山西的肛肠科(山西大便流血怎么办) (今日更新中)

Dr. Jose Nieves has been a critical care physician on the frontlines as a hospital intensivist, working at two hospitals in South Jersey--Jefferson Washington Township and Jefferson Cherry Hill hospitals.“When this all first started, we knew things were starting to pick up in Seattle and New York, and you felt it coming down our way,” recalled Dr. Nieves.When the pandemic first struck in the United States, the doctor felt fortunate, because his hospital system had a chance to gather enough PPE gear, create a plan, and brace for it. However, when the surge started in his hospitals, he realized all the planning still could not prepare healthcare workers on the frontlines for what they were dealing with.“It was pretty terrifying,” said Dr. Nieves, “A lot of the stuff we had prepped and talked about in our own little training sessions, you know, was very much kind of like, I wouldn’t say thrown out the door, but it was a lot of rushed implementation of stuff we had never done before."As he would be working on one patient with COVID-19 symptoms, another would walk in. There were days when five potentially COVID-19 positive patients with severe symptoms were walking in at the same time. Physicians were working around the clock to try to save lives while trying to learn about the virus.“The people that were at home were just researching trying to throw data at the people that were in, and when you were in shift and they were out, they were doing the same thing,” said NievesDespite all their efforts, there were days they couldn’t save everyone, and those were the hardest. For Dr. Nieves and his team, the loss of a pregnant mother and her unborn child was the toughest.“Having that traumatic event occur, at an already high stressful level, the staff really had to be gathered around and supported, because people were in tears. It was devastating,” he explained.On top of that, he also couldn’t go home and get a much-needed comforting hug from his girlfriend, for fear of exposing her to the virus.“That, for me, started to hammer it home; that there really was no break from this,” Nieves added.Having no break from the virus coupled social distancing needed to curb its wrath, it was taking a toll on many healthcare workers around the country.“The toll for some people at some points was that they didn’t think that they could do this anymore, that this wasn’t going to be their profession any further and that is always hard to see,” said Dr. Nieves.Jefferson Health leaders saw the toll the pandemic was taking on staff and stepped in early on, leading town halls for workers to vent and offering counseling. Other hospital systems around the country are now doing the same. Seeing the toll the pandemic has had on healthcare workers, Dr. Nieves knows first-hand how important that is and will be for so many on the frontlines of this pandemic.“Doctors that you saw last year are not going to be the same mentally and emotionally in the coming years,” Dr. Nieves explained. 3007

Dining out frequently is known to increase one's intake of unhealthy sugars and fats. But a new study suggests that there's another reason to eat at home more often: phthalates.Phthalates are potentially harmful chemicals found in hundreds of consumer products, including perfumes, hair sprays, shampoos and the plastics used in food processing and packaging.Consumption of these chemicals has?been linked to birth defects in young boys as well as behavioral problems and obesity in older children and adults. Exposure in utero can alter the development of the male reproductive tract, resulting in incomplete descent of one or both testicles.Scientists also suspect that the chemicals can disrupt hormones and may cause fertility problems. They've connected them to childhood obesity, asthma, neurological problems, cardiovascular issues and even cancer."Phthalates are a class of synthetic chemicals known as endocrine disruptors, meaning they affect hormones in the body," said Dr. Sheela Sathyanarayana, an associate professor of pediatrics at Seattle Children's Hospital and the University of Washington and past chairwoman of the Environmental Protection Agency's Children's Health Protection Advisory Committee, who was not involved in the study. "Hormones are essential for normal body functions such as reproduction or metabolism."The?study, published Wednesday in the journal Environment International, found that the phthalate levels of participants who had eaten at restaurants, cafeterias and fast-food outlets in the previous day were 35% higher than those who reported eating food purchased at the grocery store.Those who dined out were probably exposed to the chemicals via foods that had been in contact with plastic packaging, said Ami Zota, an assistant professor of environmental and occupational health at George Washington University