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Holiday parties are steadily making a comeback.During the last recession when people were getting laid off, businesses cut back. About 76% of human resources representatives polled said their company was having a holiday party this year. That's up about 7% from last year.A new survey form career website Monster found 60% of employees look forward to holiday parties. “It’s not a jail sentence,” said Monster career expert Vick Salemi. “It should be a fun party that you keep the professional scope top of mind.”Salemi says if you're considering skipping, instead treat it like a meeting. Go early and take advantage of face time with colleagues or bosses you don't normally get to interact with.“Think of it like I’m going to come prepared with two or three of my top wins and accomplishments this past year and I’m going to humble brag my way when I talk to my boss and my boss’ boss,” said Salemi.One thing you don't want to do is overindulge on alcohol if it's being served.About 14% of employees said they had regrets about drinking too much at a holiday party.Salemi says here's how you can recover:“You can just say I apologize if I offended anyone or I drank way too much I don’t remember much of the night. It was not my typically behavior and really just get in front of it and own it.”Keep in mind with any holiday parties with alcohol, make sure you don't wind up in any images doing questionable behavior.Click here for more 1451
House Judiciary Chairman Jerry Nadler on Monday accused President Donald Trump of putting "himself before country" at a contentious and chaotic hearing kicking off a two-week sprint for Democrats likely to end in the third impeachment of a president in US history.The hearing for Democratic and Republican staff attorneys to present cases for and against Trump's impeachment saw the bitter partisan divide over the impeachment proceedings spilled into the open, with Republican lawmakers vocally protesting Nadler's handling of the hearing and committee staffers even clashing during questioning.Republicans erupted while Democratic Judiciary Committee staff counsel Barry Berke pressed GOP counsel Steve Castor on the Republican report and accused Republicans of inaccurately quoting a witness."He's badgering the witness," said GOP Rep. Jim Sensenbrenner of Wisconsin, trying to raise an objection to Berke's questioning. When Nadler ruled he wasn't raising a valid objection, Sensenbrenner said: "The chairman is not in order."The exchange was one of the many Republican objections that occurred Monday during a lengthy hearing where even the decision to recess prompted multiple party-line roll-call votes. As questioning of the staff attorneys began — which created an odd dynamic where one committee staffer was grilling another — the GOP protests intensified along with the volume of Nadler's gavel banging down to stop the interruptions."Bang it harder — still doesn't make it right," said Rep. Doug Collins of Georgia, the top Republican on the House Judiciary Committee, in a shot at Nadler.Monday's hearing was Democrats last chance before they consider articles of impeachment to make their case to the public that the President should be impeached, and they used the opportunity to weave the hours of witness testimony to illustrate their narrative that the President abused his office."If he puts himself before the country in a manner that threatens our democracy, then our oath — our promise to the American people — requires us to come to the defense of the nation," said Nadler, a Democrat.Republicans also pointed to witness testimony to argue that Democrats didn't have a case, charging they rushing to impeach Trump in order to beat him in the 2020 election."This may though become known as the focus-group impeachment," Collins said. "Because we don't have a crime, we don't have anything we can actually pin and nobody understands really what the majority is trying to do except interfere and basically make sure they believe the President can't win next year if he's impeached."The objections to the hearing began as soon as Nadler started his opening statement, as a protester in the audience shouted down the Judiciary Committee chairman before being removed by US Capitol Police. Republicans on the committee then took up their own objections, demanding a hearing for the witnesses they want to hear from and accusing Nadler of "a steamroll" when he ignored their protests.Republicans knocked House Intelligence Chairman Adam Schiff, a California Democrat who led the Intel panel's impeachment inquiry, for not testifying before the Judiciary panel, with staff counsel Daniel Goldman appearing instead to discuss the committee's report."We want Schiff in that chair, not you," shouted Rep. Matt Gaetz, a Florida Republican.Collins went after Goldman during his questioning over the committee's subpoenas that revealed phone calls of Rep. Devin Nunes, the top Republican on the Intelligence Committee, and journalist John Solomon, whose opinion columns in The Hill attacked former US Ambassador Marie Yovanovitch. Goldman said that the committee didn't subpoena either Nunes or Solomon, but that didn't slow the Republican lawmakers' criticisms."Somebody along the way just didn't all of