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安徽脑脊液循环电动模型
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发布时间: 2025-05-24 14:41:53北京青年报社官方账号
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  安徽脑脊液循环电动模型   

The US Food and Drug Administration has raised alarm about one way people might access opioids to misuse and abuse: their pets.As America's opioid epidemic rages, some pet owners could be stealing pain medications intended for their furry friends, according to a statement from FDA Commissioner Dr. Scott Gottlieb."We recognize that opioids and other pain medications have a legitimate and important role in treating pain in animals -- just as they do for people," Gottlieb said in Wednesday's statement."But just like the opioid medications used in humans, these drugs have potentially serious risks, not just for the animal patients, but also because of their potential to lead to addiction, abuse and overdose in humans who may divert them for their own use," he said.Gottlieb also said there hasn't been much information about responsible opioid prescribing for veterinary medicine professionals, and so the FDA developed a resource guide on what veterinarians need to know.The resource includes information on state and federal regulations, alternatives to opioids and how to properly safeguard and store opioids, as well as how to identify if a client or employee may be abusing opioids and take action with a safety plan."While each state creates its own regulations for the practice of veterinary medicine within its borders, including regulations about secure storage of controlled substances like opioids, veterinarians should also follow professional standards set by the American Veterinary Medical Association in prescribing these products to ensure those who are working with these powerful medications understand the risks and their role in combatting this epidemic," Gottlieb said."Veterinarians are also required to be licensed by the Drug Enforcement [Administration] to prescribe opioids to animal patients, as are all health care providers when prescribing for use in humans," he said."These measures are in place to help ensure the critical balance between making sure animals can be humanely treated for their pain, while also addressing the realities of the epidemic of misuse, abuse and overdose when these drugs are diverted and used illegally by humans."The FDA statement came one week after a perspective paper in the American Journal of Public Health called for the veterinary, public health, pharmaceutical and regulatory communities to dedicate time and resources to addressing the issue of prescription opioid diversion in veterinary medicine."I was thrilled to see the FDA commissioner make a statement that not only validated our findings but also demonstrates why research is so important for good policy," said Liliana Tenney, a senior instructor with the Colorado School of Public Health at the University of Colorado Anschutz Medical Campus and deputy director of the Center for Health, Work & Environment, who was a co-author of the paper.Tenney was unaware of the FDA statement until CNN contacted her for an interview, she said.The paper included data from a 24-item online survey that 189 veterinarians in Colorado completed in collaboration with a local veterinary society. The survey, which was about the possible abuse and misuse of opioids by pet owners and the role veterinarians play in prevention, was administered in summer 2016, Tenney said.The survey results showed that 13% of the veterinarians were aware that an animal owner had intentionally made an animal ill or injured -- or seem to be ill or injured -- to obtain opioid medications."This is significant for two reasons. These providers want to ensure the treatment of pets," Tenney said. "If this is truly the case and pet owners are intentionally harming animals, that's an animal rights issue. If opioids are being prescribed and aren't getting to the pets that need them because these drugs are being diverted, that's a public health issue."The survey results also showed that 44% of the veterinarians were aware of opioid abuse or misuse by either a client or a veterinary practice staff member, and 62% believed that they had a role in preventing opioid abuse and misuse."We recognize that this ... sample, representing 10% of the society's members, has limited generalizability and cannot be used to extrapolate to all practices. Nonetheless, these data are sufficient to warrant immediate action," the authors wrote.American Veterinary Medical Association spokesman Michael San Filippo emphasized in a statement Wednesday that the association has provided resources for veterinary staff to help combat this issue and the association will continue to monitor the situation."Though our animal patients are not the ones struggling with opioid addiction, concerns about misuse and diversion are top-of-mind for the veterinary profession, and the AVMA is actively involved in providing resources to practitioners describing alternative ways to treat pain and minimize opioid use," the statement said."While the limited data available suggests diversion from veterinary practices isn't a widespread problem, that doesn't mean we should pretend it doesn't exist," it said. "In fact, AVMA policy calls for further research to determine the prevalence of veterinary drug shoppers and to further clarify the degree to which veterinary prescriptions are impacting, or not, the human opioid epidemic."? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 5456

  安徽脑脊液循环电动模型   

The United States’ Gross Domestic Product is expected to have a modest comeback in 2021 while unemployment will be slower to recover for years to come, according to a government projection from the Congressional Budget Office.The nonpartisan government agency that provides policy guidance for members of Congress said that unemployment is projected to remain above pre-pandemic levels through 2030.Thursday’s estimates from the CBO indicate that real GDP in 2021 will jump 4% in 2021 from 2020 after taking a projected 5.8% drop in 2020. The CBO then projects that real GDP will increase 2.9%. In years following, the GDP is expected to level off at 2.2%.But after unemployment dropped to 3.5% in 2019,, the unemployment rate is expected to be 7.6% in 2021, followed by 6.9% in 2022 and 5.9% in 2023 and 2024. Data released Thursday pegged the US unemployment rate at 11.1% in June.The CBO stresses there is uncertainty in its forecast given the pandemic.“The severity and duration of the pandemic are subject to significant uncertainty,” the CBO said. “In particular, several important epidemiological characteristics of the coronavirus remain unclear: Much still needs to be learned about its transmissibility and lethality and about the immunity conferred on people who have recovered from it. Moreover, the severity and duration of the pandemic will be affected by how various mitigation measures reduce the spread of the virus and by when vaccines and additional treatments become available—outcomes that remain highly uncertain.” 1544

