到百度首页
百度首页
海口国家医师资格考试专用系列(上颌双侧囊肿)
播报文章

钱江晚报

发布时间: 2025-05-26 08:55:59北京青年报社官方账号
关注
  

海口国家医师资格考试专用系列(上颌双侧囊肿)-【嘉大嘉拟】,嘉大智创,银川神经元突触及神经纤维结构模型,湖南高级分娩机制示教模型,西宁全不锈钢升降型水汽分离式生物安全级解剖台(新风补充),南宁膝关节切面模型,辽宁人体内分泌器官模型,潮州儿童腹腔穿刺培训模型

  

海口国家医师资格考试专用系列(上颌双侧囊肿)安徽恒牙模型,克拉玛依开放式妇产科护理学多媒体教学系统,兰州颅内外静脉吻合模型,吉林拔牙模型,陕西脑干及下丘脑核团模型,开封手解剖放大模型,重庆全自动腹部触诊听诊模拟人(单机版)

  海口国家医师资格考试专用系列(上颌双侧囊肿)   

INSIDE THE EYE OF HURRICANE DORIAN - Views of the "stadium effect" eyewall from #NOAA42 "Kermit" inside the eye of Hurricane #Dorian earlier today. Forecasts and advisories at https://t.co/3phpgKMZaS, preparation tips at https://t.co/ZUC1oGAvw6 #FlyNOAA (credit Ian Sears, NOAA) pic.twitter.com/gu8rCmVAbO— NOAA Aircraft Operations Center (@NOAA_HurrHunter) September 1, 2019 387

  海口国家医师资格考试专用系列(上颌双侧囊肿)   

KANSAS CITY — Maureen Boesen has always known cancer risk was high in her family."We're able to really track our history of breast cancer back to the late 1800s and early 1900s," Boesen said. "My grandmother actually passed away from ovarian cancer when she was 44. She had five sisters and none of them lived to the age of 50. Then, my mother was diagnosed with breast cancer when she was 32. We knew there was something going on and that it was a very young age."When Boesen and her two sisters were ages 3, 5 and 7, their mom was already receiving chemotherapy for stage 2 breast cancer. Because of the extensive family history, the girls were part of a study at a university in another part of the Midwest. Their mom was hoping to help the world better understand what was killing so many women. She was hoping to better her daughters' chances for survival."We were all tested in the same exact room," said Boesen's sister, Bridget Stillwell. "I can even remember what the room looked like." Because the girls were so young, and the health threat still likely years away, they wouldn't receive their DNA test results until they turned 18."We knew we were part of a study," Boesen said. "We knew our results were waiting for us, but we didn't know what they were."When asked if she found that wait frustrating, she said emphatically it was not."Quite the opposite. We felt empowered," she said.She didn't get the results right away. The sisters knew there was nothing they could likely do at age 18 even if their test results showed they'd inherited the BRCA gene mutation. The sisters all waited until they were around age 21. One sister was positive. One sister was negative. Boesen remembers meeting with the researcher to learn her results."We sat down and we had a conversation about what BRCA was and what it meant for my family," Boesen said. "It was a lengthy conversation, which made me very uncomfortable because why would a conversation that wasn't going to change my life last that long?"Eventually, the researcher told her she had inherited the gene mutation."It was just devastating because I knew what breast cancer and ovarian cancer can do to a family. You know, my first question out of my mouth was, 'Is there any chance this could be wrong?' The researcher said 'No.' "Boesen walked out of that meeting determined. She was going to make decisions to save her own life. She was going to have a bilateral prophylactic mastectomy. She would schedule a surgery to remove both breasts to prevent breast cancer."This was me doing what I was supposed to do and this was me being empowered and me being proactive and not waiting until I have a cancer diagnosis," Boesen said.She didn't want to feel like a ticking time bomb. She wanted to live.Boesen had the surgery to remove both breasts when she was just 23 years old. She went on to get married and have three children."I didn't get to breastfeed them. It was sad. I'm not brokenhearted or devastated about it, but it is sad to think I couldn't provide for my children like that," she said.At the time, she still believed she'd made the right decision because she was healthy.Once done having children, she knew there was another step that most people with the dangerous BRCA gene mutation have to consider."I knew that when I was done having children, I needed to have a complete hysterectomy," Boesen said.The BRCA gene mutation not only dramatically increases a woman's chance of developing breast cancer at a young age, it also significantly increases a woman's chance of ovarian cancer."The right thing to do and what the doctors say to do is have a complete hysterectomy by the age of 35 and I was in my early 30s," Boesen said.In 2018, she went to a hospital in Kansas City, Missouri, to start the process of preparing for her hysterectomy. Both her health care provider and her insurance company wanted a new DNA test. Everyone knew what the results would be, but they went through the motions to get the required confirmation she was positive for the deadly gene mutation which was so rampant in her family.The test results were supposed to be back in a few weeks, but it had been four and Boesen was starting to worry. Then, she got the call from the doctor."I was at work. And the first thing she said was, 'We need to talk', and my heart just sank," Boesen said. "She said, 'You're negative,' and I just started bawling."She was overwhelmed, confused and full of emotions."I was angry. I was regretful. I was happy. I was sad. I so desperately wanted to feel relief, 'Oh, thank God, this is the best day of my life,' but it wasn't," Boesen said. "It was just devastating."Boesen got another test to confirm the second test results. It also came back negative.She did not get the hysterectomy. There was no need now. There was no longer a threat that cancer was waiting to explode in her body. She now knew she had not inherited the BRCA gene mutation that had killed so many of her relatives.Dr. Jennifer Klemp of the University of Kansas Cancer Center has worked in the field of cancer genetics, specifically breast and female cancers, since 1997. She is the director of Cancer Survivorship and a cancer risk counselor. While she was not involved in Boesen's original research, she says she's not surprised."Twenty years ago, when we sent our first tests and BRCA 1 and 2 were the two genes we tested for, about 30-40 percent of the time we would get something called a 'variant of uncertain significance,' " Klemp said. "Basically, that meant we found a mutation or an error in the DNA, but we didn't know if that was associated with an increased risk of cancer. Today, using a reputable lab, that should be less than 1-2 percent."Klemp says things are changing rapidly in the field of genetic testing. If someone had a DNA test more than five years ago, they should consider having an updated test. She also says the at-home tests are good for finding out details about your ancestry, but they shouldn't be used to make major decisions about your health. For that, you'd want a health professional to order a commercial test through a certified, reputable lab. With more and more companies offering testing, and more medical professionals and patients interested in genetic testing for so many reasons, she says demand right now is outpacing supply."If you have 10 different labs doing testing, and you have every primary care, OB-GYN, oncology clinic, surgical clinic and any number of patients eligible for testing, it's a little bit of the wild west," Klemp said, adding there's no central repository for this patient and test information.As for Boesen, the university where the original research was done and the false positive originated offered to re-test her DNA. She is currently waiting on the results from what is now her fourth genetic test. She hopes it comes back negative, too, which is what the experts all expect. She believes, then, finally, she'll be able to move forward with her life. Boesen and her two sisters are writing a book about their experiences. Each of her sisters has a story to tell, too. Their book will be titled, " 7146