a sudden have an epiphany ... that these numbers might match," Collins said. "Who ordered it, was it you, or was it Chairman Schiff, and then why was it decided, except for nothing but smear purposes, to be included in the Schiff report?"Monday's hearing is likely to be just the opening act of a week's worth of major Judiciary Committee activity on impeachment, as Democrats are expected to bring forward articles of impeachment that will be debated and voted on in the committee later this week.Nadler declined to say what the committee's next steps would be, saying he was "not prepared to say anything further about the schedule of the committee beyond today's hearing." But he concluded the hearing by declaring that Trump's conduct was "clearly impeachable.""This committee will proceed accordingly," he said.Staff present case for and against TrumpThe diametrically opposing views between Democrats and Republicans on impeachment — where they have failed to agree on basic facts and what they mean — underscores the intense partisan fight that's continued to escalate as an impeachment vote has drawn closer.Both sides found plenty of testimony to back up their case throughout the dozens of hours of witness testimony that occurred in the House Intelligence Committee.Presenting the Democrats' case before he asked questions, Berke described a pattern of Trump's behavior dating back to his call for Russia to find Democratic nominee Hillary Clinton's emails during the 2016 election."Given what happened with the Department of Justice investigation, given what's happening here, if in fact President Trump can get away with what he did again, our imagination is the only limit to what President Trump may do next or what a future president may do next to try to abuse his or her power to serve his own personal interest over the nation's interest," Berke said.Goldman walked through the committee's investigation during his presentation, pointing to testimony Democrats say shows that Trump directed the effort for Ukraine to investigate his political rival while withholding US security aid and a White House meeting. Goldman said that senior officials were all "in the loop" about the effort, as US Ambassador Gordon Sondland testified, and he argued Trump's "determination to solicit of foreign interference in our election continues today.""It did not end with Russia's support for Trump in 2016, which President Trump invited by asking for his opponent to be hacked by Russia," he said. "And it did not end when his Ukrainian scheme was exposed in September of this year." 6413
Firefighters battled a four-alarm warehouse fire at an iconic San Francisco tourist destination Saturday morning.According to tweets from the 154
First came a high fever, drenching sweats and muscle aches. Then, almost a month later, a weird numbness that spread down the right side of her body.Darlene Gildersleeve thought she had recovered from COVID-19. Doctors said she just needed rest. And for several days, no one suspected her worsening symptoms were related — until a May 4 video call, when her physician heard her slurred speech and consulted a specialist.“You’ve had two strokes,” a neurologist told her at the hospital. The Hopkinton, New Hampshire, mother of three is only 43.Blood clots that can cause strokes, heart attacks and dangerous blockages in the legs and lungs are increasingly being found in COVID-19 patients, including some children. Even tiny clots that can damage tissue throughout the body have been seen in hospitalized patients and in autopsies, confounding doctors’ understanding of what was once considered mainly a respiratory infection.“I have to be humble and say I don’t know what’s going on there, but boy we need to find that out because unless you know what the pathogenic (disease-causing) mechanism is, it’s going to be tough to do intervention,” Dr. Anthony Fauci, the nation’s top infectious disease expert, remarked during a medical journal interview last month.Doctors and scientists at dozens of hospitals and universities around the globe are seeking answers while trying to measure virus patients’ risks for clots and testing drugs to treat or prevent them.Gildersleeve said health authorities “need to put out an urgent warning about strokes” and coronavirus. Not knowing the possible link “made me doubt myself” when symptoms appeared, she said.Some conditions that make some COVID-19 patients vulnerable to severe complications, including obesity and diabetes, can increase clot risks. But many authorities believe how the virus attacks and the way the body responds both play a role.