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The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472

The Walt Disney Co. is planning to lay off 28,000 workers in its theme parks division in California and Florida.The company has been squeezed by limits on attendance at its parks and other restrictions due to the pandemic. Officials said Tuesday that two-thirds of the planned layoffs involve part-time workers but they ranged from salaried employees to nonunion hourly workers.In addition to the 28,000 nonunion workers, Disney said it is discussing next steps with unionized cast members.Disney’s parks closed last spring as the pandemic started spreading in the U.S. The Florida parks reopened this summer, but the California parks have yet to reopen as the company awaits guidance from the state of California.Disney along with local officials, have pressured California officials to resume operations at Disneyland. Disneyland has been ordered to remain closed by California Gov. Gavin Newsom.Newsom said a month ago that he would have an announcement soon on plans to allow for a reopening of amusement parks in California, including Disneyland.“In light of the prolonged impact of COVID-19 on our business, including limited capacity due to physical distancing requirements and the continued uncertainty regarding the duration of the pandemic – exacerbated in California by the State’s unwillingness to lift restrictions that would allow Disneyland to reopen – we have made the very difficult decision to begin the process of reducing our workforce at our Parks, Experiences and Products segment at all levels, having kept non-working Cast Members on furlough since April, while paying healthcare benefits,” said Josh D’Amaro, Disney Parks chairman. “Approximately 28,000 domestic employees will be affected, of which about 67% are part-time. We are talking with impacted employees as well as to the unions on next steps for union-represented Cast Members.” 1872

The stock market is still sinking but the selling frenzy has eased just a bit.The Dow opened down about 100 points on Thursday morning, rebounding from sharp overnight losses. The Nasdaq started positive before slipping back into the red. The S&P 500 lost about 0.6%.Wall Street is attempting to recover from Wednesday's plunge, which wiped 832 points off the Dow. The Nasdaq in particular has gotten rocked in recent days. Investors have bolted from the index, which contains many tech stocks, because they are concerned about holding some of the market's riskiest stocks in a downturn. A proxy for the tech sector had its sharpest plunge in seven years on Wednesday.The S&P 500 was on pace for its sixth-straight decline, something that hasn't happened since just before President Donald Trump's election nearly two years ago. And the Nasdaq has already plunged 8% this month."Halloween started early this month for investors," Ed Yardeni, president of investment advisory firm Yardeni Research, wrote to clients.Concerns about inflation were eased a bit by a report released on Thursday that showed consumer prices rose in September less than feared.Still, tech stocks including Amazon and Apple lost ground in early trading. Square (SQ) slumped 6% after announcing the departure of its chief financial officer. But other tech stocks showed signs of life. Netflix and Twitter were trading flat to slightly higher.Stocks have turned sharply south because investors are increasingly concerned about rising interest rates. As the Federal Reserve raises rates to prevent runaway inflation, investors have been getting out of bonds, driving down their price and driving up their yields. Suddenly, the return on bonds has become competitive with some stocks — particularly risky tech stocks.Rising interest rates also increase borrowing costs for households and businesses, eating into corporate profits. America's increasing debt load, a trade war with China and a slowing global economy have also unnerved investors.Wednesday's "rout has shaken investor confidence," Nicholas Colas, co-founder of DataTrek Research, wrote to clients. "That will take time to rebuild."The Dow plunged 832 points, or 3.2%, on Wednesday. Tech stocks took a beating, sending the Nasdaq tumbling 4% — its worst day since the Brexit referendum of June 2016.That dragged down stock indexes in the United Kingdom, Germany and France on Thursday, all of which fell more than 1%. Benchmark indexes in Shanghai and Tokyo closed down 5.2% and almost 4%, respectively. Hong Kong's market was down over 3%.The S&P 500's 3% plunge on Wednesday was rare. It's only happened in 0.6% of all trading days since 1952, according to Bespoke Investment Group.The good news is that the market often springs back to life after such a deep sell-off. Bargain hunters scoop up beaten-down stocks and calmer heads prevail. On average, the S&P 500 has gained 0.4% the day after a 3% slide, Bespoke said.That's what happened in February after the S&P 500 twice suffered 3% drops caused by fears about rising bond yields. Both sell-offs were followed by rebounds of more than 1% the next day.But Yardeni is optimistic the market will rebound because corporate profits are robust and no recession is in sight."We remain bullish on the outlook for earnings, and expect the market to recover and make new highs going into next year," Yardeni wrote.The-CNN-Wire 3435

The Republican National Committee spent over 4,000 at Trump properties in the first two months of 2018, according to Federal Election Commission documents.In just February, according to FEC documents made public Tuesday, the RNC spent more than 1,000 on venue rental and catering at Trump properties in Florida and Washington, DC.FEC filings also show that starting in September 2017, the RNC has paid ,000 monthly to rent space in Trump Tower for the Trump campaign, totaling over 5,000 so far.The 1,000 is about 86% of the committee's entire spending on venue rental and catering for the month, and more than the committee has spent in a single month at a Trump property since the beginning of 2017. Overall, 14% of RNC spending on venue rental and catering has gone to Trump properties since the beginning of 2017.After he was elected President, Donald Trump placed his business into a trust controlled by his adult sons, Don Jr. and Eric, but did not liquidate his holdings or let an independent manager handle the trust without his knowledge -- the approach favored by past presidents and by ethics experts because it separates the president's personal profit motive from his decisions on behalf of the government.The arrangement has drawn criticism from ethics watchdogs, who say it allows for the appearance of a conflict of interest.An RNC official said donors enjoy visiting Trump properties, and also pointed to security, convenience and price as factors in the committee's decision-making. The official added that Trump properties are often cheaper to rent than other venues, noting that the FEC demands the RNC receive market rates.RNC spending at Trump properties in 2018 is up significantly from the previous year; the committee spent just over 2,000 on venue rental and catering at Trump properties in all of 2017. More than half of that spending came at a single July 2017 event at the Trump International Hotel in Washington, DC (for which the hotel was paid 1,250).The RNC spending at Trump properties in February is also up from recent months. Excluding Trump Tower rent, the committee spent about ,500 in December 2017, ,000 in January and 1,000 in February at Trump properties. Almost all of the February spending came from two events at Trump's Doral golf club in Florida and another event at the Trump hotel in DC.Since the beginning of 2017, the RNC has spent nearly 0,000 at Trump properties, including the monthly rental payments and the spending on venue rental and catering.FEC records also show that the RNC has paid John Pence, Vice President Mike Pence's nephew, over ,000 a month since September for his work on the Trump campaign, where he serves as a deputy executive director.The RNC has also made several payments to Parscale Strategies LLC, the company belonging to Trump's 2020 campaign manager,Brad Parscale.Parscale's company received a series of ,000 fees from the RNC throughout the summer of 2017, totaling ,000. From November through the end of February 2018, the RNC paid the firm more than .5 million.In addition to the spending at Trump properties and Trump-linked consulting firms, CNN reported that the RNC spent more than 0,000 in August of last year to cover some of President Trump's legal fees associated with the federal investigation into Russian meddling in the 2016 election.In addition to the RNC's spending, the National Republican Congressional Committee, the party's official campaign arm, spent just over ,500 at Trump properties in February, FEC filings show.The RNC raised .8 million in February and entered March with over million in cash on hand.  3681

The votes are in and the people have spoken.The annual People's Choice Awards, which honor popular film, TV, music, podcasts and more, took place Sunday night.Check out the full list of winners below to see if your favorite won.Movie of 2018 249

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