济南生殖器一直流白色液体(济南检查前列腺的医院) (今日更新中)

Flooding in parts of Tennessee has left one person dead and sparked a state of emergency this weekend.One person died in Knoxville after driving his car into water on a flooded road early Sunday morning, according to Knox County Sheriff's Office.Knox County was under flash flood warning on Saturday afternoon and residents were warned that "this is a particularly dangerous situation. Seek higher ground now," according to the National Weather Service (NWS).Nashville broke a rainfall record on Saturday making this the city's wettest February in over 100 years.Tennessee Emergency Management Agency (TEMA) declared a state of emergency Saturday due to rising flood waters and "the potential for more severe weather," according to the declaration.In Chattanooga, a Subway restaurant was flattened by a mudslide caused by rain from the same storm system, according to the Signal Mountain Police Department.Several areas of the city of Dunlap were flooding to dangerous levels, and firefighters were working to evacuate all of the residents that might be in danger from the rising water. 1099

Four physicians -- experts in pediatrics, infectious diseases and health policy -- have a message for White House Press Secretary Sarah Sanders: Contrary to what she says, it's not clear that the federal government is doing everything it can to care for children crossing the border.And they'd like to help her understand what the government could do better so more children don't die.When asked Friday about the recent deaths of two migrant children in US custody, Sanders told reporters that it was "an absolutely tragic situation" and that "we are doing everything in our capacity to make sure that when people do come, that they're taken care of so we don't have these types of instances."But the physicians say there are steps the government needs to take before Sanders can truthfully say officials are doing "everything in our capacity" to make sure children don't die."In her mind, she may think they're doing everything possible, but we can tell you, you're not doing everything," said Dr. Colleen Kraft, president of the American Academy of Pediatrics. "Look at the facts. The record shows us that more needs to be done."Dr. Buddy Creech, a pediatric infectious disease specialist, said authorities need to do thorough reviews of the children's deaths before declaring that everything possible is being done to prevent more deaths."In hospitals, when someone has a tragic event, a near miss, a drug error, we don't lead with 'we're doing everything we can.' It's ideal to lead with 'let's make ourselves open to self-criticism to make sure that we're taking care of the people who come to us for help,' " said Creech, associate professor of pediatrics at Vanderbilt University Medical Center."The real tragedy would be to say we're doing everything we can when we're not," he added.Internal reviews of the children's deaths are being conducted within the US Department of Homeland Security.Here are three things the physicians say the government could be doing better.Triage children more effectivelyOver the past several years, the United States has seen a large influx of children coming across the border.Before about 2013, about 90% of migrants apprehended at the border were adult men. In contrast, last month, 59% of apprehended migrants were families or unaccompanied minors, according to the Department of Homeland Security.That means about 1,400 to 1,500 unaccompanied minors or family members are apprehended every day, according to the agency."This has created enormous strain on our resources as we tackle the issue of how to deal with large numbers of kids," said Andrew Meehan, US Customs and Border Protection's assistant commissioner for public affairs.There's also been an uptick in the number of apprehended migrants who are ill, Homeland Security officials said at a briefing last week. They said border officers transport dozens of apprehended migrants to hospitals every day."We are doing all we can to handle this flood as humanely and professionally as possible," an official said.Homeland Security Secretary Kirstjen Nielsen has asked the US Centers for Disease Control and Prevention to look into the causes of the migrants' illnesses. She also said that children will receive a "more thorough hands-on assessment" as soon as possible after they're apprehended and that the US Department of Defense has been asked to provide additional medical professionals.Taking care of children -- especially such a large number of children -- requires special training and expertise, said Kraft, president of the pediatricians' group."Children are not just little adults; they have a whole physiology all their own," Kraft said.For example, she points out that children, much more than adults, can look fine but actually be quite ill."A child can be running around and playing while their little systems are breaking down," she said. "When they triage these children and they don't have that pediatric oversight and expertise, they're going to miss kids who don't look like they're ill when they really are."Kraft said she was pleased that on Wednesday, Customs and Border Protection Commissioner Kevin McAleenan reached out to her to ask whether the American Academy of Pediatrics could become involved in giving 4249

