临汾查胃去哪(通辽体很瘦怎么增肥) (今日更新中)

A group of specialized Winnebago RVs are traveling to the rural areas in Colorado. And while they may look like your standard RV on the outside, on the inside they are a safe haven for those trying to overcome addiction.These mobile addiction units are equipped with people who can help: a nurse, counselor, and peer support. They travel to areas that are experiencing opioid addiction the worst.“We were having trouble getting access to the folks that really needed it in rural communities,” said Dr. Jeremy Dubin, an addiction medicine physician and medical director at Front Range Clinic. “The idea that we can now get to these communities that don't actually have providers there, that can help them with their addictions has been basically a boon to how we’re approaching this and hopefully treating it.”It helps people like Susan, who lives in a rural town that one of the mobile addiction units visits weekly.“I've been homeless since March,” she explained. “I've been prescribed opiates since I was 19, and I’m 33.” She says it’s very helpful that she gets the attention and one-on-one time the unit provides.The Front Range Clinic has four grant-funded mobile units traveling in different rural areas across the state. It's an idea they modeled after a similar program in New York.“When we get to these communities we’re really trying to help them medically, to stabilize things,” Dr. Dubin said.“Addiction is not a death sentence, it’s a brain disease,” Donna Goldstrom, clinical director at Front Range Clinic, said. Goldstrom explained that the state’s office of behavioral health put out a grant over a year ago for six units in six regions of Colorado. Front Range Clinic won four of the units, and they now serve the rural areas outside of Greeley, Colorado Springs, Pueblo, and Grand Junction. “To bring access to folks who previously did not have access to treatment, and to hopefully help them start a life of recovery and start their recovery process with the help of medications for addiction treatment,” Goldstrom said.So far, their four units have helped 240 patients just like Susan, as well as mother and daughter Rhonda and Dacia.“I was a heroin addict for 13 years,” Rhonda said. “We just made some wrong decisions that ended up costing us a lot of time in our life.”One day, they decided to make a change. “Tired of looking for the pills. The money we spent on pills, so much money. We just decided enough was enough,” the mother-daughter duo described. The two have been visiting the unit since August.“It’s a new life for us, so we need help to guide us through to that,” Rhonda said.That’s exactly what this mobile unit trio does: take in patients and provide them with the support of a nurse, telehealth doctor visits, counseling, and peer support.“We can help with parents--whether it’s alcohol, meth, opioids, whether they are homeless or married with five kids. Whatever their situation, we’re able to help them,” Christi Couron, the nurse on the mobile unit, said.“It’s a one-stop shop,” Tonja Jimenez, the peer support specialist on the mobile unit, said.This year, they encountered a hurdle. COVID-19 has put even more obstacles in the way of those breaking the cycle of addiction.“What all those use disorders are, are symptoms of more anxiety in society, more depression, more despair, and we all know COVID has increased all those amounts,” said Dr. Donald Stader, an emergency physician at Swedish Medical Center. He explained there could be an increase of 10 to 30 percent in drug overdoses this year from last. “We’ve definitely forgotten about the opioid epidemic which has continued to worsen in the shadow of the COVID epidemic,” Dr. Stader said.The workers on the mobile unit do what they can to help, day after day driving this roving clinic to help those in need, especially during an increased time of isolation.“We’re here to do all we can for whoever we can,” Jimenez said. 3933

