中山便血应做什么检查-【中山华都肛肠医院】,gUfTOBOs,中山肛泰肛肠医院预约,中山便血价钱,广东中山华都肛肠医院,痔疮 手术 费用 中山,中山哪里治疗肛裂手术好,中山内痔治疗贵不贵
中山便血应做什么检查中山便血了你还在不闻不问么,中山大便干燥 出血 怎么办,中山肛门里面出血痒,中山最近几天大便都带血,中山屁股大便时候出血,中山肛门出血症状,中山上火导致便血
WASHINGTON (AP) -- U.S. Navy leaders are recommending a sweeping list of changes in sailor training, crew requirements and safety procedures to address systemic problems across the Pacific fleet that led to two deadly ship collisions earlier this year that killed 17 sailors, according to a copy of the report obtained by The Associated Press.A critical report scheduled to be released Thursday calls for about 60 recommended improvements that range from improved training on seamanship, navigation and the use of ship equipment to more basic changes to increase sleep and stress management for sailors.Another Navy report released Wednesday concluded that three collisions and a ship grounding this year were all avoidable, and resulted from widespread failures by the crews and commanders who didn't quickly recognize and respond to unfolding emergencies. Navy leaders publicly acknowledged those failings in a congressional hearing last month.RELATED: San Diego sailors killed in ship collisionThe USS John S. McCain and an oil tanker collided near Singapore in August, leaving 10 U.S. sailors dead. And seven sailors died in June when the USS Fitzgerald and a container ship collided off Japan. The USS Lake Champlain collided with a Korean fishing vessel in May and the USS Antietam struck bottom near a shoal in Tokyo Bay.As a result of the two deadly accidents, eight top Navy officers, including the 7th Fleet commander, were fired from their jobs, and a number of other sailors received reprimands or other punishment that was not publicly released."We are a Navy that learns from mistakes and the Navy is firmly committed to doing everything possible to prevent an accident like this from happening again," Adm. John Richardson, the chief of naval operations, said in a statement Wednesday. "We will spend every effort needed to correct these problems and be stronger than before."RELATED: Remains of USS John McCain sailors recoveredRichardson ordered a comprehensive review of the accidents, led by Adm. Philip Davidson, head of the Navy's Fleet Forces Command. In a report spanning about 170 pages, Davidson notes that many of the lessons learned can be applied across the Navy. And he recommends the appointment of a senior Navy officer to oversee the implementation of the recommended changes across the fleet, both in the Pacific and -- where needed -- around the world.Proposed changes focused on five main areas: fundamental skills, teamwork, operational safety, assessment procedures and culture. Specifically, the recommendations include beefing up qualification standards for sailors who stand watch -- a key point of failure in the two deadly collisions. Others call for improved navigational skills and certifications for sailors, including better, more sophisticated training on radar, piloting, communications and other high-tech equipment.The report acknowledges the fast-paced operations in the Pacific region, where the Navy is faced with an aggressive China and a growing threat from North Korea's pursuit of nuclear weapons. And it notes that ongoing budget constraints make it difficult to meet the requirements in the very busy Pacific region."The ability to supply forces to the full demand is - and will remain - limited," the report said, adding that funding shortfalls for readiness across the Navy, "did have an impact in putting more pressure to meet increasing demand for Japan-based assets" without additional support from ships based in the United States.Faced with the increasing demands, there was less time for crew members to do needed training or certifications, the report said.The report also noted that despite the growing pressure and pace of operations, there was a "can-do" culture that persisted, and commanders failed to listen to their teams and were unable or unwilling to say no despite the risks."Can-do should never mean must-do so we must continue to encourage our commanders to accept the risks when the benefit to be gained is worth the potential risk of failure," the report said.A number of the recommendations points to fatigue and how the lack of sleep can lead to problems, particularly as sailors stand watch."Sailors need to know when they must succumb to their own fatigue, be proactive about their fatigue management plan, and reach out to leadership," the report said. It also suggested that a mentorship program be set up, assigning experienced commanding officers to help sailors develop leadership skills and focus on seamanship, navigation, team building and operational safety.Davidson's report was submitted to Richardson, and Navy officials said a number of the recommendations are already being addressed. 4693
