济南强直炎是什么意思(济南强直生脊柱炎) (今日更新中)

Hurricane Michael's trail of devastation now stretches from the Florida Panhandle, where it wiped out one coastal city and left others swimming in debris, to the Carolinas, where Michael weakened to tropical storm status but still triggered flash floods that turned roads into rivers.Six people are dead in the storm's path, and authorities fear the toll could climb higher as search-and-rescue efforts continue. The dead include four people in Florida, a child in Georgia and a man in North Carolina.PHOTOS: Hurricane Michael damageSo far, Coast Guard crews in Florida have rescued 40 people and assisted 232.Conditions remain precarious in hard hit areas, especially Mexico Beach, Florida, which Michael left in ruins. A councilwoman from there issued an urgent plea to anyone thinking of returning."Please don't come down," Linda Albrecht said. "The more people that return, it's just going to get in the way." 921

In a new effort to tackle the deadly opioid addiction crisis in the US, pharmacy giant CVS announced on Friday it will limit opioid prescriptions to seven days for certain conditions. This restriction will apply to patients who are new to pain therapy.The new pharmacy program will also limit the daily dosage of pain pills based on their strength and will require use of immediate-release formulations before extended release opioids -- intended for severe, long-term pain treatment -- are dispensed.The changes will roll out on February 1, 2018 and cover all commercial, health plan, employer and Medicaid clients.CVS, which manages medications for nearly 90 million plan members, is one of the largest pharmaceutical chains in the US, with approximately 9,600 CVS Pharmacy stores and more than 1,100 walk-in medical clinics."With a presence in nearly 10,000 communities across the country, we see firsthand the impact of the alarming and rapidly growing epidemic of opioid addiction and misuse," said Larry J. Merlo, president and CEO of CVS Health.From 1999 to 2014, sales of prescription opioids in the US almost quadrupled, according to the US Centers for Disease Control and Prevention, yet there has been no change in pain reported by Americans.CVS said its pharmacists will also counsel patients with opioid prescriptions about the risk of dependence and addiction based on CDC guidelines. These educational sessions will also emphasize the importance of keeping medications secure in the home and proper disposal of unused medication.To help patients wanting to follow these guidelines, the company will almost double the number of drug disposal units in its Medication Disposal for Safer Communities Program from 800 to 1,550 kiosks. This expansion will begin this fall with locations in Florida, Massachusetts, North Carolina, Pennsylvania, South Carolina and the District of Columbia.The company is also committing million to Community Health Centers that provide medication-assisted treatment and other addiction recovery services.The President's opioid commission says that about 142 Americans die every day from a drug overdose, equal to the death toll from the September 11 attacks every three weeks. Most of those overdoses are from opioids.Though there were over 30,000 fatal overdoses from opioid drugs in 2015, public health experts believe that for every fatal overdose, there are 30 non-fatal overdoses. That would mean over 900,000 overdoses in 2015 alone.According to the CDC, drug overdoses are the leading cause of unintentional death in the US.  2589

In a pandemic that relies heavily on the expertise and passion of our healthcare workers, we have seen many doctors and nurses working longer hours and even risking their own health to care for those in need.“This is a pandemic that's going to continue to go on. And a lot of health care providers in different settings have already been asked to work overtime shifts or extra shifts. And the thing is, that’s just increasing the burnout,” said Dr. Jessica Rainbow, RN and UArizona College of Nursing assistant professor.“Before the pandemic burnout was already a normalized issue in Nursing. And what I mean by that is that more nurses than not experienced burnout than those who have what I would call good well-being and don't suffer from burnout,” said Chloe Littzen, RN and UArizona College of Nursing Ph.D. candidate.Rainbow and Littzen are seeking ways to mitigate nurse burnout during the coronavirus pandemic. They say the pandemic has only intensified the problem.“They either leave the setting that they're in. Let's say they're in one unit, they go to another unit. They leave that facility going from, let's say, the hospital setting to the community setting or vice versa, or they leave nursing completely,” said Littzen.That puts the industry in a tough spot. The nursing shortage also affects the ability to educate future nurses and the ability to do more research.“It's important to say that this is not an issue that is the nurse's fault right or any healthcare provider or anyone who works in a healthcare setting,” said Rainbow.From their research, they say health care workers are shown to have good self-care, but it’s the systems of the work environment that can be stressful.“Where they're actually given the resources that they need to be successful. So resources as far as things like PPE, things like having adequate staffing,” said Rainbow.They say a big factor is also the public. Loved ones of those in care can help by being understanding and by adhering to guidelines, such as wearing a mask.“You know, it's important to give grace and struggling times and everyone's emotions are heightened and stressed and you know nurses are people, too. They're also a human being and they're also suffering with you,” said Littzen.They found nurses have done things like meditation, spending more time in nature, and seeking peer groups to voice shared experiences.“Social support is huge for nurses. I mean, especially to when you were a provider and you have a job where your significant other at home may not fully understand what you do. And so it's difficult sometimes if you don't have the social support of other co-workers in the same position,” said Rainbow.Rainbow’s study is called “Working in Healthcare During the COVID-19 Pandemic. Participants can access the consent form with study information online or contact her for more information. Littzen’s dissertation study is called “Young Adult Nurse Work-Related Well-being, Contemporary Practice Worldview, Resilience, and Co-Worker Support.”This story was first reported by Taja Davis at KGUN in Tucson, Arizona. 3106

