中山肠镜(中山痔疮和肛裂的治疗) (今日更新中)

ROCHESTER, Indiana — The woman accused of crashing into four Indiana children as they crossed the street to get on a school bus pleaded not guilty Thursday morning, according to ABC 57 News in South Bend. The suspect, 24-year-old Alyssa Shepherd, had previously told police she saw the lights from the bus but didn't realize what it was until the kids were in front of her. She has been charged with three counts of reckless homicide and one count of disregarding the stop arms on a school bus causing injury. The crash happened Oct. 30, near the intersection of State Road 25 and CR 400 N in Fulton County.Police say Shepherd was driving a Toyota Tacoma on State Road 25 sometime after 7 a.m. when she allegedly "disregarded" the stop arm and lights on a stopped school bus in front of a mobile home park, striking four kids who were crossing the street to board the bus. Alivia Stahl, 9, and her twin brothers, Xzavier and Mason Ingle, 6, were all pronounced dead at the scene. A fourth child was also hit. Maverik Lowe, 11, was hospitalized. His family said he "continues to improve."A pretrial conference for Shepherd has been scheduled for Feb. 5, 2019, ABC 57 reported. 1218

SACRAMENTO, Calif. (AP) — California lawmakers are negotiating a pair of proposed tax increases as the deadline approaches for Democratic Gov. Gavin Newsom to sign a 4.8 billion operating budget.Lawmakers approved the budget bill last week, but lawmakers still must pass more than a dozen "trailer bills" that detail how the money must be spent.Monday, the state Senate approved a plan to raise taxes on some business income and give that money to people who earn less than ,000 a year in their annual tax refunds. The Assembly, meanwhile, approved a fee of up to 80 cents per month on phone bills — including cell phones — to pay for an upgrade to California's aging 911 system following the most devastating wildfire season in state history.The businesses taxes are a tough vote in the Assembly , where Democrats in power have concerns about voting to align the state's tax code with a portion of the 2017 federal tax law signed by Republican President Donald Trump. The 911 fee is a tough vote in the Senate, where lawmakers are wary of voting again on a cell phone fee after a similar proposal fell one vote shy of passing last year.Lawmakers in both chambers breezed through a series of trailer bills on Monday that did things like temporarily suspend taxes on diapers and tampons and extend the state's paid family leave program by two weeks. Lawmakers passed each one with little debate and with bipartisan agreement on several points.But the Legislature is poised for a pair of critical votes on Thursday on the 911 fee and business taxes, with leaders in both chambers trying to pressure the other one to vote."It is really kind of part of our strategy to make sure one house takes a vote that may feel difficult by the other house, and vice versa," said Sen. Holly Mitchell, a Los Angeles Democrat and chairwoman of the Senate Budget Committee. "I think those are appropriate dots to connect."The business tax changes are part of a plan to selectively adopt some of the federal tax changes Trump signed into law in 2017. Some items would lower taxes and others would increase them. Overall, the state would get an additional .6 billion in revenue during the fiscal year that begins July 1.Newsom wants to use most of that money to triple the state's earned income tax credit program, which boosts the size of annual tax refunds for low-income people. The plan would make about 1 million more people eligible for the credit. Plus, it would give ,000 to people who make less than ,000 a year and have at least one child under 6.But the plan would still not include immigrants who pay taxes but do not have Social Security numbers. Newsom would not include that in the budget because he said it was too expensive, but pledged to work toward it in future years.In an effort to win votes, lawmakers have stopped referring to the bill as "conforming" to the federal tax code, but instead call it "loophole closure." Assemblyman Adam Gray, a moderate Democrat from Merced, supports the bill. He said he has never seen "so much consternation" about a tax bill, noting lawmakers often conform to federal tax changes without controversy.The 911 fee is an effort to upgrade the state's system so it can handle text messages, photos and videos. But the fund that pays for the system is based on a fee for each phone call. The fund has been steadily declining as more people opt to send text messages.Assemblyman Jay Obernolte, R-Big Bear Lake, argued that the state should use some of its surplus to pay for the changes rather than raise fees on consumers. But Assemblywoman Christy Smith, D-Santa Clarita, argued that the state's 911 system is essential and requires funding beyond a short-term surplus."Yes, we have a surplus. But we don't always have a surplus in California," she said. "We will always have emergencies."___Associated Press writer Andrew Oxford contributed. 3896

SACRAMENTO, Calif. (AP) — California's Department of Motor Vehicles improperly disclosed private information to seven other government agencies on more than 3,000 people involved in some type of investigation as suspects or witnesses, officials said Tuesday.The department was sending letters Tuesday to the 3,200 people after determining that they are not currently being investigated.The department improperly gave federal, state and county agencies what were supposed to be internal notes, such as whether drivers' Social Security numbers had been checked to see if they were valid or falsified or if the individual was ineligible for a Social Security number.It sent information on more than 3,000 of the individuals to district attorneys in just two of California's 58 counties, San Diego and Santa Clara.Information on fewer than 200 people went to the federal Department of Homeland Security, including six records for immigrants who were in the country illegally but applied for or received special immigrant licenses.Officials said it was unclear if they were used to investigate the drivers' immigration status or for some other purpose.The remainder went to the Internal Revenue Service, inspector generals for the Social Security Administration and U.S. Small Business Administration, and the California Department of Health Care Services.The information could have been used in criminal, tax or child support investigations, including for witnesses in those inquiries, officials said.It's the latest in series of missteps by the DMV, which last year came under fire for long wait times and for potentially botching about 23,000 voter registrations under the state's "motor voter" law, which lets residents automatically register to vote through the DMV.Department spokeswoman Anita Gore said the DMV stopped making the improper disclosures in August after officials decided that they shouldn't have been giving other agencies the internal notes.She said it took the DMV three months to send the letters because it had to ask each of the seven agencies why they wanted the information, review four available years of records, make sure the 3,200 drivers were not being investigated to avoid tipping them off, and then draft individual letters to each driver. 2278

Ron Bielanski is passionate about working with his hands. But COVID-19 threw a wrench at how he made his living as a construction worker.“My boss, at the time I just got hired, told me I can’t make you come here,” Ron Bielanski recalled. “It’s voluntary at this point.”After leaving his job in construction, Bielanski worked as a handyman. But soon, the opportunities dwindled. Prior to the pandemic, he received three to four job offers a week. Now, maybe four calls a month.“That has gone away completely. There is no one calling me for estimates,” Bielanski said. “The only phone calls I am getting are people in emergency situations.”This jack of all trades says clients are reluctant to hire repair experts because of the current pandemic and social distancing guidelines.Experts recommend the following for those seeking handiwork:Household members and service providers should wear masksLimit interaction with repair workersDisinfect the area that may have been touched during a projectHousehold members with health issues should leave while the project is being completed 1087

ROME (AP) — Italian composer Ennio Morricone has died at the age of 91.Morricone created the coyote-howl theme for the iconic Spaghetti Western “The Good, the Bad and the Ugly” and the soundtracks such as classic Hollywood gangster movies as “The Untouchables.”During a career that spanned decades and earned him an Oscar for lifetime achievement in 2007, Morricone collaborated with some of the most renowned Italian and Hollywood directors, in movies including “The Untouchables” by Brian de Palma, “The Hateful Eight” by Quentin Tarantino and “The Battle of Algiers” by Gillo Pontecorvo.In total, he produced more than 400 original scores for feature films. 668

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