阳痿怎么治疗问天津市龙济(天津武清龙济医院男性科好吗) (今日更新中)

In a critical situation where minutes determine life or death, you may think emergency medical services offer your best chance of survival. However, a Johns Hopkins trauma surgeon doesn't think that's always the case.“If it were me, and I know a lot about trauma, drive me to the trauma center as fast as you can,” said Dr. Elliott Haut, associate professor of surgery and emergency medicine at the Johns Hopkins University School of Medicine and senior author of a new study that evaluates emergency transport for shooting and stabbing victims.Haut and colleagues examined data from trauma centers within the 100 most populous U.S. metro areas and compared ambulance versus private vehicle transportation and the relationship between transport-mode and in-hospital mortality. He was not surprised by what he saw.“Patients who are injured with penetrating trauma — so stab wounds and gunshot wounds, in urban settings, so these are in the City — have improved outcomes and improved mortality if they're brought to the trauma center by private vehicle compared to emergency medical services, EMS,” Haut said.The keyword is trauma center; not all hospitals are equipped to handle walk-in patients with these kinds of injuries. And they are injuries that require immediate surgery. The study does not cover cardiac arrest where the most important thing is CPR and a defibrillator.“When we control for all those things, the rapid transport of patients by private vehicle makes a big difference,” Haut said.According to the study, 62 percent of patients are less likely to die when transported by private vehicle compared to EMS.Dr. Gabe Kelen has seen many of these walk-in patients at the Johns Hopkins Hospital emergency department.“You're waiting, waiting, waiting, the ambulance people get there, they do certain things, very skilled, it's all being done out there. Then they load you up, drive through traffic, they get here, that can take twice as long. It sometimes really is better to get you here, let us start doing our more definitive thing that we can do only in the emergency department,” said Kelen, director of the emergency department.He agrees time is of the essence, but also cautions that this is one study.“If you get multiple people being dropped off at one of the smaller hospitals, they may not have the staff to do everything that a place like ours can do so let the system work,” Kelen said.The current standard of care in Maryland is to wait for EMS to arrive. Dr. Richard Alcorta, acting co-executive director of the Maryland Institute for Emergency Medical Services System (MIEMSS), does not support changing the standard.He says not everyone knows where a trauma center is located and EMS can perform certain life-saving procedures that may be crucial before transport. A spokeswoman with the Baltimore Police Department said they do not have a position on the study’s findings and that “preservation of life is paramount." She added that a victim's decision to leave a crime scene "has little if any bearing on the outcome of the investigation. Thanks to video surveillance, CCTV cameras and our crime scene technicians it all seems to work out in the end.” For more information on the study, click here. 3283

In a stunning announcement to those in preparing to embark into medical school, New York University announced it would offer free tuition to all NYU medical program students — current and future.The reveal came during NYU School of Medicine's annual "White Coat Ceremony," where each new student is presented with a white lab coat to mark the start of their medical education and training.The bold offering is available to all current and future students in NYU's MD degree program, "regardless of need or merit.""Thanks to the extraordinary generosity of our trustees, alumni, and friends, our hope — and expectation — is that by making medical school accessible to a broader range of applicants, we will be a catalyst for transforming medical education nationwide," Kenneth G. Langone, Chair of the Board of Trustees of NYU Langone Health, said.The annual tuition costs covered by the scholarship is about ,000.NYU's free tuition initiative began with an endowment. So far, the university has raised more than 0 million of the roughly 0 million needed to fund full-tuition scholarships for all medical students "in perpetuity," according to ABC News.Crushing college debt strikes medical students particularly hard.About 75 percent of all doctors in the U.S. graduated with debt in 2017, the university said. The average cost for a private medical school is about ,605 a year. The median debt of a graduating student comes out to more about 2,000, NYU says."We believe that with our tuition-free initiative, we have taken a necessary, rational step that addresses a critical need to train the most talented physicians, unencumbered by crushing debt," said Robert I. Grossman, the Saul J. Farber Dean of NYU School of Medicine. "We hope that many other academic medical centers will soon choose to join us on this path." 1874