A group of Republicans are making good on their threat to attempt to force an immigration floor vote in the House -- potentially paving the way for a showdown among proposals to save the Deferred Action for Childhood Arrivals program.The lawmakers on Tuesday signed what's known as a discharge petition -- a procedural maneuver that can bring legislation to the House floor if it is signed by a majority of House members regardless of whether it has moved through committee, as is traditionally the case for most legislation. If the petition were to pick up enough supporters, it would set up a floor debate on four different immigration measures as early as June.The move is unusual for members of the majority party, who are effectively going around House Speaker Paul Ryan to set up a vote on legislation that GOP leadership has refused to call to the floor for a vote. Still, the members insist they are making an effort to be deferential to leadership, by leaving one bill open to the speaker's choosing.The effort is being spearheaded by three moderate Republicans who have long been vocal about trying to save DACA, a program that protected young undocumented immigrants who came to the US as children -- Reps. Will Hurd of Texas, Jeff Denham of California, and Carlos Curbelo of Florida. Curbelo officially introduced the petition Wednesday morning.In an exclusive interview with CNN, the three moderates said the goal was to have a long overdue immigration debate without a predetermined outcome."This institution should be driven by courage, not by cowardice, and the goal should not be to suppress members from pursuing their legislative goals, it should be to empower each member, and that's what we're trying to do," Curbelo said. "The goal is to empower each member of the House, including the speaker, to advance the solution that each member believes is the best one for this challenge and to try to gain supporters for that solution. So this is not in defiance of anyone."A spokeswoman for Ryan didn't comment specifically on the petition, saying efforts to pass immigration legislation continue in general."We continue to work with our members to find a solution that can both pass the House and get the president's signature," AshLee Strong said.The three members who pitched the proposal held a news conference Wednesday afternoon announcing their move, and were joined by fellow Republican Reps. Mario Diaz-Balart, of Florida, John Faso, of New York; Mia Love, of Utah; and Ileana Ros-Lehtinen, of Florida.The petition has more than a dozen Republicans on it already, Denham said, and while the members would not reveal their list of supporters in advance, they did note the signatories come from across the ideological spectrum.As of mid-afternoon Wednesday, the petition had 15 signatories, mostly moderates.Some more conservative members of the House could back the effort because it would allow a vote on a hardline immigration measure they've supported, and circumvent what conservatives often complain is overly restrictive procedural controls by leadership."I think you'll see many different caucuses throughout the House that are engaged in this debate that are focused on different solutions," Denham said. "I think it's our job. Congress needs to do its job and be held accountable."President Donald Trump sought to end the executive program put in place under the Obama administration last September, but a collection of court rulings have found Trump's action likely does not pass legal muster, and kept the program largely in place. A group of red states recently sued in a different court to try to have the program itself declared unconstitutional.Lawmakers have sought to pass legislation that would enshrine the program in law, which would address critics who say it goes beyond the authority of the executive branch. But efforts to protect it in Congress have been unsuccessful.It remains unclear if the new effort will pick up enough support to force a House showdown. While it starts with a number of Republicans in support, it would still need to roughly double the number of GOP members signing on and pick up all Democrats in the House. Effective discharge petitions have been rare in House history, though not unheard of.Democrats have insisted on a path to citizenship for DACA recipients and have opposed measures that they say are too aggressive or punitive to immigrants in return, though they have agreed to billion in border security funding. Most Republicans have been split about a path to citizenship, and have insisted any such deal must include cuts to legal immigration and hardline measures to target illegal immigration, as well.The discharge petition would support what's known as a "queen-of-the-hill" rule, which would bring four competing immigration-related bills to the floor for debate and a vote. Denham and Hurd had previously announced the rule had the support of 50 Republicans and 190 Democrats, more than 20 members over the threshold for a majority of the House, but it's unclear if all of them will back the petition.Denham, Hurd and Curbelo's move Tuesday would pave the way for a floor vote on a hardline bill from Republican Reps. Bob Goodlatte, Mike McCaul and others that does not include a path to citizenship; a creation of a program like DACA without any border security measures from Democrats; a bill Ryan would offer; and a bipartisan bill?from Hurd and California Rep. Pete Aguilar that would pair a path to citizenship with a direction to the administration to gain "operational control" of the border by the best means available. The rule also allows for the authors of the bills to change them, and the members expected all of the proposals would evolve before a floor vote -- especially to include language that would appropriate billions for border security.GOP leadership has agreed to whip the Goodlatte bill, but it has failed to gain the support of enough Republicans to make it viable to pass the House. The President has backed Goodlatte's legislation and rejected all the other proposals put forth besides his own hardline plan. The reserved spot for the speaker could be any bill of his choosing.The "queen-of-the-hill" procedure would mimic an exercise in the Senate earlier this year, when votes on four competing immigration proposals ended with none reaching the number of votes necessary to move forward, including the President's plan."This debate is too important not to have," said Hurd, who has roughly one-third of the entire southern border as part of his district, more than any other single member. "Let's have this debate on the House floor and let everybody bring their ideas to the forefront." 6770

A federal court has ruled that President Donald Trump cannot constitutionally block his followers in Twitter.Judge Naomi Reice Buchwald of the US district court in the Southern District of New York ruled that public officials may not block a person from his Twitter account based on the that person's political views — and Trump's position as President had no bearing on the case.The case was brought by Columbia University's Knight First Amendment Institute and filed against President Trump, former White House communications director Hope Hicks, press secretary Sarah Huckabee Sanders and social media director Dan Scavino.More on this as it develops. 677

A day after a Marine Corps veteran stormed into a country music dance hall in California and opened fire into the crowd, killing 12 people, investigators said there is no clear motive behind the attack.Authorities say Ian Long, 28, fired a Glock .45-caliber handgun without a word as many patrons line-danced at the Borderline Bar & Grill in Thousand Oaks around 11 p.m. (2 a.m. ET) Wednesday. He first shot a security guard and a woman working at the counter, but authorities say there was no indication he was targeting employees.Hours after police found Long dead of what is believed to be a self-inflicted gunshot wound, law enforcement officials swarmed the home where he lived with his mother to search for clues, while hundreds of people joined family, friends and survivors to mourn the victims. 815

A driver was life-flighted to Cleveland Clinic Akron General Medical Center after leading troopers on a chase that caused him to miss a stop sign, before going airborne in Medina County on Wednesday morning.Troopers attempted to initiate a traffic stop on a white 2009 Mazda 6 for a speed violation of going 76 miles per hour in a 35 mph speed zone on US 42 near Grafton Road.Authorities said the driver attempted to get away from troopers by traveling westbound on Grafton Road in Medina County when he missed the stop sign at Marks Road, causing him to go airborne for about the length of a football field. The car cut off the top of two trees that were about 15-20 feet in the air before coming to a stop in a front yard.The driver sustained non-life threatening injuries as a result of the crash. Authorities said alcohol is suspected at this time, but it's unclear why the driver was evading police. 942

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