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IMPERIAL BEACH, Calif. — A suspected drunk driver nearly hit several beach-goers Sunday before his SUV ended up in the ocean.The driver, identified as 50-year-old Jorge Mosti, was driving in the 1600 block of Seacoast Dr. just after 6:30 p.m. local time when witnesses say his SUV left the roadway and went onto the beach, according to San Diego Sheriff's Department.As he continued onto the beach, SDSO said Mosti nearly hit several people as he drove about a mile down the beach. His vehicle came eventually came to a stop when it partially submerged in the ocean.Mosti reportedly then jumped out of the vehicle and started walking toward Tijuana, Mexico. He made it about half a mile before deputies caught up to him. Deputies said Mosti was holding an open beer can as they took him into custody.Imperial Beach Lifeguards also responded to help pull the SUV from the water.Witnesses at the beach identified Mosti in a curbside lineup, SDSO said. He was arrested on charges of reckless driving and driving under the influence of alcohol. 1078

House lawmakers on Wednesday overwhelmingly passed legislation expanding veterans' access to private care at taxpayer expense, a campaign promise of President Donald Trump, and adding more money to the "Choice program" weeks before VA officials said it could run out of money.The billion plan that passed 347-70 Wednesday includes .2 billion for the VA Choice program that funds private care. VA officials have warned that the program could run out of money as early as the end of the month, disrupting care for patients.Hours before the House vote, Trump weighed in, urging lawmakers to back the bill."House votes today on Choice/MISSION Act," Trump tweeted on Wednesday. "Who will stand with our Great Vets, caregivers, and Veterans Service Organizations? Must get Choice passed by Memorial Day!"A similar plan almost became law as part of the omnibus spending bill in March, but was blocked by some Democrats concerned about privatization of services for the nation's veterans.There has been a long simmering debate about the extent to which veterans obtain care in the private sector. Many veterans groups say they don't want to see too many resources shifted outside the VA, a move they say would fundamentally bleed the health system dry.The legislation is moving forward in Congress as the sprawling agency remains without a permanent leader after Trump ousted former Secretary David Shulkin and the nomination of Rear Adm. Ronny Jackson, the White House physician, unraveled amid allegations about his professional conduct.It would also launch a review of VA facilities with an eye toward closing under-performing institutions and would expand a VA caregivers program to cover the families of pre-9/11 veterans. 1733

How accurate are the coronavirus tests used in the U.S.?Months into the outbreak, no one really knows how well many of the screening tests work, and experts at top medical centers say it is time to do the studies to find out.When the new virus began spreading, the Food and Drug Administration used its emergency powers to OK scores of quickly devised tests, based mainly on a small number of lab studies showing they could successfully detect the virus.That’s very different from the large patient studies that can take weeks or months, which experts say are needed to provide a true sense of testing accuracy.The FDA’s speedy response came after it was initially criticized for delaying the launch of new tests during a crisis and after the Centers for Disease Control and Prevention stumbled in getting its own test out to states.But with the U.S. outbreak nearly certain to stretch on for months or even years, some experts want the FDA to demand better evidence of the tests’ accuracy so doctors know how many infections might be missed.There have been more than 2 million confirmed coronavirus cases in the U.S. and more than 115,000 deaths, according to data compiled by Johns Hopkins University. Cases in nearly half of U.S. states are rising.In recent weeks, preliminary findings have flagged potential problems with some COVID-19 tests, including one used daily at the White House. Faulty tests could leave many thousands of Americans with the incorrect assumption that they are virus-free, contributing to new flare-ups of the disease as communities reopen.“In the beginning, the FDA was under a lot of pressure to get these tests onto the marketplace,” said Dr. Steven Woloshin of Dartmouth College, who wrote about the issue in the New England Journal of Medicine last week. “But now that there are plenty of tests out there, it’s time for them to raise the bar.”The FDA said in a statement that it has already asked multiple test makers to do follow-up accuracy studies, although it didn’t say for how many of the more than 110 authorized screening tests. The agency also said it is tracking reports of problems. Accuracy has also been an issue with blood tests that look for signs of past infections.No screening test is 100% accurate. So details on accuracy are routinely provided for tests of all types, including seasonal flu, hepatitis, HIV and cancers. For example, rapid flu tests are known to miss 20% or more of all cases, a factor doctors weigh when treating patients who have symptoms but test negative.For now, most COVID-19 tests in the U.S. don’t give data on real-world performance, including how often the tests falsely clear patients of infection or falsely detect the virus. That information is lacking for all but a few of the roughly 80 commercial screening tests available, according to an Associated Press review.The government’s emergency authorization process “requires a lower level of evidence,” the agency said. Makers need only show that a test “may be effective” instead of the usual requirement to demonstrate “safety and effectiveness.” They would have to meet that higher threshold once the U.S. government declares the emergency over.Many of the commercial test makers submitted results from 60 samples, the minimum number required and mostly used lab-produced specimens of the virus. The FDA now recommends the use of nasal swabs or other real samples from people screened for coronavirus.Experts say larger patient studies patients are needed to assess a test’s true performance.Lab testing bears little resemblance to actual — sometimes imperfect — conditions at hospitals, clinics and testing sites noted Dr. Robert Kaplan of Stanford University.“You’re testing people in parking lots, the patients themselves are extremely anxious and often unable to follow instructions,” said Kaplan, a former associate director of the National Institutes of Health.Kaplan and others say those differences could explain why some tests are not performing as expected.Last month, the FDA warned doctors of a potential accuracy problem with Abbott Laboratories’ rapid ID Now test, which delivers results in roughly 15 minutes. The test has been lauded by President Donald Trump and used to screen the president, his staff and visitors to the White House.The FDA alert followed a preliminary report by New York University that found Abbott’s test missed between a third to one-half of infections caught by a rival test in patients screened for the virus.Abbott rejected the findings, saying the researchers did not follow the instructions for using its test. The company pointed to alternate patient studies, including its own, that have found the test successfully detects between 91% and 95% or more of virus cases when compared to other tests.But similar problems with ID NOW’s accuracy have been flagged in preliminary reports by researchers at Stanford University, Loyola University and the Cleveland Clinic.For now, the FDA is requiring Abbott to conduct follow-up studies in several different patient groups.The FDA’s emergency standards “are still high but there is a significant difference in the body of work that what would go into a submission under the normal process,” said Abbott vice president John Hackett. “Our normal process takes years to bring these out.”Requiring bigger studies of all coronavirus tests could provide valuable information, but it could also strain the FDA’s already stretched staff and resources, said Dr. Daniel Schultz, former director of the FDA’s medical device center.Dr. Colin West of the Mayo Clinic worries doctors and patients have put too much confidence in the current crop of tests, when an unknown number of patients with COVID-19 are likely receiving false negative results.Even a modest error rate can have grave consequences during an outbreak like COVID-19. West gives the example of a test that is 95% accurate at detecting the virus and is used on 1 million people. That would still result in 50,000 people being incorrectly told that they don’t have the virus.“The negative test does not mean that I’m off the hook,” West said. “We just need to maintain that level of vigilance until we have a better sense of how good these tests really can be.”___Follow Matthew Perrone on Twitter: @AP_FDAwriter.___Follow AP pandemic coverage at http://apnews.com/VirusOutbreak and https://apnews.com/UnderstandingtheOutbreak.___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. 6604

