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Scans of the lungs of the sickest COVID-19 patients show distinctive patterns of infection, but so far those clues offer little help in predicting which patients will pull through. For now, doctors are relying on what’s called supportive care that’s standard for severe pneumonia.Doctors in areas still bracing for an onslaught of sick patients are scouring medical reports and hosting webinars with Chinese doctors to get the best advice on what works and what hasn’t.One thing that’s clear around the globe: Age makes a huge difference in survival. And one reason is that seniors’ lungs don’t have as much of what geriatrics expert Dr. Richard Baron calls reserve capacity.“At age 18, you have a lot of extra lung capacity you don’t use unless you’re running a marathon,” explained Baron, who heads the American Board of Internal Medicine. That capacity gradually declines with age even in otherwise healthy people, so “if you’re an old person, even a mild form can overwhelm your lungs if you don’t have enough reserve.”Here’s what scientists can say so far about treating those who become severely ill.HOW DOES COVID-19 HARM THE LUNGS?The new coronavirus, like most respiratory viruses, is spread by droplets from someone’s cough or sneeze. The vast majority of patients recover, most after experiencing mild or moderate symptoms such as fever and cough. But sometimes the virus makes its way deep into the lungs to cause pneumonia.Lungs contain grapelike clusters of tiny air sacs called alveoli. When you breathe, oxygen fills the sacs and passes straight into blood vessels that nestle alongside them. Pneumonia occurs when an infection -- of any sort, not just this new virus -- inflames the lungs’ sacs. In severe cases they fill with fluid, dead cells and other debris so oxygen can’t get through.If other countries have the same experience as China, about 5% of COVID-19 patients could become sick enough to require intensive careHOW DOES THAT DAMAGE APPEAR?Doctors at New York’s Mount Sinai Health System analyzed 121 chest CT scans shared by colleagues in China and spotted something unusual.Healthy lungs look mostly black on medical scans because they’re full of air. An early infection with bacterial pneumonia tends to show up as a white blotch in one section of one lung. Pneumonia caused by a virus can show up as hazy patches that go by a weird name -- “ground glass opacities.”In people who get COVID-19 pneumonia, that haze tends to cluster on the outside edge of both lungs, by the ribs, a distinctive pattern, said Dr. Adam Bernheim, a radiologist at Mount Sinai.As infection worsens, the haze forms rounder clusters and gradually turns more white as the air sacs become increasingly clogged.HOW TO TREAT THE PNEUMONIA?There are no drugs so far that directly attack the new coronavirus, although doctors are trying some experimentally, including an old malaria treatment and one under development to treat Ebola.“The best treatment we have is supportive care,” said Dr. Aimee Moulin, an emergency care physician at the University of California Davis Medical Center.That centers around assistance in breathing when the oxygen levels in patients’ blood starts to drop. For some people, oxygen delivered through a mask or tubes in the nose is enough. More severely ill patients will need a breathing machine.“The goal is to keep the person alive until the disease takes its course” and the lungs begin to heal, explained Mount Sinai’s Dr. Neil Schachter.The very worst cases develop an inflammatory condition called ARDS -- acute respiratory distress syndrome — that floods the lungs with fluid. That’s when the immune system’s attempt to fight infection “is going crazy and itself attacking the lung,” Baron explained.Many things besides the coronavirus can cause the condition, and regardless of the cause, it comes with a high risk of death.WHAT ELSE IS IMPACTED?Severe pneumonia of any sort can cause shock and other organ damage. But in a webinar last week, Chinese doctors told members of the American College of Cardiology to watch for some additional problems in severe COVID-19, especially in people with heart disease. The worst off may need blood thinners as their blood starts to abnormally clot, and the heart itself may sustain damage not just from lack of oxygen but from the inflammation engulfing the body.Another caution: The sickest patients can deteriorate rapidly, something a hospital in Kirkland, Washington, witnessed.Of 21 patients who needed critical care at Evergreen Hospital, 17 were moved into the ICU without 24 hours of hospital admission, doctors reported last week in the 4639

Swedish prosecutors will not appeal the conditional sentence for assault handed to A$AP Rocky earlier this month, meaning the US rapper will avoid the threat of a harsher ruling.Daniel Suneson, the prosecutor in the case, said on Tuesday he had decided not to mount a challenge, acknowledging it was not clear whether or not A$AP Rocky and two members of his entourage used bottles as a weapon during the street brawl in the Swedish capital on June 30."I have accepted the District Court's evaluation of the evidence, in as much as the use of whole or broken bottles during the assault has not been proven," Suneson said in a statement Tuesday. "After due consideration, I have chosen not to appeal the verdict."Suneson said all three defendants have been brought to justice for assault and the Stockholm District Court has dismissed the plea of self-defence -- something he said was "important to clarify in this particular case."The imposition of a conditional sentence means that A$AP Rocky -- whose real name is Rakim Mayers -- will not have to serve any further jail time but will be subject to a probationary period of two years.Suneson had argued during the trial that the artist and the two other men -- David Rispers and Bladimir Corniel -- assaulted the victim by kicking and beating him with a whole or part of a glass bottle while he lay on the ground.However, the court decided there was too much conflicting evidence to determine conclusively if the three men had used the bottle to strike the victim.While expressing disappointment in the verdict, A$AP Rocky's lawyer Slobodan Jovicic said after the ruling on August 14 he was pleased about the court's decision regarding the bottle. "It's shown that (A$AP Rocky) was followed and provoked," he said.The rapper's arrest had angered fans and fellow artists, and even strained diplomatic relations between the United States and Sweden after President Donald Trump repeatedly demanded his release and raised the issue with Swedish Prime Minister Stefan L?fven.On Monday the performer released 2067

