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发布时间: 2025-06-01 06:24:59北京青年报社官方账号
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  濮阳东方医院妇科收费目录   

It’s hard to regard Ellie as a menace.When Greg Manteufel is frustrated or feeling down, she sits by him. At night, she sleeps under his covers. At dinner, she’s there next to him, knowing he’ll throw something her way. She belies the stereotype of the vicious pit bull.“We love her like she’s our daughter,” he said of the dog.And yet, Ellie may be the reason Manteufel nearly died.Gravely ill, he lost parts of his arms and legs, as well as the skin of his nose and part of his upper lip. The cause was capnocytophaga (cap-noh-seye-TOE’-fah-gah), a germ from Ellie’s mouth or from another dog he encountered.Capnocytophaga is commonly found in the saliva of cats and dogs and almost never leads to people getting sick, unless the person has a compromised immune system. But Manteufel was perfectly healthy. In fact, he doesn’t think he’d ever used his health insurance before he fell ill.The case is extremely rare and doctors at his hospital, Froedtert & the Medical College of Wisconsin, had no explanation for why he got so sick. But over the last 10 years there have been at least five other healthy people who have had severe reactions to the germ. A team of researchers connected with Harvard Medical School has developed a theory on why — a gene change in all the victims.And their finding means doctors can’t rule out the capnocytophaga bacteria could strike Manteufel and other victims again.___Greg Manteufel thought he was getting the flu in June of 2018. He had a fever, vomiting and diarrhea. But when he started getting confused, his family took him to the hospital.Doctors did blood cultures and found capnocytophaga, which caused sepsis, a severe blood infection that led to his blood pressure dropping and many of his organs shutting down.“Do what you have to,” he told the doctors.He had so much to live for — foremost, his wife of 16 years, Dawn, and 26-year-old son, Mike. He was just starting to get really good at his day job, painting houses. He cherished his Harley Davidson Electric Glide. He was in the middle of fixing up his ’66 El Camino. And of course there was Ellie, the pup.And so he persisted, through more than 20 surgeries, including amputations of his left and right arms just below the elbow, and legs through the middle of the knee.His wife and son stayed optimistic, because he was.“Greg said he didn’t come this far to lay down and let this beat him,” Dawn Manteufel said.He was out of the in-patient rehab unit in about two weeks, learning to move from his wheelchair to the bed, toilet and car. The usual stay is three to four weeks, said Dr. David Del Toro, medical director for the inpatient rehab unit at Froedtert.Manteufel made similar quick advances using his arm prosthetics and leg prosthetics.“He does not seem like any other patient I’ve met before,” Del Toro said. “He’s just, you know, full speed ahead.”Meanwhile, researchers at Brigham and Women’s Hospital in Boston, connected to Harvard Medical School, as well as Dana-Farber Cancer Institute and Beth Israel Deaconess Medical Center had been investigating cases like his.The team has done genetic testing on five otherwise healthy people who suffered capnocytophaga infections to see if they could find anything in common. They discovered all had a gene connected to the immune system that was working differently — a genetic variant.“It was a really thrilling moment,” said Elizabeth Fieg, a genetic counselor at Brigham and Women’s Hospital. “The stakes are so high with these cases and the patients have gone through so much.”They believe it makes those people more susceptible to developing severe medical problems from capnocytophaga. But they are also trying to determine if there are other risk factors.Of the five in the study, three survived with amputations and two did not. Fieg hopes their research can determine why some did not survive.She also hopes if their theory is confirmed, it will help diagnose cases faster, and perhaps save lives and limbs.That’s why Greg Manteufel jumped at the chance to take part when he was approached in August.Researchers need to gather more evidence, but hope to publish their study in the next year to 18 months.___Manteufel’s life now includes frequent occupational therapy appointments to perfect his use of arm prosthetics — the kind with metal moveable hooks at the end. He’s using a fork regularly and he’s now working on picking up the TV remote, opening doorknobs, cutting vegetables and doing the dishes.He’s using shortened leg prosthetics, called stubbies, to get his body conditioned to eventually use to full-sized ones. Those are expected to arrive any day.Plastic surgeons plan another surgery to perfect his nose. They’ve already moved skin from his forehead there. It looks oversized now, but it will eventually fit in with the rest of his face.He plans to get his car revamped so he can drive with prosthetics. He wants to get a special pole so he can go fishing again. He is even considering going back to work painting.He’s also become less quiet and a lot more outgoing. “Now everybody I see wants to hear something or talk to me. I tell them a 15-minute story about what happened. They probably want me to leave, you know,” he said, chuckling.Ellie’s often by his side.“She loves kids. She loves puppies. Other dogs,” Manteufel said.As harmless as she seems, she may have capnocytophaga germ.The results of Manteufel’s genetic tests are expected in three to four months. Fieg said people with the gene variant are at increased risk for recurrent capnocytophaga or other infections in the future.While Manteufel doesn’t like the sound of that, he said Ellie’s accidentally scratched him since he’s been home and even licked his mouth. He’s been fine.And even if he does have the gene variant, he said, it changes nothing.“We didn’t even bother testing her,” said Manteufel. “We weren’t going to get rid of her if it was her that caused it anyway.”“We just love her to death.” 5972

