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CARLSBAD, Calif. (KGTV) - Monique Ramsey has struggled with weight most of her life."I'm 5'1, and so weight loss has always been something that's a struggle, and it's definitely a heredity component."Ramsey said diet and exercise were never enough."I think I've tried just about everything, and you know, it's hard to sort of feel like you're starving yourself through crazy diets and things like that," said Ramsey.RELATED: The DNA diet creates personalized diet plan for users; here’s how it worksIn July of 2017, she decided to try something new."This is a tool that is such a game-changer," said Ramsey.That tool is the Obalon Balloon System. Mark Brister invented the device at the Obalon Therapeutics manufacturing center in Carlsbad."There weren't a lot of technologies out there to help people who were just overweight. Most people had to wait until they were morbidly obese in order to be eligible for treatment so we decided to invent a product that would fit the middle ground," said Brister, who is the Chief Technology Officer at Obalon Therapeutics.Obalon is the only FDA approved swallowable gas-filled balloon for people roughly 30 to 100 pounds overweight. RELATED: Eating breakfast may not help you lose weight, study says"It's about the size of a cheeseburger, and the doctor will place three of these by having you swallow them in a simple in-office procedure over the six to eight weeks," said Brister.The balloon is inside a large capsule that is attached to a thin catheter. The doctor uses a computerized navigation system to track the balloon as it travels into the stomach. Once it's in the stomach, the balloon is filled with gas. The patient will get three balloons over six to eight weeks."This is sort of like being able to have stomach stapling without having surgery," said Ramsey.Side effects after the first balloon is inserted can include nausea and cramping. Ramsey said she didn't have any problems."You're actually taking up the room in the stomach, so you're having a smaller stomach, but there are no permanent after-effects long term," said Ramsey.RELATED: Celebrities are fighting over the 'keto' diet. Here's what science says about how healthy it isAfter six months, the balloons are removed during an endoscopic procedure. Ramsey lost 25 pounds and has managed to keep it off. She wants to lose 25 more."For me, that's a huge jump start, and I've never been able to get that far in that short amount of time."The balloons are kept in for six months, but success requires a life long commitment."What the balloons do, they're sort of a tool, I think is a tool to sort of say, help retrain your brain and help recondition yourself to eat less, eat better, make better choices," said Ramsey.The program also includes a year of nutrition and exercise support.RELATED: La Jolla lab creating cure for baldness"I can still be just as happy. I don't need M&M's, I don't need Fritos, or whatever "thing" it is, it really helps reset your mind and motivation to stay healthy," said Ramsey."All of a sudden, you start to see people as they start to lose weight, they start to gain confidence, so I have many times, we've seen people lose 50 or 75 pounds and gain 500 pounds of confidence," said Brister.In October, Obalon Therapeutics opened its first full-service weight loss center in 4S Ranch. Rita Starritt is the doctor."When you are very overweight, you've already tried a low carb diet, and you've tried a keto diet and you need something else to happen you and a lot of it is education, lifestyle changes, nutrition, the system, the balloon system helps people lose twice as much weight as those who did diet and exercise alone," said Dr. Starritt.In 2017, the FDA issued a warning about potential risks of liquid-filled intragastric balloons. The balloons have been linked to the deaths of twelve people around the world since 2016. The FDA has not issued any warnings related to the Obalon system."What Obalon does is it floats up, and it moves around, it's very buoyant, so in terms of the ability for the device to float around and not cause damage to the stomach, that's really what differentiates us," said Amy Vandenberg, Chief Clinical and Regulatory Affairs Officer of Obalon Therapeutics.The treatment costs roughly ,000 and includes a year of nutrition and exercise support."It's all about moderation, and the balloons are a nice reminder of that so that you don't have to feel that something is forbidden," said Ramsey. 4487

CAPE CANAVERAL, Fla. (AP) — The spacecraft team that brought us close-ups of Pluto will ring in the new year by exploring an even more distant and mysterious world.NASA's New Horizons spacecraft will zip past the scrawny, icy object nicknamed Ultima Thule (TOO-lee) soon after the stroke of midnight.One billion miles beyond Pluto and an astounding 4 billion miles from Earth (1.6 billion kilometers and 6.4 billion kilometers), Ultima Thule will be the farthest world ever explored by humankind. That's what makes this deep-freeze target so enticing; it's a preserved relic dating all the way back to our solar system's origin 4.5 billion years ago. No spacecraft has visited anything so primitive."What could be more exciting than that?" said project scientist Hal Weaver of Johns Hopkins University, part of the New Horizons team.Lead scientist Alan Stern of Southwest Research Institute in Boulder, Colorado, expects