山东强直性脊椎炎的预后(山东强直脊椎炎中晚期) (今日更新中)

VIRGINIA BEACH, Va. -- Cynthia Santiago is currently a master police officer with the Virginia Beach Police Department, but she will soon be Sgt. Cynthia Santiago and the first Latina filling the role.“I'm excited and nervous, and excited-and-nervous is like a constant continuation,” Santiago said.She has been on the force for 10 years and said she joined the police department because she wanted to give back and help her community. She said she also feels some weight on her shoulders."I'm the first one stepping into this role, but I think that as a sergeant,” Santiago explained, “I think my career as a police officer and as a detective shows the type of person I am."She has experience in the patrol unit, domestic violence unit and as a detective."You know, just a regular person - I'm a mom, I'm a daughter and a police officer,” she said. “I don't want to just be considered just the 'Latina police officer.' I have plenty of extracurricular activities that I do outside of work with my family."Santiago took on special projects and efforts such as building a relationship between the department and the growing local Latino community. One way was by helping to start the Hispanic Citizen’s Police Academy last autumn.She will work out of the fourth precinct and said she hopes to continue working on these initiatives as a sergeant."It was so successful, that Hispanic Citizen's Police Academy, and hopefully we have another one because we had a lot of interest of people who still wanted to join,” Santiago said. “Once this pandemic leaves, maybe have some type of community event and invite the community leaders of the Hispanic population here in Virginia Beach."She officially starts her role on Thursday. She said she hopes to, “be the best sergeant I can be in this new role I'm about to partake but hopefully help other females in the police department move up in the ranks as well."This story was originally published by Julio Avila at WTKR. 1969

WASHINGTON (AP) — More than 1.3 million Americans applied for unemployment benefits last week, a historically high pace that shows that many employers are still laying people off in the face of a resurgent coronavirus.In the week ending July 4, the advance figure for seasonally adjusted initial claims was 1,314,000, a decrease of 99,000 from the previous week’s revised level, the U.S. Department of Labor said Thursday.The persistently elevated level of layoffs is occurring as a spike in virus cases has forced six states to reverse their move to reopen businesses.Those six — Arizona, California, Colorado, Florida, Michigan and Texas — make up one-third of the U.S. economy. Fifteen other states have suspended their reopenings.Collectively, the pullback has stalled a tentative recovery in the job market and is likely triggering additional layoffs.A resurgence of confirmed viral cases is threatening to derail what had looked like the start of an economic recovery. The economy and the job market may struggle to sustain any gains amid the surge in new reported infections.The jobs report comes after the U.S. surpassed 3 million COVID-19 cases this week, according to an ongoing tally by Johns Hopkins University. America continues to lead the world in confirmed cases. 1287

WASHINGTON (AP) — Elizabeth Warren’s proposal to gradually move the country to a government-funded health care system has further inflamed the debate over “Medicare for All,” likely ensuring the issue will play a significant role in this week’s Democratic presidential debate.The Massachusetts senator announced Friday that her administration would immediately build on existing laws, including the Affordable Care Act, to expand access to health care while taking up to three years to fully implement Medicare for All. That attempt to thread the political needle has roiled her more moderate rivals, who say she’s waffling, while worrying some on the left, who see Warren’s commitment to a single-payer system wavering.The divide could complicate plans by Democrats to turn health care into a winning issue in 2020. The party successfully took back control of the House last year by championing programs that ensure that people with preexisting medical conditions keep their insurance coverage while arguing that Republicans want to weaken such provisions. But the Medicare for All debate is more delicate as advocates including Warren grapple with concerns that a new government-run system won’t provide the same quality of coverage as private insurance — and would be prohibitively expensive.