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甘肃高仿真脑室穿刺引流术训练考核标准化病人
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发布时间: 2025-05-31 19:22:35北京青年报社官方账号
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  甘肃高仿真脑室穿刺引流术训练考核标准化病人   

DETROIT (AP) — The United Auto Workers union announced that its roughly 49,000 members at General Motors plants in the U.S. will go on strike Sunday night because contract negotiations with the automaker had broken down.The decision came after about 200 plant-level union leaders voted unanimously in favor of a walkout during a meeting Sunday morning in Detroit."We stood up for General Motors when they needed us most. Now we are standing together in unity and solidarity for our members," union Vice President Terry Dittes said in a statement.It's still possible that bargainers could return to the table and hammer out an agreement, but union spokesman Brian Rothenberg said at a news conference that it would be unlikely. He said it would be hard to believe that the bargainers could resolve so many issues before 11:59 p.m.The announcement came hours after the union let its contract with GM expire Saturday night.In a statement, GM said it offered improved wages, benefits and additional U.S. jobs."It is disappointing that the UAW leadership has chosen to strike at midnight tonight. We have negotiated in good faith and with a sense of urgency. Our goal remains to build a strong future for our employees and our business," the company said.On Saturday, UAW Vice President Terry Dittes said in a letter to GM members that after months of bargaining, both the union and GM were far apart on issues such as wages, health care, temporary employees, job security and profit-sharing. The letter to members and another one to GM were aimed at turning up the pressure on GM negotiators."While we are fighting for better wages, affordable quality health care, and job security, GM refuses to put hard working Americans ahead of their record profits," Dittes, the union's chief bargainer with GM, said in a statement Saturday night.A strike by 49,200 union workers would bring to a halt GM's U.S. production, and would likely stop the company from making vehicles in Canada and Mexico as well. That would mean fewer vehicles for consumers to choose from on dealer lots, and it would make it impossible to build specially ordered cars and trucks.The strike would be the union's first since a two-day work stoppage at GM in 2007.On Friday, union leaders extended contracts with Ford and Fiat Chrysler indefinitely, but the pact with General Motors was still set to expire Saturday night.The union picked GM, which is more profitable than Ford and Fiat Chrysler, as the target company, meaning it's the focus of bargaining and would be the first company to face a walkout. Picket line schedules already have been posted near the entrance to one local UAW office in Detroit.Talks between the union and GM were tense from the start, largely because GM plans to close four U.S. factories. The union has promised to fight the closures.Here are the main areas of disagreement:— GM is making big money, billion last year alone, and workers want a bigger slice. The union wants annual pay raises to guard against an economic downturn, but the company wants to pay lump sums tied to earnings. Automakers don't want higher fixed costs.— The union also wants new products for the four factories GM wants to close. The factory plans have irked some workers, although most of those who were laid off will get jobs at other GM factories. GM currently has too much U.S. factory capacity.— The companies want to close the labor cost gap with workers at plants run by foreign automakers. GM's gap is the largest at per hour, followed by Ford at and Fiat Chrysler at , according to figures from the Center for Automotive Research. GM pays per hour in wages and benefits compared with at the foreign-owned factories.— Union members have great health insurance plans but workers pay about 4% of the cost. Employees of large firms nationwide pay about 34%, according to the Kaiser Family Foundation. The companies would like to cut costs. 3944

  甘肃高仿真脑室穿刺引流术训练考核标准化病人   

DENVER – If your weekend plans don’t involve stargazing, you might consider changing that.This weekend, the annual Lyrid meteor shower will hit its peak.The meteor shower is active between the dates of April 14 and April 30, according to NASA, but peak viewing will occur on Sunday, April 22 with as many as 18 meteors per hour.The Lyrid meteor shower gets its name from the constellation Lyra, which is where the meteors often appear to radiate from. However, you should be able to see shooting stars throughout the night sky.The early-morning pre-dawn hours after the moon sets are typically the best time to watch for meteors, as that’s when the sky is usually at its darkest. 687

  甘肃高仿真脑室穿刺引流术训练考核标准化病人   

DEATH VALLEY NATIONAL PARK, Calif. — An automated measuring system in California's Death Valley reported a temperature of 130 degrees amid a blistering heatwave on Sunday.The reading would be among the highest ever recorded globally if it is confirmed.The National Weather Service says the high was recorded at 3:41 p.m. at Furnace Creek near the park's visitor center.It's the same location where the world record high of 134 degrees was recorded in July 1913. That record, however, is disputed.The Washington Post reported that in 2016, an expert analysis determined that the 1913 reading was "essentially not possible from a meteorological perspective." The analysis found that the reading was inconsistent with temperature readings from nearby areas and that the weather observer at the time was "inexperienced."Per the climate data in xmACIS2, this is the first time since 1913 that Death Valley has reached 130F. In July 2013, it last reached 129F. If valid, it would be the hottest August temperature at the site by 3F. @NWSVegas pic.twitter.com/gZNBW4NXI4— NWS WPC (@NWSWPC) August 16, 2020The World Meteorological Organization says that if Sunday's temperature is confirmed, it would be the highest globally since 1931 when 131 degrees was reported in Tunisia. That is also disputed.California is currently in the midst of an intense heatwave that caused the state's power grid to overload over the weekend, resulting in a series of rolling blackouts. It's the first time in nearly 20 years that utility companies had to institute rolling blackouts due to an overload of the power grid.Energy usage in the state is expected to remain high as the heatwave continues. 1682