In a 5-4 decision announced Monday, the Supreme Court struck down a Louisiana law that severely restricted abortion in the state, marking a win for abortion rights advocates.Chief Justice John Roberts, a crucial conservative swing vote, sided with liberal Justices Breyer, Ginsburg, Sotomayor and Kagan in issuing the majority opinion.According to The Associated Press, Roberts has favored restrictions on abortion in two previous Supreme Court rulings.The decision strikes down a Louisiana law that would have required physicians who perform abortions to also have admitting privileges at a hospital within 30 miles of the abortion clinic. The law would have reduced the number of physicians in the state who were legally permitted to conduct an abortion to one.The law was nearly identical to a Texas law that was declared unconstitutional by the Supreme Court in a 2016 decision.This story is breaking and will be updated. 933

In an old traditional historic church building sits a seemingly nontraditional religion."We don’t pretend that we’ve invented something new; we just gave it a title and a safe place for people to use cannabis in their spiritual journeys to come here, and worship, and pray,” said co-founder Steve Berke. “We don’t tell them who to pray to. It’s really an open-minded spiritual community."Their religion is Elevationism. Berke says it's about elevating one's self to the best version of self."While we do believe that cannabis can help you on your way to your spiritual journey, it’s also okay if you don’t use cannabis," said Berke.He says they have people all over the world come to their church. People of all political views, races, and even other religious beliefs have joined their congregation."Elevationism is not a replacement to your existing faith. It’s more of a supplement to it. You can be a Christian and an Elevationist. You can be Jewish and an Elevationist. You can be a Buddhist and an Elevationist," said Berke.Before COVID-19, like any other church, they would hold a Sunday service in their sanctuary with speakers, music, and lessons to take away. But unlike a traditional church, the consumption of cannabis was allowed."We certainly encourage people to try cannabis, and if it doesn’t work for you, that’s OK. You don’t have to use cannabis. We don’t tell you when to use it. We don’t tell you how much to use it," said Berke.Since the pandemic, they’ve had to stop the Sunday service but have continued with their daily BEYOND, a guided meditation paired with a light show. It’s family-friendly, no consumption allowed, and open to the public."Everybody takes something different from the meditation and that’s the goal. The goal is some people will take one quote of that mediation and apply it to their lives," said Berke.And just like any other church, Berke says they give back to their community."We’ve led by example. We’ve volunteered picking up trash in the neighborhood, volunteering at animal shelters, feeding the homeless. We do all of the things that a normal church does without preaching a dogma inside our church," said Berke.For now, they have one location in Denver but plan to expand to Los Angeles next year. They're also working on more guided meditations."We’ll have BEYOND Happiness, BEYOND love, BEYOND doubt, so all these different themes encouraging people to think and question existing establishment thought and really encourage their spiritual paths and journeys," explained Berke.Berke says the one golden rule of their ministry is similar to other traditional religions: treat others the way you want to be treated."We’re all one human race. We may have different beliefs. We may believe in different gods, but that’s okay, right? Because we’re all spiritual and we all ultimately want this world to be a better place for the next generations," said Berke. 2920

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