and a leading author on the study."The main idea is that food that is made in restaurants and cafeterias may be coming into contact with materials containing phthalates in part because some portion of the food is made in decentralized locations," Zota said."Most of the phthalates that are of most concern from a health perspective are plasticizers; they're added to make plastics soft," she added. "They're added to food packaging, they can be in food handling gloves, and they can be found in food tubing."The study relied on data collected between 2005 and 2014 from the National Health and Nutrition Examination Survey, administered every two years by the US Centers for Disease Control and Prevention. It included 10,253 people who were asked about their dining habits over the past 24 hours and who provided urine samples to evaluate phthalate levels in the body.The researchers found that about two-thirds of respondents reported dining out at least once the previous day. Those who dined out also had significantly greater levels of phthalate metabolites in their urine.This association was consistent across all ages, genders and ethnicities, but it was strongest among teenagers who ate out: They had phthalate levels 55% higher than those who ate at home."The association between phthalate exposure and dining out existed in all age groups, but the magnitude of the association was highest for teenagers," Zota said. "Certain foods, especially cheeseburgers and other sandwiches, were also associated with increased levels of phthalates, but only if they were purchased from a dining-out establishment."This is not the first time phthalate levels have been linked to food sources. In 2016, Zota led?a study?that showed a connection between phthalate exposure and fast-food restaurants. The new study expands on this research by showing that the link persists even when eating at other types of establishments, such as sit-down restaurants and cafeterias, she said."We first used this methodology to focus on fast food and found some striking associations between recent fast food consumption and phthalate exposure," Zota said. "And now, we extended that to see if the findings were unique to fast food, or how do they compare to other food outlets that may reflect other types of food processing and manufacturing systems?"Last year,?a report found high concentrations of phthalates in macaroni and cheese mixes, which prompted a push for additional regulation of the chemicals in food. Although the US Food and Drug Administration monitors levels of phthalates in a number of cosmetics, it does not regulate its presence in food or beverage products."Policy would need to focus on reducing phthalate exposures in food production processes. Food manufacturers would need to know about sources of contamination and work to reduce these," Sathyanarayana said. "The other way to approach it is to either reduce or ban phthalate use in food manufacturing."The good news, though, is that phthalates linger in the body for only about a day. Changing your eating habits and consuming more home-cooked meals could therefore have almost immediate health benefits, according to Zota."Preparing food at home may represent a win-win," Zota said. "Home-cooked meals can be a good way to reduce sugar, unhealthy fats and salt, and this study suggests that they may not have as many harmful phthalates as restaurant meals."The other important point is that these chemicals are ubiquitous in the environment," she added."So, to really reduce everyone's exposure to these potentially harmful chemicals, we need systemic changes to how our food is produced and transported, and that's going to require changes in policy as well as market-based solutions." 5643

EL CENTRO, Calif. (KGTV) - Church leaders in San Diego, El Centro, and Brownsville, Texas were arrested Tuesday on suspicion of subjecting homeless people to forced labor, according to U.S. Department of Justice officials.U.S. Attorney for the Southern District of California Robert Brewer said those charged coerced the victims to give up their welfare benefits and forced them to panhandle up to 54 hours a week.Twelve people said to be leaders of Imperial Valley Ministries (IVM) are charged with conspiracy, forced labor, document servitude, and benefits fraud, said Brewer.