济南痛风能不能吃石螺济南尿酸高什么,山东无症状血尿酸高的原因,济南治疗痛风石的价格,山东去医院看痛风要挂什么科室的号,山东怎么样治疗脚痛风好,济南痛风石要不要做手术治疗,济南运动后尿酸高

CHICAGO (AP) — Tony La Russa, the Hall of Famer who won a World Series championship with the Oakland Athletics and two more with the St. Louis Cardinals, is returning to manage the Chicago White Sox 34 years after they fired him. “While I have had other inquiries about managing since retiring, this opportunity with the White Sox brings together a number of important factors that make this the right time and the right place,” La Russa said in a press release. “The on-field talent is amazing, and the front office, led by Kenny Williams and Rick Hahn, has done everything necessary to create an atmosphere of long-term success. All of those factors aligned to make this a tremendous opportunity, and I am excited to get going as soon as possible by building a coaching staff and getting to work.”The 76-year-old La Russa rejoins the franchise where his managing career began more than four decades ago. “We are extremely excited about the future of this team,” said Rick Hahn, White Sox general manager/senior vice president in the press release. “As we showed in 2020, this is a young, talented club that we expect to only grow better and better in the coming years. Adding in a Hall of Fame manager who is recognized as being one of the best in the history of the game, we are a step closer to our goal of bringing White Sox fans another championship.”He takes over for Rick Renteria after what the White Sox insisted was a mutual agreement to split. La Russa in only the third skipper to manage the White Sox twice, the team said.La Russa inherits a team loaded with young stars and productive veterans that made the playoffs for the first time since 2008.According to ESPN, La Russa is now the oldest active manager in the leagues by five years. Houston Astros' skipper Dusty Baker is 71.La Russa hasn't managed a team since 2011 when the Cardinals defeated the Texas Rangers in the World Series, ESPN reported. 1926

Can you spot a fake?Some US Customs and Border Protection officers did -- in September, they intercepted a shipment of over over 9,000 counterfeit Nike sneakers in New York, the agency said in a news release.The shipment of shoes had come from China and was headed to California, when CBP officers inspected it at the Port of New York/Newark.They thought something looked off about the shoes, and submitted images to the CBP's Apparel Footwear and Textiles Center for Excellence and Expertise, the agency's trade experts.On Thursday, the agency concluded the shoes were counterfeit and seized them. Real versions of the sneakers would have been worth nearly .7 million, according to CBP."This significant seizure of counterfeit Nike sneakers illustrates Customs and Border Protection's continued commitment to protecting the American consumer against the proliferation of substandard and potentially unsafe counterfeit consumer goods," stated Troy Miller, Director of CBP's New York Field Office, said in a statement Tuesday.On a typical day in 2017, CBP seized .3 million worth of products with Intellectual Property Rights violations in a day, according to the agency."Enforcing Intellectual Property Rights laws is a CBP priority trade mission," said Miller. "We will continue to work closely with our trade and law enforcement partners to identify and seize counterfeit merchandise that could potentially harm US consumers and businesses." 1460