In an industry where worker’s knowledge and know how could mean the difference between life and death, hands-on training for EMTs isn’t what it used to be.“This is the first class that has had the entire course during the COVID pandemic,” said Patrick Dibb, lead EMT professor at Santa Ana College in Southern California.Dibb, a former fire chief, says coronavirus concerns have changed how future first responders are being educated.“I wouldn’t say it’s as good as it was prior,” Dibbs said.Not as good, Dibb says, because most EMT training has moved from in-person to online. During the pandemic, Santa Ana College now has one hands-on training session per semester.“Our ambulance companies and our emergency departments that the students are required to attend at least 24 hours of have not allowed us to return to those facilities until the COVID is clear,” Dibb said.Despite less hands-on training, there’s still a growing demand for this type of work and students like Coral Lucas are helping fill what experts say is a nationwide shortage of EMTs.“I feel like there’s more of an opportunity to get a job right now because we’re in such high demand,” she said.Part of the recruiting problem could be the pay. According to the Bureau of Labor Statistics, EMTs across the country make a median of an hour, leaving many people looking for other employment options during this pandemic.For students like Lucas, however, being on the front lines, even during a global crisis, is the place to be.“If I get sick and something happens, I’m at least doing something that’s helpful to others,” she said.But can these students actually help without any real-world experience?According to Dibb, yes.“The state of California requires an 80% on everything, and I’d say our students are meeting the 80% quota,” he said.“We expect them to come in with some basic knowledge, a foundation and then we build upon that foundation.”It's a foundation where training first responders online could become the new norm until there’s a vaccine. 2036

Housing and Urban Development Secretary Ben Carson detailed his wife's involvement Tuesday in picking out a dining room set for his office, telling a House subcommittee, "I left it with my wife."Carson said that his wife, Candy, selected "a style and a color" of the furniture set that ultimately cost HUD ,000."A style and a color was selected by her with the caveat that we were not happy with the pricing and they needed to find something," Carson told lawmakers.He went on to defend her, "If anybody knew my wife, they would realize how ridiculous this was. She's the most frugal person in the world."A HUD spokesperson had previously told CNN in a statement last month that "Mrs. Carson and the secretary had no awareness that the table was being purchased." Internal HUD emails indicated that the Carsons had picked out the furniture.Carson said Tuesday the issue of replacing the dining room set was raised "because people were being stuck by nails, the chairs collapsed with somebody sitting in it, it's 50 years old.""I said, 'OK, we can potentially do that.' I asked my wife also to help me with that," he told lawmakers."They showed us some catalogs. The prices were beyond what I wanted to pay. I made it clear that just didn't seem right to me. And, you know, I left it with my wife," he said.Carson argued that he wasn't concerned about the furniture because he had more important issues to handle as HUD secretary.Carson said he first heard of the ,000 price tag after it was reported and "immediately" canceled the order from the interior design firm Sebree and Associates in Baltimore, Maryland. He testified that the money spent on the dining set was returned to the US Treasury."I'm not really big into decorating. If it was up to me, my office would probably look like hospital waiting room," quipped Carson, who previously worked as a neurosurgeon.He said his wife is not involved in any other decisions regarding the purchasing of furniture for HUD.Carson was also asked about inconsistencies in the messaging from the agency regarding how involved he and his wife were in the process to purchase the dining set compared to what internal HUD emails indicate. The emails were released through a Freedom of Information Act request."There appears to be some contradiction in the record about your statements to the press indicating early on that you had no knowledge of this purchase," Rep. David Price, D-North Carolina, said to Carson.Carson denied he ever spoke directly to the press.When Price pointed to the statement that the HUD spokesman provided to CNN at the time, Carson distanced himself from his spokesman's comments."I would respectfully tell you what I said. I can tell you what I did. I do not intend to be responsible for what anybody else said," Carson said.Carson then said that the content of his statement made via Facebook?where he personally addressed the issue "is quite accurate." 2953