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Tuesday
Sep182018

Healthy, elderly adults should think twice before starting aspirin: Study

iStock/ThinkstockBY: DR. NICKY MEHTANI

(NEW YORK) -- A daily aspirin may have more risks than benefits if you’re over 70, according to a new study published this week in the New England Journal of Medicine. Yet aspirin, called a “wonder drug” against heart disease, is taken regularly by about 50 percent of adults nationwide.

The clinical trial, called ASPREE -- Aspirin in Reducing Events in the Elderly – was conducted by researchers at Monash University in Melbourne, Australia and studied healthy elderly adults who took a low dose (100 mg) of aspirin daily over a nearly five year period.

What did the study find?

Aspirin, known to help fight heart disease in those at risk, did NOT improve life expectancy free from dementia or disability for healthy adults over 69. The rate of death, dementia, or development of a persistent physical disability (lasting over 6 months) was the same among people who took aspirin and those taking a placebo pill.

Aspirin, like any medicine, has side effects, and can cause an increased risk of bleeding in the digestive tract and brain. The people who were taking aspirin in this study had a 3.8 percent chance of bleeding; those who weren’t taking it had a 2.8 percent chance of bleeding.

The most concerning consequence in healthy adults over 69 was an increased risk of death, including deaths due to cancer. The risk of death, from any cause, was 5.9 percent in the aspirin group and 5.2 percent in the placebo group. Cancer was the major contributor to the higher mortality rate: 3.1 percent of people taking aspirin died of cancer compared to only 2.3 percent people not taking it.

What do they mean by “healthy elderly adults”?

ASPREE looked at the effects of daily low-dose aspirin in “healthy” older adults who had no known history of heart disease, strokes, dementia, or other significant chronic illnesses. All Caucasians were 70 or older and Black and Latino people were 65 and older.

Most of our current knowledge on aspirin’s efficacy has come from studies on people who had heart problems -- a history of heart attacks, strokes, or other cardiovascular diseases. In this sicker population, studies are clear: aspirin helps decrease mortality rates, prevent heart attacks and strokes, and reduce the risk of colorectal cancer.

An important note: this study does NOT suggest that people should stop taking aspirin if they’ve had a history of heart disease. But the results do mean that doctors may re-think aspirin’s role in the prevention of heart disease.

How good is the new evidence?

In short, the new evidence is quite strong. The ASPREE trial was large, including more than 19,000 people from 34 places in the U.S. and 16 places in Australia. It was a randomized clinical trial (RCT), the most reliable type of research -- half of the people involved were randomly assigned to take low-dose aspirin daily and the other half was given a daily placebo, a pill that looks identical to aspirin but does not contain the active ingredient. People in the study had no way of knowing whether or not they were taking the active drug, nor did the doctors who gave them the pills. Large RCTs such as this one are widely regarded in the scientific community as the most useful in helping understand the effects of medications.

But there is a lot that this study did NOT tell us. The authors caution that since the increased death rate in the group taking aspirin was so small, it could have been a coincidence. Aspirin has been widely studied, and this negative effect goes against the results of many prior large studies. In addition, 91 percent of the people in the study were Caucasian, so the effects on Black and Hispanic people are harder to interpret.

The trial was also relatively short. The researchers followed people for about four and a half years. That’s not much time to detect potential effects of aspirin on conditions like Alzheimer’s and cancer, which take a long time to develop before they’re recognized and treated.

What are the current aspirin guidelines? Will they change?


The most recent U.S. Preventive Services Task Force guidelines say there is “insufficient” evidence in regards to the benefits and harms of starting aspirin for people over the age of 69 who have no prior history of significant heart disease or strokes. For those between 60 and 69, the decision to start low-dose aspirin should be discussed by each patient with their doctor, and it will depend on their risk of bleeding and other factors. For people between the ages of 50 and 59 who have heart disease risk, daily low-dose aspirin is generally recommended.

Those guidelines won’t necessarily change. But the new research findings suggest that, among healthy adults over age 69, there might be enough evidence now to recommend against starting low-dose aspirin.

Does this mean I should stop taking aspirin?


No. Remember, this new research only applies to a small subset of the people who take aspirin daily. Medicine is applied one patient at a time, and guidelines are only guidelines: they don’t apply to everyone. Speak to your doctor before making any decisions regarding whether you should start or stop taking aspirin.

