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Two days after the American Academy of Pediatrics urged the U.S. Consumer Product Safety Commission to recall Fisher-Price Rock ‘n Play Sleepers, the CPSC announced the recall of all 4.7 million of the units on Friday.According to the CPSC, more than 30 infant fatalities have occurred in Rock ‘n Play Sleepers since 2009, after the infants rolled over while unrestrained, or under other circumstances. The announcement comes after an investigation by Consumer Reports indicated that 32 deaths were tied to the rockers. The report came following a CPSC warning last week that tied 10 fatalities to the rockers. The CPSC previously recommended consumers stop using the product by three months of age, or as soon as an infant exhibits rollover capabilities.The CPSC now urges consumers to immediately stop using the product and contact Fisher-Price for a refund or voucher.The recall is for all Fisher-Price Rock ‘n Play Sleepers. The sleepers were sold at major retailers throughout the United States for approximately to 9.“We cannot put any more children’s lives at risk by keeping these dangerous products on the shelves,” Rachel Moon, MD, FAAP, chair of the AAP Task Force on SIDS, said earlier in the week. “The Rock ‘n Play inclined sleeper should be removed from the market immediately. It does not meet the AAP’s recommendations for a safe sleep environment for any baby. Infants should always sleep on their back, on a separate, flat and firm sleep surface without any bumpers or bedding.” 1516

Two centuries after its invention, the stethoscope — the very symbol of the medical profession — is facing an uncertain prognosis.It is threatened by hand-held devices that are also pressed against the chest but rely on ultrasound technology, artificial intelligence and smartphone apps instead of doctors’ ears to help detect leaks, murmurs, abnormal rhythms and other problems in the heart, lungs and elsewhere. Some of these instruments can yield images of the beating heart or create electrocardiogram graphs.Dr. Eric Topol, a world-renowned cardiologist, considers the stethoscope obsolete, nothing more than a pair of “rubber tubes.”It “was OK for 200 years,” Topol said. But “we need to go beyond that. We can do better.”In a longstanding tradition, nearly every U.S. medical school presents incoming students with a white coat and stethoscope to launch their careers. It’s more than symbolic — stethoscope skills are still taught, and proficiency is required for doctors to get their licenses.Over the last decade, though, the tech industry has downsized ultrasound scanners into devices resembling TV remotes. It has also created digital stethoscopes that can be paired with smartphones to create moving pictures and readouts.Proponents say these devices are nearly as easy to use as stethoscopes and allow doctors to watch the body in motion and actually see things such as leaky valves. “There’s no reason you would listen to sounds when you can see everything,” Topol said.At many medical schools, it’s the newer devices that really get students’ hearts pumping.“Wow!” ″Whoa!” ″This is awesome,” Indiana University medical students exclaimed in a recent class as they learned how to use a hand-held ultrasound device on a classmate, watching images of his lub-dubbing heart on a tablet screen.The Butterfly iQ device, made by based by Guilford, Connecticut-based Butterfly Network Inc., went on the market last year. An update will include artificial intelligence to help users position the probe and interpret the images.Students at the Indianapolis-based medical school, one of the nation’s largest, learn stethoscope skills but also get training in hand-held ultrasound in a program launched there last year by Dr. Paul Wallach, an executive associate dean. He created a similar program five years ago at the Medical College of Georgia and predicts that within the next decade, hand-held ultrasound devices will become part of the routine physical exam, just like the reflex hammer.The devices advance “our ability to take peek under the skin into the body,” he said. But Wallach added that, unlike some of his colleagues, he isn’t ready to declare the stethoscope dead. He envisions the next generation of physicians wearing “a stethoscope around the neck and an ultrasound in the pocket.”Modern-day stethoscopes bear little resemblance to the first stethoscope, invented in the early 1800s by Frenchman Rene Laennec, but they work essentially the same way.Laennec’s creation was a hollow tube of wood, almost a foot long, that made it easier to hear heart and lung sounds than pressing an ear against the chest. Rubber tubes, earpieces and the often cold metal attachment that is placed against the chest came later, helping to amplify the sounds.When the stethoscope is pressed against the body, sound waves make the diaphragm — the flat metal disc part of the device — and the bell-shaped underside vibrate. That channels the sound waves up through the tubes to the ears. Conventional stethoscopes typically cost under 0, compared with at least a few thousand dollars for some of the high-tech devices.But picking up and interpreting body sounds is subjective and requires a sensitive ear — and a trained one.With medical advances and competing devices over the past few decades, “the old stethoscope is kind of falling on hard times in terms of rigorous training,” said Dr. James Thomas, a cardiologist at Northwestern Medicine in Chicago. “Some recent studies have shown that graduates in internal medicine and emergency medicine may miss as many of half of murmurs using a stethoscope.”Northwestern is involved in testing new technology created by Eko, a Berkeley, California-based maker of smart stethoscopes. To improve detection of heart murmurs, Eko is developing artificial intelligence algorithms for its devices, using recordings of thousands of heartbeats. The devices produce a screen message telling the doctor whether the heart sounds are normal or if murmurs are present.Dennis Callinan, a retired Chicago city employee with heart disease, is among the study participants. At age 70, he has had plenty of stethoscope exams but said he feels no nostalgia for the devices.“If they can get a better reading using the new technology, great,” Callinan said.Chicago pediatrician Dr. Dave Drelicharz has been in practice for just over a decade and knows the allure of newer devices. But until the price comes down, the old stalwart “is still your best tool,” Drelicharz said. Once you learn to use the stethoscope, he said, it “becomes second nature.”“During my work hours in my office, if I don’t have it around my shoulders,” he said, “it’s as though I was feeling almost naked.” 5223

WASHINGTON — In a surprise move, the Federal Reserve cut its benchmark interest rate by a sizable half-percentage point in an effort to support the economy in the face of the spreading coronavirus, or COVID-19. Chairman Jerome Powell noted that COVID-19 “poses evolving risks to economic activity." According to 324

WASHINGTON (AP) — With lives and the economy hanging in the balance, President Donald Trump is weighing how to refine nationwide social-distancing guidelines to put some workers back on the job amid the coronavirus pandemic. At a virtual town hall hosted by Fox News on Tuesday, Trump said he'd reassess after the current 15-day period of social distancing. The president said he is hoping the country will be reopened by Easter. His enthusiasm for getting people back to work comes as he takes stock of the political toll the outbreak is taking. It also sets up a potential conflict with medical professionals, including many within his government, who have called for more social restrictions.Health experts have made clear that unless Americans continue to dramatically limit social interaction, staying home from work and isolating themselves, the number of infections will overwhelm the health care system, as it has in parts of Italy, leading to many more deaths. While the worst outbreaks are concentrated in certain parts of the country, such as New York, experts warn that the highly infectious disease is certain to spread.The president’s comments come as Senate leaders work to negotiate a deal to ease the economic pain of the coronavirus pandemic in the U.S. Both Senate Majority Leader Mitch McConnell and the top Democrat, Sen. Chuck Schumer, say an agreement appears close.The package would free up nearly trillion to help businesses and workers. A key provision in the emerging package would provide stepped-up unemployment insurance for workers furloughed because of the pandemic. After being ravaged for days, stocks rose as congressional and White House negotiators approached a deal. Any deal struck by the Senate would need House approval next. 1782

White Castle has issued a voluntary recall of multiple products for possible listeria contamination.The recall affects a limited number of frozen six-pack cheeseburgers, frozen six-pack hamburgers, frozen six-pack pack jalapeno cheeseburgers, 16-pack hamburgers and 16-pack cheeseburgers, according to 313