In a Facebook Live interview Thursday with company founder and CEO Mark Zuckerberg, Dr. Anthony Fauci reiterated that America is making costly mistakes in fighting the novel coronavirus.Fauci, the White House's top expert on infectious diseases, blamed some states — without naming them specifically — for "skipping steps" and reopening too quickly."You've got to do it correctly. You can't jump over steps, which is very perilous when you think about rebound," Fauci said. "The proof in the pudding is: Look what's happened. There really is no reason why we're having 40-, 50-, 60,000 (new cases per day) other than the fact that we're not doing something correctly."Fauci urged Americans not to look at social distancing restrictions in opposition to a return to economic normalcy, but as a means to rebounding."We should be looking at public health issues as a gateway to getting the economy back," Fauci said.Zuckerberg agreed with Fauci — and even took a dig at the Trump administration."It's really disappointing that we still don't have adequate testing, that the credibility of our top scientists like yourself and the CDC are being undermined and until recently parts of the administration were calling into question whether people should even follow basic best practices like wearing a mask.," Zuckerberg said.Fauci's hour-long conversation with Zuckerberg comes days after the White House's top trade expert Peter Navarro published an op-ed in USA Today in an attempt to discredit Fauci. President Donald Trump later said that Navarro "shouldn't be doing that," and USA Today has said the piece did not meet the paper's fact-checking standards.On Wednesday, in an interview with The Atlantic, Fauci called the episode "bizarre," and urged other White House staffers to end political infighting regarding the pandemic.Once a staple on television — both news interviews and in the White House's daily coronavirus task force briefings — Fauci has been notably absent from the airwaves in recent weeks. When asked by The Atlantic if the administration was curtailing his TV appearances, Fauci said he couldn't comment, but added that "I think you know what the answer to that is."Trump maintains that he and Fauci have a "very good relationship." 2261

If you are filing for divorce, it could take much longer than you think. There is a backlog in family court of about four months, according to the Court Executive Officer, Michael Roddy.  Sherman McEachern found that out as he was going through his divorce process. He and his soon to be ex-wife filed for divorce in October. McEachern said it should have been finalized in April. When he tried to find out why divorce documents were not mailed back to him yet, he learned it was going to take much longer. “I called the clerk’s office. That was the first time, I realized they were telling me we’re eight to ten months behind,” McEachern said.  It’s affecting him both personally and financially. “I can’t change health insurance until I have the signed divorce decree. She doesn’t want to use my health insurance because we’re separated, getting a divorce, so I’m paying for coverage no one’s using,” McEachern said. “We’re hearing a lot of complaints from people,” Roddy said. “They want to get divorced.” Roddy said this fiscal year, they’ve had to make million in budget cuts on top of a million deficit.  “That’s a million dollar hit to the court. We lost about 100 employees and we had a hiring freeze,” Roddy said.  In small claims court, Roddy said it takes about a year to set your case for trial.  When asked who is at fault for the backlog, Roddy said it started with the recession. “The recession hit California very hard, hit the courts very hard, and we have not bounced back to that level,” Roddy said. “It’s just very frustrating because every day, I’m still being tied to a marriage that we both have left from,” McEachern said. He added that it is “disheartening” that people pay for a process and the service isn’t being delivered. Roddy said they are hoping for more money in this next fiscal year, which they can use for personnel. He is expecting a flood of new orders in family court as the new tax law could affect divorce cases, with the changes in alimony payments. 2076

In 2020, election sites are looking a little different: an art museum, a pro-basketball arena, new mobile voting vehicles and even a bar that combines football with bowling.These are some of the unique polling locations in Atlanta, Georgia, as local government leaders are partnering with those venues to make it easier for people to cast their ballots.“This is so something you would not expect,” said Jon Dilley, general manager of Fowling Warehouse a 25,000 square foot bar that’s being transformed into a unique polling location.Customer Elliot Anderson is excited during this election season to grab a beer and fill out a ballot at Fowling Warehouse.“Just opening up different places to vote,” he said. “That’s always going to be good.”Across Atlanta, new mobile voting vehicles are opening up new opportunities for people living in areas described as “voting deserts.”“This is more of an African American community,” said voter Davonne Reaves of her neighborhood on Atlanta’s east side. “The lines are a lot longer and sometimes that can actually discourage people to vote.”Reaves says this voting process took less than 30 minutes and that these new mobile polling buses help encourage her community to get more involved with politics.“I think with this bus, this is actually going to create a movement,” she said. “We’ll probably see more of these types of buses and more creative locations for people to get out and vote.”Creative ways to make sure people’s votes are collected in a timely manner.“When it comes down to it, even the most engaged voters may be not be able to spend two or three hours in line,” said Robert Preuhs, Ph.D., chair of the political science department at MSU Denver.Preuhs says more options give more voters a greater chance at getting involved in the political process.“Having more polling places, whether they’re unique or not, close to them really is going to matter in terms of the ability for people to make their voice heard,” he said.More voices heard and more votes counted for what could turn out to be the most unique election in U.S. history. 2097

来源：资阳报