Copyright © 2018, ABC Radio. All rights reserved.

Tuesday
Sep182018

'Lawnmower' parenting on the rise

GMA Photo Illustration/Getty(NEW YORK) -- Helicopter parents may hover and tiger moms may roar, but make room for the lawnmower parent whose approach to child-rearing is generating buzz.

In an essay recently published on the site Weareteachers.com, an anonymous educator calls the parenting style a "troubling trend."

"Lawnmower parents go to whatever lengths necessary to prevent their child from having to face adversity, struggle, or failure," the teacher wrote.

The post, titled "Lawnmower Parents Are the New Helicopter Parents & We Are Not Here for It," has been shared 12,000 times on the brand's Facebook page. The teacher, who wrote it, told a story of a seemingly reluctant father who dropped off a water bottle for his child at her school.

"'Hi, sorry,' the parent said sheepishly. He was in a suit, clearly headed to work (or something work-like)," the teacher recalled. “Remy kept texting me that she needed it. I texted back, 'Don’t they have water fountains at your school?' But I guess she just had to have it out of the bottle. He laughed, as if to say, 'Teenagers, am I right?'"

The teacher went on describing her reaction to the alleged encounter she had with the parent.

"I took a deep breath through my nose. 'Oh, I have one of those -- I love mine, too,' I said. But I’m pretty sure my eyes were saying, 'WHAT ON THIS ACTUAL EARTH,'" she wrote.

Named after the device used for cutting grass, a lawnmower parent will intervene or "mow down" any person or obstacle that stands in the way of them saving their child from any "inconvenience, problem or discomfort," according to a college professor who wrote a blog on the subject.

In that same blog, the professor notes how helicopter parenting is widely known for parents who hover or swoop in to "rescue" their kids whenever they're in trouble. Lawnmower parents, however, are geared more towards parents of older children where hovering "may be limited," she wrote.

"If you say, 'Oh, I took care of this for you,' it inadvertently gives that message of 'you can't do this yourself, you can't succeed,'" said Stephanie Samar, a clinical psychologist at the Mood Disorders Center of the Child Mind Institute. "That can lead to other problematic things -- may be increased anxiety, low distressed tolerance -- [a] discomfort that comes with having conflict helplessness about heir situation."

She went on, "This [lawnmower] parenting style really focuses on short-time goals for parents and their kids. Their question is, 'if I could make this easier for my child, why wouldn't I do that?'"

Samar told Good Morning America that focusing on short-term parenting goals will take away from the practice of important, long-term goals that kids can benefit from like resilency, grit, problem-solving, conflict resolution and coping skills.

One example: A parent connecting with a teacher on behalf of their child because he or she disagrees with a grade they received on an assignment.

Instead, the child, if capable, should learn to advocate for themselves, Samar noted.

"When parents are removing obstacles for their child they are really taking away that opportunity for kids to learn those problem-solving techniques," she said.

But Samar also points out that the anonymous teacher who wrote the piece on lawnmower parenting also addresses that children who may suffer from anxiety, depression or other forms of mental illness, may need assistance from their parents to tackle common life dilemmas.

"The parents of these students may, understandably, try to remove struggles and challenges from their child’s life because they’ve seen the way their child has responded to other struggles and challenges in the past," the teacher explained.

Samar said since every child isn't at the same level make sure you know, as the parent, when and how to step in.

Elisabeth Fairfield Stokes, a mother of two, told GMA that she has heard of a parenting style like lawnmower, but it was referred to as "snowplow" parenting.

“Lawnmower sounds like an even more aggressive version," she said in a statement. "I heard someone proudly describe themselves as such, how they clear any obstacles out of their child’s path so they can just do their thing."

In 2014, Stokes, 46, a professor at Colby College in Waterville, Maine, wrote a buzzed-about piece for Time magazine titled, "I Am a Helicopter Parent -- And I Don't Apologize."

Stokes said she first heard the term helicoptering (think involved, protective) while teaching. Later, her perspective changed after her daughter had turned 8 years old.

"She was in the situation that she was not able to advocate herself," Stokes recalled to "GMA" in April. "We were aware of the phenomenon of helicopter parents, so we held back a bit and we hesitated in terms of getting involved."

