中山大便出血 原因(中山屁眼痛) (今日更新中)

Nursing homes are facing a new mandate for COVID-19 testing.Officials at the Centers for Medicare and Medicaid Services (CMS) say if they're not doing it, they'll be fined 0 a day or over ,000 for each instance of noncompliance.The government says nursing homes need to do widespread testing of residents and staff if any resident shows symptoms or tests positive.Nursing homes will also be required to test staff more often, depending on the virus activity in the area.The Trump administration says it is giving facilities .5 billion to help with costs.Nursing homes continue to raise concerns about the cost of this testing and additional expenses like personal protective equipment and additional staffing due to the pandemic.The mandate also comes as their sources of revenue have changed along with the number of residents declining.With the added costs and revenue change, LeadingAge, the association of nonprofit providers of aging services, is hearing from some of its members that they may be forced to close. At least one nursing home in Rhode Island has had to do it already. Others are looking at the possibility of having to consolidate or alter the services provided.Nursing homes get paid through Medicaid, Medicare and private payments. According to a Kaiser Family Foundation analysis of Certification and Survey Provider Enhanced Reports data, nationwide 62 percent is paid through Medicaid, 26 percent is paid through private payments and 12 percent is paid through Medicare.Post-acute care through Medicare is a big revenue source for nursing homes. That means you're coming out of the hospital and need to rehab for a few weeks in a nursing home."With elective surgeries being closed down, there is no steady flow of residents who need that level of care. That's been cut off entirely," said Katie Smith Sloan, President and CEO of LeadingAge.Sloan says they need those elective surgeries to start up again everywhere to fill that gap in revenue lost as a result of the pandemic.The most recent survey from insurance company Genworth Financial finds the national median cost for a private room at a nursing home is more than 0,000 a year.Depending on your financial situation, you may start paying this and then have Medicaid start paying later.Leading Age says they haven't heard from their members that they'll be increasing prices because of the financial challenges they're facing."Nursing homes charge what the market will bear, and I don't think the market can bear much more than that," Sloan said. "I mean 0,000 a year is a lot of money for an individual living in a nursing home. It's a lot of money because it costs a lot to operate a nursing home."LeadingAge looked at nursing home closures right before the pandemic started. It found more than 500 closed since June 2015. Some of these closures were because of low occupancy. Others were because of not getting enough money from Medicaid.This story has been updated to include more information regarding costs facing nursing homes and how nursing home payments work. 3071

OCOTILLO WELLS (KGTV) - Two people died after a crash in Ocotillo Wells Saturday night, according to Cal Fire. Two cars collided just after 7 p.m.near Highway 78 and Quarry Road. Two people died at the scene, Cal Fire confirmed. The road is closed in the area for an unknown amount of time to investigate the accident. Cal Fire asks that people avoid the scene of the accident.There is no word on what caused the accident at this time or how many other people were in the cars. 500

On Monday morning, Pfizer announced that so far in Phase 3 trials, its COVID-19 vaccine candidate has been 90% effective in promoting protection against the virus. And while the announcement has many Americans seeing the light at the end of the tunnel, the pandemic is still far from over.Pfizer's announcement on Monday is an encouraging sign, as it means that the company is on track to file for Emergency Use Authorization for the vaccine in the coming weeks. It also keeps the U.S. on a timeline to have at least one vaccine approved and available for distribution by the end of 2021.But Monday's announcement does not mean a vaccine is imminent. Pfizer is currently mass-manufacturing its vaccine candidate in the event it does receive Emergency Use Authorization from the FDA, and hopes to have 100 million doses of the vaccine ready to ship by year's end. But even if Pfizer is able to fulfill that ambitious order by Dec. 31, it would only be able to vaccinate about one-third of everyone in the county.Once the initial vaccine order has been completed, it will need to be rationed for those who need it most — likely health care workers, essential employees and people in high-risk populations. While it is unclear who exactly will be eligible to receive the vaccine first, the Department of Health and Human Services (HHS) says the early distribution of a COVID-19 vaccine will be "constrained tightly" and will be "highly targeted" to "achieve coverage in priority populations."Eventually, the U.S. hopes to grant emergency use authorization to several vaccine candidates — many of which are currently in production on orders from the U.S. government. HHS hopes that by the middle of next year, several vaccines will be approved and widely available. But at that point, officials will run into a second major hurdle — vaccine skepticism.Skepticism about vaccines has been on the rise in recent years, fueled in part by the spread of misinformation online. In particular, baseless conspiracies linking vaccines to autism have spread on social media, eroding public confidence in medicine. In addition, polarized politics in the U.S. have led to speculation that government leaders will approve an unsafe or ineffective vaccine for political purposes.Vaccines are only effective if enough members of the public become inoculated against a virus — if a virus has nowhere to spread, it will eventually die out. But Gallup polling released in October shows that just 50% of Americans say they would receive a COVID-19 vaccine if it had been approved by the FDA and available at no cost — far below the threshold for herd immunity, according to many health experts.The Gallup polling is consistent with AP polling from earlier this year that also only found 50% willingness to take a COVID-19 vaccine.All the while, the final push for a COVID-19 vaccine will be occurring during what members of the White House coronavirus task force warn will be the most concerning and deadly period of the pandemic. The virus is currently spreading in the U.S. faster than it has at any other point during the pandemic, just as Americans are moving social gatherings indoors where the virus is more likely to spread.To be clear, health officials' efforts to develop a safe and effective COVID-19 is a momentous and historic achievement — approving a vaccine for emergency use by the end of the year would shatter all previous records for vaccine development. But while there may be light at the end of the tunnel, it may take several months — or years — to reach the end of the pandemic. 3586

