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Tag: children

  • Missing children found after 40 days in Amazon survived like ‘children of the jungle,’ Colombian president says | CNN

    Missing children found after 40 days in Amazon survived like ‘children of the jungle,’ Colombian president says | CNN

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    CNN
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    Four young children have been found alive after more than a month wandering the Amazon where they survived like “children of the jungle,” according to Colombia’s President Gustavo Petro.

    “Their learning from indigenous families and their learning of living in the jungle has saved them,” Petro told reporters on Friday, after announcing on Twitter that they had been found 40 days after they went missing following a plane crash that killed their mother.

    Petro said the children were all together when they were found, adding they had demonstrated an example of “total survival that will be remembered in history.”

    “They are children of the jungle and now they are children of Colombia,” he added.

    Revealing their discovery earlier in the day, the Colombian president had tweeted an image that seems to show search crews treating the children in a forest clearing, along with the words: “A joy for the whole country!”

    Their grandmother, María Fátima Valencia, said she was “going to hug all of them” and “thank everyone” as soon as they were reunited in their home city of Villavicencio, where they live.

    “I’m going to encourage them, I’m going to push them forward, I need them here,” she said.

    The children, who appear gaunt in the photos, are being evaluated by doctors and will be taken to the town of San Jose del Guaviare. They are expected to receive further treatment in Bogota, the capital, according to Defense Minister Ivan Velasquez.

    “We hope that tomorrow they will be treated at the military hospital,” he said, while praising the Colombian military and indigenous communities for helping find them.

    Petro said the children were weak, needed food and would have their mental status assessed. “Let the doctors make their assessment and we will know,” he added.

    Lesly Jacobombaire Mucutuy, age 13, Soleiny Jacobombaire Mucutuy, 9, Tien Ranoque Mucutuy, 4, and infant Cristin Ranoque Mucutuy were stranded in the jungle on May 1, the only survivors of a deadly plane crash.

    Their mother, Magdalena Mucutuy Valencia, was killed in the crash along with two other adult passengers: pilot Hernando Murcia Morales and Yarupari indigenous leader Herman Mendoza Hernández.

    The children’s subsequent disappearance into the deep forest galvanized a massive military-led search operation involving over a hundred Colombian special forces troops and over 70 indigenous scouts combing the area.

    For weeks, the search turned up only tantalizing clues, including footprints, a dirty diaper and a bottle. Family members said the oldest child had some experience in the forest, but hopes waned as the weeks went on.

    At some point during their ordeal, they’d had to defend themselves from a dog, Petro said.

    He called the children’s survival a “gift to life” and an indication that they were “cared for by the jungle.”

    The Colombian president said he had spoken with the grandfather of the children who said that their survival was in the hands of the jungle which ultimately chose to return them.

    The grandfather, Fidencio Valencia, said he and his wife had endured many sleepless nights worrying about the children.

    “For us this situation was like being in the dark, we walked for the sake of walking. Living for the sake of living because the hope of finding them kept us alive. When we found the children we felt joy, we don’t know what to do, but we are grateful to God,” he said.

    The children’s other grandfather, Narcizo Mucutuy, said he wants his grandchildren to be brought back home soon.

    “I beg the president of Colombia to bring our grandchildren to Villavicencio, here where the grandparents are, where their uncles and aunts are, and then take them to Bogota,” he said.

    Indigenous leader Lucho Acosta, the coordinator of indigenous scouts, credited the “extra effort” of search and rescue teams and local authorities to find the children in a statement on Friday.

    “They all added a little effort so that this Operation Hope could be successful, and we can hope the kids will emerge alive and stronger than before. We have been hoping together with the strength of our ancestors, and our strength prevailed,” he said.

    “We never stopped looking for them until the miracle came,” the Colombian Defense Ministry tweeted.

    During a press conference Friday evening, Petro said he hoped to speak with the children on Saturday.

    “The most important thing now is what the doctors say, they have been lost for 40 days, their health condition must have been stressed. We need to check their mental state too,” he said.

    Petro, who was previously forced to backtrack after mistakenly tweeting that they had been found last month, described the children’s 40-day saga as “a remarkable testament of survival.”

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  • Build Relationships for Nutrition Education in Needy Schools

    Build Relationships for Nutrition Education in Needy Schools

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    Newswise — Philadelphia, June 8, 2023 – The US Department of Agriculture Supplemental Nutrition Assistance Program-Education (SNAP-Ed) provides nutrition programming to individuals with low income, including students and their families, through a network of community partners who implement the programs. Findings of a new study in the Journal of Nutrition Education and Behavior, published by Elsevier, suggest SNAP-Ed implementers could develop a school’s readiness for programming by concentrating efforts on cultivating relationships, program-specific capacity, and motivation at schools.

    Lead author Erin McCrossan, PhD, Office of Research and Evaluation, the School District of Philadelphia, says, “SNAP-Ed implementers make decisions about the types of programming to bring to a school based on their evaluation of a school’s readiness to change. However, obstacles such as school staff shortages, lack of capacity, and organizational climate often prevent program implementation.”

    To gain a nuanced understanding of how SNAP-Ed community partners decide what programming a school is ready to implement and what organizational factors were needed before the initial implementation of programming, researchers collected data from the School District of Philadelphia (SDP), a city in which the poverty rate is higher than all major US cities and barriers to food access and food insecurity exist. They conducted interviews and observations at 19 SDP schools. Examples of the types of activity observed at schools included level of student participation in recess/physical education, number of students eating school meals, signage related to nutrition and physical activity, and staff interactions with students. Philadelphia is served by seven SNAP-Ed agencies.

    Study results indicated that SNAP-Ed implementers primarily focused on existing capacity—such as school climate, school staff motivation, and administrative support—when making programming decisions. Second, data revealed SNAP-Ed implementers could develop school staff motivation and capacity to implement programming through relationships with school staff, resources, and support, responding to needs, engaging parents and families, and prioritizing health at the school.

    This study demonstrates that building relationships between SNAP-Ed implementers and school staff was key to increasing school staff motivation and capacity to implement programming. Instead of viewing readiness as a characteristic that a school has or does not have, SNAP-Ed implementers could approach readiness as something they have an active role in cultivating.

    Dr. McCrossan explains, “When SNAP-Ed implementers make decisions about programming based primarily on a school’s existing capacity, they often avoid the schools most in need. Schools struggling with limited capacity are most often the highest-poverty schools. They are the very schools that would benefit most from changes that promote health because there is a strong link between students’ physical health and their social-emotional health, attendance, and academic progress.”

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    Elsevier

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  • Pediatric Surgeon Thomas M. Krummel, MD, FACS, FAAP, Honored with Jacobson Innovation Award

    Pediatric Surgeon Thomas M. Krummel, MD, FACS, FAAP, Honored with Jacobson Innovation Award

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    Newswise — CHICAGO: Thomas M. Krummel, MD, FACS, FAAP, a pediatric surgeon who pioneered life-saving advances in newborn life support and championed simulation and virtual reality in surgical education, is the recipient of this year’s American College of Surgeons (ACS) Jacobson Innovation Award.

    Dr. Krummel, the Emile Holman Professor Emeritus of Surgery and co-director for 15 years of Stanford Biodesign at Stanford University, will receive the award at a banquet this evening in Chicago, Illinois.

    “Dr. Tom Krummel is a pioneer and trailblazer in simulation-based surgical education, development of novel techniques in neonatal life support, and the creation of innovation fellowships for the next generation of surgeons and scientists,” said E. Christopher Ellison, MD, FACS, President of the ACS. “His receiving of the Jacobson Innovation Award is a well-deserved recognition for his unrivaled career characterized by passion and dedication to discovery.”

    The international surgical award from the ACS honors living surgeons who are innovators of a new development or technique in any field of surgery. It is made possible through a gift from Julius H. Jacobson II, MD, FACS, a general vascular surgeon known for his pioneering work in the development of microsurgery, and his wife, Joan.

    In becoming the 29th recipient of the award, Dr. Krummel noted that he is humbled to join a long list of innovators.

    “To join a group of remarkable innovators is an awesome career capstone,” he said. “There are many recognitions of basic science advancements, but I think recognition of clinical innovation is responsible for most of the way surgeons practice today. It’s a real tribute to the Jacobson Family that they thought it was worthy to recognize surgeon innovators with this award.”

    Career highlights

    Dr. Krummel’s career-long focus on innovation began in residency when he formed the world’s second-ever program focused on extracorporeal membrane oxygenation (ECMO), a then-novel form of advanced life support designed to keep blood moving through the body in newborns with life-threatening cardiac or respiratory conditions. The team’s research in infants helped establish ECMO as an effective intervention, and the approach has since saved the lives of hundreds of thousands of patients worldwide.

    Following his residency, Dr. Krummel completed a fellowship in fetal surgery at the University of California in San Francisco. In a subsequent faculty position at the Medical College of Virginia, he received funding from the ACS and other entities for research in fetal tissue repair — a pioneering effort.

    “Mother Nature is an incredible tissue engineer,” Dr. Krummel said. “She starts with a fertilized egg and makes a person out of a blueprint. As pediatric surgeons, we are privileged to witness and harness the compelling ability of the body to regenerate and grow new tissue. When we take care of children, our expectation is that they will live until 80 or longer, so our long-term follow-up is a lifetime. The demands and expectations of what we do have to withstand the test of decades.”

    Dr. Krummel continued his research on understanding the biochemical and cellular mechanisms of scarring and tissue damage for more than two decades, first while serving as a professor of surgery and pediatrics and the chief of the Division of Pediatric Surgery at the Penn State Health Milton S. Hershey Medical Center; then as the John A. and Marian T. Waldhausen Professor and chair of the Department of Surgery at Penn State College of Medicine, and finally at Stanford University, during part of his tenure as the Emile Holman Professor and chair of the Department of Surgery.