Although she said she faces criticism, Stokes doesn't mind the label of "helicopter mom."

"I believe in being involved, in being aware in what's going on and I don't mind if that's perceived as hovering," Stokes said.

As for advice to lawnmower parents who may face criticism, Stokes said it's better, rather, to focus on yours and your children's mental health as you raise them -- especially in teens, which she calls "extremely important."

Copyright © 2018, ABC Radio. All rights reserved.

Monday
Sep172018

2-year-old boy with cancer gets early Christmas love from around the world

WCPO-TV(CINCINNATI) -- After one family said their baby was sent home with two months to live, neighbors and friends around the world have banded together to create early Christmas for the boy.

"We decided to make every day that he has left as amazing as it can be," Brody’s sister McKenzie Allen, 21, told ABC News. "We try to think of every fun thing that he would like to do to just bring a smile to his face."

Last year, the family took 2-year-old Brody to see Christmas lights displays and his face lit up with joy and excitement.

"He loves Christmas lights," Allen said. "So we decided to do Christmas early."

In May, Brody's family realized there may be something more serious wrong with him after he appeared dizzy, vomited and had difficulty walking.

"We got really worried because he just laid down on the floor and threw up and then was just drooling. It was terrible,” Allen said.

The family said they took Brody to a hospital where they were told the boy may have an inner ear infection. But when they took him to the children's hospital for treatment, Allen said doctors found four brain tumors.

Brody was in the hospital for treatment for the aggressive cancer for almost 100 days, the family said, but on Aug. 4, the doctors found another tumor and that the main tumor had grown significantly.

"That's when we had found out that the chemo treatment wasn't working," Allen said. "That moment was even worse than finding out he had cancer in the first place."

The doctors told the family that there is nothing more they could do for Brody and that he might have only two more months. He was released to go home.

"It’s was unimaginable. I really don’t have any word, but the best I can describe is my heart just instantly drops to the bottom of my stomach," Allen said. "I felt hopeless and scared. I was a little angry too, I mean he’s so young."

The family decided making the time that Brody has left the best life he could live. Three weeks ago, the family had a "birthday" party for him.

"We had an early birthday for him and just let him open presents and had a birthday cake and all sorts of fun stuff," Allen said.

On the family's Facebook page, which they said they set up a week after they found out Brody had cancer and now has 6,000 followers, they posted about throwing the early Christmas party for him and asked for decorations.

"He has no idea how sick he is," the boy’s father, Todd Allen wrote on the post. "He doesn't care. He just wants to have fun and enjoy every minute."

The family received an outpouring of support from neighbors and strangers in the community who brought them Christmas items, according to Allen. A week ago, their town of Colerain Township in northern Cincinnati started to decorate for Christmas too.

Some friends and neighbors have also set up early Christmas decorations at their homes to join the family.

"It's amazing," Allen said about the people who have joined "Team Brody." "We have people in New York that have decorations up and all across the United States.”

She said the family has also been contacted by people in Japan, the Philippines, Australia, Germany, Russia, Belgium, and Italy who want to send Brody Christmas cards.

Back at home, people in the community have organized a Christmas parade for him.

"Everybody is sending their personal Merry Christmas wishes to Brody," she said, adding some said they even put pictures of Brody on their Christmas trees.

Copyright © 2018, ABC Radio. All rights reserved.

Friday
Sep142018

Florida health center Recovery Unplugged uses music to help fight addiction

iStock/Thinkstock(NEW YORK) -- Addiction has taken an immeasurable toll on millions of American families. Over the past several years, there has been a sharp increase in drug overdoses deaths in the midst of a growing opioid epidemic. Experts and public officials have tried to determine who is responsible and what can be done.

The Trump administration declared the crisis a "national public health emergency" in 2017.

A number of states have passed bills to fight the epidemic in their own states. Florida Gov. Rick Scott did just that this past spring, in a state that has seen over a dozen people killed each day by opioids alone.

Other organizations are creatively trying to combat the crisis and the disease of addiction in different ways.

Paul Pellinger is the co-founder and chief strategy officer of Recovery Unplugged, an addiction treatment center in Florida that has several locations around the US. He recently spoke to ABC News about how the center employs music to help those combatting addiction.

