湖南无线PAD版全自动多种穿刺模拟教学系统(海南针刺训练模块) (今日更新中)

Doctors say a second wave of mental health devastation brought on by the pandemic is imminent and has the potential to overwhelm parts of the mental healthcare system.“This is going to be a long-haul situation,” said Chuck Ingoglia, president and CEO of The National Council of Behavioral Health, which offers services to 3,400 local mental health organizations around the country. “I’m certainly hearing from our members that they’re feeling a lot of tension right now.”In a survey of more than 5,000 people released by JAMA last week, 40.9 percent reported feeling at least one adverse mental health condition including depression, anxiety, and substance abuse, tripling to quadrupling rates from one year earlier. And remarkably, 10.7 percent reported seriously considering suicide within the last 30 days.“We are concerned that these [symptoms] could get worse,” said Dr. Vail Wright, senior director of healthcare innovation at the American Psychological Association. “We’re anticipating that we’ll continue to see mental health challenges including an increase in diagnostic categories as this continues if people don’t take active steps to manage their stress.”One of those major respites has been the outdoors during the summer months. Dr. Wright says as the days get shorter and the weather gets colder more people will stay indoors, losing a source of happiness as Vitamin D boosts energy and mood.This is all happening as COVID cases across the country increase drastically. This past week 500,000 positive COVID-19 cases were reported in the United States, the most since the pandemic started, which has prompted some states to tighten their restrictions on activities and capacities in restaurants.The increase also has the potential for hospitals to leave more beds open for patients, taking away psychiatric beds in the emergency room for those who come for treatment.The shift puts even more strain on the local organizations Ignoglia oversees that have been dealing with funding issues.“Our members are reporting about a 20 percent reduction in revenue,” said Ignoglia. “You deal with that by closing programs and laying off staff, which then means you serve fewer patients which then means your revenue stays low. So it’s kind of this self-perpetuating problem that we’re having.”Ignoglia says he has been focusing on the Trump administration and Congress as a source of relief in hopes more stimulus money comes to these programs so this concern does not evolve into something worse. 2510

Did you dabble in bitcoin in 2017, riding the cryptocurrency roller coaster that seemed to captivate the nation? You may be on the hook for taxes — no matter how you acquired or used it.You can run afoul of IRS rules on bitcoin in a few surprising ways. Here’s how using bitcoin can affect your tax situation. 322

EL CAJON (CNS) - A driver whose blood-alcohol content was nearly quadruple the legal limit slammed into the back of a pregnant woman's car in Ramona two years ago, killing the woman and her unborn child, a prosecutor told a jury Wednesday.But a defense attorney denied that his client caused the crash, claiming the prosecution's case was based entirely on circumstantial evidence and a shoddy police investigation.Andrew Milonis, 46, is accused in the Mother's Day 2017 crash that killed 29-year-old Jessica Foderingham and her unborn child, a girl who Foderingham and her husband planned to name Ayanna. Milonis is charged with two counts each of second-degree murder, gross vehicular manslaughter while intoxicated, hit-and-run and drunken driving.RELATED: Witness: Driver in El Cajon crash, that killed pregnant mother, was 'very intoxicated'Foderingham was eight months pregnant when her Dodge Dart was hit, sending it careening into a tree in the center median on San Vicente Road about 6:45 p.m. May 14, 2017.Deputy District Attorney Laura Evans said in her opening statement that Milonis had been drinking throughout the day, having at least seven drinks at a local bar before he got behind the wheel of his GMC Yukon.The prosecutor said a bartender recommended that Milonis arrange a Lyft ride to get home, but he ignored the advice. Then while driving, Milonis struck a tree and multiple telephone poles before crashing into Foderingham's car, Evans said.RELATED: Driver accused of killing pregnant woman, taking Lyft to barAfter the crash, Milonis continued driving to a nearby hotel, where employees called a Lyft driver for him, Evans said. When the Lyft driver arrived and asked Milonis where he wanted to go, the defendant allegedly told the driver something to the effect of, "Anywhere I can get a drink," according to Evans.He was driven to a bar on Main Street, where sheriff's deputies located and arrested him shortly after he arrived. When his blood was tested, he had a blood-alcohol content of 0.20, but Evans alleged it was above 0.30 at the time of the crash -- well above the 0.08 legal limit.The prosecutor told jurors the impact of the crash left a partial imprint from Milonis' license plate on the back of Foderingham's car, and there was no evidence of mechanical issues on either car that might have contributed factors to the crash.RELATED: Vigil held for pregnant Ramona crash victimSix months earlier, Milonis has been arrested on suspicion of DUI for allegedly driving drunk and hitting a neighbor's fence before going home, according to Evans, who said he suffered a minor head injury in the crash and had a 0.28 blood alcohol content at the time.Christian Foderingham, a U.S. Marine, testified Wednesday that he and his wife's two young sons from a previous relationship began Mother's Day by making her breakfast and showering her with gifts throughout the day. The couple then left home for Jessica Foderingham's grandmother's house in Ramona, taking two cars -- Jessica in her Dodge Dart and Christian driving the boys in his Hyundai.He was driving ahead of his wife when he heard a loud bang behind him, saw a dark-colored SUV swerve onto a sidewalk and witnessed his wife's car slam into a tree. He testified that after hearing the loud noise, he saw his wife's car flying through the air before it struck the tree head-on and bounced back into lanes of traffic.RELATED: Judge raises bail to M in Ramona fatal hit and run"It felt like my heart stopped," he testified.Foderingham said he ran to his wife's car, smashed the driver's side window open and cut off her seatbelt to remove her from the wreckage. An off- duty firefighter helped Foderingham perform CPR until emergency personnel arrived and took her to Palomar Medical Center in Escondido, where she died, according to the victim's husband.Milonis' attorney, Ward Clay, told jurors the crash was "a tragic accident" but said Milonis was not responsible."No one witnessed exactly how the accident happened," Clay said.The attorney said Christian Foderingham never got a good look at the SUV driver.Foderingham testified that the SUV had tinted windows and there might have been two people inside. He could only confirm that the driver was Caucasian.Clay claimed that at the time of the crash, Milonis was not near the crash scene.The attorney also said the California Highway Patrol "made major mistakes" in their investigation of the case, and that "critical, forensic evidence" had been lost or destroyed, though he did not specify what that evidence was.Clay said he expected the jury to be "angry and want to hold someone responsible. But that person is not in this courtroom." 4692

