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“Bears are NOT Billboards,” reads a social media post from a group that supports black bears in North Carolina.They are referring to images of a black bear with a “Trump 2020” sticker on a tracking collar. The group, Help Asheville Bears-HAB, says this is the second time a collar has been defaced with “similar stickers.”"Whoever put these political stickers on these bears is cruel and heartless," HAB wrote in a Facebook post. 437
A 4-year-old girl was struck and killed by a woman who was allegedly driving drunk in the front yard of an Ashtabula County, Ohio home on Saturday evening, according to authorities. 210

...Chris will do a GREAT job! Mark Esper has been terminated. I would like to thank him for his service.— Donald J. Trump (@realDonaldTrump) November 9, 2020 165
A "miracle drug" aimed at helping offenders in Arizona jails and prisons beat an Opioid addiction is having limited success, roughly nine months after two separate programs launched.Both the Arizona Department of Corrections and Maricopa County Correctional?Health Services launched separate but similar Vivitrol programs in the summer of 2017.Vivitrol is an injectable form of Naltrexone and designed to block the brain's opioid receptors. Essentially, the monthly shot is designed to prevent an opioid user from getting high.However, experts warn counseling must come along with the medication. Eligible inmates receive a shot of Vivitrol before their release, with counseling and services set up to try and ensure success once back in the community. According to the Arizona Department of Corrections, 13 eligible inmates enrolled in the program since August, with just two making it to their third shot after leaving prison.In Maricopa County, nine eligible county inmates have opted for Vivitrol. Of those nine, county officials only know of three who continued seeking treatment after leaving jail. "I can say that I would have hoped for a better success rate," said Dr. Grant Phillips, the Medical Director for Maricopa County Correctional Health Services. He also noted the number of people who become eligible for the treatment program is intentionally kept low, to ensure they are providing proper education and services, such as counseling, for when the inmate leaves jail. Essentially, it's a small sample size, but Vivitrol will continue as an option as a part of their larger substance abuse program. "The drug itself is effective when used in combination with counseling and strong social support," Phillips said. "Let's face it, someone leaving jail is lacking in a lot of those things."Phillips says while only nine patients have opted for Vivitrol, they have more than 100 methadone patients just in 2018. "There may be a lack of interest," Phillips said, noting inmates in the substance abuse program regularly discuss various treatment methods. "Some will have had good experiences, some will not have good experiences, they'll talk about it and they'll kind of share these ideas."The goal is to help inmates better their lives while reducing the rate at which offenders wind up back behind bars. Vivitrol programs take many different shapes across the country. For example, in Madison County, Indiana, Vivitrol is sometimes tied to a condition of probation.The Chief Probation Officer there said roughly 55 percent of participants either successfully completed, or are still a part of, their Vivitrol program. They count that as a success. Perhaps it's too early to evaluate the programs here in Arizona. "The anecdotal success is a reason to be optimistic about it," Phillips said. "Offering choice of all the options that are out there and realizing that Vivitrol is going to work for some individuals, we want to make sure it is available to them." 3177
A 36-year-old man who was suffering from chronic heart failure shocked doctors when he coughed up a blood clot closely resembling the bronchial tree in his right lung in late November.Georg Wieselthaler, a transplant and pulmonary surgeon at the University of California at San Francisco told the Atlantic: “We were astonished. It’s a curiosity you can’t imagine—I mean, this is very, very, very rare.”Per the New England Journal of Medicine, the man was an ICU patient at the University of San Francisco Medical Center being treated for end-stage heart failure.During the week of the patient's hospitalization, the man had periodic episodes of coughing, which progressed to one extreme coughing fit when he suddenly expelled the unusual clot. After being supplied oxygen via a tube, the man's coughing ceased two days later, leading to the removal of the tube. Unfortunately, even though the coughing ceased, his health took a turn for the worse.Despite the doctor's best efforts and the assistance of a ventrical device, the man died from heart failure a week later.The source of information in this article has been provided largely in part to an article in the New England Journal of Medicine. 1225
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