Pellinger is a certified counselor and has been working to fight addiction since 1989. He believes many professionals experience difficulty helping their clients understand their own emotions and the underlying issues that may have led to their addiction. He has found music helps create a safe space for clients to identify with others and discover their emotions. The hope is this personal discovery will help them develop empathy for themselves and their journeys as they work to combat their disease.

Since the center opened six years ago, Recovery Unplugged has used music to help engage clients with "existing evidence-based [mental health treatment] models."

Pellinger discussed one client, who he picked up shortly after the person completed a prison sentence. He was not comfortable opening up to Pellinger, but once he heard Marshall Tucker Band's Can't You See started playing on the radio in their car, his demeanor changed:

"This was one of the last songs I remember hearing before I went to prison," he told me.... Then he broke down crying. ‘This song became a catalyst for emotion with him,’ I remember thinking. I could have spent hours with this guy, asking good, open-ended questions like I was taught to do as a clinician and never got him to emote like a three minute song could. So I realized then, 'There's got to be a way to harness this."

Pellinger now incorporates music and song lyrics into sessions with clients. Recovery Unplugged will introduce clients to positive songs about recovery or addiction, with the goal of creating a sense of empathy and understanding to show their clients they are not alone in their recovery and there is hope.

“My goal was to establish a rapport with the clients, break down their defenses, help them learn new perceptions... and I realized that's what music can do,” says Pellinger.

Long term, Recovery Unplugged hopes to "break the cycle of addiction for decades to come." Pellinger believes, in the short term, the center will "save lives through the power of this new music approach."

Copyright © 2018, ABC Radio. All rights reserved.

Thursday
Sep132018

Relief fund set up by GlobalGiving for those affected by Hurricane Florence

iStock/Thinkstock(NEW YORK) -- As Hurricane Florence pummels towards the Carolinas and neighboring states, many residents are bracing for what officials are calling "the storm of a lifetime," and its anticipated catastrophic flooding, storm surge and damaging winds.

The impending storm -- which is expected to make landfall Friday morning -- has prompted mass evacuations in coastal areas and is forecast to be one of the strongest hurricanes to hit the area in years.

"This will likely be the storm of a lifetime for portions of the Carolina coast," the National Weather Service spokesperson in Wilmington, North Carolina, said late Tuesday night. "I can't emphasize enough the potential for unbelievable damage from wind, storm surge, and inland flooding with this storm."

For those out of the path of the storm looking to help those impacted, it can be difficult to navigate the slew of humanitarian organizations and charity networks out there that are promising relief and aid for those impacted by the storm. Below is a roundup of all of the organizations that have been approved by the nonprofit group Charity Navigator as highly-rated organizations that are currently responding to areas affected by Florence.

The American Red Cross

The American Red Cross has already mobilized more than 1,500 disaster workers to aid in the relief efforts as residents hunker down or flee ahead of Florence. The American Red Cross is currently taking donations to aid in their response efforts -- specifically for those affected by Florence -- here.

Americares

The health-focused disaster relief organization, Americares has already deployed a response team to North Carolina ahead of Florence.

“The storm is on track to make a direct hit on the East Coast and impact much of the southern United States in the coming days,” Americares Director of Emergency Response Brian Scheel said in a statement Monday. “Our response team has been activated and is ready to meet the immediate health needs in affected communities.”

They are currently collecting donations for emergency medicine and other supplies specifically for those impacted by Florence here.

North Carolina Community Foundation


The North Carolina Community Foundation (NCCF) is a local humanitarian organization based in North Carolina that partners with local charities that support the community -- and is still ranked as a highly-rated charity currently providing aid to the Carolinas ahead of Florence.

You can learn more about how to support their relief efforts on the ground on their website.

GlobalGiving

The nonprofit crowdfunding organization GlobalGiving, which supports grassroots charity projects on the ground in areas affected, has launched a Hurricane Florence relief fund.

The fund will support immediate relief efforts such as food, water, and medicine but also invest in longer-term recovery projects to help residents rebuild their community after the storm recedes.

For animals: American Humane and the Charleston Animal Society


When these storms hit, animals -- especially those in a shelter -- are often extremely vulnerable as residents evacuate. If you are looking to help with the relief efforts for pet shelters, the national nonprofit organization American Human and the local Charleston Animal Society are both highly-rated organizations aiding in the Florence relief efforts specifically for four-legged residents of Virginia and the Carolinas.