Scott Gottlieb, who's served as the commissioner of the Food and Drug Administration since 2017, is resigning his position.The 139

Several lawmakers and political parties in Iraq on Thursday demanded the departure of American troops from their country.The outcry came after the surprise visit by US President Donald Trump on Wednesday.The President and first lady quietly swept in to Iraq to pay a holiday visit to US troops -- the first trip Trump has made to a war zone.That visit and the US troop presence were denounced on Thursday by parliament members, major Iraqi political parties and key players in the current Iraqi government."Trump should know that Iraq is not an American state and Iraqi prime minister Adil Abdul-Mahdi should bear responsibility," Iraqi lawmaker Faleh al-Khazali said in a statement."We demand all US troops to leave Iraq and Iraqi government should consider them as occupiers."Ahmed al-Assadi, another Iraqi lawmaker, said that "the demand for the withdrawal of American forces has become a basic requirement that must be implemented as soon as possible.""The continuation of the US administration in dealing with the presence of its forces in Iraq in this way will push the Iraqis to use all means that ensure the removal of these forces and all foreign forces from Iraqi territory."A meeting between Trump and Abdul-Mahdi scheduled to take place in Baghdad on Wednesday was canceled because of a "variation of views," Iraqi Prime Minister's media office said in a statement released Wednesday."There was supposed to be a formal reception and a meeting between Prime Minister Adil Abdul-Mahdi and the US President, but a variation of views to organize the meeting led it to be replaced by a telephone conversation on developments in the situation," the statement read.White House press secretary Sarah Sanders said that for security reasons, the White House was only able to invite the prime minister two hours before the scheduled time of the meeting and that the prime minister was in a different part of Iraq and unable to attend.Sanders emphasized that President Trump and the prime minister had a good call and that Trump invited the prime minister to visit the White House and the prime minister accepted. Sanders said that Secretary of State Mike Pompeo is meeting with Iraq's Prime Minister in Baghdad on January 11.The Iranian-backed Islamic Dawa Party, Mahdi's political party, said in a statement released Thursday that President Trump's visit to one of Iraq's military bases occurred "in a way that has no respect for the country sovereignty or the norms of diplomacy.""We call on all the great Iraqi people to express their condemnation of the visit of the arrogant Trump and to demand lawmakers in the House of Representatives to issue a firm resolution to remove all foreign forces from the land of Iraq." Dawa party statement added."We express our rejection to the way that US President Donald Trump visited Iraq, which is not commensurate with diplomatic norms and relations with sovereign states," former prime minister and the current leader of Iraq's Victory Party, Haider al-Abadi, said in a Thursday statement."Dealing with Iraq and its sovereignty in this way will harm the Iraqi-US relations, and the countries of the region and the world should know that a strong and sovereign Iraq is in the interests of security and stability in the region and the world.Another statement released on Thursday by Hakim al-Zamili, a political leader of the movement of radical Shiite cleric Muqtada al-Sadr, called for an end the US-led coalition in Iraq and addressed how Iraq's airspace is currently controlled by the coalition."We must end the page of the so-called international coalition, which controls the Iraqi airspace, under the pretext of tracking terrorist cells, which made the Iraqi aviation authorities do not know the entry of aircraft into our international airspace and Iraqi air bases, that American soldiers located in some of them," Zamili said. 3890

Target announced it's recalling Cat & Jack toddler rain boots because a part of the boot poses a choking hazard for kids.According to the U.S. Consumer Product Safety Commission, the "Lilia" rain boots are being recalled because the unicorn horn on the boot can detach. The boots are sizes 5-12. The model numbers are below. Anyone who has the boots should immediately take them back to Target for a full refund.Model NumberProduct Name093-10-4311Cat & Jack "Lilia" Rain Boots Size 5093-10-4312Cat & Jack "Lilia" Rain Boots Size 6093-10-4313Cat & Jack "Lilia" Rain Boots Size 7093-10-4314Cat & Jack "Lilia" Rain Boots Size 8093-10-4315Cat & Jack "Lilia" Rain Boots Size 9093-10-4316Cat & Jack "Lilia" Rain Boots Size 10093-10-4317Cat & Jack "Lilia" Rain Boots Size 11093-10-4318Cat & Jack "Lilia" Rain Boots Size 12 863

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