呼市什么医院看痔疮和肛裂好(呼和浩特治痔疮女子) (今日更新中)

Amazon's go-it-alone delivery strategy has driven away one of its biggest partners. FedEx will end its ground delivery contract with Amazon.For years, Amazon has used FedEx's ground delivery service to help shuttle online orders to consumers. But Amazon is also rapidly bolstering its own delivery network, agitating established logistics businesses.FedEx announced Wednesday that it plans to let their ground ship contract expire at the end of the month. The company said in a statement that recent steps to bolster its delivery network have positioned the company "extraordinarily well" to "focus on the broader e-commerce market."FedEx also dumped Amazon from its air cargo services in June. The company said at the time it would continue serving online shoppers through its partnerships with other companies not named Amazon. FedEx noted Amazon accounted for less than 1.3% of its total revenue in 2018.Amazon did not immediately respond to a request for comment.FedEx v. AmazonAmazon's obsession with speedier deliveries has overhauled the delivery landscape. Its aggressive plans to expand its internal shipping network threaten FedEx and UPS.Over the past couple of years, Amazon's moves are often met in lock step by FedEx: Amazon expanded its warehouse center, and FedEx debuted FedEx Fulfillment. Amazon announced single-day delivery, and FedEx said it would speed things up with seven-day shipping. Amazon began testing a delivery robot, and FedEx introduced the 1486

A Utah company is recalling two-pound frozen bags of Quest beef cat food sold nationwide over fears it may be contaminated with salmonella."Salmonella can affect animals eating the products and there is risk to humans from handling contaminated pet products, especially if they have not thoroughly washed their hands after having contact with the products or any surfaces exposed to these products," the US 419

A pinch in the leg, a squeal and a trickle of tears. One baby after another in Malawi is getting the first and only vaccine against malaria, one of history’s deadliest and most stubborn of diseases.The southern African nation is rolling out the shots in an unusual pilot program along with Kenya and Ghana. Unlike established vaccines that offer near-complete protection, this new one is only about 40% effective. But experts say it’s worth a try as progress against malaria stalls: Resistance to treatment is growing and the global drop in cases has leveled off. With the vaccine, the hope is to help small children through the most dangerous period of their lives. Spread by mosquito bites, malaria kills more than 400,000 people every year, two-thirds of them under 5 and most in Africa.Seven-month-old Charity Nangware received a shot on a rainy December day at a health clinic in the town of Migowi. She watched curiously as the needle slid into her thigh, then twisted up her face with a howl.“I’m very excited about this,” said her mother, Esther Gonjani, who herself gets malaria’s aches, chills and fever at least once a year and loses a week of field work when one of her children is ill. “They explained it wasn’t perfect, but I feel secure it will relieve the pain.”There is little escaping malaria -- “malungo” in the local Chichewa language -- especially during the five-month rainy season. Stagnant puddles, where mosquitoes breed, surround the homes of brick and thatch and line the dirt roads through tea plantations or fields of maize and sugar cane. In the village of Tomali, the nearest health clinic is a two-hour bike ride away. The longer it takes to get care, the more dangerous malaria can be. Teams from the clinic offer basic medical care during visits once or twice a month, bringing the malaria shot and other vaccines in portable coolers. Treating malaria takes up a good portion of their time during the rainy season, according to Daisy Chikonde, a local health worker.“If this vaccine works, it will reduce the burden,” she said.Resident Doriga Ephrem proudly said her 5-month-old daughter, Grace, didn’t cry when she got the malaria shot.When she heard about the vaccine, Ephrem said her first thought was “protection is here.” Health workers explained, however, that the vaccine is not meant to replace antimalarial drugs or the insecticide-treated bed net she unfolds every night as the sun sets and mosquitoes rise from the shadows. “We even take our evening meals inside the net to avoid mosquitoes,” she said.It took three decades of research to develop the new vaccine, which works against the most common and deadly of the five parasite species that cause malaria. The parasite’s complex life cycle is a huge challenge. It changes forms in different stages of infection and is far harder to target than germs.“We don’t have any vaccines against parasites in routine use. This is uncharted territory,” said Ashley Birkett, who directs PATH’s Malaria Vaccine Initiative, a nonprofit that helped drugmaker GlaxoSmithKline develop the shot, brand-named Mosquirix. The bite of an infected mosquito sends immature parasites called sporozoites into the bloodstream. If they reach the liver, they’ll mature and multiply before spewing back into the blood to cause malaria’s debilitating symptoms. At that point, treatment requires medicines that kill the parasites.Mosquirix uses a piece of the parasite — a protein found only on sporozoites’ surface — in hopes of blocking the liver stage of infection. When a vaccinated child is bitten, the immune system should recognize the parasite and start making antibodies against it.Scientists also are searching for next-generation alternatives. In the pipeline is an experimental vaccine made of whole malaria parasites dissected from mosquitoes’ salivary glands but weakened so they won’t make people sick. Sanaria Inc. has been testing its vaccine in adults, and is planning a large, late-stage study in Equatorial Guinea’s Bioko Island.And the U.S. National Institutes of Health soon will start initial tests of whether injecting people periodically with lab-made antibodies, rather than depending on the immune system to make them, could offer temporary protection during malaria season. Think of them as “potentially short-term vaccines,” NIH’s Dr. Robert Seder told a recent meeting of the American Society of Tropical Medicine and Hygiene.For now, only babies in parts of Malawi, Kenya and Ghana are eligible for the Mosquirix vaccine. After the vaccine was approved in 2015, the World Health Organization said it first wanted a pilot roll-out to see how well it worked in a few countries — in real-world conditions — before recommending that the vaccine be given more widely across Africa. “Everyone is looking forward to getting it,” said Temwa Mzengeza, who oversees Malawi’s vaccine programs. Those eager for the shots include her husband, whom she had to stop from trying to get them, she said.Mzengeza used to come down with malaria several times a year until she started following her own advice to sleep under a net every night. Unlike many other kinds of infections, people can get malaria repeatedly, building up only a partial immunity.In the pilot program that began last year, 360,000 children in the three countries are meant to be vaccinated annually. The first dose is given at about age 5 months and the final, fourth booster near the child’s second birthday.Experts say it is too early to know how well the vaccine is working. They’re watching for malaria deaths, severe infections and cases of meningitis, something reported during studies but not definitively linked to the vaccine.“To do something completely new for malaria is exciting,” said researcher Don Mathanga, who is leading the evaluation in Malawi. The rainy season has brought new challenges, making some rural roads impassable and complicating efforts to track down children due for a shot. So far in Malawi, the first dose reached about half of the children targeted, about 35,000. That dropped to 26,000 for the second dose and 20,000 for the third. That’s not surprising for a new vaccine, Mzengeza said. “It will pick up with time.”At the health clinic in Migowi in Malawi’s southern highlands, workers see signs of hope. Henry Kadzuwa explains the vaccine to mothers waiting at the clinic. He said there was a drop in malaria cases to 40 in the first five months of the program, compared to 78 in the same period in 2018.Even though he wishes his 3-year-old daughter, Angel, could receive the vaccine, “it’s protecting my community. It also makes my work easier,” Kadzuwa said. The Migowi area has one of the country’s highest rates of malaria, and a worn paper register in the clinic’s laboratory lists scores of cases.At the clinic, Agnes Ngubale said she had malaria several years ago and wants to protect her 6-month-old daughter, Lydia, from the disease.“I want her to be healthy and free,” she said. “I want her to be a doctor.”And she has memorized the time for Lydia’s second dose: “Next month, same date.”___Neergaard reported from Washington.___The Associated Press Health and Science Department receives 7200

