南宁胸腹部切开缝合训练模型(北京高级胰岛素注射练习模型) (今日更新中)

SAN DIEGO (CNS) - For the fourth time in a week, San Diego County public health officials reported a record-high number of daily COVID-19 cases, with 440 new positive cases recorded Friday.It's the fifth time in six days that health authorities reported more than 300 new COVID-19 cases and the first day yet with new cases topping 400. The total number of cases recorded since the pandemic began is now 12,401, and with six additional deaths reported Friday, the number of deaths increased to 358.Of those deaths, four men and two women died between June 13 and June 24, and ranged in age from late 50s to mid-90s. All had underlying medical conditions.The county recorded 6,824 COVID-19 tests Friday, 6% of which returned positive. The 14-day rolling average positive test rate is 3.4%.More than 300 cases were reported on Sunday, Monday, Wednesday and Thursday this week.Another community outbreak was reported Friday in a business, bringing the number reported in the last week to six -- falling below the threshold the county set in a set of 13 "triggers" announced earlier this month for the first time since June 18.Community-transmitted COVID-19 outbreaks activated one of those triggers on that date, placing a pause on any additional openings allowed by the state.The county could take industry-specific actions, pause all reopening efforts or even dial back reopenings if enough of the metrics rise above a certain threshold. The threshold for community outbreaks -- defined as three or more lab-confirmed cases from different households -- was fewer than seven in a week's span.A "modest uptick" in the number of hospitalizations and ICU visits also has officials worried."The sense of community we brought together at the beginning of this to slow the spread is the same one we need to summon now," County Supervisor Nathan Fletcher said Wednesday. "It's natural to see the spread when things start to reopen. What we want to avoid is an exponential spread."Fletcher said individual choices to do everything possible to prevent the spread would be vital in coming weeks. Frequent hand washing, wearing facial coverings in public and maintaining social distancing would all continue to make the difference in how quickly the illness makes its way through the community.Fletcher and his wife, Assemblywoman Lorena Gonzalez, announced late Thursday afternoon they are going into quarantine due to possible coronavirus exposure."We were notified today that we had close contact with an individual who has tested positive for COVID-19," Fletcher and Gonzalez said in a joint statement Thursday. "While we have both tested negative and have no symptoms, we will be following the public health guidance of a 14-day quarantine for those who have been in contact with a positive case."Among those who have contracted the disease in the San Diego region, 1,706 -- or 13.8% -- have required hospitalization. A total of 466 patients -- representing 3.8% of all cases, and 27.3% of hospitalized cases -- have been admitted to an intensive care unit.Dr. Wilma Wooten, the county's public health officer, said a significant spike in cases could be traced to the periods following restaurants opening, churches allowing services, and the mass protests calling for police reform."These could influence cases going forward for days, weeks or months," she said Wednesday.Wooten, suggesting how long the COVID-19 pandemic could impact the region, said it may not be safe for people to have gatherings at their homes "until sometime next year."The historic Hotel del Coronado reopened Friday after shuttering for the first time in its history.It will be open at reduced capacity and with fewer amenities.CVS Health is opening three no-cost testing sites Friday at select CVS Pharmacy drive-thrus in San Diego County. Self-swab tests will be available to individuals meeting U.S. Centers for Disease Control and Prevention criteria, in addition to state and age guidelines.Patients must register in advance to schedule an appointment at https://www.cvs.com/minuteclinic/covid-19-testing. Patients will be required to stay in their cars and will be directed to the pharmacy drive-thru window or a location in the parking lot, where they will be provided with a test kit and given instructions, and a CVS Pharmacy team member will observe the self-swab process to ensure it is done properly.Tests will be sent to an independent, third-party lab for processing and the results will be available in about three days.The testing sites opening Friday in San Diego County are located at the following CVS pharmacies:1810 Main St., Ramona;6265 El Cajon Blvd., San Diego; and800 Palm Ave., Imperial Beach. 4695

SAN DIEGO (CNS) - Citing the potential risks of sexual and physical abuse to children, San Diego County District Attorney Summer Stephan today urged Gov. Gavin Newsom to consider allowing county school districts to make their own determinations regarding reopening in advance of a Tuesday decision that could send the county to the most restrictive tier of the state's coronavirus reopening roadmap.In a letter sent Monday to Newsom, Stephan said there has been ``a drastic increase in child predatory behavior on the internet'' with children out of school and teachers unable to ``be the eyes and ears of law enforcement'' to report suspected abuse among their students.Local reports to the Internet Crimes Against Children Task Force have tripled since schools were shuttered due to the pandemic, and that similar increases have been seen nationwide, Stephan said. Stephan also said domestic violence reports have increased since stay- at-home orders were issued, and that Rady Children's Hospital has seen an increase in ``consult cases,'' in which cases of suspected child abuse are reported by physicians.Stephan's letter was sent in advance of Newsom's Tuesday decision regarding San Diego County's COVID-19 category status, when the county could potentially slide into the ``Purple Tier,'' meaning many schools could not open for in-person learning.``When evaluating the health of our children and our community, we must consider the effects of COVID-19, but also acknowledge and weigh the other real and potentially more life-threatening threat from violence and exploitation of children,'' Stephan said.``This is the public safety lens that I sincerely hope you will consider.'' Stephan raised similar concerns near the beginning of the pandemic regarding potential increases in domestic and sexual abuse, with abuse victims being trapped indoors with their abusers as a result of self-quarantining at home.In addition to safety risks, Stephan argued distance learning is not viable for many county residents. She said a lack of reliable internet access -- particularly in rural areas of the county -- should be taken into consideration.Stephan also said schools serve as a dependable place for food insecure students to get their meals. 2254

