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  • Editorial Roundup: United States

    Editorial Roundup: United States

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    Excerpts from recent editorials in the United States and abroad:

    Dec. 21

    The Washington Post on Trump’s tax records

    In 2020, President Donald Trump and Melania Trump paid no federal income taxes by claiming millions in dubious deductions and carrying over losses from previous years.

    Somehow, that’s not the most scandalous detail to emerge following the House’s four-year legal brawl to obtain Mr. Trump’s tax returns. It turns out the Internal Revenue Service did not conduct — let alone complete — mandatory examinations of Mr. Trump’s returns while he was president, despite its own internal policy from 1977 requiring such reviews and the White House’s claims that they were happening. A report by the House Ways and Means Committee, released after members voted Tuesday to make Mr. Trump’s filings public, proposes codifying into law the norm that every president since Richard M. Nixon had observed, until Mr. Trump: the routine release of presidential tax returns.

    In April 2019, on the very day the committee inquired about the status of mandatory presidential audits, the IRS notified Mr. Trump that his 2015 return would be examined. But the audit was assigned mainly to one agent, and Mr. Trump threw sand in the gears. The lone IRS employee had to review a return that included over 400 pass-through entities, numerous schedules, foreign tax credits and millions in carried-over losses from previous years.

    An accompanying report from the Joint Committee on Taxation, summarizing Mr. Trump’s returns, raises questions about several deductions he’s claimed. For example, he took a $21.1 million deduction in 2015 for donating 158 acres of real estate but had no qualified appraisal for the land. He also reported making cash donations of more than $500,000 in 2018 and 2019 without substantiation, according to the report.

    An internal IRS memo said Mr. Trump’s taxes were so complicated that “it is not possible to obtain the resources available to examine all potential issues.” In other words, even if the agency wanted, it lacked the resources for a thorough review. The congressional report recommends that the IRS assign two senior agents, as well as specialists on partnerships, foreign transactions and financial products, to ensure all presidential audits are complete and timely. This is a no-brainer.

    Alas, this problem is bigger than Mr. Trump. Former IRS commissioner Charles Rettig has testified the agency lacks the resources to closely scrutinize the filings of many people in Mr. Trump’s stratum. “We get outgunned routinely,” he said. No American should be too big to audit.

    Fortunately, the Inflation Reduction Act provided $79 billion for IRS modernization, including expanded resources to wade through complex returns from high-income taxpayers. Paying taxes is a responsibility of citizenship. Taking steps to ensure presidents pay what they owe, by requiring mandatory audits and returning to the norm of releasing presidential returns, would help restore public confidence that tax laws are administered fairly and applied equally.

    ONLINE: https://www.washingtonpost.com/opinions/2022/12/21/trump-tax-records-irs-scandals/

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    Dec. 24

    The New York Times on taking on extremism in the U.S.

    Whoever shot the small steel ball through the front window of the Brewmaster’s Taproom in Renton, Wash., this month wasn’t taking chances. The person wore a mask and removed the front and rear license plates of a silver Chevrolet Cruze. The police still have no leads.

    The bar’s owner, Marley Rall, thought the motivation seemed clear: The attack followed social media posts from conservatives angry about the bar’s Drag Queen Storytime and Bingo, slated for the following weekend.

    The Taproom sits in a two-story office park a 15-minute drive from downtown Seattle. It has a little outside patio and about two dozen local craft beers on tap. Dogs are welcome. A sign on the door reads: “I don’t drink beer with racists. #blacklivesmatter.” Now there’s also a note with an arrow pointing to the hole in the window reading: “What intolerance looks like.”

    Over the past two years, criticism of the bar’s long-running monthly Drag Queen Storytime had been limited to nasty voice mail messages and emails. But talk on right-wing message boards has turned much darker, Ms. Rall said. One post this month about the Taproom event read: “Drag Queen Storytime Protest. STOP Grooming Kids! Bring signs, bullhorns, noisemakers.”

    Ms. Rall knew how protests like this could escalate. There was an incident in 2019 at a library drag queen story hour about 10 minutes from the bar, where members of the Proud Boys and other paramilitary groups got into a shouting match with supporters of the event.

    Was the shot at the Taproom a warning? She had no way to know, so she kept the event on the calendar.

    Sitting in a corner of the Taproom a few hours before her story time was set to begin, Sylvia O’Stayformore said she didn’t care if the Proud Boys showed up to an event that was aimed at teaching children empathy. Protesters or not, she had a show to put on. “I’d never be intimidated by all this,” she said.

    Far-right activists have been waging a nationwide campaign of harassment against L.G.B.T.Q. people and events in which they participate. Drag queen story events are similar to other public readings for children, except that readers dress in a highly stylized and gender-fluid manner and often read books that focus on acceptance and tolerance. This month alone, drag queen events were the target of protests in Grand Prairie, Texas; San Antonio; Fall River, Mass.; Columbus, Ohio; Southern Pines, N.C.; Jacksonville, Fla.; Lakeland, Fla.; Chicago; Long Island; and Staten Island.

    On Monday, protesters vandalized the home of a gay New York City councilor with homophobic graffiti and attacked one of his neighbors in protest of drag queen story hours held at libraries.

    The protests use the language of right-wing media, where demonizing gay and transgender people is profitable and popular. Tucker Carlson, a Fox News host who rails against transgender people and the medical facilities that serve them, has the highest-rated prime-time cable news program in the country. Twitter personalities with millions of followers flag drag events and spread anti-trans rhetoric that can result in in-person demonstrations or threats. Facebook pages of activist groups can mobilize demonstrators with ease.

    Some Republican lawmakers are using the power of the state in service of the same cause. Several states are trying to restrict or ban public drag shows altogether, amid a record number of anti-L.G.B.T.Q. bills introduced this year. Republican politicians also used a barrage of lies about trans people in their campaign ads during the midterm elections, funded to the tune of at least $50 million, according to a report released in October from the Human Rights Campaign Foundation.

    This campaign isn’t happening in a vacuum. Levels of political violence are on the rise across the country, and while some of it comes from the left, a majority comes from the right, where violent rhetoric that spurs actual violence is routine and escalating. At anti-L.G.B.T.Q. events, sign-waving protesters are increasingly joined by members of the street-fighting Proud Boys and other right-wing paramilitary groups. Their presence increases the risk of such encounters turning violent.

    In a series of editorials, this board has argued for a concerted national effort against political violence. It would require cracking down on paramilitary groups, tracking extremists in law enforcement, creating a healthier culture around guns and urging the Republican Party to push fringe ideas to the fringes. Every American citizen has a part to play, and the most important thing we all can do is to demand that in every community, we treat our neighbors — and their civil liberties and human rights — with respect.

    One way to do that is to call out and reject the dehumanizing language that has become so pervasive in online discussions, and in real life, about particular groups of people. Calling L.G.B.T.Q. people pedophiles is an old tactic, and it makes ignoring or excusing any violence that may come their way easier. While direct calls for violence are beyond the pale for most Republican politicians, and the causes of specific violent acts are not easily traced, calling transgender people pedophiles or “groomers” is increasingly common and usually goes unchallenged.

    Marco Rubio, a Republican senator from Florida, released a TV ad recently in which he said: “The radical left will destroy America if we don’t stop them. They indoctrinate children and try to turn boys into girls.” A conservative activist group recently ran ads in several states, including one that said, “Transgenderism is killing kids.” This year, as Florida lawmakers debated the so-called Don’t Say Gay bill, a spokeswoman for Gov. Ron DeSantis of Florida posted on Twitter: “If you’re against the Anti-Grooming Bill, you are probably a groomer or at least you don’t denounce the grooming of 4-8 year old children. Silence is complicity.”

    The silence from a great majority of Republicans on the demonization of, and lies about, trans people has indeed meant complicity — complicity in what experts call stochastic terrorism, in which vicious rhetoric increases the likelihood of random violence against the people who are the subject of the abusive language and threats.

    Drag queen story hours aren’t the only current target for right-wing extremists. On Aug. 30, an operator at Boston Children’s Hospital, a pioneer in providing gender-affirming care, answered the telephone at about 7:45 p.m. and received a disturbing threat. “There is a bomb on the way to the hospital,” the caller said. “You better evacuate everyone, you sickos.” It was the first of seven bomb threats the hospital received over several months. The most recent came on Dec. 14.

    After extremists posted online the address of a physician who works with trans children at the hospital, the doctor had to flee the home. “These have been some of the hardest months of my life,” the doctor said.

    Around the country, at least 24 hospitals or medical facilities in 21 states have been harassed or threatened in the wake of right-wing media attacks, according to a tally this month by the Human Rights Campaign Foundation. To protect their employees, some hospitals are stripping information about the transgender services they provide from their websites. The messages that appear to trigger these attacks are often outlandish lies about what care these medical facilities actually provide. As a result, many hospitals feel they have no choice but to protect their staff, even if it means making the care they provide less visible. Removal of official information creates a risk that more disinformation could fill the void.

    Given the transnational nature of extremism, these threats can come from anywhere. The F.B.I. arrested three people in connection with the various threats against Boston doctors. One person lived in Massachusetts, another in Texas and the third in Canada.

    Data collected by the Armed Conflict Location and Event Data Project, which tracks political violence, puts the harassment of hospitals into a wider, troubling context. Acts of political violence against the entire L.G.B.T.Q. community have more than tripled since 2021; anti-L.G.B.T.Q. demonstrations have more than doubled in the same period. And the nature of the intimidation is changing: Protesters dressed as civilians have been replaced by men in body armor and fatigues; signs have been replaced by semiautomatic rifles.

    Even dictionary publishers have become targets. This year, a California man was arrested for threatening to shoot up and bomb the offices of Merriam-Webster because he was angry about its definitions related to gender identity.

    ONLINE: https://www.nytimes.com/2022/12/24/opinion/anti-trans-violence.html

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    Dec. 23

    The Wall Street Journal on Congress on proxy voting:

    The House of Representatives spent Friday passing the $1.65 trillion omnibus spending blowout, and the bill is loaded with earmarks and pet priorities from healthcare to public lands that few Members have bothered to read. This is no way to run a government, and compounding the embarrassment is that half of the lawmakers had already ditched Washington for the holidays.

    The House had roughly 230 “active proxy letters” on Friday. Speaker Nancy Pelosi through a rule change allowed Members to vote by proxy in 2020, a putatively temporary measure to mitigate the risks of Covid-19. But the reprieve has been renewed every 45 days for more than two years and is now an all-purpose excuse to go AWOL.

    Members sign a letter, available on the House clerk’s website, that says they are “unable to physically attend proceedings in the House Chamber due to the ongoing public health emergency,” and designate a colleague to cast their vote. But no one even bothers anymore to fake a cough or pretend the absence has anything to do with Covid-19. Mrs. Pelosi told a CNN reporter on Friday that the mass sick day is “related to the weather more than anything else.”

    Members sometimes missed votes pre-Covid, and voters can judge for themselves whether a snowstorm is a fair reason for their Representative to leave Washington early. But it should give Americans more pause that so many Members of Congress are so cavalier about misrepresenting the reason they won’t be at roll call.

    The abuse is bipartisan, and Members from Rep. Alexandria Ocasio-Cortez to Rep. Marjorie Taylor Greene availed themselves of proxy letters this week. Business Insider reports that Ms. Greene is vacationing in Costa Rica.

    An October CQ Roll Call analysis found that a dozen House Democrats cast more than half their votes by proxy. Retiring members are particular offenders, and a joke in the press is that they are “quiet quitting.” The Roll Call report noted that voting by proxy is more common on days Members are showing up or leaving town. Is it easier to get Covid on a Friday?

    GOP leader Kevin McCarthy said on Friday that the Republican House in January would repeal “proxy voting once and for all,” though it may not be easy to herd his colleagues back into the chamber now that they’ve grown accustomed to weighing in from afar.

    But the $1.65 trillion spending bill touches every corner of policy from education to national defense. The least elected officials could do is show up to debate the merits.

