山西肛瘘门诊(山西引起大便出血原因) (今日更新中)

Roughly 40 million people are estimated to wear a fitness tracker of some kind. Now one of those brands, Fitbit, has teamed up with researchers to try and predict COVID-19 symptoms before they start."About seven years ago when these Fitbits and things were coming out as fitness trackers, we said, Well they're probably pretty good physiological markers, not just fitness markers," said Dr. Michael Snyder with Stanford University's School of Medicine.Dr. Snyder says they were first able to use the technology to help them catch early signs of Lyme disease. The current pandemic has prompted them to take their research a step further."They're mostly built around heart rate which we think is better than skin temperature because not everyone gets a fever with COVID," said Dr. Snyder.Stanford's study is taking place in two phases. In the first, researchers evaluated six months of data in a majority of patients who tested positive for COVID-19. Their research showed COVID-19 patients had an elevated resting heart rate up to nine days before showing any symptoms of the virus."I view these as health monitors in the current pandemic. If we start flagging people as early as possible we’re going to be way [ahead in reducing] the number of cases, probably help people in saying no you shouldn’t go to work today. So, it has broad implications for the economy, pandemic spread and personal health period," said Dr. Snyder.Senior Vice President and General Manager of Fitbit Health Solutions, Amy McDonough, agrees."In particular, resting heart rate, heart rate variability, breathing rate all might change as your body is fighting off illness. So the study is really to look at what are the expressed changes that might happen," said McDonough."I think your immune system engages pretty quickly when you get ill and the cells are probably consuming a lot of energy and your heart needs to pound away to create some of them," said Dr. Snyder.Stanford's second phase of the study starts soon. People who have a fitness tracker can sign up and anonymously share their fitness data. Then, they can get alerted when researchers detect an elevated resting heart rate and possible early signs of contracting a virus."To be able to do that earlier detection can help keep people safe and help understand their body and when they might be fighting off illness," said McDonough.Dr. Snyder is confident in the technology, which he says helped him detect his own case of Lyme disease. "In one case which was on me, it was pretty clear I was ill because of the bio marker but I didn’t feel symptoms and my watch even picked that up. So what that tells you is it can detect disease when you’re presymptomatic as well as in asymptomatic cases which is pretty powerful," said Dr. Snyder.People can sign up for Stanford's study by logging into their Fitbit app or heading to innovations.stanford.edu.As for what Dr. Snyder hopes to take away from this study, he said "I hope to plant a wearable device on every person on the planet. Sixty percent of people have a smartphone so it's totally scalable. These are not expensive devices. They could be a lot cheaper than they are and obviously the ones in the future will be much more health-oriented."Eventually they hope to be able to detect the severity of an illness, as well. 3320

RICHMOND, Va. — Virginia has removed from its iconic state capitol the busts and a statue honoring Confederate generals and officials.That includes a bronze statue of Gen. Robert E. Lee positioned in the same spot where he stood to assume command of the state’s armed forces in the Civil War nearly 160 years ago.Virginia House Speaker Eileen Filler-Corn quietly ordered the Lee statue and busts of generals J.E.B. Stuart, Stonewall Jackson, Confederate President Jefferson Davis, and others removed from the historic Old House Chamber.A crew worked through the night Thursday to have them out of the Capitol by Friday morning.The other Confederate statues removed included:Joseph E. JohnstonFitzhugh LeeAlexander H. StephensThomas BocockThomas J. "Stonewall" JacksonJames E.B. "Jeb" StuartJefferson F. DavisMatthew F. Maury 832

