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济南治疗严重早泄的药
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发布时间: 2025-06-01 08:38:47北京青年报社官方账号
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  济南治疗严重早泄的药   

SACRAMENTO, Calif. (AP) — California Gov. Gavin Newsom cracked down on oil producers Tuesday, halting approval of hundreds of fracking permits until independent scientists can review them and temporarily banning new wells using another drilling method that regulators believe is linked to one of the largest spills in state history.The state Division of Oil, Gas and Geothermal Resources announced it will not approve new wells that use high-pressure steam to extract oil from underground. It’s the type of process Chevron uses at an oil field in the Central Valley that leaked more than 1.3 million gallons (4.9 million liters) of oil and water this summer.That process is different from fracking, which uses water and other chemicals at high pressure to extract oil. California has 263 pending fracking permits but has not approved any of them since July. That’s when Newsom fired California’s top oil and gas regulator after learning the state had increased fracking permits by 35% since he took office in January, angering environmental groups.Newsom, a Democrat, called the crackdown necessary to strengthen the state’s oversight of oil and gas extraction “as we phase out our dependence on fossil fuels and focus on clean energy sources.”“This transition cannot happen overnight; it must advance in a deliberate way to protect people, our environment and our economy,” Newsom said.California has been a leader on environmental issues, with Newsom's Democratic predecessor, Jerry Brown, making climate change his signature effort. Brown was criticized for failing to ban fracking or oil drilling, arguing that the state needed to tackle demand before moving on to supply.The oil industry called Newsom’s changes “disappointing,” with the Western States Petroleum Association saying California’s environmental regulations already lead the world.“Every barrel delayed or not produced in this state will only increase imports from more costly foreign sources that do not share our environmental safety standards,” group president Catherine Reheis-Boyd.California is one of the top five states for oil production, producing more than 161 million barrels last year. Fracking occurs in some of the state’s largest oil fields, mostly in the Central Valley.The steam method is less prevalent but accounted for 8 million barrels of the state’s oil production in 2018, according to the Department of Conservation. But regulators believe it is linked to the oil spill at a Chevron well that began in May.It was the largest oil spill in California since 1990, when a tanker unleashed more than 400,000 gallons (1.5 million liters) of crude oil off the coast of Huntington Beach.But despite its size, the Chevron spill has had minimal effects on the environment.The oil spilled into a dry creek bed, and the company cleaned it up before rains could wash it into fresh water. It also did not significantly harm wildlife, with just a “handful of birds” needing to be euthanized, according to Jason Marshall, chief deputy director of the California Department of Conservation.A second well at the oil field about 35 miles (55 kilometers) west of Bakersfield has been leaking intermittently since 2003. State officials ordered Chevron to stop the leak in April, and the company has been making progress, Marshall said.Regulators have fined the energy giant .7 million for the leaks. A Chevron spokeswoman referred comment to the Western States Petroleum Association, whose leader said, “There is nothing more important than the health and safety of the communities where the women and men of our industry work, live and raise their families."The moratorium will be in place while two national laboratories — Lawrence Livermore and Sandia — study the high-pressure steam process to see what regulations, if any, can make it safer. Other wells in California use the steam method and have not had any spills.“These oil leaks cannot be the cost of doing business,” California Natural Resources Secretary Wade Crowfoot said. “There needs to be a clear trajectory to eliminate them. Not reduce them in number, but fully eliminate them.”The moratorium will not affect existing wells, which will be assessed individually. Some existing wells have been using high-pressure steam for so long that stopping it could weaken the geology and cause more spills, Crowfoot said.Officials said they would seek an independent audit of California’s permitting process for fracking and other types of oil extraction.In July, advocacy groups Consumer Watchdog and FracTracker revealed the state’s fracking permits had doubled during the first six months of Newsom’s administration. The groups said that of those permits, 45% benefited companies where state officials owned stock.Jamie Court, president of Consumer Watchdog, called Newsom’s new orders “an important step toward reining in the most high risk extraction techniques.”“The ultimate test of his tenure for climate change and the public will be simple math about how many fewer permits are issued and how many existing wells are closed,” Court said. “Net zero wells should be his goal.” 5122

  济南治疗严重早泄的药   

SACRAMENTO, Calif. (AP) -- Sodas and energy drinks in California could soon come with a warning about increased risks for diabetes and tooth decay under a bill that has narrowly cleared the state Senate.The Senate voted 21-11 on Thursday to require warning labels on sugar-sweetened drinks that contain 75 calories or more per 12 fluid ounces. The label would be on the front of the container, in bold type and separate from all other information.The bill passed despite significant opposition from the beverage industry. Records show the American Beverage Association spent more than 3,000 since January lobbying against the bill and others.Other proposals that would have taxed soda and banned "Big Gulp" style drinks were shelved earlier this year.Bill author Sen. Bill Monning says the measure would protect children's health. 841

  济南治疗严重早泄的药   

SACRAMENTO, Calif. (AP) — California's Democratic legislative leaders have reached an agreement on the state budget. The plan would cover the state's estimated .3 billion shortfall while avoiding most of Gov. Gavin Newsom's proposed budget cuts to public education and health care services. The agreement is similar to a plan the state Senate released last week. That plan avoids the most painful cuts by delaying billions of dollars in spending into future years. The agreement reached Wednesday includes more money for homeless services and universities. Senate President Pro Tem Toni Atkins says the plan ensures full funding for public schools. 659

  