  海口国家医师资格考试专用系列(上颌双侧囊肿)   

If your favorite work of art is yourself, then you’ll want to visit the latest museum trend popping up around the country. It’s called The Selfie Museum. They’re in cities from coast to coast, offering a place where photos are not only encouraged, but required. The latest one just opened in Denver, Colorado. Alex Kurylin and his business partner opened up Denver’s first-ever museum of its kind. Admission will cost you . Over 100 people visited the museum on opening day.“It’s an interactive museum for Instagram fans who love to take beautiful pictures and post them on Instagram," Kurylin says. The museums attract the millennials, but families with small children are also buying tickets. Visitors will find several different rooms with different themes. The rooms include a bubble gum wall, a banana swing, a bathtub, angel wings and a donut wall.All the installations were created by Kurylin and his business partner, but all the hand-drawn art on the walls were created by local artists.There are dozens of selfie museums around the country in cities like New York, San Francisco and Los Angeles. They plan to open their second location in Seattle in the coming months. 1193

  

It was a hard year for many in 2018. However, that doesn't mean it was completely devoid of happiness and caring. Here are nine acts of kindness that went viral this year.The two strangers who saved a baby at WalmartWhen 8-month-old Hazel Nelson went into cardiac arrest at a Walmart, her mother was panicked. Luckily, two strangers, who happened to be nurses, 373

  

