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A new study shows that gastric bypass surgery for weight loss is working just as well in adolescents as it does for adults, if not better.Dr. Thomas Inge, chief of pediatric surgery at Children's Hospital (Aurora) Colorado who led the study, says teens are able to reverse the health conditions that are associated with obesity, such as Type 2 Diabetes and high blood pressure, much more efficiently.The results show early intervention can lead to better long-term results, he said. But it's not for everyone — about 8 percent of American teenagers would qualify."It's not just 30 pounds overweight, it's more — more like 75 to 100 pounds overweight, with an identifiable complication of the obesity," Inge said.Some doctors are hesitant to try the procedure and are concerned about the surgical risk, he said. They want to make sure the teens get enough nutrients with the new restrictive diet.Inge said he hopes the research will lead to more access for teenagers who want to explore the option. He posted a video about it that has had more than 8.5 million views.Sixteen-year-old Dustin Vogelbacher says he is glad he had the surgery. His mom, Stacey Force, was against it at first."It worried me a little bit because it's such a lifetime change that at 16, 17, life is so different than it's going to be you know in your 20s in your 30s," she said.Eventually the family supported it. Vogelbacher says he wants to inspire others: He posted a video about it that has had more than 8.5 million views."It was the best decision of my life," Vogelbacher said."Stay positive and love your life because you only got one. So it's live life to the fullest," he said. 1672

A species of giant tortoise believed to have been extinct for more than 100 years has been discovered on the Galapagos island of Fernandina, according to Ecuador's government.The last known time a Fernandina Giant Tortoise was seen alive was 1906.An adult female believed to be more than a century old was seen alive on Sunday during an expedition by the Giant Tortoise Restoration Initiative (GTRI), according to a 428

According to the Consumer Product Safety Commission, more than 8,000 Americans end up in the hospital annually this time of year due to a firework-related accident. According to the commission, the majority of the injuries are to the hands and head. Of the injuries, eight were fatal in 2017. Children younger than 15 years of age were responsible for 36 percent of the firework-related hospital visits in 2017. According to a June 2018 report from the Consumer Product Safety Commission, the majority of the injuries were due to misuse or malfunctions of fireworks. "Misuse included: igniting fireworks too close to someone; lighting fireworks in one’s hand; setting off fireworks improperly; having lit fireworks too close to other fireworks/explosives; and touching lit fireworks," a previous report states. "Typical malfunctions included: errant flight paths; early or late ignition; tip-over incidents; and blowout. In addition, debris from fireworks was involved in some of the injuries."Even though sparklers are legal in many jurisdictions, one of the fatalities was from a sparkler.Homemade and altered fireworks accounted for 3 percent of firework injuries. With a few simple precautions, you can stay safe this July 4. Here are 10 tips from the Consumer Product Safety Commission to help you avoid the emergency room. Never allow young children to play with or ignite fireworks.Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.Always have an adult supervise fireworks activities. Parents don't realize that young children suffer injuries from sparklers. Sparklers burn at temperatures of about 2,000 degrees - hot enough to melt some metals.Never place any part of your body directly over a fireworks device when lighting the fuse. Back up to a safe distance immediately after lighting fireworks.Never try to re-light or pick up fireworks that have not ignited fully.Never point or throw fireworks at another person.Keep a bucket of water or a garden hose handy in case of fire or other mishap.Light fireworks one at a time, then move back quickly.Never carry fireworks in a pocket or shoot them off in metal or glass containers.After fireworks complete their burning, douse the spent device with plenty of water from a bucket or hose before discarding it to prevent a trash fire.Also keep in mind different jurisdictions have varying laws involving fireworks. 2522

