重庆石桥铺结石通(重庆尿结石0.7cm能排出吗) (今日更新中)

US-supplied weapons originally intended for moderate allies in Syria have ended up for sale on jihadist online forums in the country's northern al Qaeda heartland.In a remarkable snapshot of the disastrous outcomes and thwarted ambitions of the West's six-year effort in Syria, an M16 assault rifle -- whose serial number suggests it was originally supplied as part of a US-taxpayer-funded effort to defeat extremists in the region -- was offered to CNN by a resident of the city of Idlib over the encrypted messaging app Telegram.The vendor claimed the weapon originally belonged to one of the more prominent and costly failures by the US to help Syrian moderate rebels combat ISIS and other extremists. In a Telegram message exchange with CNN posing as a purchaser, the vendor said the weapon came from "Division 30" -- part of an elaborate million dollar effort to train and equip elite rebels to tackle jihadists.  935

Trisha and Dennis Rawlings, a couple in their early 30s, are moving to suburban Chicago and leaving their over-60-year-old first home in the St. Louis area behind.“We were looking at potentially buying a house,” Trisha says. But in the area where they want to live, the options within their budget were limited to purchasing an older home or building a new one.The couple loved the features of a modern, new-construction neighborhood with a pool, a clubhouse and excellent walkability. And taking out a construction loan and building a house means they’ll avoid the ongoing maintenance that comes with an older home.With the supply of existing homes available to buy at “an all-time low” nationwide, according to the National Association of Realtors, homebuyers like the Rawlingses and others — including younger buyers — are looking at other options that include building a house. Here’s how to get started if you decide to build a home.? MORE: How much home can you afford?Finding a construction loan 1025

UPDATE 8:30 P.M. San Diego County avoided rotating outages today in part thanks to conservation efforts by residents and businesses, SDG&E said.UPDATE - 1:48 P.M.SDG&E reports that it has received word from the California Independent System Operator that there is a high likelihood that it will order the utility to implement widespread rotating outages as early as 2 p.m.------SAN DIEGO (KGTV) -- A historic heatwave over California is putting a strain on energy resources. Temperatures are expected to soar over the next several days throughout the state prompting local officials to issue weather warnings.On Monday, Gov. Gavin Newsom said "we are likely to fall short" from avoiding power outages and that it was "very likely" Californians will see rolling blackouts over the next 72 hours."These next few days we are anticipating a challenge," the governor said. Newsom is working to purchase more power out of state to help meet California's 4,400 megawatts shortage."You can't control the weather but you can prepare for weather events," Newsom said. "We failed to prepare ... I'm ultimately accountable."RELATED: San Diego County opens cool zones amid heat waveIn San Diego County, authorities have issued an Excessive Heat Warning in the deserts, valleys, inland through Thursday 10 p.m. This means residents should limit physical activity during the day and reschedule to early morning or evening.San Diego Gas & Electric has been resorting to rotating outages to help alleviate strain on the state's power grid.Last week, SDG&E was ordered to conduct rotating, one-hour outages in San Diego and southern Orange Counties because of high electric use amid hot and humid temperatures. Friday was the first time in more than a decade the electric company was ordered to conduct rotating, one-hour outage.State officials have listed the following energy safety tips to help conserve available energy and avoid electricity shortages.Easy Actions You Can Take at HomeAdjust Your ThermostatSet your thermostat at 78° or higher during 3-10 pm.Pre-cool