济南性生活时间短了咋办(济南前列腺炎的注意) (今日更新中)

It wasn't easy, and at times there was doubt, but defending champion the US can look ahead to a mouthwatering quarterfinal clash against host France after a 2-1 win over a resolute Spain.In the US' toughest challenge at the Women's World Cup so far, two Megan Rapinoe penalties, one in each half, secured progress to the last eight.When Spain conceded a fifth-minute penalty -- Maria Leon bringing down Tobin Heath in the box -- it seemed as if the US would go on to accrue another healthy scoreline, just as it did in the group stages.Jill Ellis' team had qualified for the last 16 having scored 18 goals in three games and not conceded, becoming the first team in World Cup history to qualify for the knockout stages with a +18 goal difference.But before this tournament questions were being asked of the US' defense and for the first time in France it was put through its paces and breached.In trying to play out from defense, Becky Sauerbrunn lost possession on the edge of her box and Spain pounced with a delightful finish from Jennifer Hermoso.The defending champion created more chances -- Rapinoe twice missed opportunities to give her team the lead -- but so too did Spain, catching out the Americans' high defensive line on a couple of occasions.After the break, Spain's ploy of slowing the pace of the game by keeping possession was successful in frustrating the tournament favorite until Leon took a swipe at Rose Lavelle's shin and the referee pointed at the spot.Though it was the slightest of contacts, a VAR check rubber stamped the decision and Rapinoe coolly slotted home.More to follow.The-CNN-Wire? & ? 2019 Cable News Network, Inc., a Time Warner Company. All rights reserved. 1714

