上海胆囊壁厚3mm(上海什么是消融术治疗肿瘤) (今日更新中)

Infrastructure spending going to be a hot topic in the upcoming midterm elections, with many asking, how are we going to pay to fix America’s aging roads?Correspondent Nicole Vowell traveled to Rhode Island, the smallest state with some of the biggest infrastructure problems.The tiny part of New England spans only about 1,500 square miles and is one of the oldest states. Combined with Rhode Island being nearly 33 percent water, the state is fighting a tough battle to keep roads and bridges intact.Casey Dinges, director of the American Society of Civil Engineers, says one in four of their bridges is structurally deficient. That means, he says, safety standards are ramped up."That bridge will be inspected every year, instead of the standard every two years,” explains Dinges of one of the bridges in the area.The Ocean State may be facing the most worries, but Dinges says, overall, the U.S. just isn't that structurally sound.Last year, Rhode Island earned a dismal D+ infrastructure rating."We've been deferring maintenance and under investing in our infrastructure for decades,” Dinges says of the rating.Of the nearly 800 bridges in the state, approximately 200 of them are considered structurally deficient, which is costing taxpayers millions of dollars to fix.Dinges says for every family in the U.S., it amounts to about per day.The overall goal, Didges says, is for federal and local government to get on board and invest over the next 10 years to upgrade America’s infrastructure."The allocations for what the state needs has not been enough,” Dinges says. 1585

It's a common misconception that you can just "shave off" a bunion. Turns out, it's a deformity that needs to be realigned. Doctors are now able to lower the rate of recurrence with a surgery that's three dimensional.Jennifer Anderson is an avid runner, biker and hiker who doesn't like to be slowed down.“By the fall of last year, it got to the point where it was miserable to put running shoes on, hiking boots on, bike shoes,” said Anderson. “At that point, I was like, ‘I need to get this fixed.’”She noticed a bunion developing in her early 30s, but she didn't realize until much later that it was halting her stride.“When it started causing an issue with the things I like to do athletic-wise, running, I’ve always been a runner, I like to ride my bike inside and outside, hiking, so when it got to a point when I wasn’t enjoying that stuff anymore, I knew it was time to get it fixed,” said Anderson.She started doing some research and got overwhelmed with all the types and kinds of surgeries. There are 200 different types of bunion surgeries that exist, which make it difficult to pick the right kind that works best for each situation.“I was actually discouraged because before looking at the Lapiplasty, that point was huge to me,” she said. “I was like, ‘why would I go through having a surgery if it’s going to probably come back?’”Dr. Bharat Desai walked her through what Lapiplasty does and why it's successful."So, literally we’re fusing a joint that’s unstable back to a joint that’s stable. Once a fusion occurs, it won’t change.”The Denver based Orthopedic foot and ankle surgeon says 50 to 60% of bunions are genetic. They occur over time and they tend to be more common in women.“With current standards on fashion and such people want narrower feet, this is not much different than in Japan and the geishas when they bound feet to make them narrow,” said Desai.He says sometimes it causes pain in other areas.“When you have a bunion, it’s a physical change in the alignment your body has to manage that alignment change so it compensates, it can affect knee, ankle, foot and it can affect the ball of your feet as well,” he said.Desai says Lapiplasty is successful because it lessens the chance of a bunion coming back. It permanently addresses the deformity with a 3D fix for a 3D problem.A word of caution from the doctor though:“A bump could just be a spur. Not all bumps are bunions and not all bunions are bumps and so the best thing I would advise is if you’re having pain on the big toe, see a foot and ankle specialist, because they can help you differentiate what it is. It may not be a bunion.”As for Anderson, her recovery was easier than she thought it would be. She was able to walk shortly after surgery. By six weeks, she was in athletic shoes and by the four-month mark, she was back on her feet, back on the road, and back on the trails.3D surgery seeing huge success rate for those who suffer from bunionsIt's a common misconception that you can just "shave off" a bunion. Turns out, it's a deformity that needs to be realigned. Doctors are now able to lower the rate of recurrence with a surgery that's three dimensional.Jennifer Anderson is an avid runner, biker and hiker who doesn't like to be slowed down.“By the fall of last year, it got to the point where it was miserable to put running shoes on, hiking boots on, bike shoes,” said Anderson. “At that point, I was like, ‘I need to get this fixed.’”She noticed a bunion developing in her early 30s, but she didn't realize until much later that it was halting her stride.“When it started causing an issue with the things I like to do athletic-wise, running, I’ve always been a runner, I like to ride my bike inside and outside, hiking, so when it got to a point when I wasn’t enjoying that stuff anymore, I knew it was time to get it fixed,” said Anderson.She started doing some research and got overwhelmed with all the types and kinds of surgeries. There are 200 different types of bunion surgeries that exist, which make it difficult to pick the right kind that works best for each situation.“I was actually discouraged because before looking at the Lapiplasty, that point was huge to me,” she said. “I was like, ‘why would I go through having a surgery if it’s going to probably come back?’”Dr. Bharat Desai walked her through what Lapiplasty does and why it's successful."So, literally we’re fusing a joint that’s unstable back to a joint that’s stable. Once a fusion occurs, it won’t change.”The Denver based Orthopedic foot and ankle surgeon says 50 to 60% of bunions are genetic. They occur over time and they tend to be more common in women.“With current standards on fashion and such people want narrower feet, this is not much different than in Japan and the geishas when they bound feet to make them narrow,” said Desai.He says sometimes it causes pain in other areas.“When you have a bunion, it’s a physical change in the alignment your body has to manage that alignment change so it compensates, it can affect knee, ankle, foot and it can affect the ball of your feet as well,” he said.Desai says Lapiplasty is successful because it lessens the chance of a bunion coming back. It permanently addresses the deformity with a 3D fix for a 3D problem.A word of caution from the doctor though:“A bump could just be a spur. Not all bumps are bunions and not all bunions are bumps and so the best thing I would advise is if you’re having pain on the big toe, see a foot and ankle specialist, because they can help you differentiate what it is. It may not be a bunion.”As for Anderson, her recovery was easier than she thought it would be. She was able to walk shortly after surgery. By six weeks, she was in athletic shoes and by the four-month mark, she was back on her feet, back on the road, and back on the trails. 5829

