临沧女生阴道炎临沧阴道炎应该怎么办,临沧阴道为什么有骚臭味,临沧女性得盆腔炎的原因,临沧慢性盆腔炎要做哪些检查,临沧黄体生成素多少正常,临沧阴道炎怎么治疗好的快,临沧做阴道镜疼不

First lady Melania Trump unveiled the 2020 White House Christmas decorations on Monday morning.The display, which Trump named "America the Beautiful," pays tribute to "the majesty of our great Nation."Photos showed the White House residence decorated with several ornately decorated Christmas trees and other winter themes.In a tweet, the first lady said that volunteers "from all across America" decorated the White House over the weekend."Thank you for your time, enthusiasm & devotion to make sure the spirit of peace & joy fill the historic rooms & halls of the People's House!" Trump said.The frst lady has led efforts to decorate the White House for the holidays since President Donald Trump assumed office in 2017. Her 2020 display will mark her last following Trump's defeat in the 2020 presidential election.The 2020 display was also her first since recordings leaked in October of her dismissing her work in decorating the White House."I'm working ... my a** off on the Christmas stuff, that you know, who gives a f*** about the Christmas stuff and decorations? But I need to do it, right?" the first lady said in recordings leaked to CNN.See the first lady's 2020 White House Christmas display in the video below. 1244

For dog owners, it can be a helpless feeling to see their pet panic. A newly approved drug hopes to help pets left paralyzed by the sound of fireworks and other loud noises.“We have all the way from very mild to very severe cases, where dogs are going through windows and escaping through crates during noise events,” says Dr. Amy Pike, a veterinary behaviorist.Dr. Pike is excited about a new drug, which was just approved by the Food and Drug Administration (FDA) to help dogs who get stressed out by loud noises.The prescription drug is called Pexion, and it's part of a growing list of medications approved by the FDA to treat pets. The drug is given to dogs two days before an expected loud event, like the Fourth of July, as well as during the event.In a study, 66 percent of owners who gave their dog the pill say they saw good or excellent results.“I think it definitely has the potential to make a huge impact for some of these noise phobic dogs,” Dr. Pike says.However, there are downsides. The most common side effects are difficulty standing or walking, increased appetite and low energy.But dog trainer Juliana Willems is optimistic about the drug.“Everything that I’ve seen has been great and totally adding to the quality of life for these animals I’m working with,” says Willems. “I'm relieved to see that people are understanding the importance of medication in the behavior modification process.”Willems says to see the best results with the new pill, dog owners should use the medication in combination with behavior training, which could help everyone at home.“Humans have such a hard time with it, and a lot of time, I do just as much human counseling as I do dog training,” says Willems. “So, once the dog is behaving better, it improves. The family feels better. Like you said, it's better for everybody.” 1836

Former Trump campaign chairman Paul Manafort on Monday gave up his effort to challenge special counsel Robert Mueller in civil court.Manafort has withdrawn his appeal of a judge's decision to throw out his civil lawsuit against Mueller, according to court filings."It is hereby stipulated and agreed by and between the parties that the (case) be voluntarily dismissed," the new filing said.Manafort filed the initial lawsuit in January against Mueller, the Justice Department and Deputy Attorney General Rod Rosenstein,?who appointed Mueller as special counsel. A federal judge?dismissed the case in April, saying that the civil proceedings were "not the appropriate vehicle" for Manafort to try to chip away at Mueller's authority.In her ruling, federal Judge Amy Berman Jackson told Manafort to pursue his grievances against Mueller during his criminal proceedings. Manafort then asked the federal appeals court in Washington, DC, to review her decision.The decision to drop the appeal comes one day before Manafort's criminal trial is scheduled to begin in Virginia federal court. Manafort is accused of financial crimes, including bank fraud and tax evasion, relating to his lobbying work for the government of Ukraine. He has pleaded not guilty to the charges. Jury selection begins Tuesday.The unsuccessful civil lawsuit sought, among other things, to prevent Mueller from bringing additional charges in the future, including potential charges relating to Manafort's work on the Trump campaign. Mueller is investigating Russian interference in the 2016 election, including potential coordination between the Trump campaign and Russia. President Donald Trump and Manafort have both said there was no collusion.Manafort has used similar arguments to challenge his indictments in Virginia and Washington. But federal judges overseeing both cases have upheld Mueller's authority to investigate and prosecute Manafort. One of the judges, T.S. Ellis, said prosecutors rightfully "followed the money paid by pro-Russian officials" to Manafort.Manafort is also charged in federal court in Washington with undisclosed foreign lobbying and money laundering. He pleaded not guilty to these allegations, and the case is scheduled to go to trial in mid-September.The judge overseeing that trial, Berman Jackson, revoked Manafort's bail last month and ordered him to await trial from a jail cell. He is appealing that decision, and that appeal was still active as of Monday afternoon. 2509

