曹博远： 2025-07-29 03:49:46

此前，政府恢复了津贴，以镌汰家庭煤气费和电费

王丽敏： 2025-07-29 03:50:17

近期笔者实探博汇纸业(5.610, -0.19, -3.28%)、华泰股份(3.760, -0.13, -3.34%)等多家上市纸企，也视察到这一点，海内造纸行业正在政策、手艺、需求的推动下，迎来三个大偏向上的转型升级机缘

杨之楹： 2025-07-29 03:49:42

Dr. James Weinstein, a back pain specialist and chief executive of Health System, has some advice for most people with lower back pain: Take two aspirin and don’t call me in the morning. On Monday, the American College of Physicians published updated guidelines that say much the same. In making the new recommendations for the treatment of most people with lower back pain, the group is bucking what many doctors do and changing its previous guidelines, which called for medication as therapy. Dr. Nitin Damle, president of the group’s board of regents and a practicing internist, said pills, even pain relievers and should not be the first choice. “We need to look at therapies that are nonpharmacological first,” he said. “That is a change. ” The recommendations come as the United States is struggling with an epidemic of opioid addiction that often begins with a simple prescription for ailments like back pain. In recent years, a number of states have enacted measures aimed at curbing prescription painkillers. The problem has also led many doctors around the country to reassess prescribing practices. The group did not address surgery. Its focus was on noninvasive treatment. The new guidelines said that doctors should avoid prescribing opioid painkillers for relief of back pain and suggested that before patients try or muscle relaxants, they should try alternative therapies like exercise, acupuncture, massage therapy or yoga. Doctors should reassure their patients that they will get better no matter what treatment they try, the group said. The guidelines also said that steroid injections were not helpful, and neither was acetaminophen, like Tylenol, although other pain relievers like aspirin, naproxen or ibuprofen could provide some relief. Dr. Weinstein, who was not an author of the guidelines, said patients have to stay active and wait it out. “Back pain has a natural course that does not require intervention,” he said. In fact, for most of the people with acute back pain — defined as present for four weeks or less that does not radiate down the leg — there is no need to see a doctor at all, said Dr. Rick Deyo, a spine researcher and professor at the Oregon Health and Science University in Portland, Ore. and an author of the new guidelines. “For acute back pain, the analogy is to the common cold,” Dr. Deyo said. “It is very common and very annoying when it happens. But most of the time it will not result in anything major or serious. ” Even those with chronic back pain — lasting at least 12 weeks — should start with nonpharmacological treatments, the guidelines say. If patients still want medication, they can try drugs like ibuprofen or aspirin. Scans, like an M. R. I. for diagnosis are worse than useless for back pain patients, members of the group said in telephone interviews. The results can be misleading, showing what look like abnormalities that actually are not related to the pain. Measures that help patients get back to their usual routines can help along the way, as Sommer Kleweno Walley, 43, of Seattle, can attest. Last spring, she slipped on the stairs in her house and fell down hard, on her back. “After a couple of hours I could barely walk,” she said. “I was in real pain. ” She saw a physical therapist, but the pain persisted. Eleven days later, she showed up at the office of Dr. Christopher J. Standaert, a spine specialist at the University of Washington and Harborview Medical Center. She expected to receive an M. R. I. at least, and maybe a drug for pain. But Dr. Standaert told her an M. R. I. would not make any difference in her diagnosis or recovery and that the main thing was to keep active. She ended up getting medication and doing physical therapy. A few months later, her back stopped hurting. It is surprising, some experts in back pain say, how often patients are helped by treatments that are not medical, even by a placebo that patients are told at the start is really a placebo. Dr. Standaert cited a study in which patients with chronic low back pain were offered a placebo, and were told it was a placebo, along with their usual treatment — often an drug like ibuprofen or naproxen. Or, the patients remained with their usual treatment alone. Those taking the placebo reported less pain and disability than those in the control group who did not take it. The placebo effect, although modest, was about the same as the effect in studies testing nonpharmacological treatments for back pain like acupuncture, massage or chiropractic manipulations. Many people with chronic back pain tend to shut down, avoiding their usual activities, afraid of making things worse, Dr. Standaert said. Helping them is not a matter of prescribing drugs but rather teaching them to set goals and work toward returning to an active life, even if they still have pain. “They have to believe their life can get better,” Dr. Standaert said. “They have to believe they can get to a better state. ” The question is: Will the new guidelines be adopted? “Patients are looking for a cure,” said Dr. Steven J. Atlas, a back pain specialist at Massachusetts General Hospital, who wrote an editorial accompanying the article on the new recommendations. “The guidelines are for managing pain. ” Added to the problem are the incentives that push doctors and patients toward medications, scans and injections, Dr. Deyo said. “There is marketing from professional organizations and from industry,” he said. “‘We have the cure. You can expect to be cured. You can expect to be pain free. ’” Medical insurance also contributes to the treatment problem, back experts say, because it does not pay for remedies like mindfulness training or chiropractic manipulations which, Dr. Deyo added, “are not cheap. ” Even if doctors want to recommend such treatments, there is no easy referral system, Dr. Atlas said. “It is much easier at Mass General to get a shot than to get a or cognitive behavioral therapy,” he added. Dr. Weinstein has a prescription: “What we need to do is to stop medicalizing symptoms,” he said. Pills are not going to make people better and as for other treatments, he said, “yoga and tai chi, all those things are wonderful, but why not just go back to your normal activities?” “I know your back hurts, but go run, be active, instead of taking a pill. ”

LeeAaker： 2025-07-29 03:50:22

I was born on 25 August, 1938. The mortal threat back then was a scruffy little Austrian called Adolf Hitler. A week after my first birthday, the threat had become reality. We were at war. My father wore a uniform for five years. After 1945 we yearned for peace at last. But in 1946 Winston Churchill told us - from the Baltic to the Adriatic an Iron Curtain has descended across Europe. Behind the Iron Curtain, another genocidal psychopath, another threat. Josef Stalin triggered the Cold War, with the Berlin blockade in 1948. My whole generation was blighted by it.

王勇勇： 2025-07-29 03:50:08

若是美國經濟尚未陷入衰退，降息主要是面對倒运因素進行政策準備，則為預防式降息，一样平常來說降息幅度較小，持續時間較短

叶盛兰： 2025-07-29 03:49:41

　　“我们希望从人工智能角度深入扎根到行业中，真正为行业创立价值。”周而进先容，现在在都会物联网方面，旷视希望从超等应用做到操作系统，有用突破交通、都会治理等各行业应用和社区园区、公共修建等块空间应用之间的数据壁垒，实现都会治理和住民生涯的双赢。在周而进的设想中，未来的人工智能将像编程一样普及：“编程已经润物细无声般地进入到所有行业，可是人工智能还没有抵达这种水平，希望未来人工智能可以生长成为人们解决问题的常见工具和手段。”