铜山哪有算命准的(铜陵算命准的是哪里) (今日更新中)

When the Trump administration required nursing homes to report their COVID-19 cases, it also promised to make the data available to residents, families and the public in a user-friendly way.But some facilities that have had coronavirus cases and deaths turn up as having none on Medicare’s COVID-19 nursing home website. Those data may be incomplete because the reporting requirements don’t reach back to the start of the pandemic. Numbers don’t necessarily portray the full picture.“The biggest thing that needs to be taken away ... is in its current form, it is really leaving consumers in the dark,” Sam Brooks, project manager for Consumer Voice, said of Medicare’s data website. Consumer Voice is a national advocacy group for improved quality in long-term care.Nursing homes are only required to provide the government with data on coronavirus cases and deaths among residents and staff as of May 8, or more than two months after the first outbreak in a U.S. facility was reported. Nursing homes have the option of full disclosure, but not all have taken it, and there is no penalty for withholding older data that may reflect poorly.The missing information from early in the pandemic leads to some puzzling results on the website.For example, a nursing home that had one of the first major reported outbreaks in the country — Life Care Center of Kirkland, Washington — shows no confirmed COVID cases and no deaths on the CMS data page.A spokesman for Life Care Centers of America, a major chain, said the company is providing the information the government requested.“We are reporting what CMS is asking us to report to them,” said Tim Killian. “We are not evading them in any way.“The Kirkland facility is now COVID-free and it has been for some time,” Killian added. The data showing no cases “is a snapshot of what is currently in the facility.”The company said its cumulative count shows 100 residents tested positive, and 34 died. “You can ask us directly and we’ll give you the exact numbers,” said Killian.But consumer advocate Brooks said that information should be on the CMS site.As it stands, the site “doesn’t tell the whole picture,” he said. “You are not going to be able to look at a home and make an informed decision.”The federal Centers for Medicare and Medicaid Services, which sets standards for nursing homes, said protecting nursing home residents is a top priority, and “transparency and information sharing has proven to be one of the keys to the battle against this pandemic.”But CMS said it lacked the legal authority to require nursing homes to disclose COVID information from before the effective date of its reporting rule in May.On Capitol Hill, there is pressure for more information.Sen. Chuck Grassley, R-Iowa, recently introduced legislation that would require nursing homes to report coronavirus cases and deaths going back to Jan. 1, a push that has bipartisan support.The estimated 1.4 million people living in some 15,500 nursing homes represent a tiny share of the U.S. population, but they have borne a disproportionate share of coronavirus deaths. Nursing homes are only now starting to emerge from a national lockdown that took effect in mid-March.According to the latest CMS figures, more than 33,000 nursing home residents have died in the pandemic. A running tally by The Associated Press, which also includes other long-term care facilities and staff as well as residents, shows more than 55,000 deaths.Depending on the total count, that translates from about one-fourth of the deaths to more than 40%, strikingly high proportions in either case.Coronavirus data for nursing homes do not appear directly on Medicare’s NursingHomeCompare website, the main portal for consumers trying to research a facility on behalf of a family member or friend. Instead, a link takes users to a different COVID-19 site that features statistics and a national nursing home locator map.Finding information on individual nursing homes via the data website can be confusing.If users type in a ZIP code or the name of a nursing home, the website’s locator map will display some small red dots near a larger marker icon, which also has a big dot in the middle.Instructions say click on one of the dots. But which one?The data is under the small red dots, not the larger locator, which instinctively draws the user’s eye.“I would click on the big dot,” said policy attorney Toby Edelman of the Center for Medicare Advocacy, which represents enrollees. “Why would I look for this thing that I can barely see?”CMS said it has received no reports related to search problems although more than 100,000 individuals accessed the site in June.The agency says it will continue to evaluate the usability of the website to ensure it meets consumer needs. 4782

