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Eye Drops May Stave Off Nearsightedness in Children
  + stars: | 2023-02-14 | by ( Sarah Toy | ) www.wsj.com   time to read: 1 min
Myopia tends to progress most quickly in very young children and tapers off after puberty. Drops commonly used to dilate pupils before eye exams could stave off nearsightedness in children, researchers said. Using low-concentration atropine eye drops in children could delay the onset of myopia, or nearsightedness, according to research published Tuesday in the Journal of the American Medical Association. Severe myopia puts people at greater risk of sight-threatening issues, such as retinal detachment, glaucoma and cataracts, eye doctors say. About one-third of the U.S. population is myopic, and eye researchers expect the number will increase to almost 60% by 2050, as people spend more time on their phones and indoors on their computers.
Mounting cyberattacks against hospitals and clinics and a regulatory push are increasing the pressure on medical-device manufacturers to improve the security of their products. Cyber protections have often been an afterthought for medical devices, which can be in operation for decades. Newsletter Sign-up WSJ Pro Cybersecurity Cybersecurity news, analysis and insights from WSJ's global team of reporters and editors. While Mr. Suarez acknowledged that greater transparency about vulnerabilities is needed from makers of medical devices, he also wants to see customers stop using old, unsupported equipment. “It’s a complex challenge,” Mr. Suarez said.
The richest Black mothers and their babies are twice as likely to die as the richest white mothers and their babies. Yet there is one group that doesn’t gain the same protection from being rich, the study finds: Black mothers and babies. The researchers found that maternal mortality rates were just as high among the highest-income Black women as among low-income white women. The richest Black women have infant mortality rates at about the same level as the poorest white women. Generally, rates for Hispanic mothers and Asian mothers track more closely with those of white mothers than Black mothers.
Rescuers search for victims of a 7.8-magnitude earthquake that hit Diyarbakir, Turkey, in this video grab from AFP TV taken Feb. 6, 2023. A powerful 7.8 magnitude earthquake hit southern Turkey and northern Syria early Monday, toppling buildings and triggering a frantic search for survivors in the rubble in cities and towns across the area. At least 207 were killed and hundreds injured, and the toll was expected to rise. On both sides of the border, residents were jolted out of sleep by the tremors several hours before dawn and rushed outside in a cold, rainy and snowy winter night. The death toll in government-held areas of Syria climbed to 111 with at least 516 injured, according to Syrian state media.
Utah is likely to become the first state to ban gender-affirming medical care for transgender minors this year. The Utah Senate approved a bill Friday that would bar minors from receiving gender-affirming surgeries and place an indefinite moratorium on their access to puberty blockers and hormone therapy. Spencer Cox, who became the second Republican governor last year to veto a bill that bars transgender students from playing girls’ sports. Bri Martin, the editor of the student newspaper at West High School, described gender-affirming care as “nothing short of life-saving,” the Salt Lake Tribune reported. The bill also allows minors to sue medical providers for malpractice for gender-affirming medical care if the minor “later disaffirms consent” before they turn 25.
And there are questions about the quality of care at urgent care centers and whether they adequately serve low-income communities. Additionally, passage of the Affordable Care Act in 2010 spurred an increase in urgent care providers as millions of newly insured Americans sought out health care. Private-equity and venture capital funds also poured billions into deals for urgent care centers, according to data from PitchBook. Equity concernsSome doctors and researchers worry that patients with primary care doctors – and those without – are substituting urgent care visits in place of a primary care provider. There are also concerns about the oversaturation of urgent care centers in higher-income areas that have more consumers with private health care and limited access in medically underserved areas.
The FTC estimates that about 30 million workers are bound by noncompete agreements across the US. However, an American Bar Association rule has long protected lawyers from being forced to sign the agreements. The American Bar Association's Model Rules of Professional Conduct protects lawyers from being forced to sign noncompetes. The ABA's rule contrasts with a similar rule from the American Medical Association that discourages medical professionals from signing noncompetes, but does not ban them. Earlier this month, recruiters told Insider that doing away with noncompete agreements could lead to another wave of employees leaving for better opportunities, or to start their own businesses.
Under the guidelines proposed on Friday, gay and bisexual men who are in monogamous relationships would be allowed to donate blood. The FDA had imposed a lifetime ban on men who have sex with men donating blood during the AIDS crisis in the 1980s. The agency had eased the ban in 2015, allowing gay and bisexual men to donate blood if they had not had sex in the previous year. The American Medical Association had criticized the FDA's restrictions on gay men donating as discriminatory. Those taking injections to prevent HIV would not be allowed to donate blood for two years following their most recent injection.
State legislators across the country proposed a record number of bills targeting LGBTQ rights last year, but less than 1 in 10 have become law, a report published Thursday by the Human Rights Campaign found. The LGBTQ advocacy group’s 2022 State Equality Index, an annual review of state legislation and policies that affects the rights of lesbian, gay, bisexual, transgender and queer people, found that state lawmakers introduced 315 bills that HRC described as “anti-equality.” Of those, just 29 became law. “I know they don’t see that, but these are not winning issues.”This year’s State Equality Index also found that state lawmakers introduced 156 “pro-equality” bills, of which 23, or just under 15%, became law. Seventeen states bar Medicaid from covering certain transgender medical care. In just the first few weeks of the year, state lawmakers have introduced nearly 150 such bills, with the majority continuing to target LGBTQ youth, according to an NBC News analysis.
