徐州妇产科医生咨询徐州五个月可以做四维吗,徐州孕妇五个月肚子疼怎么回事,徐州怀孕几天四维彩超,徐州医院哪些有四维彩超,徐州做肠镜花的费用,徐州5个月了还能做四维彩超吗,徐州无痛肠镜价格多少

According to President Donald Trump, the tragic Texas church shooting that left 26 people dead was "a mental health problem at the highest level."If you ask mental health researchers, such mass shootings are much more complicated than that.On Sunday, 26-year-old Devin Kelley sprayed bullets across the sanctuary of First Baptist Church in Sutherland Springs, Texas, about 30 miles east of San Antonio. The youngest killed at the church was 17 months old; the oldest was 77 years old."We have a lot of mental health problems in our country, as do other countries, but this isn't a guns situation," Trump said during a joint news conference Monday in Tokyo."This is a mental health problem at the highest level," he said. "It's a very, very sad event."Trump's response to the Texas church shooting echoed previous comments he has made on gun violence. In 2015, Trump said he was opposed to tightening gun laws in the United States but was in favor of addressing mental health to prevent shootings.Yet various epidemiological studies over the past two decades show that the vast majority of people with severe mental illnesses, such as schizophrenia, bipolar disorder or severe depression, are no more likely to be violent than anyone else.Rather, people with severe mental illnesses are more than 10 times more likely to be victims of violent crime than the general population. And, only about 3% to 5% of violent acts can be attributed to individuals living with a serious mental illness, according to the US Department of Health and Human Services.But those statistics have "almost nothing to do with mass casualty shootings," said Jeffrey Swanson, a professor in psychiatry and behavioral sciences at Duke University who specializes in gun violence and mental illness.So exactly how are mental health and gun violence intertwined, and what is needed to end the violence?Gun violence and mental illness are public health problems "that intersect at the edges" but have very little overlap, Swanson told CNN last year.There's no doubt that America's systems of care for mental health are overburdened, expensive and inaccessible for many who need them, he said. But when it comes to gun violence among this community, suicide tends to occur at higher rates than homicides, he said."If we back up and think about firearm-related injuries and mortality as a public health problem, it turns out there is a mental health-related story, and it's suicide," he said. "If we had better mental health care and could get people better access and break down barriers to care, then yes, we might reduce gun violence by a lot but it would be from reducing suicides."Otherwise, mental illness is just one "highly unspecific" factor that may contribute to gun violence, along with being young, white and male, or a history of violence, Swanson said.Instead of policies that restrict gun access based solely on mental illness diagnoses or because a person has made contact with the judicial system or health care agencies due to mental illness, the American Psychological Association, the National Alliance on Mental Illness and other advocacy groups have called for gun access criteria based on more subtle indicators of potentially dangerous behavior.Those indicators -- such as having past or pending violent misdemeanor convictions or charges, domestic violence restraining orders or multiple DUI convictions -- have been largely informed by the work of Swanson and others.Swanson supports intervention at the point of purchase through comprehensive background checks -- but to make background checks work, criteria for inclusion on the database should be based on other indicators of risk besides mental health history, such as those indicators of aggressive, impulsive or risky behavior."A history of violent behavior is a far better predictor of future violence than mental illness," he said.Calling gun violence a mental health issue is to scapegoat and stigmatize people with mental illness, he said."It's kind of a canard, a convenient explanation that exploits the tremendous fear people have with these horrifying mass shootings," he said. "If people fear those with mental illness they're going to treat them with scorn and support public policies that restrict their liberties."After all, mental illness affects millions of adults across the country.In 2015, there were an estimated 43.4 million adults in the United States with some form of mental illness within the past year, which represented 17.9% of adults nationwide, according to the National Institute of Mental Health.The American Psychological Association recommends prohibiting firearms for high-risk groups, such as domestic violence offenders or persons convicted of violent misdemeanor crimes."Reducing the incidence of gun violence will require interventions through multiple systems, including legal, public health, public safety, community, and health. Increasing the availability of data and funding will help inform and evaluate policies designed to reduce gun violence," according to the association's website.Swanson and his colleagues examined the proportion of people in the United States with impulsive angry behavior who own or carry guns and have a diagnosable mental illness in a paper published in the journal Behavioral Sciences & the Law in 2015.They conducted household surveys with 9,282 people from February 2001 to April 2003, excluding people who carried guns for work, resulting in a response rate of 70.9%.An analysis of the survey results estimated that nearly one in 10 adults has access to firearms and has a problem with anger and impulsive aggressive behavior.These people were more likely to be male, younger and married and to live in outlying areas around metropolitan centers rather than in central cities, Swanson and his colleagues wrote in their paper.They were significantly more likely to meet diagnostic criteria for a wide range of mental disorders, including depression, bipolar and anxiety disorders, PTSD, intermittent explosive disorder, pathological gambling, eating disorder, alcohol and illicit drug use disorders, and a range of personality disorders.What's more, despite evidence of "considerable psychopathology" in many of these respondents, only a very small proportion, 8% to 10%, were ever hospitalized for a mental health problem."Because only a small proportion of persons with this risky combination have ever been involuntarily hospitalized for a mental health problem, most will not be subject to existing mental health-related legal restrictions on firearms resulting from a history of involuntary commitment," Swanson and his colleagues wrote in the paper's abstract.As for Texas gunman Kelley, the state denied him a license to carry a gun, Gov. Greg Abbott said, citing the director of Texas' Department of Public Safety."So how was it that he was able to get a gun? By all the facts that we seem to know, he was not supposed to have access to a gun," Abbott told CNN's Chris Cuomo. "So how did this happen?"On Monday, Trump said his "thoughts and prayers" were with the victims and their families but did not suggest plans to take any legislative or other policy action to address the shooting. 7228

