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Lancet 10/22/2020 19:33
The HIP ATTACK investigators1 have provided useful information of what can be expected in a best case, timely access to care scenario for patients with hip fracture. Although the investigators found no difference in mortality compared to standard care, a signal for reduced secondary outcomes, including delirium, was noted with accelerated access to surgical treatment.1.
Lancet 10/22/2020 19:33
On July 28, 2020, we interviewed a medic who had responded the preceding week to a woman calling for medical assistance at a protest against police brutality in Portland, OR, USA. He was wearing garb clearly marked with “medic”, a white helmet covered with bright pink crosses, and red crosses on his backpack and both shoulders. As he approached the injured woman, he saw a security official point him out to another man dressed in camouflage-coloured fatigues who was holding a grenade launcher. The medic described to us what happened next: “I was holding my hands up in the surrender position over my head saying as loud as I could, ‘I am a medic checking injuries.
Lancet 10/22/2020 19:33
On Sept 16, 2020, Yoshihide Suga was inaugurated as Japan's new Prime Minister after the resignation of former Prime Minister Shinzo Abe. One of Abe's political legacies was Japan's commitment to global health.1 Abe has been the leading advocate for human security and universal health coverage. Under his leadership, Japan contributed to revamping global health security systems by strengthening WHO's function and establishing the Pandemic Emergency Financing Facility and the Coalition for Epidemic Preparedness Innovations, all of which are now critical in the ongoing global response to COVID-19.
Lancet 10/22/2020 19:33
In patients admitted to hospital with COVID-19, lopinavir–ritonavir was not associated with reductions in 28-day mortality, duration of hospital stay, or risk of progressing to invasive mechanical ventilation or death. These findings do not support the use of lopinavir–ritonavir for treatment of patients admitted to hospital with COVID-19.
Lancet 10/22/2020 19:33
In China, the population is rapidly ageing and the capacity of the system that cares for older people is increasingly a concern. In this Review, we provide a profile of the long-term care system and policy landscape in China. The long-term care system is characterised by rapid growth of the residential care sector, slow development of home and community-based services, and increasing involvement of the private sector. The long-term care workforce shortage and weak quality assurance are concerning.
Lancet 10/22/2020 19:33
Daniel Pincus and Bheeshma Ravi highlight their observational study suggesting surgery for a hip fracture within 24 h of hospital arrival might result in a lower risk of 30-day mortality compared to surgery 24 h or more after hospital arrival.1 HIP ATTACK2 highlights why we need surgical and health-care system randomised controlled trials and why data from observational studies are unreliable.
Lancet 10/22/2020 19:33
In the past 50 years, the potential benefit of corticosteroids in treating sepsis or acute respiratory distress syndrome (ARDS) has been evaluated in many randomised controlled trials (RCTs). Corticosteroids have contradictory effects on mortality, leading to a profound and still active controversy. Low doses of corticosteroids have been shown to decrease mortality from septic shock in patients who also receive mineralocorticoids.1 However, the effect of corticosteroids has been negative in other studies.
Lancet 10/22/2020 19:33
In a call to action, Arlene King and colleagues1 emphasise the potential for insolvency at the Pan American Health Organization (PAHO) and urge member states to pay their outstanding contributions. King and colleagues called on the spirit of solidarity in member states. However, PAHO, which was established well before WHO, has always had problems of solidarity. As such, it is apparent that solidarity might not be attainable in the near future to overcome the crisis at PAHO.
Lancet 10/22/2020 19:33
Crovetto F, Crispi F, Llurba E, Figueras F, Gómez-Roig MD, Gratacós E. Seroprevalence and presentation of SARS-CoV-2 in pregnancy. Lancet 2020; 396: 530–31—In this Correspondence, the Stavros Niarchos Foundation, Banco Santander, and other private donors of Kids Corona should have been acknowledged as funders. This correction has been made to the online version as of Oct 22, 2020.
Lancet 10/22/2020 19:33
During the first wave of the COVID-19 pandemic, fewer than 10% of the US adult population formed antibodies against SARS-CoV-2, and fewer than 10% of those with antibodies were diagnosed. Public health efforts to limit SARS-CoV-2 spread need to especially target racial and ethnic minority and densely populated communities.
Lancet 10/09/2020 21:54
The theme of this year's World Mental Health Day, on Oct 10, is increased investment in mental health. Why invest, and why now? The answer is simple. At the best of times, good mental health is needed for a society to thrive. During a pandemic, good mental health is more important than ever. Without a focus on mental health, any response to COVID-19 will be deficient, reducing individual and societal resilience, and impeding social, economic, and cultural recovery.
Lancet 10/08/2020 19:56
Nicole Kuderer and colleagues1 identified several independent prognostic factors to be conferring an increased risk of 30-day all-cause mortality: increased age, male sex, being a former smoker, multiple medical comorbidities, high Eastern Cooperative Oncology Group performance status score (≥2), and an active cancer.

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