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Strictly Come Dancing host breaks down in tears after star's emotional five-word admissionPatriots safety Jabrill Peppers, accused of domestic violence, cleared to practice and playA Louisiana law that reclassified abortion-inducing drugs as controlled substances has made it more difficult for doctors to treat a wide range of gynecological conditions, doctors say. Now, a similar proposal has been filed in Texas. Texas Rep. Pat Curry, a freshman Republican from Waco, said the intent of House Bill 1339 is to make it harder for people, especially teenagers, to order mifepristone and misoprostol online to terminate their pregnancies. Doctors in Louisiana say the measure has done little to strengthen the state’s near-total abortion ban, but has increased fear and confusion among doctors, pharmacists and patients. “There’s no sense in it,” said Dr. Nicole Freehill, an OB/GYN in New Orleans. “Even though we kept trying to tell them how often [these medications] are used for other things and how safe they are, it didn’t matter. It’s just a backdoor way of restricting abortion more.” These medications are often used to empty the uterus after a patient has a miscarriage, and are commonly prescribed ahead of inserting an intrauterine device. Misoprostol is also often the best treatment for obstetric hemorrhages, a potentially life-threatening condition in which women can bleed to death in minutes. Since the Louisiana law went into effect, hospitals have taken the medication off their obstetrics carts and put them in locked, password-protected central storage. One hospital has been running drills to practice getting the medications to patients in time, and reported, on average, a two minute delay from before the law went into effect, the Louisiana Illuminator reported. “In obstetrics and gynecology, minutes or even seconds can be the difference between life and death,” Dr. Stella Dantas, president of the American College of Obstetrics and Gynecologists, said in a statement after the Louisiana law passed. “Forcing a clinician to jump through administrative hurdles in order to access a safe, effective medicine is not medically justified and is, quite simply, dangerous.” Curry said these restrictions won’t stop doctors from prescribing these medications when necessary, but will stop the “wide misuse” of the drugs to circumvent the state’s near-total abortion ban. Curry said he consulted with the author of the Louisiana law, as well as OB/GYNs in Texas to draft the bill. He said the doctors who have criticized the legislation are raising these concerns as a “smokescreen” because they don’t want more restrictions. “I understand that. We don’t need or want all kinds of regulations,” he said. “Especially as Republicans, regulations should not be high on our list, but in this case it’s a necessary evil given the situation.” In March 2022, Mason Herring, a Houston attorney, spiked his wife’s water with misoprostol to force her to have an abortion. Catherine Herring was pregnant with the couple’s third child, a daughter who was born 10 weeks premature. She survived, but has significant developmental delays, according to the Associated Press. Mason Herring was charged with felony assault to induce abortion, and pled guilty to injury to a child and assault to a pregnant person. He was sentenced to 180 days in jail and 10 years of probation. Catherine Herring’s experience led her brother, Louisiana state Rep. Thomas Pressly, to file a bill that would have made it a crime to coerce someone into having an abortion. But at the last minute, the bill was amended to also reclassify abortion-inducing drugs as controlled substances, according to the Louisiana Illuminator, leaving hospitals and doctors scrambling to comply with the new restrictions. The state health department advised storing the medication in a locked area on the crash cart, which at least some hospitals have said is not feasible. “We had to rework how we utilize misoprostol across our hospital systems,” Freehill said. “Labor and delivery, pharmacy, nursing staff, you name it, they were all involved with figuring out how to stay within the law but still use these medications that we need access to.” It’s rare for a state to decide on its own to classify a drug as a controlled substance. Most commonly, the federal government decides which medications should be “scheduled,” based on their medical usefulness and the potential for abuse. Schedule I drugs, like heroin, have no medical use and are often used recreationally; Schedule IV and V are medications that are useful but have a potential for abuse, like Xanax or Valium. There are enhanced penalties for having a controlled substance without a prescription, and increased restrictions on how doctors can dispense them. Pharmacists must report any prescriptions for controlled substances to the state Prescription Monitoring Program, and doctors are required to check the database before prescribing certain controlled substances. Law enforcement also has access to that database. Prescription monitoring has been key to combating the opioid epidemic by identifying doctors who were overprescribing and patients who were getting prescriptions from multiple providers. But with so much political attention on mifepristone and misoprostol as abortion-inducing drugs, doctors are worried about scrutiny for frequently prescribing