“The indictment alleges an appalling abuse of power by church officials who preyed on vulnerable homeless people with promises of a warm bed and meals,” said Brewer. “These victims were held captive, stripped of their humble financial means, their identification, their freedom, and their dignity.” IVM is headquartered in El Centro and operates about 30 churches in the U.S. and Mexico including locations in Las Vegas, Phoenix, Los Angeles, Santa Ana, and San Jose. The church’s stated purpose is to “restore” drug addicts at faith-based rehab homes, the Department of Justice said in a news release. The church operated one group home in Chula Vista, along with others in El Centro and Calexico. Many victims were recruited in San Diego, officials said. Defendants include Jose “Chito” Morales of San Diego, Ana Robles-Ortiz, Jose Gaytan, Sonia Murillo, Arnoldo Bugarin, Azucena Torres (aka Susana Bugarin), and Sergio Partida of El Cajon, and Victor Gonzalez, Susan Leyva, Jose Diaz, Mercedes Gonzalez (aka Mercy Diaz), and Jose Flores of Brownsville, Texas. IVM leaders allegedly “inducted many to participate with offers of free food and shelter with the false promise that victims would be provided with resources to eventually return home,” according to the DOJ. The homeless people would check in to the homes and sign agreements to stick to the IVM rules such as “you are not to discuss things of the world” and “if any of the rules are broken there will be discipline”, DOJ officials said. Many victims claimed they were held against their will, officials said. The indictment claims church leaders used deadbolts to lock the victims into the homes, and confiscated identifications. Windows were also nailed shut at some group homes, according to the indictment. In one case, a 17-year-old victim broke a window to escape and run to a nearby home to call police. Prosecutors say church leaders also refused to allow a diabetic woman to obtain medicine and food in response to low blood sugar. She was able to escape and get help, officials said. In some situations, IVM members told the victims they would have to stay or they would face punishments, including having their children taken away from them, the DOJ said. Victims were also told loved ones had rejected them and they must stay because “only God” loved them, said officials. Punishments, including talking about the outside world, allegedly included the withholding of food. DOJ officials said IVM leaders also stole victims’ EBT cards and used them for improper purposes. The identified victims are now free and have access to necessary support services. 3214

EL CAJON, Calif. (KGTV) - A threat circulating among Valhalla High School students about a bomb threat against the El Cajon school is unsubstantiated, a Grossmont Union High School spokesperson tweeted Thursday night.Students received a text that appeared to be from CNN and claimed that Grossmont Union High School District schools would be closed Friday, according to the district’s public information officer Catherine Martin. The text is not valid, Martin wrote, adding that schools would be open Friday.RELATED: San Diego County deputies investigate possible threats?to Valhalla High SchoolThe San Diego County Sheriff’s Department is investigating the matter. There was no immediate word about extra security at the school, at 1725 Hillsdale Road. 766

During a Senate hearing Friday, Postmaster General Louis DeJoy explained the operational changes the USPS has made in his time with the agency, adding that he believes the post office will be able to handle increased mail-in voting during the 2020 election."As we head into the election season, I want to assure this committee and the American public that the Postal Service is fully capable and committed to delivering the nation’s election mail securely and on-time," DeJoy said in his opening statement. "This sacred duty is my number one priority between now and election day."Concerning various reports from across the country about distribution centers dismantling mail sorting machines, DeJoy explained that such machines weren't needed and were only operating at about 35 percent capacity. DeJoy added that the machines were removed because they will be replaced with machines that sort packages, as the USPS has seen a decrease in mail delivery and an increase in package delivery.DeJoy did confirm that the USPS has attempted to cut out extra trips by mail carriers, which employees have said have led to significant delays in mail delivery.DeJoy also testified that he hadn't had conversations with Trump administration officials about the USPS' impact on the 2020 general election.DeJoy used his opening statements to urge Congress to adopt legislation that would make changes to USPS' crippling pension system."This year, the Postal Service will likely report a loss of more than billion dollars. Without change, our losses will only increase in the years to come," DeJoy said. "It is vital that Congress enact reform legislation that addresses our unaffordable retirement payments. Most importantly, Congress must allow the Postal Service to integrate our retiree health benefits program with Medicare, which is a common-sense practice followed by all businesses that still offer retiree health care. It must also rationalize our pension funding payments."President Donald Trump has praised the new head of the Postal Service, a Republican donor and ally. But Democrats warn DeJoy’s cost-cutting initiatives since arriving in June are causing an upheaval that threatens the election. Trump raised the stakes by saying he wants to block agency funds to make it harder for the Postal Service to handle the expected surge of mail-in ballots during the COVID-19 crisis.Republican Sen. Ron Johnson, the chairman of the Homeland Security and Governmental Affairs Committee, gaveled open the session dismissing the “false political narrative” that DeJoy is trying to “sabotage” the election.