    ONLINE: https://www.wsj.com/articles/the-house-pretends-to-calls-in-sick-congress-proxy-voting-nancy-pelosi-omnibus-bill-11671833628

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    Dec. 22

    The Los Angeles Times on the U.S. Postal Service:

    It’s the time of year when we see a lot more mail trucks trundling through neighborhoods as letter carriers work hard to deliver everyone’s holiday cards and packages on time.

    But this season we have something new to celebrate: The U.S. Postal Service’s announcement this week that it will spend billions of dollars to buy tens of thousands of electric delivery vehicles over the next few years. It’s a victory in the fight against climate change and a welcome shift by an agency that until recently had intended to update its huge, aging fleet with another generation of gas guzzlers. It’s also a win for public health, as a growing number of zero-emission mail trucks will soon start to deliver not only letters and packages, but cleaner air to every corner of the nation.

    The Postal Service will buy 106,000 delivery vehicles by 2028, of which 66,000 will be electric, and plans to purchase zero-emission delivery trucks exclusively by 2026. The $9.6-billion plan is a dramatic change from earlier this year, when Postmaster General Louis DeJoy, who was appointed during the Trump administration, planned to make only 10% of the next-generation fleet electric and add as many as 165,000 new gas-guzzling delivery trucks over the next decade that get less than 9 miles per gallon. That would have been a huge mistake considering these vehicles last 30 years and could be on the roads polluting the air and warming the climate into the 2060s.

    The Biden administration, which does not have direct control over the Postal Service, pushed back nonetheless. California, New York and more than a dozen other states filed suit in April to halt the purchase of gas-powered trucks, joining environmental groups in demanding investments in clean, zero-emission vehicles instead.

    California’s intervention “played a big part in stopping USPS from committing to decades of air pollution around the nation,” said Liane Randolph, who chairs the state Air Resources Board.

    While the Postal Service will need to do more to fully electrify its aging fleet of more than 220,000 vehicles, this move helps put us closer to achieving President Biden’s climate goals, including an order he issued last year for the federal government to purchase only zero-emission vehicles by 2035, and to do so by 2027 for light-duty vehicles. The nation’s largest vehicle fleet now has the potential to become its largest electric one too. Instead of lagging behind private-sector companies such as Amazon and FedEx, the Postal Service can help lead the way toward a zero-emission future.

    Mail delivery trucks are especially well-suited for electrification because they run defined, local routes with low daily mileage and have hours of operation that allow them to be easily recharged. Because these vehicles serve virtually every community, electrifying them will bring widespread benefits, curbing air pollution while reducing fuel and maintenance costs and our dependence on oil.

    It seems especially significant that something as ordinary and ubiquitous as the white mail truck will now help the nation blaze a trail toward a fossil-free future through every neighborhood in the country. And we won’t have to wait for years either. The new vehicles are expected to go into service on postal routes in late 2023.

    That’s a gift we should all welcome this holiday season and enjoy for years to come.

    ONLINE: https://www.latimes.com/opinion/story/2022-12-22/postal-service-electric-vehicles

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    Dec. 22

    The Guardian on Zelenskyy’s visit to Washington:

    President Volodymyr Zelenskyy’s highly choreographed visit to Washington was a significant international moment. Not long ago, Mr. Zelenskyy had been adamant that his place was always on the frontline with his people. This week, however, he made a lightning trip in person, via Poland, to Washington itself, meeting President Joe Biden at the White House and delivering a primetime address to the U.S. Congress before heading back into his suffering country less than 24 hours later.

    The visit was much more than a Christmas celebration of Ukraine’s defiance and of Mr. Zelenskyy’s immense role in it. Instead, it was a political event with important future implications for Ukraine, the United States and Russia, and for the conflict more generally. It was clearly focused on what should happen in 2023 rather than what has happened already.

    Mr. Zelenskyy had three principal objectives. The first was to rally American and, by extension, global support. The second was to intervene at a pivotal moment in the war and in U.S. politics to advance that effort. The third was to make an ambitious pitch for even more financial and military support from the only state that is in a position to supply it, and thus to strengthen Ukraine’s resistance during a bitter winter, with the prospect of fresh fighting in the spring.

    In public, Mr. Zelenskyy produced another media-savvy performance, especially in his address to Congress. He spent every hour in Washington in his iconic olive-green fatigues, and emphasized the immediacy of his cause by presenting Congress with a battlefield Ukrainian flag that he had collected from soldiers on the frontline in Bakhmut on Tuesday. He skillfully mixed gratitude with fresh requests for support. U.S. aid and support was not charity, he insisted, but an investment in the “global security and democracy” for which the U.S. and its allies stand.

    It is clear that the Biden administration agrees with that. The deeper questions of the visit, however, are how urgently Washington wants that investment to bear fruit and what price it is willing to pay. Weapons and money are the twin keys to the answer. Mr. Biden and his aides will have assured Mr. Zelenskyy that the U.S. wants Russia to be defeated in Ukraine. But they will also have told him that they do not want a wider conflict and that they may have a different definition of what defeat could look like.

    The toughest arguments behind closed doors will have focused on Ukraine’s demands for more and better weaponry, and on the terms to be set for ending the conflict. At home, though, finance is an even bigger political issue for Mr. Biden. The U.S. has already spent more than $48bn on humanitarian, financial and military support; another $2bn in military aid was announced during the visit. The administration also aims to get another aid package, worth almost $45bn, through Congress before the Republicans take over the House of Representatives in January.

    The US domestic political question is whether bipartisan support continues in January. Mr. Zelenskyy’s visit was in large part directed towards ensuring that it does. But the real issues this week will have been military and strategic. Russia is preparing a fresh ground assault, perhaps during winter. Another Ukrainian counterattack is expected too. Mr. Zelenskyy is the hero of the hour. But Washington is increasingly looking towards an endgame in 2023. The end of the conflict is increasingly in the US’s hands, not just those of Russia and Ukraine.

    Some on both sides of the Atlantic made the comparison between Mr. Zelenskyy’s wartime flight from Kyiv this week and Winston Churchill’s visit to Washington after Pearl Harbor in 1941. For that comparison to be intellectually useful rather than merely sentimental, it is important to remember that Churchill’s visit marked the moment in the second world war when the U.S. began to take charge of the allied cause in Europe. The same thing may be true this time over Ukraine.

    ONLINE: https://www.theguardian.com/commentisfree/2022/dec/22/the-guardian-view-on-zelenskiy-in-washington-a-pivotal-moment

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  • Military children grapple with parents being deployed over the holidays | CNN Politics

    Military children grapple with parents being deployed over the holidays | CNN Politics

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    CNN
     — 

    Twenty-two-month-old Leo hits me playfully with his pillow.

    “Daddy pillow!” he says proudly.

    Daddy pillows – or mommy pillows, if it’s mom who’s deployed – are depictions of mom or dad in portable, squeezable and, most importantly, washable form. My kids have one – lots of military kids do – because they’re great for cuddling and pillow fights, especially when your dad is all the way in Qatar, like Leo’s.

    His father is in the Air Force and will be away this Christmas while Leo and his brother, Hiram, 5, and sister, Nora, 7, are stateside with their mom, Kristen.

    “What do you miss about Daddy when he’s gone?” I ask them.

    “He doesn’t get to tickle us,” Hiram tells me.

    “And we also do Legos with him,” Nora says.

    Many military families will be spending this holiday season apart. Close to 200,000 service members are deployed overseas, including nearly 90,000 in Europe, according to the Pentagon – more than we’ve seen in almost two decades due to the buildup of US troops supporting NATO following Russia’s invasion of Ukraine.

    Even inside the United States, many military families have had to make the difficult decision to live separately. Service members report to new assignments alone while their families remain in a different state to accommodate their kids’ education, health care and the career of the non-military spouse.

    The amount of time they spend away from their family is the top issue of concern for active-duty service members, National Guard families and Reserve families, according to the most recent annual military family lifestyle survey by the nonprofit Blue Star Families. Lawmakers and the Department of Defense rely on the group’s data to make policy decisions affecting military families.

    I sat down with seven children from three families who represent various branches of the military to talk about how they’re making sense of being separated from a parent this holiday season and what they’re missing while they are away.

    “I can’t throw the football with him,” says Ollie Smith, 8, whose family is celebrating Hanukkah and Christmas while his father is away.

    His dad is a commander in the Coast Guard, a rescue helicopter pilot who “does a lot of cool stuff and … saves people from the ocean.”

    Ollie and his sister Kailey, 17 – they also have a 16-year-old brother, Owen – are living on the East Coast while their dad is “geo-baching,” military speak for “geographic bachelor.” That means their dad has moved on to his next duty station in San Francisco alone while the family stays behind. In this case, it’s so that Kailey didn’t have to start at a new school for her senior year and her mom, an assistant principal who recently completed her doctorate, can continue her career uninterrupted.

    Kailey has been driving her brothers to school and swim practice and doing the family grocery shopping while her dad is gone. It’s also college decision time and she would really like to have her dad around for this critical time.

    “I miss having two sides [of] perspective … if I’m struggling with a certain issue,” she says. “Right now, I’m just getting my mom’s side, and she does give ample advice, but I do miss having my dad’s perspective on certain things – and giving him hugs.”

    Silas Jones, 7, and his brother Caden, 9, have been around the world with their parents, but now their dad, Navy Petty Officer 1st Class Farrod Jones, is stationed in Japan without them.

    Silas and Caden Jones with their dad

    Silas rattles off all the places they’ve lived together as a family: “Spain … America … and …” – he pauses, trying to remember the last place they were – “… it’s the place where it’s really cold.”

    “Canada?” Ollie Smith offers.

    “Are we sure it’s Canada?” I tease.

    Silas nods, but I wonder.

    “Wait, no,” he reconsiders. “Germany! Germany!”

    It turns out they visited Germany while living in Spain, but not being sure where you’ve lived is a common hazard of military childhood.

    Silas says he will be emotional when he finally gets to see his dad and he will cry.

    “Happy tears,” he says.

    “I would probably feel upset because he left,” his brother Caden adds. I appreciate him mentioning this because he’s also had to make a sacrifice for his dad to serve, and that’s very difficult to make sense of when you’re 9.

    “I would probably cry a lot of tears and I would miss him and give him a huge hug and I would say, ‘Thank you for coming back,’” Caden says.

    “What do you want him to know since he’s going to be away from you?” I ask.

    “I want him to know that I’m gonna always be with him and that he’ll love me and I love him, even though we’re separate,” Caden answers.

    “We love you and stay strong,” Ollie says.

    “I love him and he loves me,” Nora says of her dad in Qatar, but she’s also fixated, understandably, on all the special occasions she won’t get to share with him while he’s deployed.

    Nora, Hiram and Leo with their dad.

    “My dad isn’t gonna be here for Christmas, and he’s not going to be here for my birthday, and he’s not going to be here for Leo’s birthday and his birthday,” she notes.

    “Do you ever get used to that?” I ask.

    “Not really,” Nora says.

    Kailey, now almost ready to leave for college, remembers being the age of almost every one of the other military kids sitting on the couch with her for this interview. She says it was harder to accept her dad being away when she was younger.

    “I knew my dad was saving people. I knew that he was flying out and he had night calls, he had duty. I knew that was happening but I didn’t really know to the extent what he was doing. It just hurt because I didn’t understand … why he was gone,” she recalls.

    “But now it’s more of like, OK, I get it … and I can’t hold him back or be upset about it.”

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  • Bidens read to children at Children’s National Hospital ahead of Christmas weekend | CNN Politics

    Bidens read to children at Children’s National Hospital ahead of Christmas weekend | CNN Politics

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    CNN
     — 

    President Joe Biden and first lady Jill Biden met with patients at Children’s National Hospital in Washington on Friday, carrying on a longstanding tradition during the holiday season.

    The first couple, sporting cloth masks, met with pediatric patients, their families and hospital staff, greeting leadership and emergency department workers. Dr. Biden read Ezra Jack Keats’ “The Snowy Day” before the Bidens visited with children and their families in the cardiac intensive care unit.

