雷诺综合症成都(成都精索静脉曲张病医院) (今日更新中)

MEXICO CITY (AP) — About 750 Central American migrants headed out of Mexico City on Friday to embark on the longest and most dangerous leg of their journey to the U.S. border, while thousands more were waiting one more day at a massive improvised shelter.The group that got a head start bundled their few possessions and started off, taking a subway to the north part of the city and then hiking down an expressway with a police escort.For many, it was the first time they had ever been in a metro system, and they had little knowledge of the city or the 1,740 mile (2,800 kilometer) route to Tijuana that lay ahead of them.RELATED: Interactive map: Migrant caravan journeys to borderCarlos Castanaza, a 29-year-old plumber from Guatemala City, wrapped himself from head to toe in a blanket against the cold and asked bystanders where the first toll booth was. When told it was in a town about 20 miles (30 kilometers) away, he carefully wrote the name of the town on his hand with a pen to remember where he was going.Deported for driving without a license after a decade working in Connecticut, Castanaza was desperate to get back to his two U.S.-born children. "I've been wanting to get back for more than a year, but I couldn't until the caravan came through," said Castanaza. "That's why I joined the caravan."The advanced group hoped to reach the north-central city of Queretaro, about 105 miles (170 kilometers) to the northwest, by nightfall.PHOTOS: Migrant caravan moves through MexicoMeanwhile, another 4,000 to 5,000 migrants milled around the massive shelter improvised at a Mexico City sports complex, impatient to leave."Let's go, let's go!" shouted Eddy Rivera, 37, a rail-thin migrant from Honduras who said he couldn't take staying in the camp any longer. "We are all sick, from the humidity and the cold," said Rivera, who left behind four children and a wife in Honduras. "We have to get going, we have to get to Tijuana."Though he was unsure how an unskilled farmworker like himself would be allowed in the United States, he had a simple dream: earn enough money to build a little house for his family back in Puerto Cortes, Honduras.RELATED: Timeline: Migrant caravan journeys to U.S.-Mexico borderThousands of migrants have spent the past few days resting, receiving medical attention and debating how to proceed with their arduous trek through Central America and Mexico which began in mid-October. On Thursday, caravan representatives met with officials from the local United Nations office and demanded buses to take them to the border, saying the trek would be too hard and dangerous for walking and hitchhiking.Caravan coordinator Milton Benitez said officials had offered them buses for women and children but organizers demanded that they be for everyone. By Friday, the migrants said they were so angry at the U.N.'s lack of help that they no longer wanted U.N. observers with the caravan.The United Nations on Friday denied the offer, releasing a statement saying its agencies "are unable to provide the transportation demanded by some members of the caravan."The migrants made a big point of sticking together, their only form of self-protection.Felix Rodriguez, 35, of Choluteca, Honduras had been at the Mexico City sports complex for more than a week."We all want to get moving," he said. But he was waiting for the main group to leave Saturday, noting "it is better to leave in a group, because leaving in small bunches is dangerous."Mexico City is more than 600 miles from the nearest U.S. border crossing at McAllen, Texas, but the area around the Mexican border cities of Reynosa, Matamoros and Nuevo Laredo is so rife with drug gangs that the migrants consider it too dangerous to risk.A previous caravan in the spring opted for the longer route to Tijuana in the far northwest, across from San Diego. That caravan steadily dwindled to only about 200 people by the time it reached the border."California is the longest route but is the best border, while Texas is the closest but the worst" border, said Jose Luis Fuentes of the National Lawyers Guild.Mexico has offered refuge, asylum or work visas to the migrants, and its government said 2,697 temporary visas had been issued to individuals and families to cover them while they wait for the 45-day application process for a more permanent status. On Wednesday, a bus left from Mexico City to return 37 people to their countries of origin.But many want to continue on toward the United States.Authorities say most have refused offers to stay in Mexico, and only a small number have agreed to return to their home countries. About 85 percent of the migrants are from Honduras, while others are from the Central American countries of Guatemala, El Salvador and Nicaragua. 4770

