宜宾隆鼻对比(宜宾外切去眼袋手术) (今日更新中)

WASHINGTON (AP) -- U.S. Navy leaders are recommending a sweeping list of changes in sailor training, crew requirements and safety procedures to address systemic problems across the Pacific fleet that led to two deadly ship collisions earlier this year that killed 17 sailors, according to a copy of the report obtained by The Associated Press.A critical report scheduled to be released Thursday calls for about 60 recommended improvements that range from improved training on seamanship, navigation and the use of ship equipment to more basic changes to increase sleep and stress management for sailors.Another Navy report released Wednesday concluded that three collisions and a ship grounding this year were all avoidable, and resulted from widespread failures by the crews and commanders who didn't quickly recognize and respond to unfolding emergencies. Navy leaders publicly acknowledged those failings in a congressional hearing last month.RELATED: San Diego sailors killed in ship collisionThe USS John S. McCain and an oil tanker collided near Singapore in August, leaving 10 U.S. sailors dead. And seven sailors died in June when the USS Fitzgerald and a container ship collided off Japan. The USS Lake Champlain collided with a Korean fishing vessel in May and the USS Antietam struck bottom near a shoal in Tokyo Bay.As a result of the two deadly accidents, eight top Navy officers, including the 7th Fleet commander, were fired from their jobs, and a number of other sailors received reprimands or other punishment that was not publicly released."We are a Navy that learns from mistakes and the Navy is firmly committed to doing everything possible to prevent an accident like this from happening again," Adm. John Richardson, the chief of naval operations, said in a statement Wednesday. "We will spend every effort needed to correct these problems and be stronger than before."RELATED: Remains of USS John McCain sailors recoveredRichardson ordered a comprehensive review of the accidents, led by Adm. Philip Davidson, head of the Navy's Fleet Forces Command. In a report spanning about 170 pages, Davidson notes that many of the lessons learned can be applied across the Navy. And he recommends the appointment of a senior Navy officer to oversee the implementation of the recommended changes across the fleet, both in the Pacific and -- where needed -- around the world.Proposed changes focused on five main areas: fundamental skills, teamwork, operational safety, assessment procedures and culture. Specifically, the recommendations include beefing up qualification standards for sailors who stand watch -- a key point of failure in the two deadly collisions. Others call for improved navigational skills and certifications for sailors, including better, more sophisticated training on radar, piloting, communications and other high-tech equipment.The report acknowledges the fast-paced operations in the Pacific region, where the Navy is faced with an aggressive China and a growing threat from North Korea's pursuit of nuclear weapons. And it notes that ongoing budget constraints make it difficult to meet the requirements in the very busy Pacific region."The ability to supply forces to the full demand is - and will remain - limited," the report said, adding that funding shortfalls for readiness across the Navy, "did have an impact in putting more pressure to meet increasing demand for Japan-based assets" without additional support from ships based in the United States.Faced with the increasing demands, there was less time for crew members to do needed training or certifications, the report said.The report also noted that despite the growing pressure and pace of operations, there was a "can-do" culture that persisted, and commanders failed to listen to their teams and were unable or unwilling to say no despite the risks."Can-do should never mean must-do so we must continue to encourage our commanders to accept the risks when the benefit to be gained is worth the potential risk of failure," the report said.A number of the recommendations points to fatigue and how the lack of sleep can lead to problems, particularly as sailors stand watch."Sailors need to know when they must succumb to their own fatigue, be proactive about their fatigue management plan, and reach out to leadership," the report said. It also suggested that a mentorship program be set up, assigning experienced commanding officers to help sailors develop leadership skills and focus on seamanship, navigation, team building and operational safety.Davidson's report was submitted to Richardson, and Navy officials said a number of the recommendations are already being addressed. 4693

WASHINGTON (AP) — The Republican National Committee is sharply restricting attendance on three of the four nights of its convention in Jacksonville, Florida, next month as coronavirus cases are spiking in the state.RNC chair Ronna McDaniel says only the roughly 2,500 regular delegates to the convention will be permitted to attend the opening three nights.Delegates, their guests and alternate delegates will be permitted to attend the final night, Aug. 27, when President Donald Trump is set to deliver his acceptance speech.The Washington Post obtained a letter sent to delegates about scaling back the convention. In the letter, McDaniel reportedly says attendees will be offered coronavirus testing, temperature checks and PPE, and aggressive sanitizing protocols will be in effect.McDaniel says the party hoped to be able to plan a traditional convention, but adjustments have to be made to comply with state and local health guidelines.The GOP moved the convention from Charlotte, after officials in the North Carolina city ruled out a full-capacity crowd because of the pandemic. 1095

WATCH THE ESPY AWARDS AT 8 P.M. ON ABC10.SAN DIEGO (KGTV) When ESPN heard about wrestler Jonathan Garcia, network officials knew exactly what to do.The teen who overcame a lifelong battle with cerebral palsy to make the Del Norte High School wrestling team earned an honorary ESPY award this week for his courage and determination.10News Sports Director Ben Higgins presented the award to Garcia and his coach, Lucas Factor. Garcia is determined not to let cerebral palsy keep him from pursuing his passion for wrestling. "Losers makes excuses, winners make adjustments," he told 10News, adding that wrestling helped save his life.Garcia wrestled two seasons at Del Norte, and went on to be named the most inspirational wrestler in the state of California. Now he hopes the ESPY award will serve as an inspiration to others to pursue their dreams.You can watch the ESPY awards ceremony from Los Angeles on Wednesday night from 8 to 11pm on ABC10. 956