    “Thanks for coming and listening to me read and have the president hold the book,” she said after reading, as Biden deadpanned, “It’s my job.”

    And the president chimed in with a message for parents in the room before departing, saying, “To all you parents, be strong. We spent a lot of time in children’s hospitals with patients too, It’s going to be OK.”

    The Bidens’ travel within Washington comes as much of the nation – including the nation’s capital – faces extreme cold weather, such as frigid temperatures, high winds and heavy snow.

    According to the White House, President Biden’s visit last year marked the first time a sitting president made a holiday visit to Children’s National.

    The visit ahead of Christmas Eve comes a day after the president delivered his Christmas address, where he sought to strike a unifying message.

    Biden emphasized in his speech that “we’re surely making progress” and “things are getting better.”

    “Covid no longer controls our lives. Our kids are back in school. People are back to work. In fact, more people are working than ever before,” he said. “Americans are building again, innovating, dreaming again.”

    Still, he acknowledged that, for some, “Christmas can be a time of great pain and terrible loneliness,” drawing on his own experience with loss over the holidays – the deaths of his first wife and daughter 50 years ago this week.

    “I know how hard this time of year can be … no one can ever know what someone else is going through, what’s really going on in their life, what they’re struggling with, what to try and overcome. That’s why sometimes the smallest act of kindness can mean so much,” Biden remarked.

    “So, this Christmas, let’s spread a little kindness.”

    CORRECTION: This story and headline have been updated to correct the name of the hospital to Children’s National Hospital.

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  • Rumer Willis is expecting her first child | CNN

    Rumer Willis is expecting her first child | CNN

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    CNN
     — 

    The Willis-Moore clan is getting ready to welcome a new member.

    Actress/singer Rumer Willis announced Tuesday on her verified Instagram account that she and her boyfriend, Derek Richard Thomas, are expecting their first child together.

    Willis posted a series of photos showing her baby bump, including one with Thomas kissing it.

    Her mother, actress Demi Moore, reposted the images on her verified Instagram account, writing in the caption, “Entering my hot kooky unhinged grandma era.”

    Emma Heming Willis, who is married to Rumer’s father, Bruce Willis, also shared the news and wrote, “Baby news is happy news!!! Congratulations @rumerwillis and @derekrichardthomas We are elated over here!”

    Despite divorcing in 2000, Moore and Bruce Willis have remained close and have blended their families. They share three adult daughters together.

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  • On the holidays, efforts to distract Ukrainian kids from war

    On the holidays, efforts to distract Ukrainian kids from war

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    KYIV, Ukraine — In a carpeted meeting room of what used to be a posh hotel, Ukrainian children are screaming with happiness at a performance put on for them and the joy of opening presents.

    In a country where children have seen the horrors of a 10-month war, there are people trying to bring some peace and happiness to them, at least for a moment during this holiday season in Ukraine.

    The upscale Venice hotel on the outskirts of Kyiv is now a rehabilitation center housing children who have experienced the horrors of the Russian invasion.

    “When it’s a holiday, it’s easier,” said Ksenia, a 12-year-old girl from Bakhmut, a city in eastern Ukraine that has been the epicenter of a fierce battle between the Russian and Ukrainian armies.

    “We forget about the war. It’s easier to distract,” she added after a performance by actors, some dressed as Disney characters.

    Ksenia was among the 62 children, between 6 and 12, celebrating Saint Nicholas’ day on Monday. It’s a traditional date when Ukrainian kids get presents and that marks the beginning of the winter holiday season.

    “Why do our soldiers fight? For the sake of the future because without it, there will be nothing. And children are our future,” said Artem Tatarinov, the director of the rehabilitation center. Here, he said, they have received children who instead of playing had to hide in a shelter to escape bombs and who have discovered grief when their relatives were killed.

    UNICEF estimates that of the around 7 million Ukrainian children, at least 1.2 million are currently displaced within the country because of the war.

    This center houses children for two weeks, and during that period they get therapeutic lessons and have sessions with psychologists to try to process the trauma of the war. “It is like a temporary rehabilitation from the war,” said Alevtyna, a tutor, who refused to give her last name for security reasons.

    She works with the children around the clock, sacrificing her own life, but also finding a safe place for herself. Like other mentors in the center, Alevtyna comes from eastern Ukraine, which is now under constant fire. Her native Kostyantynivka is just 23 kilometers (14 miles) from Bakhmut.

    For children, Alevtyna said, the center can be a sort of an island of happiness, but it’s not easy for them.

    “They often talk about the war, cry,” she said. “Children are afraid to fall asleep, are afraid to turn off the light.”

    Over the past six months, the center has received more than 1,300 children from across the country.

    “It is difficult to work like this when you see children who do not smile, when their childhood was taken away,” Tatarinov, the center’s director said. He mentioned that once he met a 12-year-old boy who discovered the headless body of his brother, 10 meters away from their house, after a mortar strike.

    “This is impossible to forget, but we do everything we can,” added Tatarinov.

    That’s why this week, he and the tutors tried to focus on the holidays. On Monday, the the performance brought cheer to the children for a little while.

    “At least for an hour, but they can believe in miracles again, believe in goodness again, where fairy-tale heroes come,” said Tetiana Hraban, head of the Golda Meir Institute of Civil Society, who helped to organize the performance.

    The actors on the stage asked the children what they want for this holiday. The heartbreaking replies were shouted over each other: “A generator,” “a power bank,” “a house.”

    “Victory!,” said one child, and all the others repeated it in a single shout, followed by applause.

    ———

    Follow AP’s coverage of the war in Ukraine: https://apnews.com/hub/russia-ukraine

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  • خبير من مايو كلينك يشرح أهمية حصول الأطفال على لقاح فيروس الورم الحليمي البشري

    خبير من مايو كلينك يشرح أهمية حصول الأطفال على لقاح فيروس الورم الحليمي البشري

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    هناك أكثر من 100 نوع من فيروس الورم الحليمي البشري (HPV)، وهو عدوى فيروسية شائعة عادة ما تسبب البثور، إلا إن بعض أنواع فيروس الورم الحليمي البشري قد تسبب سرطانات في عنق الرحم، والشرج، والقضيب، والمهبل، والفرج، والحلق.

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    Mayo Clinic

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  • What to do When You Can’t Find Kids’ OTC Pain Meds

    What to do When You Can’t Find Kids’ OTC Pain Meds

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    Dec. 20, 2022 — Your local pharmacy is wiped out of over-the-counter children’s pain relievers — again. But before thoughts of runny noses, sleepless nights, and feverish kids threaten your holiday plans, parents, you do have some other options. 

    While there is no official shortage of Children’s Tylenol in the U.S., according to Johnson & Johnson Consumer Health, which makes the product, it has been an “extremely challenging cold and flu season,” and demand for these products has simply skyrocketed, the company says in a statement.  

    “We are doing everything we can to make sure people have access to products they need, including maximizing our production capacity, running our sites 24 hours a day, 7 days a week, and continuously shipping out product,” the statement says.  

    Children’s Motrin has also been challenging to find in stores this holiday season. This can be traced to the “rise in pediatric cases of respiratory illnesses including the flu, COVID, and RSV,” says Consumer Healthcare Products Association spokesperson Logan Tucker. 

    “Parents may have to make a few stops to find what they need and should also consider additional self-care alternative to aid comfort and relief at the director of their health care provider,” Tucker says. 

    Parents should avoid the urge to stock up on children’s pain meds, as this can further fuel supply and demand struggles within stores, says Tucker. CVS and Walgreens pharmacies have both recently announced limits to the number of children’s pain drugs you can purchase in their stores.

    CVS has a two-product limit on all children’s pain meds both in stores and online, and Walgreens has a max of six over-the-counter kids’ pain relievers for online purchases. Supermarket chain Kroger also has a two-product limit for children’s pain drug purchases.

    Explore Your Options

    Don’t be afraid to try the generic versions of acetaminophen (Tylenol) or Ibuprofen (Motrin), says Joseph Perno, MD, emergency center doctor and vice president of medical affairs at Johns Hopkins All Children’s Hospital.

    “Most stores have their own versions of these medications,” he says. “Families may also be able to find other formulations, such as chewable or rectal suppositories.”

    Remember the Basics

    If your child is feeling sick, always keep in mind standard best practices for treating illness, such as drinking plenty of liquids

    “If they are not eating, Pedialyte or sports drinks work very well during illness to keep them hydrated.” 

    If your child is sleeping more than usual, that can also be normal. Just make sure they wake up often enough to keep sipping their liquids.

    When to Seek Further Medical Attention 

    “If your child has a fever for 3 to 5 days, it is worth evaluation by your physician,” says Perno.  

    Altered mental status and respiratory problems, like shortness of breath or fast breathing, or changes in skin color, can be signs of something more severe. Signs of dehydration, like no tears while crying, dry mouth, or your child not using the bathroom as frequently as usual, also fall into this camp. If your child is experiencing any of these symptoms, they should be seen in an emergency room, says Perno. 

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  • Here’s what’s in the $1.7 trillion federal spending bill | CNN Politics

    Here’s what’s in the $1.7 trillion federal spending bill | CNN Politics

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    CNN
     — 

    Senate leaders unveiled a $1.7 trillion year-long federal government funding bill early Tuesday morning.

    The legislation includes $772.5 billion for non-defense discretionary programs and $858 billion in defense funding, according to a bill summary from Democratic Sen. Patrick Leahy, chair of the Senate Committee on Appropriations.

    The sweeping package includes roughly $45 billion in emergency assistance to Ukraine and NATO allies, boosts in spending for disaster aid, college access, child care, mental health and food assistance, more support for the military and veterans and additional funds for the US Capitol Police, according to Leahy’s summary and one from Sen. Richard Shelby of Alabama, the top Republican on the Senate Appropriations Committee.

    However, the bill, which runs more than 4,000 pages, left out several measures that some lawmakers had fought to include. An expansion of the child tax credit, as well as multiple other corporate and individual tax breaks, did not make it into the final bill. Neither did legislation to allow cannabis companies to bank their cash reserves – known as the Safe Banking Act. Also, there was also no final resolution on where the new FBI headquarters will be located.

    The spending bill is the product of lengthy negotiations between top congressional Democrats and Republicans. Lawmakers reached a “bipartisan, bicameral framework” last week following a dispute between the two parties over how much money should be spent on non-defense domestic priorities. They worked through the weekend to craft the legislation.

    The Senate is expected to vote first to approve the deal this week and then send it to the House for approval before government funding runs out on December 23. The bill would keep the government operating through September, the end of the fiscal year.

    Congress originally passed a continuing resolution on September 30 to temporarily fund the government in fiscal year 2023, which began October 1.

    More aid for Ukraine: The spending bill would provide roughly $45 billion to help support Ukraine’s efforts to defend itself against Russia’s attack.

    About $9 billion of the funding would go to Ukraine’s military to pay for a variety of things including training, weapons, logistics support and salaries. Nearly $12 billion would be used to replenish US stocks of equipment sent to Ukraine through presidential drawdown authority.

    Also, it would provide $13 billion for economic support to the Ukrainian government.

    Other funds would address humanitarian and infrastructure needs, as well as support European Command operations.

    Emergency disaster assistance: The bill would appropriate more than $38 billion in emergency funding to help Americans in the west and southeast affected by recent natural disasters, including tornadoes, hurricanes, flooding and wildfires. It would aid farmers, provide economic development assistance for communities, repair and reconstruct federal facilities and direct money to the Federal Emergency Management Agency’s Disaster Relief Fund, among other initiatives.

    Overhaul of the electoral vote counting law: A provision in the legislation aims at making it harder to overturn a certified presidential election, in a direct response to the January 6 attack on the US Capitol.

    The changes would overhaul the 1887 Electoral Count Act, which then-President Donald Trump tried to use to overturn the 2020 election.

    The legislation would clarify the vice president’s role while overseeing the certification of the electoral result to be completely ceremonial. It also would create a set of stipulations designed to make it harder for there to be any confusion over the accurate slate of electors from each state.

