昌吉意外怀孕40天(昌吉那家做人流医院好) (今日更新中)

Vibrant splashes of paint embellish the walls in an otherwise ordinary building.The Nipper family is putting the finishing touches on what they hope will become a safe haven for Las Vegas teens who may need a little help.“If some teen is feeling suicidal or just needs to talk to somebody, they don't have to be put on a waiting list,” says co-administrator Nicholas Nipper. “They don't they don't have to be postponed and put off because they don't have the right insurance.”When it opens, the non-profit ‘Kyler’s Kicks Lounge’ will provide a safe space for teens with access to mental healthcare professionals, therapeutic activities and important social resources. All of it will be free of cost.“It's not just mental health care. Kids will be able to come in here and get tutoring you know get food and learn valuable life skills that they won't learn in school,” says 14-year-old Kyler Nipper.The endeavor is the next step in healing for the teen. When he was just eleven, he survived being bullied and stabbed by a classmate over his school shoes.“I never really realized that your life could end at any moment,” says Kyler. “So, I want to make sure that you have made an impact that you made other people's lives amazing”For the last three years he’s given away shoes through his non-profit ‘Kyler’s Kicks.’ For him, it was a way to help cope with PTSD after the attack and at the same time doing something to help others.“He loves doing it,” says Kyler’s father Nicholas Nipper. “He loves helping people he loves giving. This is a new venture.”It’s a new venture that Kyler says he hopes will provide access to mental healthcare for countless others like him.“My parents had to be willing to sacrifice all the money that we have to get me to see a therapist and have mental health care. But hopefully this place will prevent that for all the other kids," Kyler Nipper said. 1894

Two centuries after its invention, the stethoscope — the very symbol of the medical profession — is facing an uncertain prognosis.It is threatened by hand-held devices that are also pressed against the chest but rely on ultrasound technology, artificial intelligence and smartphone apps instead of doctors’ ears to help detect leaks, murmurs, abnormal rhythms and other problems in the heart, lungs and elsewhere. Some of these instruments can yield images of the beating heart or create electrocardiogram graphs.Dr. Eric Topol, a world-renowned cardiologist, considers the stethoscope obsolete, nothing more than a pair of “rubber tubes.”It “was OK for 200 years,” Topol said. But “we need to go beyond that. We can do better.”In a longstanding tradition, nearly every U.S. medical school presents incoming students with a white coat and stethoscope to launch their careers. It’s more than symbolic — stethoscope skills are still taught, and proficiency is required for doctors to get their licenses.Over the last decade, though, the tech industry has downsized ultrasound scanners into devices resembling TV remotes. It has also created digital stethoscopes that can be paired with smartphones to create moving pictures and readouts.Proponents say these devices are nearly as easy to use as stethoscopes and allow doctors to watch the body in motion and actually see things such as leaky valves. “There’s no reason you would listen to sounds when you can see everything,” Topol said.At many medical schools, it’s the newer devices that really get students’ hearts pumping.“Wow!” ″Whoa!” ″This is awesome,” Indiana University medical students exclaimed in a recent class as they learned how to use a hand-held ultrasound device on a classmate, watching images of his lub-dubbing heart on a tablet screen.The Butterfly iQ device, made by based by Guilford, Connecticut-based Butterfly Network Inc., went on the market last year. An update will include artificial intelligence to help users position the probe and interpret the images.Students at the Indianapolis-based medical school, one of the nation’s largest, learn stethoscope skills but also get training in hand-held ultrasound in a program launched there last year by Dr. Paul Wallach, an executive associate dean. He created a similar program five years ago at the Medical College of Georgia and predicts that within the next decade, hand-held ultrasound devices will become part of the routine physical exam, just like the reflex hammer.The devices advance “our ability to take peek under the skin into the body,” he said. But Wallach added that, unlike some of his colleagues, he isn’t ready to declare the stethoscope dead. He envisions the next generation of physicians wearing “a stethoscope around the neck and an ultrasound in the pocket.”Modern-day stethoscopes bear little resemblance to the first stethoscope, invented in the early 1800s by Frenchman Rene Laennec, but they work essentially the same way.Laennec’s creation was a hollow tube of wood, almost a foot long, that made it easier to hear heart and lung sounds than pressing an ear against the chest. Rubber tubes, earpieces and the often cold metal attachment that is placed against the chest came later, helping to amplify the sounds.When the stethoscope is pressed against the body, sound waves make the diaphragm — the flat metal disc part of the device — and the bell-shaped underside vibrate. That channels the sound waves up through the tubes to the ears. Conventional stethoscopes typically cost under 0, compared with at least a few thousand dollars for some of the high-tech devices.But picking up and interpreting body sounds is subjective and requires a sensitive ear — and a trained one.With medical advances and competing devices over the past few decades, “the old stethoscope is kind of falling on hard times in terms of rigorous training,” said Dr. James Thomas, a cardiologist at Northwestern Medicine in Chicago. “Some recent studies have shown that graduates in internal medicine and emergency medicine may miss as many of half of murmurs using a stethoscope.”Northwestern is involved in testing new technology created by Eko, a Berkeley, California-based maker of smart stethoscopes. To improve detection of heart murmurs, Eko is developing artificial intelligence algorithms for its devices, using recordings of thousands of heartbeats. The devices produce a screen message telling the doctor whether the heart sounds are normal or if murmurs are present.Dennis Callinan, a retired Chicago city employee with heart disease, is among the study participants. At age 70, he has had plenty of stethoscope exams but said he feels no nostalgia for the devices.“If they can get a better reading using the new technology, great,” Callinan said.Chicago pediatrician Dr. Dave Drelicharz has been in practice for just over a decade and knows the allure of newer devices. But until the price comes down, the old stalwart “is still your best tool,” Drelicharz said. Once you learn to use the stethoscope, he said, it “becomes second nature.”“During my work hours in my office, if I don’t have it around my shoulders,” he said, “it’s as though I was feeling almost naked.” 5223