GARLAND, Texas — You might typically associate the days after Christmas as a time when people start returning things in mass quantities. But remember all those Black Friday sales? A lot of those sale items actually get returned right now. The items consumers take back to stores — or even send back after ordering online — make up an entire business of their own. Inventory at 390

First came a high fever, drenching sweats and muscle aches. Then, almost a month later, a weird numbness that spread down the right side of her body.Darlene Gildersleeve thought she had recovered from COVID-19. Doctors said she just needed rest. And for several days, no one suspected her worsening symptoms were related — until a May 4 video call, when her physician heard her slurred speech and consulted a specialist.“You’ve had two strokes,” a neurologist told her at the hospital. The Hopkinton, New Hampshire, mother of three is only 43.Blood clots that can cause strokes, heart attacks and dangerous blockages in the legs and lungs are increasingly being found in COVID-19 patients, including some children. Even tiny clots that can damage tissue throughout the body have been seen in hospitalized patients and in autopsies, confounding doctors’ understanding of what was once considered mainly a respiratory infection.“I have to be humble and say I don’t know what’s going on there, but boy we need to find that out because unless you know what the pathogenic (disease-causing) mechanism is, it’s going to be tough to do intervention,” Dr. Anthony Fauci, the nation’s top infectious disease expert, remarked during a medical journal interview last month.Doctors and scientists at dozens of hospitals and universities around the globe are seeking answers while trying to measure virus patients’ risks for clots and testing drugs to treat or prevent them.Gildersleeve said health authorities “need to put out an urgent warning about strokes” and coronavirus. Not knowing the possible link “made me doubt myself” when symptoms appeared, she said.Some conditions that make some COVID-19 patients vulnerable to severe complications, including obesity and diabetes, can increase clot risks. But many authorities believe how the virus attacks and the way the body responds both play a role.“COVID-19 is the most thrombotic (clot-producing) disease we’ve ever seen in our lifetime,” said Dr. Alex Spyropoulos, a clot specialist and professor at Feinstein Institutes for Medical Research in Manhasset, New York.Clotting has been seen in other coronavirus infections, including SARS, but on a much smaller scale, he said.Scientists believe the coronavirus enters the body through enzyme-receptors found throughout the body, including in cells lining the inside of blood vessels. Some theorize that it may promote clotting by somehow injuring those vessels as it spreads. That injury may cause a severe immune response as the body tries to fight the infection, resulting in inflammation that may also damage vessels and promote clotting, said Dr. Valentin Fuster, director of Mount Sinai Heart hospital in New York.It’s unclear how many COVID-19 patients develop clots. Studies from China, Europe and the United States suggest rates ranging from 3% to 70% of hospitalized COVID-19 patients; more rigorous research is needed to determine the true prevalence, the National Institutes of Health says.Prevalence in patients with mild disease is unknown and the agency says there isn’t enough evidence to recommend routine clot screening for all virus patients without clotting symptoms, which may include swelling, pain or reddish discoloring in an arm or leg.Some hospitals have found 40% of deaths in COVID-19 patients are from blood clots. Spyropoulos said that’s been true at his 23-hospital system in the New York City area, Northwell Health, which has treated over 11,000 COVID-19 patients.Cases there have dropped by almost half in the past month, allowing more time for research before an expected second and maybe third wave of infections, he said, adding: “We’re racing against time to answer the key clinical questions.”Patients hospitalized with any severe illness face increased risks for clots, partly from being bedridden and inactive. They commonly receive blood-thinning drugs for prevention. Some doctors are trying higher-than-usual doses for prevention in hospitalized coronavirus patients.A few have used powerful clot-busting medicines typically used to treat strokes, with mixed results. In guidance issued May 12, the NIH said more research is needed to show whether that approach has any benefits.Fuster was involved in preliminary research on nearly 2,800 COVID-19 patients at five hospitals in the Mount Sinai system. A look at their outcomes suggests slightly better survival chances for virus patients on ventilators who received blood thinners than among those who didn’t. Although the results are not conclusive, all COVID-19 patients at Mount Sinai receive blood thinners for clot prevention unless they are at risk for bleeding, a potential side effect, Fuster said.Some COVID-19 patients, like Gildersleeve, develop dangerous clots when their infections seem to have subsided, Spyropoulos said. Patients treated at Northwell for severe disease are sent home with a once-a-day blood thinner and a soon to be published study will detail their experiences. Spyropoulos has been a paid consultant to Janssen Pharmaceuticals, makers of Xarelto, the drug’s brand name.In addition, Northwell is taking part in a multi-center study that will test using blood thinners for clot prevention in COVID-19 patients not sick enough to require hospitalization.In a small study published May 15, University of Colorado doctors found that combined scores on two tests measuring clotting markers in the blood can help determine which patients will develop large dangerous clots. One test measures a protein fragment called D-dimer, a remnant of dissolved clots. High levels sometimes indicate dangerous clots that form deep in leg veins and travel to the lungs or other organs.Dr. Behnood Bikdeli of Columbia University’s Irving Medical Center, said D-dimer levels in many of his COVID-19 patients have been alarmingly high, as much as 50 times higher than normal.Concerns about blood clots in COVID-19 patients prompted a recent 30-page consensus statement from an international group of physicians and researchers. Bikdeli is the lead author.It says that testing to find clots that require treatment includes X-rays or ultrasound exams, but poses a risk for health care workers because the virus is so contagious. Bikdeli said he fears when protective gear was more scarce, some dangerous clots were undiagnosed and untreated.Social distancing may make people more sedentary and more vulnerable to clots, particularly older adults, so doctors should encourage activity or exercises that can be done in the home as a preventive measure, the statement says.Warnell Vega got that advice after collapsing at home April 19 from a large clot blocking a lung artery. Doctors at Mount Sinai Morningside think it was coronavirus-related. Vega, 33, a lunch maker for New York City school children, spent a week in intensive care on oxygen and blood thinners, which he’s been told to continue taking for three months.“I just have to watch out for any bleeding, and have to be careful not to cut myself,” Vega said.Gildersleeve, the New Hampshire stroke patient, was also sent home with a blood thinner. She gets physical therapy to improve strength and balance. She still has some numbness and vision problems that mean driving is out, for now.Doctors are unable to predict when or whether she’ll regain all her abilities.”I’m trying to remain positive about recovering,” she said. ’’I just have to be patient and listen to my body and not push too hard.”___Follow AP Medical Writer Lindsey Tanner at @LindseyTanner.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’ 7639

