济南持续痛风(山东痛风的急性期处理) (今日更新中)

The COVID-19 pandemic is teaching us important lessons about the next potential infectious disease threat.“That includes things like dealing with the problems that are before us now, things like antibiotic resistance that kills too many Americans every day and preparing for things we don't know about by having good surveillance programs and public health infrastructure,” said Dr. Helen Boucher, Infectious Diseases Chief at Tufts Medical Center.The Centers for Disease Control and Prevention (CDC) says antibiotic-resistant infections impact nearly 3 million people a year and are responsible for 35,000 deaths. That's less than COVID-19, but there is new evidence the two are colliding.A new CDC report points to an outbreak of a multiple drug-resistant bacteria at a New Jersey hospital already dealing with a surge of COVID-19 patients. From February through July, there were 34 of the bacteria cases. Half were in COVID-19 patients and 10 of them died.At the time, the hospital wasn't able to use the same standard of infection control practices due to capacity, shortages in PPE, medical equipment and staff.“Certainly, having health care workers healthy so they can take care of patients is very important,” said Boucher. “You might have seen that there had been some outbreaks, places across the country that have really impacted the ability to have adequate health care workers take care of patients, and that is the worst thing that could happen. And we know leads to unnecessary deaths.”COVID-19 hospitalizations are higher now than the previous two peaks in April and July.Recruiting additional medical staff is also more difficult now as more hospitals are seeing surges. In the spring, some medical facilities were laying staff off due to fewer patients.The CDC says drug-resistant infections decreased when COVID cases dropped. Basic hand hygiene can help prevent the spread of both. 1908

