河北电动门静脉侧支循环模型(陕西头解剖附脑模型) (今日更新中)

With just over a month until the election, Florida and Arizona are emerging as battleground states that are neck-and-neck for President Donald Trump and former vice president Joe Biden.For the first time in 2020, Trump has a slight lead in Florida, according to the Washington Post-ABC News poll. Among participants who said they are likely voters, Trump leads 51-to-47 percent, however this is considered within the margin of error.The poll points out Biden has a 13-point lead among Hispanic registered voters in Florida; four years ago, Hillary Clinton had a 27-point lead among Hispanics and still lost the state.In Arizona, among likely voters, the poll shows Trump and Biden at 49-to-48 percent. Arizona has voted for the Republican presidential candidate for every election since 1952 except once, the re-election of Bill Clinton in 1996.Researchers of this poll note that these percentages are so close the difference is not statistically significant. The margin of sampling error is 4 points among Florida results and 4.5 points among Arizona results.Trump won Florida and Arizona in the last election. In Arizona, Trump won in 2016 by about 90,000 votes. In Florida, Trump won by just over 100,000 votes.When it comes to the issues, Trump gets credit for being trusted to handle the economy, despite the current pandemic-fueled recession. In Florida, registered voters in the survey said they trusted Trump with the economy over Biden 52-to-41 percent. In Arizona, the spread is higher, with registered voters preferring Trump 56-to-41 percent.The economy appears to be the top issue for many this election cycle. About 31 percent of registered voters in Florida said the economy is the single most important issue, and 33 percent of those in Arizona.In handling the coronavirus pandemic, more registered voters trust Biden over Trump, with 48-to-43 percent in Florida and 49-to-45 percent in Arizona. In both states, 57 percent of participants said they were worried about catching the coronavirus.Biden also leads in handling health care, crime and safety, discouraging violence at political protests, and equal treatment of racial groups.Trump’s overall approval rating among registered voters is 47 percent in both states.There is also a big split in how voters of different parties plan to vote on Election Day. In both Florida and Arizona, more than 70 percent of registered Republicans plan on voting in-person on Election Day. Democratic participants are more likely to vote early or absentee/mail-in, more than 60 percent.This latest poll was conducted by landline and cell phone interviews between September 15-20 among 765 registered Florida voters and 701 registered Arizona voters. 2712

When it comes to eating healthy we tend to think about weight loss. But the impact on our blood pressure and cholesterol is just as important.Just ask a young woman who's survived not one, but two heart attacks. She talks about overcoming the odds, and how a heart-healthy diet is helping her fight back.In a small room, it's dinner time. But it's more than a love of food that's bringing these people together. It's a love and appreciation for life."So my name is Michelle," says one woman seated at the table. "I've had two heart attacks."Michelle Melvin and everyone at the table has had at least one close call with their hearts."What did you think when the doctor told you you'd had a heart attack?" The NOW's Kumasi Aaron asked Melvin. "It was disbelief," she responded.Melvin was 41, active and healthy overall when she felt a pain in her temples and her forearms went numb."But, did I ever think heart attack?" Melvin recalls. "No. I was 41 years old. That doesn't happen happen when you're 41." Her first thoughts? Her 8 and 10 year old sons.Melvin says, "It was just more of that sacredness of I can't, I can't die. With these babies at home still."She changed her diet and lifestyle but five years later, she had another heart attack."It wasn't supposed to happen again you know?" Melvin says. "You're not supposed to get it twice."Doctors diagnosed her with SCAD, a rare heart disease that mostly affects young women."The patients that it affects frequently are super healthy patients," says Kasier Permanente Cardiac Registered Nurse Amanda Bloom. "These are women who are out there doing marathons, they really take good care of themselves that's kind of what's so scary about it."Bloom started the support group. She wanted to make healthy eating a big part of it, because of its impact."It can really greatly reduce your risk of having another heart incident," Bloom says. "And for someone who hasn't had one it really reduces the risk of ever having one."Bloom prepares the dishes herself. Kale apple and pecan salad, and butternut squash and lentil soup. When it comes to eating heart healthy, Bloom says fruits, dark leafy greens and vegetables are key.For Melvin, the guidance she gets from Bloom about eating heart healthy is giving her important confidence."It kind of like jump starts," Melvin says. "It's like okay I can do this. I can go back and I can be strong again."Becoming stronger with each bite, for whatever life might bring.You can find more more healthy recipes from Kaiser Permanente here. If you want to try the heart healthy dishes Bloom made for her patients, the recipes are below:Kale, Apple and Pecan SaladIngredients:2 bunches laccinato Kale-tear into bite size pieces, remove ribs-Also called Dinosaur Kale2 apples, chopped into  bite size pieces.1 cup pecans, toasted, roughly chopped? cup dried Cranberries or datesScant lemon juiceDressing:? cup Dijon mustard? cup apple cider vinegar? cup honeyDirections:Place kale in a bowl and sprinkle with a pinch of salt. Drizzle with one teaspoon of olive oil. Massage kale for a couple minutes to tenderize.Sprinkle a little lemon juice over apples to keep them from browning.Mix together kale, apple, pecans, and cranberries.Toss with dressing and serve. Start with ? cup of dressing then add more as needed to taste. Butternut Squash and Lentil SoupIngredients:1?4 cup olive oil4 cloves garlic, finely chopped3 medium carrots, finely chopped2 stalks celery, finely chopped1 medium white onion, finely chopped1 tsp. ground cumin1 small butternut squash (about 1 lb.) peeled, seeded, and finely choppedKosher salt and freshly ground black pepper, to taste6 cups diluted low sodium veggie stock1 cup red lentilsFinely chopped parsley, for garnishYogurt sauce:? cup non-fat Greek yogurt? tsp smoked paprika2 TBSP of olive oilPepper, salt to tasteDirections:Heat oil in a 6-qt. saucepan over medium-high heat. Add garlic, carrots, celery, and onion; cook, stirring occasionally, until slightly caramelized, 12–14 minutes. Stir in cumin, chile flakes, squash, salt, and pepper; cook until squash is soft, about 15 minutes. Add stock and lentils; bring to a boil. Reduce heat to medium-low; cook, slightly covered, until lentils are very tender, about 20 minutes. Let soup cool slightly, then, working in batches, purée soup until smooth. Stir paprika and 2 TBSP olive oil into yogurt to make sauce. Ladle soup into bowls and garnish with parsley and paprika.  Add a dollop of yogurt sauce and swirl in.  4532