California's attorney general sued Sutter Health, accusing the hospital giant of illegally quashing competition and for years overcharging consumers and employers.The lawsuit marked a bold move by state Attorney General Xavier Becerra against the dominant health care system in Northern California as concerns mount nationally about consolidation among hospitals, insurers and other industry middlemen."It's time to hold health care corporations accountable," Becerra said at a news conference Friday. "We seek to stop Sutter from continuing this illegal conduct."The antitrust suit, filed in San Francisco County Superior Court, asks the court to prevent Sutter from engaging in anticompetitive practices and "overcharges."It said Sutter employs a variety of improper tactics, such as gag clauses on prices, "punitively high" out-of-network charges and "all-or-nothing" contract terms that require all of its facilities to be included in insurance networks.Taken together, Sutter's actions "improperly block any and all practical efforts to foster or encourage price competition between Sutter and any rival Healthcare Providers or Hospital Systems," according to the state's complaint. "Sutter's conduct injured the general economy of Northern California and thus of the state.Sutter, which owns 24 hospitals, reported net income of 3 million last year on .4 billion in revenue. Sutter's nonprofit health system also has 35 surgery centers, 32 urgent-care clinics and more than 5,000 physicians in its network.In a statement, Sutter it was reviewing the complaint and couldn't comment on specific claims.Overall, Sutter said, "healthy competition and choice exists across Northern California" for consumers seeking medical care. It also said its charges for an inpatient stay are lower than what other nearby hospitals charge."Sutter Health is proud to save patients, government payers and health plans hundreds of millions of dollars each year by providing more efficient and integrated care," the statement said.This high-profile legal fight caught the attention of employers and policymakers across the country amid growing alarm about the financial implications of industry consolidation. Large health systems are gaining market clout and the ability to raise prices by acquiring more hospitals, outpatient surgery centers and physicians' practices.Martin Gaynor, a health care economist at Carnegie Mellon University, said California's lawsuit may portend more litigation at the state level."There are a number of markets in the U.S. that are dominated by one very large, powerful health system," Gaynor said. "It could be that we're going to see a new level of activity by state antitrust enforcers looking at competition in their own backyards."Glenn Melnick, an economist and expert on hospital finances at the University of Southern California, said if the state prevails against Sutter it could put "a chill on anticompetitive practices that are being adopted across the U.S. and that could help slow down hospital price increases. That would be good news for consumers."The complaints about Sutter's high prices and market power have persisted for years.The state said its investigation started in 2012 under Kamala Harris, California's previous attorney general and now a U.S. senator. Six years ago, her office sent subpoenas to several health systems and insurers seeking information about market concentration and its effect on medical prices.A 2016 study found that hospital prices at Sutter and Dignity Health, the two biggest hospital chains in California, were 25% higher than at other hospitals around the state. Researchers at the University of Southern California said the giant health systems used their market power to drive up prices — making the average patient admission at both chains nearly ,000 more expensive.Last week, researchers at University of California, Berkeley issued a report that examined the consolidation of the hospital, physician and health insurance markets in California from 2010 to 2016. The authors said 44 of California's 58 counties had "highly concentrated" hospital markets.After the report was issued Monday, Becerra said his office would be reviewing those findings and pledged to apply more scrutiny to health care mergers and anti-competitive practices across the state.Sutter Health has gobbled up doctors' practices across the Bay Area, gaining market muscle that has pushed costs upward. Obstetricians employed by Sutter Health, for example, are reimbursed about three times more for the same service than independent doctors, according to a KHN review of OB-GYN charges on several insurers' online cost estimators. It's a key reason why Northern California is the most expensive place in the country to have a baby.At his news conference, Becerra said he's committed to scrutinizing other players besides Sutter in the health care industry who may be engaging in anticompetitive behavior and potentially harming consumers.Consumer advocates and state lawmakers applauded Becerra's aggressive action because of the toll high prices take on millions of Californians. Many residents struggle to pay rising insurance premiums and out-of-pocket expenses for emergency room visits or routine hospital tests."Consumers bear the burden of these monopolistic activities," said state Sen. Ed Hernandez (D-West Covina), chairman of the Senate health committee. "To ensure health care is affordable and accessible to all, we have to get a handle on predatory pricing."In many ways, Becerra's lawsuit mirrors a similar civil case filed in 2014 by a grocery workers' health plan.The attorney general's office filed a motion in court asking for its lawsuit and the class action to go to trial together before the same judge. The trial is scheduled for June 2019 in San Francisco."While we certainly would have preferred this happened earlier, we respect the attorney general's care in conducting a thorough investigation before filing charges," said Richard Grossman, the lead plaintiffs' lawyer representing the class of more than 1,500 employer-funded health plans.In its lawsuit, the attorney general's office blamed Sutter for much of the increase in health care costs across Northern California because "Sutter embarked on an intentional, and successful, strategy of securing market power in certain local markets." State lawyers also pointed out that Sutter's conduct triggered an "umbrella effect" by encouraging other providers to raise their own prices.The state's lawsuit said Sutter used its windfall from excessive prices to acquire more hospitals and medical groups. It also enabled Sutter to "bestow extremely high salaries for its officers and upper management," according to the state complaint.Patrick Fry, Sutter's chief executive from 2005 to 2016, had .4 million in total compensation during his last year there, according to Sutter's 990 tax filing for 2016, the most recent year available.Overall, 18 executives at Sutter had million or more in total compensation during 2016, the federal tax filing shows.Karen Garner, a Sutter spokeswoman, said Fry's compensation in 2016 reflects retirement benefits he accrued over many years. She added that "industry comparisons show our salaries are reasonable and competitive, given the size, scope and complexity of our organization." 7370

