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上海肺部多处小结节是怎么回事
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钱江晚报

发布时间: 2025-05-30 14:24:43北京青年报社官方账号
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  上海肺部多处小结节是怎么回事   

As states begin to reopen, a new stage in the pandemic means elective surgeries are back on schedule.For 51-year-old mother of two Honaire Murillo, the pandemic delayed a much needed spinal surgery.“The shooting pains all the time and you know I had kids I have to run around. And so, it took about a year and I was so disappointed,” says Murillo.Twenty-four years ago, the aspiring pro-bodybuilder’s dreams were cut short when she was hit by a motorboat while visiting Puerto Rico on business.More than 20 surgeries later, Murillo needed another one.“The pain started coming back and so I knew I was going to have more surgery,” she says.Last week, doctors at Rush University Medical Center’s Midwest Orthopaedics in Chicago were able to get Murillo into surgery for a first-of-its-kind procedure.It was a minimally invasive spine surgery that utilized augmented reality.“The efficiency this provides because of the accuracy and the visualization of the spine is remarkable,” says Dr. Frank Phillips, the director and minimally invasive spinal surgeon at Rush who performed the procedure.A headset guidance system allowed Dr. Phillips to see Murillo’s spinal anatomy – essentially giving him X-ray vision.“That's exactly what it is,” says Dr. Phillips. “It really is X-ray vision. Except it's not just X-ray vision, you're actually seeing the real spine through the skin.”The CT scanned images are directly projected onto the surgeon’s retina and then superimposed right on top of the patient’s surgical area.“I was just blown away,” says Dr. Phillips. “The minute I put my headset on and looked down at the spine it was like that wow moment. I was like ‘this is crazy.’”Researchers say the FDA-cleared x-vision system could revolutionize the way surgeons perform complex procedures.“It's so accurate so precise the visualization so good you can do the surgery more efficiently which obviously translates into less anesthetic time and advantages to the patient,” says Phillips.For Murillo, who eventually went pro 15 years after her accident, this latest groundbreaking surgery has her thinking about another return to competition.“I'm still looking to see if I could comeback one more time. I'm not sure. But, yeah to me it's a dream.”Augmedics, the maker of the technology says it plans to explore the x-ray vision technology beyond just spinal surgery. 2365

  上海肺部多处小结节是怎么回事   

As the opioid crisis continues to damage communities across the country, new mapping technology is helping family members of victims cope by allowing them to crowdsource an interactive memorial.The "Celebrating Lost Loved Ones" map, created a couple of months ago, now marks the lives of thousands people lost to opioids. The map was created by engineer Jeremiah Lindemann and allows users to add photos and short stories of loved ones who have passed away, including the place of their passing.The goal of the map is to create a place to honor and respect overdose victims across the United States."(We want a map) that emphasizes the human toll behind the opioid crisis with a visual record of the victims it is leaving behind," Lindemann said. 764

  上海肺部多处小结节是怎么回事   

At Tivoli Brewing Company, canning beer has gone from celebratory to an almost sobering experience.“This sucks,” said Ethan Tsai, Tivoli brewery director.Tsai says Tivoli and other breweries across the country are suffering from an aluminum can shortage.“We don’t have enough cans, we’re not going to be able to sell enough beer,” he said. “This is going to be a financial pinch to a whole lot of people.”On a normal week, Tivoli would turn out almost 400 cases of beer. During the last few of weeks, however, they’re struggling to get out 100.“Sales is going to suffer,” Tsai said. “And if sales suffer, then our ability to survive is going to be jeopardized.”Experts say there are several reasons for this shortage in cans. More people are stocking up on beer in stores and taking it home during the COVID crisis and less customers are going out to bars and restaurants.Whatever the case, production of cans isn’t keeping up with the demand.“For the year 2020,” Tsai said, “Ball (Corporation) is estimating approximately 10 billion, that’s billion with a “B”, aluminum can shortage."Ball Corporation is one of the world’s leading aluminum can providers. It’s responding to the recent surge in demand for cans by expanding its operations and building two news production plants which they say should be completed by 2021.“It might mean that some brewers get less revenue and have to make more difficult choices,” said Bart Watson, chief economist with the Brewers Association, an organization representing thousands of craft breweries across the country.He says cans make up a majority of craft beer packaged sales and that this shortage of could cost companies money and employees their jobs.“It’s tough to see the small brewers, who put so much sweat equity into their businesses, be brought down by really something that not their fault,” Watson said. “First the pandemic and now these additional challenges like a shortage.”Back at the brewery, Tsai is trying to figure out how to logistically juggle this shortage of cans during a pandemic to make sure his staff still have jobs and that this brewery survives.“We are all in this together,” he said. “None of us benefit from just taprooms suddenly disappearing.” 2226