When a vaccine is approved, who will get it? How will it get to them?Johns Hopkins has a plan to make front line workers and those most vulnerable first in line. Other experts say that may not be the best approach.“It may be better to immunize people who are at high risk of transmitting the virus both because of jobs, living situations and other circumstances,” said Dr. Ezekiel Emanuel while speaking with the head of the Journal of the American Medical Association. “And that I think we have to leave an open mind and look at some detailed modeling about what the best way is to reduce the premature mortality.”Emanuel says transmission between health care workers and patients is basically zero where he is. He says effective PPE use is the reason.The groups Johns Hopkins said should get a vaccine first could be as big as 90 million people.Emanuel says there won't be enough doses out of the gate to get all of any initial groups.“You don’t actually distribute it evenly among countries,” he said. “You concentrate on countries that at the moment when you have the vaccine have severe hot spots and where the vaccine is going to make the biggest difference in terms of reducing premature death.”Johns Hopkins experts say a vaccine's effectiveness is measured on preventing disease. That doesn't mean it prevents infection and transmission. We won’t know how effective it will be until after it’s in use.“A disease transmission strategy makes a lot of sense, but we need a lot more information before we can know who to prioritize,” said Dr. Eric Toner, a senior scholar at the Johns Hopkins Center for Health Security. “It’s quite possible we will go to a strategy like that.”The World Health Organization said younger people in their 20s, 30s and 40s are increasingly driving spread.The first vaccines will likely be two doses. Experts say that means double the syringes, needles, vials and other supplies, along with getting people to come back for a second dose. 1980

White House physician Ronny Jackson will not return to his role as President Donald Trump's personal physician, Politico reports, citing two senior administration officials.The move comes after Jackson, a Navy rear admiral, withdrew his nomination for secretary of veterans affairs following a string of allegations that included he loosely handled prescription pain medications, was intoxicated during an overseas trip, and created a toxic work environment. Jackson has denied the allegations.The White House did not immediately respond to CNN's request for comment. 575

While we’re still waiting on a comprehensive COVID-19 vaccine distribution plan, the Johns Hopkins Center for Health Security released an ethics framework Wednesday for who it says should be prioritized.There are two tiers of groups it says should go before the general public. No surprise, the first tier includes front line health care workers taking care of coronavirus patients, people over 65, those with underlying health conditions and their caregivers.Also noted are people who work in the vaccine industry and those who will be administering them. Also, school, food supply and public transportation workers.One issue with that first tier is that's a lot of people, more than 90 million by some estimates.“So, it’s quite possible when a vaccine is available, there won’t be enough available for everybody in this top tier and so there may need to be prioritization within this top tier,” said Dr. Eric Toner, senior scholar at the Johns Hopkins Center for Health Security.The second-tier group includes other health care workers, people living in remote locations without access to quality care, and other essential workers like delivery, military, and first responders.It also includes people who live in places where they can’t socially distance, so inmates and people in shelters.The framework also mentions this is a decision that shouldn't only be made by experts and officials.“The public needs an opportunity to weigh in on this because, after all, they are the ones who are the recipients of the vaccines and whether they get it or not,” said Toner.The good news is the scholars don't see cost as a barrier to the vaccine. And while a vaccine is the best hope for controlling the pandemic, it will not be a magic bullet right away.“If we have a vaccine sometime this winter that’s authorized, it will be many months before everybody has access to it,” said Toner.Some decisions about who gets the vaccine first can't be made until one is ready, because you need to know how it may impact groups like the elderly or pregnant women. 2055

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