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Washington has become the first state in the nation to pass a law allowing composting as an alternative to burial or cremation of human remains.Gov. Jay Inslee signed a bill Tuesday legalizing human composting. The bill will go into effect in May next year.Currently in Washington, bodies can either be cremated or buried. The process of recomposition provides a third option that speeds up the process of turning dead bodies into soil, a practice colloquially known as "human composting." The bill describes the process as a "contained, accelerated conversion of human remains to soil."The bill's sponsor, state 625

WASHINGTON (AP) — The Supreme Court is allowing the Trump administration to continue enforcing a policy that makes asylum-seekers wait in Mexico for U.S. court hearings, despite lower court rulings that the policy probably is illegal. The justices' order comes Wednesday over a dissenting vote by Justice Sonia Sotomayor. It overturns a lower court order that would have blocked the policy, at least for people arriving at the border crossings in Arizona and California. The high court action comes a day before the lower court order was to have taken effect. Instead, the “Remain in Mexico" policy will stay in place while a lawsuit challenging it plays out in the courts. 685

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

Why is he giving a “thumbs up” in A PHOTO WITH A BABY WHOSE PARENTS WERE JUST MURDERERED— DevinNunesTHEDragQueen (@NunesDrag) August 9, 2019 152

We all know that leaving our dogs in the car on a hot sunny day for a long period of time is a bad idea. Temperatures can rise faster than we realize, putting our pets’ health and lives at risk.William Loopesko says he’s created a tool to help with just that.“I live in Colorado with my dog, Clovis. And Clovis and I enjoy hiking in the mountains, camping, etc, but that requires taking him in the car,” Loopesko says.Long car rides mean the occasional—and required—pit stop.“So, I wanted to have a way to be able to check on him and know that he’s always OK when I can’t be there with him,” he says.Loopesko created “PuppTech,” a device for your car that measures temperature and humidity levels.“It tells you the heat index, transmits all that data over a cellular connection, so I can at any time pull up how Clovis is doing on my phone.”Clovis is a 7-year-old male Labrador retriever, and Loopesko says his “comfortable” temperature range is anywhere between 41 and 72 degrees. The temperature ranges vary depending on the breed, sex, and age of the dog.“If it was above the 84 degrees for Clovis, I would be getting a text message every 5 minutes saying, ‘Hey it’s too hot. Hey it’s too hot. Hey it’s too hot.’”Decals on car windows let others know that a dog’s health is being monitored while an owner is away.But experts say an app should never replace common sense.“I worry that it could be a little bit of a false sense of security for some people,” says veterinarian Dr. Leslie Longo with Denver’s VCA Firehouse animal hospital.“I think you still have to be mindful if you’re leaving your dog in the car that it could still get hot, something could go wrong.”Loopesko says he wouldn’t disagree, but he says the app gives people one more tool for those times when owners just don’t have a choice.“If dogs were allowed to go everywhere, then our product wouldn’t need to exist,” Loopesko says.Loopesko says PuppTech is already being shipped out to its crowdfunders, and he expects it’ll be available to the general public before the end of the year. 2069

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