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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 Slater fire roared through Happy Camp, California on Sept. 8, and more than a month later, families still can’t get back into their neighborhoods.U.S. Forest Service Officer Jason Rasmussen was working to evacuate families in his community, as his own home was engulfed in flames.He said the fire was like nothing he’s seen in his quiet home town before. “Sounded like some sort of freight train. It was just total chaos. People were scared,” recalled Rasmussen.Winds fueled the flames, leveling 100,000 acres within hours. Two people were killed and nearly 200 homes were lost.“I knew my home was probably going to burn,” said Rasmussen. “I could only hope that it would survive.”Daybreak cemented gut-wrenching worry into reality. This fire left nothing behind for this family and so many others.“It’s heartbreaking seeing my house and my friend’s houses burned to the ground,” said Rasmussen's son, Chaance, who is a firefighter. “The only thing that’s left is memories.”Memories of a home, of a family legacy, built in this town for generations—now reduced to dust.“It’s emotional. I don’t even like to go back there,” said Jason Rasmussen of returning to what was once his home. “The stuff that was special to me was not valuable even. It was stuff that my grandfather had given me. Things that were sentimental for that reason, because it was connected to my family history."This loss is made even harder for the Rasmussens, because they never thought they’d be the ones needing help.“While you’re talking to people you’re evacuating, you’re going through the same thing,” said Jason Rasmussen. “When I knew I was actually homeless, that was the worst feeling.”After a month of moving from place to place, having nowhere to really call home, a surprise came that left these first responders speechless.Volunteers from EmergencyRV.org drove this donated RV from Oregon to Northern California. A woman donated her RV to the organization, and EmergencyRV.org matches up families in need. First responders go to the top of the list.Between being on the frontlines through the pandemic and this natural disaster, this group wanted to give these men a break.“It doesn’t make sense that a firefighter loses his home and is sleeping in a tent or has nowhere to go, sleeping in the station,” said EmergencyRV.org founder Woody Faircloth. “We want to give them a place to call home until they get back on their feet.”“I wasn’t expecting something like this,” said Chaance Rasmussen of the donated RV. “I thought, maybe something I could tow, but then I remembered I didn’t have a truck anymore, so it’s nice to have this.”The RV is giving the young firefighter much more than a place to sleep.“It kind of restores my faith in humanity,” said Chaance Rasmussen. “You see all the bad stuff on the media, people are rioting and all that stuff is happening, and knowing that people are out there doing stuff like this, it’s real heartwarming.”To the volunteers, it’s a thank you for the danger these frontline workers face head-on every day.“These firefighters and frontline heroes…they are heroes,” said Faircloth. “They’re out there every day doing this job, and they don’t make a lot of money, but they’re risking their lives for the rest of us.”A risk this father and son are proud to take on, even as they take on the much tougher challenge of restoring this land into a place they can call home. 3405

The U.S. Geological Survey recorded two earthquakes in Tennessee early Wednesday.The first happened at about 3:15a.m. and was reported to be a magnitude 4.4. The second was recorded at about 3:30a.m. and was a magnitude 3.3.According to the USGS Intensity map, as of 3:45a.m., more than 2000 people reported feeling the earthquakes across Tennessee, North Carolina, Alabama, and Georgia.Some people reported feeling weak shaking in areas of Middle Tennessee, like Hendersonville, Cookeville, and Murfreesboro. According to the National Weather Service office in Morristown, the largest earthquake on record in East Tennessee was a magnitude 4.7 near Marysville in 1973. The USGS?studied the reason why earthquakes are felt at much farther distances on the east coast, compared with earthquakes that hit the west coast. Researchers found that some factors have to do with tectonic plates and their geological history. The east coast has older rocks, which researchers said allow seismic waves "to cross them more effectively during an earthquake." 1084
The restaurant industry has been reshaped in the past six months. We’ve seen more pivots to take-out and outdoor dining, but could we see a more drastic shift.New data from Bank of America shows sales at independent chains are still down about 15%."Right now, it is just sad. People are exhausting their personal savings. They are shutting their businesses and they just don’t know what to do,” said Andrew Rigie.Rigie is with the New York City Hospitality Alliance. In NYC alone, at least 1,289 restaurants have closed since March, according to the Office of New York Comptroller. Across the country, Yelp has gathered data from its platform that show that number is around 16,000.“It’s a really dire situation,” added Rigie.The situation is the direst for independent restaurants, because the same Bank of America study that showed sales still down 15% at mom and pop restaurants, shows chain restaurant sales are now up 2% higher than they were pre-pandemic.Industry experts believe a continuing trend of these numbers could reshape the industry.Chains restaurants are now in a better position to replace space occupied by folded restaurants or struggling ones, potentially shifting the flavor of the restaurant industry toward chain food.“I’m not knocking or saying there is anything bad about a chain, but we really want our beloved mom and pop businesses,” said Rigie. "We really need support from the federal, state and local governments to ensure these places are able to recover.”Legislation was presented to Congress in June, the Restaurants Act, to help struggling independent restaurants with grant money. However, there has been no vote on the bill or any signs it could pass.Without additional help, the latest estimate by the Independent Restaurant Coalition is that upwards of 85% of independent restaurants could fold by the end of the pandemic. 1870
The winds were so strong on July 26 in Redding, California, authorities say they uprooted trees, ripped roofs off houses and downed power lines.The fast-moving Carr Fire took three family members from Ed Bledsoe that day -- his wife and two great-grandchildren."The tornado was hovering over the house," Amanda Woodley, Bledsoe's granddaughter, told CNN. "It was just a tornado fire over the house."Bledsoe had left the house earlier to go to the doctor's office, and was on the phone with his family members as the flames closed in. They believed they were safe from the fire and knew nothing of the approaching hellscape that was like nothing any of them had ever seen before.He said his son drove toward the flames in the hope of rescuing his family members. "My son said the grass wasn't on fire, the trees were getting sucked up in the air and burning," Bledsoe told CNN. "He said when he opened his doors, the leaves hit him like somebody was slapping him. He said it was sucking his breath out, and he got back in his car and tried to get out."Bledsoe was on the phone with his wife and great-grandchildren until the very end."It sucked the roof off the house and the walls fell out and the roof went right down on them," he said.The Carr Fire, now the sixth most destructive fire in California history, has consumed 121,000 acres and killed six people.Dr. Craig Clements of San Jose State University's Fire Weather Research Laboratory said there have been few observed firenadoes of this magnitude before. He says the conditions have to be perfect for something like this to occur.Firenadoes are formed from a fire's intense heat, causing the air to heat up quickly and rise rapidly. That, combined with surface winds that are obviously quite strong, creates a vortex similar to a dust devil.Clements says aside from the potentially damaging winds, a firenado like this can even pull fire in different directions.At 3:27 p.m. that day, the National Weather service sent out a statement noting that "radar indicates strong rotation located within the intense fire activity of the Carr Fire." They warned of possible wind gusts up to 50 mph."The wind went from zero wind to 40 to 60 mph winds within 15 minutes," Justin Sanchez told CNN. He said his house was consumed by the firenado. "(There was) a loud disturbing deep growling noise as it spun around in a spiral. It seemed the outside was moving around so slowly, with two-foot sized pieces of debris floating in it."Sanchez says when he and his family were about a mile and a half from his home, they looked back and could see their neighborhood consumed by it. 2631
来源:资阳报