濮阳东方医院男科看早泄收费非常低(濮阳东方医院男科看早泄口碑好很放心) (今日更新中)

MAGALIA, Calif. (AP) — Ten years ago, as two wildfires advanced on Paradise, residents jumped into their vehicles to flee and got stuck in gridlock. That led authorities to devise a staggered evacuation plan — one that they used when fire came again last week.But Paradise's carefully laid plans quickly devolved into a panicked exodus on Nov. 8. Some survivors said that by the time they got warnings, the flames were already extremely close, and they barely escaped with their lives. Others said they received no warnings at all.Now, with at least 56 people dead and perhaps 300 unaccounted for in the nation's deadliest wildfire in a century, authorities are facing questions of whether they took the right approach.It's also a lesson for other communities across the West that could be threatened as climate change and overgrown forests contribute to longer, more destructive fire seasons.Reeny Victoria Breevaart, who lives in Magalia, a forested community of 11,000 people north of Paradise, said she couldn't receive warnings because cellphones weren't working. She also lost electrical power.Just over an hour after the first evacuation order was issued at 8 a.m., she said, neighbors came to her door to say: "You have to get out of here."Shari Bernacett, who with her husband managed a mobile home park in Paradise where they also lived, received a text ordering an evacuation. "Within minutes the flames were on top of us," she said.Bernacett packed two duffel bags while her husband and another neighbor knocked on doors, yelling for people to get out. The couple grabbed their dog and drove through 12-foot (4-meter) flames to escape.In the aftermath of the disaster, survivors said authorities need to devise a plan to reach residents who can't get a cellphone signal in the hilly terrain or don't have cellphones at all.In his defense, Butte County Sheriff Kory Honea said evacuation orders were issued through 5,227 emails, 25,643 phone calls and 5,445 texts, in addition to social media and the use of loudspeakers. As cellphone service went down, authorities went into neighborhoods with bullhorns to tell people to leave, and that saved some lives.Honea said he was too busy with the emergency and the recovery of human remains to analyze how the evacuation went. But he said it was a big, chaotic, fast-moving situation, and there weren't enough law enforcement officers to go out and warn everyone."The fact that we have thousands and thousands of people in shelters would clearly indicate that we were able to notify a significant number of people," the sheriff said.Some evacuees were staying in tents and cars at a Walmart parking lot and nearby field in Chico, though the makeshift shelter was to close down by Sunday. Volunteer Julia Urbanowicz said all the food and clothing was donated.Mike Robertson, who arrived there on Monday with his wife and two daughters, said he's grateful for the donations and the sense of community.A Sunday closure "gives us enough time to maybe figure something out," he said.On Thursday, firefighters reported progress in battling the nearly 220-square-mile (570-square-kilometer) blaze. It was 40 percent contained, fire officials said. Crews slowed the flames' advance on populated areas.California Army National Guard members, wearing white jump suits, looked for human remains in the burned rubble, among more than 450 rescue workers assigned to the task.President Donald Trump plans to travel to California on Saturday to visit victims of the wildfires burning at both ends of the state. Trump is unpopular in much of Democratic-leaning California but not in Butte County, which he carried by 4 percentage points over Hillary Clinton in the 2016 election.The Paradise fire once again underscored shortcomings in warning systems.Gov. Jerry Brown signed a bill in September requiring the development of statewide guidelines for Amber Alert-like warnings. A few Northern California communities are moving to install sirens after some wine country residents complained they didn't receive warnings to evacuate ahead of a deadly wildfire in October 2017 that destroyed 5,300 homes.In 2008, the pair of wildfires that menaced Paradise destroyed 130 homes. No one was seriously hurt, but the chaos highlighted the need for a plan.Paradise sits on a ridge between two higher hills, with only one main exit out of town. The best solution seemed to be to order evacuations in phases, so people didn't get trapped."Gridlock is always the biggest concern," said William Stewart, a forestry professor at the University of California, Berkeley.Authorities developed an evacuation plan that split the town of 27,000 into zones and called for a staggered exodus. Paradise even conducted a mock evacuation during a morning commute, turning the main thoroughfare into a one-way street out of town.Last week, when a wind-whipped fire bore down on the town, the sheriff's department attempted an orderly, phased evacuation, instead of blasting a cellphone alert over an entire area.Phil John, chairman of the Paradise Ridge Fire Safe Council, defended the evacuation plan he helped develop. John said that the wildfire this time was exceptionally fast-moving and hot, and that no plan was going to work perfectly.When the fire reached the eastern edge of Paradise, six zones were ordered to clear out about 8 a.m. But almost simultaneously, the gusting winds were carrying embers the size of dinner plates across town, and structures were catching fire throughout the city. Less than an hour later, the entire town was ordered evacuated."It didn't work perfectly," John said Thursday. "But no one could plan for a fire like that."Likewise, Stewart, the forestry professor, said the wildfire that hit Paradise disrupted the orderly evacuation plan because it "was moving too fast. All hell broke loose."He said experts continue to debate how best to issue evacuation orders and no ideal solution has been found.At the other end of the state, meanwhile, crews continued to gain ground against a blaze of more than 153 square miles (396 square kilometers) that destroyed over 500 structures in Malibu and other Southern California communities.At least three deaths were reported.___Associated Press writers Janie Har and Olga R. Rodriguez in San Francisco, Amy Taxin in Santa Ana, California and Andrew Selsky in Salem, Oregon, contributed to this report. 6404