The focus of many protests going on around the country is centered around a number of topics. Social Injustice, police brutality, and, more specifically, victims of these, like George Floyd. While each topic is distinct, with its own intricacies, they generally all fall under the same umbrella of systemic racism.But what does that mean exactly?“I think of systems in play that keeps you from being great specifically because of your race,” R. Kweku Smith, a licensed psychologist said. “It’s something that holds you down in a way that appears to be invisible but has very visible results.”“It’s acknowledging the ways in which we have looked at race as part of the institutions that make up our lives,” Monique Liston, Chief Strategist at Ubuntu Research and Evaluation said. “There is no such thing as a race-neutral situation because race is so deeply embedded in what it means to live, to work, and to play. That’s what systemic racism is.”Liston has her Ph.D. in urban education. She says, as a Black woman, she experiences the effects of systemic racism regularly when people discount her expertise in the education field.“I say something about education and I have a Ph.D. in it and people will be like, I don’t think so,” Liston said of how people question her. “There is presumed incompetence, a presumed questioning. That assumption you don’t quite know what you’re talking about.”As a psychologist, R. Kweku Smith looks at the impact experiences, like the one Liston described, can impact the psyche of African Americans.“It weighs extremely heavy,” Smith said. “Part of that racial socialization, part of that talk is a speech that you have [growing up], that you have to be twice as good to get half as far. As a child, imagine the ramifications on your mind and thinking, you hear America is a place for the great, for the free, equal opportunity for all. It’s the contradiction living within it. To be in a place that’s most beautiful, the riches, all of the great things that come with America. Yet, the juxtaposition with all the ugliness that comes in, specifically the people who look [like me], it’s a hard thing to swallow.”Smith says there are examples of systemic racism in almost everything.“When you look at stillbirths, low birth rates, look at detentions and suspensions and special education,” Smith said. “Lower employment, underemployment, prison placement, early deaths. We rank high on all of those. Why is that? It’s systemic racism.”Both Liston and Smith acknowledge some people don’t believe systemic racism exists, despite pointing out the areas where African Americans are impacted disproportionately. They say, because white people don’t physically experience any of these issues on a wide scale, it’s hard to believe it’s true.“If it’s this invisible issue, you don’t have to deal with it,” Smith said. “It doesn’t seem real.”“It’s easy to acknowledge something doesn’t exist when it doesn’t affect you,” Liston said. “It’s denying air exists when I don’t see it. It’s like, OK. True. But, when I go through the science of why you’re breathing, air does exist. The same thing applies to systemic racism. The reason you’re not impacted by it is that it exists.”While Smith’s examples were some big picture issues facing people of color in health, education, and the prison system, Liston gave examples that are more personal and not as complex but still cause challenges.“People being judged by names on job applications,” Liston said. “A name similar to mine, Monique, might be something where, oh we can’t hire her. She’s not someone we’re looking for. Another one is addresses. When you have addresses on job applications, we don’t want someone represented from that neighborhood. It comes into inherently believing I’m incompetent because I'm Black.”Even daily tasks for women like Liston are impacted by systemic racism.“Is it easy for me to buy stuff for my hair at the store?” Liston said. “No. Is it easy for me to buy the makeup I want? Absolutely. If I needed something special for my hair, I had to go someplace else other than where my friends were going. It’s like the world is set up for me to be used to, not being catered to. That’s the difference. The world doesn’t cater to me and I’m used to it. The world caters to white folks and they’re used to that.”In order to better understand what systemic racism feels like, Liston gave the example of swimming.“Tell me about one of your experiences going swimming,” Liston said. “Then, someone says, no you didn’t. That’s not how it felt. That’s not what you experienced.”Liston says, that process repeats itself over and over for people of color. It can take a toll on them mentally, leaving to them feeling their experiences, opinions and really, their existence, doesn’t matter.Even though she joked around about how ridiculous some of her examples are, Liston says it causes a tremendous amount of pain for her. Humor is a coping mechanism for her but it shouldn’t be taken as a reason to further discount her experience as a Black woman.“It’s hard for white folks to reconcile that, amidst an anti-Black world, I can experience joy,” Liston said. “It’s hard to believe. Folks won’t take my story as seriously. [They’ll say], it can’t be that bad. You’re smiling. You’re happy. You’re enjoying life. It’s like, no. If I didn’t, the world would kill me.”It’s why she and Smith are so motivated to try and tear down systemic racism and make the world a more equitable place. Despite their own success, they feel an obligation to break down barriers they faced along the way to achieve that equity.“What you don’t recognize is the level of tenacity, resilience, perseverance to obstacles we have had to go through to be able to get to this point,” Smith said. “What would be the case if everyone had a truly level playing field? When you see systemic racism as a Black person who made it, you see all of your friends and families, who are just as talented as you, but maybe not as lucky to get a second or third chance. Or, maybe one of those obstacles got them in a way it didn’t get you.”In order to eliminate systemic racism and the problems it causes, Liston and Smith both just ask for empathy. To understand the white view of the world isn’t the view of every person in the world and the disadvantages they have faced are very real.“We have different ways oppression affects our lives,” Liston said. “In particular, talking to women, they can articulate what it’s like being in a male-dominated society. Let’s put race on top of that. Being able-ist. People with two arms and legs and can move about are living in a different world than folks who don’t have that. Including mental ability too. Being able to be in a space where that is questioned and adding the race question on top of that usually is the ah-ha moment for people. If it’s true here, it must be true in this circumstance as well.”In order to help, Liston suggests white people have more empathy and most importantly, believe their experiences."Follow and trust people of color, specifically Black women, when they tell you what the situation is," Liston said. "Trust it, read on it, and believe it. Then apply it to your own life. Second, unlearning and understanding what whiteness is. White folks don't do that. They want to learn about all of these culturally responsible things. Really, it's an opportunity for white folks to understand whiteness. If white people understand whiteness, the systemic racism issue can really be addressed quickly. Whiteness shapes the world we live in. Everything from the clothes we wear to what's popular on television or who is promoted at work, what names are popular this year. How the media even tells stories. Understand how whiteness was created, who was allowed to be white and how whiteness permeates society is really a great exercise for white folks to go through."This story was first reported by Shaun Gallagher at TMJ4 in Milwaukee, Wisconsin. 7976