Wildfires continue to rip through the Western United States, destroying homes, businesses, and parks.“We know that they can get exponentially large very quickly,” James Marugg, division chief for San Miguel Fire and Rescue in California, said.Those on the front lines like Marugg say each year, the blazes seem to get more destructive.“Prevention is key and it’s defensible space, and the extra few minutes that defensible space gives us to be able to set up a perimeter, be able to get in and make the difference for someone's home," Marugg said.Defensible space is the area closest to a building, which is cleared of vegetation to help slow the spread of the flames.“Defensible space equals time,” Marugg said. Now, firefighters out west are getting some much-needed assistance in getting rid of some of that vegetation, from a team that’s hungry to help."Fifteen years ago, I’d say people need to wake up,” said Johnny Gonzales, the field operations manager for Environmental Land Management.Gonzales showed us a herd of almost 300 goats. It's not a petting zoo, but a work zone. “I see it as a work zone,” he said. “They’re coming in here and eating what we consider flash fuels. And that's basically broadleaf weeds, grasses, brush.”It's all that stuff you can see in between the trees in a field. The difference between before and after is noticeable.“Our goal is to bring back nature into the equation of fire control,” Gonzales said. “We’re not raising these goats to go to the market. These goats are true urban foresters if you will.”Hundreds of goats, right near the road and adjacent to homes.“Goats, depending on the time of year, can eat about 7 to 12 percent of their body weight,” Gonzales said. On this current project next to Cuyamaca College, the goats are getting through about an acre a day.“Our college actually sits on 165 acres of wildlife, and yet, you can see it’s completely overgrown. There’s non-native dry brush, and just a few weeks ago before the goats were here, we actually had a fire on campus,” Nicole Salgado, interim vice president of administrative services at Cuyamaca College, explained. “It poses a risk not only to our college but the surrounding community.”Hiring the goats just made sense for them, cost-wise.“To have the goats here, it’s 30 percent less than that of a human crew,” Salgado said.“You're as safe as your neighbor, and then it turns into you’re as safe as the block and your community. We’re now a whole state that's in need of fire fuel mitigation,” Gonzales explained.It helps out firefighters when it comes time to put out flames. Less dry brush means slower spread of flames.“You harden your house to keep a burglar from coming in, you need to do the same with wildfire. You need to look at it and think what are my vulnerabilities,” Marugg said.There’s also another trend he said is impacting the number of homes we lose to fire.“There’s more houses in the woodland area and we have to respond to them quicker, otherwise we lose more homes,” Marugg said.“Each year, the limits for the development lines still get higher and higher. More homes are being built in the mountains, Essam Heggy, a research scientist at the University of Southern California, said.“Our visual understanding of the environment we’ve been living in, in many places have been [associated] to the malls we visit and not to the environment that’s surrounding us. This disbelief in the complexity of our environment is the main driver of these hazards."As we near the end of wildfire season, Gonzales and his herders continue to clear up the spaces they can year-round, in a sustainable way.“I see this in the future becoming as common as trash pick up,” Gonzales said. “They really may be historically, and in the future, one of the greatest things of all time for fire fuel mitigation.” 3832

When Hurricane Michael barreled through Florida's Mexico Beach, it reduced the beachside town to pile of rubble, mangled structures and splintered houses.These aerial images from NOAA offer a stark look at how there's nothing left in some parts where houses once stood.Most houses in the northern section of Mexico Beach, where the canal and marina start, aren't there anymore.The pier toward the bottom of the image, isn't either.Zooming in closer on the marina, the debris from houses is piled up on the northern shore of the canal.The boat moorings, gone. And the debris field extends into the trees beyond the canal. 628

WILMINGTON, Del. – A video has been released that appears to show the moment former vice president Joe Biden asked Sen. Kamala Harris to be his running mate.Harris tweeted the video out Wednesday morning, a day after it was announced that she would join the presumptive Democratic presidential nominee on the ballot as the party’s vice presidential nominee.We are in a battle for the soul of this nation. But together, it's a battle we can win.@JoeBiden—I'm ready to get to work. pic.twitter.com/3PJcUTYBGU— Kamala Harris (@KamalaHarris) August 12, 2020 In the video, dated Tuesday, Aug. 11, Biden asked Harris over video chat if she’s “ready to go to work.”“Oh my God. I’m so ready to go to work,” Harris responds.Harris then goes on to talk a little bit about her background as a Black woman who became a lawyer to fix a broken justice system, her time as the attorney general of California, and her work as a U.S. senator representing The Golden State.The senator explains why she’s joining Biden in the “battle for the soul of this nation.”Lastly, the video cuts back to Harris speaking with Biden over the computer.Biden asks, “First of all, is the answer yes?”She responds, “The answer is absolutely yes, Joe. And I am ready to work. I am ready to do this with you, for you. I’m just – deeply honored and I’m very excited.”Shortly before the video was released, President Donald Trump addressed Biden’s choice for VP on Twitter, saying “@KamalaHarris started strong in the Democrat Primaries, and finished weak, ultimately fleeing the race with almost zero support. That’s the kind of opponent everyone dreams of!”Trump also released an attack ad when Biden made his VP announcement Tuesday. The video called Biden “not that smart” and accused Harris of “rushing to the radical left” during her campaign for president.pic.twitter.com/jXoffXyZed— Donald J. Trump (@realDonaldTrump) August 11, 2020 Biden and Harris are expected to hold a press conference in Delaware at 4:30 p.m. ET Wednesday, appearing for the first time together as running mates. 2062

WEST PALM BEACH, Fla. — The release of a sealed deposition of Ghislaine Maxwell, disgraced financier and convicted sex offender Jeffrey Epstein's longtime confident, was delayed until Monday, court records show.A federal judge ordered the release be held until Monday, providing Maxwell a brief window to appeal a previous order unsealing the record. The deposition was initially scheduled for release Thursday.Maxwell, 58, faces criminal charges in federal court of enticement and conspiracy to entice minors to travel to engage in illegal sex acts, transportation, and conspiracy to transport minors with intent to engage in criminal sexual activity, and two counts of perjury.Maxwell was arrested in early July and pleaded not guilty to those charges. A judge denied bail in the case and ordered Maxwell held in jail, pending her trial.The judge overseeing the civil case denied Maxwell's request to outright block the release of the sealed documents.The documents are part of a 2016 civil lawsuit filed by Epstein accuser Virginia Giuffre, and include emails and depositions by others, including Giuffre and an anonymous Epstein accuser. The case was settled in 2017, but Giuffre has since fought to have records previously sealed in the case released publicly.The judge set a trial date in Maxwell's criminal case for July 2021.This story originally reported by Erik Altmann on wptv.com. 1401

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