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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 threat of a partial government shutdown looms over Washington with just five days to go before funding expires for several government agencies and no agreement yet between Democrats and Republicans over how to resolve a standoff over President Donald Trump's border wall demand.It now looks, however, that Congress will act to extend the rapidly-approaching December 7 deadline.A source briefed on the talks told CNN over the weekend that lawmakers are considering taking up a one-week spending bill to avoid a partial government shutdown by Friday, a move designed to put off a major showdown until after former President George H.W. Bush's funeral proceedings (Congress will be out of session for part of the week because of it).A stop-gap funding measure could temporarily delay a spending showdown. But Democrats and Republicans appeared to be at an impasse over the President's promise of a border wall, raising the question: which side will blink first?Trump wants billion in funding for the wall and Senate Republicans are now weighing the possibility of attempting to allocate billion over the next two years. Any spending bill would need at least some Democratic votes to pass, however, and could not be enacted without some degree of bipartisan support.Senate Democratic Leader Chuck Schumer said last week that Trump should either agree to enact an existing Department of Homeland Security funding bill that has bipartisan support in the Senate and would allocate .6 billion for border security or keep DHS funded for another year via a short-term spending measure known as a continuing resolution.Lawmakers passed a government spending package to fund much of the government prior to the 2018 midterm elections -- so if there is any kind of a shutdown, it would not affect all of the federal government. Funding will run out on December 7 for some government agencies, including the Department of Homeland Security.Trump has so far signaled an openness to a short-term extension. The President told reporters aboard Air Force One that he is willing to extend the deadline for funding the federal government to avoid a government shutdown."If (congressional leaders) come to talk about an extension because of President Bush's passing, I would absolutely consider it and probably give it," Trump said.But a one-week continuing resolution would do little to address the current standoff between Democrats and Republicans over wall funding.The impact of a partial shutdown would nevertheless be disruptive and would invite an immediate political backlash.Democrats and Republicans alike have both said that they don't want a shutdown as the funding deadline nears."We don't believe in shutdowns," House Democratic leader Nancy Pelosi told reporters on Friday, saying "we have to" when asked if Congress would avert a shutdown."I don't think anybody wants a government shutdown," North Carolina Republican Rep. Mark Meadows, who chairs the conservative House Freedom Caucus, said on Friday in the Capitol.But, Meadows said, "I do think that there is a real battle coming on the border wall funding," adding, "if the border wall funding is not there, it does increase the possibility of impasse that could lead to a shutdown."The President has warned that it is "possible" there could be a shutdown if Congress does not greenlight the money he wants to see allocated for the wall, which he promised on the campaign trail would be paid for by Mexico."If we don't get border security, possible shutdown," Trump told reporters last Thursday.For now, both sides are gearing up for the possibility that a partial shutdown could take place -- and are getting ready to pin the blame on the opposing party if it happens."Make no mistake: The President is the only person who holds the ultimate responsibility for a government shutdown," Schumer said in a Senate floor speech on Thursday.Republicans still control both chambers of Congress and the White House. That won't change until Democrats take control of the House of Representatives in the new Congress in January. But that won't stop Republicans from trying to cast blame on Democrats if a partial shutdown happens."I don't think the Democrats want to shut down the government over the border security issue. But they might. We'll see," Sen. John Cornyn, the No. 2 Senate Republican, told reporters last week. 4385

The Sanderson Sisters from "Hocus Pocus" are back and ready to put a spell on you this Halloween.Bette Midler, Sarah Jessica Parker, and Kathy Najimy are reuniting as The Sanderson Sisters from the cult classic "Hocus Pocus." The sisters will be treating us to a virtual event on Oct. 30. And it's all for a good cause.According to the New York Restoration Project (NYRP) website, tickets for the "In Search of the Sanderson Sisters: A Hocus Pocus Hulaween Takeover" are .All the money raised will benefit the nonprofit NYRP, which Midler started in 1995. They restore parks and plant trees in New York City.Midler tweeted a picture of all three actresses together as Winifred, Mary, and Sarah Sanderson. 715

The Republican National Committee spent more than 0,000 in August to cover some of President Donald Trump's legal fees associated with the federal investigation into Russian meddling in the 2016 election, an RNC official told CNN on Tuesday.The RNC sent 1,250 to Trump's personal attorney Jay Sekulow, via the Constitutional Litigation and Advocacy Group, and 0,000 to John Dowd, the attorney Trump hired in June, the official said.The payments will be disclosed in the RNC's spending report for the month of August, which will be released on Wednesday.Reuters first reported on Tuesday that the RNC was helping Trump with his legal payments associated with the special counsel's investigation. CNN first obtained the total amount of the RNC's spending on Trump's legal bills.The President's legal bills were covered through the RNC's legal defense fund -- not its political coffers -- which the RNC official said was established in 2014 to cover legal fees associated with election-related litigation.The RNC's payments to cover Trump's legal bills come despite the President's claims that his net worth is in excess of billion.The party official said the committee has not yet decided whether it will continue to make payments to cover the President's legal bills.The RNC is just the latest Trump-supporting political group to get involved in making legal payments related to the Russia probe.Last quarter, the Trump campaign spent more than 7,826 on legal fees. Though it's unclear what portion of those fees are going to attorney fees related to the Russia investigation, the campaign has employed attorneys to comply with Russia-related requests and has also made payments to the attorney representing the President's son Donald Trump Jr. in the Russia probe.The Trump campaign spent nearly 0,000 in legal consulting fees -- or about 15.5% of the campaign's expenses between April 1 and June 30, according to the latest Federal Election Commission report. 1992

The Sinaloa drug cartel, once run by one of the most wanted men in the world, El Chapo, has made its way to Northeast Ohio. It's a drug-trafficking ring moving large amounts of drugs from Mexico onto the streets."I don't think people understand how significant and embedded it is in Northeast Ohio," said Keith Martin, Assistant Special Agent in Charge of Cleveland's Drug Enforcement Administration. Authorities recently found a stash house in a Maple Heights neighborhood and another on Cleveland's west side. "The unfortunate fact is the drugs on our streets come from somewhere. Coco plants don't grow in Cleveland. Poppy plants don't grow in Parma, they come from somewhere else. They are, increasingly, in almost every case, the drugs are coming from Mexican cartels," said Justin Herdman, U.S. Attorney for the Northern District of Ohio. A three-year long DEA investigation, dubbed "Operation Loaded Deck," focused on taking down the local arm of the notorious Sinaloa cartel. During the investigation, authorities seized large quantities of heroin, cocaine and fentanyl, some of which were concealed in hidden compartments in cars. The drugs were moved across the U.S.-Mexican border and transported in these cars outfitted with secret traps. "Often times they'll go to great lengths, whether they've constructed a trap in a vehicle or a natural void in the vehicle," Major Gene Smith with the Ohio State Highway Patrol said.Just as astonishing, Cartel members were hiding in plain sight the whole time, even taking in a Cavaliers game — courtside."These aren't street-level dealers, they were dealing in massive quantities and, in return, huge amounts of cash," Herdman said. By the end of the investigation, 29 kilos of cocaine, eight kilos of heroin, a kilo of fentanyl and four pounds of marijuana were seized, along with nearly 0,000, guns, vehicles and dozens of cell phones. Operation Loaded Deck ended with 19 people sent to federal prison for their roles in the drug trafficking organization. 2115