济南痛风如何产生的(济南马卡降尿酸) (今日更新中)

WESTLAKE, La. -- A fire broke out at a chemical plant in Westlake, Louisiana, as Hurricane Laura moved out of the state. Louisiana State Police responded to the scene Thursday and motorists were being advised not to travel on I-10 through Westlake as crews fought to put out the flames.State police say the fire involved a chlorine leak that originated from a BioLab chemical manufacturing facility.The BioLab plant was built in 1979 and manufactures trichloroisocyanuric acid, chlorinating granules and other chemicals used in such household cleaners as Comet bleach scrub and pool chlorine powder, The Associated Press reports. Trichloroisocyanuric acid and chlorine are potentially acutely toxic to people and animals if ingested or inhaled.As a result of the fire, residents in the Westlake, Moss Bluff and Sulphur area were advised to shelter in place until further notice, close their doors and windows, and turn off their air conditioning units.In a statement obtained by KATC, KIK Custom Products said the fire at their facility was the result of damage from the hurricane and a specialized team has been deployed to mitigate the impact of the incident. 1171

We've heard about telehealth for people, but now it's there for animals too. According to the American Veterinary Medical Association, there's been a significant increase in telemedicine, and some veterinarians are entirely virtual.The pandemic has proven we can do almost anything from our couches, computers and phones. We've grown accustomed to all things virtual and it seems our pets are used to it too.“It really highlights the value of something like this and it also really highlights where society is living. Even before the pandemic, turned to google, turned to the internet first. It's our first step in almost everything,” says Dr. Sarah Machell.Machell is the lead veterinarian for Vetster, which provides on-demand virtual care for your pet.“Consultations, meeting pet owners in their homes, where they are with their pets, and helping to address urgent and preventive care health conversations to them,” Machell said.She says the company, which launched in October 2019, wasn’t formed because of the pandemic, but they certainly evolved at the right time."The veterinary clinics themselves are feeling a really heavy surge with the pandemic. It’s a pretty crushing situation for them. We already as a profession had some staffing challenges, not enough veterinarians for how many pets and pet owners there are,” Machell said.Pet owners, she says, often have a hard time getting an appointment. Or they have to wait in their cars with their animal outside of their clinic. And, according to Vetster, 50% of pet owners don't even have an established home clinic.“There was a poll recently that showed 37% of American households welcomed a new pet into their home during the pandemic. Pandemic puppies are a real thing,” Machell said.“I think it offers a great addition to the tools I have at my disposal. Telehealth can be used very much the same way,” said Dr. Douglass Kratt, president of the American Veterinary Medical Association. The AVMA serves roughly 96,000 veterinarians across the country. They've been through a lot this year, adjusting to new norms, like all of us. As in human medicine, they've had to perfect, or initiate virtual options.“It doesn’t replace your veterinarian. What it does is help your vet better serve you and your family member,” Kratt said.Kratt admits there are some obvious challenges.“I can’t hear if your dog is coughing, I can’t listen to the heart and lungs via telemedicine so that wouldn’t be amenable,” Kratt said.He says, however, it's effective overall, and especially worthwhile if it's with your established vet. But if you don't have one, Vetster and other businesses like it aim to help.“There are so many pets and pet owners who sometimes sit on things and aren’t sure if they need to go into a clinic, really appreciate that piece of mind in the middle of the night that no, you don’t need to pack yourself up and get into a vet clinic. This is something you’re okay to wait until the morning,” Machell said.And she says they're prepared to help all animals from pocket pets to exotic and large animals. It’s yet another adjustment and another pivot in 2020. 3131

White House chief of staff John Kelly was interviewed by special counsel Robert Mueller's team in recent months, three people with knowledge of the matter told CNN.Kelly responded to a narrow set of questions from special counsel investigators after White House lawyers initially objected to Mueller's request to do the interview earlier this summer, the sources said. Kelly is widely expected to leave his position in the coming days and is no longer on speaking terms with President Donald Trump, CNN reported earlier Friday.Kelly is the latest high-ranking White House official known to provide information for Mueller's investigation, though his interview marks a departure of sorts since Kelly didn't join the White House until July 2017. Most of the dozens of other interviews have been with people who were associated with the Trump campaign, were part of the transition or served in the early part of the administration.The Mueller questions to Kelly centered on a narrow set of issues in the investigation of potential obstruction of justice, chiefly Kelly's recollection of an episode that took place after new reporting emerged about how the President had tried to fire Mueller. The President was angry at then-White House counsel Don McGahn about what had been reported by The New York Times. McGahn had refused to publicly deny the reporting. The special counsel wanted to try to corroborate McGahn's version of events.The White House counsel's office had initially fought the Mueller request. One source familiar with the matter said that Emmett Flood wanted to make sure "ground rules" were negotiated."In order to question a government official about things that happened during the course of government business, you've got to show that it's highly important and you can't get it anywhere else," the source said.The source noted that the Kelly request came at a sensitive time, following raids of the home and office of Michael Cohen, the President's now-former lawyer.The resistance to Kelly doing an interview represented a key turn by the President and his attorneys who had previously allowed the special counsel to interview current and former White House staff and handed over hundreds of thousands of documents.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 2339