    In 2004, recognizing a need to bridge gaps between surgery, innovation, and clinical adoption, Dr. Krummel founded the Stanford Surgical Innovation Program, and a year later merged with the Stanford Byers Center for Biodesign. He served as co-director of Stanford Biodesign until 2021. Graduates and participants of these programs (195 Innovation Fellows and 2,500+ Stanford students) have made significant contributions to the field of surgery. The program estimates that more than 7 million patients have been treated with technologies developed by graduates of this program — and the impact continues to grow exponentially.

    “This comprehensive approach to teaching innovation is unmatched and has produced a large number of graduates prepared to advance the practice of surgery by thinking differently,” wrote Gerald M. Fried, MD, FACS, in a nomination letter for Dr. Krummel.

    Throughout his career, Dr. Krummel held numerous leadership positions at the ACS, including serving on the Research and Development Committee of the ACS Consortium of Accredited Education Institutes and the ACS Committee on Emerging Surgical Technology & Education.

    Advice to young surgeon-scientists

    Dr. Krummel currently divides his time between Stanford and Austin, Texas, where he continues to mentor young scientists and helps fund promising technologies with Santé Ventures. He advises that perseverance and patience are vital attributes to innovation in surgery.

    “You solve problems by first recognizing that there is a major problem, not just an inconvenience, and secondly, by spending a lot of time talking to other physicians about their perceptions on the state of care as we know it. Finding a receptive group of physicians who acknowledge there is a problem and are willing to explore new solutions is key,” he said. “It can be lonely and often frustrating, but if you can get past that, suddenly a whole new set of therapies or technology can emerge. The field needs an ongoing source of disruptors as Dr. Julius Jacobson recognized in his founding gift. If a small-town Wisconsin kid can make a dent, so can anyone.”

    # # #

    About the American College of Surgeons

    The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and improve the quality of care for all surgical patients. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 87,000 members and is the largest organization of surgeons in the world. “FACS” designates a surgeon is a Fellow of the American College of Surgeons. 

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    American College of Surgeons (ACS)

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  • Child victims of stabbing attack in France in critical but stable condition, president visits

    Child victims of stabbing attack in France in critical but stable condition, president visits

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    France’s president has traveled to be at the side of families traumatized by the savage stabbings of four very young children

    Flowers lay at the playground after a knife attack Thursday, June 8, 2023 in Annecy, French Alps. A a man with a knife stabbed four young children at a lakeside park in the French Alps on Thursday, assaulting at least one in a stroller repeatedly. The children between 22 months and 3 years old suffered life-threatening injuries, and two adults also were wounded, authorities said. (AP Photo/Laurent Cipriani)

    The Associated Press

    PARIS — France’s president traveled Friday to the side of families traumatized by the savage stabbings of four very young children, all said to be in stable condition after emergency surgery, while investigators worked to unravel the motives of a Syrian man taken into custody.

    President Emmanuel Macron and his wife Brigitte traveled together to a hospital treating three of the four children who suffered life-threatening knife wounds in Thursday’s still unexplained attack in and around a play park in the Alpine city of Annecy.

    Macron’s prime minister, Elisabeth Borne, said all four children — aged between 22 months and 3 years — underwent surgery and “are under constant medical surveillance.”

    “Their situation is stable,” she said.

    Government spokesman Olivier Veran, a medical doctor by training, said two of the children remain in critical condition.

    Most of the children were rushed after the attack to a hospital in the French Alpine city of Grenoble — the first stop for Macron and his wife on Friday morning. They did not speak to reporters as they went inside.

    The fourth injured child was being treated in Geneva, in neighboring Switzerland.

    Two of the four children are French and the other two were tourists — one British, the other Dutch.

    Two adults also suffered knife wounds — life-threatening for one them, authorities said. One of the adults was injured both with a knife and by a shot fired by police as they were detaining the suspected attacker.

    The suspect, a 31-year-old Syrian with refugee status in Sweden, remains in custody. Psychiatrists are evaluating him, Veran said.

    The helplessness of the young victims and the savagery of the attack sickened France, and drew international condemnation.

    French authorities said the suspect had recently been refused asylum in France because Sweden had already granted him permanent residency and refugee status a decade ago.

    Lead prosecutor Line Bonnet-Mathis said the man’s motives were unknown but did not appear to be terrorism-related. He was armed with a folding knife, she said.

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  • Playground knife attack in French Alps critically wounds 4 children

    Playground knife attack in French Alps critically wounds 4 children

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    Playground knife attack in French Alps critically wounds 4 children – CBS News


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    A 31-year-old man attacked children and adults with a knife at a playground in the French Alps Thursday. Four children, all under the age of 3, were critically wounded. Charlie D’Agata reports.

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  • “Forever Chemicals” in Pregnancy Linked to Kids’ Obesity Risk

    “Forever Chemicals” in Pregnancy Linked to Kids’ Obesity Risk

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    Newswise — PROVIDENCE, R.I. [Brown University] — The risks of exposure to “forever chemicals” start even before birth, a new study confirms, potentially setting up children for future health issues.

    Exposure to per- and polyfluoroalkyl substances (PFAS) during pregnancy was linked to slightly higher body mass indices and an increased risk of obesity in children, according to a new Environmental Health Perspectives study led by Brown University researchers.

    While this link has been suggested in previous research, the data has been inconclusive. The new study, which was funded by the Environmental Influences on Child Health Outcomes program at the National Institutes of Health, involves a much broader data set with research sites across the country, said lead author Yun “Jamie” Liu, a postdoctoral research associate in epidemiology at the Brown University School of Public Health.

    “The findings were based on eight research cohorts located in different parts of the U.S. as well as with different demographics,” Liu said. “This makes our study findings more generalizable to the population as a whole.”

    ECHO is a nationwide research program supported by the NIH with the goal of understanding the effects of a broad range of early environmental influences on child health and development. The study used data collected over two decades from 1,391 children between the ages of 2 and 5 years and their mothers. They were enrolled in ECHO research sites in California, Illinois, Massachusetts, Colorado, New Hampshire, Georgia and New York.

    Thousands of individual PFAS are used in oil- and water-repellant textiles, personal care products, firefighting foams, food packaging, medical products and many other household products. Toxic PFAS are incredibly durable and are thought to persist in the environment for thousands of years, which is how they’ve come to be known as “forever chemicals.”

    The researchers analyzed the levels of seven different PFAS in blood samples collected from mothers during pregnancy. They then calculated each child’s body mass index, an approximate measure of body fat.

    The researchers found that higher levels of PFAS in mother’s blood during pregnancy were related to slightly higher BMIs. Increased risk of obesity was seen equally for male and female children.

    These associations were observed even at low levels of PFAS exposure, said senior author Joseph Braun, a professor of epidemiology and director of the Center for Children’s Environmental Health at Brown’s School of Public Health. This is important to note, Braun said, since PFAS exposures have changed over time as some manufacturers have voluntarily phased out their use in response to concerns of associated health effects as well as environmental persistence.

    “The fact that we see these associations at relatively low levels in a contemporary population suggest that even though PFAS usage in products has decreased, pregnant people today could still be at risk of harm,” Braun said. “This means, according to our findings, that their children could also be at risk of PFAS-associated harmful health effects.”

    Over the past 10 years, Braun has been involved with multiple studies on the effects of PFAS on children’s health. This type of data, he said, can help inform and influence environmental policy and safety guidelines.

    “There is a continued interest in understanding the effects of low-level PFAS exposure on children’s health,” Braun said. “Studies like this one can help researchers and policymakers better understand the risks of PFAS in order to take effective actions to protect vulnerable populations.”

    Liu said that future research will examine the associations between maternal PFAS exposure and obesity-related health outcomes in older children, and eventually teens and adults.

    The research was supported by the ECHO program, the National Institute of Environmental Health Sciences and the National Institute of General Medicine Sciences.

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    Brown University

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  • Utah Republicans defend book removal law while protesting district that banned Bible

    Utah Republicans defend book removal law while protesting district that banned Bible

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    SALT LAKE CITY — Republican lawmakers rallied with more than one hundred Bible-toting parents and children at Utah’s Capitol on Wednesday to protest a suburban school district’s decision to remove the Bible from middle and elementary school libraries in the wake of a GOP-backed “sensitive materials” law passed two years ago.

    Concerned parents and children holding signs that read “The Bible is the original textbook” and “Remove porn, not the Bible,” said they were outraged after northern Utah’s Davis School District announced that a review committee concluded the Bible was too “violent or vulgar” for young children. The committee ruled that it did not qualify as obscene or pornographic under the sensitive materials law, but used its own discretion to remove it from libraries below the high school level.

    Karlee Vincent, a Davis County mother of three kids carrying children’s Bibles to the demonstration, said districts could weigh banning certain titles with controversial material, but not religious texts like the Bible.

    “We love the Bible. We love God. And we need God in our nation,” she said.

    The anonymously made challenge to the Bible appears to have been submitted as a statement to undermine the two-year-old law, noting the sacred text contains instances of incest, prostitution and rape. It derided the review procedures as a “bad faith process” and attacked groups that have pushed to remove certain titles from schools, including Parents United and its Utah-based affiliate.

    The Bible removal is the highest-profile effort to remove a book from a school in Utah since the Legislature passed a law requiring school districts to create new pathways for residents to challenge “sensitive materials” and used a statute-based definition on pornography to define them. It has presented challenges for proponents of scrutinizing materials available in school. The pushback has emboldened book-banning critics, who argue anger at banning the Bible illustrates arbitrary and political double standards and the issues inherent to removing books that have certain content.

    “If folks are outraged about the Bible being banned, they should be outraged about all the books that are being censored in our public schools,” Kasey Meehan, who directs the Freedom to Read program at the writers’ organization PEN America, said last week.

    Utah Parents United President Nichole Mason said she worried the spotlight the Bible ban turned on Utah distracted from conversations about obscene materials that remain in school libraries. Defending Utah’s sensitive materials law, Mason noted that the committee determined the Bible didn’t qualify as pornographic under state statute. She doubled down on her stance that Utah should give parents more say in what’s in their kids’ schools.

    “God Bless America that we can challenge any book out there!” Mason said.