the New Year's encounter to be riskier and more difficult than the rendezvous with Pluto: The spacecraft is older, the target is smaller, the flyby is closer and the distance from us is greater.NEW HORIZONSNASA launched the spacecraft in 2006; it's about the size of a baby grand piano. It flew past Pluto in 2015, providing the first close-up views of the dwarf planet. With the wildly successful flyby behind them, mission planners won an extension from NASA and set their sights on a destination deep inside the Kuiper Belt. As distant as it is, Pluto is barely in the Kuiper Belt, the so-called Twilight Zone stretching beyond Neptune. Ultima Thule is in the Twilight Zone's heart.ULTIMA THULEThis Kuiper Belt object was discovered by the Hubble Space Telescope in 2014. Officially known as 2014 MU69, it got the nickname Ultima Thule in an online vote. In classic and medieval literature, Thule was the most distant, northernmost place beyond the known world. When New Horizons first glimpsed the rocky iceball in August it was just a dot. Good close-up pictures should be available the day after the flyby.ARE WE THERE YET?New Horizons will make its closest approach in the wee hours of Jan. 1 — 12:33 a.m. EST. The spacecraft will zoom within 2,200 miles (3,500 kilometers) of Ultima Thule, its seven science instruments going full blast. The coast should be clear: Scientists have yet to find any rings or moons around it that could batter the spacecraft. New Horizons hurtles through space at 31,500 mph (50,700 kph), and even something as minuscule as a grain of rice could demolish it. "There's some danger and some suspense," Stern said at a fall meeting of astronomers. It will take about 10 hours to get confirmation that the spacecraft completed — and survived — the encounter.POSSIBLY TWINSScientists speculate Ultima Thule could be two objects closely orbiting one another. If a solo act, it's likely 20 miles (32 kilometers) long at most. Envision a baked potato. "Cucumber, whatever. Pick your favorite vegetable," said astronomer Carey Lisse of Johns Hopkins. It could even be two bodies connected by a neck. If twins, each could be 9 miles to 12 miles (15 kilometers to 20 kilometers) in diameter.MAPPING MISSONScientists will map Ultima Thule every possible way. They anticipate impact craters, possibly also pits and sinkholes, but its surface also could prove to be smooth. As for color, Ultima Thule should be darker than coal, burned by eons of cosmic rays, with a reddish hue. Nothing is certain, though, including its orbit, so big that it takes almost 300 of our Earth years to circle the sun. Scientists say they know just enough about the orbit to intercept it.COMPARING FLYBYSNew Horizons will get considerably closer to Ultima Thule than it did to Pluto: 2,220 miles versus 7,770 miles (3,500 kilometers vs. 12,500 kilometers). At the same time, Ultima Thule is 100 times smaller than Pluto and therefore harder to track, making everything more challenging. It took 4 ? hours, each way, for flight controllers at Johns Hopkins' Applied Physics Lab in Laurel, Maryland, to get a message to or from New Horizons at Pluto. Compare that with more than six hours at Ultima Thule.WHAT'S NEXTIt will take almost two years for New Horizons to beam back all its data on Ultima Thule. A flyby of an even more distant world could be in the offing in the 2020s, if NASA approves another mission extension and the spacecraft remains healthy. At the very least, the nuclear-powered New Horizons will continue to observe objects from afar, as it pushes deeper into the Kuiper Belt. There are countless objects out there, waiting to be explored. 4591

CHICAGO (AP) — While on trial for child pornography in 2008, R. Kelly still found time to talk to fans, give autographs and to meet an underage girl he later invited to his home, according to prosecutors who depicted the R&B star as manipulative and sometimes violent.Other accusers included a girl who met Kelly at her 16th birthday party and a hairdresser who expected to braid the singer's hair only to find that he wanted oral sex instead, court documents said.The accounts emerged Saturday as Kelly made his first court appearance since being accused of sexually abusing four people in a case that could produce another #MeToo reckoning for a celebrity.A judge gave Kelly a chance to go free while awaiting trial, setting bond at million. That means the 52-year-old Grammy winner must post 0,000 to be released or remain behind bars until he is tried on the allegations that date back as far as 1998 and span more than a decade.The prosecution released four detailed documents — one for each accuser — outlining the basis for the charges.The 16-year-old girl who attended Kelly's trial got his autograph after a court session. He later invited her to his home in the Chicago suburb of Olympia Fields, where they had sex multiple times, according to the documents, which said he also slapped, choked and spit on her.In 1998, another girl reported meeting Kelly at a restaurant where she was having a 16th birthday party. Kelly's manager gave her the singer's business card and suggested she call Kelly. The girl's mother heard the exchange, took the card and told the manager her daughter was 16.But her daughter later retrieved the card from her purse. She contacted Kelly, who gave her instructions and money that she assumed was for the taxi fare to his