SAN DIEGO (CNS) - Ex-NFL tight end Kellen Winslow II, convicted of rape and other felonies stemming from sexual offenses against five women, will not be sentenced to prison for at least a few months, but attorneys disagreed in court Thursday as to when the case should move forward given logistical issues concerning the COVID-19 pandemic.Winslow, 37, was convicted in June 2019 of forcible rape, misdemeanor indecent exposure and lewd conduct counts involving three women.The same jury deadlocked on other charges related to two other women, setting the stage for a second trial slated to begin last November, but Winslow pleaded guilty to rape and sexual battery counts connected to those victims on the day trial was set to begin.The son of former San Diego Chargers legend Kellen Winslow initially faced life in prison on the original charges, but currently faces between 12 and 18 years in state prison when he is ultimately sentenced.His case, like many others, has faced delays due to the pandemic, and his Thursday hearing was held over video-conference, which has become typical since the pandemic began.Defense attorney Gretchen Von Helms argued Thursday that Winslow was entitled to be physically present when sentencing arguments are made. She said that those hearings should not be set until early next year, when conditions may be more favorable for Winslow to appear in court.Deputy District Attorney Dan Owens argued for a possible November sentencing date, saying it was "speculative" to claim live hearings might not be available until next year. Owens said attorneys could reconvene later this fall and determine then whether an in-person hearing could be held.San Diego County Superior Court Judge Blaine Bowman, who oversaw the trial, set a status conference for Oct. 15.In his trial, a Vista jury convicted Winslow of raping a 58-year-old homeless woman -- Jane Doe 2 -- in May 2018, exposing himself later that month to Jane Doe 3, who was gardening in her front yard in Cardiff, and touching himself in front of a 77- year-old woman -- Jane Doe 5 -- at a Carlsbad gym in February of last year. The Carlsbad incident occurred after Winslow was arrested, charged and released on bail.That jury could not reach a consensus on whether Winslow raped a hitchhiker in 2018 -- Jane Doe 1 -- or a 17-year-old girl -- Jane Doe 4 -- at a Scripps Ranch house party in 2003, leading to the second trial and Winslow's guilty pleas.Owens said at trial that none of the five women knew each other, yet their accounts yielded common details and similar physical descriptions of the suspect.Winslow's attorneys told jurors in his first trial that the charged incidents were either consensual sex or never occurred at all.Winslow II grew up in San Diego and attended Patrick Henry and Scripps Ranch high schools before heading to the University of Miami. He played for four NFL teams between 2004 and 2013. 2919

SAN DIEGO (CNS) - A man who was a 17-year-old gang member when he killed a San Diego police officer in 1978 has been granted parole, but District Attorney Summer Stephan said today that she is hopeful Gov. Gavin Newsom will reverse the decision. Jesus Cecena, 59, was convicted of killing Officer Archie Buggs, 30, who was shot four times after he stopped a car driven by Cecena in the Skyline neighborhood.Cecena fired five times at Buggs, then paused, walked toward the fallen officer and fired a final bullet into his head at point-blank range. The officer died in the street, his hand still on his service revolver.Cecena was granted parole Wednesday during a video-conferenced hearing at Valley State Prison in Chowchilla. He was previously granted parole in 2014, 2015 and 2017, but each time the decisions were reversed.Cecena's latest parole hearing -- his 18th -- included a discussion of his criminal record, psychiatric factors, parole plans, and statements by representatives of the victim's family.``We are deeply disappointed that the killer of one of San Diego's finest officers was granted parole,'' Stephan said. ``This crime impacted the entire San Diego community and caused great pain for the family of Officer Archie Buggs.`` This fallen officer was so respected by the law enforcement community that a substation was named after him,'' she said. ``We are hopeful that Governor Newsom will review this parole grant and reverse it once again to keep this killer incarcerated.''In 1979, Cecena was sentenced to life in prison without the possibility of parole, but the sentence was reduced to a seven-year-to-life term in 1982 due to him being underage at the time of the shooting. 1708

SAN DIEGO (CNS) - A man who went on a South Bay crime spree that included shooting at a moving vehicle and ramming an occupied San Diego police vehicle during a pursuit was sentenced Thursday to 19 years in state prison.Alfonso Ayala Flores, 26, pleaded guilty earlier this year to charges of assault with a semi-automatic firearm and resisting arrest for a series of crimes last November that culminated in him driving toward officers who cornered him in a cul-de-sac and ramming a patrol car.One officer opened fire on the pickup truck Flores was driving, striking the truck, but not Flores.He was also given a separate 16-month sentence for an unrelated burglary case, but that term will be served concurrently with his 19-year prison term.The spree began with Flores carjacking a motorist's Ford F-150 pickup at the Frontier Motel in San Ysidro on Nov. 6. Deputy District Attorney Mary Naoom said that on the following day, Flores shot at an occupied vehicle.Two days later, he sped off when San Diego police spotted him driving the stolen truck in the 1900 block of Dairy Mart Road in San Ysidro. The suspect, who had a female companion in the truck with him, fled west, where he wound up at the end of a cul-de-sac in the Nestor neighborhood.As officers got out of their cars and shouted at him to halt, Flores made a U-turn and accelerated toward them, prompting one of the officers to open fire, police and prosecutors said.Naoom said Flores rammed the patrol car with the pickup as he sped away, with police again in pursuit. The subsequent chase ended in the 1200 block of Holly Avenue in Imperial Beach, where he pulled over and ran off along with the woman, according to Sainz.His companion was quickly apprehended and questioned by police before being released. Flores was arrested a day later. 1815

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