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A nurse in Oregon who bragged about flouting COVID-19 rules in a TikTok video isn't employed with Salem Health anymore, the hospital confirmed to CNN and The Oregonian.Last month, Ashley Grames, an oncology nurse, was placed on administrative leave pending an investigation after posting a video on Nov. 27 to social media bragging about not wearing a mask, still traveling, and letting her kids participate in playdates.According to KOIN in Portland, Oregon, Grames received an Interim Consent Order (ICO) for her departure effective Dec. 8, according to state records.The Oregonian reported that Grames agreed in the ICO to stop practicing nursing.According to the Oregon State Board of Nursing, ICOs are not considered discipline and remain in effect until the board votes to vacate the order and allow the nurse to practice again. 842
A survey of parents across the United States estimates that one in 40 children has autism spectrum disorder, according to a study published Monday in the journal Pediatrics.In other words, the condition was reported in 2.5% of children, representing an estimated 1.5 million kids ages 3 to 17.A report released this year by the US Centers for Disease Control and Prevention estimated the prevalence at one in 59 children or about 1.7%, based on 2014 data."Prevalence is not growing that rapidly, although the CDC's data suggests it is still growing," Thomas Frazier, chief science officer of the advocacy organization Autism Speaks, said in an emailed statement. He was not involved in the new report."What is happening is that these studies use methods that are a bit more liberal and inclusive than the CDC's methods," Frazier said, adding that he prefers the CDC's numbers but understands "that they are likely a bit conservative."The new study is based on the 2016 National Survey of Children's Health, which was conducted by the US Census Bureau and which collected information from parents of more than 50,000 children up to age 17. To be included in the estimate, parents would have had to report that their child had ever received a diagnosis of autism spectrum disorder and that they currently had the condition.The new numbers were also slightly lower than those in the 2017 National Health Interview Survey. It estimated that 2.76% of children had ever received such a diagnosis, which the authors of the new report note is a broader definition.The fact that the new study relies on parental reporting -- which is not validated by health and education records, as in the CDC report -- may be a limitation despite the broad scope of the research, the authors say.Frazier said the 1-in-40 figure is "generally consistent with previous parent surveys and other direct prevalence studies where researchers directly screen for and attempt to identify autism."The parents in the new study also reported more difficulties getting the health care their children need, versus those with Down syndrome, or other behavioral disorder, such as attention-deficit hyperactivity disorder."Though we've seen progress in recent years, this confirms what we know from our parents -- that many children face unacceptable delays in getting a diagnostic evaluation, even after parents, teachers or other caregivers have recognized the signs of autism," Frazier said.In the new study, more than a quarter of children with autism spectrum disorder were taking medication for symptoms related to the condition, and nearly two-thirds have received "behavioral treatments" in the past year, the study says.It also found a higher prevalence for autism spectrum disorder among certain groups such as boys, children of single mothers and households below the federal poverty level, compared with those at least four times above that income threshold.The differences between the new study's numbers and those of the CDC study might be explained by the years they were conducted, the ages of children studied and where they lived, according to the new study.The CDC report was based on data collected from 11 communities across the country but was not necessarily nationally representative, according to that report's co-author Daisy Christensen, surveillance team lead in the developmental disabilities branch of the CDC's National Center on Birth Defects and Developmental Disabilities."Parents know their child best," Christensen, who was not involved in the new report, previously told CNN. "We want to encourage parents to be aware of their child's development, to be aware of the milestones that children achieve."Autism spectrum disorder, a lifelong developmental disability, is characterized by problems with communication and social interaction with accompanying repetitive behavior patterns.The authors note that it's difficult to compare the new report with prior iterations due to updates in how the survey collected its data and how questions were worded."We cannot tell what proportion was explained by internal survey changes rather than external factors," the authors wrote.Still, the report comes as estimated prevalences of the disorder have been rising for decades."Over the '80s and '90s, the diagnostic criteria expanded to include more children," Christensen said, "so I think that's definitely a possibility for the increase that we've seen."In the past, more than half of children identified with autism also had intellectual disability, and now it's about a third, she said. "And that's really consistent with identifying children who are perhaps at the milder end of the spectrum."The new study's authors also note that universal screening recommendations in the 2000s may have led to a rise in prevalence among younger children, for example."Because there is no biological marker, [autism spectrum disorder] is a particularly challenging condition to track," the authors note.But understanding how common it is allows health experts to distribute resources and get families the help they need, according to Frazier."Having prevalence estimates -- even if there is some variation -- helps us to advocate for improved screening, diagnosis, interventions and supports," he said. 5314
