济南尿酸高会得痛风吗(济南脚上长泡红肿) (今日更新中)

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

INDIANAPOLIS -- The two men accused of shooting and killing a 1-year-old were at home playing video games at the time, the mother of one of the suspects said Wednesday morning.Darrin Banks, 27, and Brian Palmer, 29, have been charged with shooting and killing 1-year-old Malaysia Robson on March 30. "I want the detectives, I want whoever, to pull up Microsoft and see where they have logged in," Renee Sloan, Palmer's mother,  said. "You have dinged these men as murderers. You have put a tag on them as murderers, and they're not murderers."Robson was killed when gunfire struck her home on the 3500 block of Wittfield Avenue. Police have said it began as a dispute on social media. Someone then drove to the home and opened fire at around 2 a.m. Banks and Palmer face preliminary charges of murder and aggravated assault. "The whole community is talking about Darrin Banks and Brian Palmer," Sloan said. "Those are their names. They're not murderers. They're human beings and they have names. They did not do this. That is not in their demeanor. That is not how they work. That is not what they do. I want to have a voice for them. Everyone else has a voice but those two. I want people to know what type of people they are."The weekend after Robson was killed, the 1-year-old's grandmother helped organize a call for unity in the community and a march to reduce gun violence.For Robson's grandmother, it was a way to remember her grandchild and push for change so no family ever has to go through the same loss."For anyone with kids - go home and love your kids like never before," she said. Malaysia Robson is the youngest victim of a fatal shooting in Indianapolis since 2013. Her death was also the only under 10 shooting victim during that period to be ruled a criminal homicide. The other deaths were determined to be accidental.  1912

In many ways, we have come a long way since March when the pandemic first began, but in other ways, we have not.Infections and hospitalizations around the country from COVID-19 are rising quickly, as the United States just surpassed 250,000 deaths from COVID-19. The country is also setting records for the number of positive coronavirus cases. It has forced states to consider similar shutdown measures to the ones we saw in spring.Michigan, Washington state, Oregon, and New Mexico are mostly closed, as states like Colorado have recently announced more closures coming this weekend, including moving restaurants to take-out and delivery only.“It has been very busy [in the ICU] and it has really, as you mentioned, gone up in the last two weeks,” said Dr. Julia Limes of UCHealth in Colorado.Dr. Limes has been spending the last few weeks working out logistics for the ICU at the University of Colorado Anschutz Medical Center.“We have started deploying people from other parts in the hospital to come and help us on both the COVID floors and in the COVID ICU,” said Dr. Limes.“We already surpassed the numbers from the first surge, so it’s like what’s next?” added Maddie Smith, a critical care nurse in the hospital’s COVID-19 ICU.Smith has worked in the hospital’s COVID-19 ICU since March. She says the fear, stress, and unpredictability of this current surge might have consumed her once more if it was not for the lessons learned in the COVID-19 unit during the spring months.“We just know how to treat them better, and we know how to intervene with interventions, so that’s been really helpful,” said Smith.In the spring, hospitals were experimenting with different drugs to treat serious COVID-19 complications. Since then, the FDA has approved Remdesivir as a treatment option for certain patients 12 and older, based on findings that it helped some patients recover faster.Smith says doctors and nurses are now more familiar with the arc of how a patient might respond to symptoms so they can manage bed space and ventilator use better.All this comes as both Moderna and Pfizer announced this week they have both developed vaccines with 95 percent effectiveness.“[Caring for patients] is easier and it’s smoother than it was in the spring,” said Dr. Limes.Not only has patient care gained more clarity, but so too has self-care on the part of first responders, according to Smith.“It was hard,” she said. “I think the biggest part that got to all of us is these people don’t have family to be with. That first surge, it all hit us pretty hard because of the sadness that happened down here. We just kind of lean on each other to get through it.”How far this current wave will go is unknown, but by drawing from the past, these first responders say they will be ready to deal with it no matter what is thrown their way.“We just have a better sense of the trajectory, and that is hugely valuable as we go into this next surge,” said Dr. Limes. 2962

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

INDIANAPOLIS -- Members of a neighborhood on Indianapolis' northwest side are asking police to do something about a woman caught on camera attacking neighbors with a yard sign and threatening their lives.The woman was seen on video pulling signs out of Miguel Rios and Luvia Roman's yard and saying she'll kill them, all over a property line dispute on Twin Creeks Drive, just north of Northwestway Park.Neighbors say the woman has a history of harassing minority neighbors. Corey Banks, a neighbor from across the street, said he's been called the N-word multiple times by her. Rios and Roman bought the house next door to the woman about a year and a half ago. They say the woman has called the health department, narcotics and child protective services in an effort to get them to move."I'm scared for my life," Rios said. "I'm scared for my family's life. And it's just not right." 918

来源：资阳报