Five decades ago, Jim Ziglar witnessed the landmark Roe v. Wade decision take shape inside the Supreme Court chambers. Jim Ziglar, center left, clerked for Justice Harry Blackmun, center right, in 1972-1973, the session in which Blackmun wrote the landmark majority decision for Roe v. Wade. Blackmun, Frampton said, "really wanted to become an expert in the history of abortion and the history of abortion law." The Supreme Court clerks who served in the 1972-1973 session, in which the Roe v. Wade decision was handed down. Richard Hoffman and Rhesa Barksdale worked as clerks for Supreme Court Justice Byron White in the 1972-1973 session, in which White wrote the dissenting opinion in the landmark Roe v. Wade decision.
Transgender youths reported more life satisfaction and fewer symptoms of depression and anxiety after receiving gender-affirming hormone therapy for two years, according to a new study. However, medical associations such as the American Medical Association and the American Academy of Pediatrics, among others, oppose efforts to restrict gender-affirming care for minors. In addition to the New England Journal of Medicine study, about half a dozen others have shown that access to puberty blockers and hormone therapy can improve mental health outcomes, including reducing suicidal ideation, among transgender youths. Three studies — two published in 2020 and another published in 2021 — found that earlier access to gender-affirming medical care is associated with better mental health. They also noted that improvement in mental health varied widely, and that some participants continued to report high levels of depression and anxiety and lower levels of positive emotions and life satisfaction.
She didn't find success until her doctor prescribed Wegovy, a weight loss drug, in August 2021. But it all stopped in February, when Bayandor's health insurance denied her coverage, forcing her to stop taking the medication. Artemis BayandorBayandor's experience isn't uncommon: Widespread shortages of Wegovy, a popular weight loss aid, have forced some people in the U.S. to stop taking it, leading them to gain some — or all — of their weight back. "When you're at that max weight loss, your body's hunger hormones are the highest," she said. In May, an unrelated thyroid issue landed her in the hospital and forced her to stop taking Wegovy.
Medication abortion has drawn increasing attention since the U.S. Supreme Court last June overturned its landmark 1973 Roe v. Wade decision that had legalized abortion nationwide. Nearly all abortions, including medication abortions, are now banned in 12 states, and 16 states that permit some abortions also had laws restricting medication abortion as of November, according to the Guttmacher Institute, a research group that supports abortion rights. "The FDA, by approving chemical abortion drugs for home use, puts a woman or girl's life at risk." In its court filing, the FDA said there was no basis for second-guessing the FDA's judgment. The FDA said that pulling the drug would force patients seeking abortions in many cases to undergo unnecessary and more invasive surgical abortion.
So far, Texas has taken the lead with 36 such bills, according to Equality Texas, a statewide LGBTQ advocacy group. Four states — Arkansas, Alabama, Tennessee and Arizona — have enacted restrictions on gender-affirming medical care for minors, though federal judges have blocked them from taking effect in Arkansas and Alabama. State Sen. David Bullard, the Republican sponsoring the bill, told The Oklahoman that gender-affirming medical care is a “permanent change in your body that cannot be reversed. Accredited medical associations — including the American Medical Association, the American Academy of Pediatrics and the American Psychological Association — have supported gender-affirming care for minors. Advocates and doctors who treat trans youth have said many of the health care restrictions proposed by state legislators mischaracterize what gender-affirming care is.
Last year, the nation’s largest LGBTQ advocacy organization, the Human Rights Campaign, labeled 2021 the “worst year” for LGBTQ rights in modern U.S. history, citing a record number of anti-LGBTQ bills introduced in state legislatures across the country. “The LGBTQ+ community is really under siege right now,” said Ricardo Martinez, CEO of LGBTQ advocacy group Equality Texas. One bill that was successfully implemented, and gained national headlines for months, was Florida’s Parental Rights in Education law, or what critics have dubbed the “Don’t Say Gay” bill. The word “grooming” has long been associated with mischaracterizing LGBTQ people, particularly gay men and transgender women, as child sex abusers. Those losses came after some conservative groups ramped up misleading or inflammatory campaign ads targeting transgender rights.
“And the pulse oximeter is used from any age to geriatrics,” he said. The US Food and Drug Administration is mulling over next steps for the regulation of pulse oximeter devices, which may give less accurate readings for people of color. A panel of its Medical Devices Advisory Committee met in November to review clinical data on the issue. “I think of the pulse oximeter reading in the same way. Of course this can be dangerous.”Ultimately, the pulse oximeter can estimate the amount of oxygen a person has in their blood without the need for a blood sample.