    Higher maximum Pell grant awards: The bill would increase the maximum Pell grant award by $500 to $7,395 for the coming school year. This would be the largest boost since the 2009-2010 school year. About 7 million students, many from lower-income families, receive Pell grants every year to help them afford college.

    Increased support for the military and veterans: The package would fund a 4.6% pay raise for troops and a 22.4% increase in support for Veteran Administration medical care, which provides health services for 7.3 million veterans.

    It would include nearly $53 billion to address higher inflation and $2.7 billion – a 25% increase – to support critical services and housing assistance for veterans and their families.

    The bill also would allocate $5 billion for the Cost of War Toxic Exposures Fund, which provides additional funding to implement the landmark PACT Act that expands eligibility for health care services and benefits to veterans with conditions related to toxic exposure during their service.

    Beefing up nutrition assistance: The legislation would establish a permanent nationwide Summer EBT program, starting in the summer of 2024, according to Share Our Strength, an anti-hunger advocacy group. It would provide families whose children are eligible for free or reduced-price school meal with a $40 grocery benefit per child per month, indexed to inflation.

    It would also change the rules governing summer meals programs in rural areas. Children would be able to take home or receive delivery of up to 10 days worth of meals, rather than have to consume the food at a specific site and time.

    The bill would also help families who have had their food stamp benefits stolen since October 1 through what’s known as “SNAP skimming.” It would provide them with retroactive federal reimbursement of the funds, which criminals steal by attaching devices to point-of-sale machines or PIN pads to get card numbers and other information from electronic benefits transfer cards.

    More money for child care: The legislation would provide $8 billion for the Child Care and Development Block Grant, a 30% increase in funding. The grant gives financial assistance to low-income families to afford child care.

    Also, Head Start would receive nearly $12 billion, an 8.6% boost. The program helps young children from low-income families prepare for school.

    Help to pay utility bills: The bill would provide $5 billion for the Low Income Home Energy Assistance Program. Combined with the $1 billion contained in the earlier continuing resolution, this would be the largest regular appropriation for the program, according to the National Energy Assistance Directors Association. Home heating and cooling costs – and the applications for federal aid in paying the bills – have soared this year.

    Enhance retirement savings: The bill contains new retirement rules that could make it easier for Americans to accumulate retirement savings – and less costly to withdraw them. Among other things, the provisions would allow penalty-free withdrawals for some emergency expenses, let employers offer matching retirement contributions for a worker’s student loan payments and increase how much older workers may save in employer retirement plans.

    More support for the environment: The package would provide an additional $576 million for the Environmental Protection Agency, bringing its funding up to $10.1 billion. It would increase support for enforcement and compliance, as well as clean air, water and toxic chemical programs, after years of flat funding.

    It also would boost funding for the National Park Service by 6.4%, restoring 500 of the 3,000 staff positions lost over the past decade. This would be intended to help the agency handle substantial increases in visitation.

    Plus, the legislation would provide an additional 14% in funding for wildland firefighting.

    Additional funding for the US Capitol Police: The bill would provide an additional $132 million for the Capitol Police for a total of nearly $735 million. It would allow the department to hire up to 137 sworn officers and 123 support and civilian personnel, bringing the force to a projected level of 2,126 sworn officers and 567 civilians.

    It would also give $2 million to provide off-campus security for lawmakers in response to evolving and growing threats.

    Investments in homelessness prevention and affordable housing: The legislation would provide $3.6 billion for homeless assistance grants, a 13% increase. It would serve more than 1 million people experiencing homelessness.

    The package also would funnel nearly $6.4 billion to the Community Development Block Grant formula program and related local economic and community development projects that benefit low- and moderate income areas and people, an increase of almost $1.6 billion.

    Plus, it would provide $1.5 billion for the HOME Investment Partnerships Program, which would lead to the construction of nearly 10,000 new rental and homebuyer units and maintain the record investment from the last fiscal year.

    Increased health care funding: The package would provide more money for National Institutes of Health, the Centers for Disease Control and Prevention and the Assistant Secretary for Preparedness and Response. The funds are intended to speed the development of new therapies, diagnostics and preventive measures, beef up public health activities and strengthen the nation’s biosecurity by accelerating development of medical countermeasures for pandemic threats and fortifying stockpiles and supply chains for drugs, masks and other supplies.

    More resources for children’s mental health and for substance abuse: The bill would provide more funds to increase access to mental health services for children and schools. It also would invest more money to address the opioid epidemic and substance use disorder.

    Tiktok ban from federal devices: The legislation would ban TikTok, the Chinese-owned short-form video app, from federal government devices.

    Some lawmakers have raised bipartisan concerns that China’s national security laws could force TikTok – or its parent, ByteDance – to hand over the personal data of its US users. Recently, a wave of states led by Republican governors have introduced state-level restrictions on the use of TikTok on government-owned devices.

    Enhanced child tax credit: A coalition of Democratic lawmakers and consumer advocates pushed hard to extend at least one provision of the enhanced child tax credit, which was in effect last year thanks to the Democrats’ $1.9 trillion American Rescue Plan. Their priority was to make the credit more refundable so more of the lowest-income families can qualify. Nearly 19 million kids won’t receive the full $2,000 benefit this year because their parents earn too little, according to a Tax Policy Center estimate.

    New cannabis banking rules: Lawmakers considered including a provision in the spending bill that would make it easier for licensed cannabis businesses to accept credit cards – but it was left out of the legislation. Known as the Safe Banking Act, which previously passed the House, the provision would prohibit federal regulators from taking punitive measures against banks for providing services to legitimate cannabis businesses.

    Even though 47 states have legalized some form of marijuana, cannabis remains illegal on the federal level. That means financial institutions providing banking services to cannabis businesses are subject to criminal prosecution – leaving many legal growers and sellers locked out of the banking system.

    FBI headquarters: There was also no final resolution on where the new FBI headquarters will be located, a major point of contention as lawmakers from Maryland – namely House Majority Leader Steny Hoyer – pushed to bring the law enforcement agency into their state. In a deal worked through by Senate Majority Leader Chuck Schumer, the General Services Administration would be required to conduct “separate and detailed consultations” with Maryland and Virginia representatives about potential sites in each of the states, according to a Senate Democratic aide.

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  • Child body weight has limited effects on mood and behavioural disorders, study suggests

    Child body weight has limited effects on mood and behavioural disorders, study suggests

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    Newswise — Childhood body mass index is unlikely to have a big impact on children’s mood or behavioural disorders, according to a study published in eLife today [20 December].

    The results suggest that some previous studies, which have shown a strong link between childhood obesity and mental health, may not have fully accounted for family genetics and environmental factors.

    Children with obesity are more likely to be diagnosed with depression, anxiety, or attention-deficit hyperactivity disorder (ADHD). But the nature of the relationship between obesity and these mental health conditions is not clear. Obesity might contribute to mental health symptoms, or vice versa. Alternatively, a child’s environment might contribute to both obesity and mood and behavioural disorders.

    “We need to better understand the relationship between childhood obesity and mental health,” says lead author Amanda Hughes, Senior Research Associate in Epidemiology at Bristol Medical School, University of Bristol, UK. “This requires teasing apart the contributions of child and parent genetics and the environmental factors affecting the whole family.”

    Hughes and colleagues examined genetic and mental health data from 41,000 eight-year-old children and their parents from the Norwegian Mother, Father, and Child Cohort Study and Medical Birth Registry of Norway. They assessed the relationship between children’s body mass index (BMI) – a ratio of weight and height – and symptoms of depression, anxiety and ADHD. To help separate the effects of the children’s genetics from the influence of other factors that affect the whole family, they also accounted for parental genetics and BMI.

    The analysis found a minimal effect of a child’s own BMI on their anxiety symptoms. There was also conflicting evidence about whether a child’s BMI influenced their depressive or ADHD symptoms. This suggests that policies aiming to reduce childhood obesity are unlikely to have a big impact on the prevalence of these conditions. “At least for this age group, the impact of a child’s own BMI appears small. For older children and adolescents, it could be more important,” says Neil Davies, Professor at University College London, UK.

    When they looked at the effect of the parents’ BMI on the children’s mental health, the team found little evidence that the parents’ BMI affected children’s ADHD or anxiety symptoms. The data suggested that having a mother with a higher BMI might be linked with depressive symptoms in children, but there was little evidence of any link between the child’s mental health and the father’s BMI.

    “Overall, the influence of a parent’s BMI on a child’s mental health seems to be limited. As a result, interventions to reduce parents’ BMIs are unlikely to have widespread benefits to children’s mental health,” says Alexandra Havdahl, Research Professor at the Norwegian Institute of Public Health, Norway. Havdahl is a co-senior author of the study alongside Neil Davies and Laura Howe, Professor of Epidemiology and Medical Statistics at Bristol Medical School.

    “Our results suggest that interventions designed to reduce child obesity are unlikely to make big improvements in child mental health. On the other hand, policies which target social and environmental factors linked to higher body weights, and which target poor child mental health directly, may be more beneficial,” Hughes concludes.

    Paper

    ‘Body mass index and childhood symptoms of depression, anxiety, and attention-deficit hyperactivity disorder: A within-family Mendelian randomization study’ by Amanda Hughes et al. in eLife [open access]

    ##

    Media contacts

    About eLife

    eLife transforms research communication to create a future where a diverse, global community of scientists and researchers produces open and trusted results for the benefit of all. Independent, not-for-profit and supported by funders, we improve the way science is practised and shared. From the research we publish, to the tools we build, to the people we work with, we’ve earned a reputation for quality, integrity and the flexibility to bring about real change. eLife receives financial support and strategic guidance from the Howard Hughes Medical Institute, Knut and Alice Wallenberg Foundation, the Max Planck Society and Wellcome. Learn more at https://elifesciences.org/about.

    To read the latest Epidemiology and Global Health research published in eLife, visit https://elifesciences.org/subjects/epidemiology-global-health.

    And for the latest in Genetics and Genomics, see https://elifesciences.org/subjects/genetics-genomics.

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  • Children’s Hospital Los Angeles Receives $2.8 Million Award to Use AI to Predict Precision Dosing for Critically Ill Children

    Children’s Hospital Los Angeles Receives $2.8 Million Award to Use AI to Predict Precision Dosing for Critically Ill Children

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    Newswise — Predicting the right dose of medication that a critically ill child in the ICU will require in the future is a huge challenge for clinicians. FDA prescribing guidelines generally assume that patients are stable enough so that dosing for a given group is usually unchanged during treatment, but this ‘one size fits all’ approach to medication dosing does not accurately target the condition of each individual patient over time. “We are trying to anticipate what an unstable, critically ill child’s kidney function will look like tomorrow, based on what’s happened today, so we can predict that child’s medication needs,” says Dr. Michael Neely. “Doctors can estimate the dose of medication needed, but that may not necessarily be the right dose for a particular patient.”

    Dr. Neely’s laboratory at Children’s Hospital Los Angeles recently received a four-year, $2.8 million award from the National Institutes of Health (NIH) to use artificial intelligence to predict the optimal medication dosage that children in the ICU will need over time, as well as to assess their likely antibiotic resistance with greater precision. In this vulnerable population, even small changes can make a difference in a child’s survival.

    Doctors track medication dosage by monitoring children’s kidney function, as most medications are excreted through the kidneys. Dr. Neely and his team are measuring how quickly the kidneys clear serum creatinine, which is a standard measure of how well the kidneys function to filter medication from the blood. “The trouble is that we generally assume that once we know your volume and your clearance—how fast you get rid of the drug—that you always have the same values, but that’s not true,” says Dr. Neely, Chief of the Division of Infectious Diseases at CHLA. “This has broader implications. ICU doctors would like to know if their kids are going to be going into either renal failure or renal recovery.”