Copyright © 2018, ABC Radio. All rights reserved.

Thursday
Sep132018

South Africa giraffe attack victims on the mend, family says

Courtesy Sam Williams(NEW YORK) -- The father of an American woman who was attacked by a giraffe on a wildlife reserve in South Africa last week has told ABC News that both his daughter, Katy Williams, and her 3-year-old son, Finn, are recovering well.

Jack Standish said he is relieved that Finn could be taken off a ventilator on Thursday, as it indicates the boy’s condition is improving. The boy is still being sedated.

Dr. Steve Ponde, Finn’s pediatric pulmonologist, said Katy Williams is being kept updated on her son’s condition, and was visibly relieved by the news of his recovery.

Dr. Coceka Mfundisi, the neurosurgeon involved in both the mother and son’s treatment, said Finn will have to undergo further surgeries later in his life, but they will only be cosmetic in nature to repair the damage to the boy’s head. Mfundisi said the child sustained a brain injury during the attack, but she doesn’t expect any long-term effects from that injury.

"I'm pleasantly surprised on how well they have both done, considering their injuries," Dr. Mfundisi told ABC News.

Standish was full of praise for the medical team treating his daughter and grandson, saying he is grateful that they saved his family. He also praised his son-in-law, Dr. Sam Williams, who witnessed the attack and drove off the giraffe.

"While they were under sedation, I sat by their side holding their hands, reading their favorite books and talking to them for hours," Sam Williams told ABC News. "Since family and friends arrived, we have been taking turns to be at their bedsides. I was so happy when Katy regained consciousness, and I could tell her how well she and Finn were doing under circumstances."

Standish said neither he nor Sam would want anything to happen to the animal, as the giraffe did what any wild animal would do when fearing their offspring are in danger. The female giraffe, which was with a 2-month-old calf, is believed to have attacked the young mom and her son because she felt threatened when they surprised her.

The Williams couple are both nature scientists, and Standish said that even though his daughter cannot speak yet, he has no doubt she would be distraught if anything happened to the animal as a result of the attack.

Standish also thanked thousands of well-wishers across the world, who he said have been praying and sending messages of support. He has requested that anyone who wants to contribute to the family’s mounting expenses donate to the family’s GoFundMe campaign.

Copyright © 2018, ABC Radio. All rights reserved.

Wednesday
Sep122018

FDA calls e-cigarettes 'an epidemic' among minors, cracks down on retailers

iStock/Thinkstock (WASHINGTON) -- The use of e-cigarettes has become an "epidemic” among children, according to the U.S. Food and Drug Administration, which said it is taking the most aggressive steps in the history of the agency to slow the rate at which young people become addicted to the product.

Fines and warning letters have been issued to e-cigarette retailers after the FDA found them unlawfully selling e-cigarette products to minors, including the popular brand Juul, the FDA announced Wednesday.

FDA Commissioner Scott Gottlieb said the agency recently received data confirming that more and more young people, even high school students, are using and becoming addicted to nicotine through e-cigarettes. The rate at which teenagers have become addicted to nicotine from e-cigarettes is alarming, he added.

"We're seeing an acceleration in the use of the cigarettes to levels that simply aren't tolerable,” Gottlieb told ABC News.

“We have access to data that tells us that the growth in youth use of the cigarettes has reached what I'm calling epidemic proportions and we need to step in and take action to try to stem that use to try to bring the rates of use among young people down, particularly high school students.”

The government targeted the retailers as a result of an "undercover blitz" of both physical stores and online retailers, the FDA said, adding that more than 1,100 warning letters and 131 fines were issued.

The agency is worried an entire generation of young people will be addicted to nicotine from using e-cigarette products, Gottlieb said.

Many e-cigarette products like Juul are intended to help adults move from traditional cigarettes to e-cigarettes that don't have some of the health risks like lung cancer that come with burning tobacco. But nicotine is not a benign substance and can have detrimental effects on a developing brain, Gottlieb said, adding that young people addicted to nicotine can also transition to smoking traditional cigarettes.

