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  濮阳东方医院看妇科病技术很哇塞   

According to President Donald Trump, the tragic Texas church shooting that left 26 people dead was "a mental health problem at the highest level."If you ask mental health researchers, such mass shootings are much more complicated than that.On Sunday, 26-year-old Devin Kelley sprayed bullets across the sanctuary of First Baptist Church in Sutherland Springs, Texas, about 30 miles east of San Antonio. The youngest killed at the church was 17 months old; the oldest was 77 years old."We have a lot of mental health problems in our country, as do other countries, but this isn't a guns situation," Trump said during a joint news conference Monday in Tokyo."This is a mental health problem at the highest level," he said. "It's a very, very sad event."Trump's response to the Texas church shooting echoed previous comments he has made on gun violence. In 2015, Trump said he was opposed to tightening gun laws in the United States but was in favor of addressing mental health to prevent shootings.Yet various epidemiological studies over the past two decades show that the vast majority of people with severe mental illnesses, such as schizophrenia, bipolar disorder or severe depression, are no more likely to be violent than anyone else.Rather, people with severe mental illnesses are more than 10 times more likely to be victims of violent crime than the general population. And, only about 3% to 5% of violent acts can be attributed to individuals living with a serious mental illness, according to the US Department of Health and Human Services.But those statistics have "almost nothing to do with mass casualty shootings," said Jeffrey Swanson, a professor in psychiatry and behavioral sciences at Duke University who specializes in gun violence and mental illness.So exactly how are mental health and gun violence intertwined, and what is needed to end the violence?Gun violence and mental illness are public health problems "that intersect at the edges" but have very little overlap, Swanson told CNN last year.There's no doubt that America's systems of care for mental health are overburdened, expensive and inaccessible for many who need them, he said. But when it comes to gun violence among this community, suicide tends to occur at higher rates than homicides, he said."If we back up and think about firearm-related injuries and mortality as a public health problem, it turns out there is a mental health-related story, and it's suicide," he said. "If we had better mental health care and could get people better access and break down barriers to care, then yes, we might reduce gun violence by a lot but it would be from reducing suicides."Otherwise, mental illness is just one "highly unspecific" factor that may contribute to gun violence, along with being young, white and male, or a history of violence, Swanson said.Instead of policies that restrict gun access based solely on mental illness diagnoses or because a person has made contact with the judicial system or health care agencies due to mental illness, the American Psychological Association, the National Alliance on Mental Illness and other advocacy groups have called for gun access criteria based on more subtle indicators of potentially dangerous behavior.Those indicators -- such as having past or pending violent misdemeanor convictions or charges, domestic violence restraining orders or multiple DUI convictions -- have been largely informed by the work of Swanson and others.Swanson supports intervention at the point of purchase through comprehensive background checks -- but to make background checks work, criteria for inclusion on the database should be based on other indicators of risk besides mental health history, such as those indicators of aggressive, impulsive or risky behavior."A history of violent behavior is a far better predictor of future violence than mental illness," he said.Calling gun violence a mental health issue is to scapegoat and stigmatize people with mental illness, he said."It's kind of a canard, a convenient explanation that exploits the tremendous fear people have with these horrifying mass shootings," he said. "If people fear those with mental illness they're going to treat them with scorn and support public policies that restrict their liberties."After all, mental illness affects millions of adults across the country.In 2015, there were an estimated 43.4 million adults in the United States with some form of mental illness within the past year, which represented 17.9% of adults nationwide, according to the National Institute of Mental Health.The American Psychological Association recommends prohibiting firearms for high-risk groups, such as domestic violence offenders or persons convicted of violent misdemeanor crimes."Reducing the incidence of gun violence will require interventions through multiple systems, including legal, public health, public safety, community, and health. Increasing the availability of data and funding will help inform and evaluate policies designed to reduce gun violence," according to the association's website.Swanson and his colleagues examined the proportion of people in the United States with impulsive angry behavior who own or carry guns and have a diagnosable mental illness in a paper published in the journal Behavioral Sciences & the Law in 2015.They conducted household surveys with 9,282 people from February 2001 to April 2003, excluding people who carried guns for work, resulting in a response rate of 70.9%.An analysis of the survey results estimated that nearly one in 10 adults has access to firearms and has a problem with anger and impulsive aggressive behavior.These people were more likely to be male, younger and married and to live in outlying areas around metropolitan centers rather than in central cities, Swanson and his colleagues wrote in their paper.They were significantly more likely to meet diagnostic criteria for a wide range of mental disorders, including depression, bipolar and anxiety disorders, PTSD, intermittent explosive disorder, pathological gambling, eating disorder, alcohol and illicit drug use disorders, and a range of personality disorders.What's more, despite evidence of "considerable psychopathology" in many of these respondents, only a very small proportion, 8% to 10%, were ever hospitalized for a mental health problem."Because only a small proportion of persons with this risky combination have ever been involuntarily hospitalized for a mental health problem, most will not be subject to existing mental health-related legal restrictions on firearms resulting from a history of involuntary commitment," Swanson and his colleagues wrote in the paper's abstract.As for Texas gunman Kelley, the state denied him a license to carry a gun, Gov. Greg Abbott said, citing the director of Texas' Department of Public Safety."So how was it that he was able to get a gun? By all the facts that we seem to know, he was not supposed to have access to a gun," Abbott told CNN's Chris Cuomo. "So how did this happen?"On Monday, Trump said his "thoughts and prayers" were with the victims and their families but did not suggest plans to take any legislative or other policy action to address the shooting. 7228