“The Medicare for All proposal has turned out to be a real deal-breaker in who gets the Democratic nomination,” said Robert Blendon, a Harvard University School of Public Health professor whose teaching responsibilities include courses on political strategy in health policy and public opinion polling. “This is not just another issue.”Warren’s transition plan indicates she’d use her first 100 days as president to expand existing public health insurance options. That is closer to what has been supported by former Vice President Joe Biden and Mayor Pete Buttigieg of South Bend, Indiana. Both Democratic presidential candidates have criticized Medicare for All for wiping out private insurance — something they say many Americans aren’t ready for.Warren insists she’s simply working to expand health insurance in the short term to people who don’t have it while remaining committed to the full plan in the long run.“My commitment to Medicare for All is all the way,” Warren said while campaigning in Iowa over the weekend.Still, the transition signified a step toward pragmatism and an acknowledgement that the government has ways to expand health insurance coverage before embracing a universal system — something that would be difficult for any president to get through Congress. Consider that current entitlements, such as Social Security and Medicare, were phased in over years, not all at once.“If she’s looked at it and decides the sensible thing to do in order to not cause too much disruption in employment situations and within the medical system is to gear up over three years, she's probably right,” said Cindy Wolf, a customer service and shipping manager who attended the California state Democratic Convention on Saturday in Long Beach.Still, the move may prove politically problematic for a candidate who has long decried others settling for consultant-driven campaigns seeking incremental changes at the expense of big ideas.Vermont Sen. Bernie Sanders is the original architect of Medicare for All and has made fighting for it the centerpiece of his 2020 White House bid. He tweeted following the release of Warren’s transition plan: “In my first week as president, we will introduce Medicare for All legislation.”Campaigning in Nevada on Monday, California Sen. Kamala Harris said, “I believe that government should not be in a position of taking away people's choice.”“Especially on one of the most intimate and personal decisions people can make,” Harris said, “which is about how to address their health care needs.”The criticism from others was far sharper. Top Biden adviser Kate Bedingfield dismissed Warren’s plan as “trying to muddy the waters” by offering “a full program of flips and twists.” Buttigieg spokeswoman Lis Smith said it was a “transparently political attempt to paper over a very serious policy problem.”It’s easy to see the issue spilling into Wednesday’s debate because Warren rode a steady summer climb in the polls to become one of the primary field’s front-runners — but no longer seems to be rising. Polls recently show her support stabilizing, though not dipping, as focus on her Medicare for All ideas intensifies.The last two debates featured Warren failing to answer direct questions on whether she would be forced to raise middle class taxes to pay for the universal health care system she envisions. That set up a plan released two-plus weeks ago in which Warren vowed to generate -plus trillion in new government revenue without increasing taxes on the middle class — but that’s been decried by critics who accuse Warren of underestimating how much Medicare for All would really cost.And, though Warren never promised to begin working toward Medicare for All on Day 1 of her administration, the release of the transition plan, which spelled out that the process will take years, has unsettled some.Una Lee Jost, a lawyer who was holding “Bernie” signs in Chinese and English at the California Democratic Convention, called any lengthy transition to Medicare for All “a serious concern.”“We should have implemented this decades ago,” she said.___Associated Press writers Kathleen Ronayne and Michael R. Blood in Long Beach, Calif., and Michelle Price in North Las Vegas, Nev., contributed to this report. 5566

WASHINGTON (AP) — It was a week of relentless attacks by President Donald Trump and his allies on mail-in voting for the November election, and truth took a beating at every turn.Fearing a pandemic-induced surge in such voting will work against him, Trump persisted in arguing that fraud is rampant for mail-in ballots yet quite fine and safe for absentee votes, which are also mailed. There is no functional difference between the two, and both have extensive verification systems.He and his campaign also tried to cast a new Nevada law as allowing ballots to be “showered” across the state to any living person, regardless of age or citizenship, who would have the ability to vote after Nov. 3 without their identities ever verified. Each of those claims is off the mark.Meanwhile, on the coronavirus, Trump painted a far rosier picture than his own health experts on when a vaccine could become available. He asserted it could be ready by Election Day.He also falsely claimed