Because of that public health risk, Gottlieb said, the FDA is willing to take aggressive action such as pulling flavored liquid tobacco off the market or requiring manufacturers to limit the amount of nicotine to make it less addictive, even if that means fewer products are available for adults.

"We think these cigarettes can offer a potentially less harmful alternative for adult smokers so we don't want to see these products eliminated from the market,” he said. “But the availability of these products for the adults cannot come at the expense of hooking a whole generation of young people on e-cigarettes.

“And if we have to narrow the off-ramp for adults in order to close the on-ramps for kids, that's a step we're prepared to take.”

Health and Human Services Secretary Alex Azar Wednesday released a statement in support of the decision.

"No child should be using any tobacco or nicotine-containing product," Azar said in a statement.

"We commend the FDA for the critical, immediate and historic action to address the sale and marketing of these products to kids, while it examines additional aggressive steps to stem the troubling trend of their use among youth," the statement reads.

Gottlieb said he has been warning e-cigarette companies for more than a year that the government had become concerned that too many young people were using their products but that the industry's response has not done enough to discourage the trend.

"Regardless of what steps they've been taking, the fact remains that the use is continuing to rise,” he said. “It's reached proportions that we are calling an epidemic among teenagers. And so whatever steps they've taken to date hasn't been sufficient to try to stem that growth.”

Juul, one of the most popular manufacturers of liquid tobacco, said in a statement it is committed to working with FDA to prevent teens from using its product, including looking at restricting the available flavors.

"Our mission is to improve the lives of adult smokers by providing them with a true alternative to combustible cigarettes. Appropriate flavors play an important role in helping adult smokers switch. By working together, we believe we can help adult smokers while preventing access to minors, and we will continue to engage with the FDA to fulfill our mission," Juul Chief Executive Officer Kevin Burns said in the statement.

In addition to taking actions to enforce laws about selling tobacco to minors and pursuing new regulations on e-cigarettes, the FDA is launching a campaign to educate young people about the risks associated with nicotine.

It will be the first time the FDA launches a campaign specifically targeted at teenagers, Gottlieb said, including placing information in school bathrooms.

Copyright © 2018, ABC Radio. All rights reserved.

Wednesday
Sep122018

Supermom stops running during a 106-mile race to breastfeed her son

iStock/Thinkstock(LONDON) -- A British runner is adding a level to what it means to be a supermom after she stopped during a 106-mile race to breastfeed her baby.

Sophie Power of London recently ran the Ultra-Trail Mont Blanc event in the Alps between France, Italy and Switzerland. Sixteen hours in, the 36-year-old mom of two stopped to nurse her 3-month-old son, Cormac. The moment was caught in a much-discussed photo.

"It was very much a picture of me juggling everything that mothers do and I didn't think anything of it," Power told "Good Morning America" about the image of her breastfeeding.

Power said she stopped at Courmayeur, a town in northern Italy, to feed her child where he was waiting with her husband. Since her body is attuned to Cormac's schedule of eating every three hours, Power said she started by hand-extracting her breastmilk during the ultramarathon.

Later in the event, Power's husband gave her a breast pump and he would bring the milk back to Cormac.

Power, who finished the race in 43 hours and 33 minutes, said she is thrilled the photo of her breastfeeding is inspiring mothers across the globe.

"Now that it's gone viral, for me, it's fantastic that there's a platform for women to speak about the struggles they have of breastfeeding and being a new mom because it's really hard," she explained. "I've had thousands of positive comments."

Copyright © 2018, ABC Radio. All rights reserved.

Tuesday
Sep112018

Among teens, transgender boys are most likely to attempt suicide: Study 

iStock/ThinkstockBY: DR. ITALO M. BROWN

(NEW YORK) -- A new study reveals that within the last year, 14 percent of teenagers have attempted suicide at least once. But while that statistic alone is alarming, the research shows there’s an even larger risk if the teen identifies as another gender.

Transgender and nonbinary teens face a higher risk of suicide when compared to others, but it's trans male teens who face the highest risk, reporting, on average, at least one suicide attempt in the last year, according to the study published in Pediatrics.

“There is an urgent need to understand why transgender, female-to-male and nonbinary adolescents report engaging in suicide behavior at higher levels,” says co-author Russell B. Toomey, PhD, in the article.

