重庆肾结石1.8厘米算大吗(打结石石桥铺) (今日更新中)

Many small businesses are struggling after the pandemic shut down a number of industries. Recently, more than 2,400 small businesses gave their thoughts on how various levels of government are helping them during this tough time.Nate Chai, who heads up the Pro Engagement Team at Thumbtack, says "the purpose of the survey is really to find out how small businesses across the country feel about the public policies that they're working with at the local, state and national levels. Do they feel supported? Do they feel the right policies are in place? Are things changing year-over-year for them?"Thumbtack, an online company that connects people with local independent professionals in industries like construction, wellness and music, conducts a small business friendliness survey every year. This year, they wanted to check in with the small businesses on their site to see how they were doing amid this COVID-19 pandemic."What we did notice is that there were strong divergent between how many felt their states and local governments were doing versus what they saw from the federal government. To put that in perspective, we saw many states score A, A- or B in terms of that local response but at the federal level people almost universally what people were seeing was not good enough," said Chai.Chai says overwhelmingly, small business owners gave the federal government an F when it came to their response. "We saw several states earn Fs and unfortunately the worst of those, starting from the bottom up were Arizona followed by Oregon, Missouri, Georgia and Tennessee," said Chai. The highest ranked states were Vermont, which received an A+, followed by A ratings for Rhode Island, Connecticut, Massachusetts and an A for Maryland. Gerard Cassagnol, the Engineering and Operations Manager for Trevor Technical Solutions in Maryland, took part in the survey."It started off really good here in Maryland. They were very proactive in how to address the pandemic. What I basically mean is they were going by the science," Cassagnol said. Cassagnol says the funding, though, from State and Federal levels, was lacking, as well as information and guidance about programs and how to operate has been inconsistent. Cassagnol says before the pandemic, 80 percent of his company's revenue came from work from the government. Over the last three months, that dwindled down to 5 percent, putting his business in a dire state and prompting him to lay off staff. "It's a survival instinct right now that we're operating on," said Cassagnol.Of the roughly 2,400 businesses that took the survey, 65 percent had only one employee, in that the person owned their business and works alone; 28 percent had two to five employees and the remaining six percent had more than six employees."Given what’s going on, it's a great time to consider reaching out to small businesses if you’ve got those projects on the back burners, and finding ways to support small businesses if you have the means," said Chai."We've got to find a solution to this. America is going to suffer ultimately if the small business isn't there," said Cassagnol. Thumbtack is encouraging people to support their local businesses in any way they can right now as many feel uncertain when or if they will recover from this economic downturn. 3306

MIDDLETOWN, Ohio — The things Lt. Col. Joe Jackson stored in his mother's basement before his most recent deployment couldn't be worth more than a few hundred dollars to a pawn shop, he said Tuesday night. They were family keepsakes, mostly: His father's Xavier class ring, relatives' dress watches and mementos from his other tours of duty. Nothing he felt he needed to worry about when he left for Afghanistan on Valentine's Day.They were gone when he returned for Thanksgiving, leaving him awash in "shock, anger and disappointment.""You realize the magnitude — the value beyond the monetary value of the things that were taken from you and how irreplaceable they are," he said. "Whether you can find them in a jewelry store or have them recreated, it's never going to be the same."His mother couldn't have moved them, he said. Multiple strokes have kept Rosalind Jackson in need of daily care since the turn of the century, and her family pays for a rotating team of caregivers to ensure her safety and comfort.She and her son believe one of those caregivers could be behind the theft. The culprit must have had both access to the home and in-depth knowledge of its contents, according to Joe Jackson. He didn't store his valuables in conspicuous containers."It makes me sick," his mother said. "Really."Jackson had returned to Fort Benning by Tuesday night. He said he had been working closely with Middletown, Ohio police to find leads and track down his missing possessions but encouraged members of the public to reach out with information as well.His hope? When he comes home again for Christmas, his treasured keepsakes will be there, too. 1682

Many of the thousands of migrants waiting to claim asylum are realizing their dream to live in America may be a tougher road than they imagined, especially following Sunday’s clash at the border, involving a group of migrants and U.S. officials.Conditions are horrid in one camp in the border city of Tijuana, Mexico, where people have been living in tents for weeks in a lot that once was a baseball complex. Many of them dream of starting a new live in the U.S., but those dreams are fading.Maria Elena Reyes waited in line for hours, hoping a volunteer may have a clean shirt. For her, these living conditions, and even the month-long journey from Honduras, all seemed worth it to get to the border. But that’s when she says she had hope of finding asylum in America.“To look for a better life, to help my grandchildren who are in Honduras and my daughters, and for myself,” Reyes says.But like others at the camp, her optimism seems to fade with each passing day in the tent city, especially after what happened Sunday, when U.S. border agents used tear gas on a group of migrants.“I would say after that incident, which was really bad, a lot of doors closed,” Reyes says.Already worn out from the long journey, many of these migrants are now fearful of the US, scared of what could happen at the border, even if they apply for asylum the legal way.Sarahi Nunes and her 3-year-old daughter, Genesis, thought getting into the US would be easier, but knowing there’s a months-long wait just for an official asylum appointment, makes her doubt whether she'll ever obtain her American dream.“Yes, at first, that was the plan,” Nunes says. “But now, I see how difficult it is for people asking for asylum.” She's already started the process of applying for a work visa to stay here, in Mexico. She says living in Mexico would still be a step up from her life in Honduras.Reyes is also hopeful she could find a job in Mexico, but she says if she doesn't in the next week, she will go back to Honduras.“It was a very hard battle to get here,” Reyes says. “I would not like to go back empty-handed.”  Reyes says she doesn’t want to give up, but knowing if she does return home, that’s what it will feel like. 2222

