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01/10/2023
🦠PUBLIC HEALTH COVID UPDATE🦠
⬆️ COVID hospitalizations have increased significantly due to holiday gatherings, social events, and highly transmissible new variants. Hospital admissions have doubled in some areas.
⚠️As of Jan. 9, a daily average of 47,191 people were hospitalized with COVID-19, up 17% in the last two weeks, and the highest figure seen since March 2022. New admissions also jumped 16.1% in the 7-day period ending Jan. 3, 2023.
⬆️ Overall, COVID-19 hospitalizations are increasing in 31 states, with many states in the Northeast reporting the highest per-capita hospitalization rates.
Here are the states with the highest hospitalization rate per 100,000 residents:
Washington, D.C.: 37
Hospitalizations: 260 daily average as of Jan. 9
Delaware: 27
Hospitalizations: 267
North Carolina: 27
Hospitalizations: 2,834
Connecticut: 24
Hospitalizations: 866
New York: 23
Hospitalizations: 4,480
West Virginia: 20
Hospitalizations: 358
Massachusetts: 20
Hospitalizations: 1,359
New Jersey: 20
Hospitalizations: 1,749
Maryland: 19
Hospitalizations: 1,161
Georgia: 18
Hospitalizations: 1,922
Ten states with the largest 14-day increase in average daily COVID-19 hospitalizations:
Mississippi: 95 percent increase
Hospitalizations: 452 daily average as of Jan. 9
Alabama: 62 percent
Hospitalizations: 675
Louisiana: 62 percent
Hospitalizations: 492
South Carolina: 54 percent
Hospitalizations: 729
Virginia: 48 percent
Hospitalizations: 1,276
Florida: 48 percent
Hospitalizations: 3,044
North Carolina: 41 percent
Hospitalizations: 2,834
Massachusetts: 40 percent
Hospitalizations: 1,359
Georgia: 39 percent
Hospitalizations: 1,922
Texas: 36 percent
Hospitalizations: 3,600
COVID-19 admissions jump: Where they're highest, rising fastest The U.S. is seeing a double-digit increase in COVID-19 hospitalizations as new highly transmissible omicron strains circulate nationwide.
01/04/2023
❤️AMAZING! This is surgical decortication and pericardiectomy (the waffle procedure) for constructive pericarditis.
In normal, non-diseased anatomy, the heart resides in a fibro-serous sack called the pericardium. The pericardium protects the heart from infection and trauma. In constrictive pericarditis, the pericardium becomes thickened and fibrotic, not allowing the heart to expand and thus changes the normal physiology of cardiac function. Patients often suffer from severe right heart failure leading to lower extremity edema, abdominal distention, ascites, and cirrhosis. Echo remains the hallmark for the initial diagnosis of constriction. Common causes of construction are idiopathic, post surgical, TB, and radiation.
❤️🩺Pericardiectomy is the predominant definitive treatment. Cardiac surgeons cut the thickened pericardium to improve the heart contractibility. The thickened pericardium prevents the heart from expanding and contracting to it's fullest extent, so they cut it in a crosshatch pattern, improving hemodynamic function. If not recognized, patients suffer from severe right heart failure/cirrhosis.
Video footage:
Average weekly US travel RN rates, state by state:
Alabama
October: $2,470
November: $2,558
Alaska
October: $3,359
November: $3,310
Arizona
October: $2,988
November: $3,154
Arkansas
October: $2,701
November: $2,958
California
October: $3,811
November: $4,060
Colorado
October: $2,928
November: $3,027
Connecticut
October: $3,285
November: $3,267
Delaware
October: $3,124
November: $3,054
Florida
October: $2,487
November: $2,600
Georgia
October: $2,804
November: $2,815
Hawaii
October: $3,060
November: $3,102
Idaho
October: $2,843
November: $3,038
Illinois
October: $3,130
November: $3,237
Indiana
October: $3,145
November: $3,203
Iowa
October: $2,970
November: $3,169
Kansas
October: $2,649
November: $2,668
Kentucky
October: $2,889
November: $2,975
Louisiana
October: $2,765
November: $2,801
Maine
October: $3,377
November: $3,374
Maryland
October: $3,069
November: $3,266
Massachusetts
October: $3,368
November: $3,505
Michigan
October: $2,831
November: $3,123
Minnesota
October: $3,246
November: $3,458
Mississippi
October: $2,563
November: $2,603
Missouri
October: $2,815
November: $2,963
Montana
October: $2,832
November: $2,868
Nebraska
October: $3,114
November: $3,150
Nevada
October: $3,111
November: $3,199
New Hampshire
October: $3,105
November: $3,304
New Jersey
October: $3,529
November: $3,894
New Mexico
October: $2,943
November: $3,115
New York
October: $3,206
November: $3,406
North Carolina
October: $2,908
November: $2,978
North Dakota
October: $3,265
November: $3,181
Ohio
October: $2,982
November: $3,086
Oklahoma
October: $2,637
November: $2,612
Oregon
October: $3,311
November: $3,424
Pennsylvania
October: $3,440
November: $3,424
Rhode Island
October: $3,131
November: $3,148
South Carolina
October: $2,655
November: $2,728
South Dakota
October: $3,222
November: $3,343
Tennessee
October: $2,623
November: $2,733
Texas
October: $2,673
November: $2,750
Utah
October: $2,802
November: $2,797
Vermont
October: $3,382
November: $3,451
Virginia
October: $2,987
November: $3,080
Washington
October: $3,230
November: $3,293
Washington, D.C.
October: $3,553
November: $3,504
West Virginia
October: $3,134
November: $3,330
Wisconsin
October: $2,985
November: $3,184
Wyoming
October: $3,346
November: $3,321
Covid Omicron variants BQ.1 and BQ.1.1 evade immunity from vaccines or past infection. Disease experts have described the pair as "the most evasive yet" because of their ability to completely resist monoclonal antibody drugs. The bivalent Omicron booster will offer protection against the pair since they're descendents of BA.5, which the updated shots were designed to target. If you didn’t get the bivalent booster, you’re not protected against these variants.
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