these common medications. “We had to fix a problem that wasn’t broken,” said Freehill. “There’s no reason for it to be Schedule IV. It’s not something people abuse. It’s not something people can become addicted to. It’s extremely safe.” A group of Louisiana health care providers recently filed a lawsuit arguing the law discriminates against people who need mifepristone and misoprostol for other conditions, and challenging whether the last minute amendments to the bill were proper. Louisiana Attorney General Liz Murrill has said the new restrictions are clear and should not delay care. Those who “have attempted to sow confusion and doubt,” she said in a statement, “profit from misinformation.” When the law first went into effect, Anna Legreid Dopp, senior director of government relations for the American Society of Health-System Pharmacists, told CNN that the group expected other states to consider similar measures. “Almost immediately, our members raised concern that if this is being done in one state, it can easily be a template for other states to use it,” Dopp said. Curry, who recently won a special election to fill the seat long held by Republican Rep. Doc Anderson, said Pressly and Herring have offered to come testify in support of his bill this session. He anticipates it getting wide support from his fellow lawmakers. Since the overturn of Roe v. Wade, conservative groups have turned their attention to restricting access to abortion-inducing medications. A group of anti-abortion doctors filed a lawsuit to revoke the Food and Drug Administration’s approval of mifepristone, which the U.S. Supreme Court ultimately rejected. Curry said there are reasons to keep these medications on the market beyond abortion, but they need tighter restrictions. “You can lie about your age, you can lie about your name, you can lie about your address, there's no verification whatsoever,” he said, referring to online prescribers. “And it gets shipped to a 15-year-old girl, a 13-year-old girl.” It is already a crime to mail abortion-inducing medications in Texas, and many of the online pharmacies operate in a legal gray area outside U.S jurisdiction. Others are working in states that have “shield laws” that protect doctors’ ability to prescribe and mail pills into states that have banned abortion. None of these interstate and international legal questions have been tested in court with regards to abortion. Freehill said she would encourage Texas doctors to learn from what has happened in Louisiana as they prepare to advocate against this bill this session. “There's a lot of education that needs to be done surrounding what this means and what these drugs are really used for,” she said. “I don’t know that we would have been able to sway people, even with more time, but we can at least educate on why this is completely inappropriate and really governmental overreach.” This article originally appeared in The Texas Tribune at https://www.texastribune.org/2024/11/25/abortion-texas-pills-controlled-substance/ . The Texas Tribune is a member-supported, nonpartisan newsroom informing and engaging Texans on state politics and policy. Learn more at texastribune.org .
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Real Madrid suffered a 2-1 LaLiga defeat at Athletic Bilbao as Kylian Mbappe missed from the penalty spot again. Alex Berenguer prodded the hosts ahead after 53 minutes before Mbappe – who failed to convert a Champions League penalty against Liverpool last week – sent his kick too close to Bilbao goalkeeper Julen Agirrezabala. Jude Bellingham appeared to have rescued a point for Real after scoring for the fourth successive league game 12 minutes from time. 📸 PORTERAZO. JULEN, JULEN! JULEN JULEN! #AthleticRealMadrid #AthleticClub 🦁 pic.twitter.com/w260s6xo79 — Athletic Club (@AthleticClub) December 4, 2024 But Federico Valverde’s mistake two minutes later gifted Gorka Guruzeta the winner in front of a delirious San Mames crowd. On a busy night of second-round Copa del Rey action, Villarreal suffered a shock 1-0 defeat at Pontevedra while there were wins for Real Betis, Rayo Vallecano and Valencia. Fiorentina went out of the Coppa Italia to Empoli on penalties on an emotional night at Stadio Artemio Franchi. Viola were back in action after Edoardo Bove’s health scare forced their weekend league fixture with Inter Milan to be abandoned during the first half. Midfielder Bove collapsed on the pitch and required emergency medical treatment. He was taken to hospital but regained consciousness in intensive care. Esposito's penalty books Empoli's place in the next round 💪 #FiorentinaEmpoli pic.twitter.com/UUxghH9l6b — Lega Serie A (@SerieA_EN) December 4, 2024 Empoli led at half-time through Emmanuel Ekong’s fourth-minute opener before Moise Kean and Riccardo Sottil put Fiorentina ahead. Sebastiano Esposito struck 15 minutes from time to make it 2-2 and take the last-16 tie into extra time, Empoli eventually winning 4-3 on penalties. Benjamin Sesko opened the scoring and Luis Openda struck twice as RB Leipzig brushed aside Eintracht Frankfurt 3-0 in the German DFB Pokal. Second-half goals from Denis Vavro, Jonas Wind and Yannick Gerhardt saw Wolfsburg beat Hoffenheim 3-0. Cologne knocked out Hertha Berlin 2-1 after extra time with Dejan Ljubicic converting a penalty in the final seconds, while Augsburg prevailed 5-4 on penalties against Karlsruhe after a 2-2 draw.