  

DETROIT, Mich. — Thousands of packages are stacked up inside a metro Detroit mail distribution center as a perfect storm of the pandemic, holiday mail volume, and what some call poor planning, which could spoil the holidays.Those mail delays are also costing local business owners dearly.A beautiful ad celebrating the hardworking men and women of the US Postal Service is airing on TV these days, as a singer croons, “I’ll be home for Christmas, you can count on me.” But for small business owners like Alicia Christensen, the post office has hit a low note.“I’m not counting on them, because I had to shut my shop down. I can’t rely on the flowers to get there before Christmas,” said Christensen.Christensen makes hand-painted aluminum wreaths and wall art shaped like flowers. In January, this artist from Wixom opened her “Bendable Blooms” shop on the website ‘Etsy.’ But the wreaths she mailed to customers on Nov. 29 got stuck “in transit” at the USPS Detroit Network Distribution Center (NDC) in Allen Park.“My Etsy shoppers are starting to contact me, wanting either their money back or wanting to know where these are at,” said Christensen.Christensen was forced to choose between losing about 0 by refunding customers, or getting bad reviews which can have a long-term impact on her business. So she temporarily halted her online sales, sent refunds, all the while anxiously watches for shipping updates of the packages stuck at Allen Park.And she’s not the only one wondering why her packages haven’t moved out of Michigan.Today the 7 Investigators counted at least 50 tractor-trailers waiting to get on to the Allen Park USPS property, not to mention the dozens of trailers stacked with packages already inside.“It has mail from wall to wall,” said American Postal Workers Union Detroit Local 295 President Keith Combs. “This is something that I have never seen in my 30 years of being a postal employee.”Combs represents Detroit-area postal drivers, clerks, and maintenance workers. Combs says the USPS restructuring ordered by Postmaster General Louis DeJoy added to the backlog caused by the pandemic and normal holiday mail volume increases. Combs says some of that restructuring means employees based in metro Detroit now report to managers out of state.“They should have started hiring these seasonal people much earlier than they did, I would say back in May, June or July-- getting prepared to bring those new people on. The tractor-trailer guys that I represent would have needed to have more trailers, even if they needed to be purchased or rented. So you can have a place to have this mail staged to be able to move smoothly from point A to point B,” Combs told 7 Investigator Heather Catallo. “I don’t think that happened. And there needed to be some thought process on how the mail flow was going to operate inside the building so that the safety of the employees was addressed and you didn’t have so much mail that there was not even walking room in some of these plants.”Combs says letters are also piled up at the USPS facility on W. Fort Street in Detroit. He says he and other union leaders reached out to management last May to prepare for the holiday “peak” as postal workers call it. Combs said their requests fell on deaf ears.“Postal employees are so diligent in what they do and feel like they need to do a great job all the time, as they do. I’m getting calls from my members and employees saying this is a problem, we need to be better. And again, they’re doing such a great job with trying to get this mail delivered. But it’s the people who are appointed over them that are not doing a great job in making sure that’s happening,” said Combs.Combs says letters are also piled up at the USPS facility on West Fort Street in Detroit.USPS spokeswoman Elizabeth Najduch sent us a statement about the delays in Allen Park:“The 640,000 employees of the U.S Postal Service across the nation are proud to provide an essential service to our customers during the pandemic and to meet unprecedented challenges of this extraordinary year.The Detroit NDC has faced challenges recently due to COVID-19 at the same time mail volumes have dramatically increased. We have taken steps to address issues caused by the pandemic as we approach our busiest weeks, including hiring seasonal employees and allocating employees to facilities that need additional resources.There has already been progressing at the Detroit NDC, and we are confident that our processing and delivery will return to normal levels quickly.As we do each year, the Postal Service reminds customers to send mail and packages early to avoid glitches. For additional holiday information and resources, including mailing deadlines and packaging tips, check out the USPS holiday newsroom.We thank our customers for their continued support, and we are committed to making sure gifts and cards are delivered on time to celebrate the holidays.”On Friday, Sen. Gary Peters released an oversight update of the USPS, that “confirmed previous findings that Postal Service leaders failed to consider the impacts of their changes and that on-time first-class mail delivery plummeted in the weeks after Mr. DeJoy assumed leadership. USPS leaders did not complete any study or analysis of the impact the changes would make on mail service prior to implementation, nor did they seek stakeholder input or public hearings,” according to a press release.Meanwhile, Alicia Christensen just hopes her “Bendable Blooms” customers will return to her after the mail delays are resolved.“We’ve got to stay positive and there’s always hope. There’s always 2021,” said Christensen.Congresswoman Brenda Lawrence responded to the investigation with the below statements:Is the Congresswoman looking into this?Yes. Earlier this month, I sent a letter to the United States Postal Service Inspector General requesting an investigation into the origins of the mail delays. In the weeks leading up to the election, data provided by the Postal Service indicated a drop in on-time mail delivery, a trend that has continued in recent weeks.Are you aware things have gotten so bad again?Yes, I am aware that the delays have gotten worse. Historically, the holiday season is the busiest time for mail delivery for the Postal Service. The combination of enormous mail volume and thousands of USPS employees quarantining due to COVID-19 has further strained a Postal Service that is already struggling to keep up with demand.What can be done?Last Friday, I spoke to Postmaster General Louis DeJoy to express my concerns with the ongoing mail delivery delays across the country. Although you specifically mentioned a backlog in Allen Park, USPS facilities across the country are experiencing similar delays as workers seek to work through the backlog as quickly as possible. Please know that I will follow up with the Postmaster General to ensure the concerns are properly addressed.In addition, pleas

