济南怎么治疗龟头敏感度过高(济南睾丸隐隐作痛) (今日更新中)

Who gets to be first in line for a COVID-19 vaccine? U.S. health authorities hope by late next month to have some draft guidance on how to ration initial doses, but it’s a vexing decision.“Not everybody’s going to like the answer,” Dr. Francis Collins, director of the National Institutes of Health, recently told one of the advisory groups the government asked to help decide. “There will be many people who feel that they should have been at the top of the list.”Traditionally, first in line for a scarce vaccine are health workers and the people most vulnerable to the targeted infection.But Collins tossed new ideas into the mix: Consider geography and give priority to people where an outbreak is hitting hardest.And don’t forget volunteers in the final stage of vaccine testing who get dummy shots, the comparison group needed to tell if the real shots truly work.“We owe them ... some special priority,” Collins said.Huge studies this summer aim to prove which of several experimental COVID-19 vaccines are safe and effective. Moderna Inc. and Pfizer Inc. began tests last week that eventually will include 30,000 volunteers each; in the next few months, equally large calls for volunteers will go out to test shots made by AstraZeneca, Johnson & Johnson and Novavax. And some vaccines made in China are in smaller late-stage studies in other countries.For all the promises of the U.S. stockpiling millions of doses, the hard truth: Even if a vaccine is declared safe and effective by year’s end, there won’t be enough for everyone who wants it right away -- especially as most potential vaccines require two doses.It’s a global dilemma. The World Health Organization is grappling with the same who-goes-first question as it tries to ensure vaccines are fairly distributed to poor countries -- decisions made even harder as wealthy nations corner the market for the first doses.In the U.S., the Advisory Committee on Immunization Practices, a group established by the Centers for Disease Control and Prevention, is supposed to recommend who to vaccinate and when -- advice that the government almost always follows.But a COVID-19 vaccine decision is so tricky that this time around, ethicists and vaccine experts from the National Academy of Medicine, chartered by Congress to advise the government, are being asked to weigh in, too.Setting priorities will require “creative, moral common sense,” said Bill Foege, who devised the vaccination strategy that led to global eradication of smallpox. Foege is co-leading the academy’s deliberations, calling it “both this opportunity and this burden.”With vaccine misinformation abounding and fears that politics might intrude, CDC Director Robert Redfield said the public must see vaccine allocation as “equitable, fair and transparent.”How to decide? The CDC’s opening suggestion: First vaccinate 12 million of the most critical health, national security and other essential workers. Next would be 110 million people at high risk from the coronavirus -- those over 65 who live in long-term care facilities, or those of any age who are in poor health -- or who also are deemed essential workers. The general population would come later.CDC’s vaccine advisers wanted to know who’s really essential. “I wouldn’t consider myself a critical health care worker,” admitted Dr. Peter Szilagyi, a pediatrician at the University of California, Los Angeles.Indeed, the risks for health workers today are far different than in the pandemic’s early days. Now, health workers in COVID-19 treatment units often are the best protected; others may be more at risk, committee members noted.Beyond the health and security fields, does “essential” mean poultry plant workers or schoolteachers? And what if the vaccine doesn’t work as well among vulnerable populations as among younger, healthier people? It’s a real worry, given that older people’s immune systems don’t rev up as well to flu vaccine.With Black, Latino and Native American populations disproportionately hit by the coronavirus, failing to address that diversity means “whatever comes out of our group will be looked at very suspiciously,” said ACIP chairman Dr. Jose Romero, Arkansas’ interim health secretary.Consider the urban poor who live in crowded conditions, have less access to health care and can’t work from home like more privileged Americans, added Dr. Sharon Frey of St. Louis University.And it may be worth vaccinating entire families rather than trying to single out just one high-risk person in a household, said Dr. Henry Bernstein of Northwell Health.Whoever gets to go first, a mass vaccination campaign while people are supposed to be keeping their distance is a tall order. During the 2009 swine flu pandemic, families waited in long lines in parking lots and at health departments when their turn came up, crowding that authorities know they must avoid this time around.Operation Warp Speed, the Trump administration’s effort to speed vaccine manufacturing and distribution, is working out how to rapidly transport the right number of doses to wherever vaccinations are set to occur.Drive-through vaccinations, pop-up clinics and other innovative ideas are all on the table, said CDC’s Dr. Nancy Messonnier.As soon as a vaccine is declared effective, “we want to be able the next day, frankly, to start these programs,” Messonnier said. “It’s a long road.”___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 5581