Adult film actress Stormy Daniels is offering to return the 0,000 payment she received from President Donald Trump's attorney in exchange for dissolving a so-called "Hush Agreement."Last month, Michael Cohen said he paid 0,000 of his own money to Daniels, whose real name is Stephanie Clifford, ahead of the 2016 election in exchange for her silence regarding an alleged sexual encounter with Trump. Both Cohen and the White House have denied any sexual encounter between the President and Clifford.Clifford's attorney, Michael Avenatti, sent Cohen a letter offering to wire 0,000 by Friday to an account designated by the President. In exchange, the settlement agreement between Clifford, Trump and Cohen's company would be "deemed null and void in their entirety."  789

A White House official wrestled a microphone away from a CNN reporter at a press conference with President Trump in the East Room of the White House Wednesday.CNN reporter Jim Acosta questioned the President about his rhetoric surrounding a migrant caravan that is traveling on foot to the United States. While trying to ask a follow-up question, Trump repeatedly told Acosta he was moving on.At that point, a White House staffer attempted to take the microphone out of Acosta's hands."CNN should be ashamed of itself having you working for them," Trump said. "You're a very rude person. The way you treat Sarah Huckabee Sanders is horrible. You shouldn't treat people that way.""I think you should let me run the country, you run CNN," Trump added.NBC News reporter Peter Alexander later defended Acosta's character to President Trump before asking his question.Later in the presser, Trump called the media "hostile," telling reporters they were "rude" for interrupting.  1010

ALPINE, Calif. (KGTV) - An Alpine woman who tested positive for COVID-19 says her quarantine turned into a nightmare as a postal carrier delivered a package.This past weekend, Tamica got a COVID test after three co-workers tested positive. She also tested positive and remains asymptomatic."Since I got that Sunday, I've been quarantining at home," said Tamica.On Tuesday, past 1 p.m., as the mail truck pulled up to her apartment off Tavern Road, her two 80-lb. dogs ran to the front door and started barking. She says the door was open but the screen door was shut, as the postal carrier stood outside, at the door, with something in his hand."They were instantly pawing at their face and backed up, and acting weird ... jumping up and down and making a whining noise," said Tamica.Tamica believes the postal carrier had used his pepper spray. At that point, Tamica says the dogs jumped on the door and pushed it open. They ran out, and she ran after them. Tamica says the letter carrier sprayed toward one dog as it ran off, before turning to her other dog."I just jumped in front of my dog. He's wasn't doing anything. He wasn't barking. He was just sitting there .... He's a golden retriever and very friendly ... The postal carrier is spraying us, yelling and just spraying wildly," Tamica said.Tamica says that went on for about a minute, and it seemed liked forever."I was mad, scared, ready to cry … yelling at him to stop, stop, stop!" said Tamica.She says he finally did. Her dogs' eyes were left shut and stinging for hours. Her eyes were also ripe with pain. Tamica filed a complaint with the Postal Service."It's outrageous. This was not warranted at all," said Tamica.A different version of events has emerged from the postal carrier's statements.According to a USPS spokesperson, he claims he never sprayed through the screen door, didn't intend to pepper-spray Tamica, and only started spraying when both dogs were outside, lunging at him, to allow him to "leave the area."The spokesperson adds that based on the statements collected, they are standing by their postal carrier's version of events. They did apologize for Tamica getting pepper-sprayed in the incident.They also issued the following statement:"The Postal Service places the safety of its employees as a top priority. Letter carriers fearing for their safety due to a loose or unrestrained pet may stop delivery and ask homeowners to pick up their mail at the Post Office until the pet is restrained. In cases where a carrier sees a dog roaming and can’t discern where it resides, delivery could be interrupted to the entire neighborhood.In 2019, San Diego ranked #10 in the country for dog attacks on letter carriers. Dogs can be protective of their territory and may interpret the actions of letter carriers as a threat. Please take precautions when accepting mail in the presence of your pet. When a carrier comes to your home, keep your dog inside, away from the door in another room. Any dog can bite. Even the friendliest dog may bite when startled or surprised. If the dog is physically or mentally unhealthy, is in pain, feels threatened, or is protecting its food or a favorite toy, it can bite.The letter carriers at your local Post Office deliver every day. And if you are a dog owner, we need you to deliver for us, too. Keep your dog on a leash or away from the door, so that your letter carrier can safely deliver to your mailbox or porch, today and every day." 3464

Accused Russian spy Maria Butina appears to have reached a plea deal with federal prosecutors.Butina is accused of trying to infiltrate Republican political circles and party leaders during the 2016 campaign in order to advance Russian interests, and prosecutors have said the former American University student was in touch with politically powerful Russians about her activities in the US.Her attorneys and prosecutors on Monday filed a two-page request for a "change of plea" hearing as soon as Tuesday.Butina has maintained her innocence and has been in jail since her arrest for illegally acting as a foreign agent.This story is breaking and will be updated. 671