SACRAMENTO, Calif. (AP) — California may join many other states in allowing 17-year-olds to vote in primary and special elections, if they will turn 18 before the following general election, under a proposed amendment to the state constitution approved Thursday by the state Assembly.If two-thirds of senators agree, the measure would to go to voters for their consideration in California's March primary election, but it would not affect next year's elections.The measure passed, 57-13, over objections from Republican Assemblyman James Gallagher of Nicolaus that it's a ploy to lure more Democratic-leaning young voters.RELATED: California Gov. Gavin Newsom signs bill on presidential tax returnsThe measure "is being veiled as something that helps expand the franchise" but "has mostly a more political ulterior motive in the long term," Gallagher said. "That's what is really going on here."Democratic Assemblyman Kevin Mullin of San Francisco said the practice has been adopted in other states that lean Republican, and the goal of his measure is to "empower California's youngest voters" and encourage a habit of life-long voting."The time has come for California to join in pursuing what so many other states have done," Mullin said.The National Conference of State Legislatures says the practice is permitted in at least 17 states: Connecticut, Delaware, Illinois, Indiana, Kentucky, Maine, Maryland, Mississippi, Nebraska, New Mexico, North Carolina, Ohio, South Carolina, Utah, Vermont, Virginia, and West Virginia, as well as the District of Columbia. Some states that use caucuses also allow 17-year-olds to participate, though the rules are generally set by each political party."It's not driven by a Democratic idea in California," said Democratic Assemblywoman Lorena Gonzalez of San Diego, listing some of the more conservative states. "To suggest that there's some political play going on I think is disingenuous. ... It's good for the process, it's good for them, and it's our way to develop lifelong voters."The measure is supported by groups including the League of Women Voters of California. It's opposed by the Election Integrity Project California Inc., which noted that 17-year-olds are still considered children, mostly in high school, who may be easily influenced by their parents and teachers.The measure is separate from another proposed amendment to the California constitution that would lower the voting age from 18 to 17 even in general elections. That measure is awaiting an Assembly vote.California is among 14 states that allow 16-year-olds to pre-register to vote, but they can't currently vote until they turn 18. Nine other states set different pre-registration ages.Berkeley voters in 2016 allowed 16- and 17-year-olds to vote in local school board elections, but a similar measure failed in nearby San Francisco. 2861

SACRAMENTO, Calif. (AP) — As the political battle to overturn California's gas tax increase intensified, the state transportation agency coordinated frequently with the public affairs firm working to block the repeal on behalf of unions, construction companies and local government groups, emails obtained by The Associated Press show.The California State Transportation Agency and Sacramento-based Bicker, Castillo & Fairbanks organized news conferences and other efforts to promote legislation to raise the tax to fund road and bridge repairs, which passed the Legislature in April 2017. After Gov. Jerry Brown signed it, the agency and firm continued planning events and coordinating social media posts as opponents gathered signatures for repeal.Three ethics experts interviewed by the AP said the emails raise concerns that the agency's relationship with the firm was too close, but none saw a clear violation of campaign laws, which prohibit the use of public resources for political campaigns.REPORT: Gas tax funds reportedly being used to campaign against Prop 6The repeal qualified for the November ballot in June. The firm, BCF, continues to work for the anti-repeal coalition, which includes the League of California Cities and the California Chamber of Commerce.Some communications between BCF and the state agency involved politics, according to more than 200 emails from 2017 and the first half of this year obtained by the AP through the California Public Records Act.Last fall, the agency and firm discussed opinion pieces "targeting" U.S. Rep. Darrell Issa and three other vulnerable Republicans in Congress. National Democratic leaders see those seats as key to winning control of the U.S. House.RELATED: Caltrans' gas tax freeway signs raise concerns with FedsIn January, a BCF partner, Kathy Fairbanks, communicated with the agency about designing a campaign logo for Proposition 69, a June ballot measure involving how gas tax proceeds are spent. And an undated memo shows the agency and firm also planned to coordinate efforts for several months through the primary.Loyola Law School Professor and government ethics expert Jessica Levinson said the relationship between the firm and agency appears too close, and the exchange about the congressmen crossed an ethical line.RELATED: California campaign watchdog investigates gas tax campaign"I mean way over the line," she said.BCF and agency officials said the communications were appropriate to educate the public about the law and that they ramped down coordination when the firm took an official campaign role."Clearly the agency was trying to coordinate with the campaign, and they shouldn't have," said Bob Stern, a government ethics expert who helped write California's campaign laws. But he added the actual amount of time government workers spent coordinating with the firm was likely minimal.Ann Ravel, who served on the Federal Election Commission and California's Fair Political Practices Commission, said the volume of emails raises questions about whether the agency aided one side.RELATED: Poll: Support strong for Proposition 6, which repeals California's gas tax"It seems like maybe it's a little too cozy, but I wouldn't say that it's clearly inappropriate," Ravel said.The legislation approved last year raised gas taxes by 12 cents per gallon and added diesel and vehicle fees to generate billion annually. Proposition 6 would repeal the increase and require voters approve gas and vehicle tax increases.The ballot measure is a centerpiece of California Republicans' efforts to boost turnout. GOP Congress members — including House Speaker Paul Ryan of Wisconsin, Majority Leader Kevin McCarthy of Bakersfield and Orange County's Mimi Walters — are among the repeal's biggest financial backers.Leaders of the repeal campaign have asked the federal government to investigate their claims that public resources have been used against them, based on emails and other documents that show local government workers discussing the repeal effort. Those documents are different from the ones the AP obtained. Opponents also circulated a video of a Caltrans contractor passing out anti-Proposition 6 fliers to drivers.The California Department of Transportation, known as Caltrans, falls under the state transportation agency.Melissa Figueroa, the agency's deputy secretary for communications and strategic planning, said it's the agency's job to inform the public about the impact of laws, and it has done so in the past, including for California's "motor voter" registration law."We're trying to be good stewards of taxpayer dollars," Figueroa said.The agency communicated much less frequently with the firm and stopped coordinating social media posts once the official anti-Proposition 6 campaign started, Figueroa said."Prior to that point, it was more of a collaborative effort because they were not in campaign mode," Figueroa said.BCF partner Brandon Castillo said the coalition registered as a fundraising committee in December and officially became a ballot measure campaign in March to support Proposition 69.BCF and other gas tax supporters routinely asked the agency for information, but they did not coordinate on creating campaign materials, Figueroa said. The agency also fulfilled numerous public records requests filed by gas tax opponents, she said.However, an undated memo outlining agency and coalition plans from March through the primary election shows the firm and the agency coordinated the timing of announcements and events. It details plans for the state to tout new construction projects while the coalition campaigned for Proposition 69.The agency and coalition coordinated their schedules, but the agency wasn't involved in campaigning for Proposition 69, Figueroa said.Castillo sent the email about op-eds focused on GOP candidates Sept. 20, 2017."Hey Melissa — We're penning opeds (sic) targeting the following congressional republicans," he wrote. He identified Reps. Jeff Denham, Steve Knight, Walters and Issa and asked Figueroa for information about projects funded by the gas tax increase in their districts.At the time, the coalition was working to persuade California's influential Republican congressional delegates to reject the repeal.Several days after Castillo's email, Figueroa suggested she or Brian Kelly, then the agency's leader, help find an author for the piece targeting Issa, considered the most vulnerable California incumbent before he decided against seeking re-election.Castillo responded saying coalition members were working on it and asked: "Do you have anyone in mind that could influence Republicans/Issa?"The documents obtained by the AP don't include further exchanges on the issue. In interviews, Castillo and Figueroa said the agency never suggested an author. Figueroa said she offered help because the op-ed would educate people in Issa's district.The piece ultimately was written by the mayor of Encinitas, a suburb north of San Diego, and ran the following month in the San Diego Union-Tribune. It touted projects in the district funded by the gas tax increase but didn't mention Issa.Levinson found the exchange surprising because it seemed to directly reference campaign activities."I don't want to say it's a smoking gun, but that is so much more explicit than I ever would have predicted they would be," she said.Prominent gas tax repeal supporters, including gubernatorial candidate John Cox and conservative activist Carl DeMaio, criticized the agency's activity."It's against the law, and it also shows that you can't trust them with money," DeMaio said. "I think that what you're seeing is just the tip of the iceberg." 7732