“It is Postmaster DeJoy’s commendable attempt to reduce those excess costs that are now being cynically used to create this false political narrative,” the Wisconsin senator said.The morning hearing was held remotely as Congress is on recess and lawmakers have been conducting much of their business during the coronavirus outbreak in virtual settings.It’s unclear if Sen. Kamala Harris of California, the Democratic vice presidential nominee, will be among those beaming into the session as the week-long Democratic National Convention comes to a close.The outcry over mail delays and warnings of political interference have put the Postal Service at the center of the nation’s tumultuous election year, with Americans rallying around one of the nation’s oldest and more popular institutions.With mounting pressure, DeJoy abruptly reversed course this week, vowing to postpone any further changes until after the election, saying he wanted to avoid even the “perception” of any interference. Blue mailboxes were being been removed, back-of-shop sorting equipment shutdown and overtime hours kept in check.But House Speaker Nancy Pelosi said DeJoy told her in a subsequent phone call he had no intention of restoring the equipment.An internal directive to postal staff said, “They are not to reconnect/reinstall machines,” according to an email obtained by The Associated Press.House Democrats are pushing ahead with a rare Saturday session to pass legislation that would prohibit the actions and send billion to shore up postal operations. Some 20 states, along with voting rights advocates, have sued to reverse the changes.During an interview Thursday on Washington Post Live, Pelosi said Republicans “have been after the post office for a while” as they try to run it more like a profitable business.“A business? No it’s a service,” Pelosi said.Senate Majority Leader Mitch McConnell is eyeing a billion postal rescue as part of the next COVID-19 relief package.“The Post Office is not in trouble,” the GOP leader said Thursday during a home-state stop in Paducha, Ky. “We’re going to make sure that they are able to deliver our ballots on time.”The White House has said it would be open to more postal funding as part of a broader virus aid package.The Postal Service is struggling financially under a decline in mail volume, rising costs from the coronavirus pandemic and a rare, and some say cumbersome congressional requirement to fund in advance its retiree health care benefits.For many, the Postal Service provides a lifeline, sending not just cards and letters, but prescription drug delivery, financial statements and other items that are especially needed by mail during the pandemic.The choice of DeJoy to lead the service, the first postmaster general in nearly two decades who is not a career postal employee, is coming under increased scrutiny.The postal service board of governors, appointed by Trump, selected DeJoy in May to take the job. A GOP donor, he previously owned a logistics business that was a longtime Postal Service contractor. He maintains significant financial stakes in companies that do business or compete with the agency, raising conflict of interest questions.In a statement, the Postal Service said DeJoy has made all required financial disclosures but that he might have to divest some holdings if conflicts arise.Senate Democratic leader Chuck Schumer said this week he has asked for an accounting of how DeJoy was selected, but was previously told by the board of governors some information remains confidential. Schumer said Treasury Secretary Steven Mnuchin played a role in the process.David C. Williams, the former vice chairman of the U.S. Postal Service Board of Governors, on Thursday told lawmakers that he resigned from the board, in part, over DeJoy’s selection, and because he believed the White House was taking extraordinary steps to turn the independent agency into a “political tool.”He said, “I was convinced that its independent role had been marginalized.”Williams, who resigned in April, told members of the Congressional Progressive Caucus at an online forum that DeJoy “didn’t strike me as a serious candidate.”___Associated Press writer Bruce Schreiner in Frankfort, Ky., contributed to this report. 6882

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