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As my 1st clinical week in the COVID ICU at Renown @renownhealth I want to thank all the incredible staff who are Fighting the Good Fight to help all those suffering from COVID-19. With 5 deaths in the last 32 hours, everyone is struggling to keep their head-up. Stay strong. pic.twitter.com/pHLp4PPzA6— Jacob Keeperman (@critcare_airems) November 29, 2020 366
Ashley Judd, Salma Hayek and Annabella Sciorra took the stage on Oscar night to deliver a message to Hollywood and beyond: Time's up.The three women are among the more than 60 who have accused the disgraced film producer of sexual assault or harassment that took place over the course of three decades. Weinstein has consistently denied all accusations of nonconsensual sex, but the allegations against him sparked a reckoning in Hollywood that took center stage at the Dolby Theater during Sunday's Academy Awards.The woman stood together and spoke about the #MeToo movement that has swept Hollywood over the past several months and pointed out that this is not an issue that solely affects the movie industry. 725

ATLANTA, Ga. – The Centers for Disease Control and Prevention (CDC) announced Thursday that it has expanded its list of people who are at an increased risk of getting severely ill from COVID-19.While everyone is at risk of contracting the novel coronavirus, some people are more likely than others to become severely ill, meaning they may require hospitalization, intensive care or a ventilator to help them breathe, or they may even die.Older adults and people with underlying medical conditions remain at increased risk for severe illness, but now the CDC has further defined age- and condition-related risks.Before, the CDC said those 65 and older were at an increased risk of severe illness. Now, the CDC says it has removed the specific age threshold from the older adult classification. The agency now warns that among adults, risk increases steadily as you age, and it’s not just those over the age of 65 who are at increased risk for severe illness.The CDC says age is an independent risk factor for severe illness, but risk in older adults is also in part related to the increased likelihood that older adults also have underlying medical conditions.The CDC has also updated its list of underlying medical conditions that increase risk of severe illness. After reviewing reports, studies and various other data sources, the CDC found there is consistent evidence these specific conditions increase a person’s risk of severe COVID-19 illness:· Chronic kidney disease· COPD (chronic obstructive pulmonary disease)· Obesity (BMI of 30 or higher)· Immunocompromised state (weakened immune system) from solid organ transplant· Serious heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies· Sickle cell disease· Type 2 diabetesThe CDC says these changes increase the number of people who fall into higher risk groups. An estimated 60% of American adults have at least one chronic medical condition and obesity is one of the most common underlying conditions that increases one’s risk for severe illness – with about 40% of U.S. adults considered obese.The more underlying medical conditions people have, the higher their risk.The CDC also clarified the list of other conditions that “might” increase a person’s risk of severe illness, including additions such as asthma, high blood pressure, neurologic conditions such as dementia, cerebrovascular disease such as stroke, and pregnancy.A report published Thursday further adds to the growing body of research on the risk for pregnant women. Researchers found pregnant women were significantly more likely to be hospitalized, admitted to the intensive care unit, and receive mechanical ventilation than non-pregnant women. However, pregnant women were not at greater risk for death from COVID-19.“Understanding who is most at risk for severe illness helps people make the best decisions for themselves, their families, and their communities,” said CDC Director Robert Redfield MD. “While we are all at risk for COVID-19, we need to be aware of who is susceptible to severe complications so that we take appropriate measures to protect their health and well-being.”Protecting yourself, your family, and your communityThe CDC says every activity that involves contact with others has some degree of risk right now. Knowing if you are at increased risk for severe illness and understanding the risks associated with different activities of daily living can help you make informed decisions about which activities to resume and what level of risk you will accept. This information is especially critical as communities begin to reopen.Officials recommend that everyone do their part to implement prevention strategies, such as focusing on activities where social distancing can be maintained, washing your hands frequently, limiting contact with and disinfecting commonly touched surfaces or shared items, and wearing a cloth face covering when you are around people you do not live with, especially when it is difficult to stay 6 feet apart or when people are indoors."By taking these steps, you can help protect yourself, your loved ones, and others around you, including those most vulnerable to severe illness," the CDC writes. 4219