your home by setting thermostats to 72° in the early part of the day (when it is more efficient) and 78° or higher after 3 pmUse smart or programmable features to help maintain energy savings when you’re notMajor Appliance UsePostpone using major appliances like the oven, dishwasher, clothes washer, until cooler times of theRun your dishwasher and clothes washer only whenWash clothes in coldClean or replace dirtyTurn your water heater down to 120° or the "normal"Close Windows and DoorsIn the morning before the day starts to heat up, close windows and blinds to keep warm airKeep windows and doors closed to prevent the loss of cooled air.Smart Energy UseTurn off unnecessaryUse lamps with LEDs instead of overheadEnable "power management" on all computers and turn off when not inUnplug phone charges, power strips (those without a switch) and other equipment when not inConservation ProgramsConsider participating in your utility's demand response program. These voluntary programs are short, temporary measures to reduce energy consumption when power supplies are critically low and a Flex Alert has been issued. Contact your local electric utility to learn about your utility's program and incentives they may offer toSave Energy at WorkLightingTurn off unnecessary office lights, and use natural lighting whereThermostatIn the summer, set your zone thermostat to 78o or higher, when possible.Prevent LeaksCheck window vents to make sure they are clear of paper and otherAdjust the blinds on windows that receive direct sunlightKeep exterior windows and doors closed to prevent the loss of cooled or heatedEquipmentTurn off any office equipment that is not currently in use. Alternately, look for sleep or power-saving modes in-between uses during theEnable power management settings on all computers, so that they go to sleep and turn off screens when not inBreak roomUnplug electronics such as coffee-makers and microwaves when not in use and when the day isEnd-of-the-DayAs you leave the office, get in the habit of checking to make sure computers, printers/copiers, and other office equipment is fully shut down. If possible, switch them off at the power strip to ensure they are no longer drainingConservation ProgramsConsider enrolling in your utility's voluntary conservation program. These types of measures–also known as demand response programs–are short, temporary ways for your utility to reduce energy consumption when power supplies are critically low. Contact your electric utility to learn more about your utility's program and incentives they may offer toDownloads and ResourcesNational Weather Service – See current Watches, Warnings or Weather Advisories: https://alerts.weather.gov/cap/ca.php?x=1 Red Flag and Fire Weather Warnings: https://www.fire.ca.gov/programs/communications/red-flag-warnings-fire-weather-watches/ [fire.ca.gov]Fact Sheets from the CDC on those especially vulnerable to heat exhaustion andPeople aged 65 and older [cdc.gov]| Spanish (en espa?ol) [cdc.gov]Infants and children [cdc.gov]| Spanish (en espa?ol) [cdc.gov]People with chronic medical conditions [cdc.gov]| Spanish (en espa?ol) [cdc.gov]Low income [cdc.gov]| Spanish (en espa?ol) [cdc.gov]Outdoor workers [cdc.gov]| Spanish (en espa?ol) [cdc.gov]Athletes [cdc.gov]| Spanish (en espa?ol) [cdc.gov]WHO WOULD BE AFFECTED? How to locate your circuit blockCustomers can find their circuit and block numbers on their bill which can be found on MyAccount or the SDG&E App. Below is the list of circuits that are expected to be impacted if asked to initiate rotating outages.CommunityCOMMUNITYCIRCUITCASA DE ORO, EL CAJON W548ELCAJON W, GRANITE HILLS, SINGING HILLS410LAGUNA HILLS, LAGUNA NIGUEL561LA JOLLA N, TORREY PINES65ESCONDIDO NW, ESCONDIDO W, SAN MARCOS E188FLETCHER HILLS, LA MESA N949PT LOMA N, PT LOMA S53DANA POINT, LAGUNA NIGUEL796NORTHCITY WEST836TORREY PINES746PARADISE HILLS324CARLSBAD780CARLSBAD, OCEANSIDE1076MIRA MESA1446TORREY PINES735MIRA MESA437ORTEGA1258LA MESA N, MISSION GORGE400ESCONDIDO