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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 Wake Forest Institute for Regenerative Medicine says it has a new use for its bioprinting system. In the past they've 3D printed normal-size organs and tissues in hopes of someday implanting them in patients.For the coronavirus, the lab is creating organs using human cells that can be as small as a pinhead. They're focusing on the organs most likely to be infected by the disease. like the lungs.“And so we've been playing with a number of agents to, on both prongs what can make it more infective, what can make it less infective to try to sort this out for the future,” Anthony Atala, director for the institute said.Atala says he hopes the system will help in testing drugs before they hit the market.Drug companies do extensive testing and clinical trials in people before releasing a new medication.Atala says sometimes those companies find no serious side effects, but then years later, discover that it's toxic to patients taking it. Atala says testing a drug using the bioprinting system can tell if a drug is toxic in weeks instead of after years on the market.“Even though we've used the tool extensively for toxicity testing, it's also a tool that can be used for screening,” Atala said. “So we can test agents that are currently being considered for testing against COVID and test the efficacy of the treatment on miniature human organs made up of normal cells”To be clear, Atala said drug tests on 3D printer organs are not meant to replace clinical trials in humans, be are an added step to better predict what will happen in those trials. 1567

The Trump Administration wants to change the definition of a showerhead to let more water flow, addressing a pet peeve of the president who complains he isn’t getting wet enough.Publicly talking about the need to keep his hair “perfect,” President Donald Trump has made increasing water flow and dialing back long held appliance conservation standards — from light bulbs to toilets to dishwashers — a personal issue.But consumer and conservation groups said the Department of Energy’s proposed loosening of a 28-year-old energy law that includes appliance standards is silly, unnecessary and wasteful, especially as the West bakes through a historic two-decade-long megadrought.Since 1992, federal law has dictated that new showerheads shouldn’t pour more than 2.5 gallons of water per minute (9.5 liters). As newer shower fixtures came out with multiple nozzles, the Obama administration defined the showerhead restrictions to apply to what comes out in total. So if there are four nozzles, no more than 2.5 gallons total should come out between all four.The new proposal Wednesday would allow each nozzle to spray as much as 2.5 gallons, not just the overall showerhead.With four or five or more nozzles, “you could have 10, 15 gallons per minute powering out of the showerhead, literally probably washing you out of the bathroom,” said Andrew deLaski, executive director of the energy conservation group Appliance Standards Awareness Project.On the White House South Lawn in July, Trump made the issue personal:“So showerheads — you take a shower, the water doesn’t come out. You want to wash your hands, the water doesn’t come out. So what do you do? You just stand there longer or you take a shower longer? Because my hair — I don’t know about you, but it has to be perfect. Perfect.”DeLaski and officials at Consumer Reports said there’s been no public outcry or need for change. The Department of Energy’s own database of 12,499 showerheads showed 74% of them use two gallons or less water per minute, which is 20% less than the federal standard.“Frankly it’s silly,” deLaski said. “The country faces serious problems. We’ve got a pandemic, serious long-term drought throughout much of the West. We’ve got global climate change. Showerheads aren’t one of our problems.”Energy Department spokeswoman Shaylyn Hynes said the 2013 Obama definition of showerhead clashes with what Congress intended and the standards of the American Society of Mechanical Engineers.If the rule is adopted, Hynes said it would be “allowing Americans — not Washington bureaucrats — to choose what kind of showerheads they have in their homes.”Officials at the industry group Plumbing Manufacturers International did not respond to a request for comment.Appliance and plumbing energy and water conservation standards save consumers about 0 a year on energy bills, deLaski said.If people are having trouble getting water flowing in their shower, they should check their home’s water pressure and can replace a faulty showerhead for not much money, deLaski said.A 2016 test of showerheads by Consumer Reports found that the best rated showerheads — including a model — provided a pleasing amount of water flow and met federal standards, according to David Friedman, a Consumer Reports vice president and former acting assistant energy secretary.DeLaski said he has had a hard time understanding the president’s shower concerns.“If the president needs help finding a good shower, we can point him to some great consumer websites that help you identify a good showerhead that provides a dense soak and a good shower,” deLaski said. 3624
The U.S. Postal Service handles around 500 million pieces of mail every day. UPS and FedEx deliver 34 million packages combined.With the number of items being shipped and moved around the country, it’s impossible to closely inspect every single item. So, how do they keep us safe with so many packages? The U.S. Postal Service says they have a specific program called the Dangerous Mail Investigations Program to help get involved when suspicious packages come through a facility.They use X-ray technology and trained employees to recognize suspicious packages, but the daily volume of mail makes it a constant battle.One of the problems with the recent slew of packages delivered is that the packages were missing postmarks. The question is: how did they get missed and still delivered? As the FBI and USPS continue to find out information about what happened, the new attention given to the U.S. Postal Service is under new scrutiny. 959
The Sikh community is speaking out after a Sikh Canadian minister was asked to take off his turban while going through a TSA checkpoint at Detroit Metro Airport.The incident happened in April 2017. Navdeep Bains, Canada’s Minister of Innovation, Science and Economic Development, went through the TSA checkpoint once without any issues but was asked to go through additional screenings because of his turban."Once they realized my position, who I was, I was ultimately allowed to fly but for me this is an issue that speaks for discrimination and discrimination happens with many people," Bains said. The agency is now issuing a statement and the U.S. government is apologizing to Canada.TSA responded to the incident saying in part: 767
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