Lyft announced on Monday that they'll provide 60 million rides to and from vaccination sites for low-income, uninsured, and at-risk communities when COVID-19 vaccines become ready.To help launch the initiative, the ride-sharing company said in a press release that it's partnering with JPMorgan Chase, Anthem Inc., United Way, Epic, Centene Corporation, Modern Health, One Medical, National Hispanic Council on Aging, National Asian Pacific Center on Aging, National Urban League, and the National Action Network."Making sure people can get to vaccination sites when they need to is mission-critical to beating this virus," Lyft Co-Founder and President John Zimmer said in a statement. "This is an opportunity to use our collective strength to mobilize on a massive scale and serve our communities. We cannot let the lack of transportation be a factor in determining whether people have access to healthcare."To make sure people living in underserved communities can get vaccinated, companies and social impact organizations would provide free or discounted rides, while its corporate partners would directly fund the rides. The community partners will also route ride credits for those in need.The news comes after Uber announced last week that it would provide 10 million free or discounted rides to help people make it to their vaccination appointments. 1365

Michigan's Senate Majority Leader Mike Shirkey and Speaker of the House Lee Chatfield have released a statement following their meeting today with President Donald Trump at the White House.The statement reads as follows:The President of the United States extended invitations to us on Wednesday evening. We each accepted his invitation as we would accept an invitation from any sitting President if asked to meet at the White House. We were proud to be joined by our colleagues to represent Michigan in our nation’s capital.We used our time in the White House to deliver a letter to President Trump making clear our support for additional federal funds to help Michigan in the fight against COVID-19. We have since sent the same correspondence to congressional leaders.Months ago, Michigan received funds through the federal CARES Act, and we used that funding to quickly support front line workers, improve testing, ensure adequate PPE, provide additional support to out-of-work Michiganders, and deliver assistance to local businesses that are struggling through no fault of their own. We once again face a time in our state when additional support would go a long way to help those same residents who need our help.We highlighted our commitment to appropriating further federal dollars to Michiganders most in need as we continue to deal with the impact of COVID-19. We also emphasized our commitment to fiscal responsibility in the state budget as we move forward.The Senate and House Oversight Committees are actively engaged in a thorough review of Michigan’s elections process and we have faith in the committee process to provide greater transparency and accountability to our citizens. We have not yet been made aware of any information that would change the outcome of the election in Michigan and as legislative leaders, we will follow the law and follow the normal process regarding Michigan’s electors, just as we have said throughout this election.Michigan’s certification process should be a deliberate process free from threats and intimidation. Allegations of fraudulent behavior should be taken seriously, thoroughly investigated, and if proven, prosecuted to the full extent of the law. And the candidates who win the most votes win elections and Michigan's electoral votes. These are simple truths that should provide confidence in our elections. 2374

Millions of older Americans are growing old all alone. As Baby Boomers age, and start losing loved ones, loneliness can take its toll.The issue is becoming such a concern some national organizations are stepping in.“This was the one thing I said when I retire, I want to do Meals on Wheels,” says volunteer Donna Reuss.Reuss has been volunteering for the organization Meals on Wheels for six years. She not only brings seniors a free meal, but she’s often the only person they really interact with for weeks at a time.“One of the things that really surprised me when I first started this was how many seniors live alone,” Reuss says.Loneliness can have a big impact on their health. Research shows that lacking social connections can be as harmful to someone’s health as smoking 15 cigarettes a day.“It's a much bigger problem I think than people realize,” says Mary Lee Anderson, with Senior Services of Alexandria.Anderson’s nonprofit organization helps deliver food for Meals on Wheels. She’s helping with a new pilot project that lets volunteers delivering meals use a cell phone app to report any changes in behavior or concerns they notice while visiting with a senior.“It lets our volunteers, if they notice a problem, report it right on their phone,” she explains. “That information is sent back to us at the office and we can then contact the individual who is responsible, a family member or their city social worker if they don't have a close family member.”The pilot program is currently being tested in 10 cities across the country, and it’s expected to expand to another 50 cities early next year. 1619

Members of the Oakland Raiders have denied a claim from the wife of an NFL player that members of the Raiders offensive line allowed quarterback Derek Carr to get hurt due to a dispute over national anthem protests.Miko Grimes, wife of Tampa Bay Buccaneers cornerback Brent Grimes and co-star of the reality show "Baller Wives" on VH1, claimed Carr's injury during a game earlier this season was directly related to an anthem dispute with his teammates."The reason Derek Carr got injured is because the Raiders' offensive line allowed him to get injured because he was against them protesting," Grimes said on Revolt TV, a digital network created by Sean "Diddy" Combs.Grimes said Carr was opposed to players sitting or kneeling during the national anthem, which led to a pregame dispute with members of the Raiders' offensive line, the only all-minority offensive line in the NFL. 899

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