EL CAJON, Calif. — The end of a partnership between a police K9 and his handler created an emotional moment in California.One of the El Cajon Police Department’s K9s, K9 Jester, is being assigned a new partner after his current partner resigned from the department.After working with Jester for the last two and a half years, Officer Jordan Walker voluntarily resigned to work for another agency, according to the department. Walker said he offered to pay for Jester, who was brought in through a Ben Roethlisberger?Foundation grant. K9s cost anywhere from ,000 to ,000 to bring in and train, according to the foundation.Because Jester is still in excellent health, he was assigned to work with a new partner, Officer Randall Gray. Gray and Jester have already started the bonding process and training together, the department said Thursday. Once the pair completes the academy, Jester will again resume his service.El Cajon police Thursday tweeted out a photo of Gray and Jester together.  1043

EL CAJON, Calif. (CNS) -- A man who struck and seriously injured a bicyclist in Ramona last fall pleaded guilty Monday to felony charges of reckless driving resulting in serious injury and vandalism.Chase Edward Richard, 35, admitted hitting Michelle Scott from behind on state Route 67 near Dye Road with his Ford Edge last Oct. 2. Scott was struck around 6:15 a.m., and was airlifted to Palomar Medical Center in Escondido with serious injuries.She remained at the hospital for about two months before being transferred to a Poway nursing care facility, where she remains under full-time care, recovering from the brain injury she suffered in the crash, according to the Ramona Sentinel.Richard was arrested less than a week later. The California Highway Patrol said a tip from the public led investigators to Richard's damaged SUV in the garage of his Ramona residence.Richard agreed to a three-year, eight-month term that will include two years in local custody and 20 months of mandatory supervision.Per the terms of his plea agreement, Richard will also perform 200 hours of community service, a component of his sentence that Deputy District Attorney Valerie Ryan said was important to Scott's family.The victim volunteered with multiple local programs, including the local Community Emergency Response Team -- or CERT -- which trains and assists community members in response to emergency situations like natural disasters.Ryan said Scott's husband, Don, hopes that Richard can "do what he can to give back to the community because Mrs. Scott can no longer do that."The prosecutor said Don Scott is "hoping through this time on mandatory supervision that Mr. Richard can change and alter his behavior" and "contribute to the community" once he is released from custody."There's a lot of graciousness and generosity of heart in the Scott family, and they are hoping and looking for Mr. Richard to do better" Ryan said.Sentencing is slated for July 28. 1966

来源：资阳报