    Computer modeling of how medications behave in patients can account for dosing differences among individuals to some extent but are limited at using present or past measurements to predict future dosages. This is because variables like medication volume and clearance in a child’s body can change day to day or moment to moment—a fluctuation called inter-occasion variability (IOV). “We make models of drug systems in patients to try to understand how the drug is behaving,” says Dr. Neely, Professor of Pediatrics and Clinical Scholar at the Keck School of Medicine of USC.

    The Neely lab will build a series of recurrent neural networks to predict variability in kidney function in children over time and how that influences their response to medication. Recurrent neural networks use sequential data to predict changes over time and are especially good at pattern recognition. These networks will tap into CHLA’s massive Virtual Pediatric Intensive Care Unit (VPICU) database of clinical measurements from 20,000 critically ill children who have been treated at the hospital since 2009. The VPICU houses over 400 clinical variables such as lab values, vital signs and medication doses, including over 100,000 measurements of serum creatinine. Using massive numbers of measurements increases the chances of the model being able to sort clinically significant patterns from background noise.

    The Neely lab will use special statistical algorithms—a set of rules used in problem-solving operations—to describe clinical measurements of critically ill children over time that may fluctuate independently of each other. The researchers will test these algorithms using 5,000 VPICU blood plasma measurements of the antibiotic vancomycin, to measure patient exposure over time.

    Dr. Neely and his team will also employ recurrent neural networks to predict antibiotic effectiveness in children in the ICU by comparing the VPICU outcomes of children with staphylococcal bloodstream infections who were treated with vancomycin to those of children who did not receive the antibiotic. This will involve combining the VPICU data with measurements from an in-vitro hollow fiber infection model, a device with capillaries that exposes bacteria to antibiotics that can reproduce how a medication passes through a child’s body.

    “Kidney function is critically important to what kind of concentrations of vancomycin you get,” says Dr. Neely. “To the human eye, it’s often a random pattern. But the computer might be able to tease out patterns, especially over a large group of patients.” The ability to more precisely predict medication dosages needed over time may allow doctors to calibrate medication doses more consistently, resulting in better treatment outcomes for critically ill children.

    Children’s Hospital Los Angeles is at the forefront of pediatric medicine, offering acclaimed care to children from across the world, the country and the greater Southern California region. Founded in 1901, Children’s Hospital Los Angeles is the largest provider of care for children in Los Angeles County, the No. 1 pediatric hospital in California and the Pacific region, and is consistently ranked in the top 10 in the nation on U.S. News & World Report’s Honor Roll of Best Children’s Hospitals. Clinical expertise spans the pediatric care continuum for newborns to young adults, from everyday preventive medicine to the most medically complex cases. Inclusive, compassionate, child- and family-friendly clinical care is led by physicians who are faculty members of the Keck School of Medicine of USC. Physicians translate the new discoveries, treatments and cures proven through the work of scientists in The Saban Research Institute of Children’s Hospital Los Angeles—among the top 10 children’s hospitals for National Institutes of Health funding—to bring answers to families faster. The hospital also is home to one of the largest training programs for pediatricians in the United States. To learn more, follow us on Facebook, Instagram, LinkedIn, YouTube and Twitter, and visit our blog at CHLA.org/blog.

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    Children’s Hospital Los Angeles

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  • ‘Fortnite’ maker Epic Games to pay $520 million in record-breaking FTC settlement | CNN Business

    ‘Fortnite’ maker Epic Games to pay $520 million in record-breaking FTC settlement | CNN Business

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    CNN
     — 

    Epic Games, maker of the hit video game “Fortnite,” has agreed to pay a total of $520 million to settle US government allegations that it misled millions of players, including children and teens, into making unintended purchases and that it violated a landmark federal children’s privacy law.

    As part of the agreement, Epic will pay $275 million to the US government to resolve claims it violated the Children’s Online Privacy Protection Act (COPPA) by gathering the personal information of kids under the age of 13 without first receiving their parents’ verifiable consent. It is the largest fine the FTC has ever imposed for a rule that it enforces, the agency said Monday.

    In a second and separate settlement, Epic will pay $245 million as refunds to consumers who were allegedly harmed by user-interface design choices the FTC claimed were deceptive. That agreement is the largest administrative order in FTC history, the FTC added.

    In a blog post addressing the twin settlements, Epic said the agreement reflects an evolution in how US laws are applied to the video gaming industry.

    “No developer creates a game with the intention of ending up here,” Epic said in the blog post. “We accepted this agreement because we want Epic to be at the forefront of consumer protection and provide the best experience for our players.”

    FTC Chair Lina Khan said the settlement reflects the agency’s heightened focus on privacy and so-called “dark patterns,” a term used to describe design elements intended to nudge users toward a company’s preferred result.

    “Protecting the public, and especially children, from online privacy invasions and dark patterns is a top priority for the Commission, and these enforcement actions make clear to businesses that the FTC is cracking down on these unlawful practices,” Khan said in a statement.

    The FTC’s complaint and proposed settlement dealing with children’s privacy was filed in the US District Court for the Eastern District of North Carolina. In addition to the alleged illegal collection of children’s data, the FTC also claimed that Epic’s default settings for matchmaking and in-game communications exposed children to bullying and harassment.

    The allegations of Epic’s deceptive design choices were filed as an FTC administrative complaint. The complaint claims Epic made it extremely easy for children to purchase in-game items with a single click or button press without parental approval, resulting in more than one million parental complaints to Epic about unwanted charges.

    The FTC further alleged that Epic made it more difficult to cancel purchases of in-game items by burying the option at the bottom of the screen and by requiring consumers to push and hold a button on their controllers to complete the cancellation. Those design choices were allegedly implemented after surveys showed that, when the cancel button was more prominently displayed, accidental charges were the “number one ‘reason’” users clicked on the button, the FTC said.

    Epic’s agreement with the FTC, which is not yet final, prohibits the company from using dark patterns or charging consumers without their consent, and also forbids Epic from locking players out of their accounts in response to users’ chargeback requests with credit card companies disputing unwanted charges. The agreement will last for 20 years from the time it is adopted.

    In its blog post, Epic said it has agreed with the FTC to implement a feature that explicitly asks Fortnite users whether to save their payment information for future use. The feature is currently live, it added. The company also recently rolled out a more limited version of “Fortnite” for younger players that allows them to access some features while awaiting parental consent but that restricts chat and purchases.

    The FTC said that as part of its children’s privacy settlement, Epic may no longer enable text and voice chat by default for teenage Fortnite players or those under the age of 13. The company must also establish a comprehensive privacy program and delete the data it allegedly gathered in violation of COPPA.

    “We share the underlying principles of fairness, transparency and privacy that the FTC enforces, and the practices referenced in the FTC’s complaints are not how Fortnite operates,” Epic wrote. “We will continue to be upfront about what players can expect when making purchases, ensure cancellations and refunds are simple, and build safeguards that help keep our ecosystem safe and fun for audiences of all ages.”

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  • Holiday tension: 1 in 3 parents say their teen regularly attends religious services with the family

    Holiday tension: 1 in 3 parents say their teen regularly attends religious services with the family

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    TV/RADIO: Click link for broadcast-quality sound bites & b-roll, visuals and script suggestions (Full report and accompanying graphics also included.)

    Newswise — For some families, holiday traditions may also include midnight mass, synagogue services and other religious rituals.

    But conflicts may arise if teens start showing less interest in religious activities than when they were younger children.

    While half of parents in a new national poll say they’re comfortable with children and teens having a say in whether to attend religious services, 44% feel that kids shouldn’t get to choose until they’re at least 18.

    The findings appear in the latest report from the C.S. Mott Children’s Hospital National Poll on Children’s Health at University of Michigan Health.

    “Adolescence is a time when youth gain more independence in their beliefs and lifestyle choices, including whether to embrace their family’s faith traditions,” said Mott Poll co-director and Mott pediatrician Susan Woolford, M.D. “This may trigger tension and conflict in some families when opinions about spirituality clash, especially during the holidays.”

    The nationally representative poll is based on responses from 1,090 parents with at least one child aged 13-18 surveyed between August and September 2022.

    Among parents who plan to attend religious services this holiday season, nearly half would insist their teen join even if they didn’t want to while another two in five would discuss the importance but still allow their teen to make their own choice. Less than 10 % of parents in this group would support their teen’s decision or bargain with them to attend.

    While most parents were content with the level of their teen’s involvement in religious activities, over a third wished that their teen would participate more in religious services and activities.

    Three quarters of parents also agree that participation in religious services helps young adults connect with their family history and traditions.

    “Parents may connect religion with their family traditions, which might be why they may wish to share these experiences with their kids,” Woolford said. “When teens don’t show interest or even express disdain for attending religious services, parents may feel like it’s a rejection of their cherished traditions.”

    Overall, the majority of parents believe that a relationship with a higher power helps teens feel a sense of safety and security and has a positive impact on their overall wellbeing – which aligns with some research suggesting that participation in spiritual practices during adolescence is linked to health benefits in adulthood.

    But just one in three parents say their teen regularly attends religious services with the family.

    “Parents should be cautious about how hard they push teens who protest participating in spiritual activities. If adherence is achieved by force, that could diminish any positive effects of participation,” Woolford said.

    “Parents who would like their children to share their religious beliefs should try to find a balance between conveying their values and pressuring teens to conform.”

    The vast majority of parents, however, believe teens can have a spiritual relationship without being involved in organized religion.  

    To decrease stress, if parents and teens do not agree about religion, Woolford recommends families might explore alternative ways to cultivate spirituality, such as:

    • Encouraging dialogue and questions: Parents should be open to listening and understanding why their teen has different views about attending religious services. Often youth have questions about religion and spirituality and it’s helpful to allow them space to question ideas and admitting that adults don’t always have the answers.

      By listening to their teen’s perspectives, parents may be able to find areas of agreement to build on.

      “This may help teens to find an authentic spiritual relationship that is best for them,” Woolford said.

    • Finding middle ground: Parents could consider giving teens a choice about certain faith traditions that are most important to the family.

      For example, teens could be allowed to skip weekly services, but be required to adhere to other tenets of the family religion.

    • Considering expressing spirituality outside of church or formal settings: Many faith traditions value community service, social justice initiatives, and conservation efforts.

      The holidays offer ample opportunities for families to practice spirituality through other avenues, such as volunteering at a nursing home, serving food at a homeless shelter, or working in a community garden.

      “Focusing on the spirit of the season and allowing teens some flexibility with how they engage with family traditions and religious services may decrease conflict over the holidays,” Woolford said.

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  • You may be seeing a more ‘woke’ Santa this Christmas | CNN

    You may be seeing a more ‘woke’ Santa this Christmas | CNN

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    CNN
     — 

    On a frigid December night outside a suburban Chicago church, a group of parents and wide-eyed children line up to see Santa Claus.

    He awaits them with the classic St. Nick look: pink, cherubic cheeks, twinkling eyes, a gray beard and a plump belly – squeezed into a red suit with white fur trim – that shakes “like a bowl full of jelly” when he laughs.

    But when a thin teenager with ripped jeans, tousled hair and a gray hoodie sits down next to him, it soon becomes clear that this is no ordinary Santa.

    “Nice to meet you. I’m Trans Santa,” he says. He looks at the teenager and asks: “Pronouns?”

    “They, them,” the teen answers, looking up with surprise.

    What follows is not a kid asking for toys or dolls, but a young person asking for help. They tell Santa their Christmas wish is to come out fully to their parents and dress in a way that conforms to their gender identity.

    Later, Santa sighs as if he was the one who was handed a gift.

    “That definitely was an emotional moment for me,” Levi Truax, the man in the Santa suit, told CNN. Truax lives in Chicago, works at Starbucks and himself transitioned in his late 30s. “That would have made a difference for me when I was a kid. Just having the knowledge to put a name to what I felt as a kid would have been really empowering.”

    This scene comes from “Santa Camp,” a moving new documentary film about this push for diversity. The film airs on HBO Max, which like CNN is owned by Warner Bros. Discovery.