    State Rep. Ken Ivory, the sensitive materials law’s Republican sponsor, rebuffed the idea that his law paved the way for the Bible to be banned. Though he defended the review process after the sacred text’s removal, he said on Wednesday that the Davis School District had overstepped its role by removing the Bible from middle and elementary schools because of criteria not in state law.

    He said criticism of the review process that led to the banning of the Bible didn’t relinquish the need for oversight from parents and administrators about materials in schools.

    “Should we have age appropriate limits for children in school? Almost universally anyone of good faith says ‘Yes.’ The question is then: What should those limits be?” he said.

    Ivory urged the Legislature to change the law so book removal decisions have to be overseen by elected officials at open public meetings, not the kind of committee that decided to remove the Bible from middle and elementary schools in the Davis School District.

    Utah is among a longer list of Republican-led states that have in recent years expanded residents’ ability to challenge books and curriculum in schools and libraries. Lobbied by an ascendant parents’ rights movement, lawmakers from Florida to Wyoming have increasingly scrutinized what books are available, touching off outrage about content related to race, sex and gender in particular. New state laws have given parents additional power to challenge books and opened librarians up to potential criminal charges if they provide minors content deemed “harmful.”

    Neither Ivory nor parents took issue with efforts to remove other books, including the race- and LGBTQ-related titles that account for the majority of book challenges.

    Many parents and people of faith at Utah’s Capitol on Wednesday said they had heard little of book banning efforts until news about the Bible’s removal broke last week. They defended the Bible’s role as a foundational text, saying it shouldn’t be compared to other books that parents have challenged. They said the committee’s decision affirmed long-simmering distrust against public schools and those who make decisions governing them.

    “I hope it will be part of our schools, not only to give information to our minds but character to our hearts — and the greatest character of all is Jesus Christ,” Tad Callister, the former Sunday School General President for The Church of Jesus Christ of Latter-day Saints, said of the Bible and Book of Mormon as an audience applauded.

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  • A Black mother of 4 was shot and killed by a neighbor. Her family wants the woman who shot her arrested | CNN

    A Black mother of 4 was shot and killed by a neighbor. Her family wants the woman who shot her arrested | CNN

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    CNN
     — 

    A mother of four was shot and killed in Florida following a longtime feud with a neighbor who had complained about the victim’s children playing outside, authorities and a family attorney said.

    Deputies responded to a trespassing call Friday night and found one woman suffering from a gunshot wound, Marion County, Florida, Sheriff Billy Woods said in a Monday news conference.

    The victim was identified by family attorneys as AJ Owens.

    The shooter, also a woman, “engaged” with Owens’ children and threw a pair of skates, hitting the children, the sheriff said.

    Following that interaction, one of the children went back inside their home and told their mother, who went to the neighbor’s home “to confront the lady,” the sheriff said.

    According to the shooter, there was “a lot of aggressiveness” from both sides, as well as threats being made, and Owens was ultimately shot through the door, Woods said. She was later pronounced dead at a hospital, authorities said.

    The woman who fired at Owens has been cooperating with law enforcement, the sheriff added. No arrest has been made in the case.

    Authorities have not named the shooter or shared any identifying information. But civil rights attorney Ben Crump, one of the attorneys representing the family, identified her as a White woman, according to a news release from his office Monday.

    In a separate news conference held by Owens’ family attorneys, the victim’s mother said the neighbor who shot her daughter had called the family, including the children, racial slurs.

    The neighbor’s door “never opened,” when Owens, who was Black, tried to confront her, and she was shot through the door, Pamela Dias, the victim’s mother said.

    “My daughter, my grandchildren’s mother, was shot and killed with her 9-year-old son standing next to her. She had no weapon, she posed no imminent threat to anyone,” Dias said.

    “What I’m asking is for justice,” she added. “Justice for my daughter.”

    In Monday’s news conference, authorities pleaded for calm and patience as they investigated the shooting, worked to recover possible video footage and interview the children who witnessed the incident. The sheriff also asked for anyone with information to come forward.

    While responding to criticism about how long the investigation and a possible arrest is taking, the sheriff referenced the state’s “stand your ground” law. The law allows people to meet “force with force” if they believe they or someone else is in danger of being seriously harmed by an assailant.

    “What a lot of people don’t understand is that law has specific instructions for us in law enforcement,” he said. “Any time that we think, or perceive or believe that that might come into play, we cannot make an arrest, the law specifically says that.”

    “What we have to rule out is whether the deadly force was justified or not before we can even make the arrest,” he said.

    Authorities had received reports from the two neighbors dating back to at least January 2021, the sheriff said. Those reports included calls from the shooter complaining about Owens’ children, the sheriff said, adding that it was “children being children,” either being on someone’s property or playing in front of the multiplex.

    “Here’s what I wish: I wish our shooter would have called us instead of taking actions into her own hands. I wish Ms. Owens would have called us, in hopes we could have never got to the point in which we are here today,” he said.

    “Pray for those children. Pray for each and every one of them,” Woods added. “Their life has changed.”

    The sheriff vowed to Owens’ family and friends that his office “is going to do everything to bring justice.”

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  • Kathleen Folbigg: Mother who served 20 years for killing her four babies pardoned | CNN

    Kathleen Folbigg: Mother who served 20 years for killing her four babies pardoned | CNN

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    Brisbane, Australia
    CNN
     — 

    A woman condemned as Australia’s worst female serial killer has been pardoned after serving 20 years behind bars for killing her four children in what appears to be one of the country’s gravest miscarriages of justice.

    New South Wales Attorney General Michael Daley intervened to order Kathleen Folbigg be freed, based on the preliminary findings of an inquiry that had found “reasonable doubt” as to her guilt for all four deaths.

    Daley told a news conference Monday that he had spoken to the governor and recommended an unconditional pardon, which had been granted, and she would be released from Clarence Correctional Center the same day.

    “This has been a terrible ordeal for everyone concerned and I hope that our actions today can put some closure on this 20-year-old matter,” said Daley, who added that he had informed Craig Folbigg, the babies’ father, of his decision. “It will be a tough day for him,” he said.

    Kathleen Folbigg was jailed in 2003 on three counts of murder and one of manslaughter following the deaths of her four babies over a decade from 1989. In each case, she was the person who found their bodies, though there was no physical evidence that she had caused their deaths.

    Instead, the jury relied on the prosecution’s argument that the chances of four babies from one family dying from natural causes before the age of 2 were so infinitesimally low as to be compared to pigs flying.

    They also noted the contents of her diary, which contained passages that in isolation at the time were interpreted as confessions of guilt.

    As recently as 2019, an inquiry into her convictions found there was no reasonable doubt she had committed the crimes. But another inquiry began last year after new scientific evidence emerged that provided a genetic explanation for the children’s deaths.

    In her closing submissions, Sophie Callan, the lead counsel assisting the inquiry, said that “on the whole of the body of evidence before this inquiry there is a reasonable doubt as to Ms Folbigg’s guilt.”

    She also told the inquiry that in its closing submissions, the NSW director of public prosecutions had indicated she was also “open to the Inquiry to conclude there is reasonable doubt as to Ms Folbigg’s guilt.”

    Folbigg was just 20 years old when she married Craig Folbigg, who she’d met in her hometown of Newcastle on the northern New South Wales coast.

    Within a year she fell pregnant with Caleb, who was born in February, 1989 and lived only 19 days. The next year, the Folbiggs had another son, Patrick, who died at eight months. Two years later, Sarah died at 10 months. Then in 1999, the couple’s fourth and longest lived child, Laura, died at 18 months.

    The police investigation into the deaths of all four children began the day Laura died, but it was more than two years before Folbigg was arrested and charged. By then, the couple’s marriage had fallen apart, and Craig was cooperating with police to build a case against her.

    He handed police her diaries, which prosecutors argued contained the deepest thoughts of a mother tortured by guilt for her role in her children’s deaths.

    Examination of the babies’ remains failed to find any physical evidence they’d been suffocated, but without another plausible reason to explain their deaths, suspicion focused on Kathleen, their primary carer.

    In 2003, as he sentenced Folbigg to 40 years in prison, Judge Graham Barr recalled her troubled past. Folbigg’s father had killed her mother when she was just 18 months old, and she had spent many of her formative years in foster care.

    According to court documents, Barr said Folbigg’s prospects of rehabilitation were “negligible.”

    “She will always be a danger if given the responsibility of caring for a child,” he said. “That must never happen.”

    The death of Laura Folbigg at 18 months triggered the police investigation.

    That initial conviction ruling now stands in stark contrast to the latest inquiry, which looks set to paint a far different picture of Folbigg as a loving mother who was devastated and confused by the successive deaths of her babies.

    As he ordered her release Monday, Daley distributed a memorandum of the findings by retired judge Tom Bathurst, who said after reviewing the evidence he was “unable to accept … the proposition that Ms Folbigg was anything but a caring mother for her children.”

    In the case of the two girls – Sarah and Laura – Bathurst found there was a “reasonable possibility” a genetic mutation known as CALM2-G114R “occasioned their deaths,” and that Sarah may have died from myocarditis, inflammation of the heart, identified during her autopsy.

    In the case of Patrick, who had an unexplained ALTE, an apparent life-threatening event, when he was 4 months old and died at 8 months, Bathurst found that it’s possible his death was caused by an underlying neurogenic disorder.

    During Folbigg’s 2003 trial, the prosecution used “coincidence and tendency” evidence to allege that Folbigg had also killed Caleb. In other words, that having been allegedly responsible for the deaths of three children, it was likely she killed him, too.

    However, Bathurst found that the reasonable doubt over Folbigg’s role in his siblings’ deaths meant that the prosecution’s case against her for Caleb’s murder “falls away.”

    Kathleen Folbigg walks into the New South Wales Supreme Court in Sydney
May 19, 2003.

    In relation to her diaries, Bathurst said the “evidence suggests they were the writings of a grieving and possibly depressed mother, blaming herself for the death of each child, as distinct from admissions that she murdered or otherwise harmed them.”

    Bathurst also expressed doubts about evidence from Craig Folbigg, who had claimed his wife had been “ill-tempered” with their children and had “growled at them from time to time.”

    “The balance of evidence … (was) that she was a loving and caring mother,” wrote Bathurst, whose full report will be released at a later date.

