喀什做韩式包皮一般多少钱(喀什包茎手术多少钱呀) (今日更新中)

Health officials in Las Vegas have had to issue a list of places visited by a man there who contracted measles.It's the first confirmed case of measles in Clark County, Nevada since 2015, 200

Gail Devore has been on insulin for Type I Diabetes for 47 years. But in the past year, she started rationing one of her insulin prescriptions because it became too expensive.“We are dying, we are suffering complications when we have to ration or when we can't afford to fill our prescriptions and take it for the amount that prescribed to us,” Devore said. “It's unacceptable.Doctors warn against rationing meds because it can lead to health problems — and even death.“My doctor has said I will continue to stay healthy as long as I can afford to take care of myself at the level I have been all these years,” Devore said. “But with prices this high it's likely I can't. No one should have to make these kinds of decisions.”A new JAMA study found 40 of 49 top name-brand prescription drugs have had skyrocketing prices in the last six years. On average, the cost of the drugs jumped 76 percent.Most of the drugs continue to increase in price once and even twice per year.The JAMA report noted that even competition does not keep prices from rising. Popular diabetes drugs saw large price increases despite doctors being able to prescribe them interchangeably.“There has to be change. Otherwise more people will die needlessly,” Devore said.Both Congress and the Trump White House have promised to find ways to lower costs of drugs, and several bills are in the works. It’s unclear what impact those bills will have since they are still being negotiated by a divided Congress. 1488

Highways often cause parents to worry about their children's physical safety, yet there may be other important concerns. Young children who live near a major roadway are twice as likely to score lower on tests of communications skills than those who live farther away, new research indicates."We know that living close to major roadways — interstate highways or state highways — is associated with high air pollution," said 436

Federal officials on Wednesday banned electrical shock devices used to discourage aggressive, self-harming behavior in patients with mental disabilities.The announcement from the Food and Drug Administration follows years of pressure from disability rights groups and mental health experts who have called the treatment outdated, ineffective and unethical. The agency first announced its intent to ban the devices in 2016.For years, the shock devices have been used by only one place in the U.S., the Judge Rotenberg Educational Center of Canton, Massachusetts, a residential school for people with autism and other psychiatric, developmental or mental disabilities. The FDA said Wednesday it estimates 45 to 50 people at the school are currently being treated with the device.School administrators have called the shocks a last resort to prevent dangerous behaviors, such as head-banging, throwing furniture or attacking teachers or classmates. The center has continued to use the shock devices under a decades-old legal settlement with the state of Massachusetts, but needs court approval before beginning use on each resident.School officials said in a statement they plan to challenge the government ban in court. A parents’ group also defended the practice and said it would fight the ban.“FDA made a decision based on politics, not facts, to deny this life saving, court-approved treatment,” the school said. Electric shocks and other painful or unpleasant treatments known as “aversive conditioning” were more widely accepted decades ago. But mainstream psychiatry now relies on behavioral modification, prescription drugs and other therapies that have proven more effective.“Through advancements in medical science, there are now more treatment options available to reduce or stop self-injurious or aggressive behavior,” said Dr. William Maisel, a director in the FDA’s device center, in a statement.The Rotenberg school has used shock devices carried in students’ backpacks, which were attached to their arms and legs via electrodes. School staffers could trigger a two-second shock to a patient’s skin by using a remote controller.Some patients from the Rotenberg center have compared the shocks to a bee sting or worse. The school has faced several lawsuits brought by families who said their children were traumatized by the shocks.Other parents say that the technique is the only thing that prevents violent, sometimes life-threatening behavior in their children.“We will continue to fight to keep our loved ones safe and alive and to retain access to this treatment of last resort which has allowed them to live a productive life,” said members of the Rotenberg’s parents association, in a statement. “There is simply no alternative.” The FDA, echoing psychiatric experts, said that the shock therapy can exacerbate dangerous behaviors and lead to depression, anxiety and post-traumatic stress disorder. Patients have also suffered burns and tissue damage due to the device, the agency said.Regulators said patients should instead receive treatments that focus on eliminating factors that trigger the behaviors or teaching patients coping skills to deal with them. The FDA has only banned two other products in more than 40 years of regulating medical devices -- powdered surgical gloves, which can cause allergic reactions, and fake hair implants, which caused infections and didn’t work. Typically, the FDA addresses safety issues by adding new warning labels or modifying instructions for devices. But the agency concluded that the problems with the shock devices could only be addressed by banning them.___Follow Matthew Perrone on Twitter: @AP_FDAwriter___The Associated Press receives 3717

