NewsMakers
FAQs on COVID-19 and chronic medical conditions
Serious complications from COVID-19 are most likely to develop in elderly people, as well as those who have weakened immune systems, or who are immunocompromised.
Serious complications from COVID-19 are most likely to develop in elderly people, as well as those who have weakened immune systems, or who are immunocompromised, says infectious disease specialist Alan Taege, M.D. from Cleveland Clinic in the U.S.
When people are immunocompromised, their body has a reduced ability to fight off and recover from infections. This could be because they have a certain chronic condition that affects the immune system, or because of certain medications they are taking. For example, some cancer treatments and medications used for autoimmune conditions weaken a person’s immune response, as do medicines that people take after having an organ transplant.
Unfortunately, there is not yet a vaccine that can prevent COVID-19, so we cannot prevent the disease, but there are many things you can do to minimize your risk such as social distancing, frequent handwashing and routinely disinfect surfaces in your home, such as doorknobs, faucet handles and cell phones.
It is especially important for older adults and those with underlying medical conditions to avoid being exposed to the virus in the first place. It’s spread by droplets that come out the nose and mouth of someone who’s infected when they cough or sneeze, so you can get COVID-19 from being in close contact (within about 2 metres) with an infected person who has these symptoms. You might also be able to get it from touching a surface that’s been contaminated with infected droplets.
It is also important to maintain healthy habits, like eating well, getting enough sleep and managing your stress levels, in order to keep your immune system as strong as it can be.
Dr. Taege has answered some of the most common questions about protecting the most vulnerable populations:
Q: Who is most at-risk for getting severely sick from the coronavirus?
A: The coronavirus that causes COVID-19 is new, so we don’t yet understand exactly how it impacts specific groups of high-risk people. But those who are thought to be most susceptible to serious complications of COVID-19 include people who are older than 65, or are taking medications that suppress the immune system or suffer from conditions such as cancer, hypertension. lung disease, diabetes, heart disease or other conditions that compromise the immune system.
Q: Why are people over the age of 65 more at risk?
A: Our immune system naturally becomes weaker as we age, which makes it harder for our bodies to fight off infections.
Q: Should someone who is immunocompromised still go to medical appointments?
A: Call your healthcare provider and ask. Some appointments might be able to be rescheduled, or handled by phone, or if available, virtually through a telemedicine visit or by phone. Healthcare facilities are taking special precautions to protect the health and safety of patients during this time.
Q: Should someone on immunosuppressing medications stop taking them?
A: Do not stop taking your medications without talking to your healthcare provider first. Just as there is risk associated with having a compromised immune system, there is also risk associated with stopping medication suddenly and potentially having disease flares. If you have questions or concerns, or if you become sick, talk with your doctor.
Q: In addition to the advice on hygiene, social distancing and all of the other precautions given to the general public, what extra steps could a vulnerable person take to prepare for a COVID-19 outbreak in the community?
A: Consider the following:
Ask your healthcare provider if it’s possible to get an advance supply of your medications, in case there is an outbreak in your community and you need to stay home for more than a few weeks. You can also ask your healthcare provider or pharmacy if ordering medications online and having them shipped to your home is an option.
Have enough groceries and household supplies on-hand so that you could comfortably stay home for a few weeks if you had to. Many grocers offer online ordering and delivery, which could also help you avoid having to go out.
Talk to your doctor to make sure you are up to date on your recommended vaccinations, such as the pneumonia and flu shots, which can help prevent those serious illnesses. These will not protect you against COVID-19, but they will protect you from other infections that could require you to seek medical care.
Make a plan for who will take care of you if you do get sick.
If you have a chronic condition and live alone, ask family members, friends or neighbors to check on you regularly during an outbreak. Ask them to call or contact you through email or social media.
Q: How can someone help a loved one who is in the high-risk category?
A: You can start by checking in on your love one’s well-being frequently via phone, email or social media. You might also consider:
Offering to pick up groceries or prescriptions and drop them off at your loved one’s doorstep so they do not have to go out.
Learning what medications your loved one is taking, and helping them get extra medication and supplies, if possible.
If your loved one is in a hospital or long-term care facility, check ahead of time to see if they have restrictions on visitation. And never visit when you’re sick.
