枣庄浑身抽搐是怎么回事滨州医院羊癫疯专病哪里好,济南哪家医院看癫痫病专业,山东省羊角疯都有哪些症状去哪治疗较好,山东最佳的治疗癫痫病的时机,河南看癫痫病专业医院,河北最专业的治疗医院羊癫疯专病在哪,济南治疗羊羔疯医院

According to President Donald Trump, the tragic Texas church shooting that left 26 people dead was "a mental health problem at the highest level."If you ask mental health researchers, such mass shootings are much more complicated than that.On Sunday, 26-year-old Devin Kelley sprayed bullets across the sanctuary of First Baptist Church in Sutherland Springs, Texas, about 30 miles east of San Antonio. The youngest killed at the church was 17 months old; the oldest was 77 years old."We have a lot of mental health problems in our country, as do other countries, but this isn't a guns situation," Trump said during a joint news conference Monday in Tokyo."This is a mental health problem at the highest level," he said. "It's a very, very sad event."Trump's response to the Texas church shooting echoed previous comments he has made on gun violence. In 2015, Trump said he was opposed to tightening gun laws in the United States but was in favor of addressing mental health to prevent shootings.Yet various epidemiological studies over the past two decades show that the vast majority of people with severe mental illnesses, such as schizophrenia, bipolar disorder or severe depression, are no more likely to be violent than anyone else.Rather, people with severe mental illnesses are more than 10 times more likely to be victims of violent crime than the general population. And, only about 3% to 5% of violent acts can be attributed to individuals living with a serious mental illness, according to the US Department of Health and Human Services.But those statistics have "almost nothing to do with mass casualty shootings," said Jeffrey Swanson, a professor in psychiatry and behavioral sciences at Duke University who specializes in gun violence and mental illness.So exactly how are mental health and gun violence intertwined, and what is needed to end the violence?Gun violence and mental illness are public health problems "that intersect at the edges" but have very little overlap, Swanson told CNN last year.There's no doubt that America's systems of care for mental health are overburdened, expensive and inaccessible for many who need them, he said. But when it comes to gun violence among this community, suicide tends to occur at higher rates than homicides, he said."If we back up and think about firearm-related injuries and mortality as a public health problem, it turns out there is a mental health-related story, and it's suicide," he said. "If we had better mental health care and could get people better access and break down barriers to care, then yes, we might reduce gun violence by a lot but it would be from reducing suicides."Otherwise, mental illness is just one "highly unspecific" factor that may contribute to gun violence, along with being young, white and male, or a history of violence, Swanson said.Instead of policies that restrict gun access based solely on mental illness diagnoses or because a person has made contact with the judicial system or health care agencies due to mental illness, the American Psychological Association, the National Alliance on Mental Illness and other advocacy groups have called for gun access criteria based on more subtle indicators of potentially dangerous behavior.Those indicators -- such as having past or pending violent misdemeanor convictions or charges, domestic violence restraining orders or multiple DUI convictions -- have been largely informed by the work of Swanson and others.Swanson supports intervention at the point of purchase through comprehensive background checks -- but to make background checks work, criteria for inclusion on the database should be based on other indicators of risk besides mental health history, such as those indicators of aggressive, impulsive or risky behavior."A history of violent behavior is a far better predictor of future violence than mental illness," he said.Calling gun violence a mental health issue is to scapegoat and stigmatize people with mental illness, he said."It's kind of a canard, a convenient explanation that exploits the tremendous fear people have with these horrifying mass shootings," he said. "If people fear those with mental illness they're going to treat them with scorn and support public policies that restrict their liberties."After all, mental illness affects millions of adults across the country.In 2015, there were an estimated 43.4 million adults in the United States with some form of mental illness within the past year, which represented 17.9% of adults nationwide, according to the National Institute of Mental Health.The American Psychological Association recommends prohibiting firearms for high-risk groups, such as domestic violence offenders or persons convicted of violent misdemeanor crimes."Reducing the incidence of gun violence will require interventions through multiple systems, including legal, public health, public safety, community, and health. Increasing the availability of data and funding will help inform and evaluate policies designed to reduce gun violence," according to the association's website.Swanson and his colleagues examined the proportion of people in the United States with impulsive angry behavior who own or carry guns and have a diagnosable mental illness in a paper published in the journal Behavioral Sciences & the Law in 2015.They conducted household surveys with 9,282 people from February 2001 to April 2003, excluding people who carried guns for work, resulting in a response rate of 70.9%.An analysis of the survey results estimated that nearly one in 10 adults has access to firearms and has a problem with anger and impulsive aggressive behavior.These people were more likely to be male, younger and married and to live in outlying areas around metropolitan centers rather than in central cities, Swanson and his colleagues wrote in their paper.They were significantly more likely to meet diagnostic criteria for a wide range of mental disorders, including depression, bipolar and anxiety disorders, PTSD, intermittent explosive disorder, pathological gambling, eating disorder, alcohol and illicit drug use disorders, and a range of personality disorders.What's more, despite evidence of "considerable psychopathology" in many of these respondents, only a very small proportion, 8% to 10%, were ever hospitalized for a mental health problem."Because only a small proportion of persons with this risky combination have ever been involuntarily hospitalized for a mental health problem, most will not be subject to existing mental health-related legal restrictions on firearms resulting from a history of involuntary commitment," Swanson and his colleagues wrote in the paper's abstract.As for Texas gunman Kelley, the state denied him a license to carry a gun, Gov. Greg Abbott said, citing the director of Texas' Department of Public Safety."So how was it that he was able to get a gun? By all the facts that we seem to know, he was not supposed to have access to a gun," Abbott told CNN's Chris Cuomo. "So how did this happen?"On Monday, Trump said his "thoughts and prayers" were with the victims and their families but did not suggest plans to take any legislative or other policy action to address the shooting. 7228

