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发布时间: 2025-05-31 21:36:36北京青年报社官方账号
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  濮阳市东方医院收费目录   

If you’re looking to save money on a vacation, you could spend hours researching and budgeting every minute of it — or you could simply try traveling like a minimalist instead.Minimalists generally live with fewer possessions, freeing up time, money and other resources to focus on things and experiences they value more. The lifestyle also saves them money on consumption when they travel.You, too, can adopt minimalist travel habits and potentially hang on to hundreds — or thousands — of dollars. Consider these travel tips for your next vacation. 573

  濮阳市东方医院收费目录   

If you aren’t on this medication, chances are you know someone who is. It’s used to treat everything from pain to mood disorders and can be just what the doctor ordered for many.But now, there is mounting research uncovering misuse of and even a black market for this popular prescription.We’re talking about gabapentin. It’s approved for some types of seizures and nerve pain.Doctors also use it off-label to treat everything from insomnia to migraines to anxiety. Sixty-four million prescriptions of it were sold in the U.S. in 2016, up more than 60 percent from four years earlier.The thing is, experts say there is growing evidence it’s being abused, too. It’s even being sold on the streets under the name “Johnnys.” Dr. Joseph Insler, an addiction psychiatrist, says he’s seeing it all too often.“Sometimes, I've even experienced patients ask me for their “Johnnys” and then they'll, maybe, catch themselves and say, ‘No, no, no. I mean gabapentin',” he says.Why is this prescription being misused?“I think that some individuals may say that they use it to get high, and others may say they use it and get a drowsy effect. So, we're talking about the euphoria versus sedation, “ says Rachel Vickers Smith, Ph.D.Dr Vickers Smith wrote her dissertation on gabapentin abuse when studying drug abusers in Appalachia.“We found a nearly 3000 percent increase from 2008 to about 2014 in individuals reporting gabapentin abuse for the purposes of getting high,” she says.We wanted to see for ourselves, so we searched online. We easily found people talking about taking “Johnnys”, or gabapentin, to get high. There were also threads of people trying to spread awareness about the abuse.Experts say gabapentin is typically misused by substance abusers who mix it with other drugs.But, Dr. Insler says it’s also possible for people with legitimate prescriptions to misuse, too.He says, “If somebody’s taking excessively high doses or needing early refills” or if their mood changes, family members or clinicians should see these signs as red flags.A growing body of research shows the problem of abuse, especially among substance abusers is clear.  But some experts also worry about the number of prescriptions being handed out.A recent New England Journal of Medicine letter warned that “clinicians who are desperate for alternatives to opioids” are “increasingly prescribing gabapentin” and that “evidence suggests that some patients misuse, abuse or divert gabapentin.”Dr Rachel Vickers Smith says, “ I think that's why it's really important to get out the message,” about abuse, in general.Gabapentin is not a controlled substance or scheduled drug on the Federal level.We reached out to several government agencies. There was little information on potential abuse although the National Institute on Drug Abuse pointed us to existing research and the DEA says it is beginning to receive calls.Dr Vickers Smith says, “ I don't think that gabapentin abuse is on the CDC, DEA’s, NIDA’s radar, in part because we had this opioid epidemic.”All experts we talked to stress that this is NOT the next opioid epidemic, but they believe gabapentin abuse is something to watch closely and believe more research is needed.We contacted two of the manufacturers of gabapentin, including Pfizer, which told us, “Gabapentin is an important treatment option for their approved indications”. 3416

  濮阳市东方医院收费目录   

House and Senate negotiators have struck a deal over?long-stalled legislation?to revamp the way sexual harassment complaints are made and handled on Capitol Hill, multiple congressional sources close to the process told CNN on Wednesday, likely assuring the bill's final passage this year.The bill will reconcile the House- and Senate-passed versions into one bill that overhauls the Congressional Accountability Act, which set up and oversees how sexual harassment claims are handled and -- for the first time -- will hold lawmakers liable for paying harassment settlements from their own pockets, rather than using US taxpayer money as had been done in the past.The breakthrough comes more than a year since the #metoo wave hit Capitol Hill and just in the nick of time. Had Congress been unable to reach agreement before the end of the year, each chamber's legislation that passed earlier in the year would have expired.The House passed its version in February. The Senate wrote its own bill, a vastly different version, in May and legislators have been working for the past seven months, in fits and starts, to compromise over the details.The final bill text has not been released yet and a formal announcement is forthcoming. Depending on how things pan out with the whole slate of must-pass items left on Congress' docket, the sexual harassment legislation could be attached to the spending bill or the Violence Against Women's Act extension or could be passed by unanimous consent on the floor.Whether lawmakers would be personally liable for paying harassment settlements had been a sticking point as the legislation?sat for months without a solution. A provision in the Senate's bill for members being to be held personally responsible said, unlike the House bill, that they must pay out of pocket only for sexual harassment, not for any awards that may be ordered for sex discrimination or any other kind of discrimination.Some had feared that could provide a loophole for members who are accused of harassment to settle with a victim for sex discrimination, knowing they won't be required to pay the settlement and it will instead come out of a US Treasury fund. 2186

  

How far would you go to get the potholes in your neighborhood noticed? One of the more common frustrations motorists have in the Detroit area is the feeling that some potholes are ignored until they become dangerous. 234

  

