济南痛风脚中指疼(济南尿酸值多少是正常范围) (今日更新中)

In the wake of COVID-19, doctors officers switched to treatment through telehealth to keep patients safe. For addicts and recovering addicts, the idea of getting help though virtual connections was a little different.“I’ve continually gone to meetings for 39 years, and now all of a sudden I’m not going to meetings,” Kathleen Gargan said. She’s been sober since 1981. “Thirty-nine years. I’m very lucky.”She has been going to meetings with different recovery groups for decades.“I think that's what’s kept me sober all this time is continually going to meetings and being reminded of what my life was like when I drank,” she explained. Most recently through LifeRing, a peer-to-peer support organization.For the last few months, group meetings have been mostly non-existent. The COVID-19 pandemic forced support groups to move online, which has its pros and cons.“It has made treatment available to some people who otherwise wouldn't be able to get it because they're in rural areas or far away, but it is lacking some of that in person interaction, accountability,” Doctor Christian Hopfer, an addiction psychiatrist, said. He is with the UCHealth Center for Dependency, Addiction and Rehabilitation in Colorado. “A lot of the treatment is connecting with other people in person.”Quarantinis, virtual happy hours, physical isolation. Market research firm Nielsen found that in-store alcohol sales growth for the week of March 31 spiked 54 percent compared to the year before. For the entire month of April, online alcohol sales were up 400 percent or more compared to the same time in 2019.“We have patients who lost their jobs, were at home, and just started drinking all day,” Dr. Hopfer said. He said he’s even had some patients show up to virtual sessions intoxicated.Still -- he says virtual support is better than no support.“We felt having a telemedicine option was incredibly important to people. Both for people who live in an area where they don't have resources available for addiction treatment, but also for people who have busy lives,” Doctor Abe Malkin, a Medical Advisor for Monument, said.Monument is a new platform aimed at connecting patients to doctors.“Initially, the founder Mike Russell created Monument through his own journey to change his relationship with alcohol,” Dr. Malkin said. “Due to the pandemic and to social distancing and stay-at-home orders, people have had to deal with increasing anxiety, feelings of isolation, which have further triggered relapses in the community.”Monument doesn’t replace the detox process, but it works for those looking for a treatment center, a doctor to connect with, or for peer support.“We’re really trying to make this more welcoming, more inviting to people. Something they can feel that they’re part of a community without having to depart from their normal daily routines,” Dr. Malkin said.Even with new platforms to help with connection, Gargan says nothing beats in-person interaction.“Since we have the Zoom meetings, they feel great about it, they don't have to get out of their pajamas ….and they don't have to drive anywhere,” she said. “Face to face experience is, in general, richer.” 3174

It’s hard to know what so many of us face by just passing by.“I had lived in a very dark place for a very long time," said Taylor Tripp.When someone, like Tripp, let’s you see their struggle, you can grasp the strength of mental health's grip."I was on my last rope," she said.Mental health is a battle that psychotherapist Shelli Myles says we can’t fight the same way anymore.To her, that hope is found at her business, The Mind Gym in Centennial, Colorado, where they specialize in neurofeedback.“When they come here, we’re trying to give them hope and help them see that there is another way to help themselves," Myles said. “We put electrodes on the head. We’re monitoring live brain waves."She says, in a recording of the brain’s waves, she can see certain brainwave activity associated with challenges like depression or anxiety.“If someone has too much or too little of something, that causes them to have symptoms," Myles said.She says with neurofeedback, they then “train” the brain to perform better.A patient sits in a chair with electrodes attached to their head as they watch a screen with headphones on. Their brain is rewarded when their brainwaves are in a certain range with a screen that brightens and audio that plays louder in their headphones.“The brain is training to do what we’re asking it to do," Myles said.Think of it as conditioning, just like any other part of the body.“Your brain is a muscle, just as if you were to have a sprained ankle or a broken leg. You can’t expect someone to run a race with it," Tripp said.Shelli sees the methods they use at The Mind Gym as a way to treat mental health beyond traditional paths such as medication, and a way to reach breakthroughs that can feel hard to find.“It’s kind of like an onion. It will unfold stuff," Myles said. "So the importance of having a counselor while you’re doing neurofeedback is important.”Though it is not approved by the Food and Drug Administration, the National Institutes of Health says Neurofeedback is an alternative method that has shown improvement in treating many mental health disorders. But its report suggests the benefits aren’t long-lasting.“I’m able to sleep for the first time in my life," Tripp said.Tripp says her sessions twice a week for six months have undeniably worked for her.“Colors are brighter, food tastes different, it’s beyond words really," Tripp said. “To know I could have transformed my life so long ago, nobody should be struggling right now that this is out there.” 2506

