呼市肛裂肛瘘怎么办(呼和浩特那个医院无痛胃镜做的好) (今日更新中)

Sen. Marco Rubio had a chance at payback Wednesday, when President Donald Trump noticeably sipped from a water bottle multiple times during a speech -- a move Trump had mocked Rubio for during the 2016 campaign."Similar, but needs work on his form. Has to be done in one single motion & eyes should never leave the camera. But not bad for his 1st time," Rubio tweeted Wednesday afternoon, linking to a video of Trump stopping mid-speech to look for his water bottle. 478

Spending cuts to schools, childhood vaccinations and job-training programs. New taxes on millionaires, cigarettes and legalized marijuana. Borrowing, drawing from rainy day funds and reducing government workers’ pay.These are some actions states are considering to shore up their finances amid a sharp drop in tax revenue caused by the economic fallout from the COVID-19 pandemic.With Congress deadlocked for months on a new coronavirus relief package, many states haven’t had the luxury of waiting to see whether more money is on the way. Some that have delayed budget decisions are growing frustrated by the uncertainty.As the U.S. Senate returns to session Tuesday, some governors and state lawmakers are again urging action on proposals that could provide hundreds of billions of additional dollars to states and local governments.“There is a lot at stake in the next federal stimulus package and, if it’s done wrong, I think it could be catastrophic for California,” said Assemblyman Phil Ting, a Democrat from San Francisco and chairman of the Assembly Budget Committee.The budget that Democratic Gov. Gavin Newsom signed in June includes .1 billion in automatic spending cuts and deferrals that will kick in Oct. 15, unless Congress sends the state billion in additional aid. California’s public schools, colleges, universities and state workers’ salaries all stand to be hit.In Michigan, schools are grappling with uncertainty as they begin classes because the state lacks a budget for the fiscal year that starts Oct. 1.Ryan McLeod, superintendent of the Eastpointe school district near Detroit, said it is trying to reopen with in-person instruction, “but the costs are tremendous” to provide a safe environment for students.“The only answer, really, is to have federal assistance,” McLeod said.Congress approved 0 billion for states and local governments in March. That money was targeted to cover coronavirus-related costs, not to offset declining revenue resulting from the recession.Some state officials, such as Republican Gov. Eric Holcomb of Indiana, are pushing for greater flexibility in spending the money they already received. Others, such as Republican Gov. Mike DeWine of Ohio, say more federal aid is needed, especially to help small businesses and emergency responders working for municipalities with strained budgets.In mid-May, the Democratic-led U.S. House voted to provide nearly trillion of additional aid to states and local governments as part of a broad relief bill. But the legislation has stalled amid disagreements among President Donald Trump’s administration, Republican Senate leaders and Democrats over the size, scope and necessity of another relief package. In general, Republicans want a smaller, less costly version.The prospects for a pre-election COVID-19 relief measure appear to be dimming, with aid to states and local governments one of the key areas of conflict.The bipartisan National Governors Association and Moody’s Analytics have cited a need for about 0 billion in additional aid to states and local governments to avoid major damage to the economy. At least three-quarters of states have lowered their 2021 revenue projections, according to the National Conference of State Legislatures.While Congress has been at loggerheads, many states have pressed forward with budget cuts.Wyoming Gov. Mark Gordon, a Republican, recently announced 0 million of “agonizing” cuts that he described as “just the tip of the iceberg” in addressing a billion budget shortfall caused by the coronavirus and declining revenue from coal and other natural resources. The cuts will reduce funding for childhood vaccinations and eliminate a program to help adults learn new job skills, among other things.“It is not likely that these trends are going to turn around rapidly or as significantly as we would like,” Gordon said.In August, Rhode Island Management and Budget Director Jonathan Womer sent a memo to state agencies instructing them to plan for a 15% cut in the fiscal year that starts next July.In some states, however, the financial outlook is not as dire as some had feared earlier this year.Previous federal legislation pumped money into the economy through business subsidies, larger unemployment benefits and ,200 direct payments to individuals. The resulting consumer spending led to a rebound in sales tax revenue in some states. Many states also delayed their individual income tax deadlines from April to July, which led to a larger than usual influx of summer revenue from taxpayers’ 2019 earnings.In Vermont, where lawmakers are expected to work on a budget next week, a deficit that some had feared could reach 0 million now is pegged around million. A predicted 8 million shortfall in Arizona for the current fiscal year has been revised to just million.Local governments in New Mexico said revenue has been propped up by surprisingly strong sales taxes. But “that sugar high from the federal stimulus will fall off, and our communities will be affected,” said A.J. Forte, executive director of the New Mexico Municipal League.New Mexico Gov. Michelle Lujan Grisham, a Democrat, is urging the Legislature to legalize and tax recreational marijuana as a way to shore up state revenue. Democratic Pennsylvania Gov. Tom Wolf also wants the Legislature to legalize marijuana, with the tax revenue going toward grants for small businesses and criminal justice reforms.State tax revenue often lags economic trends because individuals’ income losses aren’t reflected on tax returns until months later. As a result, experts warn that states might experience the lagging effects of the recession well into their 2021 and 2022 budget years.“The worst is still yet to come,” said Brian Sigritz, director of state fiscal studies at the National Association of State Budget Officers.The 2021 fiscal year began July 1 in most states. But seven states have yet to enact a full-year budget, in some cases because they have been waiting for congressional action on another relief bill.One such state is New Jersey, which shifted the start of its budget year from July to October because of the coronavirus pandemic. Democratic Gov. Phil Murphy recently proposed a budget that would slash about billion in spending, take on billion in debt and raise taxes on millionaires, businesses, yachts, cigarettes and health insurance plans.Murphy has said the initial federal aid didn’t provide enough “to deal with the variety of tsunamis that we’re facing.”In New York, Democratic Gov. Andrew Cuomo’s administration estimates the state will receive about billion less in tax revenue than once expected this fiscal year. Cuomo, who recently became chairman of the National Governors Association, wants Congress to provide an additional billion to New York to plug budget holes that he warns will compound in coming years.“There is no combination of savings, efficiencies, tax increases that could ever come near covering the deficit,” Cuomo said, “and we need the federal government to assist in doing that. Period.”___Associated Press writers Adam Beam in Sacramento, California; Mike Catalini in Trenton, New Jersey; Bob Christie in Phoenix; Tom Davies in Indianapolis; David Eggert in Lansing, Michigan; Mead Gruver in Cheyenne, Wyoming; Morgan Lee in Santa Fe, New Mexico; Marc Levy in Harrisburg, Pennsylvania; Wilson Ring in Stowe, Vermont; Andrew Taylor in Washington; Andrew Welsh-Huggins in Columbus, Ohio; and Marina Villeneuve in Albany, New York, contributed to this report. 7577