E, ESCONDIDO S, SAN PASQUAL472LOGAN HEIGHTS, N ISLAND-STRAND, NAT'LCITY W130ESCONDIDO S, ESCONDIDO W518MIRA MESA, NAS-MIRAMAR760CHULA VISTA S, SAN YSIDRO1180CASA DE ORO, ELCAJON W, RHO SD W, SINGING HILLS93LAGUNA HILLS, LAGUNA NIGUEL562MISSION VLY253ESCONDIDO S, ESCONDIDO W515OTAY MESA, RHO DEL REY943RHO BERNARDO913SAN MARCOS W298ORTEGA1257N ISLAND-STRAND, NAT'LCITY W378TORREY PINES271CLAIREMONT, MISSION VLY1287MISSION GORGE, SANTEE309MIRA MESA, TORREY PINES738PARADISE HILLS320OCEANSIDE191LOGAN HEIGHTS371CARLSBAD779MIRA MESA952BAY PARK, LINDA VISTA, MISSION HILLS490DEL MAR, NORTHCITY WEST, TORREY PINES61CENTER CITY119ORTEGA983CARLSBAD783CASA DE ORO, MOUNT HELIX, SPRING VALLEY731CREST, ELCAJON W, GRANITE HILLS, SINGING HILLS412TORREY PINES529MISSION VLY254SAN YSIDRO723POWAY S926CARLSBAD, ENCINITAS S1119TORREY PINES263VISTA208LINDA VISTA, MISSION VLY38LAGUNA HILLS, LAGUNA NIGUEL, MISSION VIEJO556MIRA MESA953MISSION VIEJO, ORTEGA1260CARLSBAD782CHULA VISTA S, SAN YSIDRO156NORTHCITY WEST830CARLSBAD750MIRA MESA224MIRA MESA, TORREY PINES262CITY HEIGHTS, NORTH PARK364RHO BERNARDO1025OCEANSIDE190CENTER CITY, MISSION HILLS, NORTH PARK365TORREY PINES269CARLSBAD751CITY HEIGHTS, NORTH PARK, STATE COLLEGE368DANA POINT, LAGUNA NIGUEL, SAN JUANCAP793MISSION VLY384EAST ROLANDO, LA MESA N, MISSION GORGE399MIRA MESA950ALLIED GARDENS, MISSION VLY702ESCONDIDO S, RHO BERNARDO790IMPERIAL BEACH, N ISLAND-STRAND, SAN YSIDRO158MISSION BAY545CHULA VISTA W, N ISLAND-STRAND, NAT'LCITY W718SAN MARCOS W295CENTER CITY, NORTH PARK363CENTER CITY111ELCAJON W, GRANITE HILLS, LAKESIDE418CORONADO372MIRA MESA, RHO BERNARDO911LAGUNA NIGUEL, SAN JUANCAP558NORTHCITY WEST511MIRA MESA227MIRA MESA, NORTHCITY WEST834CLAIREMONT276OCEANSIDE194ALLIED GARDENS, MISSION VLY143SAN YSIDRO1202ESCONDIDO E, ESCONDIDO S, SAN PASQUAL514RHO BERNARDO544CHULA VISTA E, CHULA VISTA S, RHO DEL REY155LINDA VISTA, MISSION VLY36RHO BERNARDO915CENTER CITY, LOGAN HEIGHTS122MIRA MESA228ORTEGA1256BLOSSOM VALLEY, LAKESIDE, LAKESIDE E245RHO BERNARDO931ALLIED GARDENS, MISSION GORGE, MISSION VLY380LAGUNA HILLS, LAGUNA NIGUEL560MIRA MESA432FORT ROSECRANS, PT LOMA N, PT LOMA S480CARLSBAD587MIRA MESA, POWAY S, RHO BERNARDO916CENTER CITY, LOGAN HEIGHTS132MIRA MESA954CARLSBAD1116CREST, GRANITE HILLS, LAKESIDE, LAKESIDE E386CLAIREMONT, TORREY PINES275MIRA MESA961LA JOLLA N, TORREY PINES1085MIRA MESA435MISSION BAY56CARLSBAD, OCEANSIDE, VISTA S852TORREY PINES272CHULA VISTA S, CHULA VISTA W151MISSION VLY149TORREY PINES846CLAIREMONT, LINDA VISTA274LAGUNA NIGUEL563BAY PARK, LINDA VISTA492CLAIREMONT278CASA DE ORO, RHO SD W, SPRING VALLEY732VISTA S851SAN MARCOS W, VISTA S297MIRA MESA956MISSION VLY707LA MESA N87MIRA MESA1447LA JOLLA N, MISSION BAY578MIRA MESA, TORREY PINES266MIRA MESA761CARLSBAD584MIRA MESA957OTAY MESA, RHO DEL REY1007TORREY PINES749LAGUNA NIGUEL, MISSION VIEJO565MIRA MESA436BONITA, NAT'LCITY W, RHO DEL REY340MIRA MESA962POWAY S923BONITA, NAT'LCITY W, RHO DEL REY341CLAIREMONT, MISSION VLY712BUENA, VISTA205MIRA MESA69CENTER CITY423TORREY PINES847MISSION VIEJO, ORTEGA989ALLIED GARDENS, MISSION GORGE, MISSION VLY381MIRA MESA967RHO BERNARDO1103CENTER CITY429CARLSBAD583MISSION VLY383OCEANSIDE498NORTHCITY WEST832CLAIREMONT, LA JOLLA N, TORREY PINES116MIRA MESA958MIRA MESA727LA JOLLA N, TORREY PINES64LAGUNA NIGUEL, MISSION VIEJO766RHO BERNARDO912BONITA, NAT'LCITY W, PARADISE HILLS40EUCALYPTUS HILLS, SANTEE395CENTER CITY, MISSION HILLS, PT LOMA N138POWAY N, RHO BERNARDO293CITY HEIGHTS, EAST ROLANDO, LA MESA N169TORREY PINES736CLAIREMONT, NAS-MIRAMAR773EAST ROLANDO, LA MESA N, LEMON GROVE160MIRA MESA, TORREY PINES747LAGUNA NIGUEL, MISSION VIEJO564CITY HEIGHTS, EAST ROLANDO, LEMON GROVE164MIRA MESA969ESCONDIDO E, ESCONDIDO NE, ESCONDIDO W488RHO BERNARDO574CENTER CITY118PT LOMA N, PT LOMA S52OCEANSIDE900OCEANSIDE, VISTA S854SAN MARCOS W, VISTA S598LAGUNA NIGUEL1071MIRA MESA762MIRA MESA726LAKE HODGES S, RHO BERNARDO577ESCONDIDO NW, ESCONDIDO W, SAN MARCOS E189PT LOMA N, PT LOMA S322CENTER CITY785MIRA MESA963MIRA