  

Despite the news from recent weeks, Austin Eubanks does have hope for the future; confidence that the country will stem the tide of mass shootings.Eubanks was underneath a table in the library at Columbine High School on April 20, 1999, when he was shot twice, once in his hand and once in his knee.His best friend, Corey DePooter, was one of the 13 victims killed that day.“Columbine was really the tipping point for this phenomenon,” Eubanks says.The phenomenon he describes is the issue of mass shootings, occurring more and more frequently and in places traditionally considered safe: schools, outdoor concerts, even churches.“I never thought that it would get to this point. My hope was always that Columbine was going to be an outlier.”After the Nov. 5 shooting in Sutherland Springs, Texas, where 26 victims were killed, Columbine is no longer even among the top ten deadliest mass shootings in the U.S.And that, Eubanks says, is "terrifying."Has the country learned anything as a society since Columbine? Perhaps, he says.“I would hate to think there wasn’t learning along the way. The problem is you can’t have learning without action. What have we done about it? Nothing. We haven’t done anything, and that’s incredibly frustrating for me.”He’s frustrated that more hasn’t been done to address the obvious problems: mental health and guns.Individually, he says, everyone can do more. Eubanks is a firm believer that the rise in mass shootings has a direct correlation to the rise in the opioid and addiction crisis in the U.S.Following his injuries at Columbine, he was immediately put on prescription meds for his physical pain. But that, he says, quickly turned into a desire for more — more pain meds but also a need for illicit drugs and then alcohol.“My drug of choice was always ‘more.’ I wanted to take whatever you had that would allow me to not feel present.”A decade went by before he finally found recovery. Now, recovery is his life’s work. He’s the Chief Operating Officer at Foundry Treatment Center in the mountains of Steamboat Springs, Colorado.As a society, Eubanks says, we don’t do enough to honor the lives of those taken in these mass shooting events.“For me personally, the way that I remember my best friend is by doing the work I do today,” Eubanks says. “So I’m able to lend my voice to this conversation on how we impact change.""If we are all able to come together and talk about how we can evolve as a society to help prevent this down the road, then that honors the memory of all victims.”Eubanks says there is another way we can all honor the victims, and that’s by working to end mass shootings. Aside from the seemingly endless debate over policy changes in Washington, there’s something simple everyone can do in their daily lives: reach out to people, even those who may seem “different.”He says that since a majority of the attackers exhibit the same common denominator--loneliness--it’s preventable, simply by reaching out and focusing more on inclusion of others every day.“You have to look at your community and say ‘How can I impact change in my community?’ One of the ways is focusing on your own healing and being an example for others. From there, look at your family and say ‘how am I raising my kids? Am I normalizing these conversations in my kids?’”Those conversations, he says, should be about preventing loneliness and preventing addiction as a symptom of trauma.And even though Eubanks admits that the more these events continue to occur, the more desensitized the country becomes, the trick is not letting that deter motivation for change.“[Americans] have to sit down and think, ‘What am I willing to accept in my society, and what am I willing to not accept in my society?’ And for me personally, I’m not willing to accept the fact that we are just going to continue to allow these episodes of mass violence to continue to snowball out of control.”“We were at a point where we shouldn’t have continued to allow this to happen 20 years ago,” Eubanks says. “We have to get motivated to do something about this and we can’t wait any longer.” 4154

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