Already burdened by the coronavirus pandemic and a tightened deadline, the Census Bureau must now contend with several natural disasters as wildfires and hurricanes disrupt the final weeks of the nation’s once-a-decade headcount.The fires on the West Coast forced tens of thousands of people to flee homes in California and Oregon before they could be counted, and tens of thousands of others were uncounted in Louisiana communities hit hard last month by Hurricane Laura. Nearly a quarter million more households were uncounted in areas affected this week by Hurricane Sally.The disasters add to the already laborious task of counting of every U.S. resident and increase the risk that the effort will miss people in some parts of the country.“I can’t project if Mother Nature is going to let us finish, but we are going to do the best we can,” said Al Fontenot, associate director of the Census Bureau, who has repeatedly said the bureau is on target to complete the count at the end of the month.The disasters make it challenging or impossible for census takers to visit households that have not yet answered questionnaires. And time is running out, with just two weeks left until the census is scheduled to end on Sept. 30.In major cities in California and Oregon, smoke from nearby wildfires poses a health threat for census takers as they knock on doors.“It’s really smoky, and no one wants to open their doors because of the hazardous air. I gave up yesterday and do not plan to go out today unless it improves,” said a San Francisco census taker, who spoke on the condition of anonymity out of fear that she could lose her job.Officials in San Jose, California, are encouraging residents to respond to census questions online or by phone or mail.“Frankly, it’s not safe to be outside for more than a little bit,” San Jose Mayor Sam Liccardo said. “So, yes, it will affect us. We are going to hustle every other way we possibly can.”If there is an undercount, states affected by the disasters could be shortchanged when some .5 trillion in federal spending is distributed annually to pay for roads, schools, health care and other programs. Since the census also determines how many congressional seats each state gets, states such as California that are on the verge of losing a seat because of declining population could see their political power diluted.Rep. Jimmy Gomez, a Democrat from Los Angeles, said the recent disasters are another reason the deadline for ending the 2020 census should be extended by a month.Because of the pandemic, the Census Bureau pushed back the deadline for finishing the count from the end of July to the end of October. Then the agency announced last month that the deadline would be changed to the end of September after the Republican-controlled Senate failed to pass a Census Bureau request for more time to turn in numbers used for redrawing congressional districts.Some Democrats and activists believe the expedited schedule is politically motivated. A coalition of cities and civil rights groups are suing in federal court in San Jose, seeking an extra month.“We know the shorter the time frame is, the more risk there is to an accurate count, and the more problems can arise,” Gomez said. “This is not usually the time of the year that the Census Bureau is doing the counting.”The San Jose lawsuit contends that the sped-up timetable will cause Latinos, Asian Americans and immigrants to be overlooked. Government attorneys say the Census Bureau will not have enough time to process the data to meet an end-of-the-year deadline if the count does not finish in September.“If you had a longer period, you would expect some people to return home, and you could concentrate on those geographies,” said Thomas Saenz, president and general counsel of the Mexican American Legal Defense and Educational Fund, which is seeking extra time in another lawsuit in Maryland.Census takers headed to evacuation centers to complete the count, and residents will be counted according to where they were on April 1, said Guillermo Gonzalez, a congressional liaison for the Census Bureau.In areas where there is extreme danger, such as parts of Oregon, census field offices had to close offices for several days and home visits were suspended. In some places where census takers cannot go out, they are trying to reach households by phone, according to Census Bureau officials.Fontenot said in court papers in the Maryland case that the natural disasters and other disruptions pose “significant risks” to finishing the count in all states by the deadline.The Census Bureau estimated there were 248,000 uncounted households affected by Hurricane Sally in Alabama and Florida; 34,000 uncounted households affected by Hurricane Laura in Louisiana; close to 80,000 uncounted households in California affected by wildfires; and 17,500 Oregon households also threatened by the flames.The disasters worry the federal judge in the San Jose lawsuit, who is considering whether to extend the count by a month. During a recent hearing, Judge Lucy Koh said some workers at her courthouse had been evacuated and their neighborhoods were destroyed.“Here we’ve been told not to go outside for 28 days because of unsafe air. How are you doing six visits to households when people can’t go outside?” Koh asked government attorneys. “How are we going to count in this reality for us?”___Follow Mike Schneider on Twitter at https://twitter.com/MikeSchneiderAP 5478