KANSAS CITY — Maureen Boesen has always known cancer risk was high in her family."We're able to really track our history of breast cancer back to the late 1800s and early 1900s," Boesen said. "My grandmother actually passed away from ovarian cancer when she was 44. She had five sisters and none of them lived to the age of 50. Then, my mother was diagnosed with breast cancer when she was 32. We knew there was something going on and that it was a very young age."When Boesen and her two sisters were ages 3, 5 and 7, their mom was already receiving chemotherapy for stage 2 breast cancer. Because of the extensive family history, the girls were part of a study at a university in another part of the Midwest. Their mom was hoping to help the world better understand what was killing so many women. She was hoping to better her daughters' chances for survival."We were all tested in the same exact room," said Boesen's sister, Bridget Stillwell. "I can even remember what the room looked like." Because the girls were so young, and the health threat still likely years away, they wouldn't receive their DNA test results until they turned 18."We knew we were part of a study," Boesen said. "We knew our results were waiting for us, but we didn't know what they were."When asked if she found that wait frustrating, she said emphatically it was not."Quite the opposite. We felt empowered," she said.She didn't get the results right away. The sisters knew there was nothing they could likely do at age 18 even if their test results showed they'd inherited the BRCA gene mutation. The sisters all waited until they were around age 21. One sister was positive. One sister was negative. Boesen remembers meeting with the researcher to learn her results."We sat down and we had a conversation about what BRCA was and what it meant for my family," Boesen said. "It was a lengthy conversation, which made me very uncomfortable because why would a conversation that wasn't going to change my life last that long?"Eventually, the researcher told her she had inherited the gene mutation."It was just devastating because I knew what breast cancer and ovarian cancer can do to a family. You know, my first question out of my mouth was, 'Is there any chance this could be wrong?' The researcher said 'No.' "Boesen walked out of that meeting determined. She was going to make decisions to save her own life. She was going to have a bilateral prophylactic mastectomy. She would schedule a surgery to remove both breasts to prevent breast cancer."This was me doing what I was supposed to do and this was me being empowered and me being proactive and not waiting until I have a cancer diagnosis," Boesen said.She didn't want to feel like a ticking time bomb. She wanted to live.Boesen had the surgery to remove both breasts when she was just 23 years old. She went on to get married and have three children."I didn't get to breastfeed them. It was sad. I'm not brokenhearted or devastated about it, but it is sad to think I couldn't provide for my children like that," she said.At the time, she still believed she'd made the right decision because she was healthy.Once done having children, she knew there was another step that most people with the dangerous BRCA gene mutation have to consider."I knew that when I was done having children, I needed to have a complete hysterectomy," Boesen said.The BRCA gene mutation not only dramatically increases a woman's chance of developing breast cancer at a young age, it also significantly increases a woman's chance of ovarian cancer."The right thing to do and what the doctors say to do is have a complete hysterectomy by the age of 35 and I was in my early 30s," Boesen said.In 2018, she went to a hospital in Kansas City, Missouri, to start the process of preparing for her hysterectomy. Both her health care provider and her insurance company wanted a new DNA test. Everyone knew what the results would be, but they went through the motions to get the required confirmation she was positive for the deadly gene mutation which was so rampant in her family.The test results were supposed to be back in a few weeks, but it had been four and Boesen was starting to worry. Then, she got the call from the doctor."I was at work. And the first thing she said was, 'We need to talk', and my heart just sank," Boesen said. "She said, 'You're negative,' and I just started bawling."She was overwhelmed, confused and full of emotions."I was angry. I was regretful. I was happy. I was sad. I so desperately wanted to feel relief, 'Oh, thank God, this is the best day of my life,' but it wasn't," Boesen said. "It was just devastating."Boesen got another test to confirm the second test results. It also came back negative.She did not get the hysterectomy. There was no need now. There was no longer a threat that cancer was waiting to explode in her body. She now knew she had not inherited the BRCA gene mutation that had killed so many of her relatives.Dr. Jennifer Klemp of the University of Kansas Cancer Center has worked in the field of cancer genetics, specifically breast and female cancers, since 1997. She is the director of Cancer Survivorship and a cancer risk counselor. While she was not involved in Boesen's original research, she says she's not surprised."Twenty years ago, when we sent our first tests and BRCA 1 and 2 were the two genes we tested for, about 30-40 percent of the time we would get something called a 'variant of uncertain significance,' " Klemp said. "Basically, that meant we found a mutation or an error in the DNA, but we didn't know if that was associated with an increased risk of cancer. Today, using a reputable lab, that should be less than 1-2 percent."Klemp says things are changing rapidly in the field of genetic testing. If someone had a DNA test more than five years ago, they should consider having an updated test. She also says the at-home tests are good for finding out details about your ancestry, but they shouldn't be used to make major decisions about your health. For that, you'd want a health professional to order a commercial test through a certified, reputable lab. With more and more companies offering testing, and more medical professionals and patients interested in genetic testing for so many reasons, she says demand right now is outpacing supply."If you have 10 different labs doing testing, and you have every primary care, OB-GYN, oncology clinic, surgical clinic and any number of patients eligible for testing, it's a little bit of the wild west," Klemp said, adding there's no central repository for this patient and test information.As for Boesen, the university where the original research was done and the false positive originated offered to re-test her DNA. She is currently waiting on the results from what is now her fourth genetic test. She hopes it comes back negative, too, which is what the experts all expect. She believes, then, finally, she'll be able to move forward with her life. Boesen and her two sisters are writing a book about their experiences. Each of her sisters has a story to tell, too. Their book will be titled, " 7146

INDIANAPOLIS, Indiana — From foster mom, to adoptive mom, to kidney donor. This family took in a little boy and gave him a lifesaving gift.Nicole Alles and her husband have been fostering children for more than a decade. A few years ago, the couple decided to take a break and decide if this is what they wanted to continue doing.That’s when they received a call about a baby boy that no one was willing to take in.“WE got a call for him in December and they couldn’t find anyone to take him in because of all of his medical complications,” said Nicole.Sebastian was born in October of 2014 with a long list of health concerns including end stage renal, collapsed lungs and stage 4 chronic kidney disease."I mean the biggest issue was that his kidneys weren't working and we knew we were going to need to start him on dialysis before he even left the hospital,” said Dr. Myda Khalid, children’s kidney doctor at Riley Hospital.Sebastian would eventually need a new kidney.Nicole, a home healthcare nurse, knew she could help Sebastian. The couple took him in and she did his dialysis at home."We took him in under the premise that he would probably go back home soon, but that did not happen,” said Nicole.After four months, Sebastian’s biological parents discontinued their parental rights.In 2016, the Alles family legally adopted him.His two foot tall box of medical records was delivered to their home shortly after.That’s when Nicole learned she and her newly adopted son shared a blood type.After waiting for Sebastian to be strong enough for a transplant, Nicole went through extensive testing and learned she was a match.“When they found out I was a tissue match for him that was when we were just so excited because that just meant so much to us that I was able to give him the kidney,” said Nicole.Today Sebastian is one year post operation. He’s healthier than ever.His kidney transplant, one of many successful surgeries he’s had to improve his quality of life.“To look at him, you really wouldn’t know he’s been through as much as he’s been through,” said Nicole.Nicole believes Sebastian was meant to come into her life so she could be his mother and his donor.“Being able to save his life... it makes me very emotional, very fortunate... very blessed... very happy because I know that I was a part of that,” said Alles. 2346