Military suicides have increased by as much as 20% this year compared to the same period in 2019, and some incidents of violent behavior have spiked as service members struggle under COVID-19, war-zone deployments, national disasters and civil unrest.While the data is incomplete and causes of suicide are complex, Army and Air Force officials say they believe the pandemic is adding stress to an already strained force.And senior Army leaders — who say they’ve seen about a 30% jump in active duty suicides so far this year — told The Associated Press that they are looking at shortening combat deployments. Such a move would be part of a broader effort to make the wellbeing of soldiers and their families the Army’s top priority, overtaking combat readiness and weapons modernization.The Pentagon refused to provide 2020 data or discuss the issue, but Army officials said discussions in Defense Department briefings indicate there has been up to a 20% jump in overall military suicides this year. The numbers vary by service. The active Army’s 30% spike — from 88 last year to 114 this year — pushes the total up because it’s the largest service. The Army Guard is up about 10%, going from 78 last year to 86 this year. The Navy total is believed to be lower this year.Army leaders say they can’t directly pin the increase on the virus, but the timing coincides.“I can’t say scientifically, but what I can say is - I can read a chart and a graph, and the numbers have gone up in behavioral health related issues,” Army Secretary Ryan McCarthy said in an AP interview.Pointing to increases in Army suicides, murders and other violent behavior, he added, “We cannot say definitively it is because of COVID. But there is a direct correlation from when COVID started, the numbers actually went up.”Preliminary data for the first three months of 2020 show an overall dip in military suicides across the active duty and reserves, compared to the same time last year. Those early numbers, fueled by declines in Navy and Air Force deaths, gave hope to military leaders who have long struggled to cut suicide rates. But in the spring, the numbers ticked up.“COVID adds stress,” said Gen. Charles Brown, the Air Force chief, in public remarks. “From a suicide perspective, we are on a path to be as bad as last year. And that’s not just an Air Force problem, this is a national problem because COVID adds some additional stressors – a fear of the unknown for certain folks.”The active duty Air Force and reserves had 98 suicides as of Sept. 15, unchanged from the same period last year. But last year was the worst in three decades for active duty Air Force suicides. Officials had hoped the decline early in the year would continue.Navy and Marine officials refused to discuss the subject.Civilian suicide rates have risen in recent years, but 2020 data isn’t available, so it’s difficult to compare with the military. A Pentagon report on 2018 suicides said the military rate was roughly equivalent to that of the U.S. general population, after adjusting for the fact that the military is more heavily male and younger than the civilian population. The 2018 rate for active duty military was 24.8 per 100,000, while the overall civilian rate for that year was 14.2, but the rate for younger civilian men ranged from 22.7 to 27.7 per 100,000, according to the National Institute of Mental Health.James Helis, director of the Army’s resilience programs, said virus-related isolation, financial disruptions, remote schooling and loss of child care all happening almost overnight has strained troops and families.“We know that the measures we took to mitigate and prevent the spread of COVID could amplify some of the factors that could lead to suicide,” said Helis, who attended department briefings on suicide data.Army leaders also said troops have been under pressure for nearly two decades of war. Those deployments, compounded by the virus, hurricane and wildfire response and civil unrest missions, have taken a toll.Soldiers’ 10-month deployments have been stretched to 11 months because of the two-week coronavirus quarantines at the beginning and end. McCarthy said the Army is considering shortening deployments.Gen. James McConville, Army chief of staff, said there’s new attention to giving service members “the time that they need to come back together and recover.”“We were very focused on readiness four years ago because we had some readiness challenges, and we did a great job. The force is very, very ready now. But I think it’s time now to focus on people,” he told the AP.McConville and Army Sgt. Maj. Michael Grinston said units have begun “stand-up” days, where commanders focus on bringing people together, making sure they connect with each other and their families and ensuring they have strong values in how they treat each other.The isolation is also taking a toll on veterans, particularly the wounded.Sergio Alfaro, who served in the Army for 4 1/2 years, said fears associated with the virus intensified his PTSD and suicidal thoughts.