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NoneWASHINGTON (AP) — A top White House official on Wednesday said at least eight U.S. telecom firms and dozens of nations have been impacted by a Chinese hacking campaign. Deputy national security adviser Anne Neuberger offered new details about the breadth of the sprawling Chinese hacking campaign that gave officials in Beijing access to private texts and phone conversations of an unknown number of Americans. Neuberger divulged the scope of the hack a day after the FBI and the Cybersecurity and Infrastructure Security Agency issued guidance intended to help root out the hackers and prevent similar cyberespionage in the future. White House officials cautioned that the number of telecommunication firms and countries impacted could still grow. The U.S. believes that the hackers were able to gain access to communications of senior U.S. government officials and prominent political figures through the hack, Neuberger said. “We don’t believe any classified communications has been compromised,” Neuberger added during a call with reporters. She noted that because the hack appeared to be targeting a relatively small group of individuals, only a small number of Americans' phone calls and texts have been compromised. Neuberger added that impacted companies are all responding, but none “have fully removed the Chinese actors from these networks.” “So there is a risk of ongoing compromises to communications until U.S. companies address the cybersecurity gaps the Chinese are likely to maintain their access,” Neuberger said. She said that President Joe Biden has been briefed on the findings and that the White House “has made it a priority for the federal government to do everything it can to get to the bottom this.” The Chinese embassy in Washington on Tuesday rejected the accusations that it was responsible for the hack after the U.S. federal authorities issued new guidance. “The U.S. needs to stop its own cyberattacks against other countries and refrain from using cyber security to smear and slander China,” embassy spokesperson Liu Pengyu said. The embassy did not immediately respond to messages on Wednesday. White House officials believe that the hacking was regionally targeted and the focus was on very senior government officials. Federal authorities confirmed in October that hackers linked to China targeted the phones of then-presidential candidate Donald Trump and his running mate, Sen. JD Vance, along with people associated with Democratic candidate Vice President Kamala Harris. The number of countries impacted by the hack is currently believed to be in the “low, couple dozen,” according to a senior administration official. The official, who spoke on the condition of anonymity under ground rules set by the White House, said they believed the hacks started at least a year or two ago. The suggestions for telecom companies released Tuesday are largely technical in nature, urging encryption, centralization and consistent monitoring to deter cyber intrusions. If implemented, the security precautions could help disrupt the operation, which has been dubbed Salt Typhoon, and make it harder for China or any other nation to mount a similar attack in the future, experts say. Neuberger pointed to efforts that have been made to beef up cybersecurity in the rail, aviation, energy and other sectors following the May 2021 ransomware attack on Colonial Pipeline . “So, to prevent ongoing Salt typhoon type intrusions by China, we believe we need to apply a similar minimum cybersecurity practice,” Neuberger said. The cyberattack by a gang of criminal hackers on the critical U.S. pipeline, which delivers about 45% of the fuel used along the Eastern Seaboard, sent ripple effects across the economy, highlighting cybersecurity vulnerabilities in the nation’s aging energy infrastructure. Colonial confirmed it paid $4.4 million to the gang of hackers who broke into its computer systems as it scrambled to get the nation's fuel pipeline back online. Associated Press writer David Klepper contributed reporting.NEW YORK — For about 50 years, adding cavity-preventing fluoride to drinking water was a popular public health measure in Yorktown, a leafy town north of New York City. But in September, the town’s supervisor used his emergency powers to stop the practice. The reason? A recent federal judge’s decision that ordered U.S. regulators to consider the risk that fluoride in water could cause lower IQ in kids. “It’s too dangerous to look at and just say, ‘Ah, screw it. We’ll keep going on,’” said the town supervisor, Ed Lachterman. Yorktown isn’t alone. The decision to add fluoride to drinking water rests with state and local officials, and fights are cropping up nationwide. Communities in Florida, Texas, Oregon, Utah, Wyoming and elsewhere have debated the idea in recent months — the total number is in the dozens, with several deciding to stop adding it to drinking water, according to Fluoride Action Network, an advocacy organization against water fluoridation. In Arkansas, legislators last week filed a bill to repeal the state’s fluoridation program. The debates have been ignited or fueled by three developments: In August, a federal agency reported “with moderate confidence” that there is a link between high levels of fluoride exposure — more than twice the recommended limit — and lower IQ in kids. In September, the federal judge ordered the U.S. Environmental Protection Agency to further regulate fluoride in drinking water because high levels could pose a risk to the intellectual development of children. This month, just days before the election, Robert F. Kennedy Jr. declared that Donald Trump would push to remove fluoride from drinking water on his first day as president. Trump later picked Kennedy to run the Department of Health and Human Services. In Durango, Colo., there was an unsuccessful attempt to stop fluoridating the water during Trump’s first term in office. A new push came this year, as Trump saw a surge of political support. “It’s just kind of the ebb and flow of politics on the national level that ultimately affects us down here,” said city spokesman Tom Sluis. Fluoride is a public health success story but opposition persists Fluoride strengthens teeth and