  安徽脑脊液循环电动模型   

The skies over several US states and Ontario, Canada, lit up briefly on Wednesday as a presumed fireball streaked over the daytime sky.Despite the midday sun, the fireball was clearly visible in videos captured at the time of the event.According to the American Meteor Society, dozens of eyewitnesses reported seeing the fireball shortly after 12 p.m. ET. The reports were clustered around Lake Ontario, but the organization received reports from Michigan, Ohio, and even as far away as Maryland and Virginia.An eyewitness in Ohio reported to the American Meteor Society, “It was like a ball of fire with a tail...surreal to see in the daytime.”Another eyewitness in Ontario said, “Astonishing, amazing, still get goosebumps talking about it.”What caused the bright flash hasn’t been confirmed, but is presumed to be a meteor. Meteors are not uncommon events, as small rocks and objects enter the Earth’s atmosphere on a daily basis. Most of the time, the atmosphere causes these objects to burn up before reaching the ground. 1034

  

The White House, after a day of uncertainty, confirmed Wednesday that deputy national security adviser Mira Ricardel is leaving her position.She will remain in the administration.In a statement, press secretary Sarah Sanders said, "Mira Ricardel will continue to support the President as she departs the White House to transition to a new role within the Administration. The President is grateful for Ms. Ricardel's continued service to the American people and her steadfast pursuit of his national security priorities."Sources said the President told advisers Tuesday that he had decided to fire her.The decision comes a day after first lady Melania Trump's office issued a surprising statement calling for Ricardel to leave the White House. 750

  

The White House on Monday backed down from its threats to revoke Jim Acosta's press pass."Having received a formal reply from your counsel to our letter of November 16, we have made a final determination in this process: your hard pass is restored," the White House said in a new letter to Acosta. "Should you refuse to follow these rules in the future, we will take action in accordance with the rules set forth above. The President is aware of this decision and concurs."The letter detailed several new rules for reporter conduct at presidential press conferences, including "a single question" from each journalist. Follow-ups will only be permitted "at the discretion of the President or other White House officials."The decision reverses a Friday letter by the White House that said Acosta's press pass could be revoked again right after a temporary restraining order granted by a federal judge expires. That letter -- signed by two of the defendants in the suit, press secretary Sarah Sanders and deputy chief of staff for communications Bill Shine -- cited Acosta's conduct at President Trump's November 7 press conference, where he asked multiple follow-up questions and didn't give up the microphone right away."You failed to abide" by "basic, widely understood practices," the letter to Acosta claimed.CNN won the temporary restraining order earlier on Friday, forcing the White House to restore Acosta's press access for 14 days. Judge Timothy J. Kelly ruled on Fifth Amendment grounds, saying Acosta's right to due process had been violated. He did not rule on CNN's argument that the revocation of Acosta's press pass was a violation of his and the network's First Amendment rights.Many journalists have challenged the administration's actions against Acosta, pointing out that aggressive questioning is a tradition that dates back decades.But Trump appeared eager to advance an argument about White House press corps "decorum," no matter how hypocritical.Since the judge criticized the government for not following due process before banning Acosta on November 7, the letter looked like an effort to establish a paper trail that could empower the administration to boot Acosta again at the end of the month.The letter gave Acosta less than 48 hours to contest the "preliminary decision" and said a "final determination" would be made by Monday at 3 p.m.CNN's lawyers had signaled a willingness to settle after prevailing in court on Friday. Ted Boutrous, an attorney representing CNN and Acosta, said they would welcome "a resolution that makes the most sense so everyone can get out of court and get back to their work."But in a new court filing on Monday morning, CNN's lawyers said the defendants "did not respond to this offer to cooperate." Instead, the letter from Shine and Sanders was an "attempt to provide retroactive due process," the filing alleged.So CNN and Acosta asked the judge to set a schedule of deadlines for motions and hearings that would give the network the chance to win a preliminary injunction, a longer form of court-ordered protection to Acosta's press pass.They were seeking a hearing "for the week of November 26, 2018, or as soon thereafter as possible," according to the court filing.A preliminary injunction could be in effect for much longer than the temporary restraining order, thereby protecting Acosta's access to the White House.In a response Monday morning, government lawyers called the CNN motion a "self-styled 'emergency'" and sought to portray the White House's moves as a lawful next step."Far from constituting an 'emergency,' the White House's initiation of a process to consider suspending Mr. Acosta's hard pass is something this Court's Order anticipated," they said.The DOJ lawyers continued to say that the White House had made "no final determination" on Acosta's access, and asked the court to extend its own deadline, set last week, for a status report due at 3 p.m. Monday, in light of the White House's separate self-imposed deadline for the Acosta decision.At lunchtime, Kelly granted the government's request and extended the status report deadline to 6 p.m. Monday.The case was assigned to Judge Kelly when CNN filed suit last Tuesday. Kelly was appointed to the bench by Trump last year, and confirmed with bipartisan support in the Senate. He heard oral arguments on Wednesday and granted CNN's request for a temporary restraining order on Friday."We are disappointed with the district court's decision," the Justice Department said in response at the time. "The President has broad authority to regulate access to the White House, including to ensure fair and orderly White House events and press conferences. We look forward to continuing to defend the White House's lawful actions."Trump seemed to shrug off the loss, telling Fox's Chris Wallace in an interview that "it's not a big deal."He said the White House would "create rules and regulations for conduct" so that the administration can revoke press passes in the future."If he misbehaves," Trump said, apparently referring to Acosta, "we'll throw him out or we'll stop the news conference.""This is a high-risk confrontation for both sides," Mike Allen of Axios wrote in a Monday item about Trump's new targeting of Acosta. "It turns out that press access to the White House is grounded very much in tradition rather than in plain-letter law. So a court fight could result in a precedent that curtails freedom to cover the most powerful official in the world from the literal front row."The-CNN-Wire 5546

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