MESA959POWAY S924IMPERIAL BEACH, N ISLAND-STRAND, SAN YSIDRO532ELCAJON W554CORONADO, N ISLAND-STRAND373OCEANSIDE, VISTA509GOPHERCYN, OCEANSIDE, VISTA901OTAY MESA, RHO DEL REY1223MIRA MESA763MIRA MESA960CENTER CITY786CARLSBAD757ESCONDIDO NW, ESCONDIDO W, SAN MARCOS E180CENTER CITY113CARLSBAD, RHO SANTA FE N, SAN MARCOS W754CASA DE ORO, JAMUL WEST, RHO SD W, SINGING HILLS96TORREY PINES737CITY HEIGHTS, NORTH PARK366LAGUNA HILLS, LAGUNA NIGUEL557ELCAJON W, GRANITE HILLS416CLAIREMONT, LINDA VISTA277ELCAJON W76LINDA VISTA, MISSION VLY142CLAIREMONT279OTAY MESA, RHO DEL REY1222LAKE HODGES S, RHO BERNARDO1104MIRA MESA433CENTER CITY126ALLIED GARDENS, LA MESA N, MISSION GORGE403POWAY S, RHO BERNARDO937CENTER CITY98ESCONDIDO E, ESCONDIDO S, ESCONDIDO W519FORT ROSECRANS, PT LOMA S481RHO BERNARDO910TORREY PINES742SAN YSIDRO460POWAY S925LA JOLLA N, LA JOLLA S, MISSION BAY57PT LOMA N54TORREY PINES273RHO BERNARDO575ESCONDIDO E, ESCONDIDO S, ESCONDIDO W516CENTER CITY467CLAIREMONT, MISSION VLY711ELCAJON W, SINGING HILLS553RHO BERNARDO539OTAY MESA, RHO DEL REY592BUENA, SAN MARCOS W, VISTA S856DANA POINT, LAGUNA NIGUEL798OCEANSIDE199BAY PARK, MISSION BAY579OTAY MESA, RHO DEL REY945RHO BERNARDO934LA JOLLA N1173MIRA MESA439MISSION VLY37ORTEGA, SANCLEMENTE991MIRA MESA, TORREY PINES1152BUENA, VISTA, VISTA S857MISSION VLY708CHULA VISTA S, OTAY MESA, RHO DEL REY1224OCEANSIDE904FLETCHER HILLS, LA MESA N, MISSION GORGE401TORREY PINES267LOGAN HEIGHTS, N ISLAND-STRAND128POWAY N, POWAY S, RHO BERNARDO933BAY PARK, LINDA VISTA107CHULA VISTA E, RHO DEL REY941CHULA VISTA E, NAT'LCITY W45OCEANSIDE581ESCONDIDO NW, ESCONDIDO W, SAN MARCOS E186BLOSSOM VALLEY, LAKESIDE, LAKESIDE E, SANTEE241NORTHCITY WEST, RHO SANTA FE S, SOLANA BEACH62ESCONDIDO S, SAN PASQUAL474MIRA MESA, TORREY PINES261ELCAJON W, GRANITE HILLS, SINGING HILLS417LAKE HODGES1251CORONADO81-177AEMIRA MESA1448CHULA VISTA S, CHULA VISTA W, SAN YSIDRO531OCEANSIDE1077RHO BERNARDO537CASA DE ORO, ELCAJON W, SINGING HILLS74-35MISSION VLY, NORTH PARK, STATE COLLEGE146-275ROCEANSIDE, VISTA, VISTA S505OCEANSIDE1078LA MESA N, MOUNT HELIX77-28RCHULA VISTA E, CHULA VISTA W256ESCONDIDO E, ESCONDIDO NE453-41ENCANTO, LEMON GROVE, PARADISE HILLS163-29RORTEGA, SANCLEMENTE994CENTER CITY, LOGAN HEIGHTS1436LA JOLLA N572OTAY MESA, RHO DEL REY1221LAGUNA NIGUEL, MISSION VIEJO567OCEANSIDE903ENCINITAS S, RHO SANTA FE S288-18CENTER CITY, CORONADO179ENCINITAS S, NORTHCITY WEST, RHO SANTA FE S, SOLANA BEACH1081CENTER CITY115SANTEE1139LAKE HODGES S, RHO BERNARDO1102JAMUL WEST, OTAY MESA, RHO DEL REY114LOGAN HEIGHTS1437CARLSBAD589MISSION VLY39OCEANSIDE, VISTA821CHULA VISTA S, CHULA VISTA W, SAN YSIDRO531CARLSBAD, SAN MARCOS W, VISTA S858ORTEGA984MIRA MESA, RHO BERNARDO729ENCANTO, LOGAN HEIGHTS80MISSION VLY141NORTH PARK1297MISSION VLY1266BAY PARK, PT LOMA N136ESCONDIDO S, ESCONDIDO W513ELCAJON W551 12945

Vice President Mike Pence's physician privately raised alarms within the White House last fall that President Donald Trump's doctor may have violated federal privacy protections for a key patient -- Pence's wife, Karen -- and intimidated the vice president's doctor during angry confrontations over the episode.The previously unreported incident is the first sign that serious concerns about Ronny Jackson's conduct had reached the highest levels of the White House as far back as September -- months before White House aides furiously defended Jackson's professionalism, insisted he had been thoroughly vetted and argued allegations of misconduct amounted to unsubstantiated rumors.The episode -- detailed in three memos by Pence's physician -- is also the first documentation that has surfaced involving a specific allegation of medical misconduct by Jackson. It adds to a series of significant allegations leveled by unidentified current and former colleagues, including that he casually dispensed prescription drugs.Jackson and the White House have continued to deny allegations of misconduct, and Jackson's defenders in the White House said Monday that the episode