When asked at a press conference on Wednesday about the consequences of calling himself a "nationalist," President Trump refused to answer the question, calling the question "racist."Trump was asked by PBS reporter Yamiche Alcindor, who is black, about comments he made late last month at a political rally in which he called himself a nationalist. Alcindor asked if he thought his rhetoric was emboldening white nationalists across the country."That's such a racist question," Trump said. "I don't believe that."Trump went on to cite approval numbers among African-Americans as to why he didn't think white nationalism was on the rise."I love our country," Trump added. "You have nationalists, you have globalists. I also love the world. I would love to help the world, but we have to straighten out our country first. But to say, that, what you said, is so insulting to me. It's a very terrible thing you said."  947

When Christina and Tarek El Moussa announced in late 2016 they were ending their marriage after seven years, fans worried it would mean an end to their wildly popular HGTV series, "Flip or Flop."The series continued, even as the couple divorced, but news that Christina was branching out with a new show again stirred concerns that "Flip or Flop" would soon end.Well, worry no more: Christina announced Wednesday that the show is definitely still on."We're baaacckkk!!! #FlipOrFlop was just picked up by @hgtv for 15 new episodes!!" read the caption on a video she posted of her and her ex on Instagram. "Look for Season 8 to premiere in Spring 2019."The pair, who have a young son and daughter, released a statement at the time of their split."Like many couples, we have had challenges in our marriage," they said. "We had an unfortunate misunderstanding about six months ago and the police were called to our house in an abundance of caution. There was no violence and no charges were filed."They also said they were planning to focus on their children and continue to work together.HGTV execs said they were fully supportive of however the former couple planned to handle it."When it comes to matters related to their own family, we respect their privacy and honor any decision that works best for them and their children," the network said in a statement provided to CNN. "HGTV is currently airing episodes of 'Flip or Flop' and the series will continue production as scheduled."In the video posted Wednesday, Tarek El Moussa sounded just as stoked as his ex-wife that the eighth season was happening."I know we've been around for a really, really long time, but we are back," he said. "We're ready to flip some houses!" 1732

With billions of dollars in federal aid slated to expire within hours, thousands of airline employees are bracing for potential job layoffs and furloughs in the coming days.The CARES Act, passed by Congress and signed into law by President Donald Trump in March, allocated billion in federal aid for U.S. airline companies who were floundering amid the COVID-19 pandemic. However, those bills were only allocated through Oct. 1 — meaning that aid expires on Thursday.Several airlines have already announced that they will be forced to lay off thousands of workers if Congress does not pass a bill that would allocate more bailouts to the airline industry.In August, Delta issued a WARN notice of potential mass layoffs with the state of Georgia that more than 2,500 more could face extended furloughs. The company has already offered early retirement packages to thousands of pilots.According to the Associated Press, American Airlines informed employees in August that it will cut more than 40,000 jobs — 19,000 of them through furlough and layoffs — in October if the business environment did not improve.On Monday, pilots with United Airlines approved a plan that would avoid the furlough of 2,850 pilots which would have begun Oct. 1. In exchange, pilots agreed to reduce their minimum work hours. The airline still plans to cut 19,000 jobs in October, according to CNBC.CNBC also reports that there is bipartisan support to offer more federal aid to the airline industry. However, Republicans and Democrats have not reached a deal on a larger stimulus package, leaving airlines lost in the shuffle. The Democrats included additional airline bailout funds in a .2 trillion stimulus package on Monday, and talk regarding funds for the industry has "progressed" with the White House in recent days.According to figures from the Transportation Security Administration, the agency is routinely screening more than a million fewer airline passengers every day than it would have at the same point a year ago — an indication that demand for air travel is still lagging amid the COVID-19 pandemic. 2108

We've seen headlines for weeks about Hertz selling off its fleet after filing for Chapter 11 bankruptcy. In reality, it isn't just Hertz and it didn't just start.“You should not expect, or the market should not expect, all of a sudden this influx of rental supply to hit the market because rental companies have been right sizing their fleets since at least mid-March,” said Larry Dixon, Senior Director of Valuation Services at J.D. Power.As COVID-19 forces car rentals and auctions to shut down, the rental companies started selling more to dealers who weren't able to replenish their used car supply. Now that auctions have opened, demand is up and so are auction prices.So far for retail, what we pay is stable. At the same time, new car sales are down. So, there are fewer trade-ins. That means better deals.“Dealers are going to be more likely to be more aggressive with a trade-in offer to a consumer, particularly for highly desirable late model vehicles, think that 2 to 5-year-old used vehicle,” said Dixon.As far as rental cars being a good buy, they are well-maintained and kept clean. The negatives are they have higher miles. But that can also be a positive in the price.A dealer doesn't have to disclose if a car was a rental. You can find out on your own with a vehicle history report. 1309

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