LAS VEGAS, Nev. – Shoes have taken over 14-year-old Kyler Nipper’s life. His family’s apartment is covered from floor to ceiling with shoe boxes; so many that his mother, Sherise Nipper, says they sometimes crash down on them while they’re sleeping. Their Las Vegas apartment is just for the overflow. The family has a storage unit stacked to the brim with shoes as well. It’s all part of an organization Kyler started at just 11 years old, Kyler’s Kicks. His goal is to give everyone access to shoes. Why would an 11-year-old feel the need to start a nonprofit? “I’m stopping what happened to me from happening to anybody else,” said Kyler. “If I would have walked in there and got a brand-new pair of Jordans, the bullying would have stopped and everything would have been fine.” As a child in Colorado Springs, Colorado, Kyler was bullied because of his shoes. His bullying ultimately escalated to an extreme level. Kyler remembers it vividly, “I was eventually stabbed in the chest because of my shoes.” The stabbing punctured his lung and almost cost Kyler his life. “All I knew was that I couldn’t breathe,” said the now 14-year-old. His mother Sherise gazed off into the distance as she recollected the events of that day. “When we got to the school, Kyler was already blue. He could no longer even speak. I thought I would never be able to hear my child’s voice again or hug him or talk about his day or anything. All in a matter of seconds. We didn't think Kyler was going to make it.” Sherise says her son’s life was saved because of a staff of twelve emergency surgeons.Three years later, Kyler’s family is still struggling from the pain of October 7, 2016. Looking for new opportunities for Kyler and his nonprofit, the family moved from Colorado Springs to Las Vegas. “Ever since that day, every time the phone rings I must say we all get a little tense still three years later, especially if Kyler’s not with us,” said Sherise. “He’s never going to be the same. We lost a part of Kyler the day that day he was stabbed.” While handing out shoes at one of his nonprofit’s many events, Kyler is calm, collected and confident. You would never know that underneath his cool exterior, Kyler has a demon of his own – post-traumatic stress disorder or PTSD. His family has a front row seat to how the trauma has affected his life. “PTSD is horrific. He can’t go into public places,” said his mom. “He can’t do things a lot of regular 14-year-olds do.” Kyler has to find alternatives to make life more bearable. He is now home schooled, which he says allows him to work harder on Kyler’s Kicks. “Make sure that nobody has that thought in their head, ‘My shoes aren’t cool enough. I’m going to go and hurt somebody else because of theirs.’ Or, ‘Their shoes aren’t cool. I’m going to go hurt them because of that’,” said Kyler. He doesn't want any other child or teen feeling unsafe at school because of their shoes. In the three years since starting Kyler’s Kicks, the nonprofit has given out more than 29,000 pairs of shoes. Kyler has paired up with big names, such as Zappos and Lady Gaga’s Born This Way Foundation, to help raise awareness and expand his impact. Those touched by Kyler’s story send him shoes from all over the world, including a school in California that continually donates on his behalf. Schools and other organizations around the Las Vegas area house Kyler’s Kicks Shoe Closets, where anyone can pick out their own shoes if they are in need.But it’s not just about the shoes for Kyler. He believes his nonprofit has saved him in a way nothing else has; it’s helped him heal from the traumatic events that started the nonprofit in the first place. “We take Kyler to every kind of PTSD therapy you can even imagine,” said Sherise. “Nothing works as well for him as giving out shoes. Kyler’s Kicks gives him strength. It gives him courage. When Kyler doesn’t have shoes surrounded by him, he’s a weak little kitten. But you put Kyler out there with a thousand pairs of shoes he’s giving away and all of a sudden he’s got all of this… He’s like Popeye, it’s his spinach.”Kyler and his family are in awe of the impact Kyler’s Kicks has had on the community in the short time it’s been around. “Kyler is definitely making the world a better place. Kyler is literally spreading a tidal wave of kindness everywhere he goes,” Sherise said proudly. More than that, his parents are proud of his humble beginnings. “Me and Kyler’s dad talk a lot about Kyler’s resilience. The fact that he can go through the stabbing but more important than that, we’ve been living on the streets and in a homeless shelter and in and out of weekly hotels. We lost everything when Kyler was stabbed, and no matter where Kyler is, he wakes up in the morning whether he’s got a bed to sleep in or not and says, ‘Alright man, let’s go and give out some shoes.’”It doesn’t stop at shoes for Kyler. Even though he’s found a way to deal with his PTSD and heal from the psychological and emotional wounds he received three years ago, he recognizes not everyone is as lucky. He’s currently hard at work creating a safe space for children and teens to access free mental health care. “Our idea at the lounge,” said Kyler, “is to have people’s brains going and think, ‘How can I make my life better? How can I make this better?’” Kyler’s Kicks Lounge is scheduled to be up and running in Las Vegas by December 1 of this year, and he hopes to open more in other cities in the future. “If you’re ever going through any pain or you’re hurting or anything,” said Kyler, “just choose kindness and do something that will help out the community.”If you would like to help Kyler’s mission, you can visit Kyler's Kicks Facebook page for more information. 5745

举报/反馈

发表评论

发表