involving Mrs. Pence was simply a dispute between two doctors with a strained relationship and that he had acted appropriately.According to copies of internal documents obtained by CNN, Pence's doctor accused Jackson of overstepping his authority and inappropriately intervening in a medical situation involving the second lady as well as potentially violating federal privacy rights by briefing White House staff and disclosing details to other medical providers -- but not appropriately consulting with the vice president's physician.The vice president's physician later wrote in a memo of feeling intimidated by an irate Jackson during a confrontation over the physician's concerns. The physician informed White House officials of being treated unprofessionally, describing a pattern of behavior from Jackson that made the physician "uncomfortable" and even consider resigning from the position.After Mrs. Pence's physician briefed her about the episode, she "also expressed concerns over the potential breach of privacy of her medical condition," the memo said. Karen Pence asked her physician to direct the vice president's top aide, Nick Ayers, to inform White House chief of staff John Kelly about the matter. Subsequent memos from Pence's doctor suggested Kelly was aware of the episode.A White House official said that Ayers informed Kelly and White House deputy chief of staff Joe Hagin about the situation and they said Pence's doctor should report the matter through the appropriate medical and military chains of command.Alyssa Farah, press secretary for the vice president, said Pence's physician "brought the issue to Mr. Ayers, who appropriately referred the matter to the proper channels."Farah added that Mrs. Pence "has been briefed on all the facts related to a private matter regarding her health care. She is grateful for the professional care she received from all White House medical personnel who resolved the matter quickly. She considers the matter closed and has no further comment on the situation."The vice president's physician did not respond to multiple inquiries seeking comment. A White House spokesman declined to comment.The memos were provided to CNN on the condition that the vice president's physician not be named and that the memos not be published. The documents were provided last fall to senior White House officials, including Ayers and Kelly, a source familiar with the matter said.Jackson, who had been Trump's lead physician and was also Trump's pick to head the Department of Veterans Affairs, withdrew his nomination last week after allegations surfaced of professional misconduct. Trump and Jackson have furiously denied the allegations, calling them an attempt to smear the reputation of a Navy rear admiral and respected White House physician."He served 3 presidents," Trump said of Jackson Saturday evening at a Michigan rally, decrying "vicious rumors" against him. "President Obama said he was fantastic. President Bush said he was fantastic. I say he's fantastic."Current and former coworkers have accused Jackson of abusive behavior and professional misconduct in interviews with Democratic staff on the Senate Veterans Affairs Committee, which sources briefed on the matter say has investigated those episodes as well as the one involving Karen Pence. The Senate Armed Services Committee, which is considering Jackson's promotion in the Navy to become a two-star admiral, is aware of the incidents, according to sources familiar with the matter.The detailed memos provide a vivid account of both the incident and Jackson's alleged actions afterwards.In one of two tense encounters described in the memos, Jackson made the vice president's doctor feel uncomfortable with his "accusatory" tone, "unprofessionalism" and "intimidating" and "aggressive" behavior during their private meetings. Jackson told the doctor to "let the issue go" and to "let things go ... if I am to succeed in my career," the physician wrote."This meeting summoned by Dr. Jackson