济南作包皮手术(济南男科病挂号) (今日更新中)

WASHINGTON (AP) — The Supreme Court is allowing the Trump administration to continue enforcing a policy that makes asylum-seekers wait in Mexico for U.S. court hearings, despite lower court rulings that the policy probably is illegal. The justices' order comes Wednesday over a dissenting vote by Justice Sonia Sotomayor. It overturns a lower court order that would have blocked the policy, at least for people arriving at the border crossings in Arizona and California. The high court action comes a day before the lower court order was to have taken effect. Instead, the “Remain in Mexico" policy will stay in place while a lawsuit challenging it plays out in the courts. 685

WASHINGTON – No cramped leg space and blah entertainment in coach for Bei Bei, the giant panda at the Smithsonian's National Zoo in DC. He's off to China this week -- and he's traveling in style.As if flying in his own Boeing 777F private plane dubbed the Panda Express is not enough, handlers will be feeding him his favorite treats during the trip. And the zoo is asking for song recommendations for a mixed tape for the long trip -- just change the title of the original from "baby" to "Bei Bei.""Bei Bei, It's You," and "Bei Bei, Love" were just a few of the suggestions so far.Bei Bei was born at the zoo in 2015, and an agreement with China stipulates that all cubs born at the zoo must move to China at age 4, the zoo said on its 749

Two centuries after its invention, the stethoscope — the very symbol of the medical profession — is facing an uncertain prognosis.It is threatened by hand-held devices that are also pressed against the chest but rely on ultrasound technology, artificial intelligence and smartphone apps instead of doctors’ ears to help detect leaks, murmurs, abnormal rhythms and other problems in the heart, lungs and elsewhere. Some of these instruments can yield images of the beating heart or create electrocardiogram graphs.Dr. Eric Topol, a world-renowned cardiologist, considers the stethoscope obsolete, nothing more than a pair of “rubber tubes.”It “was OK for 200 years,” Topol said. But “we need to go beyond that. We can do better.”In a longstanding tradition, nearly every U.S. medical school presents incoming students with a white coat and stethoscope to launch their careers. It’s more than symbolic — stethoscope skills are still taught, and proficiency is required for doctors to get their licenses.Over the last decade, though, the tech industry has downsized ultrasound scanners into devices resembling TV remotes. It has also created digital stethoscopes that can be paired with smartphones to create moving pictures and readouts.Proponents say these devices are nearly as easy to use as stethoscopes and allow doctors to watch the body in motion and actually see things such as leaky valves. “There’s no reason you would listen to sounds when you can see everything,” Topol said.At many medical schools, it’s the newer devices that really get students’ hearts pumping.“Wow!” ″Whoa!” ″This is awesome,” Indiana University medical students exclaimed in a recent class as they learned how to use a hand-held ultrasound device on a classmate, watching images of his lub-dubbing heart on a tablet screen.The Butterfly iQ device, made by based by Guilford, Connecticut-based Butterfly Network Inc., went on the market last year. An update will include artificial intelligence to help users position the probe and interpret the images.Students at the Indianapolis-based medical school, one of the nation’s largest, learn stethoscope skills but also get training in hand-held ultrasound in a program launched there last year by Dr. Paul Wallach, an executive associate dean. He created a similar program five years ago at the Medical College of Georgia and predicts that within the next decade, hand-held ultrasound devices will become part of the routine physical exam, just like the reflex hammer.The devices advance “our ability to take peek under the skin into the body,” he said. But Wallach added that, unlike some of his colleagues, he isn’t ready to declare the stethoscope dead. He envisions the next generation of physicians wearing “a stethoscope around the neck and an ultrasound in the pocket.”Modern-day stethoscopes bear little resemblance to the first stethoscope, invented in the early 1800s by Frenchman Rene Laennec, but they work essentially the same way.Laennec’s creation was a hollow tube of wood, almost a foot long, that made it easier to hear heart and lung sounds than pressing an ear against the chest. Rubber tubes, earpieces and the often cold metal attachment that is placed against the chest came later, helping to amplify the sounds.When the stethoscope is pressed against the body, sound waves make the diaphragm — the flat metal disc part of the device — and the bell-shaped underside vibrate. That channels the sound waves up through the tubes to the ears. Conventional stethoscopes typically cost under 0, compared with at least a few thousand dollars for some of the high-tech devices.But picking up and interpreting body sounds is subjective and requires a sensitive ear — and a trained one.With medical advances and competing devices over the past few decades, “the old stethoscope is kind of falling on hard times in terms of rigorous training,” said Dr. James Thomas, a cardiologist at Northwestern Medicine in Chicago. “Some recent studies have shown that graduates in internal medicine and emergency medicine may miss as many of half of murmurs using a stethoscope.”Northwestern is involved in testing new technology created by Eko, a Berkeley, California-based maker of smart stethoscopes. To improve detection of heart murmurs, Eko is developing artificial intelligence algorithms for its devices, using recordings of thousands of heartbeats. The devices produce a screen message telling the doctor whether the heart sounds are normal or if murmurs are present.Dennis Callinan, a retired Chicago city employee with heart disease, is among the study participants. At age 70, he has had plenty of stethoscope exams but said he feels no nostalgia for the devices.“If they can get a better reading using the new technology, great,” Callinan said.Chicago pediatrician Dr. Dave Drelicharz has been in practice for just over a decade and knows the allure of newer devices. But until the price comes down, the old stalwart “is still your best tool,” Drelicharz said. Once you learn to use the stethoscope, he said, it “becomes second nature.”“During my work hours in my office, if I don’t have it around my shoulders,” he said, “it’s as though I was feeling almost naked.” 5223

Visitors to Disneyland in Anaheim, California, on Saturday witnessed a brawl between family members as children stood to the side and watched. Among the visitors were young children.The fight broke out in the area known as "Toontown," a section of the park designed for toddlers. Video of the fight has since gone viral. Video footage shows several men and women exchanging punches and shoves. The fight started and stopped several times. The Anaheim Police confirmed on Monday that it is investigating the incident, but said the family has been uncooperative. "All parties were from the same family and were uncooperative. A report was taken. There was no video at the time. Now that we have video, the investigation can continue," Anaheim Police tweeted. 769

Why does a teenager deserve to be on a city council? That's what Marcel McClinton, 17, says he is asked a lot."I've got the right ideas and change is necessary to bring our city and push it further to success," he answers.McClinton is just days out of high school and turns 18 on July 5. The filing deadline for Houston's city council candidates is Aug. 30."I just barely make it," he said. Age is just a number to him."So I think that, you know, the mindset of 'you can only get involved, you only have a voice when you turn 18 when you can vote' is a lie, is a myth, it's not true," he said. "I always tell young folks who ask me this question that you can help campaigns and push your political ideas through a movement, right?"For McClinton, the movement he is most passionate about, is preventing gun violence. He was a survivor of a shooting at his church in 2016."And that was a moment in my life for a lot of us in the room we had to grow up a lot faster," he said.McClinton helped organize Houston's "March for our Lives" rally and volunteer for Beto O'Rourke's bid for senate. It has all led him to this."I also sat back and thought, ya know, to what extent can I further my work in gun violence prevention? And would that be most beneficial at just the school level and just keeping students safe in schools, or is that in a greater capacity on city council where we can look at inner city gun violence awareness campaigns and suicide and mental health and all these things that I think attack gun violence at a greater extent?" he said.The teen has big backers: O'Rourke's former campaign manager is serving as an adviser to McClinton's campaign. He says it is proof young people really can bring change."Your truth in your heart matters, and that's important, and also to stay confident through all the doubts that you're gonna hear," McClinton said. 1875

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