In a typical year, you might expect to see holiday decor start to crowd out the Halloween candy around mid-October. But in 2020, the holiday shopping season has felt like it started even earlier due to the changes brought about by the pandemic.Social distancing concerns have forced retailers to rethink their promotional plans, and Amazon’s rescheduled Prime Day in mid-October kicked off the seasonal incentives to shop early and often.So far it seems to have worked: Plenty of people have gotten a head start on their holiday shopping this year. Forty-two percent of holiday shoppers said they started earlier this year than they normally do, according to a November survey from the National Retail Federation and Prosper Insights & Analytics.The survey also found that 59% of holiday shoppers had already started making purchases well ahead of Black Friday. Compare that to 10 years ago, when only 38% of respondents had already gotten a running start in early November.As the holiday stretches out into a multi-month marathon, will Black Friday matter this year? Well, sort of. The holiday isn’t going anywhere—and stores won’t let you forget about it. But it’s going to look a lot different in 2020.1. Black Friday Won’t Start on Thanksgiving DayIn recent years, retailers were kicking off Black Friday by starting in-store sales nearly 24 hours early: on Thanksgiving Day itself. But pandemic concerns may have put an abrupt end to this trend.Major retailers like Kohl’s, Dick’s Sporting Goods, and Target announced as early as July that they would break their traditions of opening stores early for Black Friday and simply stay closed on Thanksgiving Day.“Let’s face it: Historically, deal hunting and holiday shopping can mean crowded events, and this isn’t a year for crowds,” Target said in a blog post outlining its holiday plans.Walmart will also be closed on Thanksgiving Day, opting instead to keep regular Wednesday hours, then reopen at 5 a.m. on Friday. It’s the first time the retail giant has opted against Thanksgiving Day hours since the 1980s.Experts say people will still shop on Thanksgiving, but will do so online. “After the pumpkin pie, they’ll go to the couch with their computer and that’s where they’ll start their Black Friday shopping,” said Rod Sides, vice chairman and U.S. leader of retail and distribution at Deloitte.Although stores may keep their locations closed or limit their hours on Thanksgiving, their websites are always open, meaning a company can still pull in revenue that day without incurring the cost of staffing stores. Retailers have seen a huge increase in online sales, after years of declining foot traffic in stores, so cutting Thanksgiving Day hours is unlikely to be a huge stretch even without coronavirus concerns.“The pandemic has made that choice [to close] a lot easier,” said Seth Basham, a retail analyst at Wedbush Securities.2. Some Retailers Are Rejecting Black FridayFor some retailers, going against the Black Friday grain is a big part of company culture.Outdoor retailer REI will be closed on Black Friday for the sixth year in a row in 2020. The co-op’s “Opt Outside” campaign closes its stores, distribution centers and call centers on Black Friday in an effort to encourage people to spend the day outside with family and friends instead of shopping.But while REI was once the outlier, it may have some company this year. Ecommerce footwear brand Allbirds will actually raise prices on Black Friday, increasing the price for every item on its website by with the spare buck going toward organizations mitigating climate change.Even stores you might not immediately think of for Black Friday savings are changing things up this year. California grocery store chain Gelson’s announced it will have reduced hours on Thanksgiving, then be closed all day on Nov. 27 to acknowledge employees’ response to the pandemic.3. Doorbusters Are DoneForget waking up at 4 a.m. to be first in line for a great deal on Black Friday. The doorbuster deal, which offers a low price for a period of just a few hours, is a thing of the past.“There will be less emphasis on doorbuster-type offers this year, because social distancing makes it harder to queue up,” said Sides. There will still be limited-time or limited-quantity offers for some sale items, but Sides expects fewer people will feel compelled to line up to access deals. Deloitte’s research shows that people are planning to start shopping later in the day if they venture out on Black Friday.Instead, retailers are encouraging people to shop during far wider discounting windows. Macy’s, for example, is promoting “All-day specials” on Black Friday, while Best Buy’s newspaper ad for Black Friday sales notes which prices are available starting on Sunday, Nov. 22, Thanksgiving Day (online) or Nov. 28.4. Deals Are Everywhere, All The TimeWhy wait for Black Friday to shop when there’s a sale around every corner?By November 10—just 10 days into what Adobe considers the start of the holiday season, .7 billion had been spent online—21% higher than the same period in 2019.Retailers of all sizes have rethought how they will present holiday discounts this year. Walmart, for one, is breaking its usual Black Friday deals into “Black Friday Deals for Days,” rolling out sale prices at regular intervals during the entire month of November rather than wait until Nov. 27. On days when stores open early to offer in-store savings, customers will need to wait in a socially-distanced line and employees will limit the number of people who can enter.But before the pandemic, holiday shopping was already spreading out over the long Thanksgiving weekend instead of being concentrated on Black Friday. Now, the holiday shopping season has given rise to Small Business Saturday for supporting local shops and Cyber Monday for online shopping, plus big days like Green Monday (the second Monday of December), Free Shipping Day (usually around December 15) and Super Saturday (the last Saturday before Christmas).If every day is a shopping holiday, the need to cram all your shopping into Black Friday feels unnecessary.Read more: How To Budget For Holiday Shopping When The Season Is Now Twice As LongThe Name Will Remain, Even if Black Friday’s Luster FadesIt’s not impossible for Black Friday to have a post-pandemic rebound, Sides said, but the impact of the day has already waned.“We all like the hustle and bustle a little bit, but folks have figured out they don’t need additional stress” during the holidays, Sides said. There are just as many sales taking place online as there are in stores, and not everyone who goes to their local store is actually shopping on the spot—many will choose to buy online, pick up in-store or via curbside.Basham predicted that we won’t see as much of a peak in revenue during the five-day period over Thanksgiving weekend—even for online purchases. This has already been evident with other holidays in this pandemic-adjusted year: Labor Day purchases usually concentrated into a week or less were spread out over a three-week period, Basham said. By giving shoppers a longer period of time to snag a deal, it helps retailers manage demand around those high-excitement times.And that excitement will still drive consumers. “They want a call to action,” Basham said. While the right price may be the thing that convinces a shopper to make the purchase at that moment, they still need cues on the calendar to know when to start looking for those discounts. 7523

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