The spread of RSV appears to be slowing, though Covid cases have risen since Thanksgiving and flu hospitalizations remain at a decade high, CDC Director Dr. Rochelle Walensky said Monday. "This year’s flu season is off to a rough start," Dr. Sandra Fryhofer, board chair of the American Medical Association, said at a CDC press briefing. Nationally, the number of positive weekly RSV tests fell from more than 19,000 in the week ending Nov. 12 to around 7,500 in the week ending Nov. 26. Average daily Covid cases, however, have risen 16% over the last two weeks, according to NBC News' tally. The CDC recorded a nearly 18% increase in average daily hospital admissions due to Covid from the week ending Nov. 22 to the week ending Nov. 29.
The Centers for Disease Control Prevention on Monday encouraged people to wear masks to help reduce the spread of respiratory illnesses this season as Covid, flu and RSV circulate at the same time. The CDC director said the agency is considering expanding its system of Covid community levels to include other respiratory viruses such as the flu. The system is the basis for when CDC advises the public to wear masks. About 5% of the U.S. population lives in counties where the CDC is officially recommending masks due to high Covid levels. Dr. Sandra Fryhofer, board chair of the American Medical Association, said the circulation of Covid, flu and RSV at the same is a "a perfect storm for a terrible holiday season."
The original Medicare program is offered directly through the federal government. "There hasn't been enough of an indictment of Medicare Advantage plans," Mary Johnson, a Social Security and Medicare policy analyst at the Senior Citizens League, told Insider. The Congressional Budget Office estimates that the share of all Medicare beneficiaries enrolled in Medicare Advantage plans will grow to 61% by 2032. The politics of Medicare AdvantagePoliticians, primarily Republicans, have done their part to promote Medicare Advantage over the original Medicare plans since President George W. Bush overhauled the program in 2003. Johnson said Medicare Advantage was so popular among conservatives because it shifted financial responsibility from the government to patients.
CNN —This year’s flu shot appears to be “a very good match” to the circulating strains, US Centers for Disease Control and Prevention Director Dr. Rochelle Walensky said at a news briefing Monday. Flu vaccinations for children are down about 5% compared with where they were before the Covid-19 pandemic, Walensky said. The good news is that looks like it is a very good match,” Walensky said of the early start to the respiratory virus season. She noted that the CDC would have more definitive data later in the season but that the data is encouraging. It’s not very good at interrupting transmission, and it is not very good at preventing milder infection,” he said.
There have been at least 8.7 million illnesses, 78,000 hospitalizations, and 4,500 deaths from flu so far this season, according to CDC estimates. She said flu season started earlier and "hospitalizations for flu continue to be the highest we have seen at this time of year in a decade." People also likely have weakened defenses after not being exposed to flu and RSV while working or schooling from home during the COVID-19 pandemic. About 12% fewer pregnant women have been vaccinated so far this season compared to last season, and about 5% fewer children, Walensky said. COVID-19 cases have risen following the Thanksgiving holiday and COVID-related hospitalizations have also increased about 15% to 20% over the last week, Walensky said.
CNN —The US Food and Drug Administration is considering shifting its blood donation policy away from blanket assessments toward questionnaires that focus more on individual risk, it said Wednesday. “The FDA remains committed to gathering the scientific data related to alternative donor deferral policies that maintain a high level of blood safety,” the statement says. Those who have not would be allowed to donate blood, an FDA official told the Journal. The current policy requires men who have sex with men to wait three months after sexual contact with other men before they can donate blood. Other men who have sex with men are still required to refrain from sex for three months before donating in the UK.
Norpel is one of millions of Americans with long Covid, also known as long-haul Covid, post-Covid or post-acute Covid syndrome. Key symptoms: Long Covid has been linked to more than 200 symptoms, according to The Rockefeller Foundation. Duration: There's no consistent definition of how long symptoms must persist for someone to be considered a long Covid patient. What experts do know is that for some, long Covid symptoms can last months or even years. "I don't know if it's for the rest of my life or not," Hurst said of feeling long Covid symptoms.
Some face masks contain minute quantities of titanium dioxide, a mineral that has been flagged as a possible cancer risk when inhaled, but there is no evidence that mask users inhale it at all, or in harmful quantities. Experts told Reuters that some masks approved in the U.S. may contain small amounts of titanium dioxide. However, the study tested masks distributed in Europe and did not test whether mask users inhaled any particles. Although some face masks approved by the FDA can contain titanium dioxide, the study cited in online claims does not provide evidence that titanium dioxide is released from face masks or that face mask users can inhale titanium dioxide released from masks. Titanium dioxide has only been classified as a carcinogen by the European Chemicals agency under specific conditions.
The Food and Drug Administration is pushing for drugmakers to apply for over-the-counter approval for naloxone, the opioid overdose antidote. Naloxone is only offered as a prescription, though many states have found work-arounds to make the drug easier to get. By making the medication available over the counter, it removes stigma, said Dr. Scott Hadland, an addiction specialist at Mass General for Children in Boston. Nearly 20,000 deaths from overdose, between 1999 and 2020, have been prevented by the self-administering of naloxone, according to the FDA. The FDA noted that over-the-counter naloxone will not divert supplies away from community-based naloxone distribution programs and hospitals.
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