SACRAMENTO, Calif. (AP) — A spokesman says one of California Gov. Gavin Newsom’s children may have been exposed to the coronavirus at school and is in quarantine. Nathan Click says the child began a 14-day quarantine after the family was told a classmate at the private school in Sacramento had tested positive for COVID-19. He says the family is following state protocols, and the governor, his wife and four children have all tested negative for the virus. Newsom said last month that his children had returned to their school, sparking criticism even as millions of public schoolchildren continue to study through distance learning. 643

  

RICHMOND, Va. (AP) — By the time drug enforcement agents swooped into his small medical office in Martinsville, Virginia, in 2017, Dr. Joel Smithers had prescribed about a half a million doses of highly addictive opioids in two years.Patients from five states drove hundreds of miles to see him, spending up to 16 hours on the road to get prescriptions for oxycodone and other powerful painkillers."He's done great damage and contributed ... to the overall problem in the heartland of the opioid crisis," said Christopher Dziedzic, a supervisory special agent for the Drug Enforcement Administration who oversaw the investigation into Smithers.In the past two decades, opioids have killed about 400,000 Americans, ripped families apart and left communities — many in Appalachia — grappling with ballooning costs of social services like law enforcement, foster care and drug rehab.Smithers, a 36-year-old married father of five, is facing the possibility of life in prison after being convicted in May of more than 800 counts of illegally prescribing drugs, including the oxycodone and oxymorphone that caused the death of a West Virginia woman. When he is sentenced Wednesday, the best Smithers can hope for is a mandatory minimum of 20 years.Authorities say that, instead of running a legitimate medical practice, Smithers headed an interstate drug distribution ring that contributed to the opioid abuse epidemic in West Virginia, Kentucky, Ohio, Tennessee and Virginia.In court filings and at trial, they described an office that lacked basic medical supplies, a receptionist who lived out of a back room during the work week, and patients who slept outside and urinated in the parking lot.At trial, one woman who described herself as an addict compared Smithers' practice to pill mills she frequented in Florida."I went and got medication without — I mean, without any kind of physical exam or bringing medical records, anything like that," the woman testified.A receptionist testified that patients would wait up to 12 hours to see Smithers, who sometimes kept his office open past midnight. Smithers did not accept insurance and took in close to 0,000 in cash and credit card payments over two years."People only went there for one reason, and that was just to get pain medication that they (could) abuse themselves or sell it for profit," Dziedzic said.The opioid crisis has been decades in the making and has been fueled by a mix of prescription and street drugs.From 2000 to 2010, annual deaths linked to prescription opioids increased nearly fourfold. By the 2010s, with more crackdowns on pill mills and more restrictive guidelines on prescriptions, the number of prescriptions declined. Then people with addictions turned to even deadlier opioids. But the number of deaths tied to prescription opioids didn't begin to decline until last year, according to data from the U.S. Centers for Disease Control and Prevention.Martinsville, where Smithers set up shop, has been particularly hard hit.A city of about 14,000 near Virginia's southern border, Martinsville once was a thriving furniture and textile manufacturing center that billed itself as the "Sweatshirt Capital of the World." But when factories began closing in the 1990s, thousands of jobs were lost. Between 2006 and 2012, the city had the nation's third-highest number of opioid pills received per capita, according to an Associated Press analysis of federal data.Andrew Kolodny, a Brandeis University doctor who has long been critical of opioids, said that in recent years, doctors became less comfortable writing lots of opioid prescriptions and many big prescribers retired. That opened an opportunity for others."If you're one of the guys still doing this," he said, "you're going to have tons of patients knocking down your door."During his trial, Smithers testified that after he moved to Virginia, he found himself flooded with patients from other states who said many nearby pain clinics had been shut down. Smithers said he reluctantly began treating these patients, with the goal of weaning them off high doses of immediate-release drugs.He acknowledged during testimony that he sometimes wrote and mailed prescriptions for patients he had not examined but insisted that he had spoken to them over the phone.Once, he met a woman in the parking lot of a Starbucks, she handed him 0 and he gave her a prescription for fentanyl, an opioid pain reliever that is 50 to 100 times more potent than morphine.When area pharmacists started refusing to fill prescriptions written by Smithers, he directed patients to far-flung pharmacies, including two in West Virginia. Prosecutors say Smithers also used some patients to distribute drugs to other patients. Four people were indicted in Kentucky on conspiracy charges.At his trial, Smithers portrayed himself as a caring doctor who was deceived by some patients."I learned several lessons the hard way about trusting people that I should not have trusted," he said.Smithers' lawyer told the judge he had been diagnosed with depression and anxiety. Family members said through a spokesperson that they believe his decisions were influenced by personal stress, and emotional and mental strain.Even before he opened his Martinsville practice in August 2015, Smithers had raised suspicions. West Virginia authorities approached him in June 2015 about a complaint with his practice there, but when they returned the next day with a subpoena, they found his office cleaned out and a dumpster filled with shredded papers and untested urine samples.Some of Smithers' patients have remained fiercely loyal to him, insisting their severe chronic pain was eased by the powerful painkillers he prescribed.Lennie Hartshorn Jr., the father of the West Virginia woman who died two days after taking drugs Smithers prescribed, testified for the defense.Hartshorn said his daughter, Heather Hartshorn, told someone "she would rather be dead than in pain all the time." According to a form Heather Hartshorn filled out when she went to see Smithers, she had chronic pain in her lower back, legs, hips and neck from a severe car accident and a fall.When asked by Smithers' lawyer if he blames Smithers for anything, Lennie Hartshorn said he does not.Smithers has been denied bond while he awaits sentencing. His attorney did not respond to inquiries from AP. Smithers has said he plans to appeal.____Associated Press reporters Geoff Mulvihill and Riin Aljas contributed to this story. 6501

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