    Folbigg’s case has been compared to that of Lindy Chamberlain, who swore a dingo took her baby Azaria from the family’s campsite at Uluru in 1980.

    The case polarized public opinion and Chamberlain was jailed before evidence emerged that she was telling the truth.

    In 1986, Azaria’s matinee jacket was found half-buried in the dirt, prompting officials to free Chamberlain, later known as Chamberlain-Creighton. Two years later, a court overturned her conviction, and in 2012 a coroner ruled that a dingo was indeed to blame for Azaria’s death.

    Like Chamberlain-Creighton, Folbigg’s release from prison could be the start of a long process to clear her name.

    Daley told reporters Monday that Folbigg’s pardon only meant she did not have to serve the rest of her sentence, and that it would be up to the Court of Criminal Appeal to quash her convictions.

    He said it was too early to talk about compensation, as that would require Folbigg to initiate civil proceedings against the New South Wales government, or to approach it seeking an ex-gratia payment.

    Daley acknowledged that after 20 years of believing Folbigg’s guilt, some people may not accept her innocence.

    “There will be some people who have strong views. There’s nothing I can do to disavow them of those views, (and) it’s not my role to do that,” he said.

    But he suggested the events of the past two decades should elicit some compassion for a woman who has lost so much.

    “We’ve got four little bubbas who are dead. We’ve got a husband and wife who lost each other. A woman who spent 20 years in jail, and a family that never had a chance. You’d not be human if you didn’t feel something,” he said.

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  • Sharing the sentence: Separation takes toll on incarcerated moms and their kids

    Sharing the sentence: Separation takes toll on incarcerated moms and their kids

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    LINCOLN, Ill. — Dressed in her Sunday best — pink ruffled sleeves and a rainbow tulle tutu — Crystal Martinez’s 4-year-old daughter proudly presented her with a multicolored bouquet of carefully crafted tissue paper flowers. With her 5-year-old son nestled on her lap, laughing in delight, Martinez held out her arms and pulled the girl into a hug so tight that her glasses were knocked askew.

    “I want you! I don’t want the flowers,” Martinez said, smiling and holding her children close.

    Martinez’ five children, including the three aged 13, 10 and 6, last month traveled for three hours from Chicago to visit her in Logan Correctional, Illinois’ largest state prison for women and transgender people, on the Reunification Ride. The donation-dependent initiative buses prisoners’ family members 180 miles (290 km) from the city to Logan every month so they can spend time with their mothers and grandmothers.

    The number of incarcerated women in the United States dropped by tens of thousands because of COVID-19. But as the criminal justice system returns to business as usual and prison populations creep back to pre-pandemic norms, more children are being separated from their mothers, putting them at greater risk of health and behavioral problems and making them vulnerable to abuse and displacement.

    Black and Hispanic women are more likely to be imprisoned than white women and are affected disproportionately by family separation due to incarceration.

    Women held at Logan describe the Reunification Ride — one of the increasingly rare, under-funded programs designed to keep families together — as a crucial lifeline.

    “I thank God that it is at least once a month. Some people don’t get to see their kids at all,” said Joshlyn Allen, whose 5- and 3-year-old children visited her with their grandmother.

    The kids and their caregivers meet at 7 a.m. at a South Side big box store parking lot, bleary-eyed but excited. Organizers hand out snacks, games, water and coloring supplies as they get on the road.

    Three hours later, the charter bus pulls up at the facility’s barbed wire gates in Lincoln, Illinois, with children peering from the windows. As families progress slowly through security, shouts of “Mommy!” and squeals of glee fill the prison gym made cheerful with handmade decorations.

    The prisoners create decorations for the visits, including colorful paper flowers, butterflies, family photos framed in construction paper and even the bouquet presented to Martinez by her daughter. Families are not allowed to bring anything besides essentials, such as diapers.

    The number of women incarcerated in the U.S. dropped by about 30%, to 146,000, from 2019 to 2020, according to U.S. Department of Justice data. The nonprofit Prison Policy Initiative attributes that decrease to slowdowns in court proceedings, temporary process changes and efforts to reduce prison populations due to the pandemic.

    But female prison and jail populations are rebounding to pre-pandemic levels.

    “We are seeing more and more families separated,” said Alexis Mansfield, Reunification Ride coordinator for the Women’s Justice Institute.

    About 58% of women in state or federal prisons are parents of minor children in the U.S. Black and Latina women experience greater incarceration rates than white women and are about as likely or more likely to be parents, according to the Bureau of Justice Statistics.

    Although women are far less likely to be imprisoned than men, their incarceration can have outsized effects on families, Mansfield said. She has witnessed children reuniting with their incarcerated mothers after months or years apart who “immediately disclose that they’re being abused or that they’re facing a challenge at school.”

    “That bond between mothers and children is so strong. And without seeing their moms, very often kids are in vulnerable positions with nobody to turn to,” she said.

    Gina Fedock, professor at the University of Chicago’s Crown Family School of Social Work, Policy and Practice, researches the well-being of marginalized women, particularly those behind bars.

    Programs like Reunification Ride that offer recurring visits are rare in the U.S., Fedock said.

    “Most states don’t have such opportunities,” she said. “There’s a real lack of consistent resources, particularly these types of transportation programs.”

    University of Chicago researchers found only one similar initiative in a nationwide sweep, Hour Children in New York, Fedock said.

    Incarcerated women tend to be the primary caregivers and often are the breadwinners, meaning children whose mothers are imprisoned are frequently displaced or enter the child welfare system, she said.

    The impact of this kind of “ambiguous loss” of a parent can lead to increased risk of health issues, developmental delays, behavioral problems and issues with education, since kids moving in with a different caregiver often have to switch schools abruptly, according to the researcher.

    “It’s really easy for (the children) to fall through the cracks,” Fedock said.

    Maintaining the maternal bond can reduce “the traumatic effects of parental incarceration for those children and their families,” Fedock explained. “Every constraint on the parent constrains the parenting relationship.”

    Nyia Pritchett said she was unable to visit her mother, Latonyia Dextra, without Reunification Ride. Before the trip, the 27-year-old had not seen Dextra in person for three years.

    Pritchett, who lives an hour outside of Chicago, awoke at 4 a.m. to catch the bus.

    “It’s worth it,” she said. “So much time my mom has missed out of our lives. The little times like this mean a lot.”

    Dextra is serving a 28-year sentence and has been imprisoned since Pritchett was a child. During the visit, she braided Pritchett’s vibrant red curls into a crown.

    “It felt like when I was a little girl,” Pritchett said.

    Pritchett wept while recounting the time spent without her mother. Dextra held her and wiped away her tears.

    Dextra said her children give her hope and that “this program means a lot.”

    The Reunification Ride, formerly the recipient of public funds that dried up in 2015 during Illinois’ two-year budget impasse, has been adopted by nonprofits that rely on crowdsourcing and volunteers to keep the program alive. Each trip costs about $3,000 to $3,500.

    “We realized that this was just too important to stop,” Mansfield said.

    Erika Ray is serving a 42-year sentence for armed robbery and murder. Her 23-year-old daughter, Jada Lesure, was just 7 when her mother was charged. Lesure now brings her 4-year old son to visit.

    The programs offer a child-friendly, welcoming alternative to the strict rules of a typical visit behind glass or in small visitor spaces where kids struggle to sit still, without games or food, Ray said.

    “There wasn’t any program like this” when Jada was a child, Ray said, watching her grandson zoom happily around the gym.

    But even as an adult, Lesure said, “I need my mom. Everybody needs their mom.”

    Ray laments it will be a long time before she is able to return home.

    “There is no way to punish the parent and not punish the child,” she said.

    ___

    Savage is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.

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  • More Than Three in Five Children Do Not Receive Timely Mental Health Services After Firearm Injury

    More Than Three in Five Children Do Not Receive Timely Mental Health Services After Firearm Injury

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    Newswise — More than three in five children (63 percent) enrolled in Medicaid do not receive mental health services within six months after a firearm injury, according to a new study published in the journal Pediatrics.

    In the United States, 11,258 youth experienced nonfatal firearm injuries in 2020. Children who survive firearm injuries are at increased risk for adverse mental health outcomes, such as newly diagnosed trauma-related disorders, substance use and disruptive disorders. In addition to these disorders, the study found that after injury, the percentage of children diagnosed with bipolar disorder, schizophrenia spectrum disorders, and suicidal ideation/self-injury nearly doubled.

    “In our study, we found that while too many children did not receive mental healthcare follow-up, children with a new mental health diagnosis identified during the firearm injury encounter had over twice the odds of timely connection to outpatient mental healthcare,” said lead author Jennifer Hoffmann, MD, MS, Emergency Medicine physician at Ann & Robert H. Lurie Children’s Hospital of Chicago and Assistant Professor of Pediatrics at Northwestern University Feinberg School of Medicine. “This shows that after a firearm injury, mental health screening and referral for youth at high risk are essential, as well as required by the 2022 American College of Surgeons standards for pediatric trauma centers. This best practice still needs wider implementation.”

    The study also detected inequities in mental healthcare access after a firearm injury, with Black youth less likely to have any mental health follow-up than White youth.

    “Mechanisms underlying these inequities may include stigma and costs related to accessing care, limited diversity in the mental health workforce, and shortages of mental health professionals in areas where Black children live,” said Dr. Hoffmann. “Attention is needed to address barriers at the individual, health system, and societal levels that may prevent Black youth from accessing mental health services.”

    For the study, Dr. Hoffmann and colleagues examined Medicaid data of children aged 5-17 years with a nonfatal firearm injury, living in 11 geographically dispersed states from 2010-2018. They identified 2,613 children with firearm injuries. The objective was to analyze how timing of the first outpatient mental health visit after firearm injury varies by sociodemographic and clinical characteristics. They found that the first outpatient mental health visit after injury occurred sooner among children with prior mental health service use.

    “For children without prior mental health service use, greater efforts are needed to connect them to mental health providers,” said Dr. Hoffmann. “To improve outcomes, it is important to prioritize early detection of mental health needs, equitable access to mental healthcare and timeliness of care.”