SACRAMENTO, Calif. (AP) — A former Democratic California lawmaker was fined 0,000 Thursday after an audit found he spent political contributions on a vacation in Asia, personal plane tickets and remodeling his vacation home in Hawaii.The Mercury News of San Jose reports that the Fair Political Practices Commission found Joe Canciamilla violated campaign finance laws at least 30 times, used 0,529 in campaign funds from 2011 to 2015, and falsified state filings to cover it up.Canciamilla, 64, resigned as Contra Costa elections chief last month. He was the youngest public official in state history when he was elected at age 17 to the Pittsburg school board. He later served on the Pittsburg City Council and Contra Costa County Board of Supervisors before winning three terms in the state Assembly as Democrat in 2000.He opened a campaign account for a county judge seat in 2011 but ultimately did not run. He was appointed clerk-recorder in 2013 and won election to the office twice.An investigation by the commission’s enforcement staff found that Canciamilla repeatedly mixed campaign contributions with his personal funds starting in 2011. He spent ,000 from campaign funds on a vacation to Asia and bought plane tickets for a trip to London and Washington, D.C. for him and his spouse and used campaign money to pay off credit card charges incurred from remodeling his house in Hawaii.The commission’s enforcement staff recommended a maximum fine of ,000 per count, or a total of 0,000 for 30 counts. Canciamilla agreed to the settlement earlier this month, which the commission formally approved Thursday.Canciamilla’s lawyer Andy Rockas said in a statement that Canciamilla has paid back the disputed amounts and the fine, takes full responsibility for his actions and hopes the fines won’t severely overshadow his 46 years of public service.The commission has also referred the matter to the county district attorney’s office, which is conducting a review and could bring criminal charges. 2024

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