The current day trading boom will end as these frenzies always do: in tears. While we wait for the inevitable crash, let’s review not only why day traders are doomed but also why most people shouldn’t trade, or even invest in, individual stocks.Day trading basically means rapidly buying and selling investments, hoping to profit from small price fluctuations. Brokerages have reported a surge in trading and new accounts this year, starting with March’s stock market crash when investors rushed in looking for bargains. As pandemic lockdowns kept people from their jobs and classrooms, trading continued to soar, especially among young adults.The poster child for this gold rush is Robinhood, a commission-free investing app that uses behavioral nudges to encourage people to trade. Robinhood added over 3 million accounts this year and in June logged more trades than any of the established, publicly traded brokerages. More than half of its customers are opening their first investment account, the company says.People can start trading with small amounts of money because Robinhood offers fractional shares. In addition to stocks and mutual funds, the app allows trading in options, cryptocurrencies and gold. Customers start out with a margin account, which allows them to borrow money to trade and amplify both their gains and their losses.Alexander Kearns, 20, is one example of what can go wrong. The University of Nebraska student killed himself after seeing a 0,165 negative balance in his Robinhood account. The novice trader may have misunderstood a potential loss on part of an options tradethat he made using borrowed money as a loss on the whole transaction. In reality, he had ,000 cash in his account when he died.Research has shown that the vast majority of day traders lose money, and only about 1% consistently get better returns than a low-cost index fund. A rising stock market, and a flood of inexperienced and excitable investors willing to bid up stock prices, has convinced more than a few day traders that they’re part of that 1%. They’re being egged on by the few people who actually will make money: the hucksters selling seminars, e-books and strategies that purport to teach you how to successfully trade.Stocks don’t always go upStocks overall are an excellent way to gain wealth over the long term. If you can weather the downturns, stocks historically have offered good returns.Those downturns can be doozies, however. Stocks lost half their value during the Great Recession that started December 2007. The market lost nearly 90% of its value in the early years of the Great Depression.Extended downturns have popped previous day trading bubbles, including the one that formed during the dot-com boom. The Nasdaq composite stock index rose 400% in five years, only to lose all of those gains from March 2000 to October 2002.Markets that go down eventually come back up. That’s not true of individual stocks. Any single stock can lose value, sometimes all the way to zero, and never recover.The sensible way to hedge that risk is diversification. That means buying stocks in many, many companies, including companies of different sizes, in different industries and in different countries. That’s prohibitively expensive for most individual investors, which is why mutual funds and exchange-traded funds are a better bet.There’s no such thing as a free tradeAnother way to grow wealth is to minimize investing costs. That means trading less, not more, because trading incurs costs even when there are no commissions involved.Investments held more than a year benefit from favorable capital gains tax rates, for example. Those held less than a year are taxed as income if the trade wasn’t made in a tax-deferred account such as an IRA.Another way cost is incurred is in what’s known as the bid/ask spread. The banks and financial institutions that facilitate trading in various stocks are called market makers. They offer to sell stocks at a certain price (the ask price) and will purchase at a slightly lower price (the bid price). People who trade stocks instantly lose a little money on each transaction because of this difference. That’s not a big deal for infrequent traders, but the costs add up if you churn stocks in and out of your portfolio.The biggest potential cost, though, is that every trade exposes your portfolio to the many ways we humans have of screwing up our money. We’re loss-averse and we want to avoid regret, so we hang on to losing stocks. We think that we can predict the future or that it will reflect the recent past, when this year should have taught us that we can’t and it won’t.We also think we know more than we do, a cognitive bias known as overconfidence. If you’re determined to trade, or day trade, don’t gamble more than you can afford to lose, because you almost certainly will.This article was written by NerdWallet and was originally published by the Associated Press.More From NerdWalletSuddenly Retired? Here’s What to Do NextSmart Money Podcast: Sudden Retirement and Finding Lost MoneyYou Can Use a Crisis to Build Helpful Money HabitsLiz Weston is a writer at NerdWallet. Email: lweston@nerdwallet.com. Twitter: @lizweston. 5216

The destructive storm surge has receded, and the clean up has begun from Hurricane Laura in Texas and Louisiana. But officials along this shattered stretch of Louisiana coast are warning returning residents they will face weeks without power or water amid the hot, stifling days of late summer. Hundreds of thousands of people in two of the hardest-hit states are reported to be without power following the severe storm.The U.S. toll from the Category 4 hurricane stood at 16 deaths, with more than half of those killed by carbon monoxide poisoning from the unsafe operation of generators. President Donald Trump landed in Louisiana Saturday afternoon to tour the damage in Louisiana and will head to Texas next. 720

The Ebola virus outbreak in the Democratic Republic of Congo has killed 33 people, the World Health Organization said Sunday.An additional 43 suspected cases of Ebola were reported, including 13 confirmed by lab testing, according to WHO.The outbreak is spreading through five health zones in North Kivu province and one health zone in Ituri province, which poses geographic and political challenges, the WHO said. North Kivu borders Rwanda and Uganda and trade activity fuels heavy movement across the borders.North Kivu also hosts over 1 million displaced people and fighting between government forces and armed militant groups makes containing the highly infectious virus a challenge. 695

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