    Dr. Hoffmann is the Children’s Research Fund Junior Board Research Scholar.

    Research at Ann & Robert H. Lurie Children’s Hospital of Chicago is conducted through Stanley Manne Children’s Research Institute. The Manne Research Institute is focused on improving child health, transforming pediatric medicine and ensuring healthier futures through the relentless pursuit of knowledge. Lurie Children’s is a nonprofit organization committed to providing access to exceptional care for every child. It is ranked as one of the nation’s top children’s hospitals by U.S. News & World Report. Lurie Children’s is the pediatric training ground for Northwestern University Feinberg School of Medicine. Emergency medicine-focused research at Lurie Children’s is conducted through the Grainger Research Program in Pediatric Emergency Medicine.

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  • What led Capitol Police to stop a youth performance of the ‘Star-Spangled Banner’

    What led Capitol Police to stop a youth performance of the ‘Star-Spangled Banner’

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    Video of a children’s choir singing the national anthem in the U.S. Capitol, only to be unceremoniously cut off by federal authorities, spread across social media on Friday.

    Capitol Police say singers from Rushingbrook Children’s Choir from Greenville, South Carolina, were stopped May 26 because of a miscommunication. Musical performances in the hallowed seat of Congress require permission, and police said officers had been unaware that the choir had approval from the House speaker. Capitol Police denied choir leaders’ claims that the performance was stopped because it might be found offensive.

    Choir director David Rasbach and Micah Rea, a choir leader who helped organize the trip, told The Associated Press that they worked with the offices of Reps. William Timmons, Joe Wilson and Russell Fry, all Republicans from South Carolina, to get permission for the performance. They said they were informed the visit was approved by the office of House Speaker Kevin McCarthy, R-Calif.

    After stopping by Wilson’s office for photos, the group went on a tour of the Capitol that ended in Statuary Hall, famous for housing a collection of statues donated by each of the 50 states, where the choir began to perform. A visitor guide asked if they had permission for the show, Rasbach and Rea said, and told them they could start singing once he conferred with someone else.

    Video shows the children concluding the first verse of the anthem as onlookers applauded. But as they started another verse, an officer can be seen talking with Rea and another man. About a minute later, a man identified as a staffer for Wilson approached Rasbach to stop the singing.

    “When they stopped us and I walked over to the Capitol Police I said, ‘Why are you stopping us?’” Rasbach said. “They said, ‘Because this is considered a demonstration and we don’t allow demonstrations in the Capitol.’”

    Rasbach said that in later conversations with Capitol Police, an officer told him that “not only was it a demonstration, but she said that people could be offended,” and that he took this to mean that they could be offended by the national anthem. He was unable to provide the name of the officer who made this statement, as he never asked for it. Rea agreed with Rasbach’s description of the conversation.

    Capitol Police initially issued a statement saying they were under the impression the group didn’t have permission to perform in the building. They later issued a second statement saying there had been a “miscommunication” and that the police “were not aware that the Speaker’s Office had approved this performance.”

    Musical performances are among the activities specifically listed as requiring a special permit from the Capitol Police, along with demonstrations such as marches, rallies and vigils, any filming or photography for commercial uses and foot races, according to a policy posted on the agency’s website.

    “Although popup demonstrations and musical performances are not allowed in the U.S. Capitol without the proper approval, due to a miscommunication, the U.S. Capitol Police were not aware that the Speaker’s Office had approved this performance,” the second statement reads. “We apologize to the choir for this miscommunication that impacted their beautiful rendition of the Star-Spangled Banner and their visit to Capitol Hill.”

    In their initial statement about the event, Capitol Police addressed the idea that the show was stopped because it could be offensive.

    “Recently somebody posted a video of a children’s choir singing the Star-Spangled Banner in the U.S. Capitol Building and wrongfully claimed we stopped the performance because it ‘might offend someone.’ Here is the truth. Demonstrations and musical performances are not allowed in the U.S. Capitol. Of course, because the singers in this situation were children, our officers were reasonable and allowed the children to finish their beautiful rendition of the Star-Spangled Banner,” the statement said.

    McCarthy and three South Carolina representatives who had worked with the choir confirmed that the speaker’s office had invited the choir to the Capitol.

    “We recently learned that schoolchildren from South Carolina were interrupted while singing our National Anthem at the Capitol,” they said in a joint statement issued to the AP. “These children were welcomed by the Speaker’s office to joyfully express their love of this Nation while visiting the Capitol, and we are all very disappointed to learn their celebration was cut short.”

    ___

    Associated Press writer Philip Marcelo contributed to this report.

    ___

    This is part of The Associated Press’ ongoing effort to fact-check misinformation that is shared widely online, including work with Facebook to identify and reduce the circulation of false stories on the platform. Here’s more information on Facebook’s fact-checking program: https://www.facebook.com/help/1952307158131536

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  • Children With Drug-Resistant Epilepsy Live Longer After Cranial Surgery

    Children With Drug-Resistant Epilepsy Live Longer After Cranial Surgery

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    Newswise — Survival rate beyond 10 years in children with drug-resistant epilepsy (DRE) was highest after cranial epilepsy surgery and lowest when treated only with antiseizure medications, according to a study published in The Lancet Child and Adolescent Health. This large, retrospective study was the first to compare long-term survival in children with DRE among cohorts treated with medications only, vagus nerve stimulation plus medications, and cranial epilepsy surgery plus medications. Results show that risk of early death was reduced by over 80 percent after surgery and by 40 percent after vagus nerve stimulation, compared to medication-only treatment.

    People with epilepsy have increased mortality rates compared to the age-matched population. Epilepsy is one of the most common neurological conditions, affecting at least 3.4 million people in the United States. Among children with epilepsy, an estimated 20 percent have DRE.

    “We provide critical evidence for healthcare decision making for pediatric patients with drug-resistant epilepsy,” said senior author Sandi Lam, MD, Division Head of Neurosurgery at Ann & Robert H. Lurie Children’s Hospital of Chicago and Professor of Neurological Surgery at Northwestern University Feinberg School of Medicine. “Our findings also highlight the importance of the multidisciplinary team approach to the treatment of epilepsy, such as that offered at a comprehensive epilepsy center, which includes tailored evaluation and deployment of medical and surgical treatment options for patients with this challenging disease.”

    However, fewer than 1 percent of patients of all ages with DRE are referred to comprehensive epilepsy centers. An estimated 100,000-200,000 people for whom epilepsy surgery is indicated do not receive it, according to the Center for Disease Control and Prevention (CDC) and Institute of Medicine.

    “In light of our study’s findings, the catastrophic underutilization of epilepsy surgery may directly lead to avoidable premature deaths in pediatric epilepsy patients each year,” said Dr. Lam. “Epilepsy surgery is established as a safe and effective treatment, even in infants younger than 3 months of age. We need to improve early referral for comprehensive epilepsy evaluation to limit the harmful effects of ongoing seizures in the developing brain and to decrease the time to surgery. We show that children’s lives may depend on it.”

    Dr. Lam and colleagues also found disparities in access to epilepsy surgery. White, privately insured children were more likely to receive surgical treatment.

    “Our finding of disparities in access to epilepsy surgery needs to be explored further to identify multifactorial reasons and aim to improve healthcare delivery and health equity in the treatment of pediatric epilepsy,” said Dr. Lam.

    The study included a total of 18,292 pediatric patients (0-17 years of age) with DRE. Data were obtained from the Children’s Hospital Association’s Pediatric Health Information System (PHIS), an administrative database that contains inpatient, emergency department, ambulatory, and observation encounter level data from 44 children’s hospitals in the United States.

    “Children with drug-resistant epilepsy should undergo evaluation for all treatment options, with increased consideration of candidacy for cranial epilepsy surgery or neurostimulation such as vagus nerve stimulation,” stressed Dr. Lam, who also holds the Yeager Professorship in Pediatric Neurosurgery.

    Research at Ann & Robert H. Lurie Children’s Hospital of Chicago is conducted through Stanley Manne Children’s Research Institute. The Manne Research Institute is focused on improving child health, transforming pediatric medicine and ensuring healthier futures through the relentless pursuit of knowledge. Lurie Children’s is ranked as one of the nation’s top children’s hospitals by U.S. News & World Report. It is the pediatric training ground for Northwestern University Feinberg School of Medicine.

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  • A Potential Biomarker for Pediatric Acute Liver Failure

    A Potential Biomarker for Pediatric Acute Liver Failure

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    BYLINE: Katie Sweeney

    Newswise — A tiny population of T-cells could serve as a much-needed biomarker—and a potential therapeutic target—for pediatric acute liver failure, according to new research from Children’s Hospital Los Angeles.

    The study, led by surgeon-scientist Juliet Emamaullee, MD, PhD, found that T-cells expressing a molecule called programmed cell death protein 1 (PD-1) were present only in the biopsies of children who recovered from acute liver failure without needing a liver transplant.

    The findings were presented in a plenary session at the 2023 International Congress of the International Liver Transplantation Society, held May 3-6 in Rotterdam, Netherlands. First author Brittany Rocque, MD, MSc, a general surgery resident in Dr. Emamaullee’s lab, presented the research.

    The team will also present the study findings in a plenary session on June 5 at the American Transplant Congress in San Diego.

    “It’s an exciting discovery because this is something you could look for in a liver biopsy that could potentially give you valuable information about which children are more likely to need a liver transplant,” explains Dr. Emamaullee, a surgeon and Research Director in the Division of Abdominal Organ Transplantation at CHLA. “But it also opens up a possible treatment pathway.”

    Pinpointing single cells

    Pediatric acute liver failure is a rapidly progressing and potentially life-threatening illness that affects otherwise healthy children. The condition comes on with few warning signs before a child presents in the emergency room.

    Approximately 10% to 15% of patients will end up undergoing a liver transplant. However, many children recover without the need for a transplant and the resulting lifetime of immunosuppression medications. But without reliable predictors of a patient’s trajectory, it can be challenging for physicians to decide when they should move forward with a transplant, and when they should wait.