“It’s definitely something that’s made things a bit more chaotic, trying to plan for the future, do things together,” said Alfaro, who deployed near Baghdad in 2003, facing daily mortar rounds, including one that killed his commander. “It’s almost like adding more trash on the heap.”While he once feared that strangers passing by might hurt him, now he fears people may have COVID and not show symptoms. Others in support groups, he said, “are just sick of living this way, worried about what’s coming over the next hill, what next horrible thing are we going to be confronted with.”Roger Brooks, a senior mental health specialist at the Wounded Warrior Project, said veterans are reporting increased suicidal symptoms and anxiety. Between April and the end of August, the group saw a 48% jump in referrals to mental health providers and a 10% increase in mental health calls and virtual support sessions, compared to the previous five months.Brooks said there’s anecdotal evidence that the pandemic has made wounded warriors like amputees feel more isolated, unable to connect as well with support groups. He said injured vets have seen disruptions in medical visits for pain management and other treatments.Within the Army, Helis said the virus has forced an increase in telehealth calls and online visits with mental health providers. That has generated some positive results, such as fewer missed appointments.“And we also think there was a reduction in the stigma of seeking behavioral health because you can do it from the privacy of your home,” he said.Military leaders also are encouraging troops to keep a closer eye on their buddies and ensure that those who need help get it.That message was conveyed in a remarkable public statement this month by Gen. John Hyten, vice chairman of the Joint Chiefs of Staff. He said he sought help while heading U.S. Strategic Command from 2016 to 2019. He didn’t reveal details but said he saw a psychiatrist – a rare public admission by a senior officer.“I felt like I needed to get some help,” Hyten said in a video message. “I felt like I needed to talk to somebody.” He encouraged others to do the same, if needed, without fear of hurting their career._____ Need help? Call the National Suicide Prevention Lifeline (1-800-273-8255) Military veterans press 1. Individuals can also go to: https://suicidepreventionlifeline.org/talk-to-someone-now and veterans can go to woundedwarriorproject.org or call the project’s resource center at: 888-997-2586. 7565

Mark Kelly, a former astronaut and husband of former Rep. Gabrielle Giffords, was sworn in as a U.S. senator on Wednesday afternoon.Kelly, a Democrat, defeated Sen. Martha McSally in a November special election. McSally had been appointed by Gov. Doug Ducey to serve in the seat once occupied by Sen. John McCain, who died in 2018.Because Kelly was elected in a special election, he is being sworn in ahead of newly-elected Senators, who will assume their roles early next year.Kelly's seat is one of three Democrats flipped on election day, while Republicans were able to flip one seat back into their control. Control of the chamber remains dependant on the outcome of two runoff elections in Georgia, which will take place in January.During his NASA career, Kelly flew four missions to space and totaled more than 54 days outside of the Earth's atmosphere. His twin brother, Scott, is also an astronaut.Kelly's first foray into politics came via his wife. Giffords was first elected as a congresswoman in 2006, but in 2011, a gunman shot her in the head during an assassination attempt. She survived the shooting but resigned her seat in early 2012 to focus on the recovery.Kelly is at least the second former astronaut to serve in the U.S. Senate, following in the footsteps of John Glenn, who was the first man to orbit the earth and served as a senator representing Ohio from 1974 to 1999. 1403

LOUISVILLE, Ky. — The public now has a chance to see what evidence was presented by Kentucky Attorney General Daniel Cameron's office to a grand jury in the Breonna Taylor decision after roughly 15 hours of recordings were released Friday.The recordings reveal who the grand jury heard from in relation to the case and what was said that led to the decision to charge former Louisville Metro Police Department Detective Brett Hankison with three counts of first-degree wanton endangerment in relation to the March 13 shooting.Police said they knocked repeatedly and identified themselves for a minute or more before using a battering ram to enter Breonna Taylor’s apartment, according to Kentucky grand jury recordings released Friday, then killed her in a rapid hail of gunfire after the first officer inside her door was struck by a bullet.But Taylor’s boyfriend, who fired on the officers, said in a police interview played for the jury that he did not hear them announce themselves. If they had, he noted, “it changes the whole situation because there’s nothing for us to be scared of.”The dueling accounts of the March 13 raid in which Louisville police killed the 26-year-old Black woman were contained in hours of recordings made public in a rare release for proceedings that are typically kept secret. The grand jury did not charge the officers with Taylor’s killing.A court ruled that the content of the proceedings should be made public after the grand jury’s decision angered many in Louisville and around the country and set off renewed protests. The material released does not include juror deliberations or prosecutor recommendations and statements, none of which were recorded, according to the state attorney general’s office.Louisville police Lt. Shawn Hoover said officers with a narcotics warrant approached Taylor’s apartment door and announced themselves as police and knocked three times.