once more that kids are basically immune from the disease, prompting rebukes from both Facebook and Twitter for the misinformation.A look at the rhetoric and the reality:VOTING FRAUDTRUMP: “You look at some of the corruption having to do with universal mail-in voting. Absentee voting is OK.” — Axios interview released Monday.VICE PRESIDENT MIKE PENCE: “Absentee balloting is perfectly acceptable. You have to apply for an absentee ballot, signatures are checked, it’s confirmed, it is a long tradition. ... But this universal mail in voting where you’re going to see literally ballots showered all across the state -- it is ripe for fraud.” — Fox News interview Monday.THE FACTS: Trump and his vice president are making a false distinction. Mail-in ballots are cast in the same way as absentee mail ballots, with the same level of scrutiny such as signature verification in many states.In more than 30 states and the District of Columbia, voters have a right to “no excuse” absentee voting. That means they can use mail-in ballots for any reason, regardless a person is out of town or working. In Florida, the Legislature in 2016 voted to change the wording of such balloting from “absentee” to “vote-by-mail” to make clear a voter can cast such ballots if they wish.More broadly, voter fraud has proved exceedingly rare. The Brennan Center for Justice in 2017 ranked the risk of ballot fraud at 0.00004% to 0.0009%, based on studies of past elections.Five states relied on mail-in ballots even before the coronavirus pandemic raised concerns about voting in person.“Trump is simply wrong about mail-in balloting raising a ‘tremendous’ potential for fraud,” Richard L. Hasen, an elections expert at the University of California, Irvine, School of Law, wrote recently. “While certain pockets of the country have seen their share of absentee-ballot scandals, problems are extremely rare in the five states that rely primarily on vote-by-mail, including the heavily Republican state of Utah.”In an apparent turnabout, Trump later in the week urged voters in Florida to vote by mail despite his rhetoric against the practice, arguing in a tweet that its system is “safe and secure, tried and true.” Florida is a must-win state for Trump, where Democratic requests to vote by mail have been surging higher.___STEPHEN MILLER, White House senior adviser: “Here’s a shocking thing for your audience to consider. Nobody who mails in a ballot has their identity confirmed. Nobody checks to see if they’re even a U.S. citizen. Think about that. Any — any foreign national, talk about foreign election interference, can mail in a ballot and nobody even verifies if they’re a citizen of the United States of America.” — Fox News interview Monday.THE FACTS: He’s incorrect to assert that measures aren’t in place to confirm a voter’s identity or prevent fraud with mail ballots.Ballots typically require voters to provide identifying information such as a birth date or Social Security or driver's license number. In most states, voters also sign the back of the envelope, which is then verified with the signature on their voter registrations.Many jurisdictions use a bar code on the envelope, which is used to help states identify any duplicate ballots and also let voters know if their ballot was received.Miller ignores separate built-in safeguards for mail-in ballots. The ballots, for instance, are generally sent to registered voters, who have to provide identifying information at the time of registration, such as an address, birth date and proof of citizenship.In Miller’s hypothetical scenario of a foreign national improperly casting a vote, that ballot would be flagged and rejected for not having a signature on file or for failing to match one that is. Based on the envelope’s bar code, state voting officials also could identify and eliminate any duplicate ballots, whether they were submitted mistakenly or fraudulently.___FOREIGN INTERFERENCETRUMP, on the threat from Russia, China and Iran of meddling in the U.S. presidential election: “The biggest risk that we have is mail-in ballots. ... It’s much easier for them to forge ballots and send them in, it’s much easier for them to cheat with universal mail-in ballots." — news briefing Friday.THE FACTS: Mail-in ballots aren't the biggest risk for foreign interference.Trying to influence a federal election through mail-in ballots would probably mean paying thousands of U.S. citizens, carefully selected in pivotal states, who are willing to conspire with a foreign government and risk detection and prosecution.Far easier and cheaper would be a social media campaign seeking to discourage certain groups of people from voting, which is something the FBI has warned about. Or a cyberattack on voter registration data that would eliminate certain voters from the rolls. That could cause havoc at polling places or election offices as officials attempt