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Today, @CMSGov has posted the second set of #COVID19 nursing home data – directly reported by nursing homes to the @CDCgov. You can view the updated numbers here: https://t.co/yBuyEyaM0u— Administrator Seema Verma (@SeemaCMS) June 18, 2020 247
There is something unique about places like Montana. There is an uncertainty to what you could find in “Big Sky Country.”That is a quality that has always driven Joseph Haas’ guide and outfitting business, A Lazy H Outfitters. But this year has brought a kind of uncertainty, unique to anything he’s faced before."By February, it just cratered to almost zero at all in terms of requests for even any information at all," Haas said. “It was, it was scary.”This time of year, people travel from all over to have Haas lead them on multi-day horseback tours through the Montana wilderness, usually."We have very few customers from the east or west coast, California in particular, we are seeing almost nothing from California," Haas said.Haas' business is located in Choteau, Montana, a town with a population of about 1,700 people. Summer is usually the busy season in the community, which located along the shortest route between Glacier National Park and Yellowstone National Park.“I would think that we’ve probably had at least 95% of the events we had booked canceled and reservation-wise," said Barb Bouma, who owns the Stage Stop Inn in Choteau.The American Hotel and Lodging Association says hotel occupancy levels might not recover until 2022 nationwide. Bouma doesn’t know if her hotel will make it that far.“It’s not sustaining itself. How long we can go, yeah I’m not sure," Bouma said.Like many business owners in the pandemic, Haas has had to cut back."Right now, I have one person. Normally, I would have two or three in the summer," Haas said about the number of employees he has getting gear ready for his trips.He says reservations for his business have started to pick up again. He also says reservations for hunting trips he offers are booked years in advance and have held steady.As Haas starts to lead people back into the wild to show off the rugged uncertainty of “Big Sky County,” he hopes the struggles he’s faced this year stay unique to 2020.“There’s so much more known about the coronavirus now," Haas said. "If they can travel, the known will outweigh the risk for people.” 2107

Top officials tapped with developing, approving and distributing COVID-19 vaccines say they're on track to begin distributing the first doses in the coming weeks and plan to vaccinate 100 million Americans by the end of February.In a press conference on Wednesday, Health and Human Services Director Alex Azar said the FDA would meet on Dec. 10 regarding Pfizer's vaccine candidate and on Dec. 17 regarding Moderna's vaccine candidate. The agency is currently reviewing both for Emergency Use Authorization.Both companies have been manufacturing doses of their candidate for several months in the hopes of ramping up supply in case of approval. Hundreds of thousands of doses of both doses will be ready for delivery as soon as approval is granted.Dr. Moncef Slaoui, Operation Warp Speed's chief advisor, stressed that the data from the vaccine trials are "clear" and shows both candidates to be safe and effective.According to Gen. Gus Perna, the operation's chief operating officer, the Department of Defense is prepared to deliver several million doses of both Pfizer and Moderna's vaccine upon approval. He said Wednesday that states are required to submit their "microplans" for Pfizer vaccine delivery to the Pentagon by the end of the week, and for the Moderna vaccine by the end of next week."The states know their populations the best," Perna said.Both Moderna's and Pfizer's vaccine candidates require two shots that need to be taken 28 days apart, and both vaccines need to be stored at ultra-cold temperatures before use.Slaoui said Wednesday that government officials expect 20 million Americans to be vaccinated by the end of December and that they project 100 million Americans will be vaccinated by the end of February.On Tuesday, an FDA panel recommended that health care workers and patients in long-term health facilities would be the first to receive the vaccine. Experts believe the vaccine will be available to everyone who wants it by spring 2021.Slaoui said Wednesday that government officials expect 20 million Americans to be vaccinated by the end of December and that they project 100 million Americans will be vaccinated by the end of February.Slaoui added that a one-shot vaccine candidate produced by Johnson & Johnson and a vaccine being developed by AstraZeneca could reach efficacy thresholds by the end of the month and that their approval would improve supply.Also on Wednesday, Azar stressed that new antibody treatments for COVID-19 are now available to any patients older than 65 who are not in the hospital. He also urged anyone who has recovered from COVID-19 in the last three months to donate their blood plasma to aid in those antibody treatments.The press conference was held the same day that officials in the United Kingdom granted emergency approval for the Pfizer vaccine. 2832