studio, where they had sex periodically for a year, the documents said.In early 2003, a Chicago hairdresser told prosecutors that she thought she was going to braid Kelly's hair, but he pulled down his pants and instead tried to force her to give him oral sex. The woman, who was 24, was able to pull away, but Kelly ejaculated on her and spit in her face, the documents said.Prosecutors also described a witness who had access to videotapes showing Kelly having sex with a 14-year-old girl. The witness turned a tape over to authorities and identified the girl, who repeatedly stated her age on the footage, according to the documents.Kelly's DNA was found in semen on one of the accuser's shirts, and semen found on a shirt worn by another was submitted for DNA testing, Cook County State's Attorney Kim Foxx said. It was not clear when the accusers turned the shirts over to authorities, whether it was shortly after the abuse or more recently.At the bond hearing, Kelly's attorney, Steve Greenberg, said his client is not a flight risk. He told the judge, "Contrary to the song, Mr. Kelly doesn't like to fly." One of Kelly's best-known hits is "I Believe I Can Fly."Greenberg said Kelly "really doesn't have any more money," suggesting that others had mismanaged his wealth. Still, he said he expected that Kelly would be able to come up with enough money for bail.The judge called the allegations "disturbing." The singer-songwriter looked down at the floor as the judge spoke.After the hearing, Greenberg told reporters that Kelly did not force anyone to have sex."He's a rock star. He doesn't have to have nonconsensual sex," Greenberg said.The judge ordered Kelly to surrender his passport, ending his hopes of doing a tour of Europe in April. Kelly defiantly scheduled concerts in Germany and the Netherlands despite the cloud of legal issues looming over him. Greenberg denied that any tour was planned.The recording artist, whose legal name is Robert Kelly, has been trailed for decades by allegations that he violated underage girls and women and held some as virtual slaves. He was charged with 10 counts of aggravated sexual abuse.Kelly, who was acquitted of child pornography charges in 2008, has consistently denied any sexual misconduct. He broke into the R&B scene in 1993 with his first solo album, "12 Play," which produced such popular sex-themed songs as "Bump N' Grind" and "Your Body's Callin'."He rose from poverty on Chicago's South Side and has retained a sizable following. Kelly has written numerous hits for himself and other artists, including Celine Dion, Michael Jackson and Lady Gaga. His collaborators have included Jay-Z and Usher.The jury in 2008 acquitted Kelly of child pornography charges that centered on a graphic video that prosecutors said showed him having sex with a girl as young as 13. He and the young woman allegedly seen with him denied they were in the 27-minute video, even though the picture quality was good and witnesses testified it was them, and she did not take the stand. Kelly could have been sentenced to 15 years in prison.Charging Kelly now for actions that occurred in the same time frame as the allegations from the 2008 trial suggests the accusers are cooperating this time and willing to testify.Because the alleged victim 10 years ago denied that she was on the video and did not testify, the state's attorney's office had little recourse except to charge the lesser offense under Illinois law, child pornography, which required a lower standard of evidence.Each count of the new charges carries up to seven years in prison, and the sentences could be served consecutively, making it possible for him to receive up to 70 years. Probation is also an option.The walls began closing in on Kelly after the release of a BBC documentary about him last year and the multipart Lifetime documentary "Surviving R. Kelly," which aired last month. Together they detailed allegations that he held women against their will and ran a "sex cult."#MeToo activists and a social media movement using the hashtag #MuteRKelly calling on streaming services to drop Kelly's music and promoters not to book any more concerts. Protesters demonstrated outside Kelly's Chicago studio. 6010

CAPE CANAVERAL, Fla. (AP) — SpaceX's sleek, new crew capsule arrived at the International Space Station on Sunday, acing its second milestone in just over a day.No one was aboard the Dragon capsule launched Saturday on its first test flight, only an instrumented dummy. But that quickly changed once the hatch swung open and the space station astronauts floated inside."A new generation of space flight starts now with the arrival of @SpaceX's Crew Dragon to the @Space_Station," NASA Administrator Jim Bridenstine tweeted. "Congratulations to all for this historic achievement getting us closer to flying American Astronauts on American rockets."This beefed-up, redesigned Dragon is the first American-made, designed-for-crew spacecraft to pull up to the station in eight years. The next one coming up will have its own two-man crew.The space station's three astronauts had front-row seats as the white 27-foot-long (8-meter-long) capsule neatly docked, a little early no less. TV cameras on Dragon as well as the station provided stunning views of one another throughout the rendezvous.Just two hours after the Dragon's grand entrance, the station crew entered to take air samples. The astronauts wore oxygen masks