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WHO updates COVID-19 guidelines on masks, treatments and patient care

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WHO has updated its guidelines on mask wearing in community settings, COVID-19 treatments, and clinical management. This is part of a continuous process of reviewing such materials, working with guideline development groups composed of independent, international experts who consider the latest available evidence and the changing epidemiology.Masks continue to be a key tool against COVID-19WHO continues to recommend the use of masks by the public in specific situations, and this update recommends their use irrespective of the local epidemiological situation, given the current spread of the COVID-19 globally.

Masks are recommended following a recent exposure to COVID-19, when someone has or suspects they have COVID-19, when someone is at high-risk of severe COVID-19, and for anyone in a crowded, enclosed, or poorly ventilated space.

Previously, WHO recommendations were based on the epidemiological situation.Similar to previous recommendations, WHO advises that there are other instances when a mask may be suggested, based on a risk assessment.

Factors to consider include the local epidemiological trends or rising hospitalization levels, levels of vaccination coverage and immunity in the community, and the setting people find themselves in.Reduced isolation period for COVID-19 patientsFor patients with symptoms, the new guidelines suggest 10 days of isolation from the date of symptom onset.

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North Carolina man developed 'uncontrollable' Irish accent during prostate cancer treatment - fox29.com - Britain - Ireland - state North Carolina
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North Carolina man developed 'uncontrollable' Irish accent during prostate cancer treatment
North Carolina man developed an "uncontrollable Irish accent" until his death after being treated for prostate cancer, according to research published in the British Medical Journal.The patient, who was only identified as a man in his 50s, was presumably afflicted with foreign accent syndrome (FAS) after receiving androgen deprivation therapy and being prescribed abiraterone acetate/prednisone.The report said the man lived in England during his 20s and had friends and distant family members from Ireland, but had never visited the country or spoken with the foreign accent."His accent was uncontrollable, present in all settings and gradually became persistent," the four researchers wrote in their report, adding that it first began 20 months into his treatment.WALKING DEAD SYNDROME AND OTHER RARE CONDITIONS THAT BAFFLE DOCTORS AND RESEARCHERSSeveral similar cases have been studied across the globe in recent years, but this was reportedly the first case of FAS described in a patient with prostate cancer and the third described in a patient with malignancy.The researchers believe his voice change was caused by a condition called paraneoplastic neurological disorder (PND), which happens when cancer patients' immune systems attack parts of their brain, muscles, nerves and spinal cord."Despite chemotherapy, his neuroendocrine prostate cancer progressed resulting in multifocal brain metastases and a likely paraneoplastic ascending paralysis leading to his death," they wrote.Even as his condition worsened, the accent remained until his death months later. The report said the man did not have any neurological examination abnormalities or psychiatric history.
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