appears to have been in retribution for me verbalizing concerns over the protection of the SLOTUS' medical information and his inappropriate involvement in the decision-making process of her care, which is consistent with previous behavior that I have received from him in the past," the memo says, referring to the second lady of the United States. "This unprofessionalism fosters a negative command climate that removes any opportunity for open, professional discussion."Jackson and the vice president's physician have long had a "strained relationship," according to a former White House medical official.The issue involving Karen Pence arose September 8, 2017, when a medical situation required her to be taken from Camp David -- where the President was slated to meet with his Cabinet -- to Walter Reed hospital. Even though Jackson is responsible for caring for Trump, he intervened in the situation involving Mrs. Pence, leading to "an inadvertent disclosure of SLOTUS' medical information in a situation where ultimate discretion was of utmost importance," according to the memo, which does not describe the information disclosed.Jackson asked for several reports on her condition from the physicians who initially treated her at Camp David, though the physician noted it was done "without malicious intent to circumvent their medical knowledge."Jackson then shared information with the senior medical providers involved in the matter, and according to the memo, briefed "multiple parties" on Trump's White House staff "without specific consultation from the physician to the vice president," prompting the concerns that he disclosed Mrs. Pence's private information. He made an order to call in the on-duty specialist at Walter Reed and made plans for her evacuation from Camp David, according to the memo, though he later denied doing so in a private meeting with the physician.On September 11, 2017, Pence's physician briefed Ayers about "this breach of her patient information" under the federal law known as the Health Insurance Portability and Accountability Act, or HIPAA, by disclosing information to various parties. The physician was later directed by Mrs. Pence to tell Ayers to relay the information to Kelly, after the second lady expressed concerns about the potential her medical information was disclosed."Dr. Jackson stated that it is not always possible to adhere to HIPAA at the White House," the memo said. The memo said that Jackson asserted to the physician that "he must be involved" in medical issues at Camp David and Walter Reed because they are "presidential assets" -- even if those medical issues don't involve the First Family.The White House has pushed back against previous suggestions that Jackson may have violated the privacy law while serving as a physician to the President. "Dr. Jackson's record as a White House physician has been impeccable," press secretary Sarah Sanders said at a press briefing last week. "In fact, because Dr. Jackson has worked within arm's reach of three Presidents, he has received more vetting than most nominees."But Jackson's behavior towards his colleagues -- particularly people who worked for him in the White House medical unit -- has also come under sharp scrutiny. According to the memos, the physician had two contentious meetings with Jackson.In one meeting, the physician wrote, Jackson "expressed anger" that White House officials -- including Kelly -- were aware of the physician's concerns over his involvement in the medical situation involving the second lady, the memo said.The next day, Jackson had another tense encounter with the physician, according to the memo. Jackson said that Kelly was "good with him and everything" -- and Jackson urged the doctor to let the matter go. The vice president's physician continued to raise concerns over Jackson's behavior, even suggesting resigning to avoid seeing him.After being informed of his "intimidating" behavior, Jackson "concurred with that statement, and responded that even his wife tells him he can be perceived as intimidating," the memo said. 9294

