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Chicago Air Quality Alert issued through Tuesday night for Canadian wildfire smoke

Chicago Air Quality Alert issued through Tuesday night for Canadian wildfire smoke

CBS Newsa day ago
An Air Quality Alert has been issued through Tuesday for the Chicago area from wildfire smoke coming in from Canada.
The Air Quality Alert went into effect at noon Monday, for air quality that is unhealthy for sensitive groups, including babies and children and the elderly. The alert expands to all of Northwest Indiana on Tuesday.
Smoke from wildfires in Canada started being dragged down into the Upper Midwest over the weekend, then further into the Chicago area as the week begins. Manitoba is under a state of emergency due to the wildfires, which have prompted 12,600 people to evacuate their homes. The fires in the central Canadian province have burned over 3,861 square miles.
There are also wildfires in Saskatchewan.
An Air Pollution Action Day has been issued by the Illinois Environmental Protection Agency for Tuesday, July 15 for the greater Chicago metropolitan area, for ozone levels that will be at unhealthy levels for sensitive groups.
If you have asthma or pulmonary or respiratory diseases, you are strongly encouraged to limit prolonged outdoor activities while the alert and action day are in effect.
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Rethinking GI Prophylaxis for the Critically Ill
Rethinking GI Prophylaxis for the Critically Ill

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Rethinking GI Prophylaxis for the Critically Ill

Prevention doesn't come easy. The bar is high. The decision to act medically because an untoward outcome could occur means creating intervention side-effect risk that's otherwise absent. Large patient numbers must be subjected to that side-effect risk to obtain net benefit. Last, your bedside modeling must be tight, and in medicine it never is. The story of gastrointestinal (GI) prophylaxis in ICU highlights these challenges. It is best told by Deborah Cook, the godmother of ICU research. It's told through her work. She's randomized more patients than a sequence generator. Her name is the most critical MeSH term for your systematic review. If Churg, Strauss, and Wegener hadn't ruined the disease eponym practice, she'd have several to her name. Just as well; we're all transgressing some currently unidentified but soon-to-be-coined "-ism." Cook's work has dominated the GI prophylaxis space since the early 1990s. If you're new to it, start with her New England Journal of Medicine (NEJM) review from 2018. It was published on the heels of the latest randomized control trial on GI prophylaxis in the ICU. The SUP-ICU trial, which randomized patients to pantoprazole vs placebo and was also published in NEJM, had equivocal results. The accompanying editorial provided a tepid endorsement of continued prophylaxis with proton pump inhibitors (PPI), but only for those at high risk for bleeding. Two years later, a systematic review and another randomized trial (PEPTIC) found a mortality signal with PPIs, but in the wrong direction. This drove some back to H2 blockers even though they are less effective than PPI for preventing bleeding. Where I practice I see an equal number of ICU patients on PPI or H2 blockers. There seems to be no clear preference or consensus. The indomitable Dr Cook just investigated the mortality difference in the REVISE trial, published last year. She and her colleagues also produced an updated systematic review. REVISE made me feel better. I've been a PPI-for-prophylaxis guy for anyone on mechanical ventilation. I held on after PEPTIC and SUP-ICU created doubt, and REVISE seemed to vindicate my practice. REVISE found that PPI decreased bleeding without increasing mortality. PPI didn't increase pneumonia or Clostridioides difficile infections either. Unfortunately, it's never that simple. The mortality signal was still present in the updated systematic review. The mortality "noise" is dependent on severity of illness. It's the sicker patients who have a higher mortality when given PPI for prophylaxis. Why? I'm not sure. The pneumonia and C diff associations were absent in SUP-ICU, REVISE, and the updated systematic review. The systematic review authors list multiple possible explanations, given that PPI are associated with an altered microbiome, endothelial changes, and delirium. If there is a causal mechanism affecting mortality, it's not clear why the direction is discordant across levels of illness severity. Conclusions drawn by the editorials accompanying SUP-ICU and REVISE are also discordant. Seven years ago, the idea was that PPIs were most beneficial in those who are 'seriously ill with a high risk of complications.' Fast-forward and the REVISE editorial suggests PPI for those on mechanical ventilation and an APACHE II score of less than 25. Figure 2 in Dr Cook's 2018 review lists risk factors for bleeding— lots of overlap with the APACHE and other illness severity scores. Can a patient be at high bleeding risk but have an APACHE II score less than 25? I'm sure they can, but that needle won't be easy to thread at the bedside. Can Dr Cook snatch clarity from the jaws of this data quagmire? Perhaps. Her group just published another paper on GI bleeding in the ICU. The focus was on bleeding events that are considered important by ICU survivors and family members. This was a preplanned analysis of data from the REVISE trial. PPI shined again, reducing patient-important events regardless of illness severity. They used a proportional hazards model, that accounts for the competing risk for death, to analyze their primary outcome. Not sure if this provides clarity per se but it does make me feel better about continuing to use prophylactic PPI for my mechanically ventilated patients.