  

As schools discuss in-person versus online learning for fall, parents are weighing their options. Homeschool groups are seeing increased interest from parents across the U.S.“We are homeschooling,” said Karissa Yeager, a mother in California. “We have decided we're just going to pull them from public school for the year and home school.”Yeager is a mother of two, and she’s concerned about the possibility of putting her 7 and 4-year-old daughters through mandatory mask-wearing requirements, in addition to other rules that may come with in-person learning this fall.“Let's just keep them home and put them in social situations where they’re still going to get to be kids, instead of sending them to school. I just didn't want the new formation of school to be what they think about when thought about school,” she said.Yeager is not alone.“Parents in droves are investigating and committing to homeschooling for this upcoming school year,” Linda Maepa, a board member with the Homeschool Association of California, said.Maepa is no stranger to teaching her kids. “I'm a veteran homeschooling mom of three,” she said. “Homeschooling allows you to build a lifestyle around education, around a love of learning.”With many schools moving to an online model for at least the beginning of this school year, parents are looking into the differences between online and homeschooling.“It’s using everything at your fingertips, everything that's available to you, to use as a learning tool. Going to the grocery store, pulling cans of soup off the shelf and looking at the label, said J. Allen Weston, the executive director of the National Homeschool Association.“We've had problems for decades, maybe over a century now, of being able to keep kids confined to a desk for six to eight hours a day. Now, trying to pin them in front of a screen for that same six to eight hours a day is going to be a disaster."But online learning expert Leanna Archambault, an associate professor at Arizona State University, says online school doesn’t have to be that way.“It can be interactive. I think it's just limited to the creativity of the teacher and the families, but there is this misconception that it's just sitting in front of the computer all the time, which we know is not a healthy thing in any kind of setting,” Archambault said.She said homeschooling is more like an individual sport, where parents are curating and teaching their kids. “Versus the online learning where there's a curriculum developed by a team, the teacher is there as a facilitator, the parent is really there as a learning coach,” she explained. “Online learning would be more of a team sport.”Homeschoolers say that’s not always the case.“What we create is pods and that's groups of families that all work full-time,” Weston said. “They take turns hosting each other's kids.”“You will find your type of situation represented among all homeschoolers. So ask, join your local communities and ask,” Maepa suggested.Regardless of a parent’s decision, the school system has been disrupted, and Maepa says it’s impacting everyone. “Everybody is doing something very different than what they've been doing every day for their education for their families,” she said.Archambault says she sees this disruption changing the way education works in the future. “That we reevaluate this strategic blend of what works well online and what potentially works well face-to-face when we’re allowed to return, and moving forward I think there's going to be a blend,” Archambault said. 3541

  

As students from across the country prepare to return to classrooms in the middle of a pandemic, a nationwide school nurse shortage has health experts concerned about how well some districts will be able to handle potential outbreaks of COVID-19.Linda Mendonca oversees the National Association of School Nurses. As she thinks about empty classrooms beginning to fill back up with students, she can’t help but be filled with anxiety.“We don’t have a road map for all of this, so when you don’t have a road map, that makes it a little more challenging,” she said.School nurses will be playing a critical role in the reopening of schools. They’re being asked to monitor kids for COVID-19 symptoms and even keep track of absentee rates to spot potential trends. In some cases, school nurses will help local health departments with contact tracing if an outbreak occurs at a school.But a nationwide nurse school nurse shortage puts a lot of that in jeopardy.“In the midst of a pandemic, there should be a nurse in every school, and there’s not,” Mendonca explained.About 25 percent of the nation’s schools will start this year without a school nurse. It’s a startling statistic that has public health officials particularly concerned, in the middle of a pandemic.The average school nurse makes about ,000. There’s also a simple funding problem. School nurses are often the first to get cut when districts need to eliminate positions. The need is so great, that the National Association of School Nurses is advocating for 10,000 new nurses in the next federal stimulus bill.“The school nurse is so important that there needs to be a full-time nurse in school every day at all schools,” said Jenny Gormley, who’s served as a school nurse in Massachusetts for years.Gormley’s hope is that in the face of this pandemic, districts across the country will find ways to support nurses with both PPE and funding.“We all want students back learning, but we want to do it safely,” she added.As parents attempt to send their kids safely back to school, school nurses could be one of the best prescriptions for success. 2114

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