山东哪里治疗类风湿好(北京强直性脊柱炎吃啥东西) (今日更新中)

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 survivor of a cougar attack in the Cascade Mountains near Seattle is recounting a harrowing story that left a fellow cyclist dead.The King County Sheriff's Office says the two mountain bikers were attacked along a trail Saturday morning in North Bend, Washington. One man was pronounced dead at the scene, and another one was taken to a nearby hospital. The victims have not been identified.The suspected animal was killed."Fish and Wildlife has euthanized the cougar that is believed to be responsible for killing one man and attacking another," the Sheriff's Office tweeted. 593

The World Health Organization is preparing for the "worst case scenario" as it continues to respond to the Ebola outbreak in the Democratic Republic of Congo.Peter Salama, deputy director-general of emergency preparedness and response at the WHO, said in Geneva, Switzerland, on Friday that it's "going to be tough and it's going to be costly to stamp out this outbreak."As of Wednesday, 32 people are suspected to have been infected with Ebola viral disease, including three health care workers. Eighteen of those have died, including one of the health care workers.Of the suspected cases, two have been confirmed as Ebola using laboratory tests, and 10 samples are awaiting results."The number of suspected, probable and confirmed cases is significant, so we are very concerned, and we are planning for all scenarios, including the worst-case scenario," Salama said.Ebola virus disease, which most commonly affects people and nonhuman primates such as monkeys, gorillas and chimpanzees, is caused by one of five Ebola viruses. On average, about 50% of people who become ill with Ebola die.The disease is endemic to the Democratic Republic of Congo, and this is the nation's ninth outbreak since the discovery of the virus in the country in 1976.The latest outbreak is occurring in the Bikoro health zone, 400 kilometers (about 250 miles) from Mbandaka, the capital of Equateur province.Bikoro health zone has a population of about 163,000, with three hospitals and 19 health centers, most with limited functionality, according to WHO.Given the remote location of the outbreak, Salama said, response efforts will be extremely challenging. "It is a dire scene in terms of infrastructure," he said."To give you a sense, we are talking about an area that is 280 kilometers even from the provincial capital of Equateur," he said.The WHO is working with authorities in Congo and is in discussions with the World Food Programme to arrange airlifting supplies to the affected areas. UNICEF is also making doctors available as well as sanitation and hygiene specialists to help contain the outbreak.The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission, either through direct contact with bodily fluids such as blood or secretions or contact with materials that are contaminated with these liquids.Personal protective equipment has been sent to the affected region, and the WHO is planning to have mobile laboratories running by the weekend, after receiving approval from the country's Ministry of Health.Initial control efforts are focusing on tools such as surveillance and monitoring, safe burials and case management.Vaccines along with doctors and epidemiologists are on standby in case they are needed, according to the UN.If they are needed, "WHO is in discussions with the government and, if pertinent, will seek approval from the national regulatory authority and the Ethics Review committee to use vaccines against Ebola as part of the response," spokesman Tarik Jasarevik said.The current vaccine against Ebola is experimental and not a licensed product. Salama pointed out that its use also comes with many challenges, as the vaccine needs to be stored long-term at temperatures between minus 60 to minus 80 degrees Celsius (minus 76 to minus 112 Fahrenheit)."This is not a simple logistical effort; it's not like doing a polio campaign with oral polio vaccines, where we get it immediately out to the field. This is a highly complex sophisticated operation in one of the most difficult terrains on Earth," Salama said.Nine neighboring countries are on high alert, Salama said, but the WHO says the current risk of disease spreading to them is low.West Africa experienced the largest recorded outbreak of Ebola over a two-year period beginning in March 2014; a total of 28,616 confirmed, probable and suspected cases were reported in Guinea, Liberia and Sierra Leone, with 11,310 deaths, according to the WHO.  3999

The Republican mayor of a Kansas town resigned on Tuesday saying that she "no longer felt safe" in the position due to threats she received while attempting to institute a mask mandate.Dodge City Mayor Joyce Warshaw submitted a letter informing the city of her immediate resignation on Tuesday, according to the city's website.According to the Washington Post, Warshaw was thrust into the national spotlight last Friday, when USA Today published a feature story on Dodge City's struggle to contain COVID-19. According to the article, 1 in 10 people in the town of 27,000 had contracted the virus by the time Warshaw instituted the mask mandate on Nov. 16.Though at least a dozen people in the small town had died, USA Today reported that the local police department chose not to enforce the mandate and that few in the city were actually complying with the order.But Warshaw says that Dodge City's defiance went beyond ignoring the rules. She told the Washington Post on Tuesday that threats toward her and her family prompted her resignation."They were loud, and they were aggressive, and they frightened me and my family," Warshaw told the Post. "There's a strong part of me that wants to say they are only words. But people are angry right now, and I don't know that for sure."Warshaw said she received numerous anonymous voicemails from angry constituents."...the messages grew more frequent and aggressive," the Post reported. "Burn in hell. Get murdered. One person simply wrote, 'We're coming for you.'"Warshaw, who was serving in her second stint as the town's mayor, said in her resignation letter that it was the threats that led to her stepping down."Life has dealt out many challenges in our world that have perhaps caused many people to act inappropriately but I do not feel safe in this position anymore and am hopeful in removing myself this anger, accusations and abuse will not fall on anyone else and will calm down," she wrote.Warshaw isn't the first public official to resign amid threats during the COVID-19 pandemic. In June, Ohio Department of Health Director Dr. Amy Acton submitted her resignation after leading the state's fight against the virus for several months.While Acton stated in her resignation letter that she was seeking to spend more time with her family, she regularly received threats from Ohioans angered by public health measures she took to prevent the spread of the virus. Protesters even accosted Acton at her home.In September, hours after Ohio Gov. Mike DeWine named Dr. Joan Duwve as Acton's replacement, Duwve removed herself from consideration for "personal reasons." 2625

The UK will expel 23 Russian diplomats from the country after concluding that the Russian state is responsible for the attempted murder of former Russian spy Sergei Skripal and his daughter Yulia in the English city of Salisbury.This will be the single biggest expulsion of Russian diplomats in over 30 years, Prime Minister Theresa May said Wednesday. The 23 concerned, who May said had been identified as undeclared intelligence agents, will have only one week to leave."For those who seek to do us harm, my message is simple. You are not welcome here," she said in a statement to the House of Commons following a meeting of Britain's National Security Council.The expulsion of diplomats will "fundamentally degrade" Russian intelligence capabilities in Britain for years, May said.The Skripals are critically ill in hospital after being exposed to the nerve agent, known as Novichok and developed in Russia, on March 4. Thirty-eight other people in Salisbury were seen by medics after the exposure. One, a police officer, remains hospitalized.May said Monday it was highly likely that Moscow was behind the poisoning. The Russian ambassador to the UK was summoned to the UK Foreign Office to explain whether the attack was directed by Russian authorities, or whether Moscow had lost control of the nerve agent.She demanded that Moscow respond by midnight Tuesday, London time, to the UK government's conclusion that Russia was linked to the poisoning of Sergei Skripal and his daughter Yulia on a park bench in Salisbury in southern England.But Moscow -- which has repeatedly dismissed any accusations of involvement in the attack -- ignored the deadline.  1672

来源：资阳报