NewsMakers
Study finds low-dose eye drops successful in managing adult myopia for 24 hours
A single low-dose atropine eye drop can produce daylong effects in managing myopia, or nearsightedness.
Groundbreaking research from the University of Houston shows that a single low-dose atropine eye drop can produce daylong effects in managing myopia, or nearsightedness, which affects roughly one-third of U.S. adults.
Professor of Optometry Lisa Ostrin and postdoctoral researcher Barsha Lal are reporting that even one drop in the eye of low-dose atropine (0.01%–0.1%) produces clear changes in pupil size and focusing ability that persist for at least 24 hours. Importantly, they also found that the drop shows no short-term structural effects on the eye, with only temporary changes in blood flow inside the retina.
Ostrin’s latest research is published in the journal Eye and Vision. It adds to a growing body of vision research from David Berntsen, Golden-Golden Professor of Optometry at the University of Houston, who is co-leading a national $25 million NIH-funded clinical trial to delay the development of myopia in children by using the atropine drops.
Low concentration atropine is widely prescribed to slow myopia progression in children, yet its short-term retinal and choroidal effects remain incompletely understood. Ostrin’s new study evaluated short-term effects of a range of low atropine concentrations on the length of the eye, the blood vessels in the retina and the thickness of the retina and choroid, which sits just behind the retina. These are important measurements because longer eye length is associated with myopia and as it gets longer, the retina and choroid are stretched.
“These findings indicate that a single instillation of atropine does not alter axial length or retinal or choroidal thickness over 24 hours but may transiently affect superficial retinal perfusion in a time-dependent manner,” said Ostrin.
In the double-masked, randomized study, twenty healthy adults received a single instillation of either a placebo or atropine in the right eye during five separate sessions. Researchers then checked the eye structure, thickness, and length in the central retina both one-hour and 24-hours later.
“Characterizing these short-term effects is important for a better understanding of the physiological responses to atropine in clinical and research settings,” said Ostrin who previously published research results of a study investigating the short-term effects of a range of low-dose atropine concentrations on the pupils of young adults. In that study, she found similar results with a single drop of atropine inducing significant changes in the pupils.
Together, the studies indicate that atropine induces early functional and vascular effects in the eye, in the absence of structural change.
“By linking objective ocular responses with subjective visual experience, this work advances our understanding of how atropine works and supports more precise, evidence-based, and individualized approaches to myopia management,” said Ostrin.
NewsMakers
Study: Egg consumption is associated with a lower risk of Alzheimer’s Disease
Compared to never eating eggs, eating at least five eggs per week can decrease risk of Alzheimer’s.
Consumption of eggs is associated with a lower risk of being diagnosed with Alzheimer’s Disease for those 65 years and older, according to researchers at Loma Linda University Health
Eating one egg per day for at least five days a week reduces risk of Alzheimer’s by up to 27%, researchers found.
“Compared to never eating eggs, eating at least five eggs per week can decrease risk of Alzheimer’s,” said Joan Sabaté, MD, DrPH, a professor at Loma Linda University School of Public Health and the study’s principal investigator.
Even less frequent consumption of eggs significantly reduced the risk of Alzheimer’s. Researchers found that eating eggs 1 to 3 times per month had a 17% decrease in risk, while eating eggs 2 to 4 times per week had a 20% decrease in risk, Sabaté said.
The study, Egg intake and the incidence of Alzheimer’s disease in the Adventist Health Study-2 cohort linked with Medicare data, was published last week in the Journal of Nutrition.
Researchers said they embarked on the study because of a substantial knowledge gap in the relationship between modifiable dietary factors and risk of Alzheimer’s disease risk.
Eggs are known to be a source of key nutrients that support brain health. Sabaté said. Eggs provide choline, a precursor to acetylcholine and phosphatidylcholine, both of which are critical for memory and synaptic function, the study stated. Eggs also contain lutein and zeaxanthin—carotenoids that accumulate in brain tissue and are associated with improved cognitive performance and reduced oxidative stress. Eggs also contain key omega-3 fatty acids, and yolks are particularly rich in phospholipids, which constitute nearly 30% of total egg lipids and are essential for neurotransmitter receptor function.
Researchers said they studied the consumption of eggs in visible ways — such as eating eggs in various forms, like scrambled, fried, boiled, etc. — and hidden ways, such as eggs included in baked goods and packaged foods.
