Paradigm Shifts in Cardiac Care: Lessons Learned From COVID-19 at a Large New York Health System.

The coronavirus disease-2019 (COVID-19) pandemic has overwhelmed healthcare systems around the world, resulting in morbidity, mortality, and a dramatic economic downturn In the United States. Urgent responses to the pandemic halted routine hospital workflow in an effort to increase hospital capacity, maintain staffing, and ration protective gear. Most notably, New York saw the largest surge of COVID-19 cases nationwide. Healthcare personnel and physician leaders at Northwell Health, the largest healthcare system in New York, have worked together to successfully implement operational changes resulting in a paradigm shift in cardiac care delivery. In this manuscript, we detail specific protocol adjustments made in our cardiology department, cardiology service line, and healthcare system in the face of the COVID-19 pandemic. We discuss the sustainability of this shift moving forward and the opportunity to optimize care for cardiovascular patients in the post COVID-19 era.

Investigations on Antioxidative Potential of Poroid Medicinal Mushroom Porodaedalea pini (Agaricomycetes).

The present investigations were undertaken to evaluate the antioxidative potential of Porodaedalea pini (Brot.) Murrill. Different solvent extracts were prepared using powdered basidiocarps to determine the total phenolic content in terms of tannic acid equivalents (TAE), hydroxyl, superoxide, and 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging activity. Maximum TAE (12.42 mg/g) were found in hot water (HW) extract, which was obtained for 1 h as compared to ethanol (0.456 mg/g) and methanol (0.227 mg/g) extracts. This was further supported by high hydroxyl radical scavenging activity (90.0%), superoxide radical scavenging activity (88.9%), and DPPH radical scavenging activity (74.92%) in the the HW extract obtained for 1 h. Mass spectra analysis of HW extract revealed the presence of 14 polyphenolic compounds responsible for imparting antioxidative character. Among these hispidulin is one of the major polyphenolic compounds present in the poroid mushroom under investigation; this was further validated by high-performance liquid chromatography analysis.