“We knocked on the door, said police, waited I don’t know 10 or 15 seconds. Knocked again, said police, waited even longer,” Louisville police Lt. Shawn Hoover said in an interview recorded March 13, the same date Taylor was shot, and later played for the grand jury.“So it was the third time that we were approaching, it had been like 45 seconds if not a minute," Hoover said. “And then I said, `Let’s go, let’s breach it.'”Another officer said they waited as much as two minutes. Whether or not officers announced themselves has been a key issue in the case because Taylor’s boyfriend, Kenneth Walker, said he only fired at police because he feared they were intruders.Police said they used a battering ram to enter the apartment, hitting the door three times before getting inside. Detective Michael Nobles said officers made so much noise that an upstairs neighbor came outside and had to be told to go back inside.According to the grand jury recordings, detective Jonathan Mattingly got shot as soon as he leaned inside the apartment.Mattingly said in testimony, some of which was previously released, that he fired four gunshots as he fell on his backside. Officer Brett Hankison said in a recorded police interview that moments after the doors were broken down he saw darkness and then “immediate illumination from fire.”“What I saw at the time was a figure in a shooting stance and it looked as if he was holding, he or she was holding, an AR-15 or a long gun, a rifle,” said Hankison, who was later indicted by the grand jury on charges of wanton endangerment for firing shots that went into another home with people inside.Walker was, in fact, using a handgun.“We didn’t know who it was,” Walker said in his own police interview shortly after the shooting. “If we knew who it was, that would have never happened.”Hoover said he believed Walker and Taylor were lying in wait for the officers.“We were, in my opinion, we were ambushed,” Hoover said. “They knew we were there. I mean, hell, the neighbors knew we were there.”About five minutes after the gunfire erupted and Taylor was shot, her boyfriend dialed 911.According to the audio of the call played for the grand jury, Walker told a dispatcher: “Somebody kicked in the door and shot my girlfriend.”Walker seemed confused when the police interviewed him later. He said he didn’t know why police would knock on Taylor’s door.Officers had a “no-knock" warrant to search Taylor's apartment for drugs. But Attorney General later said officers announced themselves. It's a key issue because the officers said they opened fire after Taylor's boyfriend, Kenneth Walker, fired a gunshot at them. Walker said he didn't know the men who burst into the home were police.One law enforcement officer testified that police ultimately never executed the warrant to search Taylor's apartment.“Were drugs money or paraphernalia recovered from apartment 4? ... The answer to that is no,” said Herman Hall, an investigator for the state attorney general’s office. “They didn’t go forward with executing the initial search warrant that they had for Breonna Taylor’s apartment.”Cameron, whose office led the investigation into police actions in the Taylor shooting, did not object to the file's release. But on Wednesday, his office asked for a week's extension to edit out personal information from the material. The judge gave him two days.Cameron released the following statement on the recordings in a news release issued Friday: 5395

Market sentiment is so fragile that news of an arrest is enough to set off a selling wave.The Dow plunged as much as 785 points on Thursday. The index was recently down about 400 points, or 1.3%. The S&P 500 lost 1.1%, while the Nasdaq fell 0.3%.The arrest of Huawei CFO Meng Wanzhou in Canada at the request of the United States renewed doubts about the US-China truce.The latest sign of tension between Washington and Beijing also sent shudders through global markets. Hong Kong's Hang Seng plunged 2.5% overnight, while European stock markets declined sharply as well. Germany's DAX nearly closed in a bear market, down nearly 20% from its January closing high.Companies like Apple (AAPL) and Boeing (BA) that have significant exposure to China fell sharply. Other trade-related stocks like Broadcom (AVGO) and Harley-Davidson (HOG) were also under pressure. Alibaba (BABA), the Chinese e-commerce giant, tumbled 3%. The Dow and S&P 500 have once again turned negative on the year. The S&P 500, down 9% in the fourth quarter, is on track for its worst quarter in seven years.The arrest of Meng -- the daughter of the founder of one of China's most important companies -- serves as a fresh reminder that the United States and China remain in a trade war, despite the ceasefire reached last weekend in Argentina. Tariffs already imposed remain in place and new ones loom if talks fail to result in a breakthrough or at least an extension within 90 days."This comes at a truly delicate time," Win Thin, global head of currency strategy at Brown Brothers Harriman, wrote to clients on Thursday. "We think this will force China to take a more aggressive and confrontational approach with the US."  1720

来源：资阳报