山东有什么方法可以治疗痛风性关节炎(济南痛风能开刀治疗吗) (今日更新中)

Is it an addictive drug, or a way to actually overcome addiction? The FDA is considering regulating an herbal drug called Kratom. But a group of doctors is pushing back, saying it's part of the solution not part of the problem. They may be color coded, but for Catherine Nieves, the liquid she's pouring in her cups are more than trendy new drinks. She says what's inside them, changed her life."I was homeless and a drug addict who lost custody of my oldest child," Nieves says.Nieves owns a store and prepares drinks made with Kratom, a coffee-like herb. After a C-section a few years back, she started taking Kratom for pain, instead of the addictive opioid Percocet her doctor prescribed."It made the pain just as manageable," Nieves says. "But it was healthier for me mentally just to not get back in the habit with pills when it was something that I was already very sensitive to.But the FDA describes Kratom differently, calling it dangerously addictive, and similar to narcotics like opioids with respect to addiction and death."Yes they interact similar with opioid receptors in the body but the effects are very different," says Oliver Grundmann Ph.D. with the University of Florida.Dr. Grundmann is one of several doctors publicly rejecting the FDA's position on Kratom. He says it doesn't impact breathing the way opioids do, so that lessens the chance of an overdose. And he says the FDA is wrong to link it to 44 deaths in the last decade."So we are not saying that Kratom doesn't have potential adverse effects," Dr. Grundmann says. "But is it positively linked to these deaths? We don't think so."Grundmann believes it should be regulated by the FDA but not as a narcotic."What is at the heart of all of this is we want to consumers to be protected and we want them to have quality products," Grundmann."I have children I have a great life that I've made for myself it's just entirely too much to possibly jeopardize," Nieves says.Nieves wants people who are in her situation to see a safer way out.Nieves says, "It seems like a bottomless hole, addiction. But there is so much hope and Kratom gives people hope." 2147

It will perhaps be the biggest story in December as well as the upcoming months. When will vaccine distribution be available to you or your family? Recent news from Pfizer and Moderna is making vaccine distribution a reality in the near future. So what should you know? KEY FDA MEETINGS The first key date is December 10. That is when the FDA will hold a hearing on Pfizer's vaccine. Moderna's vaccine will get a hearing on December 17. The hearings are being conducted by the “Vaccines and Related Biological Products Advisory Committee,” and they could give approval within 72 hours of the first hearing taking place. WHAT HAPPENS AFTER FDA APPROVAL After FDA gives the go ahead, the CDC will finalize who should get it first. The good news is that the CDC have already released who they think should be first in line. Earlier this week, an advisory committee to the CDC recommended health care workers and those in nursing homes receive access almost immediately. Ultimately though, governors will serve as "air traffic controllers" directing which specific facility has access to the first doses of vaccines. If the current timeline holds, those orders could start going out on December 11 or December 12. AVERAGE AMERICANS TIMELINE AND POTENTIAL ISSUES If you are not deemed a high priority, it will still likely be months before you are able to get a vaccine. Some analysis point to Februrary, but other analysis point to April or May. Some potential issues for distribution include the temperature the vaccines must be stored at. The Moderna vaccine can stay in traditional refrigerators at around 40 degrees or so but Pfizer's must be stored at -94 degrees, which may be trickier to transport in more rural parts of the country. Another big question mark is will Americans actually want to be the first to take the vaccine? "All the science in the world isn’t going to matter if you can’t people to be immunized against COVID," Dr. John Brownstein of Boston Children's Hospital said. Former Presidents George W. Bush, Barack Obama and Bill Clinton are said to be committed to receiving the vaccine live on television in order to inspire confidence. 2166

