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It's no secret that smoking and secondhand smoke are not good for your health. But a new study shows just how detrimental secondhand smoke is for children. "In past studies, we found up to nearly one-in-two children who come to the pediatric emergency department are exposed to tobacco smoke," said Dr. Ashley Merianos, an associate professor in the School of Human Services at the University of Cincinnati. Dr. Merianos led the study, comparing 380 children living with a tobacco smoker with 1,140 children who are not. The ethnically diverse study found that the children exposed to secondhand smoke at home were more likely to be hospitalized."We also found that the children who had been exposed had increased respiratory-related procedures, increased diagnostic testing. So, for example, being tested for the flu and laboratory testing, as well as radiologic testing, including x-rays of the chest and lateral airways," said Dr. Merianos.The children who were exposed to secondhand smoke were also more likely to be prescribed medications like steroids or inhalers. "Our findings highlight the need to universally screen for tobacco smoke exposure during every pediatric healthcare visit and provide interventions to reduce and prevent exposure among patients and their families," said Dr. Merianos.Dr. Merianos says intervention is key since hospital emergency departments mostly treat underserved patients with high tobacco use and limited access to information about quitting."I think right now, with the COVID-19 pandemic, there has never been a better time to quit. And the reason I say that is we know that there is emerging evidence that both smoking and vaping make it more likely that you have COVID and more severe COVID symptoms," said Dr. Susan Walley, the Chair of American Academy of Pediatric's section on Nicotine and Tobacco Prevention and Treatment. Dr. Walley says she's not surprised by the results of the University of Cincinnati's study, adding that secondhand smoke exposure has short-and-long-term health effects on children."Children who have secondhand smoke exposure are more likely to have ear infections, pneumonia, asthma and if they have asthma, more likely to have more severe asthma attacks like we see in this study," said Dr. Walley.Dr. Walley says children exposed to tobacco smoking parents or older siblings are also more likely to smoke themselves as they get older. Doctors hope the study highlights the importance of encouraging parents to quit tobacco use for good, for the sake of their own health and the children they love. 2581

It looked down over Celina, Tennessee like a watchful eye, and for decades, Cumberland River Hospital provided a sense of security for this struggling rural county.But now, the hospital sits empty and dark; its hallways filled with silence. The death of this county’s only hospital has thrust this place into darkness, and dozens more like it across the country are potentially about to suffer the same fate.“We are seeing a huge divide in healthcare among Americans,” explained Johnny Presley, the owner of this small rural hospital.Hospitals across the country are struggling now more than ever, as patients are still avoiding elective surgeries because of COVID-19. Those are the bread and butter of most hospital's bottom line.In Celina, Tennessee, a town of about 1,400 people, the hospital also served as the county’s biggest employer. Presley spent months fighting with Medicare for reimbursement payments until he was finally forced to close the emergency room.He’s poured million of his own money into the hospital in an attempt to save its life.“When people can’t live in the rural communities they grew up in without access to healthcare, it’s almost like you’re in a prison,” he said.The cruel irony of a hospital closing in the middle of a pandemic is not lost on anyone who lives in this or any other rural community in America. At this hospital alone, they were able to stabilize or save more than a dozen COVID-19 patients over the past few months. Patients that now will be forced to drive more than an hour for care to the next closest emergency room.“So, many people are going to die. They’re gonna die because they don’t get the emergency care they need,” said Stephen Headrick, who lives in Celina and has relied on this emergency room countless times over the years.Since 2005, a staggering 174 rural hospitals have shut down nationwide. Fifteen of those closures happened this year alone, leaving a vacuum of care in their absence. Texas and Tennessee lead the nation in hospital closures.By the end of this year, hospitals across the country are expected to lose more than 0 billion, a staggering statistic that ripples far beyond the walls of any emergency room.When Cumberland River closed, nearly 100 doctors, nurses and staff were let go. By some estimates, 2020 may end up claiming the lives of nearly 200 more hospitals.“To keep our hospitals open during this pandemic, the government has to intervene,” Presley explained.With federal aid, Presley could reopen the hospital tomorrow, but so far, his pleas to politicians have gone unanswered.“I think it’s just a travesty that this country is going through. This country is so polarized that the most basic human needs of food and healthcare are being overlooked,” he said.Rural lifelines are on life support as American lives hang in the balance. 2841