Vaping by U.S. teenagers fell dramatically this year, especially among middle schoolers, according to a federal report released Wednesday.Experts think last year’s outbreak of vaping related illnesses and deaths may have scared off some kids, but they believe other factors contributed to the drop, including higher age limits and flavor bans.In a national survey, just under 20% of high school students and 5% of middle school students said they were recent users of electronic cigarettes and other vaping products. That marks a big decline from a similar survey last year that found about 28% of high school students and 11% of middle school students recently vaped.The survey suggests that the number of school kids who vape fell by 1.8 million in a year, from 5.4 million to 3.6 million, officials said.But even as teen use declined, the report shows a big bump in use of disposable e-cigarettes. The Food and Drug Administration earlier this year barred flavors from small vaping devices like Juul and others that are mainly used by minors. The policy did not apply to disposable e-cigarettes, which can still contain sweet, candylike flavors.“As long as any flavored e-cigarettes are left on the market, kids will get their hands on them and we will not solve this crisis,” Matt Myers of the Campaign for Tobacco Free Kids said in a statement.The national survey is conducted at schools each year by the Centers for Disease Control and Prevention and usually involves about 20,000 middle and high school students. It asks students if they had used any vaping or traditional tobacco products in the previous month. The survey was cut short this year as schools closed because of the coronavirus pandemic.Federal health officials believe measures like public health media campaigns, price increase and sales restrictions deserve credit for the vaping decline. The age limit for sales in now 21.But they also acknowledge the outbreak probably played a part. The CDC’s Brian King said sales started falling in August — when national media coverage of the outbreak intensified.“It’s possible that some of the heightened awareness could have influenced decline in use,” said King.By the time the outbreak was winding down early this year, more than 2,800 illnesses and 68 deaths had been reported. Most of those who got sick said they vaped solutions containing THC, the ingredient that produces a high in marijuana. CDC officials gradually focused their investigation on black market THC cartridges, and on a chemical compound called vitamin E acetate that had been added to illicit THC vaping liquids.Kenneth Warner, a professor emeritus at the University of Michigan’s school of public health, said the teen vaping drop was larger than expected.“This does look like a very substantial decrease in a single year and it’s very encouraging,” said Warner, a tobacco control expert.Among the likely factors, Warner noted the general negative publicity surrounding vaping. Additionally, Juul preemptively pulled all its vaping flavors except menthol and tobacco last fall ahead of federal action.Warner and other researchers have tracked a recent decline in teen smoking to all-time lows — about 6% — even as vaping has increased. He said it will be critical to watch whether teen smoking begins rising again as fewer teens vape.The new figures were disclosed on the same day that all U.S. vaping manufacturers faced a long-delayed deadline to submit their products for FDA review. Generally, that means the vaping companies must show that their products help smokers reduce or quit their use of cigarettes and other tobacco products.E-cigarettes first appeared in the U.S. more than a decade ago and have grown in popularity with minimal federal regulation.___Perrone contributed from Washington.___The Associated Press Health & Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 3996

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