Alpha Aesthetics Partners Expands National Platform With New Esthetics Center Clinic In Fair Oaks, CA
Alpha Aesthetics Partners Expands National Platform With New Esthetics Center Clinic In Fair Oaks, CA

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time3 hours ago

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Alpha Aesthetics Partners Expands National Platform With New Esthetics Center Clinic In Fair Oaks, CA

FAIR OAKS, Calif., July 15, 2025 /PRNewswire/ -- Alpha Aesthetics Partners—a Thurston Group portfolio company and one of the fastest-growing medical aesthetics platforms in the U.S.—is excited to announce the grand opening of its newest clinic in Fair Oaks, California. This new location, developed in partnership with Esthetics Center, Northern California's leading medical aesthetics brand, represents a key milestone in Alpha's national expansion and de novo growth strategy. Located at 5442 Hazel Avenue, Suite 504 in Fair Oaks, CA, the newly built clinic embodies Alpha's commitment to creating high-performing, brand-authentic med spas focused on operational excellence, superior clinical outcomes, and exceptional patient care. Esthetics Center—led by double-board-certified physician Dr. Reginald Rice—is a recognized leader in luxury medical aesthetics. With established locations in El Dorado Hills, Rocklin, and Sacramento, the new Fair Oaks clinic marks the next chapter of the brand's growth in partnership with Alpha Aesthetics Partners. John Wheeler, CEO of Alpha Aesthetics Partners, shared, "This opening reflects how Alpha builds—with excellence, intentionality, and deep respect for the brand identity that makes each of our partners special. Esthetics Center has set a high bar for patient care and aesthetic results, and we're proud to support their continued expansion into Fair Oaks and beyond." Reginald Rice, MD, FACS, Medical Director of Esthetics Center, stated: "Our expansion into Fair Oaks reflects our continued commitment to safe, effective, and medically advanced aesthetic care. Through our partnership with Alpha, we've been able to scale thoughtfully while maintaining the high clinical standards and personalized approach that define Esthetics Center. This new location allows us to reach more patients while staying true to our mission of delivering exceptional, outcomes-driven care." The Fair Oaks clinic is a key part of Alpha's broader growth strategy to scale through both de novo development and strategic partnerships with top-tier aesthetic practices. Backed by Thurston Group, a Chicago-based private equity firm with a strong track record in healthcare services, Alpha is well-positioned to meet the rising national demand for medical aesthetics. About Alpha Aesthetics Partners:Founded in 2023, Alpha Aesthetics Partners aims to advance the medical aesthetics industry through best-in-class partner support and clinical training. With a vision to build the best operating and largest network of medical aesthetics partners in the world, Alpha focuses on making med spa ownership simpler and more collaborative—allowing partners to focus on delivering world-class patient care. The company currently operates across 27 locations in 11 states. About Esthetics Center:Esthetics Center is one of Northern California's most respected medical aesthetics brands and a founding partner of Alpha Aesthetics Partners. With expert providers, elevated patient care, and a commitment to natural-looking results, the brand has expanded from its flagship location in El Dorado Hills to Rocklin, Sacramento, and now Fair Oaks. As an early leader in Alpha's national network, Esthetics Center continues to set the standard by blending science, artistry, and personalized care. Learn more at About Thurston Group:Thurston Group is a private equity firm that focuses on building industry-leading companies in the healthcare services sector. Founded in 1986 by its Chairman and Founder, Patrick J. Haynes III, Thurston Group has returned over $4 billion of invested capital in its 38-year history. Thurston has an extensive track record of partnering with physicians and building fast-growing businesses, including Smile Doctors, US Endodontics Partners, US Oral Surgery Management, SGA Dental Partners, US Orthopedic Partners, Gen4 Dental Partners, ARC Health, Options Medical Weight Loss, Alpha Aesthetics Partners, and Modis Dental Partners, among others. Media Contact:John WheelerCEOAlpha Aesthetics View original content to download multimedia: SOURCE Alpha Aesthetics Partners Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data