    In search of biomarkers that could help guide these decisions, Dr. Emamaullee and her team conducted a retrospective study examining liver biopsies from 27 children with acute liver failure. Eleven of those children received a liver transplant; 16 of them recovered without a transplant.

    The researchers used a technology called imaging mass cytometry to uncover individual immune cells present in each biopsy. The technology produces images that allow researchers to examine up to 40 different proteins in a single cell, all at the same time, from a small section of tissue.

    Although imaging mass cytometry is more common in cancer research, the Children’s Hospital Los Angeles team is the only group in the world using it to investigate immune cells in this way. The team has also developed advanced computational biology techniques that turn the images from the technology into a single-cell dataset.

    After identifying more than 83,000 immune cells from the biopsies, the investigators discovered the small population of T-cells expressing PD-1. The cells were found only in patients who had recovered without a transplant.

    “These cells are relatively rare; they’re less than 1% of the cells that we see in the biopsy,” Dr. Emamaullee says. “It’s only because of this technology and this advanced analysis that we were able to find them. Using older techniques, you would never know they were there.”

    Dysregulated inflammation

    It’s already well understood that PD-1 acts like a brake on the immune system, preventing T-cells from attacking the body’s normal tissue. In cancer therapy, a class of immunotherapy drugs called checkpoint inhibitors specifically blocks PD-1 expression on T-cells.

    The idea in cancer is to “take the brakes off” and give T-cells free rein to fight a tumor. But in pediatric acute liver failure, Dr. Emamaullee says, the opposite effect may be needed. Instead of releasing the PD-1 brake, you may need to apply it.

    “In acute liver failure, you have this dysregulated inflammation occurring,” she explains. “It appears that you may need T-cells expressing PD-1 to shut down this inflammation and let the liver recover. This also opens up a potential therapeutic target. If we could give a treatment that increases PD-1 expression, then maybe we could shut down this acute inflammation.”

    She adds that PD-1 may also play a key role in liver transplant rejection—another area her team is studying. “We think that these cells are likely important for mediating liver inflammation overall,” she notes. “That could have implications for many different kinds of inflammatory liver disorders.”

    The team’s next step is to study a larger sample of patients, with the goal of better understanding the role these particular T-cells play, as well as their spatial interactions with other cell types in the areas of inflammation. The researchers are also investigating the degree of liver regeneration that occurs during recovery from pediatric acute liver failure.

    Study co-authors were Johanna Ascher Bartlett, MD, of CHLA; Tricia Saputera of USC; Sarah Bangerth, Arianna Barbetta and Bryce Roper, of the Keck School of Medicine of USC; and Carly Weaver and Rohit Kohli, MBBS, MS, of CHLA. Pediatric Pathologist Shengmei Zhou, MD, also of CHLA, is a research collaborator with the team.

    Learn more about liver care at Children’s Hospital Los Angeles.

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  • How could four children survive a plane crash in the Amazon? A new report offers clues | CNN

    How could four children survive a plane crash in the Amazon? A new report offers clues | CNN

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    CNN
     — 

    One month after four children vanished into the Colombian Amazon, a preliminary report by the country’s Civil Aviation Authority offers clues to how they could have survived the devastating airplane crash that killed every adult onboard.

    The extraordinary story of the missing children has drawn intense interest across Colombia and internationally, as a massive military-led search operation continues in the forest.

    The ill-fated flight on May 1 carried pilot Hernando Murcia Morales, Yarupari indigenous leader Herman Mendoza Hernández, an indigenous woman named Magdalena Mucutuy Valencia, and her four children, the eldest 13 years old and youngest just 11 months.

    Soon after the early morning take-off from the remote community of Araracuara, the pilot radioed to air traffic control that he would look for an emergency landing spot, according to the report.

    “…Mayday, Mayday, Mayday, 2803, Mayday, Mayday, Mayday, I have the engine at minimum, I’m going to look for a field,” he said.

    The pilot later updated that the engine had regained power, and continued on his way – only to hit trouble again less than an hour later: “…Mayday, Mayday, Mayday, 2803, 2803, The engine failed me again… I am going to look for a river… I have a river on the right…”

    This time the problem did not improve.

    Air traffic control later tracked the plane veering right, the report said. Then it went off the radar.

    Despite air and water searches that immediately followed the incident, per the report, the plane would not be found until more than two weeks later – time that may yet prove significant in the fates of the plane’s passengers, as investigators continue to probe the crash and its aftermath.

    Five days after the plane’s disappearance, the Colombian military deployed special forces units to search the ground on May 6. Ten days later, on the night of May 16, they finally spotted the wreckage.

    The three adults were found dead at the scene. But all four children were missing entirely – leading rescuers to presume that they had survived, evacuated the plane and were trekking the jungle on their own, and spurring a renewed search effort.

    Investigators’ photos of the crash scene show the raised tail of a small plane painted in still-crisp blue and white, its nose and front smashed into the jungle terrain. The report says the plane likely first hit the trees of the dense forest, tearing the engine and propeller off, followed by a vertical drop to the forest floor.

    “Detailed inspection of the wreckage indicated that, during tree landing, there was a first impact against the trees; this blow caused the separation of the engine with its cover and propeller from the aircraft structure,” the report says. “Due to the strong deceleration and loss of control in the first impact, the aircraft fell vertically and collided with the ground.”

    The impact against the trees caused the separation of the engine and propeller from the aircraft structure, according to the report.

    Though it notes that forensic examinations are ongoing, the report suggests that the adults seated in the front of the plane cabin suffered fatal injuries from the crash. “The diagram of injuries caused by the accident registered fatal injuries in the occupants located in positions 1 (Pilot), 2 (male adult occupant) and 3 (female adult occupant).

    But the rear seats, where the older children were located, were less affected by the impact, according to the report, offering a potential explanation for their survival and signs of life – including a baby bottle, a used diaper, and footprints – later found in the jungle by search and rescue teams.

    Two of three seats occupied by the children remained in place and upright despite the crash, according to the report, while one child’s seat came loose from the plane structure.

    The infant may have been held in the mother’s arms, according to the report.

    The children “were not located in the area of the accident, and there were no signs that they had been injured, at least not seriously. For this reason, an intense search began in order to find them,” it says.

    A total of 119 Colombian special forces troops and 73 indigenous scouts have so far been deployed to comb the area, according to the report.

    Relatives have previously said that the children knew the jungle well – but worried whether they would understand that the outside world had not given up on them.

    “Maybe they are hiding,” said Fidencio Valencia, the children’s grandfather, speaking to Colombia’s Caracol TV earlier this month.

    “Maybe they don’t realize that they are looking for them; they are children.”

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  • As legal gambling surges, should schools teach teens about risk?

    As legal gambling surges, should schools teach teens about risk?

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    ATLANTIC CITY, N.J. — As a high school senior, Nick was blessed with a deadly accurate jump shot from the three-point range — something he was quick to monetize.

    He and his gym classmates not far from the Jersey Shore would compete to see who could make the most baskets, at $5 or $10 a pop.

    “It gave a different dynamic to the day, a certain level of excitement,” Nick said. “Little did I know how far it would continue to go.”

    Before long, he was gambling staggering sums of money on sports, costing him over $700,000 in the past decade. He hit rock bottom last year when he stole $35,000 from his workplace and gambled it away on international tennis and soccer matches – sports he admittedly knew nothing about.

    Wagering is now easier than ever for adults – and children – and there’s a growing movement in the U.S. to offer problem gambling education courses in public schools to teach teenagers how easily and quickly things can go wrong with betting.

    It’s a trend that Nick wishes had existed when his gambling habit took root in high school and led him on a path to financial ruin. He asked not to be identified by his full name because he has pending criminal charges stemming from his gambling addiction. The 27-year-old plans to look for work after his charges are resolved, and he fears the job hunt will be even harder if he’s identified publicly as a compulsive gambler.

    The rapid expansion of legalized sports betting in 33 states, with three more states coming soon, has brought steps designed to keep children from gambling, including age confirmation and identity checks. But teens can bypass betting restrictions and place wagers on their phones by using a parent or other relative’s account, or via unregulated offshore betting sites that can be less vigilant about age checks. And some teens have weekend poker games where hundreds of dollars are won or lost, often fueled by money from parents.

    According to the National Council on Problem Gambling, 60% to 80% of high school students report having gambled for money during the past year; 4% to 6% of these students are considered at risk of developing a gambling problem.

    Now, a few states are moving toward gambling education in public schools. The effort is in its infancy, and the details of what would be taught are still to be determined.

    Virginia enacted a law last year requiring schools to have classes on gambling and its addictive potential. The state Board of Education is still formulating the curriculum and must report back to state government before lessons can begin.

    Other states are trying as well, including New Jersey and Michigan. Similar legislation failed in Maryland and West Virginia in recent years, but they’re expected to try again.

    The legal gambling age in many states is 21, but is as low as 18 in others.

    Keith Whyte, executive director of the problem gambling council, recently spoke to a group of 40 high school juniors in Virginia.

    “Every single one of them said either they bet, or said their friends bet,” he said. “Almost every single one of them had sports betting apps on their phones; some were legal; more were not.”

    Whyte said widespread gambling risk education could be “comparable to the dramatic reduction in drunk driving deaths from when drinking and driving education became widespread.”

    Teresa Svincek is a teacher at a suburban Maryland school outside Washington, where many of her students are “heavily into sports betting” and weekly poker games.

    “They laugh at losing hundreds of dollars over a weekend,” she said. “When I was their age, I was busy working to earn money, and losing what they lose over a weekend was what I made in a month. I think these kids are the future tip of the iceberg.”

    Teen gambling can take other forms, too. So-called “loot boxes” in online games offer prizes to players, but they have to spend real money to get the rewards. Buying tokens or other game equipment has been a fixture of online games for years, Whyte said, and it can get children to normalize the idea of spending money to “win” something.

    Dan Trolaro, vice president of prevention at EPIC Risk Management and a recovered compulsive gambler, said gambling is the logical next issue to address in the classroom.

    “We educate very well on alcohol, on substances, on stranger danger, on cannabis,” he said. “But we don’t do anything around gambling.”

