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The first large head-to-head comparison of two opioid addiction medications found that, although they were equally effective in getting people off of high levels of opioids, users had a significantly more difficult time starting a regimen of naltrexone, compared with buprenorphine.Buprenorphine is commonly known by the the brand name Suboxone, and naltrexone is sold under the brand name Vivitrol.The study, published Tuesday in the Lancet, looked at 570 patients with opioid addiction at eight inpatient treatment centers across the country for 24 weeks. Half of the group was assigned to naltrexone and the other half to bupenorphine.Six percent of those enlisted to use buprenorphine were unable to start their treatment, whereas 28% of those assigned to naltrexone dropped out before starting the therapy. 824

The cost of the Justice Department's ongoing investigation into Russia's interference in the 2016 election is now roughly million, according to a new report filed Friday by the special counsel's office.Friday's accounting provided the latest figures covering only the period for April 2018 through September 2018, with special counsel Robert Mueller listing direct expenditures of nearly .6 million.Another roughly .9 million was reported as costs for the work of other Justice and FBI officials who have assisted the investigation but are not under Mueller's direct control. According to the report, those investigation costs would have been incurred "irrespective of the existence of the (special counsel's office)."The department previously reported .7 million in direct and indirect costs from May through September 2017, and  million from October 2017 through March 2018 -- bringing the total from all three reports over the life of the investigation to just over million. Of that amount, only .3 million is the special counsel's direct expenditures.Since taking control of the Russia probe in May 2017, Mueller has advanced on multiple fronts to investigate any links between the Russian government and the Trump campaign, along with other crimes arising from the investigation.To date, the investigation has yielded charges against 36 people or entities. Seven people have pleaded guilty to various charges, including President Donald Trump's first national security adviser, Michael Flynn, former campaign chairman Paul Manafort, former deputy campaign chairman Rick Gates and former campaign foreign policy adviser George Papadopoulos.Meanwhile, Trump and his allies have relentlessly attacked Mueller and the probe as a waste of money.Trump took aim at the cost of the investigation last month, offering a grab-bag of different numbers Mueller had allegedly spent, untethered to the facts.On November 27, 2018 he tweeted: "now ,000,000 Witch Hunt continues and they've got nothing but ruined lives."Then 48 hours later, he tweeted criticizing the "witch hunt" for "wasting more than ,000,000." 2182

The Centers for Disease Control has issued new guidance for employers, giving them various situations they may come across and how they should decide to test their employees for COVID-19."There's a lot of different questions coming out from employers about the whole process of testing, doing temperature taking of employees who are returning back to work again," says Amber Clayton, the knowledge center director at the Society for Human Resources Management.Clayton says employers are grappling with increased uncertainty surrounding how and when to implement coronavirus testing at their offices."Employers can have a policy in place. Per the Equal Employment Opportunity Commission they can test during this pandemic so they could require COVID testing. Now, antibody testing can’t be mandated but COVID testing can," says Clayton.The CDC recommends, in most cases, to only test employees who are showing symptoms.But what if a person knows they've been exposed to the virus but isn't showing symptoms, is a test appropriate?"I think it may be on a case by case basis. So, if it is positive, I think it's probably helpful. It tells you the person did in fact become infected," says Dr. Beth Thielen, an infectious disease doctor with the University of Minnesota.Dr. Thielen says employers should be careful, though, as employees who aren't showing symptoms could have a false negative if they test too early, before the virus spreads in the person's system."The CDC guidance still indicates if someone tests positive for COVID before they return back to work, they should be quarantined and out of work for at least 10 days, that they don't have a fever or they've they have gone without a fever for 24 hours or without fever reducing medications," says Clayton.Employers can ask employees who have gotten a positive COVID-19 test to take a second test, showing they're negative before returning to work, but the CDC doesn't recommend it and says in their guidelines, "Employees with COVID-19 who have stayed home can stop home isolation and return to work when they have met one of the sets of criteria.”Some of that criteria includes 10 days passing since the employee last experienced any COVID-19 symptoms.Dr. Thielen says, this recommendation makes sense."We haven’t detected people who have had culturable virus out as far as 14 days after," says Dr. Thielen. She adds, so far, studies have found that most people who still test positive weeks alter won't transmit the virus to others. She believes employers should continue to look to the CDC for guidance."I think these are some of our leading public health thinkers and they’re making decisions based on a long history of experience based on dealing with other respiratory infections but also newly emerging data," says Dr. Thielen.As for Clayton, she says employers will want to ensure the confidentiality of employees who do test positive while at the same time notifying others who may have been exposed. And also, do some research or consult legal counsel before implementing any testing at the office."Or if you have situations where employees refuse to be tested maybe for medical reasons, those things tend to fall under the Americans with Disabilities Act sometimes, so make sure you’re doing your homework before you implement any type of testing program," says Clayton. 3350

The chairman of the Joint Chiefs of Staff has confirmed a report by The Associated Press that some of the service members who deployed to Washington, D.C., last month in response to civil unrest were issued bayonets. Army Gen. Mark A. Milley confirmed the information in a letter sent to two Democratic U.S. representatives last month. The Pentagon letter comes as the AP also reports that members of the 82nd Airborne who deployed to Washington were not trained in riot response. The soldiers were scheduled to learn riot control tactics once arriving. The soldiers were ultimately not used and were sent back to their home base. 638

The FBI says a British socialite who was accused by many women of helping procure underage sex partners for Jeffrey Epstein has been arrested in Bradford, New Hampshire.The FBI said Thursday that Ghislaine Maxwell was taken into custody at around 8:30 a.m. on charges related to the Epstein scandal.Epstein killed himself in a federal detention center in New York last summer while awaiting trial on sex trafficking charges.Maxwell was accused by many women of recruiting them to give Epstein massages, during which they were pressured into sex. She's been charged with four counts relating to sex trafficking and two counts of perjury.During a press conference Thursday, Acting Attorney for the Southern District of New York Audrey Strauss thanked the victims who came forward to authorities. She said that without their help, they would not be able to charge Maxwell.Strauss also urged Prince Andrew to speak with investigators and cooperate with the ongoing investigations into Epstein and Maxwell. The British royal was known to be friendly with Epstein during the time abuse occurred and has described their relationship as a friendship. He even stayed at Epstein's New York apartment in 2010, two years after Epstein was convicted of sex crimes.Maxwell has repeatedly denied wrongdoing and called some of the claims against her "absolute rubbish." 1361