WASHINGTON, D.C. – The Internal Revenue Service (IRS) says it’s sticking with its July 15 deadline for Americans to file and pay their federal taxes.The original filing deadline and payment due date for 2019 was postponed from April 15 to July 15 due to the coronavirus pandemic.However, the IRS says taxpayers who are unable to meet the July 15 deadline can request an automatic extension of time to file until Oct. 15. You can file for an extension here.Those filing for an extension must do so by July 15. The IRS says the extension provides additional time to file a tax return, but it’s not an extension to pay any taxes due.The IRS urges people who owe taxes, even if they have a filing extension, to carefully review their situation and pay what they can by July 15 to avoid penalties and interest.“The IRS understands that those affected by the coronavirus may not be able to pay their balances in full by July 15, but we have many payment options to help taxpayers,” said IRS Commissioner Chuck Rettig. “These easy-to-use payment options are available on IRS.gov, and most can be done automatically without reaching out to an IRS representative.”While the deadline for federal taxes remains on April 15, states may have different deadlines for their taxes. A list of state tax division websites is available through the Federation of Tax Administrators.Click here for more information from the IRS, including payment options. 1442
WAYNE COUNTY, Mich. — U.S. Marshals safely recovered 123 missing children in a one-day operation in Michigan.The U.S. Marshals Service - Detroit Missing Child Recovery Unit, U.S. Marshals Service Sex Offender Investigations Branch, Michigan State Police and law enforcement officers from Wayne County agencies participated in Operation MISafeKid, a missing juvenile sweep to identify and recover missing children from the area with an emphasis on locating victims of sex trafficking.According to the U.S. Marshals, out of 301 files of missing children, 123 were identified and recovered safely, all of which were interviewed about potentially being sexually victimized or used in a sex trafficking ring. Three such cases were discovered.The Detroit Missing Child Recovery Unit was requested to assist on 30 missing child cases two weeks prior to the sweep. These cases were adopted by the U.S. Marshals Service and assigned to deputy U.S. Marshals. For more information, click here. 1000
WASHINGTON, D.C. – Two different doses of a thyroid medication are being recalled because they're not potent enough.The Food and Drug Administration announced Thursday that Acella Pharmaceuticals is voluntarily recalling one lot of 15-milligram and one lot of 120-milligram NP Thyroid?, Thyroid Tablets.The products may have as low as 87% of the labeled amount of levothyroxine, which is used to treat hypothyroidism (an underactive thyroid), according to the FDA.The company’s risk statement says patients being treated for hypothyroidism who receive sub potent NP Thyroid may experience symptoms of hypothyroidism, including fatigue, increased sensitivity to cold, constipation, dry skin, puffy face, hair loss, slow heart rate, depression, swelling of the thyroid gland and/or unexplained weight gain or difficulty losing weight.“There is reasonable risk of serious injury in newborn infants or pregnant women with hypothyroidism including early miscarriage, fetal hyperthyroidism, and/or impairments to fetal neural and skeletal development,” wrote Acella. “In elderly patients and patients with underlying cardiac disease toxic cardiac manifestations of hyperthyroidism may occur, such as cardiac pain, palpitations or cardiac arrhythmia.”So far, Acella says it has received four reports of "adverse events" for these lot numbers, possibly related to the recall.The products subject to recall are packed in 100-count bottles. Their lot numbers are M327E19-1 and M328F19-3. And their expiration dates are Oct. 2020 and November 2020.The products were distributed nationwide to Acella’s direct accounts, including wholesalers, pharmacies, and health care offices.“Acella is proactively notifying its wholesalers by email and phone to discontinue distribution of the two above referenced lots being recalled and is arranging for return of all recalled products,” wrote the company.Anyone who is currently taking NP Thyroid from the lots being recalled should not discontinue use without contacting their health care provider for further guidance and/or a replacement prescription, according to Acella.Anyone with questions about the recall can email Acella at recall@acellapharma.com or contact a representative at 1-888-280-2044.Click here for more information. 2272
We're only 11 weeks into 2018, and there have already been 17 school shootings where someone was hurt or killed. That averages out to 1.5 shootings a week.The parameters CNN followed in this count are: 209