邯郸白带会臭是怎么回事(邯郸输卵管粘连的价格) (今日更新中)

Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756

SACRAMENTO, Calif. (AP) — Two major law enforcement organizations have dropped their opposition to California legislation that strengthens standards for when officers can use of deadly force, a shift that comes after supporters made changes to the measure.Spokesmen for organizations representing California police chiefs and rank-and-file officers told The Associated Press on Thursday that they won't fight the measure, which was prompted by public outrage over fatal police shootings.As originally written, the measure would bar police from using lethal force unless it is "necessary" to defend against an imminent threat of death or serious bodily injury to officers or bystanders.That's a change from the current standard, which lets officers kill if they have "reasonable" fear they or others are in imminent danger. The threshold made it rare for officers to be charged following a shooting and rarer still for them to be convicted."With so many unnecessary deaths, I think everyone agrees that we need to change how deadly force is used in California," said Democratic Assemblywoman Shirley Weber of San Diego, who wrote the measure. "We can now move a policy forward that will save lives and change the culture of policing in California."Law enforcement officials did not immediately explain their decision. But a revised version of the bill filed Thursday drops an explicit definition of "necessary" that was in the original version. The deleted language provided that officers could act when there is "no reasonable alternative."The amended measure also makes it clear that officers are not required to retreat or back down in the face of a suspect's resistance and officers don't lose their right to self-defense if they use "objectively reasonable force."Amendments also strip out a specific requirement that officers try to de-escalate confrontations before using deadly force but allows the courts to consider officers' actions leading up to fatal shootings, said Peter Bibring, police practices director for the American Civil Liberties Union of California, which proposed the bill and negotiated the changes."By requiring that officers use force only when necessary and examining their conduct leading up to use of force, the courts can still consider whether officers needlessly escalated a situation or failed to use de-escalation tactics that could have avoided a shooting," he said.Even with the changes, the ACLU considers the bill to have the strongest language of any in the country.Democratic leaders in the Legislature signed on to the revised version, which is set for a key Assembly vote next week. 2634

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

RICHMOND, Va. -- Markeisha Harris-Minor is a young entrepreneur who has always considered herself to be a resource to people. And she has always wanted to do it, as she says, on a macro level.So, last December, she came up with an idea for a new app she calls Blocal Search.What is it?“This is a nationwide directory and app for locating Black-owned businesses all across the country," Harris-Minor, CEO of Blocal Search, said.Harris-Minor said she was constantly seeing the Black dollar recycle in front of her eyes. That’s why she said it was important for her to find an avenue that would allow the money to stay in local neighborhoods, especially in a moment in time where a demand to support Black businesses is on the rise.“Because we all know that buying Black right now, it’s something that’s important. It may look more trendy or what have you, but I want to make sure I’m pushing it to be a lifestyle, so just kind of changing that focus and perspective, like why am I really buying Black?” she said.Ajay Brewer, owner of Brewer’s Café on the city’s south side, added his business to Blocal Search this year.“I’ve had several people tell me that they’ve found me through Blocal, so any sort of search engine that creates that sort of awareness for us is really priceless. It’s created revenue for Brewer’s Café for sure," Brewer said.Harris-Minor said she has over 150 local businesses -- like restaurants, juice bars, beauty supplies, family dentistry, and more -- in the app.The number is even higher nationwide. Blocal has promoted about 4,000 companies across 160 cities since the app launched in February.“Blocal at minimum is going to be a directory, but this is going to be a brand that I’m building to really make sure that we’re able to have a sustainable community that we’ve had in the past and be able to create the generational wealth that we all are looking for our families,” she said.Blocal Search is available to download on your phone by going to your App Store or on Google Play. You can also get more information here.This story was originally published by Rob Desir at WTVR. 2113

SACRAMENTO (KGTV) -- Governor Gavin Newsom signed a bill Monday requiring California State University undergraduates to take an ethnic studies course to graduate. The change comes amid national calls to dismantle systemic and unconscious racism, starting with public education.The bill was authored by local Assemblywoman Shirley Weber, chair of the California Legislative Black Caucus and longtime professor of Africana Studies at San Diego State University.“What we are seeing in Washington and on American streets right now demonstrates the necessity of understanding the experiences and perspectives of these historically marginalized and oppressed groups who have nonetheless contributed to the building of our country,” Weber said in a statement. “This is great day for students and for the state. I am grateful to the Governor for joining me in moving California forward.”The bill, AB 1460, requires all CSU undergraduates to take at least one three-unit course in ethnic studies. The course must focus on Native Americans, African Americans, or Latina and Latino Americans.The legislation will go into effect beginning with students graduating in the 2024-25 academic year.The bill represents the first change to the CSU general education curriculum in over 40 years. 1283

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