Five-figure signing bonuses, free housing, college tuition for employees and their children.Hospitals and other medical facilities are getting so desperate to recruit and retain nurses they're offering all sorts of pricey perks and incentives."These are some of the grandiose examples we've heard from our members," said Seun Ross, director of nursing practice and work environment at the American Nurses Association. "Who knows what employers will come up with next?"America is undergoing a massive nursing shortage. Not only are experienced nurses retiring at a rapid clip, but there aren't enough new nursing graduates to replenish the workforce, said Ross.The nation's aging population is exacerbating the problem. The American Nurses Association estimates the U.S. will need to produce more than one million new registered nurses by 2022 to fulfill the country's health care needs.UCHealth, which operates nine acute-care hospitals and more than 100 clinics across Colorado, Wyoming, and Nebraska, currently has 330 openings for registered nurses. Since the nonprofit health system can't find all the nurses it needs locally, it has been seeking out candidates from other states -- and sometimes other countries.To entice these new recruits, it has offered relocation allowances and signing bonuses of up to ,000, said Kathy Howell, chief nursing executive for UCHealth.UCHealth is trying to sweeten the pot in other ways, as well. It provides nurses with up to ,000 a year to invest in continuing education. And it offers the Traveler RN program, which allows nurses to do a 13-week rotation at different UCHealth facilities.Meanwhile, across the country, Inova Health System is offering candidates who have at least two years of critical care experience and live more than 50 miles from one of its six Washington, D.C.-area hospitals a ,000 sign-on bonus and up to ,000 in reimbursable relocation costs, said chief nursing officer Maureen E. Sintich. Candidates who live within 50 miles of one of Inova's hiring hospitals are offered a ,000 signing bonus.This fall, West Virginia's WVU Medicine, which operates eight hospitals in the state, will start offering tuition reimbursement for employees and their children."It's for nurses and for all of our staff who've been here for five or more years. We're also extending it for their children to fully cover their college tuition if they go to West Virginia University or partially cover tuition if they go elsewhere," said Mary Fanning, director of WVU Medicine Nursing Administration.WVU, which is currently looking to hire 200 nurses, also offers free housing to some of its nurses as part of its commuter program. The perks, it said, are aimed at both attracting new recruits and retaining existing staff.Lacy Russell, 24, applied for a job as an intensive care unit nurse with WVU after she learned about the commuter program from a friend.Under the program, nurses who live 60 to 90 miles away from WVU's hospital in Morgantown, West Virginia, are offered a free place to stay. Russell, who was hired in 2016, lives an hour and 20 minutes away from the hospital. She stays at the hospital-owned lodging during her shifts Friday through Sunday."I save so much on gas by not having to drive back and forth," she said. "I graduated from nursing school with ,000 in student debt. So this really helps."She plans to work at the hospital for at least a few more years and also take advantage of the tuition reimbursement at some point so she can continue to advance her training and skills.Did you recently go to the emergency room and receive a big bill? Tell us about it here.Bonuses and incentives may help, but hospitals have another big force working against them: The booming US economy.Periods of economic upswing aren't necessarily good for the nursing industry, said Susan Salka, CEO of AMN Healthcare, one of nation's largest providers of medical staffing services."During economic downturns, nurses stay put in their jobs and attrition dips," she said. "When the economy is booming, attrition goes up. Nurses feel more comfortable pulling back on their hours or moving ahead with their retirement decision."In two-income households, if their partner is doing well financially, some nurses feel comfortable dropping out of the workforce to take a break from a grueling job, said Salka.The American Nurses Association's Ross worries that rich bonuses and creative perks may not go far enough to retain nurses in the long run."What's to stop nurses from accepting a job because of the perks and then hop to another hospital after two years because of their perks," she said.A better approach would be to invest in improving the work environment for nurses and offering better pay, career development and hours to help make sure they don't burn out, she said."All it takes is for one nurse to tell her friend that where she works is a great place for these reasons and applications will come in," Ross said. 5015