    Maryland state Sen. Bryan Simonaire has tried twice in recent years to pass a gambling education bill, unsuccessfully.

    “We have been expanding gambling in Maryland, and the schools got extra money for education,” said Simonaire. “I went to them and said, ‘Yes, you got the money from gambling, but you also have the responsibility to help those who will become addicted to gambling.’”

    Simonaire’s father died penniless after gambling binges near his home in Arizona.

    The American Gaming Association, the national trade group for the commercial casino industry, recently adopted an advertising code of conduct. It aims to make sure gambling ads don’t appear in places that will likely be primarily seen or read by children. But restrictions only go so far, as kids may simply use their parents’ accounts to bet.

    The money Nick made shooting three-pointers in his New Jersey gym class soon turned into a $300 to $500 a week gambling habit. His first big bet was on the 2013 NBA finals, when he lost $200 backing the San Antonio Spurs in a bet with a friend.

    “Even at that early point, there was this chase involved: If only I could win that $200 back, or how great would it be if I could win $300 on the next bet?” he said. “You want back what you lost.”

    Fresh out of high school, Nick was betting large sums with bookies.

    Last July, while working at a business selling high-value sports trading cards, Nick took a $35,000 payment from a customer and lost it in a weekend of gambling, mostly on overseas tennis and soccer matches, “things I knew nothing about.” He confessed to his boss, who called police, and Nick was charged with theft. He hopes to have the charge expunged from his criminal record through a pre-trial intervention program for nonviolent offenders.

    Nick thinks having some sort of gambling education in high school would have made a “huge” difference in his life.

    “I couldn’t see that I was in a cycle that started at an early age,” he said. “I might have been more conscious of how much money I was going through on a daily basis and what I was doing to myself.”

    ___

    Follow Wayne Parry on Twitter at www.twitter.com/WayneParryAC

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  • National Spelling Bee champ Dev Shah goes from ‘despondent’ to soaking up the moment

    National Spelling Bee champ Dev Shah goes from ‘despondent’ to soaking up the moment

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    OXON HILL, Md. — Fifteen months ago, Dev Shah spent a miserable five hours spelling outdoors in chilly, windy, damp conditions at a supersize regional competition in Orlando, Florida, only to fall short of his dream of returning to the Scripps National Spelling Bee.

    “Despondent is the right word,” Dev said. “I just didn’t know if I wanted to keep continuing.”

    Look at him now.

    Soft-spoken but brimming with confidence, Dev asked precise questions about obscure Greek roots, rushed through his second-to-last word and rolled to the National Spelling Bee title Thursday night.

    Dev, a 14-year-old from Largo, Florida, in the Tampa Bay area, first competed at the national bee in 2019, then had his spelling career interrupted. The 2020 bee was canceled because of COVID-19, and in the mostly virtual 2021 bee, he didn’t make it to the in-person finals, held in his home state on ESPN’s campus at Walt Disney World.

    Then came the disaster of last year, when he was forced to compete in the Orlando region because his previous regional sponsor didn’t come back after the pandemic.

    “It took me four months to get him back on track because he was quite a bit disturbed and he didn’t want to do it,” said Dev’s mother, Nilam Shah.

    When he decided to try again, he added an exercise routine to help sharpen his focus and lost about 15 pounds, she said.

    Dev got through his region. He flexed his knowledge in Wednesday’s early rounds by asking questions that proved he knew every relevant detail the bee’s pronouncers and judges had on their computer screens. And when it was all over, he held the trophy over his head as confetti fell.

    “He appreciated that this is a journey, which sounds very trite but is really quite true,” said Dev’s coach, Scott Remer, a former speller and study guide author. “I think the thing that distinguishes the very best spellers from the ones that end up not really leaving their mark is actually just grit.”

    Dev’s winning word was “psammophile,” a layup for a speller of his caliber.

    “Psammo meaning sand, Greek?” he asked. “Phile, meaning love, Greek?”

    Dev soaked up the moment by asking for the word to be used in a sentence, something he described a day earlier as a stalling tactic. Then he put his hands over his face as he was declared the winner.

    “I would say I was confident on the outside but inside I was nervous, especially for my winning word — well, like, before. Not during,” he said.

    Runner-up Charlotte Walsh gave Dev a congratulatory hug.

    “I’m so happy for him,” said Charlotte, a 14-year-old from Arlington, Virginia. “I’ve known Dev for many years and I know how much work he’s put into this and I’m so, so glad he won.”

    The winner’s haul is more than $50,000 in cash and prizes. When Charlotte returned to the stage later to congratulate Dev again, he reminded her that the runner-up gets $25,000.

    “Twenty-five thousand! What? I didn’t know that,” Charlotte said.

    Earlier, when the bee was down to Dev and Charlotte, Scripps brought out the buzzer used for its “spell-off” tiebreaker, and Dev was momentarily confused when he stepped to the microphone.

    “This is not the spell-off, right?” Dev asked. Told it was not, he spelled “bathypitotmeter” so quickly that it might as well have been.

    “I practiced for the spell-off every day, I guess. I knew it might happen and I prepared for everything, so I kind of went into spell-off mode,” he said. “But I also was scared for the spell-off.”

    Dev is the 22nd champion in the past 24 years with South Asian heritage. His father, Deval, a software engineer, immigrated to the United States from India 29 years ago to get his master’s degree in electrical engineering. Dev’s older brother, Neil, is a rising junior at Yale.

    Deval said his son showed an incredible recall with words starting at age 3, and Dev spent many years in participating in academic competitions staged by the North South Foundation, a nonprofit that provides scholarships to children in India.

    The bee began in 1925 and is open to students through the eighth grade. There were 229 kids onstage as it began — and each was a champion many times over, considering that 11 million participated at the school level.

    The finalists demonstrated an impressive depth of knowledge as they worked their way through a sometimes diabolical word list chosen by Scripps’ 21-person word panel, which includes five past champions.

    This year’s bee proved that the competition can remain entertaining while delving more deeply into the dictionary — especially early in the finals, when Scripps peppered contestants with short but tough words like “traik” (to fall ill, used in Scotland), “carey” (a small to medium-size sea turtle) and “katuka” (a venomous snake of southeastern Asia).

    “There are a lot of hard words in the dictionary,” Dev said. “There are realms of the dictionary that the word panelists need to dive into and I think they did a great job of that today.”

    With the field down to four, Shradha Rachamreddy was eliminated on “orle,” a heraldry term that means a number of small charges arranged to form a border within the edge of a field (she went with “orel”). And “kelep” — a Central American stinging ant — ousted Surya Kapu (he said “quelep”).

    While sometimes Scripps’ use of trademarks and geographical names can anger spelling traditionalists who want to see kids demonstrate their mastery of roots and language patterns — and even the exceptions to those patterns — Scripps has made clear that with the exception of words designated as archaic or obsolete, any entry in Merriam-Webster’s Unabridged dictionary is fair game.

    Dev is happy to be closing that book for now.

    “My main priority is sleep. I need to sleep. There have been a lot of sleepless nights these last six months,” he said. “I need to sleep well tonight, too. There’s a lot more sleep debt.”

    ___

    Ben Nuckols has covered the Scripps National Spelling Bee since 2012. Follow him at https://twitter.com/APBenNuckols

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  • Ochsner Health Implants Life-Saving Heart Devices in Pediatric Patient

    Ochsner Health Implants Life-Saving Heart Devices in Pediatric Patient

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    Newswise — New Orleans, La. – Ochsner Hospital for Children, among the top ranked hospitals in the nation for pediatric cardiology and congenital heart surgery, recently performed groundbreaking procedures to treat severe heart failure in a child. Building on more than two decades experience at Ochsner with mechanical heart support in children, these newly available treatments are another Ochsner first for the state of Louisiana, with one of the devices implanted being the first use in a child worldwide.

    A nine-year-old pediatric patient was recently referred to Ochsner Hospital for Children advanced heart failure/transplant team for evaluation. Dr. Katerina Boucek, a pediatric specialist in advanced heart failure therapies such as ventricular assist devices and transplant—marshalled the team who quickly went to work to save the young patient.

    Congenital pediatric cardiovascular surgeon Dr. Dennis Wells was called in to implant a mechanical pump to provide left ventricular support and to allow for eventual discharge home. A HeartMate 3™ Left Ventricular Assist Device (LVAD) was used, the first in a child this young in the state of Louisiana, and she is one of the youngest to receive this device in the U.S.

    A substantial percentage of patients who require an LVAD need at least temporary right heart mechanical support as well, which was the case for this young patient.

    The Ochsner Pediatric Interventional Catheterization team, led by Dr. Sam Lucas and Dr. Ivory Crittendon, implanted a catheter based, non-surgical Right Ventricular Assist Device (RVAD), the Impella RP Flex with SmartAssist. The device manufacturer confirms that this patient was the youngest and only pediatric patient who has received lifesaving support from the temporary Impella RP Flex. 

    “Within about 72 hours of using the temporary RVAD, the patient’s right ventricular function had improved sufficiently to remove the device,” said Dr. Katerina Boucek. “The benefit of using this temporary device is that it can be adjusted and removed at the bedside, which is less traumatic for our pediatric patients.”

    The Ochsner Hospital for Children Advanced Heart Failure and Transplant team includes pediatric cardiovascular surgeons, interventional cardiologists, heart failure cardiologists, intensive care physicians and nurses, ventricular assist device coordinators, and many others. This team of internationally renowned pediatric experts supports the region’s most comprehensive pediatric cardiology and surgery program.

    In 2022 for the second year in a row, U.S. News and World Report ranked Ochsner Hospital for Children No.1 in Louisiana, with pediatric cardiology and heart surgery ranked among the nation’s top 50. Ochsner Hospital for Children also offers the only pediatric heart and liver transplant program in the state, serving over 76,000 children every year with more than 150 physicians specializing in more than 30 pediatric specialties and sub-specialties.

    For more information about Ochsner’s pediatric cardiology program, visit https://www.ochsner.org/services/pediatric-cardiology. For more information about Ochsner Hospital for Children, visit www.ochsner.org/pediatrics.