to count ballots from people who are “missing” from their voter databases.On Friday, William Evanina, director of the National Counterintelligence and Security Center, warned about foreign interference and said Russia was already trying to undercut Democratic candidate Joe Biden. Evanina cited in part Kremlin-linked figures who are "seeking to boost President Trump’s candidacy on social media and Russian television.”Last month, Attorney General Bill Barr raised the possibility that a “foreign country could print up tens of thousands of counterfeit ballots.” He argued they would be hard to detect, but that’s been disputed by election experts.Absentee and mail-in ballots are printed on special paper and must be formatted correctly in order to be processed and counted. Ballots are specific to each precinct, often with a long list of local races, and would be identified as fraudulent if everything didn’t match precisely.___NOVEMBER ELECTIONTRUMP: With more mail-in voting, “it’s going to be months or years” until a presidential winner is known. — Fox News interview Wednesday.THE FACTS: Not according to federal law. A presidential outcome will be known one way or another by mid-December.It’s true that state election officials in some states have cautioned it may take more time to count an expected surge of ballots that people send by mail because they don’t feel safe showing up to the polls. In an election as close as the one in 2016, a delayed tally in some states could keep the outcome from being quickly known.But for a presidential election, the Constitution gives Congress the power to set the day when each state’s electors, those chosen in November, must cast their electoral votes. Congress set that day for “the first Monday after the second Wednesday in December,” or Dec. 14 this year.Federal law also sets a presidential election for the Tuesday after the first Monday in November, which is Nov. 3 this election cycle. That means each state will have five weeks to report its final election tally, whether its vote count is fully finished or not.Delayed results are common in a few states where elections are already conducted largely by mail. But a presidential election hasn’t been left in limbo since 2000, when ballot irregularities in Florida led to chaos and court fights. Ultimately that dispute was settled by the U.S. Supreme Court, which effectively ended Florida’s recount five weeks later on Dec. 12, 2000, saying that time had run out before electors were set to meet.___TRUMP, on issuing an executive order to address increases in mail-in voting, which he says will lead to more fraud: “I have the right to do it.” — news briefing Monday.THE FACTS: Not according to the Constitution, which expressly gives states the right to run their elections, with oversight from Congress.There is no precedent or apparent authority for Trump to try to curtail the use of mail-in ballots by executive order. Any such order from the president would certainly face constitutional challenges in court from voting rights groups.Trump has previously floated a delay to the Nov. 3 election. The date of the presidential election— the Tuesday after the first Monday in November in every fourth year — is enshrined in federal law and would require an act of Congress to change. Democrats, who control the House, will not support Trump on this. It appears Republicans won’t, either.___NEVADA VOTINGTRUMP, on mail ballots: “There’s no verification of signatures. So they don’t even know who’s going to sign this. They have literally a clause that you don’t have to verify the signatures — that they don’t have to do it.” — remarks Wednesday.THE FACTS: Not true. Nevada’s existing law requires signature checks on mail ballots. A new law also spells out a process by which election officials are to check a signature against the one in government records.In Nevada’s June primary, nearly 7,000 ballots were thrown out due to mismatched or missing signatures.___MERCEDES SCHLAPP, Trump campaign senior adviser: “Even come Election Day, you could still cast a ballot three days later if you don’t have a postmark, or seven days later if you have a postmark. ... Say you vote for Joe Biden, then you find out in Nevada that President Trump wins. You can go to your family members, you can go to your colleagues and say, ’Guess what, do you still have that mail-in vote? Let’s cast it, because you can cast it several days after the election.” — CNN interview Tuesday.THE FACTS: It’s a distortion for her to assert that Nevada voters could still cast ballots several days after the election.Under the new law, ballots must be postmarked or “cast” by Election Day to be counted. Election officials are given up to seven days to receive and count those ballots after the election. That additional time for receipt is routine practice in many states for overseas and military voters who submit