天津的男科排名龙济(天津武清区龙济在哪个位置) (今日更新中)

If you happen to be at a Arizona Cardinals football game, you might want to take The Gridiron Challenge.The Gridiron Burger is a 7-pound burger that is made with five beef patties, five hot dogs, five bratwurst, eight chicken tenders, 20 slices of American cheese, eight slices of bacon, lettuce, pickles and French fries.The burger costs . However, if you can eat everything in one hour, you do not have to pay for it and your photo will be placed on a special wall. READ MORE 493

Hurricane Irma was a very scary experience for residents of Florida. A deputy with the Osceola County Sheriff's Office helped one of those scared residents calm their nerves, even for just a moment.As they wrote in their post: 239

IMPERIAL BEACH, Calif. (KGTV) - Police investigated Wednesday the discovery of a body at Border Field State Park in Imperial Beach.The remains were found about 11:15 a.m. at the beachfront park in South San Diego County.Details on the deceased person's identity, including gender and approximate age, were not immediately available, Lt. Michelle Craig said.There were no immediate indications of any suspicious circumstances related to the death.City News Service contributed to this report. 501

Hurricane Michael intensified as it aimed for the Florida Panhandle, where it could make landfall as the strongest storm in terms of wind speed in the country this year.Michael churned in the Gulf of Mexico on Tuesday as a Category 3 storm, poised to grow stronger and slam Florida's Panhandle.If the storm's core comes ashore as a Category 2 or higher, it would be the strongest storm in terms of wind speed to make landfall in the country this year.Michael was expected to intensify?overnight and be near Category 4 strength when it makes landfall Wednesday afternoon. It is threatening dangerous surges to low-lying areas ill-equipped to handle them.Florida Gov. Rick Scott called Michael a "monstrous storm" that could bring "total devastation," and urged people to get out of the way."Hurricane Michael is forecast to be the most destructive storm to hit the Florida Panhandle in decades," Scott said. "You cannot hide from storm surge, so get out if an evacuation is ordered."The storm had sustained maximum winds of 120 mph Tuesday night, with gusts to 150 mph. Category 3 storms have sustained winds of 111 mph to 129 mph, according to?the hurricane center's scale. A storm goes to Category 4 with sustained winds stronger than 130 mph.Winds of tropical storm force will be felt in the area starting early Wednesday, and mandatory or voluntary evacuation orders already have been issued in at least 22 counties on the Florida Gulf Coast head of the storm.About 3.7 million people were under hurricane warnings in the Panhandle and Big Bend regions, as well as parts of southeastern Alabama and southern Georgia. Tropical storm warnings cover 8.5 million people in four states.Michael was moving north at 12 mph, about 220 miles southwest of Panama City, Florida, the National Hurricane Center said Tuesday night. 1828

If you aren’t on this medication, chances are you know someone who is. It’s used to treat everything from pain to mood disorders and can be just what the doctor ordered for many.But now, there is mounting research uncovering misuse of and even a black market for this popular prescription.We’re talking about gabapentin. It’s approved for some types of seizures and nerve pain.Doctors also use it off-label to treat everything from insomnia to migraines to anxiety. Sixty-four million prescriptions of it were sold in the U.S. in 2016, up more than 60 percent from four years earlier.The thing is, experts say there is growing evidence it’s being abused, too. It’s even being sold on the streets under the name “Johnnys.” Dr. Joseph Insler, an addiction psychiatrist, says he’s seeing it all too often.“Sometimes, I've even experienced patients ask me for their “Johnnys” and then they'll, maybe, catch themselves and say, ‘No, no, no. I mean gabapentin',” he says.Why is this prescription being misused?“I think that some individuals may say that they use it to get high, and others may say they use it and get a drowsy effect. So, we're talking about the euphoria versus sedation, “ says Rachel Vickers Smith, Ph.D.Dr Vickers Smith wrote her dissertation on gabapentin abuse when studying drug abusers in Appalachia.“We found a nearly 3000 percent increase from 2008 to about 2014 in individuals reporting gabapentin abuse for the purposes of getting high,” she says.We wanted to see for ourselves, so we searched online. We easily found people talking about taking “Johnnys”, or gabapentin, to get high. There were also threads of people trying to spread awareness about the abuse.Experts say gabapentin is typically misused by substance abusers who mix it with other drugs.But, Dr. Insler says it’s also possible for people with legitimate prescriptions to misuse, too.He says, “If somebody’s taking excessively high doses or needing early refills” or if their mood changes, family members or clinicians should see these signs as red flags.A growing body of research shows the problem of abuse, especially among substance abusers is clear.  But some experts also worry about the number of prescriptions being handed out.A recent New England Journal of Medicine letter warned that “clinicians who are desperate for alternatives to opioids” are “increasingly prescribing gabapentin” and that “evidence suggests that some patients misuse, abuse or divert gabapentin.”Dr Rachel Vickers Smith says, “ I think that's why it's really important to get out the message,” about abuse, in general.Gabapentin is not a controlled substance or scheduled drug on the Federal level.We reached out to several government agencies. There was little information on potential abuse although the National Institute on Drug Abuse pointed us to existing research and the DEA says it is beginning to receive calls.Dr Vickers Smith says, “ I don't think that gabapentin abuse is on the CDC, DEA’s, NIDA’s radar, in part because we had this opioid epidemic.”All experts we talked to stress that this is NOT the next opioid epidemic, but they believe gabapentin abuse is something to watch closely and believe more research is needed.We contacted two of the manufacturers of gabapentin, including Pfizer, which told us, “Gabapentin is an important treatment option for their approved indications”. 3416

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