It took four days for The Associated Press and other media outlets to call the presidential election for Joe Biden and Kamala Harris. Now, recounts and certification of the results will take a bit longer.With races too close to call in Arizona, Nevada and Georgia, Pennsylvania became the battleground that tipped the Electoral College count in Biden’s favor Saturday afternoon.But within hours of declaring victory, President Donald Trump released a statement saying, “Joe Biden has not been certified the winner of any state.”“Technically it's true. Certifying election results takes a while,” said Kira Lerner, the managing editor of Vote Beat, a non-partisan, non-profit covering election administration and voting.“Canvassing is the process of counting the ballots,” said Lerner. “It's what election officials are doing across the country right now. They're working tirelessly, overnight in some cases, to make sure that every single vote is counted in the certification process. Each state has a different deadline.”Certification happens after canvassing – whereby election officials verify that every single ballot was counted and there were no clerical errors. But tallying has taken longer due to record turnout and a surge in mail-in ballots.Still, six states have a deadline of within one week of the election to certify their results and have already done so. (Delaware, Virginia, Vermont, South Dakota, Oklahoma, and Louisiana).In 26 states and Washington D.C., the certification deadline is between November 10 and the 30. (Wyoming, Mississippi, Florida, Massachusetts, Idaho, Arkansas, North Dakota, Georgia, Utah, Pennsylvania, Michigan, Maine, Kentucky, Ohio, North Carolina, New Mexico, Minnesota, Indiana, Washington D.C., Alaska, Alabama, Nebraska, Montana, Iowa, Colorado, and Arizona).In 14 states, the certification deadline is in December. (Wisconsin, Nevada, Kansas, West Virginia, Washington, Texas, Oregon, Connecticut, Illinois, New York, New Jersey, Missouri, Maryland, and California)The remaining states don’t have deadlines. (Hawaii, New Hampshire, Rhode Island, and Tennessee)“It will be some time before we can formally certify the winner of the presidential contest. But that doesn't mean that we won't know without a doubt who our president elect is, which we already do,” said Lerner.And then there are the recounts. In some states, they are automatically triggered when the victory falls within a razor thin margin. In Georgia, for example that’s .5%.But in the majority of states, candidates, political parties and in some cases voters can request a recount.Currently, the Trump administration is calling for recounts in Wisconsin and Georgia.“In Wisconsin, you have two days after the winner of the race has been certified to call for a recount. In other states, like Georgia, the secretary of state has already said that he will be seeking a recount on Donald Trump's behalf.”Lerner says legal challenges and recounts will likely fail to change the outcome of the election. Electors will vote by mid-December and deliver to officials in Washington just before Christmas. It may take a few more weeks but experts say the official results are unlikely to be delayed. 3213

In his opening monologue, Academy Awards host Jimmy Kimmel encouraged award recipients to discuss social issues, thank family members and give words of encouragement during acceptance speeches, but Kimmel announced there is an incentive to keep speeches short:A Brand New Jet Ski! Retail value: ,999.To the tune of the Price is Right theme, Kimmel showed off the brand new jet ski on the Oscars' stage. When Sam Rockwell took the stage to win Best Actor in a Supporting Role, he said he would keep his speech short in an effort to win the jet ski.“Why waste precious time thanking your mom when you could take her” on a jet ski ride, Kimmel said.During his monologue, Kimmel was not afraid to get political, and acknowledged some of Hollywood's recent shortcomings. Kimmel discussed the Me Too movement, and the importance of the academy of expelling Harvey Weinstein following sexual misconduct revelations were reported. “The world is watching us. We need to set an example,” he said. “The truth is if we are successful, women will only have to deal with harassment all the time every other place they go.”Kimmel also pointed out Hollywood's liberal slant."We don't make films like 'Call Me By Your Name' for money. We make them to upset Mike Pence," he said. While Kimmel only delivered a few overly political jokes, he opted to make a flub fom last year's Academy Awards when the wrong film was announced as Best Picture a central theme of his monologue on Sunday. “What happened last year was unfortunate,” Kimmel said, “I said, ‘No, I don’t want to do comedy with the accountants.’ And then the accountants went and did comedy on their own.” 1693

It’s official: Amazon owns Whole Foods.To mark the acquisition, the e-commerce giant slashed prices on more than a dozen popular products at Whole Foods, including organic avocados, almond butter and rotisserie chicken.This has some wondering whether the grocer commonly referred to as “Whole Paycheck” is suddenly within their budget. The short answer: probably not. 375