A Northern California family was forced to evacuate their home over the weekend, as the Carr wildfire continues to spread. Not only was the family tasked with getting themselves out, they also had to evacuate the animals on their rescue farm.Lisa Ellsworth runs Tiny Tim’s Pals, a pet rescue farm in El Dorado Hills, California.“It’s our family, yeah,” says Ellsworth. "We take ‘em in from—sometimes they’ve been abandoned; a lot have been abused, neglected.”This weekend, those animals needed to be rescued from their sanctuary, as the fire in Northern California moved frighteningly close to their farm.“All the sudden, our neighbors come drivin’ up and they’re like, ‘Get out! We’re being evacuated,’” recalls Ellsworth. “The police are coming around, so that’s the notice.”Because of the time constraints to get out, they had to abandon two pigs and two feral dogs that couldn’t be corralled into trailers in time. The animals the family could take, they brought to the Rolling Hills Equestrian Center.Terry Skevington, with the center, says it’s one of the few places that allows owners to bring animals of all shapes and sizes. The animals can even sleep on site with them.“I had an old couple park here and stay with their cats, because the hotels wouldn’t let them stay with their cats,” says Skevington. “To some of ‘em, that’s all they got left.”He says the outpouring of donations of items--like fans for the animal stalls, halters and even feed--has been overwhelming.As for Ellsworth, she doesn’t know the status of her home or the animals she left behind, but she says she’s been able to keep it off her mind by staying busy. Fortunately, Ellsworth has insurance. She says in the worst-case scenario, she’d use the money as an opportunity to build a new barn for her animals.Representatives for the Humane Society that serves the region say, overall, they’ve seen about 1,000 animals displaced since the Carr fire broke out. About 150 of those animals have been housed at Rolling Hills. The center’s operators here say those animals and their owners can stay as long as they need. 2118
A Texas jail guard suffered a heart attack two years ago, and if not for a group of inmates, he could have lost his life, WFAA-TV reported.Gary Grimm of Weatherford, Texas is thankful for those inmates who gave the now 52-year-old retired jail guard a second-chance at life."Instead of overtaking me and taking my gun, and killing me or taking a hostage and escaping, they looked at me as a human being," Grimm told WFAA. The inmates reportedly had to knock down a locked gate to get to Grimm after they realized he was having a medical emergency. The group of eight inmates were able to get the attention of others in the jail, who were able to help Grimm seek medical attention. Grimm never got the opportunity to personally thank the inmates as they were transferred to other institutions."I get emotional. If they wished harm for me, all they had to do was sit there and do nothing," Grimm told WFAA. Grimm said he treated inmates the way he would want to be treated. Perhaps, that is why they came to his aid when he needed it."I don't care if they're a drug user, hot check writer, or child molester. They're still a human being. I don't have to like what they did, but it's not my position to be the judge and jury," Grimm told the station. 1275
A second report in as many days is predicting an “extremely active” hurricane season.The National Oceanic and Atmospheric Administration released their annual August update for the Atlantic hurricane season Thursday. They are predicting 19 to 25 named storms, where 7 to 11 of them become hurricanes and 3 to 6 of those become major hurricanes with winds of 111mph or greater.Hurricane season ends November 30.There have already been nine named storms in 2020, the earliest that has happened since historical records began. Hurricane Isaias was also the fifth storm of the season to make landfall. It’s the fastest we’ve gotten to five land-falling storms since the old record set back in 1916.Historically, according to NOAA’s Climate Prediction Center, only two named storms form on average by early August and the ninth storm typically does not form until October.“This is one of the most active seasonal forecasts that NOAA has produced in its 22-year history of hurricane outlooks,” said U.S. Secretary of Commerce Wilbur Ross. “We encourage all Americans to do their part by getting prepared, remaining vigilant, and being ready to take action when necessary.”On Wednesday, Colorado State University’s Tropical Weather and Climate Research Center released their final predictions for the 2020 hurricane season. They believe there will be roughly 24 named storms, and 12 hurricanes.“The primary reason why we’re forecasting such an active season isn’t as much the storm activity that we’ve already had, but the large-scale conditions we’ve observed during July and what we expect to see during the peak of the season,” said Dr. Phil Klotzbach, from Colorado State University.NOAA says current oceanic and atmospheric conditions are making 2020 an active storm year, including warmer-than-average sea surface temperatures, reduced vertical wind shear, weaker tropical Atlantic trade winds and an enhanced African monsoon.Both groups say their predictions are for overall seasonal activity and do not predict landfall. Whether or not a storm comes on shore is determined by short-term weather patterns in a certain area at the time the storm forms. 2159