In general, using as little of your credit card limits as possible is better for your score. So logic would suggest that paying off your credit cards early so that a zero balance is reported to the credit bureaus would produce the highest scores, right?Turns out, having 1% of your credit limits in use may help your credit score even more than showing 0% usage. Counterintuitive as it is, that’s how credit scoring works.Why 1% is better than 0%Credit scoring systems are designed to predict how likely you are to repay borrowed money. The two biggest credit factors — accounting for about two-thirds of your score — are paying on time and the amount you owe.Credit utilization, or the percentage of your credit card limits you use, is one of the biggest levers you can pull to affect your score, and it works quickly: Your utilization changes as soon as card issuers report your new balances to the credit bureaus each month.If you are trying to squeeze every possible point from credit utilization, the trick is to aim low — just above zero. Credit expert John Ulzheimer says that data has shown that 1% credit utilization predicts slightly less risk than 0%, and scoring models reflect that.Tommy Lee, principal scientist at FICO, one of the two dominant credit scores, explains it this way: “Having a low utilization indicates you are using credit in a responsible manner.”How to shoot for 1%If you’re aiming for a perfect 850, or are close to qualifying for a lower interest rate on a loan, shooting for 1% might help you gain a few points. You could aim to zero out your credit cards, knowing that your regular use of the cards will keep some small percentage of your limit in use.Ulzheimer, who has worked for credit bureau Equifax and credit scoring company FICO, explains how: “If you can pay off your balance in full by the statement closing date, then you’ll get a statement with a zero balance and that’s what will appear on your credit reports.” Or, you can pay off a card in full by the due date and stop using the card entirely for the next billing cycle to get to a zero balance.“But 1% could be better if you can pull it off,” Ulzheimer says.You could do that by using the AZEO (all zeros except one) strategy to get every credit card but one to a zero balance. Because credit utilization is calculated both overall and per card, you may want to use your highest-limit card as the one that will have a statement balance. Simply add all your credit limits together, and figure 1% of that.You can also try paying online as soon as a transaction posts to keep the balance low. Or, use a personal finance website or your card issuer website to check your credit utilization weekly. Then make a payment to bring it down, rather than waiting for your monthly statement.What if I can’t make it to 1%Keeping utilization under 10% is another worthy goal. Lee says that the top 25% of FICO credit scorers use about 7% of their credit limits. If you pay on time and keep balances low relative to credit limits, your scores will generally be high.Ulzheimer points out that if you are fretting over whether you want a credit utilization of 1% or 0%, it’s worth noting that either is excellent. And it’s entirely possible to score a perfect 850 without the elusive 1%. How that works is part of the “secret sauce” that scoring companies do not reveal.How to get and keep a high scoreNothing is more important to your score than paying bills on time. The scoring penalty for a missed payment is severe, and a payment that’s 30 or more days late can stay on your credit report for up to seven years.Also, use cards lightly and keep balances low to keep your credit utilization low.In addition, keep an eye on the other factors affecting your credit score:Check your credit reports for errors (you can access them by using AnnualCreditReport.com).Keep credit card accounts open.Aim to space credit applications about six months apart.Use both installment credit (loans with level monthly payments) and credit cards.And monitor your credit — regular checkups are part of staying financially healthy.This article was written by NerdWallet and was originally published by The Associated Press.More From NerdWalletWhat to Do When Your 0 Weekly Unemployment Check ExpiresIs That ‘Contact Tracer’ Really a Scammer? How to TellWhat to Do With Your ‘Treasures’ the Kids Don’t WantBev O’Shea is a writer at NerdWallet. Email: boshea@nerdwallet.com. Twitter: @BeverlyOShea. 4475

INDIANAPOLIS — Two Indiana veterans are raising concerns publicly about the Military Family Relief Fund, a fund that helps veterans get emergency help with food, housing, utilities, medical services and transportation.When you purchase a veteran license plate or a Support the Troops plate, a chunk of that money goes into the Military Family Relief Fund.The Indiana Department of Veterans Affairs administers the fund, and it says on their website that veterans and their families can get up to ,500.“Grants up to ,500 may be awarded,” reads the website. “The qualified individual or family member can receive up to ,500 one time from the Family Relief Fund.” Lisa Wilken, an Air Force veteran and veterans advocate, told WRTV someone contacted her with state records that show some people are getting beyond the ,500 limit.“I was very shocked,” said Wilken. “The big deal is ... the rules are the rules.  Anytime it’s beyond that limit, that’s a misuse of that fund.”The records shared with WRTV show several of the people who received more than the ,500 include employees of the Indiana Department of Veterans Affairs and the Military Family Relief Fund itself.“Employees at IDVA have been able to get this fund above ,500 where veterans around the state have been denied that opportunity,” said Wilken.Since 2016, IDVA has denied 799 applications to the Military Family Relief Fund.During that time frame, 3,971 applications have been approved.William Henry, an Army veteran and former adjutant of the American Legion, is also concerned about the inconsistency of how the fund is distributed to veterans in need."Those documents show potential misuse with the Military Family Relief Fund," said Henry. “To me, it looked very suspicious and called a lot of things into question and I thought immediately it needed to be looked into.”Henry said the American Legion asked him to resign when he pushed for the Indiana Inspector General to investigate IDVA and the Military Family Relief Fund."That's what it comes down to, doing the right thing,” said Henry. “Even though I lose a job. I'll find another job. That's fine but the thing that's important to me is justice."WRTV asked for an on-camera interview with IDVA director Jim Brown.He declined but provided a statement in which he said “a limited number” of people who received funds beyond the ,500 limit were IDVA employees. 2438

In the months since last November's election, the Merriam-Webster dictionary has been on overdrive.It's transformed itself into a cheeky, fact-checking machine. And in the process, it's struck social gold (more than half a million Twitter followers and counting).On Monday, the dictionary released more than 250 new words and definitions. True to its fresh image, the list includes several words that, in this new political and social climate, have taken on a different meaning.Consider "troll."Originally, it was a noun used to describe a dwarf or giant in Scandinavian folklore. The new definition that Merriam-Webster added is a verb: "to antagonize (others) online by deliberately posting inflammatory, irrelevant, or offensive comments or other disruptive content."How about "dog whistle?"Once upon a time, it was what it said: a whistle for dogs inaudible to humans. Now, it's earned a political twist: It's "an expression or statement that has a secondary meaning intended to be understood only by a particular group of people."Other additions this go-round include "alt-right," "concealed carry" and "open carry.""With politics seeming to be ever-prominent in the public's mind, terms like alt-right and dog whistle are not surprising additions," Merriam-Webster said in a statement on its website.The dictionary usually releases its list of new words every few months. When the last list came out in February, the 1,000+ new words included "SCOTUS," "FLOTUS," and "truther." 1491

来源：资阳报