ballots by mail.Separately, the law states that if a mail ballot is received up to three days after the election, it can be counted if the date of the postmark is unclear or missing. The aim is to provide enough time for delivery and processing of ballots that are properly mailed on Election Day, though the Trump campaign alleges in a lawsuit filed this past week that the three-day provision would allow some ballots to be improperly mailed after the election and then counted.That scenario is not the same as granting wide license to cast ballots “several days” after the election, as Schlapp asserts.The campaign's suit acknowledges that the window for alleged mischief is small because most mail in Nevada already takes at least one or two days to arrive. Some of those ballots may display postmarks showing they were sent late, which would disqualify them.___TRUMP: “What they’re going to do is blanket the state, anybody that ever walked, frankly, will get one.” — Fox News interview Wednesday.THE FACTS: His imagery of any living being in Nevada receiving a mail-in ballot, regardless of age or other eligibility factors, is false.The new law requires that ballots be sent to “active” registered voters. “Active” registered voters are generally those with a current address on file with their local elections office.There are additional requirements to be registered to vote. In Nevada, a person must be a U.S. citizen and resident of the state, at least 18 years old, not currently in state or federal prison, and not found to be mentally incompetent to vote by a court.___NEW YORK VOTINGTRUMP, on two Democratic congressional primaries: “They don’t know what happened to them, is there fraud, is there -- it’s a disaster.” — news briefing Tuesday.THE FACTS: While there were vote-counting delays, there’s no evidence of fraud in the two Democratic congressional primaries in New York City that Trump refers to, which were won by city council member Ritchie Torres and Rep. Carolyn Maloney. Nor did Trump offer any proof of fraud.New York state decided to allow anyone to vote by mail in the June primary because of the coronavirus pandemic. More than 400,000 people voted by absentee ballot in New York City, a figure that was 10 times the number of absentee ballots cast in the 2016 primary.Opening and counting those ballots by elections officials took weeks. New York City’s Board of Elections ultimately certified the results six weeks after the election.___CORONAVIRUSTRUMP, asked if a vaccine for COVID-19 could become available before the election: “I think in some cases, yes possible before, but right around that time. ...I’m rushing it. I am. I’m pushing everybody.” — interview Thursday on the Geraldo Rivera radio program.THE FACTS: He’s offering a more ambitious timeline than his health experts and omitting key facts.Dr. Anthony Fauci, the government’s top infectious diseases expert, has said he is “cautiously optimistic” that a coronavirus vaccine will be ready by early next year. Even then, Fauci made clear that the vaccine would not be widely available right away.“Ultimately, within a reasonable period of time, the plans now allow for any American who needs a vaccine to get it within the year 2021,” Fauci told Congress last week.Under White House orders, federal health agencies and the Defense Department are carrying out a plan to deliver 300 million vaccine doses on a compressed timeline. That will happen only after the Food and Drug Administration determines that one or more vaccines are safe and effective. Several candidates are being tested.The push for a speedy vaccine has drawn concern from some scientists that the White House will pressure U.S. regulators to approve a vaccine before it’s ready.In an op-ed this past week, FDA Commissioner Dr. Stephen Hahn said his agency will not be influenced by any political pressure and will make decisions “based solely on good science and data.”___TRUMP: “Children are almost — and I would almost say definitely — but almost immune from this disease, so few. ...They don’t have a problem, they just don’t have a problem. ... And I’ve have watched some doctors say they’re totally immune.” — Fox news interview Wednesday.THE FACTS: They aren’t immune. Although it’s true that children are less likely than adults to develop COVID-19, the Centers for Disease Control and Prevention has nevertheless counted more than 250,000 infections by the virus in Americans younger than 18, or roughly 7% of all cases.The number of kids who have been infected but not confirmed is almost certainly far higher than that, experts say, because those with mild or no symptoms are less likely to get tested.Trump overlooks severe COVID-19 illnesses and some deaths of children in the U.S., even though kids in general tend to get less sick from it than adults do. He also glosses over the fact that kids can spread disease without showing symptoms themselves.The CDC in April studied the pandemic’s effect on different ages in the U.S. and reviewed preliminary research in China, where the coronavirus started. It said social distancing is important for children, too, for their own safety and that of others.