INTERACTIVE MAP: Where the Woolsey?Fire is burning in Ventura and LA countiesLOS ANGELES (CNS) - A smoke advisory remained in effect Saturday due to the Woolsey Fire, which was causing unhealthy air quality affecting everyone in areas directly impacted by smoke, including central and northwest coastal Los Angeles County, the San Fernando Valley and the western San Gabriel Valley.A growing blanket of brown smoke crept across the Southland sky on Saturday, as the fire in Los Angeles and Ventura counties grew to 70,000 acres with zero percent containment."It is difficult to tell where ash or soot from a fire will go, or how winds will affect the level of dust particles in the air, so we ask everyone to be aware of their immediate environment and to take actions to safeguard their health," said Dr. Muntu Davis, health officer for Los Angeles County."Smoke and ash can be harmful to health, even people who are healthy," Davis said. "People at higher risk include those with heart or lung diseases, children and older adults."Early Saturday, the smoke created an eerie, fog-like presence that extended far south along the coast, including the Marina del Rey and LAX area. That lifted by around noon, but as the afternoon wore on the sky grew gradually darker over large swaths of Los Angeles County.Davis urged everyone in areas where there is visible smoke or the smell of smoke to avoid unnecessary outdoor exposure and to limit physical exertion, whether indoor or outdoor, such as exercise.Children and people who have air quality-sensitive conditions, such as heart disease, asthma and other chronic respiratory diseases, should follow the recommendations and stay indoors as much as possible, even in areas where smoke, soot or ash cannot be seen or there is no smell of smoke, according to DPH officials.The health department is "also advising schools and recreational programs that are in session in smoke-impacted areas to suspend outside physical activities in these areas, including physical education and after- school sports, until conditions improve," Davis said. "Non-school-related sports organizations for children and adults are advised to cancel outdoor practices and competitions in areas where there is visible smoke, soot or ash, or where there is an smell of smoke. This also applies to other recreational outdoor activity, such as hikes or picnics, in these areas."According to DPH, people can participate in indoor sports or other strenuous activity in areas with visible smoke, soot or ash, provided the indoor location has air conditioning that does not draw air from the outside and all windows and doors are closed.Wildfire smoke is a mixture of small particles, gases and water vapor, and the primary health concern is the small particles, which can cause burning eyes, runny nose, scratchy throat, headaches and bronchitis, health officials said. In people with sensitive conditions, the particles can cause difficulty breathing, wheezing, coughing, fatigue, and/or chest pain.DPH offered the following recommendations:-- If you see or smell smoke, or see a lot of particles and ash in the air, avoid unnecessary outdoor activity to limit your exposure to harmful air. This is especially important for those with heart or lung disease (including asthma), the elderly and children.-- If outdoor air is bad, try to keep indoor air as clean as possible by keeping windows and doors closed. Air conditioners that re-circulate air within the home can help filter out harmful particles.-- Avoid using air conditioning units that only draw in air from the outside or that do not have a re-circulating option. Residents should check the filters on their air conditioners and replace them regularly. Indoor air filtration devices with HEPA filters can further reduce the level of particles that circulate indoors.-- If it is too hot during the day to keep the doors or windows closed and you do not have an air conditioning unit that re-circulates indoor air, consider going to an air conditioned public place, such as a library or shopping center, to stay cool and to protect yourself from harmful air.-- Do not use fireplaces (either wood burning or gas), candles, and vacuums. Use damp cloths to clean dusty indoor surfaces. Do not smoke.-- If you have symptoms of lung or heart disease that may be related to smoke exposure, including severe coughing, shortness of breath or difficulty breathing, wheezing, chest tightness or pain, palpitations, nausea or unusual fatigue or lightheadedness, contact your doctor immediately or go to an urgent care center. If life-threatening, contact 911.-- When smoke is heavy for a prolonged period of time, fine particles can build up indoors even though you may not be able to see them. Wearing a mask may prevent exposures to large particles. However, most masks do not prevent exposure to fine particles and toxic gases, which may be more dangerous to your health.-- Practice safe clean-up following a fire. Follow the ash clean-up and food safety instructions at http://bit.ly/SafeFireCleanup.The following is recommended for pets:-- Avoid leaving your pets outdoors, particularly at night. Pets should be brought into an indoor location, such as an enclosed garage or a house.-- If dogs or cats appear to be in respiratory distress, they should be taken to an animal hospital immediately. Symptoms of respiratory distress for dogs include panting and/or an inability to catch their breath. Symptoms for cats are less noticeable, but may include panting and/or an inability to catch their breath. 5583