After nearly a decade when US drug overdose death rates were higher in rural parts of the country, drug death rates have shifted to be higher in urban areas, according to a new analysis from the US Centers for Disease Control and Prevention's National Center for Health Statistics.Researchers found that from 1999 through 2003, drug overdose death rates were higher in urban counties than in rural counties. Then, from 2004 through 2006, overdose mortality rates in rural and urban counties were similar. In 2007 through 2015, overdose mortality rates were higher in rural counties than in urban counties. But in 2016 and 2017, urban counties once again had higher rates of drug overdose fatalities.While urban counties had higher rates of overdose deaths involving heroin, cocaine and synthetic opioids such as fentanyl in 2017, rural counties had higher rates of overdose deaths involving prescription opioids such as morphine, codeine, hydrocodone and oxycodone.The overdose death rate related to stimulants such as methamphetamine and amphetamines was 4 per 100,000 in rural counties, higher than the rate of 3.1 per 100,000 in urban counties.In 2017, There were 5.2 heroin-related overdose deaths for every 100,000 people in urban counties, whereas rural counties had a rate of 2.9 heroin-related fatalities for every 100,000 people.In urban counties, the rate of overdose deaths from synthetic opioids such as fentanyl, fentanyl analogs and tramadol was 9.3 per 100,000; and in rural counties that rate was 7 per 100,000. Death rates involving cocaine were also higher in urban counties, with a rate of 4.6 per 100,000, compared to 2.4 per 100,000 in rural counties.But, Dr. Caleb Alexander, co-director of the Center for Drug Safety and Effectiveness at Johns Hopkins, said it was important to not make too much of the distinction between rural and urban areas. "It's important not to lose the forest from the trees here," he wrote in an email to CNN. "Overall the trends and rates are much more similar than they are different between these communities."Alexander noted that the increased overdose rate in urban areas "is attributable to the greater use of heroin and illicit fentanyl in these settings.""The data demonstrate continued increases in mortality through 2017, and they underscore that the epidemic has had a profound impact in rural and urban areas alike," he added.Drug overdose deaths in the United States declined 5.1% in 2018, according to preliminary data released in July by the US Centers for Disease Control and Prevention's National Center for Health Statistics. Researchers estimate there were 68,557 drug overdose deaths in 2018, and 47,590 involved opioids. 2702

American reporters asked President Trump about Michael Cohen's testimony during a photo opportunity between Trump and North Korean dictator Kim Jong Un on Wednesday.Trump didn't answer. Less than an hour later, the White House blocked several reporters from attending the next media availability between Trump and Kim.Press secretary Sarah Sanders cited "the sensitive nature of the meetings."But the press limitations were an abrupt change -- suggesting that the president didn't want to hear any more questions about Cohen.The result: Fewer eyewitnesses were present at the start of Trump and Kim's controversial meeting in Hanoi, Vietnam.The episode came two days after the international media was forced to move out of a hotel in Hanoi because, it turned out, Kim was also staying there.TV networks and other news outlets had to relocate -- prompting grumbling from reporters who said that the White House should have stood up for the American pressPast administrations have pointedly advocated for press access during meetings with repressive governments. The idea was to demonstrate what American democracy looks and sounds like -- pesky reporters and all.Several White House correspondents said the Trump administration is behaving differently."A lot of catering to Kim Jong Un going on in Vietnam," CNN's Jim Acosta tweeted. "First press is kicked out of hotel where Kim is staying. Now some reporters are blocked from pool spray because the dictator doesn't like shouted questions.""Pool sprays" are when a representative group of journalists are allowed to witness a presidential event. Normally they also shout some questions when they see an opening to do so. This custom has existed for decades.Reporters from the Associated Press and Reuters asked about Cohen and North Korean denuclearization during Wednesday's first "pool spray" with Trump and Kim.Staffers from North Korea's government-controlled media were also in the room, but they don't have the same freedom to shout questions.American reporters were anticipating the same level of access for the evening's next photo op, during dinner, but then "Sanders informed us that no print reporters would be allowed in due to sensitivities over shouted questions in the previous sprays," according to Vivian Salama of the Wall Street Journal. Salama was Wednesday's assigned "print pooler," one of many people who serves in a rotation.So in other words, according to Salama, the White House was okay with photographers and camera crews being present -- to take pictures -- but not with the AP and Reuters reporters being there. Correspondents from the Los Angeles Times and Bloomberg were also blocked.Thanks to a show of press solidarity, the White House opened up access a little bit."When our photo colleagues joined us in protest, they decided to allow one print reporter in," Salama wrote.So Salama was in the room to witness Trump and Kim's Wednesday night dinner. The other reporters were not.According to Salama's recap, Trump asked the small group of journalists if they were all "having a good time."He pointed to photographer Doug Mills of The New York Times and told Kim that Mills is "one of the great photographers of the world."Sanders said in a statement that the White House "ensured that representation of photographers, tv, radio and print Poolers are all in the room.""We are continuing to negotiate aspects of this historic summit and will always work to make sure the U.S. media has as much access as possible," she added.A similar dispute happened during Trump and Kim's first summit in Singapore last year.Acosta was excluded "from the first couple of pool sprays," he said on CNN, "and the reason I was given is they were concerned that Kim Jong Un had not been around American reporters yelling questions, shouting questions and so on."After Wednesday's episode, The Associated Press issued a statement that sharply criticized the Trump administration."The AP decries such efforts by the White House to restrict access to the president," the news service said. "It is critically important that any president uphold American press freedom standards, not only at home but especially while abroad." 4198