WEST ORANGE, N.J. – Remote learning is no easy task for typical children, but for families with special needs students, having kids home from school not only makes learning tough, it takes a toll on their ability to get necessary therapies.The Senek family from New Jersey has lived this reality for the past five months. Their 12-year-old daughter, Josephine, struggles with mental and physical disabilities, and during the pandemic, these challenges have become more present than ever.“She’s got multiple disabilities, including a rare chromosome disorder, she’s missing connective tissue in her brain, and in addition, she’s got autism,” said the young girl’s mother, Krysta Senek.Like families across the country, Senek and her family were forced into remote learning because of COVID-19, but she found a totally different education experience between her typical son and her special needs daughter’s classwork and resources.“The at home learning was not good,” laughed Senek. “We did try it, we attempted,” she said of keeping up with her special needs daughter’s assignments and care.“It’s different because we’re mom and dad,” she said. “We’re not teacher were not therapist, we’re not aide, we’re mom and dad. Yet, Senek and her husband were thrust into all those roles without help or guidance in the beginning.“Emotionally, we were wrecked,” she said. “She would meltdown and hit us, she would scratch us and bite us, pull our hair, just throw a meltdown, strong hard screaming meltdowns.”Josephine’s aides were trained for and equipped to handle those meltdowns.In school, Josephine had those professionally trained aides with her throughout the day, but when the pandemic hit, that help stopped. She eventually got some help from a therapist who now comes to assist at certain times during the week. But Senek said the change in routine and change in those around her really upset her daughter’s learning.“It just blew her up, and she couldn’t focus she couldn’t learn, she couldn’t get therapy,” said Senek.For special needs students, the therapy they get every day in school is critical to developing life skills and social skills.“I just don’t want her to go backwards,” Senek said. “When a child with disabilities goes backwards, it takes us twice as long to get us back where we need to be.”Those therapies provide health care too, and now that Josephine isn’t in school, Senek said she’s had a hard time keeping her daughter’s back and leg braces on during the day.“They were getting her to wear it at school, and then because she’s so used to wearing it at school, it wasn’t a problem to put it on her at night, but that stopped,” said Senek. “She hasn’t worn her scoliosis brace since March, and her feet are starting to collapse, so those things are going to affect her.”Senek said the last few months have impacted her own health too.“Our school district and the school, they all thought about what’s best for the kids, what’s best for the staff, nobody thought about the parents,” she said.It’s been the toughest time in her life as a mother.“We suffer from things like PTSD, and I even suffer from that, and it’s because of my daughter. I don’t blame my daughter, but it’s as a result of caring for a child with special needs that I have PTSD,” said Senek.This emotional weight is a feeling Senek knows other families in her shoes feel too, especially when thinking about the future.“It makes me emotional, and it makes me scared because I have no idea what her future is going to hold for her. It’s going to set all of the kids back,” said Senek.It’s a fate this mother fears will alter her daughter’s life forever.“I’m nervous that maybe she would’ve been in a group home, independent, and now, she won’t qualify for independent group home. She might need a nursing home,” Senek said.Thankfully for the Seneks, their teenage son Sheldon is stepping in for the summer to be Josephine’s aide. But this help will end when Sheldon goes back to school himself.“It’s been really nice to physically see her more, but kind of see how she’s like as a person,” said the high school student. “Rather than, ‘Oh yeah that’s my sister, it’s like, that’s my sister.’”Senek is hopeful this fall her daughter can return to school safely or find another aide once her son goes back to school. She warned for all families with special needs students, the time to ask for help is now.“Moving forward, we need the proper assistance,” Senek said. “Regardless of where we are with this pandemic, the special needs population cannot be forgotten, they’ve already been forgotten, and they cannot be.” 4609

WASHINGTON, D.C. – The U.S. remains in the grip of the coronavirus pandemic with more than 8 million cases, spiking in multiple states, like Montana.“There are many, many people not taking this seriously and not playing their part in mitigating the spread of this virus,” said Trisha Gardner, Cascade City-County, Montana health officer.Now, there are concerns that getting COVID-19 could land you in the same category as someone with diabetes or high-blood pressure – having a preexisting condition.“This has flown under the radar to some extent,” said Dr. Eric Schneider, senior vice president of policy and research at The Commonwealth Fund, a century-old foundation that examines health policy in the U.S.Since COVID-19 can have lingering effects on people who contract it, Dr. Schenider says there’s a possibility it could be labeled as a preexisting condition.So, who decides that?“The preexisting condition language really traces to the insurance industry,” Dr. Schneider said, “really on a case by case basis, which diseases, which conditions, will actually count.”That hasn’t mattered so much lately because the Affordable Care Act – Obamacare – prohibits health insurers from denying people coverage based on preexisting conditions.Next month, though, a case before the U.S. Supreme Court could get Obamacare thrown out.If that happens, there is no official plan yet from either party to replace it, nor to protect people with preexisting conditions.“If the Supreme Court undoes that solution, there will definitely be a need for a new solution,” Dr. Schneider said.How many could be affected?The U.S. Department of Health and Human Services says about 133 million people in the country currently have a preexisting condition. The Commonwealth Fund looked at how COVID-19 survivors would affect that number.Researchers excluded people who already had a preexisting condition before contracting the coronavirus, as well as anyone over the age of 65. They found that 3.4 million people who recovered from the coronavirus but never had a preexisting condition before could join the ranks of now having a preexisting condition.What’s more, based on current COVID-19 infection rates, that number is growing in the U.S. by 20,000 people a day.“That number is also tied to how well we control the pandemic,” Dr. Schneider said.So far, no insurance company has indicated it will add COVID-19 as a potential preexisting condition.However, health care policy experts warn it could all come down to what the justices decide about the health care law in next month’s case before the Supreme Court. 2603

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