Two centuries after its invention, the stethoscope — the very symbol of the medical profession — is facing an uncertain prognosis.It is threatened by hand-held devices that are also pressed against the chest but rely on ultrasound technology, artificial intelligence and smartphone apps instead of doctors’ ears to help detect leaks, murmurs, abnormal rhythms and other problems in the heart, lungs and elsewhere. Some of these instruments can yield images of the beating heart or create electrocardiogram graphs.Dr. Eric Topol, a world-renowned cardiologist, considers the stethoscope obsolete, nothing more than a pair of “rubber tubes.”It “was OK for 200 years,” Topol said. But “we need to go beyond that. We can do better.”In a longstanding tradition, nearly every U.S. medical school presents incoming students with a white coat and stethoscope to launch their careers. It’s more than symbolic — stethoscope skills are still taught, and proficiency is required for doctors to get their licenses.Over the last decade, though, the tech industry has downsized ultrasound scanners into devices resembling TV remotes. It has also created digital stethoscopes that can be paired with smartphones to create moving pictures and readouts.Proponents say these devices are nearly as easy to use as stethoscopes and allow doctors to watch the body in motion and actually see things such as leaky valves. “There’s no reason you would listen to sounds when you can see everything,” Topol said.At many medical schools, it’s the newer devices that really get students’ hearts pumping.“Wow!” ″Whoa!” ″This is awesome,” Indiana University medical students exclaimed in a recent class as they learned how to use a hand-held ultrasound device on a classmate, watching images of his lub-dubbing heart on a tablet screen.The Butterfly iQ device, made by based by Guilford, Connecticut-based Butterfly Network Inc., went on the market last year. An update will include artificial intelligence to help users position the probe and interpret the images.Students at the Indianapolis-based medical school, one of the nation’s largest, learn stethoscope skills but also get training in hand-held ultrasound in a program launched there last year by Dr. Paul Wallach, an executive associate dean. He created a similar program five years ago at the Medical College of Georgia and predicts that within the next decade, hand-held ultrasound devices will become part of the routine physical exam, just like the reflex hammer.The devices advance “our ability to take peek under the skin into the body,” he said. But Wallach added that, unlike some of his colleagues, he isn’t ready to declare the stethoscope dead. He envisions the next generation of physicians wearing “a stethoscope around the neck and an ultrasound in the pocket.”Modern-day stethoscopes bear little resemblance to the first stethoscope, invented in the early 1800s by Frenchman Rene Laennec, but they work essentially the same way.Laennec’s creation was a hollow tube of wood, almost a foot long, that made it easier to hear heart and lung sounds than pressing an ear against the chest. Rubber tubes, earpieces and the often cold metal attachment that is placed against the chest came later, helping to amplify the sounds.When the stethoscope is pressed against the body, sound waves make the diaphragm — the flat metal disc part of the device — and the bell-shaped underside vibrate. That channels the sound waves up through the tubes to the ears. Conventional stethoscopes typically cost under 0, compared with at least a few thousand dollars for some of the high-tech devices.But picking up and interpreting body sounds is subjective and requires a sensitive ear — and a trained one.With medical advances and competing devices over the past few decades, “the old stethoscope is kind of falling on hard times in terms of rigorous training,” said Dr. James Thomas, a cardiologist at Northwestern Medicine in Chicago. “Some recent studies have shown that graduates in internal medicine and emergency medicine may miss as many of half of murmurs using a stethoscope.”Northwestern is involved in testing new technology created by Eko, a Berkeley, California-based maker of smart stethoscopes. To improve detection of heart murmurs, Eko is developing artificial intelligence algorithms for its devices, using recordings of thousands of heartbeats. The devices produce a screen message telling the doctor whether the heart sounds are normal or if murmurs are present.Dennis Callinan, a retired Chicago city employee with heart disease, is among the study participants. At age 70, he has had plenty of stethoscope exams but said he feels no nostalgia for the devices.“If they can get a better reading using the new technology, great,” Callinan said.Chicago pediatrician Dr. Dave Drelicharz has been in practice for just over a decade and knows the allure of newer devices. But until the price comes down, the old stalwart “is still your best tool,” Drelicharz said. Once you learn to use the stethoscope, he said, it “becomes second nature.”“During my work hours in my office, if I don’t have it around my shoulders,” he said, “it’s as though I was feeling almost naked.” 5223