The new data comes from researchers at the University of Arizona, who analyzed responses to the Profiles of Student Life: Attitudes and Behaviors survey, a 160-item questionnaire from the Search Institute that gauges the development of US children from 11 to 19 years old. The survey, given to middle and high school students, asks students a range of questions, including some about suicidal thoughts ("Have you ever tried to kill yourself?"). Other questions gather information about race, gender, parents’ education level and the kind of environment the teens live in.

Previous studies on adults indicate that gender discrimination has a great effect on transgender men and women, but there has been little information about teens. For teens, stigmatization and feeling isolated from others might have an even greater impact, considering that students in this age group often want to fit in with and be valued by their peers more.

Between 2012 and 2015, over 120,000 teens filled out the survey. Until now, no other study has directly asked about suicide risk and gender identity. There were six categories: “male,” “female,” “male-to-female transgender,” “female-to-male transgender,” “not exclusively male or female” and “unsure,” which they called “questioning."

Only 202 teens identified themselves as transgender — less than 1 percent. However, one of every two female-to-male transgender teens in the study reported a suicide attempt in the past year. The next greatest risk was seen in those who identified as nonbinary, or not identifying as either male or female — about 42 percent reported some kind of self-harm within the past year. Male-to-female transgender adolescents (30 percent of the 202) and “questioning” adolescents (27.9 percent) also reported suicidal behaviors at an elevated rate.

By comparison, fewer than one in 10 cisgender males reported suicidal behaviors within that same year, while about 17 percent of cisgender females reported the same. That’s far fewer than in transgender teens, marking a clear difference in suicide risk.

This study adds to a growing mental health dialogue surrounding gender identity and suicidality in young adults and calls for further research to be done, especially on transgender adolescents. Based on the findings, suicide prevention and intervention efforts should consider transgender teens and develop strategies to help them.

Dr. Italo M. Brown is an Emergency Medicine Physician and writer with the ABC News Medical Unit.

Copyright © 2018, ABC Radio. All rights reserved.

Tuesday
Sep112018

14 people sickened in multistate salmonella outbreak possibly tied to large, cage-free eggs: FDA

FDA(NEW YORK) -- Large, cage-free eggs from an Alabama farm are being recalled due to a potential contamination of salmonella after at least 14 people reported feeling ill in a multistate outbreak, according to U.S. officials.

"Reported illnesses were confirmed at locations using Gravel Ridge Farm Eggs," the U.S. Food and Drug Administration (FDA) said in a release Saturday. "We are voluntarily recalling out of an abundance of caution."

Gravel Ridge Farms, located in Cullman, Alabama, learned of the salmonella risk on Thursday, the FDA said.

The affected products are large, cage-free eggs either in single dozen cardboard containers or 2.5 dozen flat containers with a UPC of 7-06970-38444-6 and use-by dates of July 25, 2018, through Oct. 3, 2018, the agency said.

The eggs were sold primarily in restaurants and retail stores in Alabama and Georgia as well as restaurants in Tennessee, according to Gravel Ridge Farms co-owner Dustin Smith.

The Cullman farm was a small operation and had just sold eggs, Smith told ABC News on Tuesday.

"Consumers who have purchased these products can return to [the] store for [a] refund or discard the product immediately," the FDA said. "If any consumers have Gravel Ridge Farms eggs in their refrigerator, they should be discarded, regardless of the date stamped on the package."

The company stopped the production and distribution of the eggs as an investigation continued into what had caused the problem, Smith said.

“We may very well be out of business,” he said Tuesday.

Illnesses started on dates ranging from July 10 to Aug. 7, the U.S. Centers for Disease Control and Prevention (CDC) said, and sick people ranged in age from 1 to 94.

Two people were hospitalized but no deaths had been reported, according to the CDC.

Click here for an FDA list of stores that carry the product.

The 14 people had been infected with salmonella in two states since Friday and the agency also stated that evidence indicated shell eggs from Gravel Ridge Farms were likely the source of the outbreak, the CDC said.

"In interviews, ill people answered questions about the foods they ate and other exposures in the week before they became ill," the CDC said. "Thirteen of 14 people interviewed reported eating restaurant dishes made with eggs. ... These restaurants reported using shell eggs in the dishes eaten by ill people."

The FDA and state partners traced the source of the shell eggs supplied to these restaurants to Gravel Ridge Farms.

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