White House press secretary Sarah Sanders on Tuesday defended President Donald Trump's silence on allegations leveled against him by porn star Stormy Daniels, maintaining that while the President is a "counter-puncher," he doesn't necessarily punch back at every story.Daniels, whose legal name is Stephanie Clifford, has saturated the news in recent days, after Anderson Cooper interviewed her over her alleged affair with Trump on CBS' "60 Minutes." Trump so far declined to respond to her on Twitter or otherwise, a rarity for a President who rarely holds back.Sanders said even though she has previously described Trump as a "counter-puncher," she didn't say he "punches back on every single topic.""If he did he would probably be addressing a lot of the stories that most of you write every single minute of every single day," Sanders told reporters. "He also has a country to run. And he is doing a great job with that. ... Sometimes he chooses to specifically engage and punch back and sometimes he doesn't."Trump's terse Twitter persona has targeted everyone from Rosie O'Donnell and the cast of Hamilton to his political enemies and one-time friends. But the President has been advised that lashing out on the Daniels story will only make it worse, a tact he is also taking with Karen McDougal, a former Playboy model who recently recounted in a CNN interview the details of what she alleges was a lengthy affair with the then-businessman.Trump has denied both women's claims.Daniels, in her interview with 60 Minutes, alleged that shortly after she tried to sell her story about her alleged affair with the now-President, a man approached her in the parking lot of a fitness center."And a guy walked up on me and said to me, 'Leave Trump alone. Forget the story,' " Daniels said. "And then he leaned around and looked at my daughter and said, 'That's a beautiful little girl. It'd be a shame if something happened to her mom.' And then he was gone."Daniels, as part of a hush agreement, was paid 0,000 by Trump's longtime personal lawyer Michael Cohen days before the 2016 election. Daniels said she was risking a million fine for potentially violating her nondisclosure agreement "because it was very important to me to be able to defend myself."Sanders once again denied the allegations leveled by Daniels, but declined to get into the details of the porn star's allegations or the payoff she received."That is a question you would have to ask the President's attorney," Sanders said. "I certainly cannot speak for him. I can only speak on behalf of the White House."Pushed on the matter, Sanders stood her ground and declined to comment."The President has denied the allegations," Sanders said. "Anything beyond that I would refer you to the outside counsel and his attorney." 2823

While officials in Puerto Rico placed the official death toll from last year's Hurricane Maria at 64, researchers from Harvard believe the death toll was actually in the thousands. According to Harvard's study, there were an estimated 4,645 deaths directly or indirectly tied to the hurricane, which struck the island in September. Harvard estimated a mortality rate of 14.3 deaths per 1.000 people from September 20 through December 31, 2017 in Puerto Rico. Harvard said in its study that it believes its estimate is rather conservative due to a "survivor bias."Harvard conducted the study by performing a random survey of 3,299 households in Puerto Rico. "In our survey, interruption of medical care was the primary cause of sustained high mortality rates in the months after the hurricane, a finding consistent with the widely reported disruption of health systems," the study says. "Growing numbers of persons have chronic diseases and use sophisticated pharmaceutical and mechanical support that is dependent on electricity. Chronically ill patients are particularly vulnerable to disruptions in basic utilities, which highlights the need for these patients, their communities, and their providers to have contingency plans during and after disasters."Part of why there the death toll might have been underreported is due to how hurricane-related deaths are counted. In order to have a death counted as storm related, bodies had looked at by a medical examiner, which required a body to be transported to San Juan, or the medical examiner to travel to remote locations. With a lack of electricity and blocked roads, some bodies were likely buried before the government could count fatalities. Maria is considered the third-costliest hurricane in US history.  1816

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