“COVID-19 is the most thrombotic (clot-producing) disease we’ve ever seen in our lifetime,” said Dr. Alex Spyropoulos, a clot specialist and professor at Feinstein Institutes for Medical Research in Manhasset, New York.Clotting has been seen in other coronavirus infections, including SARS, but on a much smaller scale, he said.Scientists believe the coronavirus enters the body through enzyme-receptors found throughout the body, including in cells lining the inside of blood vessels. Some theorize that it may promote clotting by somehow injuring those vessels as it spreads. That injury may cause a severe immune response as the body tries to fight the infection, resulting in inflammation that may also damage vessels and promote clotting, said Dr. Valentin Fuster, director of Mount Sinai Heart hospital in New York.It’s unclear how many COVID-19 patients develop clots. Studies from China, Europe and the United States suggest rates ranging from 3% to 70% of hospitalized COVID-19 patients; more rigorous research is needed to determine the true prevalence, the National Institutes of Health says.Prevalence in patients with mild disease is unknown and the agency says there isn’t enough evidence to recommend routine clot screening for all virus patients without clotting symptoms, which may include swelling, pain or reddish discoloring in an arm or leg.Some hospitals have found 40% of deaths in COVID-19 patients are from blood clots. Spyropoulos said that’s been true at his 23-hospital system in the New York City area, Northwell Health, which has treated over 11,000 COVID-19 patients.Cases there have dropped by almost half in the past month, allowing more time for research before an expected second and maybe third wave of infections, he said, adding: “We’re racing against time to answer the key clinical questions.”Patients hospitalized with any severe illness face increased risks for clots, partly from being bedridden and inactive. They commonly receive blood-thinning drugs for prevention. Some doctors are trying higher-than-usual doses for prevention in hospitalized coronavirus patients.A few have used powerful clot-busting medicines typically used to treat strokes, with mixed results. In guidance issued May 12, the NIH said more research is needed to show whether that approach has any benefits.Fuster was involved in preliminary research on nearly 2,800 COVID-19 patients at five hospitals in the Mount Sinai system. A look at their outcomes suggests slightly better survival chances for virus patients on ventilators who received blood thinners than among those who didn’t. Although the results are not conclusive, all COVID-19 patients at Mount Sinai receive blood thinners for clot prevention unless they are at risk for bleeding, a potential side effect, Fuster said.Some COVID-19 patients, like Gildersleeve, develop dangerous clots when their infections seem to have subsided, Spyropoulos said. Patients treated at Northwell for severe disease are sent home with a once-a-day blood thinner and a soon to be published study will detail their experiences. Spyropoulos has been a paid consultant to Janssen Pharmaceuticals, makers of Xarelto, the drug’s brand name.In addition, Northwell is taking part in a multi-center study that will test using blood thinners for clot prevention in COVID-19 patients not sick enough to require hospitalization.In a small study published May 15, University of Colorado doctors found that combined scores on two tests measuring clotting markers in the blood can help determine which patients will develop large dangerous clots. One test measures a protein fragment called D-dimer, a remnant of dissolved clots. High levels sometimes indicate dangerous clots that form deep in leg veins and travel to the lungs or other organs.Dr. Behnood Bikdeli of Columbia University’s Irving Medical Center, said D-dimer levels in many of his COVID-19 patients have been alarmingly high, as much as 50 times higher than normal.Concerns about blood clots in COVID-19 patients prompted a recent 30-page consensus statement from an international group of physicians and researchers. Bikdeli is the lead author.It says that testing to find clots that require treatment includes X-rays or ultrasound exams, but poses a risk for health care workers because the virus is so contagious. Bikdeli said he fears when protective gear was more scarce, some dangerous clots were undiagnosed and untreated.Social distancing may make people more sedentary and more vulnerable to clots, particularly older adults, so doctors should encourage activity or exercises that can be done in the home as a preventive measure, the statement says.Warnell Vega got that advice after collapsing at home April 19 from a large clot blocking a lung artery. Doctors at Mount Sinai Morningside think it was coronavirus-related. Vega, 33, a lunch maker for New York City school children, spent a week in intensive care on oxygen and blood thinners, which he’s been told to continue taking for three months.“I just have to watch out for any bleeding, and have to be careful not to cut myself,” Vega said.Gildersleeve, the New Hampshire stroke patient, was also sent home with a blood thinner. She gets physical therapy to improve strength and balance. She still has some numbness and vision problems that mean driving is out, for now.Doctors are unable to predict when or whether she’ll regain all her abilities.”I’m trying to remain positive about recovering,” she said. ’’I just have to be patient and listen to my body and not push too hard.”___Follow AP Medical Writer Lindsey Tanner at @LindseyTanner.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’ 7639
HOUSTON — A whistleblower report provided to BuzzFeed News alleges U.S. Immigration and Customs Enforcement has “systematically provided inadequate medical and mental health care” to detained migrants, leading to complications that included the removal of part of an 8-year-old boy’s forehead.The report 316