Hailstorm hits Calgary, residents share photos of the aftermath
Hailstorm hits Calgary, residents share photos of the aftermath

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A fast-moving storm brought hail the size of golf balls, winds above 90 km/h, damage to trees and localized power outages into the Calgary area on Sunday. Northeast Calgary experienced wind gusts of up to 93 km/h around 8 p.m., according to Environment Canada. Kyle Brittain, a freelance climate journalist, told CBC's The Homestretch on Monday that the storm came from the foothills northwest of Cochrane into the Calgary area, before it hit Chestermere and Langdon, and other communities southeast of the city before dissipating in Vulcan County. "It was a very fast-moving storm. It was hard to keep up with, and a very stunning-looking storm as it was travelling east of Calgary, quite ominous I think as well as it was entering the city," said Brittain. LISTEN | Weather expert talks Sunday hailstorm and Monday rain warning in Calgary: The storm was followed by a rainfall warning in Calgary the next day, which Environment and Climate Change Canada projected on Monday morning would bring 50 to 80 mm throughout the day. North Haven resident Barb Heeb said Sunday's storm started quietly before it picked up so much in her neighbourhood that she couldn't see the houses across the street. "The wind, the rain, the hail was just incredible. And all the trees were losing all their leaves," Heeb said on Monday. "It was just chaos. And then all the flooding came as well, and it's even worse today because of the rain." WATCH: Thunderstorm hits Calgary hard: Heeb said she and several of her neighbours have called the city for assistance because of the amount of water in the community on Monday. Calgary's Water Services said stormwater crews have been responding to drainage-related 311 calls, including incidents where storm debris blocked stormwater inlets. Parks and Open Spaces at the city reported on Monday the storm had broken branches, foliage and bark off trees. They said park crews were responding as needed, and watering operations were suspended for a few days because of the rain. Andy Wolff was in the Calgary Winter Club when he heard what sounded like breaking glass. It quickly dawned on him it was a hailstorm, and he ran to check on his car. "I almost had the wind knock me off my feet," Wolff said. "When I came out of the parking lot, it was like a blizzard. It was almost going sideways, and sweeping across the parking lot. It was incredible. Mother nature just opened up." Tara Schneider, a resident of Calgary's northwest Thorncliffe neighbourhood, said the hail seemed to shred the greenery around her yard, and the hail looked like it was blowing at a 90-degree angle. But what was even more memorable, Schneider said, was the loud gusts of wind. "The sound alone made us think initially that we were in a tornado. I've never heard that sound before from a storm," Schneider said. "We're not sure if we have any property damage. We have to do some clean-up today to investigate that, but I wished I wouldn't have washed the windows on Saturday." Below is a collection of photos submitted to CBC Calgary from residents who experienced the hailstorm. Have photos of the hailstorm? Send them to calgaryphotos@

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