Carey Dean Moore, 60, a convicted murderer of two 47-year-old fathers in 1979, has become Nebraska's first execution by lethal injection.The execution by lethal injection — by way of a four-drug combination that's never been previously used in an execution — started at 10 a.m. Tuesday, as scheduled. He was declared dead at 10:47 a.m. Tuesday."This agency has done so with professionalism, respect for the process, and dignity for all involved," said Department of Corrections Director Scott Frakes in a press conference following the execution.The body will be remanded into the custody of the Nebraska State Patrol, he said, and an autopsy will be conducted.Ten witnesses observed Tuesday's execution: three inmate witnesses, a member of the clergy, four media witnesses, and two staff members.During the press conference, media witness Grant Schulte of the Associated Press recounted the details of Moore's final moments, as well as his final statement:"Just the statement that I hand-delivered to you already about my brother, Donny, and the innocent men on Nebraska's Death Row."Omaha World-Herald reporter Joe Duggan, another of the media witnesses, said Moore remained composed throughout the process."He certainly looked maybe slightly shaken. The gravity of what was happening to him was clear on his face and his expression," Duggan said. "But he was composed. His voice was clear when spoke. He clearly looked around the room to see who all was there, otherwise kind of kept his gaze toward the floor."The media witnesses said they were not able to see when each drug was administered during the lethal injection procedure. They said they were secluded from the other witnesses, and could not hear inside the execution chamber."There didn't appear to be any complications," said News Channel Nebraska reporter Chip Matthews, another media member selected to witness the execution.Brent Martin of Nebraska Radio Network was also a media witness to Moore's execution Tuesday. Martin, who has witnessed several other lethal-injection executions, said Moore's execution took "much longer." Duggan said it was recommended to the witnesses and those who assisted in preparing for an execution that they seek out someone they can talk to as they process what they have witnessed.Moore was sentenced to death for the 1979 shooting deaths of cabdrivers Reuel Van Ness and Maynard Helgeland in Omaha. Both men were 47-year-old fathers shot by Moore five days apart.Ahead of the execution, Moore was taken from his death-row cell at Tecumseh prison to the State Penitentiary in Lincoln and placed under a suicide watch in a medical unit there until his execution.As the execution proceeded, the prison went on modified operation status: Inmates were required to stay in assigned living spaces until the execution was over and all media and witnesses had left.Moore was escorted to the execution chamber and strapped to the table, at which point IV lines were inserted by the IV team, and a heart monitor secured.Witnesses were then escorted to their respective viewing rooms.A curtain was lifted so that witnesses could observe Moore had been prepped for lethal injection, then Frakes gave the order for execution to proceed.The warden checked for consciousness after the first round of drugs was administered before ordering subsequent substances administered. Once all four drugs had been administered, the curtain was lowered.The Lancaster County Coroner officially declared the death, out of sight of the media witnesses. Once Moore's death was confirmed, the curtain was lifted so media could view the body.Frakes and media witnesses are expected to address the media following the execution.A few family members of Moore's victims and a handful of death-penalty protestors gathered Monday morning outside the state penitentiary in Lincoln.  3865

CARDIFF (KGTV) -- With just a little bit of planning, Sharon Belknap begins a free-hand sand mandala that will offer its message, briefly, to all who pass by on the bridge at Cardiff State Beach where the San Elijo lagoon meets the ocean.Watching her work is like watching a dance.The graphic designer and illustrator draws shapes using a small, inexpensive rake. She brings extras because often passersby find inspiration and ask to join her, a collaboration she welcomes.The connections she has made through her sand art, she says have added meaning to her creations.People also send her their photos of her artwork, asking to use them in their holiday cards.Each mandala has an inscription, such as: "You Are Loved," or "Only Love."One that resonated particularly was "Grateful for ____.""People were shouting their words from the bridge," says Belknap.Sometimes friends join her.Heather Nelson is a regular, and a longtime friend. The day we shot the story, Kari Prevost was joining for her first collaboration with Sharon."The sounds of the ocean, the beauty of the water," she says, "it's restorative. It rekindles a playfulness that's innate."Expressed on a canvas that will be washed away by the waves; the impermanence, Belknap says, is freeing and healing.Her son Chris Thompson, a 28 year-old Valley Center firefighter, died in an early morning crash on his motorcycle this 4th of July."I like to say he ascended," she says. The next morning, inexplicably, Sharon says she woke up feeling joy. She came to her spot in Cardiff before sunrise."The words just poured into me: 'Only Love.'The first person who walked over the bridge and saw her mandala tribute, took a picture of her, standing in the shadow of the bridge illuminated in the early sunlight.Belknap says Chris is in every drawing. She adds eyes, which are Chris's, to each one. "Being out here, creating these, I often ask Christopher, 'What do you see honey?' And he says, 'Mom, I see you.'"When this design is done, Sharon and her friends share a covid-conscious "butt hug," as she calls it, then take a moment to lift their hands to share it with Christopher, before sending its message out to all who are fortunate enough to see it before it's erased by the waves."You Are Loved," it says. 2274