大丈夫
书名：唐顿庄园|作者：笑无语|本书类别：古言|更新时间：18:49:09|字数：3896字
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As physicians who care for children and families, our mission is to keep our patients healthy and help them thrive.
With many students heading back to school soon (and some having already started classes), we know all too well what it’s like for families to navigate this changing season – and importantly, to try to stay healthy. Along with the excitement and energy that each new school year brings, this is also a time of exposure to all the viruses that we typically see during the colder months. This year, that includes colds, the flu, respiratory syncytial virus (or RSV) and COVID-19.
As families prepare for the year ahead, it’s important that children’s immune systems are also prepared to detect and resist viruses so that they can stay healthy and thrive. Just like how software updates to your phone or computer keep things in working order, vaccines help your body’s immune system work better. We also know that when everyone can access recommended immunizations on time, it stops preventable diseases from spreading through our communities.
Vaccines are one of the greatest medical advances in history. Thanks to widespread immunization, we have eradicated or controlled many diseases that once caused pain, suffering and even death for countless children – from smallpox and polio to tetanus and measles. Plus, when children stay healthy and free of such debilitating diseases, they can succeed by staying in school and safely participating in activities like sports and other after-school programs. This continuity helps improve children’s social and emotional development and their entire quality of life.
Unfortunately, parents must currently try to find guidance about their child’s health in a sea of mis- and disinformation. In the age of social media, misinformation about many topics is rampant, and vaccines are no exception. We encourage everyone to seek information from a trusted source, like their family physician or pediatrician – the same way that we work together with parents to offer guidance on other important topics like healthy nutrition, injury prevention and so much more.
At that same time, we do need better ways to talk about vaccines, along with ways to help parents identify accurate sources of information that they can trust. We must also ensure that vaccines are widely available, easy to find and affordable to everyone.
Right now, the U.S. is lagging behind. In 2022, only 45.9% of children received a flu shot, down from 53.1% in 2019, according to data from the Centers for Disease Control and Prevention. This is compounded by research that showed a two-year decline in children receiving routine vaccinations during the COVID-19 pandemic.
Also concerning is CDC research showing that 8% of children had not had a well-child checkup within the last year – and that 6% didn’t have a doctor’s visit at all. A recent UNICEF report also shows 67 million children across the world missed out on one or more vaccinations over the last three years. These children are missing opportunities for immunizations as well as vital guidance on mental health, nutrition and other areas of child health and development.
These statistics are even more reason for parents, physicians and policymakers to ramp up vaccine education and ensure that children and their families can access vaccines and other routine medical care.
As physicians who care for families and who watch children grow up over many years, pediatricians and family physicians are well-positioned to help patients and their parents navigate challenges in getting vaccines. In addition to helping overcome barriers like lack of insurance or transportation, we can also serve as sources of accurate information. We can be a backstop against the rampant misinformation parents encounter in social media and a sounding board for their questions.
But physicians cannot do this alone. Policymakers must recognize the need to help families who qualify stay enrolled in Medicaid and to protect programs like the Children’s Health Insurance Program, which offers coverage for those who might not be eligible for Medicaid. We must expand the number of hospitals and clinicians who participate in the federally funded Vaccines for Children program, which today offers vaccines to nearly half the nation’s children. This program is critical because it helps ensure vaccine and health equity. And we must also ensure that physicians have the support they need to continue physically storing, administering and counseling families on vaccines.
In the end, we all share a collective responsibility to safeguard the health of our nation’s children and the health of the public. As your doctors, we know that we are all healthier when everyone is vaccinated.
。 8月25日消息，最新披露的道路交通安全法修订草案相关内容显示，大众日常广泛使用的电动自行车，在非机动车道内行驶的时速限制，拟从现行的15公里上调为20公里。 今天提请十四届全国人大常委会会议初次审议的道路交通安全法修订草案，正式将电动自行车在非机动车道内行驶时的最高时速限制从15公里调整为20公里，同时新增了多项针对性的行为禁令，明确驾驶电动自行车在道路上行驶时，不得出现逆向行驶、超速行驶、违反交通信号通行以及拨打接听手持电话、观看视频等影响行驶安全的行为。
B | 与此同时，本次修订草案还明确作出硬性规定，电动自行车的驾驶人和所有乘车人，出行时都应当按照规定佩戴安全头盔，把驾乘人员的头部防护要求正式落到法条约束层面。 现行版本的道路交通安全法最早于2004年正式施行，后续分别在2007年、2011年、2021年针对不同阶段的适配性需求修正过个别条款，本次是相隔多年后首次面向全领域启动的大范围修订调整。 新修订草案相关内容公开后很快引发了大量网友热议，不少人看完相关条款都觉得有点困惑，之前印象里电动自行车国标限速明明是25km/h，这次调整怎么反而把道路限速改成了20km/h，反而比之前的印象标准更低了。 这里可以给大家做一个简单的区分科普，大家熟知的25km/h是电动自行车车辆设计最高车速，对应的是国标GB17761的生产强制要求，约束的是生产车企端。
C | 按照这个国标的要求，电动自行车出厂之后，电机电驱动助力的最高速度只能跑到25km/h，一旦车速超过25电机就会自动切断动力输出，车企不允许出厂就生产速度更快的超标车辆，消费者后续私自破解限速改装车辆也属于明确的违法改装行为，车辆的硬件能力天花板被锁死在25km/h。
D | 而新法案中提到的20km/h是道路行驶限速，隶属于道交法的管辖范畴，约束的是上路骑行的骑车人。 这次调整只是把路面骑行的合法速度上限从原先的15km/h上调到了20km/h，完全不会改动车辆出厂时25km/h的硬件上限要求。 大家完全可以用常规家用汽车的规则来类比理解，家用汽车出厂的发动机设计最高时速普遍能跑到180km/h以上，对应电动自行车的25km/h硬件上限，但日常城市道路的法定行驶限速大多只有60km/h，对应本次调整前的15km/h、拟调整后的20km/h，车辆硬件有能力跑更快，完全不等于你上路之后就可以开到那个最高速度。 这次修订本质上是给普通大众日常通勤松绑了合理的通行效率空间，既匹配了大部分人日常骑行的实际速度需求，也给路面交通管理留出了更合理的容错区间，并不会出现大家担心的全面收紧限速或者全面放开速度上限的极端情况。
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