“Whereas most COVID-19 cases in children are not severe, serious COVID-19 illness resulting in hospitalization still occurs in this age group,” the CDC study says.The CDC in May also warned doctors to be on the lookout for a rare but life-threatening inflammatory reaction in some children who’ve had the coronavirus. The condition had been reported in more than 100 children in New York, and in some kids in several other states and in Europe, with some deaths.Trump's claim prompted Facebook to delete his post with a link to the Fox News video because of the misinformation. Twitter temporarily blocked the Trump campaign from tweeting from its account, until it removed a post with the same video.___TRUMP: “When you do a lot of testing, you have more cases.” — Fox News interview Wednesday.THE FACTS: It's not true that infections are high only because the U.S. diagnostic testing has increased. Trump’s public health officials have repeatedly shot down this line of thinking. Infections are rising because people are infecting each other more than they were when most everyone was hunkered down.Increased testing does contribute to the higher numbers, but there’s more to it. Testing in fact has uncovered a worrisome trend: The percentage of tests coming back positive for the virus is on the rise across nearly the entire country.That’s a clear demonstration that sickness is spreading and that the U.S. testing system is falling short.___AP’s Election Research and Quality Control Group in New York, and Associated Press writers Nicholas Riccardi in Denver, Michelle L. Price in Las Vegas, Sam Metz in Carson City, Nevada, and Lauran Neergaard, Zeke Miller and Darlene Superville in Washington contributed to this report.___EDITOR'S NOTE — A look at the veracity of claims by political figures. 17793

Walmart is making its opioid policy more strict, limiting the duration of such prescriptions and requiring that they be filled electronically.The company announced on Monday that within 60 days, it will only fill first-time acute opioid prescriptions for seven days or less nationwide, and it will limit the dosage to 50 morphine milligram equivalents, or MMEs, per day. The CDC publishes?MME conversion guides to help pharmacists figure out the right dosage for each type of prescribed opioid.There are more than 5,300 Walmart and Sam's Club locations in the United States.The new restrictions follow recommendations from the Centers for Disease Control and Prevention. A CDC study found that people who were prescribed at least one day of opioid therapy had a 6% chance of being addicted a year later — but for those prescribed eight or more days of treatment saw that chance spiked to 13.5%. The CDC also notes that patients who are prescribed higher dosages are more likely to die from an overdose.Some states already limit prescriptions to seven days or fewer. Walmart will go by state law when the cap is lower than one week.Walmart also said that starting in 2020, it will require e-prescriptions for controlled substances. The company explained that online prescriptions will help prevent prescription fraud and minimize error.The new measures are an extension of Walmart's efforts to fight the US opioid epidemic.In January, the company introduced a way to safely destroy leftover opioids at home. DisposeRx is a powder that, when combined with water and the pills, creates a gel that is difficult to remove from its container. The mixture can be thrown out at home or left at a drop off location. The company said on Monday that it will make DisposeRx available online.Plus, Walmart and Sam's Club pharmacists will continue to recommend the anti-overdose drug naloxone, which is available over the counter in some states, to customers who may be at risk of an overdose. They will complete a pain management curriculum by the end of August.Other companies are making similar efforts to help fight the epidemic.Aetna started waiving co-pays for the anti-overdose drug Narcan, a branded version of the naloxone nasal spray, and limiting first-time opioid prescriptions to seven days in January. And CVS Caremark, the prescription benefit manager for CVS Health, began capping first-time prescriptions at seven days in February.Purdue Pharma, which makes the opioid OxyContin, said in February that it will stop promoting the addictive painkiller to doctors.The CDC said in March that more than 63,000 Americans died of a drug overdose in 2016, and that nearly two-thirds of those overdoses involved either a prescription or illegal opioid, like heroin and fentanyl. 2830

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