On Thursday, for the second straight day, the U.S. recorded more than 3,000 deaths linked to the coronavirus.According to a database kept by the COVID Tracking Project, 3,067 across the country were confirmed to have died of complications from COVID-19 on Thursday. The U.S. surpassed the 3,000 death mark for the first time on Wednesday when 3,088 deaths linked to the virus were recorded.Johns Hopkins University, which uses different methods in recording deaths, reports that 2,993 Americans died of the virus on Thursday. Both the COVID Tracking Project and Johns Hopkins report that Wednesday and Thursday marked the top two deadliest days since the start of the pandemic.The 3,000+ deaths represent more lives lost than in U.S. tragedies like the Sept. 11, 2001 terror attacks and the attack on Pearl Harbor prior to U.S. involvement in World War II.And while consecutive days of 3,000 death represent a level of loss not yet seen since the pandemic began, health officials warn that it could become the new normal — at least in the coming weeks. A spike in deaths typically trails a few weeks behind spikes in new cases and hospitalizations — both of which have been steadily increasing without respite for more than a month. Since Nov. 1, the seven-day average of new COVID-19 has exploded from 80,538 a day to 205,425 a day. In that same span, the number of people hospitalized with the virus has more than doubled from 47,531 to 107,248.Those extra patients are placing an enormous workload on hospitals throughout the country. Hospitals across the country are currently operating at maximum capacity, forcing doctors to treat patients in overflow areas like parking garages. Several states, like Indiana, have already mandated a temporary ban on elective surgeries in the hopes of lightening the load on health care workers.Unlike previous spikes in the spread of the virus, the current wave is not limited to one region of the country. According to the COVID Tracking Project, cases are rising or staying level in 43 states plus Washington, D.C. Thankfully, the impending authorization of Pfizer's COVID-19 vaccine offers some light at the end of the tunnel. Health and Human Services Director Alex Azar said Friday that Americans could begin receiving initial doses of Pfizer's COVID-19 vaccine as soon as "Monday or Tuesday." 2353

On Monday, Iowa Gov. Kim Reynolds signed a new Public Health Disaster proclamation that imposes a number of additional public health measures to reduce the spread of COVID-19. These new measures will be effective at 12:01 a.m. on Tuesday, November 17 and will continue until 11:59 p.m. on December 10, 2020.The proclamation requires that when people are in an indoor public space, and unable to social distance for 15 minutes or longer, masks are required to be worn. The same requirements apply to visitors and employees inside state buildings. Additional mask requirements are imposed for certain specific establishments and gatherings.The proclamation also limits indoor social, community, business and leisure gatherings or events to 15 people. Outdoor gatherings are limited to 30. This includes wedding and funeral receptions, family gatherings and conventions. But it does not restrict gatherings that occur in the workplace as part of normal daily business or government operations.With the exception of high school, collegiate and professional sports, all organized youth and adult sports activities of any size are suspended. This includes basketball, wrestling, gymnastics, swimming, dance, and group fitness classes at gyms. While high school sports and extracurricular activities are not prohibited, spectators at games or events are limited to 2 per student and are required to wear a mask.Restaurants, bars, bowling alleys, arcades, pool halls, bingo halls, and indoor playgrounds are required to close at 10 p.m. and cannot host private gatherings of more than 15 people. Masks must be worn by staff who have direct contact with customers, and customers must wear masks when they are not seated at their table to eat or drink. The proclamation also requires masks inside casinos.The proclamation also requires hospitals to ensure that inpatient elective procedures are reduced by 50 percent.This article was written by KMTV. 1948

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