Toys R Us joins Walmart, Target, and Best Buy in opening Thanksgiving afternoon in 2017. If you had been hoping they would follow the lead of Nordstrom and REI and hold off on a Thursday opening, you'll no doubt be disappointed.But if you don't mind skipping the pumpkin pie, early shoppers will find big savings on Lego, Barbie, and Disney toys, among other things.For gamers, Sony's PS4 Slim will be marked down to 9, matching the Black Friday price at other big retailers. The Xbox One Slim will sell for 9 (though you may find a better bundled deal at Walmart or Best Buy).Interestingly, Toys R Us is not saying much about Hatchimals on Black Friday. Last year's hardest-to-find toy is expected to again be red hot, with the new Hatchimal twins, but don't expect a Black Friday deal on them.We turned to our friends at BFAds.net for some of the best Toys R Us deals/Top Thanksgiving 5 p.m. doorbusters: 932
Their youthful brains were developing normally, with no signs of developmental, psychological or neurological problems. None had ever had a concussion. But by the end of a single football season, 24 children between the ages of 9 and 18 who had more frequent impacts to the head showed signs of damage to brain development, new research says."Repetitive head impact exposure may have a cumulative effect in the rapidly developing brains of youth and high school football players," said study co-author Gowtham Krishnan Murugesan, a radiology research assistant at UT Southwestern Medical Center in Dallas, adding that the results mirror other recent findings.The study outfitted 60 youth and high school football players who had no history of head trauma or developmental issues with a head impact telemetry system that measures the magnitude, location and direction of impacts to the head. The researchers were not looking at whether the impact resulted in a concussion, only that impact occurred.The children were sorted into two categories: high cumulative head impact players (24) and low cumulative head impact players (36).Before beginning to play, each child had a resting state functional scan, known as an fMRI; the scans were repeated at the end of football season. The researchers were trying to see how exposure to repetitive hits affects the normal "pruning" process in the brain that occurs during adolescence."Pruning is an essential part of brain development," Murugesan said, comparing the process to how a tree needs to have dead or unneeded branches cut to keep it healthy and allow it to grow."Disruption in normal pruning has been shown to be related to weaker connections between different parts of the brain," he said.After comparing the functional MRI results to the player's level of impact, the researchers found that youth in the high-impact group had damage to their brains' pruning process after one season."Our study has found a significant decrease in gray matter pruning in the frontal default mode network, which is involved in higher cognitive functions, such as the planning and controlling of social behaviors, " Murugesan said.Although the "teenage years are a critical time for brain development, brain remodeling or synaptic pruning, this was a short-term study and did not follow the players longitudinally over several years. We don't really know the full application," said Dr. Julian Bailes, director of neurosurgery and co-director of the NorthShore University HealthSystem Neurological Institute, who was not involved in the research.Weill Cornell neurologist Dr. Richard Isaacson, who was also not involved in the study, called the research "early" and said the results don't necessarily "translate to a clinical or cognitive outcome." More research is needed to see whether the decline in brain pruning permanently affected the child's cognitive function or whether the brain's natural plasticity allowed it to repair itself."I would call this a pilot study," Isaacson said. "The call to action would be that we need more robust longitudinal studies with a pre- and a post-assessment of more than brain imaging. The study should also measure cognitive and neurological function and look for changes."As we learn more about the issue, Isaacson said, parents should do everything they can to limit contact in sports, "especially in practice before games, where studies show the majority of contact occurs." 3464
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