and hoods until getting the all-clear.If the six-day demo goes well, SpaceX could launch two astronauts this summer under NASA's commercial crew program. Both astronauts — Doug Hurley and Bob Behnken — were at SpaceX Mission Control in Southern California, observing all the action. They rushed there from Florida after watching the Dragon rocket into orbit early Saturday from NASA's Kennedy Space Center."Just super excited to see it," Behnken said minutes after the link-up. "Just one more milestone that gets us ready for our flight coming up here."While SpaceX has sent plenty of cargo Dragons to the space station, crew Dragon is a different beast. It docked autonomously under the station astronauts' watchful eyes, instead of relying on the station's robot arm for berthing. The capsule's nose cap was wide open like a dragon's mouth, to expose the docking mechanism.Behnken said that's the way it should work when he and Hurley are on board; they may push a button or two and will have the ability to intervene, if necessary.As part of Sunday's shakedown, the station astronauts sent commands for the Dragon to retreat and then move forward again, before the capsule closed in for good.SpaceX employees at company headquarters in Hawthorne, California, cheered and applauded as crew Dragon pulled up and docked at the orbiting lab, nearly 260 miles (400 kilometers) above the Pacific, north of New Zealand. They burst into applause again, several minutes later, when the Dragon's latches were tightly secured.The capsule's lone passenger for launch — a mannequin wearing a white SpaceX spacesuit — remained strapped into its seat as the station's U.S., Canadian and Russian crew removed supplies and photographed the spotless white interior. The test dummy — or Smarty as SpaceX likes to call it, given all the instrumentation — is named Ripley after the lead character in the science-fiction "Alien" films.Dragon will remain at the space station until Friday, when it undocks and aims for a splashdown in the Atlantic, a couple hundred miles off the Florida coast.Like Ripley, the capsule is rigged with sensors to measure noise, vibration and stresses, and to monitor the life-support, propulsion and other critical systems throughout the flight.SpaceX aims to launch Behnken and Hurley as early as July.Next up, though, should be Boeing, NASA's other commercial crew provider. Boeing is looking to launch its Starliner capsule without a crew as early as April and with a crew possibly in August.NASA is paying the two private companies billion to build and operate the capsules for ferrying astronauts to and from the space station. Astronauts have been stuck riding Russian rockets ever since NASA's space shuttle program ended in 2011. Russian Soyuz seats go for up to million apiece. 4030

CHAPEL HILL, N.C. – The pandemic ignited a global fight against a fast-moving and deadly virus. “In the beginning, a lot of manufacturers shifted gears and started doing more COVID manufacturing," said Dr. Melissa Miller, a clinical lab director.Manufacturers began ramping up testing production and diverting supplies to combat the virus. But in the months ahead, laboratories started facing another threat due to a strained supply chain. Not only were labs facing shortages of supplies needed for COVID-19, but several other common illnesses. “Probably the biggest one was for sexually transmitted diseases, chlamydia, gonorrhea being the most common ones we diagnose in the labs," said Dr. Miller. The American Society for Microbiology (ASM) partnered with the Association of Supply Chain Management to track shortages across the country. ASM leaders say the data collection tool provides a near real-time visualization into the capacity, utilization, and resources necessary to meet consumer and patient demand for testing.“It was a bit of a surprise of how overwhelming it was throughout the country and that there weren’t just hot spots; it really indicated that this was a major national issue," said Dr. Miller. “The first week of the survey, almost 90% of the laboratories that responded reported a shortage of tests for STI’s.”Dr. Miller has a leadership role within ASM and has also been experiencing shortages in the lab firsthand."It’s a guessing game. Many times we don’t know when the next shipment is coming for some of the items we’re short on," said Dr. Miller. Since September, 134 CLIA-certified labs have responded to the survey, which is updated every week. Dr. Miller says the figure for STI testing supplies has improved but is still too high around 50%. And she says 47% of labs have a shortage of non-COVID-19 testing supplies to detect routine bacteria, including the bacteria that cause strep throat, pneumonia, bronchitis, and urinary tract infections."Since June, I have been worried about this exact moment," said Dr. Miller. “You have the COVID surge, the upcoming holidays, and the winter season, and you have respiratory season."The survey also showed 74% of labs have a shortage of commercial testing kits for COVID-19.She says the hope is to include more labs in the weekly survey to get a clearer picture of the supply chain issues.“Data is power; we need the data that this is a problem. And getting some federal action on this, I think, is critical," said Dr. Miller. And she says the longer labs wait for critical supplies, the more Americans in need of critical testing could be turned away. 2641