    Santa Claus has traditionally been portrayed as a jolly, white guy, but Truax represents a push for diversity in the Santa industry that has accelerated in recent years. In some parts of the US, the traditional definition of Santa as a straight White guy who heads out to work while Mrs. Claus stays at home baking cookies just won’t fly anymore.

    Just as there’s been a campaign to include more characters of color and LGBTQ characters in comic books and fantasy television series, there’s also been a drive to broaden traditional representations of Santa. These efforts include a Tex-Mex Santa named Pancho Claus, Asian Santas, a “Sensory Santa” for kids with special needs, and a recent ad depicting Santa Claus in a gay relationship.

    And, of course, there are Black Santas, who are in such high demand that one such Santa said he earns up to $60,000 each holiday season.

    These nontraditional Saint Nicks represent a new type of Santa who, as one T-shirt proclaims, “knows when you aren’t sleeping and knows when you aren’t woke.”

    “Santa Camp” follows a group of professional and apprentice Santas and Mrs. Clauses as they attend a summer camp organized by the New England Santa Society. The group said they invited Trans Santa, a Black Santa, and a Santa with special needs in part because of market demand — some parents these days are looking for Santas their kids will relate to.

    “How can one of the most beloved traditions in the world find its place in a changing America, and can it adapt?” said Nick Sweeney, the film’s director. “I think what we see in the film is that the answer is yes.”

    What others see, though, is something more disturbing. They see diverse Santas as something that could harm and confuse kids while ruining a cherished holiday tradition. The Mall of America in Minnesota faced a backlash on social media after it featured a Black Santa at a holiday event in 2016.

    Some started using the term “woke Santa” after a mall Santa in Illinois two years ago refused a boy’s request for a toy gun for Christmas.

    Their defense of a White Santa is part of a larger backlash against what some call “wokeism.” Merriam-Webster dictionary defines “woke” as being “aware and actively attentive” to systemic racial injustice and prejudice. Some critics, though, have redefined the term to mean a silly, overindulgent bow to political correctness.

    Some of those critics staged a counter demonstration against Trans Santa’s appearance at the Chicago church, chanting, “Save Santa!” and yelling, “You sit on a throne of lies.” Others left messages on the church’s voicemail, saying transgender people have mental issues and threaten the safety of children.

    A Santa Claus attending a Toys For Tots program on December 15, 2021 in New York City.

    Resistance to a more diverse Santa has been simmering for years alongside some conservatives’ complaints about the so-called secular “War on Christmas.” In 2013 former Fox News anchor Megyn Kelly declared that Santa, and Jesus, were white. One conservative blogger dismissed calls for a Black Santa, saying Santa should remain White because the origins of his legend reside in Northern Europe.

    “The real reason why black left-wingers object to a white Santa is that they are determined to condition black children to distrust white people and they cannot live with the image of our kids – especially the black ones – receiving gifts from a white man,” wrote Graham J. Noble.

    Another critic, responding to the mall Santa who declined to give a kid a toy gun, said the push for a diverse Santa is becoming absurd. Larry Keane, an advocate for the firearms industry, wrote in an essay that “all I want for Christmas is the real Santa, not a woke Santa.”

    Keane, who did not respond to an interview request, wrote:

    “Political correctness is has gone too far. It’s traveled from the Washington D.C. swamps to the frigid Arctic air of the North Pole. It’s infected Kris Kringle and next thing you know, Santa will be demanding the kids leave out nonfat soy milk and vegan snack bites in lieu of milk-and-cookies.”

    Some may find it curious that a jolly character like Santa inspires such sarcasm and anger. But the stories we tell children have long been a source of bitter debate. Some critics recently complained that the main character in a remake of “The Little Mermaid” shouldn’t be Black. The casting of a Black girl in an “Annie” remake drew similar controversy.

    Robin DiAngelo, author of the bestseller “White Fragility,” said in a recent interview that the debates over the color of fictional characters represents a larger issue: White supremacy insists that white people should be “the center” and “ultimate representation” of what it means to be human.

    “The irony,” DiAngelo told Yahoo News, is that “on the one hand, white people insist that ‘we don’t see color’ — and then we lose our minds when Santa is not the color that he’s ‘supposed’ to be.”

    Allan Siu, dressed as Santa Claus, emerges from his dressing room on December 8, 2022, at the Mall of America in Bloomington, Minnesota. Siu is the first Asian Santa the mall has ever had.

    She added, “Given that most white people live segregated lives, I think it’s really important — not just for Black children to see themselves reflected in valuable symbols, but it’s really important for white children to see it too.”

    One character in “Santa Camp” discovered firsthand how fraught the journey can be for a nontraditional Santa.

    Chris Kennedy made headlines several years back when he received a racist and threatening note for erecting a Black Santa on his lawn in Little Rock, Arkansas. The incident inspired him to don a Santa suit over his imposing frame and attend Santa Camp.

    The documentary shows Kennedy at a Christmas festival in Arkansas as a Black Santa, where his appearance sparks some strong reactions. In the film, the festival’s organizer says some White families refused to take their kids to see Kennedy because they believe Santa should be white.

    Yet the film also shows both Black and White families who say they brought their kids specifically to see a Black Santa. Black kids, in particular, jump for joy when they see him. So do some of their parents.

    “When I was little, Santa was white,” one Black mother tells a smiling Kennedy after he greets her with, “Bro, ho, ho.”

    “He was whatever someone else decided Santa to be,” she adds.

    In the film, Kennedy shakes his head after meeting the kids and their parents.

    “There were families that traveled over 300 miles to be here,” he says. “That was very rewarding. But it … also gave me a sense of sadness, that there are not Black Santas closer.”

    Some White parents who refused to see Kennedy might have changed their minds if they knew Santa’s history. The first Santa – or at least the man he was modeled after – was probably brown. The Santa legend can be traced back to a monk named St. Nicholas, who lived in modern-day Turkey and was known for his generosity and as a protector of children.

    An undated Coca-Cola advertising poster shows a young boy surprising Santa Claus.

    Santa has evolved in other ways. The name Santa Claus comes from a shortened version of Saint Nicholas in Dutch, “Sinterklaas.” Dutch immigrants later brought that tradition to America. The 19th-century authors Clement Moore and Washington Irving popularized Saint Nicholas stories.

    But it’s the Coca-Cola company which is widely credited with spreading the modern image of the twinkly-eyed, White Santa. In the 1930s, Coca-Cola hired an illustrator to create portraits of a cuddly Santa Claus in a red and white suit to boost sales during its slow winter season.

    The push for a more diverse Christmas, though, isn’t restricted to Santa. There’s also a campaign to “sleigh the patriarchy” by transforming Mrs. Claus into a feminist icon.

    Mrs. Claus plays a prominent role in “Santa Camp.” Trans Santa is accompanied by his wife, Heidi Truax, who goes by the name Dr. Claus (she has a doctorate) and has co-written a book for kids called “You Can Be a Claus Too: Lessons from Santa Camp.”

    The film also illuminates a growing wish by women to show their daughters more assertive representations of the traditional Mrs. Claus. More Mrs. Clauses are demanding equal pay and billing when they appear with Santa at events, the documentary shows.

    Levi Truax, known as Trans Santa, and his wife Heidi Truax, known as Dr. Claus, in a scene from

    One scene in “Santa Camp” shows a mother steering her daughters to Mrs. Claus and asking her to teach them that it’s okay to be assertive.

    “Young girls need to speak up and say what’s on their mind,” Dianne Grenier, who goes by Mrs. Merry Claus, tells the wide-eyed girls. “That’s why I spoke up to Santa and said, ‘You know I’ve been quiet all these years and being a good little wife, but now it’s my turn. See how you like sitting at home.’”

    The scene ends with a little boy looking on in silence, his brow bunched in confusion.

    The campaign for a more diverse Santa is also a push to remove sexism from the holidays, others say.

    Maureen Shaw, founder of sherights.com, an online magazine devoted to women’s rights, wrote an essay stating that sexism at Christmas “is as American as Santa, sugar cookies and caroling.”

    Women, for example, are expected to bear the brunt of holiday preparations, she said. Retailers “perpetuate gender binaries” by filling girls’ sections with frilly dresses and princess castles and boys’ sections with pants and electronic toys.

    “To assume that my daughter wants a doll or that my son wouldn’t be interested in a princess toy because of their sexes is problematic,” Shaw tells CNN. “It reinforces gender stereotypes, which implicitly sets limits on what they can or should take an interest in. It may seem silly to skeptics, but consistently gifting girls kitchen sets, dolls and princess toys lays the foundation for what’s expected of them as they grow up.”

    Those who say the more diverse representations of Santa betray the values of the holiday season may be forgetting about another iconic Christmas character: Rudolph the Red-Nosed Reindeer.

    Rudolph, if you recall, was mocked by his peers because his bulbous red nose made him different. But Santa Claus saw the value in Rudolph’s luminous nose and asked him to lead his sleigh that night, transforming him into a Christmas hero.

    The story of Rudolph was written in 1939 by a Jewish Chicago copywriter named Robert May, and was adapted into a stop-motion TV special that first aired in 1964. It has become one of the longest-running Christmas TV events in history. Paul Soles, who provided one of the voices in the television special, once explained why Rudolph’s story is so enduring.

    “Everybody’s been to some degree separated out, found wanting, not quite fully fitting in,” said Soles, who also grew up Jewish.

    Not fitting in is something that the Trans Santa outside the Chicago church can relate to. Truax said he grew up isolated and confused in suburban Detroit because he felt like he was in the wrong body. When he finally came out as transgender, he said his father was supportive.

    Others in his situation aren’t as lucky. Just over half of all transgender and nonbinary young people in the US contemplated taking their lives in 2020, according to The Trevor Project’s third annual National Survey on LGBTQ Youth Mental Health.

    Santa Claus waits for visitors  at the King of Prussia Mall in  Pennsylvania on November 22, 2019. One expert on race says White people can become upset

    The teenager who greets Trans Santa in the film hints at some of that struggle. They tell Santa they want to get a binder, a compression undergarment to flatten breasts for teens who identify as gender-nonconforming or transgender.

    Truax smiles and nods knowingly. As he talks, a string of Christmas lights on four evergreen trees behind them illuminate the December sky.

    “I know when I got my first binder, it changed me,” Truax tells his visitor. “It empowered me to have the body of the person I wanted to be.”

    The teenager looks up to Santa, their face brightening in a smile.

    “It’s very empowering being in your presence,” they say.

    They then stand up and pump their left fist in triumph, a new bounce in their step.

    For some, such a scene has nothing to do with the holiday. But for this kid, meeting a Santa who understands their journey might be one of best Christmas gifts ever.

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  • Behind the Lens: Chronicling years-long abuse — with care

    Behind the Lens: Chronicling years-long abuse — with care

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    Associated Press photographers talk about their 2022 assignments, and share some of the stories behind the images.

    ———

    THE PLACE: Bisbee, Arizona, United States

    THE STORY: Seven years of sex abuse: How Mormon officials let it happen

    THE PHOTOGRAPHER: Dario Lopez-Mills

    ———

    ON HOW TO PHOTOGRAPH SOMETHING FROM THE PAST WITHOUT VISUALS REALLY AVAILABLE:

    This was a story that had happened many years ago. And we were going to go to a little town in Arizona, where nothing was really there to photograph that related to this. The father of these kids had already taken his life in prison. And this is basically a legal case that was coming up. Mike Rezendes had obtained more than 12,000 court documents, and his intent was to show that the church had known about the abuse for many, many years and did nothing. That led to a lot of ideas of how we would shoot this.

    I suggested at one point that, that we try to photograph it with a panoramic film camera. It was suitable for the landscape that we were going to encounter. This is a place that is in the middle of the desert, and there’s not very much. There’s these wide-open spaces, and the home where these people lived is not exactly in Bisbee itself. It’s kind of on the outskirts. We wanted to suggest that these horrible things were happening in a little house that was surrounded by nothing. And at the same time, we quickly realized that we wanted to never show the faces of those involved. We wanted to be very careful.