SOLANA BEACH, Calif. (KGTV) - The FBI joined the case of a part-time San Diego resident and tourist found murdered on vacation in the Caribbean in October.Rick Kuhnla says his family was told Monday morning that the FBI entered into an agreement for a joint investigation into the murder of his mother Marie Kuhnla, 62.Nearly two months later, the grief is still raw."At work, I will be going through the day sometimes and it will hit me: I'm not going to see my mom again. It's almost like a panic. It's horrible," said Rick Kuhnla.In mid-October, Marie Kuhnla set off on a girls trip to a Club Med resort in Turks and Caicos with two friends and fellow public defenders in New York. A few days into their trip, Marie went to her room to take a nap and wasn't heard from again. Her body was discovered in bushes on the edge of the resort days later. Royal Turks and Caicos Island Police told her family she was strangled, but Kuhnla says they've relayed to them little else."We haven't been given an autopsy report ... that was completed two weeks after her body was discovered. We don't know the time of death," said Kuhnla.Also upsetting for Kuhnla: it took 34 days to ship her body back, despite initial promises it would only be a few days."Because of how it was embalmed, it decayed a lot," said Kuhnla.That prevented family from have their own autopsy conducted and even viewing her body."It was heartbreaking and feeling disrespected ... makes me feel distrusting of the investigation," said Kuhnla.Kuhnla said his family has had concerns from the beginning. He says on the first night his mother's friends noticed her missing, police declined to search because it was dark out. According to Kuhnla, his family is now more hopeful with the FBI joining the probe. "I feel good about the FBI's involvement. I just want answers. She spent her life fighting for justice for those who couldn't afford it themselves. She deserves every effort to be made to get justice for her," said Kuhnla.In a statement, a Royal Turks and Caicos Island Police spokesperson says the family has been given "updates regarding all relevant information" but declined to comment further. 10News also reached out to the FBI but haven't heard back. 2236

SHASTA COUNTY, Calif. (KGTV) -- The search for a woman who owns a flower shop in Rancho Santa Fe has ended Monday night after authorities say Penelope Elizabeth Bax was found alive.Bax’s sister said she was spotted in Hirz Bay, a campground off of Lake Shasta, which has 6,200 miles of rivers and streams.Her sister says she thinks Bax ran out of gas in her Mercedes RV and her cell phone was dead.Bax was found dehydrated but stable and was airlifted to a local hospital. Her dog Walter is also being treated.The search for the 63-year-old began on March 31 after deputies with the Shasta County Sheriff’s Office learned that Bax was traveling to a family member’s home in Washington but hadn’t arrived yet.According to deputies, Bax left Vista on March 26. She was expected to arrive in Washington on March 29 but never showed up. 845

Senate Majority Leader Mitch McConnell, R-Kentucky, said Thursday that he hasn't visited the White House in more than two months and noted that he's avoided visiting President Donald Trump in-person due to the White House's lax COVID-19 protocols."I actually haven't been to the White House since August the 6th because my impression was their approach to how to handle this is different from mine and what I insisted that we do in the Senate, which is to wear a mask and practice social distancing," McConnell said at an event in Kentucky on Thursday.McConnell added that he and the Trump speak "frequently" on the phone.Given McConnell's status as the most powerful lawmaker in the President's party, Thursday's revelation was surprising. In the past two months, the Senate has been negotiating more COVID-19 stimulus and begun the process of filling a Supreme Court vacancy, all while both McConnell and Trump embark on re-election campaigns that are intrinsically linked.Several White House officials have tested positive for COVID-19 in recent days, including Trump. While Trump has said that he supports masks, he himself rarely wears them, and White House officials are often spotted without them. In the days prior to testing positive for COVID-19, Trump ridiculed Democratic presidential nominee Joe Biden for wearing masks during a presidential debate.Less than a week before confirming he had contracted the virus, dozens of top Republican lawmakers visited the White House to celebrate the nomination of Judge Amy Coney Barrett to the Supreme Court. While the ceremony itself took place outdoors, many later moved indoors and were photographed shaking hands and hugging without masks or face coverings. Nearly a dozen people who were in attendance at that ceremony have since contracted the virus.USA Today also reports that after regularly testing and conducting temperature checks for visitors in the late spring and early summer, the White House eased off those protocols in recent months.Trump was hospitalized for about three full days last weekend while battling the virus but has since said he's feeling much better. McConnell said he's also seen improvement in Trump's health."I think he's perfectly fine. He seems normal," McConnell said Thursday. "And we've been discussing the very issues that you all are discussing with me right now. And of course, the biggest thing that we're doing at the moment is the Supreme Court." 2453

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