济南刚进入就想射济南射精过多怎么办啊,济南射精没有力怎么办,济南医院男科好吗,济南包茎不割有影响吗,济南阳痿早泄用中药治疗,济南治疗重度阳痿早泄的药有那些,济南中药真能治好早泄吗

We were made aware this morning of a serious car accident involving Kendrick Norton. Our thoughts and prayers are with Kendrick and his family during this time.— Miami Dolphins (@MiamiDolphins) 206

WASHINGTON -- The House of Representatives is now investigating whether President Donald Trump lied to special counsel Robert Mueller in written answers he provided in the Russia investigation, the House's general counsel said in federal court Monday."Did the President lie? Was the President not truthful in his responses to the Mueller investigation?" House general counsel Douglas Letter told the US Court of Appeals for the District of Columbia Circuit about why the House now needs access to grand jury material Mueller collected in his investigation.The House's arguments Monday draw new focus to whether Trump had lied to Mueller following public revelations at Roger Stone's trial this month.Former Trump deputy campaign chairman Rick Gates testified that Trump and Stone talked about information that was coming that could help the campaign in mid-2016, at a time when Stone was attempting to get secret details about stolen Democratic documents WikiLeaks had.Former Trump campaign chairman Paul Manafort also apparently told the Mueller grand jury what Trump's approach to WikiLeaks had been in 2016, according to the Mueller report.But Trump told Mueller in his written statements he didn't recall discussing WikiLeaks with Stone.The House previously reviewed most of what Mueller had written in his final report, including parts kept from the public. But the House hasn't been able to see what Manafort told the grand jury, which Mueller apparently described in his report. In the Mueller report, grand jury details are redacted related to a sentence describing Manafort speaking with Trump after WikiLeaks' first release, in July 2016.This story is breaking and will be updated. 1703

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

WASHINGTON (AP) — The Supreme Court announced Monday that it will hear a dispute over a Philadelphia Catholic agency that won't place foster children with same-sex couples. The justices will review an appeals court ruling that upheld the city's decision to stop placing children with the Archdiocese of Philadelphia's agency because it would not permit same-sex couples to serve as foster parents. The appeals court ruled the city did not target the agency because of its religious beliefs but acted only to enforce its own nondiscrimination policy in the face of what seemed to be a clear violation. The case will not be argued until the fall. 656

WASHINGTON, D.C. – The House Judiciary Committee early Monday morning released its impeachment report to accompany the articles of 142