The cases of Alzheimer’s Disease in the Adventist Health Study 2 cohort were diagnosed by physicians, according to Medicare records, among the study population of 40,000 subjects. Eligibility was determined using the Medicare Master Beneficiary Summary Files. The average follow-up period was 15.3 years.
The team emphasized that moderate egg consumption should be part of a balanced diet.
“Research supports eggs as part of a healthy diet,” said Jisoo Oh, DrPH, MPH, an associate professor of epidemiology at Loma Linda University School of Public Health and the study’s lead author. “Seventh-day Adventists do eat a healthier diet than the general public, and we want people to focus on overall health along with this knowledge about the benefit of eggs.”
NewsMakers
Telling people they might lose motivates more than telling them they might win, research shows
How managers choose to frame problems directly influences employees’ motivation to speak up at work. For managers, this is an insightful approach for building more open and collaborative teams.
Athletes say they hate to lose more than they love to win. New research finds the same sentiment is shared in organizations.
A Virginia Tech researcher and his colleagues discovered that when managers frame work problems as a potential loss, employees are more likely to take action than when those problems are framed as potential gains. The research also revealed that when the potential loss impacts a larger group, employees are more likely to take action in the form of speaking up to a supervisor in hopes of finding a solution. The findings were recently published in the Journal of Applied Psychology.
For managers, this research suggests that framing work problems as potential losses can influence employees to speak up more.
“Employee voice occurs when suggestions are made to improve organizational functioning,” said Phil Thompson, associate professor in the Pamplin College of Business Department of Management. “From an organizational perspective, the positive outcomes of employee voice include improved performance, effectiveness, and workplace safety. From an employee level, speaking up is positively related to creativity, innovation, engagement, and ethical behavior.”
At its core, this research shows that how managers choose to frame problems directly influences employees’ motivation to speak up at work. For managers, this is an insightful approach for building more open and collaborative teams.
“When managers say, ‘If we don’t get this done, not only will you lose the $5,000 bonus, but everybody in this work group is going to lose a $5,000 bonus,’ it magnifies an employee’s motivation to act in a proactive way,” said Thompson. “This suggests that framing work problems as what will be collectively lost – compared to what can be individually lost – makes employees want to speak up more.”
Thompson was part of a research team led by Jeffery Thomas and Jonathan Booth from The London School of Economics and Mark Bolino from Oklahoma University. Together they analyzed responses from nearly 2,000 full-time employees, MBA students, and employee-supervisor pairs for their experience in situations where work problems were framed as either a gain or a loss. Across three different studies, framing something as a loss yielded employees to voice a work suggestion more.
For example, a manager dealing with a reputational crisis of their team, such as a product quality issue, can frame the problem in a way to spark helpful employee suggestions on how to resolve the issue. For example, instead of saying “if this product has great quality, our company will look really good” a manager saying “if this product is not up to quality standards, our reputation will be damaged” carries more weight for the team. When this reputational risk is shared by everyone, employees are more willing to step forward to help the problem.
In the first study, participants were asked to think about a problem at work that was significant for them. From there, they were randomly assigned to write about the potential losses or gains from that problem. They were also asked to indicate how likely they were to talk about these problems to their supervisor. Participants who reflected on their potential losses showed a 16 percent higher willingness to speak up compared to those who focused on the potential gains.
When it came to the MBA students, they read a fictional performance review scenario where a workplace problem was described. They then rated how willing they would be to speak up about that scenario if they were in the situation. One example suggested that the entire team might fall short of its goals if an issue was not addressed. This specific scenario yielded the most likelihood of speaking up 35 percent more than the scenario’s suggesting that only they would miss their goal, supporting the research’s findings that an employee is more likely to speak up when the loss impacts more people.
The third study looked at employee-supervisor pairings to understand how these relationships play out in the real world. Using pairings from across three industries, employees reported a workplace problem they encountered and their supervisor rated how often that employee spoke up on the job. While the first two studies involved hypothetical scenarios, this real-world evidence showed that employees were 8-10 times more likely to speak up when issues were framed as a potential collective loss compared with a potential collective gain.
“This research is really geared toward managers so they can facilitate and understand how and why their employees will speak up,” said Thompson. “You can talk about the issue, but it always ends in terms of how we frame things.”
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