As the coronavirus pandemic continues, doctors are learning more about the damage having Covid-19 can do to the body. Two separate studies published recently indicate the coronavirus can harm other organs in the body, including the heart.One of the studies looked at 100 patients in Germany who recently recovered from Covid-19 and found 60 percent of participants had inflammation in the heart. The study used MRI scans to monitor the inflammation, and was published in JAMA Cardiology.The majority of the patients in this study, 67 of them, recovered from the coronavirus at home with severity ranging from asymptomatic to moderate. It compared the MRIs of coronavirus survivors to scans from healthy volunteers.The data showed there was some sort of heart involvement in those who had coronavirus, whether or not they had preexisting conditions or any heart-related symptoms during recovery.“Our findings reveal that significant cardiac involvement occurs independently of the severity of original presentation and persists beyond the period of acute presentation, with no significant trend toward reduction of imaging or serological findings during the recovery period. Our findings may provide an indication of potentially considerable burden of inflammatory disease in large and growing parts of the population and urgently require confirmation in a larger cohort,” the researchers noted in conclusion.A second study, also published in JAMA Cardiology, found coronavirus could be found in the heart tissue of patients who died.The study looked at data from 39 autopsy cases in Germany in early April. The patients were aged 78 to 89, had tested positive for Covid-19 and there were results of heart tissue analysis in their autopsies.In 16 of the 39 cases, there was a large “virus load” of coronavirus found in the heart tissue, another eight had a coronavirus presence in the tissue.The sample of autopsy cases was small and the "elderly age of the patients might have influenced the results," the researchers wrote. More research is needed whether similar findings would emerge among a younger group of patients."Taken together the studies support that SARS-CoV-2 does not have to cause clinical myocarditis in order to find the virus in large numbers and the inflammatory response in myocardial tissue. In other words, one can have no or mild symptoms of heart involvement in order to actually cause damage," said Dr. Dave Montgomery, who was not involved in the studies, in a statement to CNN.Dr. Clyde Yancy of Northwestern University Feinberg School of Medicine and Dr. Gregg Fonarow of the University of California, Los Angeles, co-authored an editorial that accompanied the two new studies in the journal JAMA Cardiology called ‘Coronavirus Disease 2019 (COVID-19) and the Heart—Is Heart Failure the Next Chapter?”“We see the plot thickening and we are inclined to raise a new and very evident concern that cardiomyopathy and heart failure related to COVID-19 may potentially evolve as the natural history of this infection becomes clearer,” they write. 3076
ATLANTA — The long-standing dispute over voting rights and election security has come to a head in Georgia.The state's messy primary and partisan finger-pointing offer an unsettling preview of a November contest when battleground states could face potentially record turnout.According to The Associated Press, many Democrats are blaming Georgia's Republican governor, Brian Kemp, and Republican secretary of state, Brad Raffensperger, for hours-long lines at polling stations. Republicans are blaming local Democratic officials in Atlanta, particularly in areas with large numbers of racial minorities, which saw some of the longest lines in the state.Georgia's Tuesday elections were plagued with a series of problems caused by the coronavirus pandemic, which forced the closure of dozens of polling stations across the state. Fewer polling stations resulted in long lines at stations that remained open.The pandemic also caused an increase in requests for absentee ballots — which some voters claimed they never received. Some of those voters then stood in line for hours hoping to cast an in-person ballot, only to be told they could not because they had requested a mail-in ballot that they never received.The election was further exacerbated by the use of new voting machines, which some precincts had trouble operating. Some polling stations had trouble turning on or logging into machines, and voters were forced to stand in line while workers waited for technical support.As of Wednesday morning at 7:30 a.m. ET, many races of national importance were still too close to call, with only 24% of the state's 2,354 voting precincts reporting complete results. In the Democratic Senate primary, John Ossoff held 46% of the vote — short of the 50% he needed to win to avoid a runoff in August.The election issues raise the specter of a worst-case scenario: a decisive state, like Florida and its "hanging chads" and "butterfly ballots" in 2000, remaining in dispute long after polls close.That would give President Donald Trump, presumptive Democratic presidential nominee Joe Biden, and their supporters a chance to offer competing claims of victory or raise questions about the election's legitimacy, further dividing an already roiled electorate. 2260
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