    ON PHOTOGRAPHING WITH A PANORAMIC CAMERA:

    I wanted to convey that sense of space of the town and the surrounding areas. And using an analog film camera was suggestive of photographing something that had happened in the past. It suggested that archival look to it. When I suggested this, there was a lot of hesitancy from a lot of people about it. My commitment to them was that while I would buy the film and get it developed and get it scanned, I would shoot everything I shot in the panoramic camera with a digital camera, too. So in case the panoramics did not work out, we could always go back to the digital format. And that was really important because that gave me the OK to continue working that way.

    ON CAPTURING THE STORY’S NUANCED THEMES:

    A lot of the story had to do with innocence lost. That’s why I found myself going to abandoned and empty children’s playgrounds in this town. That was kind of a way for me to visualize that lost innocence. The landscape is a town that has perhaps has seen better times because it was a mining town that was very a booming town. And now it’s a place where a lot of retirees live. It doesn’t have a lot of children. There’s this old part of town that’s how it looked in the 1950s. That kind of suggested a little bit of an eeriness, too.

    ON HOW THIS STORY WASN’T QUITE WHAT HE EXPECTED:

    It’s also a huge story about love, in the sense that these two children are recovering from something really traumatic, and a lot of it has to do with how these children were fortunately adopted by very loving parents, adoptive parents, who have really nurtured them and tried to give them as normal a life as possible. That was something that we really tried to convey — that this was a story of resilience and of recovery.

    — Interview by Leslie Mazoch

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  • New study examines links between parents’ income and sexual orientation of their children

    New study examines links between parents’ income and sexual orientation of their children

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    Newswise — Attraction to same-sex partners is common in humans but the biological influences on homosexuality and bisexuality are not fully understood.

    Now new research involving Swansea University is examining the suggestion that sex hormones in the foetus influence the sexual attraction people experience later in life. Extending earlier work that linked parental income to foetal sex hormones Professor John Manning, of the Applied Sports, Technology, Exercise and Medicine (A-STEM) research team, and colleagues have, for the first time, considered links between parental income and the sexual behaviour of their adult children.

    According to the researchers the highest frequencies of same-sex attraction were found in the children of the lowest (25 per cent) income group, the lowest frequencies in the income group slightly higher than others, and elevated frequencies of same-sex attraction in the children of the top 25 per cent of the population.

    The study, which has just been published in online journal Evolutionary Psychology, is a collaboration between Professor Manning, Bernhard Fink of the University of Vienna and the American evolutionary biologist and sociobiologist Robert Trivers.

    Professor Manning said: “These novel findings suggest that high foetal oestrogen is a factor in both male and female same-sex attraction in children of low-income parents. Conversely, in male and female children of high-income parents, high foetal testosterone may be linked to same-sex attraction. “

    The authors have further speculated that high foetal oestrogen is related to “femme” and “submissive” roles in female and male homosexuals respectively. Moreover, high prenatal testosterone may be linked to ‘butch’ and ‘assertive’ roles in female and male homosexuals respectively.”

    The research follows on from a previous study involving Professor Manning published last year which found low-income mothers feminize their children in the womb by adjusting their hormones, whereas high-income mothers masculinize their children.

    That study was based on the relationship between the length of a person’s index and ring fingers, known as the 2D:4D ratio. A long ring finger is a marker of higher levels of prenatal testosterone, and a long index finger is a marker of higher levels of prenatal oestrogen. Generally, in comparison to women, men have longer ring fingers, whereas in comparison to men, women have longer index fingers.

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    Swansea University

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  • Warm days are contributing to gun violence surge across the US

    Warm days are contributing to gun violence surge across the US

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    Newswise — From Philadelphia to Portland, cities across the United States are experiencing spikes in gun violence on warm days. Researchers have begun to explore heat as a contributor to firearm violence, but current research on this subject is limited, focusing only on a few cities.

    Now, a new study by Boston University School of Public Health and the University of Washington School of Social Work provides a first-of-its-kind analysis of heat-attributable shootings as a nationwide problem.

    Published in the journal JAMA Network Open, the study found a consistent relationship between higher temperatures and higher risk of shootings in 100 of the country’s most populated cities.

    The comprehensive study reveals that nearly seven percent of shootings can be attributed to above-average daily temperatures, even after adjusting for seasonal patterns. The findings indicate that the Northeast and Midwest regions experience the sharpest increases in gun violence on hotter-than-normal days.

    “Our study provides strong evidence that daily temperature plays a meaningful role in gun violence fluctuations,” says study senior author Dr. Jonathan Jay, assistant professor of community health sciences at BUSPH, director of BUSPH’s Research on Innovations for Safety and Equity (RISE) Lab, and a partnering faculty member of Boston University’s Center for Climate and Health (BU CCH). “Even though some regions showed larger or smaller effects, the general pattern is remarkably consistent across cities.”

    Gun violence is the leading cause of death among children and teens, and this violence has worsened substantially during the pandemic. As climate change threatens to raise daily temperatures even more, the researchers say these findings underscore the need for ongoing policies and programs that acclimate communities to heat and mitigate the risk of heat-attributable gun violence.

    “Our study really highlights the importance of heat adaptation strategies that can be used all year, as well as a need for specific regional awareness and attention in regions where this relationship is strongest,” says study lead author Dr. Vivian Lyons, a research scientist in the Social Development Research Group at the University of Washington’s School of Social Work, and who began the study as a postdoctoral fellow with the Firearm-safety Among Children & Teens (FACTS) Consortium at the University of Michigan.

    For the study, Dr. Jay, Dr. Lyons, and colleagues utilized publicly available data from the Gun Violence Archive, a national repository of gun violence information. The team analyzed daily temperatures and more than 116,000 shootings from 2015 to 2020, in the top 100 US cities with the highest number of assault-related shootings in the country. Accounting for seasonality and regional climate differences, they found that 7,973 shootings were attributable to above-average temperatures. The temperatures associated with increased gun violence varied considerably across cities. For example, both Seattle and Las Vegas experienced the highest elevated risk of gun violence during days when the temperature soared within the 96th percentile range of average daily temperatures—but for Seattle, that temperature was 84 degrees, while in Las Vegas, it was 104 degrees. 

    “Cities with high rates of firearm violence should continue to implement firearm-prevention strategies broadly including credible messenger programs and hospital-based violence intervention programs,” Dr. Lyons says. “What our study suggests is that for cities with more heat-attributable shootings, implementing heat adaptation strategies at the community level—such as greening efforts that have been effective at reducing urban heat islands and have some association with reductions in firearm violence—may be particularly important.”

    So what might be driving this association between heat and gun violence? “It could be that heat causes stress, which makes people more likely to use aggression,” Dr. Jay says. “Or it could be that people are more likely to get out on warmer days and have more interactions, which creates more opportunities for conflict and violence. Most likely, it’s a combination of both.”

    Regionally, heat-attributable gun violence may be most pronounced in the Northeast and Midwest due to sharper fluctuations in temperature in those areas, even within seasons, or because cities in those regions are less acclimated to heat, the researchers say. But those regions are also more racially segregated than other areas of the country. The study findings should be interpreted within the context of structural racism and racial inequities in exposure to gun violence and heat, says Dr. Jay.

    “The Northeast and Midwest regions are where we see some of the starkest differences in the built environment and other resources, according to race—to me, these inequities are the most interesting and important direction of this work,” Dr. Jay says. “We know that segregation and disinvestment lead communities of color, especially Black communities, to have greater exposure to adverse environmental conditions that contribute to gun violence risk, such as abandoned buildings, liquor stores, lack of green space, and more intense urban heat islands.”

    Healthy tree canopy and other heat mitigation strategies can serve as part of a mission that’s “part racial justice, part climate change mitigation, and part gun violence prevention,” he says. “These are all urgent issues where we need to continue to partner with communities and work across disciplines.”

    The researchers will next study differences in heat-related gun violence among neighborhoods, in a project funded by the National Collaborative on Gun Violence Research and led by Dr. Zihan Lin, a postdoctoral associate in the Department of Community Health Sciences at BUSPH and a researcher for BU CCH.

    “This study extends our understanding of the many health harms associated with extreme heat,” says Dr. Gregory Wellenius, professor of environmental health and director of BU CCH. “I’m pleased that the new BU Center for Climate and Health can support this work as part of our commitment to research to reduce the health impacts of continued climate change.”

    The study was coauthored by Emma Gause, research scientist in the Department of Environmental Health (EH) at BUSPH, and Keith Spangler, research scientist in EH and the Biostatistics and Epidemiology Data Analytics Center (BEDAC) at BUSPH.

    **

    About Boston University School of Public Health
    Founded in 1976, Boston University School of Public Health is one of the top five ranked private schools of public health in the world. It offers master’s- and doctoral-level education in public health. The faculty in six departments conduct policy-changing public health research around the world, with the mission of improving the health of populations—especially the disadvantaged, underserved, and vulnerable—locally and globally.

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  • Opinion: I almost died last year from a medical problem that was entirely preventable | CNN

    Opinion: I almost died last year from a medical problem that was entirely preventable | CNN

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    Editor’s Note: Alice Paul Tapper, 15, is a high school sophomore in Washington, DC. She is the daughter of CNN’s Jake Tapper. The opinions expressed in this commentary are solely hers. View more opinions on CNN.



    CNN
     — 

    I almost died around Thanksgiving last year, and it was entirely preventable.

    It started one weekend in November 2021 with stomach cramping, a low fever, chills and vomiting. Soon it became clear I needed to go to the emergency room. By the time I got there, I had low blood pressure, an elevated heart rate, intense abdominal pain and a high white blood cell count.

    I was given IV fluids to combat my dehydration, but I didn’t get better. The doctor and nurses didn’t know what was wrong and stood around me confused, as if they were waiting for me to tell them what to do. The sharp cramping pains and the throbbing feeling in my stomach got worse, so they transferred me to another hospital.

    With guidance from my pediatrician, my parents told the doctors to check for appendicitis. But since I was tender all over my abdomen — not just on my right side — the doctors ruled it out. My parents kept pressing, so a doctor told me to stand up and jump. I could barely get an inch off the ground. The doctors concluded that what I had must be a viral infection and would eventually just go away.

    It didn’t. I got sicker and my skin started turning a pale green. As Monday turned into Tuesday, I was only given Tylenol for my pain. My mom asked the doctors why I couldn’t get a sonogram to see what was happening inside my abdomen; they said it wasn’t needed. My dad asked why I couldn’t get antibiotics; the doctors said for a viral infection they could do more harm than good. My parents kept pushing for a gastroenterologist who might have more insight about my condition to evaluate me, but one never came.

    I felt helpless. My condition wasn’t the only thing that alarmed me; so did the lack of recognition I received from the hospital. I was not being heard; when I described to the doctors how much pain I was in, they responded with condescending looks.

    On Tuesday night, my dad went home to be with my brother, but it wasn’t long before my mom called him in tears. I was in agony and was only being treated with a heating pad. My dad got the phone number for the hospital administrator and begged for a gastroenterologist, for imaging — for anything. The phone call worked, and at the hospital administrator’s orders, I was finally taken to get an abdominal X-ray. The imaging showed this was no viral infection.

    In the middle of the night, I was rushed to get an ultrasound that revealed I had a perforated appendix that was leaking a poisonous stream of bacteria throughout my internal organs. When I learned my diagnosis, I was almost relieved. At least the doctors now had a plan.

    Finally, the surgical team took over. The next couple of hours were a blur. A CT scan was followed by emergency surgery; two laparoscopic drains were inserted in my body to get rid of the toxic leakage. I had sepsis and we would later learn I was going into hypovolemic shock — which can cause organs to stop working. That night was the scariest night of my life.

    Once I was well enough to leave the ICU, I stayed in the hospital for another week, bedridden with uncomfortable drains in my body and horribly sharp cramping pains, for which I was given morphine. I could barely walk. I didn’t recognize the helpless, hunchbacked, green, exhausted girl I saw in the hospital mirror.

    Why did this all go so horribly wrong?