Mental health has been a big concern for many people during the COVID-19 pandemic. Now, more than a month into the new school year, doctors are keeping an eye on teenagers and the difficulties they may be facing as the pandemic continues on."Students are still stressed about what's going to happen next, anxious about mixed information they may hear on the news, they may hear on social media, they may hear from their friends in school and they're just trying to figure out what’s going to happen and how long is this going to last and when are things going to get back to normal," says Dr. Christina Conolly, a school psychologist and members of the National Association of School Psychologists.Dr. Conolly says some students are now grappling with anxiety and depression along with the added stress of school.There could be lasting effects on some teenagers who have been isolated for so long."Potentially, I would say not just for teenagers, but for young children and adults, as well. We’ve not experienced an event like this since the pandemic in the early 1900s," says Dr. Conolly.Mental health officials at schools are honing in on children and teens who might be vulnerable and in need of someone to talk to. Dr. Conolly says her school is even launching a new program centered around students' social and emotional wellbeing."In my school district, we have developed student well-being teams at all of our schools. We have referral forms for teachers to go and refer students who are in need of support. We’ve been doing what we call student psychoeducational lessons for all of our students pre-K through 12th grade," says Dr. Conolly.Stress management and mental health is a priority for Parker Pediatrics and Adolescents in Colorado. Pediatrician Dr. Brian Stanga conducts mental health screenings with all patients when they come in for a check-up."We ask them about things like stress level, stress and then if so, how many days a week are they feeling stressed? Is it greatly impacting their quality of life or not greatly impacting their quality of life," says Dr. Stanga.The pediatric practice also has four child and adolescent psychologists on staff. In March, pediatrician visits were down 50% but psychologist visits remained at 100% of normal."One of our core mission statements is we believe in the whole child, whether physical, mental and emotional health. It is all intertwined and that’s pretty clear from a lot of studies. If you're stressed, it elevates your heart rate, your blood pressure, all those things which in then affects your physical health," says Dr. Stanga.So what can parents do to help guide their teens and younger children through this stressful time?"Finding something that you all enjoy that you can do as a family. Talk with each other, have dinner with each other. I know some of these are things people hear and sound a little corny but these are truly things that can help," says Dr. Conolly.Dr. Conolly says educating parents about substance abuse and suicide prevention is also key right now. Ensuring students' mental needs are met and they have positive outlets to turn to when the world around them seems lost. 3177

Michael Cohen, Donald Trump's former lawyer, pleaded with the American public on Friday to head to the polls and vote against the President and the Republican Party, predicting that if they did not, there would be two or six more years of "craziness.""Listen, here's my recommendation. Grab your family, grab your friends, grab your neighbors, and get to the poll, because if not, you are going to have another two or another six years of this craziness," Cohen told CNN in a brief interview outside of his Manhattan home. "So, make sure you vote. All right?"Cohen's remarks marked his first on-camera comments to the media since he pleaded guilty in August to eight criminal counts.Cohen's lawyer, Lanny Davis, said his client changed his party registration back to Democrat last week. Cohen was a Democrat for years, but changed his official registration to Republican after the 2016 election.Asked about that decision to change his party registration, Cohen told CNN: "I've been Democrat for pretty much my whole entire life. I switched because of a request of the RNC. Couldn't be the vice chair of the RNC and be a Democrat."CNN reported this week that Cohen is now willing to campaign for Democrats -- and against Trump -- in the midterms and the 2020 presidential election. Notably, he is prepared to call out anything he views as lies told by the President, a source with knowledge said."The #MidtermElections2018might be the most important vote in our lifetime," Cohen tweeted over the weekend, adding: "#GetOutAndVote#VoteNovember6th"The 52-year-old has in recent weeks met with investigators from special counsel Robert Mueller's office. On Wednesday, he met with investigators from the New York State Attorney General's office and the Southern District of New York.On Friday, Cohen walked away and ignored CNN's question about his meeting with investigators.In addition to tax evasion and making false statements to banks, Cohen also pleaded guilty in August to campaign finance violations. He said in a courthouse that "in coordination and at the direction of a candidate for federal office" -- Trump -- he kept information that could have harmed the President from becoming public during the 2016 election.Cohen orchestrated a payment to adult film star Stormy Daniels before the 2016 election in an effort to silence her about her alleged affair with Trump. He was also involved in a similar hush agreement related to Karen McDougal, a former Playboy model who also alleges to have had an affair with Trump, who has denied sexual relationships with both of them. 2585

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