July 23 the World Health Organization (WHO) declared a global health emergency over the outbreak.

 

The Proposed 2023 Fee Schedule: 4 Things to Know

Of course, the proposed cuts are at the center — but there are some significant opportunities for change and making your voice heard.

  1. The 4.4% cut to the conversion factor would affect a wide range of providers and threatens patient access to needed services.
  2. CMS wants to hear about underutilized services in Medicare. This is a significant opportunity to make the case for physical therapy.
  3. CMS is considering making virtual direct supervision of PTAs permanent and wants input on the idea — another great opportunity that we need to seize.
  4. CMS wants to hear from individual providers, and new APTA resources make it easy to craft individualized comment letters.

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7 Conversations to Have With Your Legislators While They're Back Home in August

District offices, town halls, maybe a visit to your clinic? Here are some topics worth mentioning.

  1. The proposed fee schedule needs a short-term fix — and a long-term overhaul.
  2. Protect access to PTAs, especially in rural and underserved areas.
  3. Let's bring care to where it's needed — and help relieve student debt.
  4. We can make our health care workforce more diverse and improve outcomes for all.
  5. Postpartum care can be strengthened.
  6. Continuity in outpatient PT care is within reach.
  7. We can help the right care happen faster (while relieving administrative burden).

 

 

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