American Airlines now won't use its fleet of Boeing 737 Max planes any time this summer.The world's largest airline, which has 24 of the 737 Max jets in its fleet, said it is canceling about 115 flights a day through September 3 as a result of the grounding. It previously had canceled flights through August 19. The plane was grounded in mid-March after two fatal crashes, putting focus on a particular safety feature on the plane.American's canceled flights are the most extensive among US airlines. Southwest, which has 34 of the 737 Max jets in its fleet, has canceled flights only through August 5 at this time. United Airlines' cancellations also run into August.Not all of the American flights scheduled to be flown by the 737 Max will be canceled outright. Some will be flown with other aircraft. American is also canceling some flights scheduled to be flown by different aircraft, such as the original 737, to shift those resources to other flights.American said it is adjusting its schedules to affect the fewest number of passengers possible, and passengers whose flights are canceled will be able to rebook at no cost or get a full refund if they don't wish to take their trip.The 115 flights and 24 planes represent about 2% of American's overall operations. The airline operates about 6,800 flights a day during the busy summer travel season, including those flown for it by regional feeder airlines. Its mainline operations include a total of more than 900 aircraft.Late summer is one of the busiest times of the year for air travel, so the lost flights will hurt the airline — although Boeing is expecting to find ways to compensate airlines hurt by the Max grounding. It is seeking to win approval for a software fix that is designed to address the automatic safety feature that is the focus of the investigation into the two fatal crashes."American Airlines remains confident that impending software updates to the Boeing 737 MAX, along with the new training elements Boeing is developing ... will lead to recertification of the aircraft soon," American said in its statement. "We are pleased with the progress to date." 2150

Americans have welcomed him into their living rooms since 1984, and for decades, the beloved host of Jeopardy became a daily staple in many people’s lives. This week, on the familiar set of the popular game show, Alex Trebek delivered somber news: he was diagnosed with pancreatic cancer. "Just like 50,000 others each year, this week I was diagnosed with stage 4 pancreatic cancer,” Trebek said in the video. “Now, normally the prognosis for this is not very encouraging, but I’m going to fight this, and I’m going to keep working." The sad reality is Trebek is right. Pancreatic cancer is one of the deadliest types of the disease. “The 5-year survival rate is just 9 percent,” says Julie Fleshman with the Pancreatic Cancer Action Network. Fleshman says it’s also not an easy disease to diagnose early, because symptoms like back pain and stomach aches can be benign. Therefore, pancreatic cancer is often only diagnosed when it's reached stage 4, meaning it has spread to other parts of the body. But Fleshman says Trebek's video message may be a breath of fresh air for anyone battling the disease. "I think having hope and empowerment when diagnosed with a difficult disease like pancreatic cancer is extremely important, and Alex’s message yesterday was courageous and inspiring to all of us," she says.In his announcement, Trebek inserted a bit of his trademark humor, saying he was going to fight this because “truth told, I have to, because under the terms of my contract I have to host Jeopardy for three more years!"Trebek asked for prayers from his fans. Watch his message to fans 1608

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