    My mom soon learned about research conducted by Dr. Prashant Mahajan, vice chair of Emergency Medicine and division chief of Pediatric Emergency Medicine at University of Michigan Health C.S. Mott Children’s Hospital. Mahajan’s research notes that, despite being the most common surgical emergency in children, appendicitis can be missed in up to 15% of children at initial presentation. Up to 15%!

    This is because there are so many possible reasons for abdominal pain. Appendicitis can mimic several common conditions including constipation and acute gastroenteritis, which my hospital pediatricians mistakenly thought I had. According to Mahajan, up to half of appendicitis patients may not exhibit the classic signs of right lower quadrant pain, fever and vomiting.

    Mahajan’s research also shows that appendicitis misdiagnoses are more likely in children under 5 — and in girls. I was disappointed but not surprised to learn that girls can be listened to and taken seriously less often.

    Alice Tapper could barely walk after emergency surgery to address her perforated appendix.

    Hospitals need to change the way they assess and diagnose appendicitis because it can frequently present in atypical ways. Anupam Kharbanda, pediatric emergency medicine doctor at Children’s Minnesota, came up with what’s called the pARC (pediatric Appendicitis Risk Calculator) score to help assess a child’s probability of appendicitis, using variables such as sex, age, duration of pain, pain migration, white blood cell count and more.

    The pARC score could be an important piece of changing diagnostic practices and saving lives.

    In 2018, a 5-year-old girl in England, Elspeth Moore, was sent home by a pediatrician even though she complained her stomach “felt like it was on fire.” The doctor diagnosed a viral infection. She died of peritonitis, sepsis and acute appendicitis two days later.

    My story has a less tragic ending. Luckily, I wasn’t sent home without monitoring like Elspeth was, and I finally got the care I needed. Months after my first hospitalization, I had an appendectomy at a new hospital — Children’s Hospital of Philadelphia. My health has returned to normal. But I have a new mission to spread awareness about misdiagnoses of appendicitis — because what happened to Elspeth could have happened to me, too.

    The X-ray machine was down the hall, the CT machine just a floor below, the sonogram machine just steps away and the antibiotics I needed were just one phone call away. But doctors didn’t utilize these tools to quickly diagnose and treat me and, as a result, I almost died. It breaks my heart to think about the boys and girls who don’t have parents who can get the phone number of the hospital administrator — who can’t make their voices break through.

    I still can’t believe this happened to me — and I don’t want it to happen to anyone else.

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  • UTSW expanding mental health program for teens throughout Texas

    UTSW expanding mental health program for teens throughout Texas

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    Newswise — DALLAS – Dec. 14, 2022 – UT Southwestern Medical Center is expanding an evidence-based mental health promotion and crisis prevention program for adolescents to schools across Texas after receiving $11.5 million in funding from the state. 

    The Youth Aware of Mental Health (YAM) program helps teens recognize and better understand feelings and signs of depression and anxiety by sending trained facilitators into schools to lead sessions including discussion and role-playing activities. The program has been deployed in more than 30 schools in North Texas, touching more than 20,000 students since its launch in 2016. It is now being rolled out throughout Texas in partnership with other health-related institutions as part of the Texas Child Mental Health Care Consortium (TCMHCC).    

    Madhukar Trivedi, M.D., Professor of Psychiatry, Director of the Center for Depression Research and Clinical Care, and Principal Investigator for YAM at UT Southwestern, said research has shown that YAM results in significantly lower depression and anxiety scores among students, decreasing their risk of suicide.

    “As a society, we tend to only focus on depression when there is a crisis. That’s like only focusing on cancer when it becomes stage 4 when the outcomes aren’t great,” said Dr. Trivedi, an Investigator in the Peter O’Donnell Jr. Brain Institute at UTSW. “Thanks to support from philanthropists and UT Southwestern, we have been able to reach tens of thousands of students so far in North Texas to help prevent suicide. With this new funding from the state, we will be able to reach even more across the state.”

    Dr. Trivedi explained that before puberty, the rate of depression – a well-known risk factor for suicide – is about the same for boys and girls. However, during puberty and shortly afterward, the depression rates rise for both genders and eventually double for girls compared to boys, making this stage a particularly vulnerable time for suicidal ideation and attempts.

    To help lower suicide risk, Dr. Trivedi and his colleagues were drawn to YAM, a European program that was shown to reduce suicide attempts and severe suicidal ideation by about 50% in a randomized control trial of 11,000 high school students published in 2015. A different study led by Dr. Trivedi’s team showed a significant reduction in depression and anxiety among students who participated in a three-week YAM session in North Texas schools from 2017 to 2019.

    Support for the expansion was provided by the Texas Legislature through the TCMHCC, created in 2019 and recently funded with federal American Rescue Plan Act funds directed to the state to address fallout from the COVID-19 pandemic, including mental health issues. Thus far, more than 100 facilitators have been trained for the YAM expansion from health-related institutions including UT Dell Medical Center in Austin, Texas A&M, Texas Tech, UT Medical Branch at Galveston, and UT Health Science Centers in Houston, San Antonio, and Tyler. Once trained, the facilitators bring the program to schools in their communities. 

    By providing mental health education to all students in a high school or middle school class, rather than just responding to those considered at risk or already in crisis, students are taught how to recognize depression and anxiety symptoms in themselves and their peers, Dr. Trivedi explained, lowering suicide risk before students are in danger.

    “Mental health and wellness are essential to student success,” Dr. Trivedi said. “Increased rates of anxiety and depression, and learning loss as a result of the pandemic, underscore that this is a pivotal time for our children. If we ignore this, we ignore it at our own peril.”

    About UT Southwestern Medical Center

    UT Southwestern, one of the nation’s premier academic medical centers, integrates pioneering biomedical research with exceptional clinical care and education. The institution’s faculty has received six Nobel Prizes, and includes 24 members of the National Academy of Sciences, 18 members of the National Academy of Medicine, and 14 Howard Hughes Medical Institute Investigators. The full-time faculty of more than 2,900 is responsible for groundbreaking medical advances and is committed to translating science-driven research quickly to new clinical treatments. UT Southwestern physicians provide care in more than 80 specialties to more than 100,000 hospitalized patients, more than 360,000 emergency room cases, and oversee nearly 4 million outpatient visits a year.

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  • Longtime staffer named to lead Scripps National Spelling Bee

    Longtime staffer named to lead Scripps National Spelling Bee

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    When Corrie Loeffler was in elementary school, she scribbled in a scrapbook her very unusual dream job: director of the Scripps National Spelling Bee.

    That dream came true Wednesday for the 40-year-old Loeffler, a former speller and longtime bee staffer who was announced as the competition’s third executive director in the past two years.

    “It’s not many people who can say they got to do the thing they wanted to do when they were a kid, especially a weird, unique position,” Loeffler told The Associated Press ahead of the announcement. “I feel very tickled by that.”

    Loeffler replaces J. Michael Durnil, a veteran nonprofit leader who guided the world’s preeminent spelling competition during an eventful 20-month period and resigned last month because of family health issues.

    The bee began in 1925 and was led from 1998 to 2020 by Paige Kimble, the 1981 champion. Loeffler, who competed in the bee from 1994 to 1996 and finished fifth in 1995, joined the staff in 2006 and served in several leadership roles.

    Cincinnati-based Scripps conducted a national search for Kimble’s replacement — but not this time. Loeffler was elevated immediately to interim director, and her start date for the permanent job is Jan. 3.

    Paul Loeffler, her older brother who competed in 1990 and is the bee’s longtime television analyst, called his sister the competition’s “ideal caretaker.”

    “She has a firm grasp on the spirit that has propelled it for nearly a century,” he said. “Her understanding of the mind of a champion speller is balanced by her compassion for those who are dealt disappointment when the bell sounds.”

    Durnil took over after the 2020 bee was canceled because of COVID-19. He shepherded a mostly virtual competition in 2021, with limited in-person finals at Walt Disney World, and brought the bee back this year to its regular venue, a convention center outside Washington.

    The 2022 edition was still downsized, however, in part for financial reasons — the bee had a net loss of 47 regional sponsors during the pandemic — but largely because Durnil eliminated a wild-card program that essentially allowed spellers to buy a spot in the national finals.

    Loeffler said there are no plans to bring back the wild cards. As for the financial backing, Scripps said it has about 200 regional sponsors for 2023, up from 198 this year.

    Loeffler said maintaining and enhancing the in-person Bee Week experience for finalists who triumph at the school and regional levels is foremost among her priorities. It’s a perspective earned through disappointment after she lost in the second round in 1996, her last year of eligibility.

    “No matter how you do in the competition, Bee Week will change your life,” Loeffler said. “I never won the competition. That’s not what it was about for me. It’s about everything else you learn from competing and the way it makes you see the world.”

    Dr. Kavya Shivashankar, the 2009 champ who serves on the panel that selects words for the bee, praised her appointment.

    “She’s a very warm person who just has so much joy when she sees all the spellers,” Shivashankar said. “It’s very apparent at all the Bee Weeks that she genuinely cares for them and has everybody’s best interest at heart.”

    The bee introduced a lightning-round tiebreaker after it ended in ties four times in the 2010s, including an eight-way draw in 2019 when Scripps ran out of words difficult enough to challenge a deep field of spellers. Scripps also diversified its word panel after that debacle by adding more recent ex-spellers.

    Loeffler said the tiebreaker would be tweaked but remain. She also said spellers would continue to be asked multiple-choice vocabulary questions onstage, a much-criticized new element that she called key to the bee’s educational mission.

    “I love that the onstage version of word meaning testing leads to a spotlight on it in a way that just having it behind the scenes never could,” Loeffler said.

    ———

    Follow Ben Nuckols at https://twitter.com/APBenNuckols

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  • Macadins Company and Santa on the Roof Celebrate 25 Years of Fulfilling Dreams and Christmas Magic

    Macadins Company and Santa on the Roof Celebrate 25 Years of Fulfilling Dreams and Christmas Magic

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    Press Release


    Dec 13, 2022

    25 years ago, Macadins Company created and released a recording of what it might sound like to hear a magical rooftop visit from Santa on Christmas Eve. This recording has become a holiday tradition for many families and in its 25th year of production, “Santa on the Roof” is easily downloadable to any Computer, Tablet or Cellphone and is certain to continue rewarding listeners with joyous memories of Christmases past and present. “Santa on the Roof” is available for purchase and download now at www.santaontheroof.com.

    Your child will hear Santa’s sled landing with a thump and gliding to a gentle stop. His footsteps as he walks around the roof, his playful antics with his team of Reindeer and of course Santa enjoying his cookie snack left by the children. And more.

    An introductory story sets Santa’s visit not as a true recording but as a storybook-like magic fairy tale that took place long-long ago, thus preserving the Santa legend and mystique. This story also allows “Santa on the Roof” to be played for a child anytime during the Holiday Season. More adventurous adults start the recording after the story and get somewhat creative late at night on Christmas Eve.

    Spreading Memories

    For 25 years, parents have been able to provide their children with a magical Christmas Eve rooftop visit with “Santa on the Roof.” Watch and enjoy your child’s eyes twinkle and dance in delight with awe as their dream to hear the sounds of Santa unfold for the very first time.

    This Christmas season capture the magic and wonder of Christmas as you share a very special childhood moment with your children. Celebrate memories of what was and help keep alive a historic and delightful Christmas tradition that is as enchanting and awe-inspiring as the event itself. 

    Customer Comments

    Feedback from customers is always sincere and heart-warming with one customer commenting they played it at midnight through hidden speakers and their kids were at the window screaming they saw Rudolf’s red nose. Another stated they played it at 2 am as an excuse to go downstairs and get the skis Santa had left him. And finally, an elderly Lady ordered “Santa on the Roof” because she always wondered what it would sound like to hear a sled landing on her roof.

    For anyone who loves the Santa tradition and wants to share it with their child or grandchild this recording is a must have.

    Macadins is a mail order company headquartered in Wethersfield, Connecticut and has been in business since 1997.

    Source: Santa on the Roof

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