IRAPUATO, Mexico (AP) — Several thousand Central American migrants marked a month on the road Monday as they hitched rides to the western Mexico city of Guadalajara and toward the U.S. border.Most appear intent on taking the Pacific coast route northward to the border city of Tijuana, which is still about 1,550 miles (2,500 kilometers) away. The migrants have come about 1,200 miles (1,900 kilometers) since they started out in Honduras around Oct. 13.But whereas they previously suffered from the heat on their journey through Honduras, Guatemala and southern Mexico, they now trek to highways wrapped in blankets to fend off the morning chill.Karen Martinez of Copan, Honduras and her three children were bundled up with jackets, scarves and a blanket."Sometimes we go along laughing, sometimes crying, but we keep on going," she said.While the caravan previously averaged only about 30 miles (50 kilometers) per day, they are also now covering daily distances of 185 miles (300 kilometers) or more, partly because they are relying on hitchhiking rather than walking.On Monday morning, migrants gathered on a highway leading out of the central city of Irapuato looking for rides to Guadalajara about 150 miles (242 kilometers) away."Now the route is less complicated," Martinez said.Indeed, migrants have hopped aboard so many different kinds of trucks that they are no longer surprised by anything. Some have stacked themselves four levels high on a truck intended for pigs. Others have boarded a truck carrying a shipment of coffins.Many, especially men, travel on open platform trailers used to transport steel and cars, or get in the freight containers of 18-wheelers and ride with one of the back doors open to provide air flow.But the practice is not without dangers.Earlier, a Honduran man in the caravan died when he fell from a platform truck in the Mexican state of Chiapas.Jose Alejandro Caray, 17, of Yoro, Honduras, fell a week ago and injured his knee."I can't bend it," Caray said, as he watched other migrants swarm aboard tractor-trailers."Now I'm afraid to get on," he said. "I prefer to wait for a pickup truck."After several groups got lost after clambering on semitrailers, caravan coordinators began encouraging migrants to ask drivers first or have someone ride in the cab so they could tell the driver where to turn off.Over the weekend, the central state of Queretaro reported 6,531 migrants moving through the state, although another caravan was further behind and expected to arrive in Mexico City on Monday.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 say they are fleeing rampant poverty, gang violence and political instability primarily in the Central American countries of Honduras, Guatemala, El Salvador and Nicaragua.Mexico has offered refuge, asylum or work visas, and its government said 2,697 temporary visas had been issued to individuals and families to cover them during the 45-day application process for more permanent status.But most migrants vow to continue to the United States. 3279

INDIANAPOLIS — The first officers to respond to a reported stabbing in Indianapolis Sunday night walked into a chaotic scene: shards of broken glass strewn about the floor; a wig that had been forcibly ripped off someone’s head; and blood smeared from one end of an apartment’s hallway to another.Just inside one of the units at the St. George Apartments police found 45-year-old Vickie Jackson collapsed on the floor. She had been stabbed multiple times and was in extremely grave condition. She was pronounced dead 35 minutes later at Methodist Hospital.Surveillance video obtained by investigators shed light on the chaos.According to a probable cause affidavit filed in Marion County court Monday, a camera captured Jackson and another woman, later identified as 35-year-old Tashawanna Wilson, fighting in the hallway.In the video, police say, Wilson can be seen breaking a wine bottle against Jackson. Wilson then allegedly used the top portion of the broken bottle to stab Jackson numerous times.Police broadcast a description of Wilson, and an officer located her a short time later on the campus of the Tindley Genesis Academy at 24th Street and Capitol Avenue. Wilson was reportedly covered in blood and carrying a hatchet, which was also covered in blood.According to police, Wilson admitted to striking Jackson with a wine bottle during a fight and to going to a friend’s house to change clothing afterward.Wilson was taken into custody on a preliminary charge of murder and booked into the Marion County Jail without bond. As of Monday afternoon, prosecutors were still reviewing the case against her for a final charging decision.Court records show Wilson has previously been charged three times with battery in Marion County, most recently in February 2013. She pleaded guilty to resisting law enforcement in that case and was sentenced to time served. 1874

It is the best-selling soft drink in Scotland, often referred to as the country's "other national drink," so it should perhaps come as no surprise that the banning of Irn-Bru from a luxury golf resort owned by Donald Trump has caused many Scots to see, erm, orange.Reports that Trump Turnberry in Ayrshire has removed the bright orange fizzy drink, which is more popular than Coca-Cola in Scotland, from sale over fears that the beverage could permanently stain the resort's expensive carpets has been a trending topic in the United Kingdom on Twitter.The ban apparently came to light after a request by guests for Scotland's favorite non-alcoholic beverage to be supplied at an event was refused.As part of the five-star resort's ￡200 million (1 million) upgrade, hundreds of thousands of pounds was reportedly spent on carpets.Ralph Porciani, Turnberry's general manager, told the Ayrshire Post: "We can't have it staining when to replace the ballroom carpet would be ￡500,000 (8,800) alone."We have villas here with Irn-Bru stains in the carpets which I can't let."National newspaper The Scotsman published an editorial on the subject entitled "An unfortunate stain on Trump's reputation.""The resort may have ballroom carpets to protect but surely the stain on Trump's reputation from this ill-considered decision is much, much worse," the newspaper wrote.On Twitter, Edward MacKenzie said: "This time he really has gone too far!" while Occasionally Odd tweeted: "Why don't they just make all the carpets #irnbru coloured?" and Simon MacMichael said: "The President of the United States has just declared war on Scotland."When contacted by CNN, Trump Turnberry did not have anyone available for comment, saying that Porciani was "too busy to provide comments on this." AG Barr, the makers of the drink, has also declined to comment on the ban.According to Irn-Bru, the equivalent of 20 cans of its drink, which was first produced in 1901, is sold every second.So popular is the drink in Scotland that fans stockpiled cans in anticipation of the UK government's introduction of a sugar tax on soft drinks last month which forced a change in recipe that cut the sugar by almost half.Last year social media fizzed when Barack Obama was given a sugar-free version of the beverage on his first visit to Scotland, while in 2014 Canada banned Irn-Bru -- and other well-known British products such as Marmite and Ovaltine -- because it contained unapproved ingredients.It is not the first time that Trump, whose mother was born on the island of Lewis, has irked the Scots, with the US President accused of breaking promises and ruining Scottish dunes with his Aberdeenshire golf course.Last year, members of the UK Parliament debated a motion to stop the billionaire from making an official state visit to the country after more than 1.8 million people signed a petition calling for the trip to be downgraded in the wake of Trump's proposal to ban citizens of some predominantly Muslim countries from entering the United States.Trump is set to visit Britain in July, though not on a full-blown state visit, and is expected to meet Queen Elizabeth II, but it is not clear yet what beverage will be served up for the occasion.  3240

来源：资阳报