It could be a make-or-break week for the delicate trade negotiations between the United States and China as they drift further beyond the ambitious 90-day clock set last year by the leaders of the world's two largest economic superpowers.The Trump administration will welcome China's top trade negotiator in Washington on Wednesday in hopes of striking a comprehensive deal that would address long-standing concerns by the US government and top business executives.But the meeting comes as President Donald Trump is consumed with an escalating political crisis over his threat to close the US-Mexico border -- an echo of meetings earlier this year that were overshadowed by the partial government shutdown.As the tit-for-tat tariff war between the United States and China stretches beyond the one-year mark, top officials from both countries in recent weeks have begun to signal they are nearing the end of a trade standoff that once rattled Wall Street, though neither side has provided details about how talks progressed at last week's round of negotiations in Beijing."We're getting to the point where it's clear that both governments want a deal. The presidents want a deal, and they need to get through the end-game issues. This is a critical week," Myron Brilliant, executive vice president and head of international affairs at the US Chamber of Commerce told reporters on Tuesday.Some of the most difficult hurdles lie ahead as Chinese Vice Premiere Liu He arrives to continue talks with his counterparts Robert Lighthizer, the country's top trade envoy and Treasury Secretary Steven Mnuchin.At issue is whether the two sides can reach an agreement that could potentially lift billions of dollars of tariffs on Chinese goods in exchange for the United States having the power to take unilateral action to penalize Beijing if it fails to play by the rules of the deal."This end game issue -- this is what we're working through," said Brilliant. "This is why we don't have a final package at this point."Trump and other top administration officials in recent weeks have sent strong signals they plan on keeping in place tariffs on 0 billion of Chinese goods for a "substantial period of time.""We have to make sure that if we do the deal with China that China lives by the deal," Trump told reporters as he left Washington for Ohio ahead of Lighthizer and Mnuchin's trip to Beijing last week.At the time, Trump didn't spell out whether the US is planning to keep in place tariffs on all of the 0 billion of Chinese goods the US has imposed penalties or for how long.The White House could take a variety of approaches either by deciding to partially rollback tariffs or potentially reducing the level of tariffs currently imposed, a decision that will ultimately fall to the President who has favored a hefty tariff policy.Top officials have made clear they see the penalties as leverage over Beijing, but might be willing to ease some of them depending on the size of the deal.White House economic adviser Larry Kudlow has also hinted the United States would be willing to extend trade negotiations with China weeks or even months to strike the right deal."This is not time-dependent. This is policy- and enforcement-dependent," said Kudlow in a speech in Washington last week. "If it takes a few more weeks, or if it takes months, so be it. We have to get a great deal, as the president says, that works for the United States. That's our principle interest."Talks between the two sides have continued this month after the Trump administration officially shelved a plan to sharply increase tariffs on 0 billion of Chinese exports as the world's two largest economies inch closer to a deal. The administration hasn't offered a time frame on how long the US government would be willing to delay the tariff increase on China."You have a moment in time right now -- the focus of the two governments, the whole world is watching, the stakes are very high," said Brilliant. "Neither state wants to back away from these negotiations, so the momentum is still moving us forward to get to a final deal." 4120

In response to the information that has been circulating in different media outletsregarding the two unfortunate events in the Dominican Republic, Bahia PrincipeHotels & Resorts would like to clarify the following: pic.twitter.com/Pg8QFmaq1L— BahiaPrincipe (@BahiaPrincipe) June 5, 2019 302

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