For the past two years, 52-year-old Kendra Jackson of Omaha, Nebraska just thought she had a bad cold."When it first started out, I just thought it was my allergies or a runny nose -- like the beginning of a fresh cold," Jackson said.The coughing, sneezing and runny nose began 2? years after Jackson was involved in a serious car accident. She remembers hitting her face against the dashboard, and she has struggled with migraine headaches ever since.In 2015, Jackson's "runny nose" began to worsen."When it didn't go away, I kept going back and forth to the doctors, and they prescribed every kind of medicine you can think of, and my nose just kept on running," she said.The doctors she saw told her that she probably had allergies. But this year, Jackson went to physicians at the University of Nebraska Medical Center and learned the real reason behind her nasal discharge: a cerebrospinal fluid (or CSF) leak caused by a small hole in her skull."She would wake up in the morning after sleeping upright in a chair, and the whole front of her shirt was wet with fluid. It was a lot of fluid," said Dr. Christie Barnes, a rhinologist at the University of Nebraska Medical Center and a lead surgeon on the case.Jackson said she was losing about half a liter of fluid per day.A physician's assistant "astutely recognized right away that this was something different than a runny nose and was consistent with a CSF leak. So we had her collect her fluids and sent it off for evaluation," Barnes said.Cerebrospinal fluid is a clear, colorless fluid that surrounds and protects the brain and spinal cord. The fluid also helps to remove waste products from the brain and distribute nutrients and other substances throughout the central nervous system, according to the Cleveland Clinic."CSF is a fluid that actually bathes the brain. Because the skull is a fixed box and the brain is a nice soft organ, it needs to be protected from moving around inside that hard box," Barnes said. "So it actually provides a cushion for the brain and the spinal cord."Cerebrospinal fluid is produced continuously in the brain and is normally absorbed into the bloodstream through protrusions in the outer membrane of the brain, called the dura mater.But in Jackson's case, a tiny hole in her cribriform plate -- a thin bone that separates her cranial and nasal cavities -- allowed the fluid to drip into her nose and mouth, resulting in her symptoms.According to Barnes, this part of the skull is "very thin, less than a potato chip. And it's one of the most common locations for this type of a CSF leak," Barnes said.Cerebrospinal fluid leaks are relatively rare, occurring in approximately five in 100,000 individuals worldwide every year. They are most commonly caused by trauma or surgery, according to the CSF Leak Association.In Jackson's case, the physicians believe that her car accident may have caused a small hole that increased in size over time."She was rear-ended and had head trauma, so it's certainly possible," Barnes said. "It may have caused a bit of a thin area there. Her symptoms actually started a little bit after (the accident), so for her, I think there's probably a combination of both the trauma and the increased pressure."Depending on the amount of fluid loss, cerebrospinal fluid leaks can be life-threatening. They also place the patient at an increased risk of infections such as meningitis, according to Barnes.In order to treat Jackson's condition, physicians at the University of Nebraska Medical Center performed a surgery that plugged the hole in her skull using tissue from her nose and abdomen, Barnes said."I used tissue from the inside of her nose to plug the leak," Barnes said. "I also borrowed some abdominal fat; it makes a great plugging agent in this location, so with just a tiny bit of fat, I was able to plug the leak."Almost a month after the surgery, Jackson is back home and reports that the mysterious drip has disappeared."I don't have the nasal drip anymore, but I still have the headaches," she said. "I actually feel pretty good, and I'm able to get a little bit of sleep."Though her condition is rare, Jackson wants people to know that cerebrospinal fluid leaks can occur, particularly after head trauma: "For people who hear my story, if they're tasting a very salty taste and something's draining in the back of your throat, it's probably something other than allergies. So get to the doctor." 4474