For the second time in a week, a potential school shooting was thwarted by a tipster who gave authorities a heads up -- this time in the town of Middlebury, Vermont.Authorities launched an investigation last week after a student told the principal at Middlebury Union Middle that she or he overheard two teens planning to attack another student, police said.Though interviews with multiple students, investigators learned that a 14-year-old planned to go to the school Tuesday at noon "and shoot a specific student, one in which he had problems with, and anyone else."The second student involved allegedly said he could obtain a weapon from a relative."They provided us this information in pretty graphic detail," Middlebury police Chief Tom Hanley told CNN affiliate WPTZ. "As to what the plans were, very specific: date and time, target, where this was going to happen... very specific. As opposed to the normal kind of idle chatter where there's nothing specific at all."Working with social workers, counselors and the State's Attorney Office, police had one student taken to Porter Medical Center for psychiatric counseling and treatment.The firearms from the other student's relatives were seized pending a court hearing, though police say the relative had no knowledge of the students' plans. All of the relatives' firearms were secured in safes, police said.The middle school "will deal with both students per their internal policies," as the investigation continues, police said.School Superintendent Peter Burrows said he was thankful for the student who decided to speak up."Students talking to each other and reaching out to us and then allowing us to work with police and take care of it is huge," Burrows told CNN affiliate WCAX.Middlebury, a town of around 8,500 people, is located about 35 miles south of Burlington.Last week, police in Richmond, Indiana, killed a teen they said was bent on committing violence at a middle school after receiving notice of the teen's plan. Lauding the tipster, Indiana State Police Sgt. John Bowling said, "Someone knew something, and they said something." 2117

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