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Migraine Management: How to Treat Patients With Vascular Disease
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We Have to Do Better for People With Kidney Disease, Say Experts
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Frontiers | Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey
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23 Treatment refusal can occur in the presence or absence of decision-making capacity.
24 The core elements of capacity are the ability to understand the information relevant to the decision, the ability to use or weigh that information as part of the decision-making process, and to communicate the decision.
25 Common law establishes that an adult is presumed to have the capacity to consent to or refuse medical treatment unless that presumption is rebutted.
26 However, capacity may be affected by symptoms of mental and physical illness, emotional state and cognition, which may fluctuate over time and resolve with treatment and support.
27,28 With psychosis, for example, there may be symptoms such as delusional beliefs leading to mistrust of clinicians or denial of illness.
Study finds long-haul COVID-19 common, in even those with mild disease
Long-haul COVID-19 was associated with severe or very severe symptoms, low income, and some age-groups, but was common even in those with mild symptoms, with a quarter of patients in that group having symptoms after 60 days, according to a
Clinical Infectious Diseases study today that looked at adult Michigan patients.
The researchers surveyed 593 Michigan adults who had a symptomatic COVID-19 diagnosis through mid-April 2020. Most were female (56.1%), older than 45 years (68.2%), and either White (46.3%) or Black (34.8%). More than half reported 30-day COVID-19 symptoms (52.5%), and 35.0% said they had symptoms 60 days post-diagnosis. The most common symptoms among 60-day COVID-19 patients were fatigue (52.9%) and shortness of breath (43.9%).