  濮阳东方医院妇科收费目录   

Kevin Spacey and the man who accuses the actor of groping him may come face to face in a Massachusetts courtroom Monday, in a case that has taken several twists and turns before the criminal trial has even begun.At issue in Monday's pretrial hearing is the cell phone on which the accuser texted his girlfriend and sent a video during the alleged assault. The prosecution says it obtained data from the phone, which it shared with the defense, and then the phone was returned to the man's family. Spacey's defense team wants to examine the phone itself, claiming that exculpatory evidence may have been deleted before it was given to police and prosecutors.Spacey, 59, faces criminal charges of indecent assault and battery in connection to the alleged July 2016 incident. The former "House of Cards" star has pleaded not guilty. He could face up to five years in prison if convicted.Judge Thomas Barrett ruled in June the defense was entitled to inspect the phone. However, the accuser and his family have said they don't have it and don't know where it is.Barrett extended the deadline for turning the phone over until Monday and said that if it's not found, the accuser, his attorney and his mother must appear in court to testify about its whereabouts.Surprise moveMeanwhile, in an abrupt about-face Friday, the alleged victim's lawyer announced that a civil lawsuit filed against Spacey a week earlier had been dropped.Spacey's accuser, who was an 18-year-old busboy at a Nantucket bar at the time of the alleged assault, filed the civil complaint on June 26. In it, the accuser said Spacey bought him "multiple alcoholic beverages" before he then forcibly touched and fondled his genitals -- the same allegations he made in the ongoing criminal case.CNN is not naming the accuser because he is an alleged victim of sexual assault.The accuser's attorney, Mitchell Garabedian, told CNN via email Friday that he and his client voluntarily dropped the lawsuit and that he would have no further comment.The civil lawsuit accused Spacey of explicit sexual behavior and infliction of mental distress. It demanded judgment in an amount to be determined by a jury, including costs, interests and attorney fees.What happened to the phone?The accuser and his mother -- 2276

  濮阳东方医院妇科收费目录   

It has been nearly a month since 20 Democrats met for the first debate to vie for the party’s nomination in next year’s presidential election. On Tuesday and Wednesday, 20 Democrats will once again take the stage, this time in Detroit. What is differentWhile there will be 20 Democrats on the stage -- 10 each night -- one Democrat has since dropped out of the race. Rep. Eric Swalwell of California ended his bid for the presidency earlier this month. His spot on the debate stage has since been filled by Montana Gov. Steve Bullock. With this debate being aired on CNN, there will be a different set of moderators. Don Lemon, Dana Bash and Jake Tapper will conduct the debate. Unlike last month’s Miami debate, CNN has told the candidates that there will be no “show of hands or one-word, down-the-line questions.” Also different, CNN has threatened to reduce the time of candidates who are constantly interrupting. What is the sameCandidates will be given 60 seconds to answer and 30 seconds for follow ups. The requirements to qualify for the debate also remained the same, and was based off of polling and fundraising criteria.Biden back as frontrunnerVice President Joe Biden’s lead took a bit of a hit in the days following the last debate thanks to a contentious confrontation from Sen. Kamala Harris of California. Harris’ emotional rebuke of Biden’s stance on public school busing in the 70s was easily the most memorable moment of the night. It also seemed to have, at least temporarily, cut into Biden’s lead. Polls from CNN and Quinnipiac University had Biden’s polling as low as 22 percent. Harris, for her part, saw her numbers increase to above 10 percent. Biden has seen his polling number return to near 30 percent. Harris, however, has continued to poll above 10 percent, indicating that she perhaps draw some support from some of the other candidates. Biden and Harris are the two center-stage candidates for the July 31 debate. But Harris might not be Biden’s biggest concern on Wednesday. Sen. Cory Booker and Biden have been involved in a spat in recent days over criminal justice reform. Booker called Biden “an architect of mass incarceration.” This is over Biden’s support for the 1994 Crime Bill. Warren/Sanders showdownSens. Bernie Sanders and Elizabeth Warren are generally allies in the Senate, but on Tuesday, they will square off on stage. The two senators are vying for the support of the liberal wing of the party.Sanders and Warren have been contending for No. 2 in polling. Is it quite possible that Tuesday’s debate will consist of the moderators trying to find some daylight between the two candidates. Both candidates make income inequality a central theme of their campaigns. Both are strong proponents of Medicare-for-all. Both support increasing the national minimum wage. How candidates qualifiedTo qualify for the second round of debates, candidates had to fulfill one of two criteria: either get 65,000 donors to their campaigns, with at least 200 donors in 20 different states, or obtain at least 1% in three polls recognized as legitimate by the committee.Here are the candidates: On July 30, these candidates will be on stage: 3186

  

It’s dusk in Nevada. About 20 minutes outside of the bright lights of the Las Vegas strip is a small park.The people gathered there don’t want their exact whereabouts published for fear of tipping anyone off.“I produce and lead these UFO hunts, says Joshua P. Warren, who calls himself a paranormal investigator and runs a paranormal show and a 357

  

Kentucky and Nevada both announced the first coronavirus-related deaths in their state on Monday.Kentucky Gov. Andy Beshear said Monday morning that a 66-year-old man from Bourbon County had died. The governor cited "numerous factors" with the man's death in addition to COIVD-19.The total number of cases of COVID-19 in the commonwealth remained at 21. More than 3,000 people are confirmed to have contracted the virus in the United States, and at least 69 people have died.Kentucky is the 12th state to announce a fatality linked to the coronavirus.The Pentagon is currently holding a press briefing. See the video below."This is our duty as Kentuckians, this is our patriotic duty," he said of protecting one another through proper hygiene and social distancing. They also were pushing new hashtags for use on social media: #TeamKentucky #TogetherKY."I know that there is anxiety out there" Beshear said. "I know a lot of it is spread through social media."Also on Monday, the Southern Nevada Health District said a man in his 60s with underlying health issues had died of COVID-19.“We must continue to emphasize how important it is to protect those who are most vulnerable to the impacts of the virus and urge our community to support the public health measures and recommendations that are in place,” said Dr. Fermin Leguen, Acting Chief Health Officer of the Southern Nevada Health District..The announcements came the day after Oregon announced its first death linked to the coronavirus pandemic. According to 1530

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