White House lawyers expect to have an opportunity to review whatever version of Robert Mueller's report Attorney General Bill Barr submits to Congress before it reaches lawmakers and the public, multiple sources familiar with the matter said, setting up a potential political battle over the hotly anticipated document.The attorneys want the White House to have an opportunity to claim executive privilege over information drawn from documents and interviews with White House officials, the sources said.The White House's review of executive privilege claims are within its legal purview, but could set up a political battle over the perception President Donald Trump is trying to shield certain information from the public about an investigation that has swirled around him since the first day of his presidency.Justice Department lawyers could advise him against certain assertions if they don't feel it's legally defensible. If Trump does assert executive privilege, the decision could be litigated in court if it's challenged, which Democrats would almost certainly do."There's always tension between what looks best politically and what represents the interests of the institution -- the office of the presidency," one source close to the White House said. "Preserving executive privilege trumps political optics."While Trump's personal attorney Rudy Giuliani suggested privilege could be used to keep parts of the report from public view, the issue is up to the White House, not the President's personal attorneys.The Justice Department and White House declined comment.As the White House is bracing for Mueller's investigation to conclude, some officials describe a sense of anxiety at the contents of the report, even as they welcome the probe's end.A person close to the President's legal team offered some caution in a sign of the level of anxiety about how closely held Mueller has kept his investigation."Let's get the airplane on the runway and see what we got," the source said.But Trump, who spent part of this weekend lambasting Mueller on Twitter, does not plan to be blindsided by what the Justice Department possibly discloses to Congress and the public of the report. Instead, his lawyers expect the contents will be viewed first by them. 2270

Vibrant splashes of paint embellish the walls in an otherwise ordinary building.The Nipper family is putting the finishing touches on what they hope will become a safe haven for Las Vegas teens who may need a little help.“If some teen is feeling suicidal or just needs to talk to somebody, they don't have to be put on a waiting list,” says co-administrator Nicholas Nipper. “They don't they don't have to be postponed and put off because they don't have the right insurance.”When it opens, the non-profit ‘Kyler’s Kicks Lounge’ will provide a safe space for teens with access to mental healthcare professionals, therapeutic activities and important social resources. All of it will be free of cost.“It's not just mental health care. Kids will be able to come in here and get tutoring you know get food and learn valuable life skills that they won't learn in school,” says 14-year-old Kyler Nipper.The endeavor is the next step in healing for the teen. When he was just eleven, he survived being bullied and stabbed by a classmate over his school shoes.“I never really realized that your life could end at any moment,” says Kyler. “So, I want to make sure that you have made an impact that you made other people's lives amazing”For the last three years he’s given away shoes through his non-profit ‘Kyler’s Kicks.’ For him, it was a way to help cope with PTSD after the attack and at the same time doing something to help others.“He loves doing it,” says Kyler’s father Nicholas Nipper. “He loves helping people he loves giving. This is a new venture.”It’s a new venture that Kyler says he hopes will provide access to mental healthcare for countless others like him.“My parents had to be willing to sacrifice all the money that we have to get me to see a therapist and have mental health care. But hopefully this place will prevent that for all the other kids," Kyler Nipper said. 1894

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