reduces cavities by replacing minerals lost during normal wear and tear, according to the U.S. Centers for Disease Control and Prevention. In 1950, federal officials endorsed water fluoridation to prevent tooth decay, and the addition of low levels of fluoride to drinking water has long been considered one of the greatest public health achievements of the last century. Fluoride can come from a number of sources, but drinking water is the main source for Americans, researchers say. Nearly two-thirds of the U.S. population gets fluoridated drinking water, according to CDC data. There is a recommended fluoridation level, but many communities exceed that, sometimes because fluoride occurs naturally at higher levels in certain water sources. Opposition is nothing new, though for decades it was considered a fringe opinion. Adherents included conspiracy theorists who claimed fluoridation was a plot to make people submissive to government power. Health officials could point to studies that showed that cavities were less common in communities with fluoridated water, and that dental health worsened in communities without it. But fluoride isn’t just in water. Through the years it became common in toothpaste, mouthwash and other products. And data began to emerge that there could be too much of a good thing: In 2011, officials reported that 2 out of 5 U.S. adolescents had at least mild tooth streaking or spottiness because of too much fluoride. In 2015, the CDC recommended that communities revisit how much they were putting in the water. Beginning in 1962, the government recommended a range of 0.7 milligrams per liter for warmer climates where people drink more water to 1.2 milligrams in cooler areas. The new standard became 0.7 everywhere. Over time, more studies pointed to a different problem: a link between higher levels of fluoride and brain development. The August report by the federal government’s National Toxicology Program — summarizing studies conducted in Canada, China, India, Iran, Pakistan and Mexico — concluded that drinking water containing more than 1.5 milligrams of fluoride per liter was associated with lower IQs in kids. “There’s no question that fluoride prevents cavities,” said Dr. Tom Frieden, who was director of the CDC when the agency changed the recommended fluoride levels. “There’s also no question we’re getting more fluoride than we were 50 years ago, through toothpaste and other things.” Frieden said “a legitimate question” has been raised about whether fluoride affects brain development, and studies making that link “need to be looked at carefully.” U.S. towns wrestle with what to do Many people in health care strongly embrace water fluoridation. The American Dental Association and the American Academy of Pediatrics reaffirmed their endorsement of current CDC recommendations in the wake of the federal report and the judge’s ruling. Colorado’s health department, which weighed in during a Nov. 5 Durango city council meeting, said in a statement that it “seeks to align its public health recommendations with the latest scientific research. The facts of this court ruling are not sufficient” to revise current fluoridation levels. Durango officials are waiting to see what the EPA does in reaction to the recent court decision, said Sluis, the city spokesman. “We follow the science,” he said. “It wouldn’t be in the best interest of the city to stop fluoridation based on one judge’s interpretation.” In Yorktown, Lachterman concluded the judge’s decision was enough to halt fluoridation. He recalled a community discussion several years ago in which most people in the room clearly favored fluoridation, but recently it seems public comment has reversed. “It’s like a total 180,” he said. But not all public pressure these days is against the idea. In September, Buffalo, N.Y., announced it would resume water fluoridation after not having it for nearly a decade. News reports had described an increase in tooth decay and families sued, seeking damages for dental costs. The Buffalo Sewer Authority’s general manager, Oluwole McFoy declined to discuss the decision with The Associated Press, citing the litigation. For its part, the EPA “is in the process of reviewing the district court’s decision,” spokesman Jeff Landis said last week. Debates become heated In Monroe, Wis., fluoridation “has become a very hot issue,” said its mayor, Donna Douglas. The small city, near Madison, started fluoridating its drinking water in the early 1960s. But in the late summer, some residents began calling and emailing Douglas, saying she needed to do something about what they saw as a public health danger. The first call “was more like a threat,” she recalled. Douglas said she did not take a position on whether to stop, but decided to raise it to the city council for discussion. The discussions were unusually emotional. Few people tend to speak during public comment sessions at council meetings, Douglas said. But more than two dozen people spoke at a city council meeting last month, most of them in favor of fluoridation. At a subsequent meeting, about a dozen more people — all opposed to fluoridation — came out to speak. “This is the first time we’ve had any debates at all” like this, Douglas said. “I didn’t realize it would be such a heated discussion.”
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LANDOVER, Md. (AP) — Austin Seibert missed his second extra point of the game with 21 seconds left after Washington’s Jayden Daniels and Terry McLaurin connected on an 86-yard touchdown, Dallas’ Juanyeh Thomas returned the ensuing onside kick attempt for a touchdown, and the Cowboys pulled out a 34-26 victory Sunday that extended the Commanders’ skid to three games. Seibert, who missed the previous two games with a right hip injury, was wide left on the point-after attempt following a low snap. Thomas then took the kick back 43 yards as the Cowboys (4-7) ended their losing streak at five in improbable fashion. Javascript is required for you to be able to read premium content. Please enable it in your browser settings.The hunt for UnitedHealthcare CEO's elusive killer yields new evidence, but few answersCommentary: Could Trump save TikTok from US ban, as he promised?
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