IRAPUATO, Mexico (AP) — Local Mexican officials again helped thousands of Central American migrants find rides Sunday on the latest leg of their journey toward the U.S. border.At a toll plaza to the west of the central Mexico city of Queretaro, where the group spent Saturday night, police prevented migrants from waylaying trucks on their own, but officers did help them find vehicles for rides.The government of Queretaro said via Twitter that 6,531 migrants had moved through the state between Friday and Saturday. It said that 5,771 of those departed Sunday morning after staying in three shelters it had prepared, the largest of which was a soccer stadium in the state capital.RELATED: First group of migrants from caravan arrives in?TijuanaThose numbers appeared even higher than counts made by officials when the group was in Mexico City for several days, raising the possibility that other migrants had caught up to the main caravan.Starting out before dawn, the migrants went on to Irapuato, an agricultural city about 62 miles (100 kilometers) to the west in neighboring Guanajuato state, and set up camp around a local family center and small sports complex.As on other days, the migrants jumped at any opportunity to catch rides. They piled onto flatbed trucks, hung from car carrier trailers and even stacked themselves four levels high on a truck that usually carries pigs.Miguel Ortiz of Honduras reclined in the pig trailer with his wife and son. He said they were headed to U.S. for a better life where they could work for more than just putting food on the table.Maria Isabel Reyes, 39, of Honduras travelled with her three daughters and a granddaughter."I feel happy by the grace of God," she said. "Because we're advancing little by little, but all of us here are moving forward."The migrants appear to be on a path toward Tijuana across the border from San Diego, which is still some 1,600 miles (2,575 kilometers) away.The caravan became a campaign issue in U.S. midterm elections and U.S. President Donald Trump has ordered the deployment of over 5,000 military troops to the border to fend off the migrants. Trump has insinuated without proof that there are criminals or even terrorists in the group.Many migrants say they are fleeing rampant poverty, gang violence and political instability primarily in the Central American countries of Honduras, Guatemala, El Salvador and Nicaragua, and they have now been on the road for weeks.Mexico has offered refuge, asylum or work visas to the migrants, and its government said 2,697 temporary visas had been issued to individuals and families to cover them while they wait for the 45-day application process for a more permanent status.But most vowed to continue to the United States."We can earn more (in the U.S.) and give something to our family. But there (in Honduras) even when we want to give something to our children, we can't because the little we earn it's just for food, to pay the house and the light, nothing else," said Nubia Morazan, 28, of Honduras as she prepared to set out Sunday with her husband and two children. 3110

InfoWars, a far-right media organization run by Alex Jones and known for peddling unfounded conspiracy theories, is on thin ice with YouTube after it posted a video that portrayed the survivors of the Parkland school shooting as actors.The Alex Jones Channel, Infowar's biggest YouTube account, received one strike for that video, a source with knowledge of the account told CNN. YouTube's community guidelines say if an account receives three strikes in three months, the account is terminated.That video focused on David Hogg, a strong voice among survivors of the mass shooting at Marjory Stoneman Douglas High School. The attention has given him a powerful platform -- but it has also made him the subject of demonstrably false conspiracy theories that claim he's so skilled as a public speaker that he must be a paid actor.  842

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