House Ways and Means Committee Chairman Richard Neal has formally requested President Donald Trump's tax returns from the Internal Revenue Service, likely launching a battle with the administration that could stretch months or even years in the courts and could shed light on the President's finances.In a letter to the IRS sent Wednesday and first obtained by CNN, Neal cites a little known IRS code in his request for six years of Trump's personal tax returns from 2013 to 2018. He also requested the tax returns of eight of Trump's business entities, a nod to escalating pressure from liberals in the caucus who have argued that Trump's personal returns wouldn't sufficiently paint a picture of the President's financial history.While the move will largely be seen by Republicans as a political escalation, Neal explained in the letter the request is part of his oversight role. Neal wrote that the committee needed Trump's tax returns to consider legislation related to the IRS's practice of auditing sitting presidents."Under the Internal Revenue Manual, individual income tax returns of a President are subject to mandatory examination, but this practice is IRS policy and not codified in the Federal tax laws," Neal wrote in a letter to the IRS. "It is necessary for the committee to determine the scope of any such examination and whether it includes a review of underlying business activities required to be reported on the individual income tax return."In a statement to CNN, Neal stressed that the committee's request was about "policy, not politics.""My preparations were made on my own track and timeline, entirely independent of other activities in Congress and the administration," Neal said. "My actions reflect an abiding reverence for our democracy and our institutions, and are in no way based on emotion of the moment or partisanship. I trust that in this spirit, the IRS will comply with federal law and furnish me with the requested documents in a timely manner."Neal has given the IRS until April 10 to comply with the request.A months-long debateNeal's announcement follows a months-long debate within the Ways and Means Committee about how and when to issue the request for Trump's tax returns.Unlike other sensitive material Democratic chairmen have demanded from the Trump administration, the request for Trump's tax returns could only come from one Democrat on Capitol Hill. Under IRS code 6103, only the Joint Committee on Taxation, the House Ways and Means chairman and the Senate Finance Committee chairman have the authority to request the tax information of an individual. Given the Senate Finance Committee Chuck Grassley has long said requesting Trump's tax returns would be akin to weaponizing the tax-writing committee, the ask fell to Neal.But, behind the scenes, Neal was meticulous about the decision. Democrats believe the statute is clear. Under the code, it says "the secretary shall furnish such committee with any return or return information specified in such request." But, Neal, a pragmatic and judicious chairman more interested in working with the administration on shared priorities like infrastructure then launching a contentious, partisan fight that could define his tenure, proceeded cautiously."I am certain we are within our legitimate legislative, legal and oversight rights," Neal said in his statement Wednesday.Liberals on the committee pressured Neal both publicly and behind closed doors. Rep. Bill Pascrell, a Democrat from New Jersey, announced at the beginning of March that Neal was going to request Trump's tax returns in two weeks only to backtrack hours later to clarify it was only his opinion, not official guidance. Democratic Rep. Llyod Doggett, a member of Ways and Means lamented that it was past time for Neal to make the request for days leading up to the request.Members also wanted Neal to expand any request to be not just personal returns, but also business returns. And in their sweeping ethics reform legislation H.R. 1, Democrats included a provision that would require presidential nominees and sitting President's to disclose 10 years of business returns.Ultimately, Neal requested information from eight of Trump's business entities including the Bedminster golf course LLC as well as the Donald J. Trump Revocable Trust, DJT Holdings LLC, DJT Holdings Managing Member LLC, DTTM Operations LLC, DTTM Operations Managing Member Cor, LFB Acquisition Member Corp, and LFB Acquisition LLC.In the early days of his chairmanship, Neal focused on building a relationship with members of the Trump administration including Treasury Secretary Steve Mnuchin. Even when Mnuchin refused to appear before his committee for a hearing on the impact of the government shutdown on the upcoming tax season, the two men continued to work in coordination. Neal told CNN in March that he'd spoken directly with the President about his goals for infrastructure.When Mnuchin did appear before his committee on March 14, Neal's opening statement reflected a chairman more interested in working with the administration on infrastructure and pension restoration than a liberal Democrat preparing to request the President's most closely-held personal documents related to his income and business practices over the last few years.Ultimately, Neal made his request to the Internal Revenue Service, not Treasury, which Mnuchin heads. During that committee hearing where Mnuchin testified, he signaled to the committee that he has not handled other 6103 requests in the past.When asked by a committee member about this, Mnuchin responded, "That is not something I would normally sign. It would be something that the IRS commissioner would sign off on."While Democratic chairmen across the Capitol want to see Trump's tax returns for their own investigations, Neal's formal request is specific and targeted: an investigation into a program that audits the taxes of sitting presidents. Under 6103, only Neal -- not the chairman of other committees-- will be provided the information."The IRS has a policy of auditing the tax returns of all sitting presidents and vice presidents, yet little is known about the effectiveness of this program," Neal said in a statement. 6235

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