    For more information on the HeartMate 3™ visit: HeartMate3 LVAD Product Information

    For more information on the Impella RP Flex with SmartAssist visit: Impella RP Flex with SmartAssist

     

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    About Ochsner Health

    Ochsner Health is an integrated healthcare system with a mission to Serve, Heal, Lead, Educate and Innovate. Celebrating more than 80 years of service, it leads nationally in cancer care, cardiology, neurosciences, liver and kidney transplants and pediatrics, among other areas. Ochsner is consistently named both the top hospital and top children’s hospital in Louisiana by U.S. News & World Report. The not-for-profit organization is inspiring healthier lives and stronger communities through its Healthy State by 2030 initiative, a bold and collaborative plan to realize a healthier Louisiana. Its focus is on preventing diseases and providing patient-centered care that is accessible, affordable, convenient and effective. Ochsner Health pioneers new treatments, deploys emerging technologies and performs groundbreaking research, including 4,000 patients enrolled in 685 clinical studies in 2022. It has more than 37,000 employees and over 4,700 employed and affiliated physicians in over 90 medical specialties and subspecialties. It operates 46 hospitals and more than 370 health and urgent care centers across Louisiana, Mississippi, Alabama and the Gulf South; and its cutting-edge Connected Health digital medicine program is caring for patients beyond its walls. In 2022, Ochsner Health treated more than 1.4 million people from every state and 62 countries. As Louisiana’s top healthcare educator of physicians, Ochsner Health and its partners educate thousands of healthcare professionals annually. To learn more, visit https://www.ochsner.org/.

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  • Redo of federal plane evacuation tests sought as passengers squeeze into smaller spaces

    Redo of federal plane evacuation tests sought as passengers squeeze into smaller spaces

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    Lawmakers who want tougher standards for evacuating aircraft in an emergency have criticized the Federal Aviation Administration for what they consider unrealistic simulations, and now they are calling for a do-over of current evacuation tests.

    Decades-old federal rules require that planes be designed so that passengers can escape the cabin within 90 seconds in case of fire or some other emergency, even with half the exits blocked. Critics say the FAA has been lax in ensuring that today’s airliners — with more seats and narrower rows — meet that standard.

    They point to incidents including an American Airlines plane that caught fire on the ground in Chicago in 2016. Video from inside the plane showed panicked passengers clogging the aisle as they waited to slide down emergency chutes. Twenty people were injured in the chaotic escape.

    “It should not — it cannot — take another tragedy to bring our aircraft evacuation standards up to date,” Sen. Tammy Duckworth, D-Ill., said in announcing legislation she and others introduced Wednesday to require changes in how FAA conducts evacuation tests.

    When the FAA ran drills on an aircraft cabin mock-up in Oklahoma City in 2019, all the volunteers who took part were able-bodied adults under 60.

    The FAA’s administrator at the time acknowledged that the tests provided “useful, but not necessarily definitive information.”

    The FAA grudgingly conducted those tests only after Congress ordered the agency to come up with minimums for the size of airline seats and the distance between rows. Lawmakers said new standards are necessary because Americans are getting heavier while airlines are cramming more seats on planes.

    The FAA declined to comment but has previously said the chance that passengers will survive an emergency is very high. The agency and has resisted efforts to set minimum standards for seat size and distance between rows, saying those are issues of comfort, not safety. A federal appeals court ruled in FAA’s favor this year.

    Airlines have making seats thinner and reducing legroom to squeeze more passengers on every flight. The distance from a seatback to the one in front or behind it — airlines call that “pitch” — used to measure about 35 inches; now it’s 28 inches on some airlines and 31 or 32 inches on others.

    Duckworth’s legislation would require FAA standards to consider seat size, the layout of rows, the presence of carry-on bags, purses and briefcases – even though passengers are told to leave those items behind – and a real-world range of passengers including children, seniors and people with disabilities.

    Major unions representing flight attendants support the bill, as do Paralyzed Veterans of America, Muscular Dystrophy Association and groups representing people who are blind, deaf or autistic.

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  • How and when to remove children from their homes? A federal lawsuit raises thorny questions

    How and when to remove children from their homes? A federal lawsuit raises thorny questions

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    BOSTON — When child welfare workers and police knocked on Sarah Perkins’ and Joshua Sabey’s front door well past midnight one weekend last summer, the parents were shocked to learn the state of Massachusetts had come to take their two young sons.

    It’s the kind of harrowing scene that plays out daily across the country as social workers motivated by a desire to protect children run up against confused and concerned parents.

    What followed was emotional anguish, a bureaucratic battle, vindication for the parents and a lawsuit filed earlier this month by a legal advocacy group. The couple hopes for a favorable ruling that will increase oversight of child removals nationwide.

    The children were taken in Massachusetts because of a child abuse report stemming from a hospital visit. On July 13, 2022, Perkins whisked their 3-month-old son Cal to an emergency room. He had a 103-degree fever.

    An X-ray checking for pneumonia found a rib fracture the couple hadn’t noticed. After speaking with the boy’s grandmother, they learned the injury may have happened weeks earlier as she removed Cal from a car seat. He slipped, and she caught him with one arm.

    Citing the fracture, hospital officials reported potential abuse to the Massachusetts Department of Children and Families.

    “It was such a roller coaster — this total terror that we’re going to lose this child at the hospital and then complete relief after we’re allowed to go home with a safety plan,” Perkins said.

    They returned to their Waltham, Massachusetts, home. DCF social workers made a surprise visit and found no evidence of abuse, according to the lawsuit.

    Days later, around 1 a.m. on July 16, DCF workers and police officers knocked at their door to take both sons away. They didn’t have a warrant or a court order, neither of which are required to remove a child in Massachusetts and other states.

    “It was intense. We see that these police officers are armed. We’re asking for paperwork and there’s none to be had,” Perkins said. “Eventually we were told that either we hand over the kids or they’re going to break down our door and take them by force.”

    Within 24 hours, Sabey’s parents were allowed to act as foster parents. Four weeks later DCF let Sabey and Perkins take their children home, and after another three months and eventually about $50,000 in private attorney fees, the government restored full parental custody. A short time later the couple moved to Idaho.

    The couple’s lawsuit alleges constitutional violations including the unreasonable search of their house, the unreasonable seizure of their children and the deprivation of parental rights without due process.

    “What’s really frightening is that it happens a lot. What was unique was our ability to hire an attorney,” Sabey said.

    The couple are plaintiffs in a lawsuit filed by the Pacific Legal Foundation, a nonprofit focused on parental rights and other issues. It asks for compensatory and punitive damages.

    It’s also part of a legal strategy to set precedent nationwide “confirming the importance of parental rights and clarifying the need to include a neutral judge in child removal decisions unless there is an emergency situation involving a risk of imminent harm to a child,” said Glenn Roper, a lawyer for the foundation.

    The lawsuit names individual social workers, police officers and the City of Waltham, not the DCF. That’s in part because state agencies effectively can’t be sued in federal court for damages, according to Joshua Thompson, Pacific’s director of legal operations.

    Perkins and Joshua Sabey say they feel responsible to pursue the lawsuit because many other parents can’t pay private attorney fees.

    Joyce McMillan wasn’t so fortunate.

    She relied on a public defender 23 years ago when her two children were removed after a drug test turned up positive for what the New York resident described as an illicit substance. McMillan said she had a job, a home, and was providing for her children.

    “A drug test is not a parenting test,” she said.

    McMillan said she fell into a depression and became homeless before getting her children back more than two years later. She’s currently executive director of the nonprofit JMACforFamilies. The group advocates for dismantling the child welfare system, which it calls “the family policing system.”

    Welfare agencies should be required to advise families that they have a right to an attorney and typically don’t have to let them speak to their children or enter their home without a court order, McMillan said.

    If she had deeper pockets at the time, “absolutely there would have been a different outcome,” she said.

    A representative from the City of Waltham had no comment on the Massachusetts case.

    The DCF also declined to comment. DCF policy allows the removal of a child without a court order when needed to avoid “a substantial risk of death, serious emotional or physical injury or sexual abuse” and when there’s “inadequate time to seek” one, but it must immediately file an affidavit.

    Massachusetts Gov. Maura Healey, a Democrat, declined to comment on the lawsuit. She said her administration “is committed to making sure we do everything we can for the health and well-being of children and families.”

    There are efforts to restrict the authority of child welfare agencies.

    A bill before Massachusetts lawmakers would require child welfare workers get judicial approval within four hours of removing a child, according to bill sponsor Democratic state Rep. Joan Meschino. It would also make it easier for workers to contact judges outside of regular court hours, including overnight and on weekends.

    An estimated 3 million children came under the scrutiny of child welfare agencies in the 2021 fiscal year. Nearly 600,000 were victims of mistreatment, according to a report by the Department of Health and Human Services’ Administration for Children and Families.

    An estimated 1,820 children died from mistreatment during that same period.

    The report found that 76% were victims of neglect while 16% were physically abused, and 10% were sexually abused.

    The child welfare system can be particularly risky for Black and indigenous families, according to Dorothy Roberts, professor of Africana studies, law and sociology at the University of Pennsylvania.

    “The main reason why families get investigated is accusations of child neglect, which is basically defined as not meeting the needs of children like sufficient clothing or housing or child care,” she said. “It’s basically a definition of poverty.”

    Instead of removing children, the government could help parents meet their needs, she argued.

    Roberts pointed to a 2017 study that estimates more than one-third of all U.S. children will be the subject of a child abuse or neglect report before they turn 18, an estimate that jumps to more than half for Black children.

    But social workers aren’t out to get children; they’re trying to protect them, said Yvonne Chase, president-elect of the National Association of Social Workers.

    When a hospital, school, neighbor or older child reports mistreatment, social workers apply a risk assessment to determine how agencies should respond, she said.

    “The child protective agency doesn’t create the reports of harm. Somebody calls us,” said Chase, a former head of child protective agencies in Alaska and Washington. “If a child is being seriously abused, they may be very happy to see that some relief is coming.”

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