Allan Lichtman is a historian who wrote “The Keys to the White House,” which outlines 13 metrics for predicting the outcome of a presidential election.Lichtman’s method has proven to work over the years, as he broke from other prognosticators and predicted a Donald Trump victory in 2016. And with the 2020 presidential election now less than three months away, he has weighed in on this year’s race.Lichtman predicts that Joe Biden will win in November.The 13 keys looks at issues such as social unrest, the economy, previous midterm results, scandal, and military results. Lichtman predicting elections in the early 80s, and accurately called for Ronald Reagan's victory in 1984. He has called eight elections since.Lichtman explains his method in a New York Times video op-ed. 787

After a bad night’s sleep, most people reach for a large mug of black coffee. Researchers say that’s probably not a good idea.Researchers at the University of Bath in the United Kingdom looked at the impact of having a bad night’s sleep and morning coffee. They found a cup of coffee on an empty stomach could impair control of blood sugar levels.Some good news, the scientists, writing in the British Journal of Nutrition, say that one night of poor sleep has a limited impact on a person’s metabolism when compared to a normal night sleep.However, drinking coffee first thing can have a negative effect on glucose metabolism by around 50 percent, researchers found.“We know that nearly half of us will wake in the morning and, before doing anything else, drink coffee – intuitively the more tired we feel, the stronger the coffee,” said Professor James Betts, Co-Director of the Centre for Nutrition, Exercise and Metabolism at the University of Bath who oversaw the work.Study participants underwent tests where they had either normal or disrupted nights sleep, followed by coffee or a glucose drink representing the calories in an average carbohydrate breakfast about an hour after they woke up.Then their glucose and insulin levels were taken.“Put simply, our blood sugar control is impaired when the first thing our bodies come into contact with is coffee especially after a night of disrupted sleep. We might improve this by eating first and then drinking coffee later if we feel we still need it. Knowing this can have important health benefits for us all,” Betts said.Keeping blood sugar levels within a healthy range can reduce the risk of diabetes, heart disease and other diseases. 1701

A woman who was 16 when she killed a Nashville man who solicited her for sex must serve at least 51 years in prison before she's eligible for release, according to the Tennessee Supreme Court.On Thursday the court said defendants like Cyntoia Brown, who are convicted of first-degree murder committed after July 1, 1995, and sentenced to life imprisonment, can't become eligible for release from prison before serving more than five decades.The court's five justices were unanimous in their decision against Brown, who was convicted of killing a 43-year-old man in 2004 when he took her to his house for sex. Brown has said she killed him after she feared he would kill her.Thursday's ruling came in response to a lawsuit in which Brown argues her sentence is unconstitutional, citing a 2012 opinion by the US Supreme Court that said mandatory life sentences without parole for juvenile offenders violate the US Constitution.The Tennessee Supreme Court explained in a statement that "under state law, a life sentence is a determinate sentence of 60 years. However, the sixty-year sentence can be reduced by up to 15 percent, or 9 years, by earning various sentence credits."According to the Tennessee code, those credits include recognition for good behavior or participation in educational or vocational training programsA district court previously denied Brown's motion, per court documents, pointing out she hadn't been sentenced to life in prison without the possibility of parole -- just a life sentence.The case is pending judgment by the US Sixth Circuit Court of Appeals, which asked the Tennessee Supreme Court to share its opinion. 1649