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The US Food and Drug Administration pressed forward with its investigation of e-cigarette companies Friday, sending letters to 21 companies in an effort to uncover whether they are marketing products illegally and outside the agency's compliance policy.This latest phase of the investigation addresses more than 40 e-cigarette products and is part of the agency's ongoing efforts to combat e-cigarette use among youth. It also comes less than two weeks after the agency conducted a surprise inspection of e-cigarette maker Juul's corporate headquarters in San Francisco, seizing thousand of documents, many of which relate to its sales and marketing practices."Companies are on notice," FDA Commissioner Dr. Scott Gottlieb said in a statement Friday. "The FDA will not allow the proliferation of e-cigarettes or other tobacco products potentially being marketed illegally and outside of the agency's compliance policy, and we will take swift action when companies are skirting the law."In September, Gottlieb called the increasing teen use of e-cigarettes "an epidemic," adding that teen nicotine use is dangerous to young people's health and brains.Federal law prohibits the sale of e-cigarettes to people under the age of 18, but more than 2 million middle and high school students were current users of e-cigarettes in 2017, according to the FDA. The US Centers for Disease Control and Prevention says it's the most common nicotine product used by middle and high schoolers.Also last month, the FDA requested that five major e-cigarette manufacturers, including Juul, explain how they plan to combat the use of their products by minors. The agency said it was looking into steps to eliminate the sale of flavored products and unveiled a public education campaignabout e-cigarettes.The FDA said it's considering civil and criminal avenues to enforce these regulations, including fines, seizures and injunctions, according to Friday's announcement.CNN reached out to some of the companies that received letters for comment but did not immediately receive a response."We're going to address issues related to the access kids have to e-cigarettes, as well as the youth appeal of these products," Gottlieb said Friday. "We know flavors are one of the principal drivers of the youth appeal of e-cigarettes and we're looking carefully at this."No reasonable person wants to see these products reaching epidemic use among kids," he said. 2500

The US Secret Service said it is reviewing an incident in which an agent blocked a CBS News reporter on Tuesday from questioning Jared Kushner, the President's son-in-law and a senior White House advisor, about the disappearance of Saudi journalist Jamal Khashoggi.In video posted to Twitter by the journalist, Errol Barnett, a US Secret Service agent physically prevented him from questioning Kushner. When Barnett explained that he was a member of the press, the agent replied, "I don't give a damn who you are. There's a time and a place."In a statement provided to CNN, a spokesperson for the US Secret Service said the agency was "aware of the video" posted by Barnett. 682

The White House physician assigned to Vice President Mike Pence, Jennifer Pena, has resigned, his office told CNN in a statement Friday. Pena worked in the White House Medical Unit."The vice president's office was informed today by the White House Medical Unit of the resignation. Physicians assigned to the vice president report to the White House Medical Unit and thus any resignation would go entirely through the Medical Unit, not the vice president's office," Alyssa Farah, Pence's press secretary, said in a statement to CNN.This comes after CNN reported Tuesday that Pence's doctor privately raised alarms within the White House last fall that President Donald Trump's doctor Ronny Jackson may have violated federal privacy protections for a key patient -- Pence's wife, Karen -- and intimidated the vice president's doctor during angry confrontations over the episode.A White House official later told CNN they felt Pence's doctor had misrepresented the extent of Jackson's actions.Trump nominated Jackson to lead the Department of Veterans Affairs, but Jackson withdrew his nomination last week amid burgeoning allegations of professional misconduct."The allegations against me are completely false and fabricated," Jackson said in a statement. "If they had any merit, I would not have been selected, promoted and entrusted to serve in such a sensitive and important role as physician to three presidents over the past 12 years."Though he returned to the White House Medical Unit, Jackson is no longer Trump's attending physician.According to copies of internal documents obtained by CNN, Pence's doctor accused Jackson of overstepping his authority and inappropriately intervening in a medical situation involving the second lady as well as potentially violating federal privacy rights by briefing White House staff and disclosing details to other medical providers -- but not appropriately consulting with the vice president's physician.The vice president's physician later wrote in a memo of feeling intimidated by an irate Jackson during a confrontation over the physician's concerns. The physician informed White House officials of being treated unprofessionally, describing a pattern of behavior from Jackson that made the physician "uncomfortable" and even consider resigning from the position.Farah, press secretary for the vice president, said Pence's physician "brought the issue to Mr. Ayers, who appropriately referred the matter to the proper channels."Current and former coworkers accused Jackson of abusive behavior and professional misconduct in interviews with Democratic staff on the Senate Veterans' Affairs Committee, which sources briefed on the matter say has investigated those episodes as well as the one involving Karen Pence. The Senate Armed Services Committee, which is considering Jackson's promotion in the Navy to become a two-star admiral, is aware of the incidents, according to sources familiar with the matter.Jackson and the vice president's physician have long had a "strained relationship," according to a former White House medical official.The-CNN-Wire 3109

The XFL will return in 2022, according to Dwayne “The Rock” Johnson, who now owns the league.Officials with the league had to shut down their inaugural 2020 season because of the coronavirus pandemic earlier this year and filed for bankruptcy in April. Johnson and his investor group bought the league in August for million, reportedly.“As owners, we’re proud to champion our XFL players, coaches, cities and fans into an electrifying 2022 season!” Johnson wrote on Twitter Thursday morning. “A league of culture, passion & purpose.” 549

The terms "signing bonus: and "recruiting" are usually reserved fro top-paid professional athletes. Now add nurses to that list.Hospitals across the country are facing a shortage of nurses, and they're stepping up the incentives to fill the jobs.Patients aren't the only ones happy that Christina Predo is working at UCHealth. After all, the hospital gave her a ,000 signing bonus as an incentive to take the job."Other offers before that hadn't even come close," Predo said.Predo needed to find a job where her husband was being relocated. With several offers on the table, in the end it was UCHealth's signing bonus and other perks that sealed the deal."They offered all sorts of help to help move here," Predo said. "They offered someone to actually find me a neighborhood to live in which was awesome. None of the other hospitals actually offered to do that."What's behind the big bonuses? A shortage of nurses. With more than 500,000 seasoned registered nurses expected to retire by 2022, there's a projected need for 1.1 million new nurses to avoid a shortage.Hospitals across the country, including UCHealth, are feeling that crunch already."Well I'll tell you what, we have about 300 positions open," said Kathy Howell, Chief Nursing Executive at UCHealth.Howell says growth has created a greater demand for nurses, and a good economy means more nurses are opting to retire. That's why there's a concerted effort to make the offer to work at UCHealth as attractive as possible, even allowing out-of-state nurses to try out the hospital for a year and covering their housing costs."They go from assignment to assignment within our health system," Howell says. "We also give them a housing stipend, and we usually convert between 35 and 40 percent of them to full-time employees."Most new nurse hires get around ,000 to sign, which Howell doesn't think is out of line."When you look at what turnover of nurses costs and what not having the right nursing complement is to your hospital," Howell says. "That is a very reasonable investment."Ultimately, Howell says it's about delivering the right care to patients, and creating the right environment for the nurses they hire."It's a real comradery. Everyone is super super nice, you really have a say in what you're doing here, your opinion actually matters you don't feel like a number," Predo said.A new way to fill the need for nurses, with a payoff, multifold. 2476