  濮阳东方医院看妇科病技术很哇塞   

A woman in Tallahassee, Florida is accused of drawing a gun on another shopper at a Publix grocery store last Sunday after the victim cut in line, the Tallahassee Democrat reported. According to a report of the incident by the Leon County Sheriff's Office obtained by the Tallahassee Democrat, Jessica Mock, 36, was about to check out at the Publix, but had forgotten an item. She left her cart in line to retrieve the item. When she returned, another customer had gotten in line in front of her. After Mock and the other female customer argued, the other woman got in another line. According to the report, the customer told Mock, "I'll meet you outside." Mock responded, "I'll see you outside."Once outside, Mock is accused of pulling a gun out of her waistband on the shopper. Later, the victim drove away and called law enforcement while Mock allegedly followed the woman. That is when police caught up to Mock. Mock denied pulling a gun or intentionally following the woman, but law enforcement did find a firearm. Mock was charged with aggravated assault with a deadly weapon without intent to kill, according to the report given to the Tallahassee Democrat.  1233

  濮阳东方医院看妇科病技术很哇塞   

ALBANY, Ga. -- Located in the southwest part of Georgia, the city of Albany, which boasts a population of 75,000, is reclusive.It is three hours from Atlanta and more than an hour and a half from Tallahassee, the city with the closest major airport. And perhaps that is why the city is so self-reliant and resilient.“This is who our people are,” said Barbara Holmes, CEO of the Albany Chamber of Commerce.In 2017, a string of tornadoes battered the city, killing five people and causing more than billion in damage.Only a year later, in October 2018, Hurricane Michael ripped through the area as a Category 3 storm.Then, this past March, Albany became Georgia’s hotbed for COVID-19 as it quickly amassed the highest number of positive coronavirus cases per capita in the state. Dougherty County, the county in which Albany resides, had 1,700 cases per 100,000 people, while Fulton County, the state’s most populous county where Atlanta is, saw 280 cases per 100,000 people.Like so many cities across the country, the virus hit Albany’s workforce hard.“The business impact was immediate, right? It was a swift arc,” said Holmes.“Our business volume was way off. People were absolutely scared,” added Tim Underwood, who owns a local restuarant called The Rocket. “It was very scary because in my own home that meant my wife was home with the kids. She wasn’t working and she wasn’t able to work.”What made Albany’s case of unemployment unique, however, is there were no guidelines. It was the first outbreak in the state, so local business officials had to improvise to stay open before guidelines were issued by the Gerogia Department of Public Health and Governor Brian Kemp.And that’s where the beauty in Albany’s survival story lies.Shortly after business owners noticed the rise in the coronavirus cases, and before the governor issued any orders, 12 businesses in the community came together to figure out a plan that involved voluntarily closing their dining rooms and moving to take-out only.“Our concern was not only our business, but our community,” said Underwood. “We wanted them to know we were there for them. This was what we were going to have to do to survive quickly.”Underwood quickly slashed his staffing, took a large pay cut and set a budgetary minimum of ,000 per week in revenue. He says that was the number that would allow his restaurant to survive. Anything less and it would have to close.Week one, Tim says he made ,027.“There’s many of our staff still only working part-time hours, but they’re still working part-time hours and that’s better than not able to work,” said Underwood.Because of the effort, not a single one of Albany’s stores has closed for good. Yes, workers are fuloughed, but there is hope that at some point that work might come back."You know, it’s inspiring and it's encouraging, but what I will say to that is it’s not surprising because this is who Albany is,” said Holmes.“We’re here to help each other, and I think that’s what gets lost in all of this,” said Underwood. “And I think that’s why, at least in Albany, when you see us coming out I see a brighter future." 3136

  

Actor Ryan Reynolds launched a diversity program that will give minorities a chance to work in the film industry.The "Deadpool" star launched "The Group Effort Initiative" to "invest in the talent and creativity of any and all under-represented communities who’ve felt this industry didn’t have room for their dreams." 326

  

AGOURA HILLS, Calif. (KGTV) – Residents in the burn areas from the Woolsey and Holy fires are being told to prepare for the possibility of mudslides and debris flows as a storm moves into Southern California Wednesday, according to KABC. Mandatory evacuations have been issued for areas impacted by the Holy Fire. Those areas include: Amorose, Alberhill, Glen Ivy A, Glen Eden, Grace, Horsethief A, Laguna A, Matri, McVicker A, Rice, Withrow A. Mandatory evacuations ordered as of 3 p.m. in the Holy Fire area for Amorose, Alberhill, Glen Ivy A, Glen Eden, Grace, Horsethief A, Laguna A, Matri, McVicker A, Rice, Withrow A. People in these zones MUST GO NOW. Check https://t.co/q5Eos4UKT2 for evacuation zone details.— RivCoReady (@RivCoReady) November 28, 2018 770

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