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A 60-year-old man who was beaten and robbed of $1 has died

Juan Fresnada suffered bleeding in the brain and had been hospitalized since the attack. He died Friday afternoon, the New York police department said.

Fresnada and a 29-year-old acquaintance were approached by several unidentified males around 1:25 a.m. Tuesday in the Bronx, a police statement said.

A still image from a surveillance video shows two men being attacked and robbed in the Bronx.A still image from a surveillance video shows two men being attacked and robbed in the Bronx.

Edited surveillance video released by the NYPD captures portions of the violent attack.

It shows one attacker swinging one victim to the ground. In another frame, one victim — whose face is blurred — is being punched. A third frame shows an assailant approaching with what appears to be a garbage can in hand.

The 29-year-old acquaintance refused medical treatment.

The suspects have not been identified, and there have been no arrests.

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Record high temperatures cast gloom over festive season in Moscow

Moscow hit 6.2 degrees Celsius (43.2 degrees Fahrenheit) on Tuesday, the warmest recorded temperature for that date.

The city is often blanketed with snow in December, but unseasonably warm temperatures have cast a gloomy pall over the streets decorated with festive lights for the New Year holiday.

The unusually warm weather has prompted public discussion about the
climate crisis, a subject that is not often a priority in a country that heavily depends on hydrocarbon exports.

Putin acknowledged rising global temperatures, but cast doubt on the human role in climate change.

“We know that in the history of the Earth there have been periods of warming and cooling, and this might depend on the global processes in the universe,” he said. “A small tilt of the Earth’s axis and its orbit around the sun can lead to and have already led to very serious climate changes on the Earth, which had dramatic consequences — good or bad, they were still dramatic.”

“And it is happening again now. It is very difficult, if not impossible, to work out exactly how humankind affects climate change. But we cannot stay idle either, I agree with my colleagues. We should make our best efforts to prevent dramatic changes in the climate,” he added.

An employee at a weather station of the Tsentralnoye UGMS (the Central Territorial Administration for Hydrometeorological and Environmental Monitoring) at Moscow's VDNKh exhibition center.An employee at a weather station of the Tsentralnoye UGMS (the Central Territorial Administration for Hydrometeorological and Environmental Monitoring) at Moscow's VDNKh exhibition center.

Russia is a signatory to the
Paris Agreement on controlling greenhouse-gas emissions, but the official Russian response to climate change has at times been slow. This summer, dozens of
Russian cities were covered with smoke from wildfires that swept through the Arctic region.

Moscow, however, may still have a chance for a white Christmas. Orthodox Christmas is observed on January 7 and the state meteorological agency said an extensive cyclone from Eastern Europe may alter air flows in the region, bringing cooler weather.

As the cyclone forms, the agency said, it will “deepen the tropospheric hollow above Central Russia, thereby giving hope for the return of ‘winter’ in the region.”

The massive outdoor ice-skating at VDNKh, a park in northern Moscow that is also home to the capital’s principal weather station, remained open for business on Wednesday.

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Shouting into the apocalypse: The decade in climate change

On the cusp of 2020, the state of the planet is far more dire than in 2010. Preserving a safe and healthy ecological system is no longer a realistic possibility. Now, we’re looking at less bad options, ceding the fact that the virtual end of
coral reefs, the drowning of some
island nations, the worsening of already-devastating storms and the displacement of millions — they seem close to inevitable. The climate crisis is already costly, deadly and deeply unjust, putting the most vulnerable people in the world, often who’ve done the least to cause this, at terrible risk.
The worst part? We’ve known about this for a very long time. The climate emergency may seem like the issue of the moment, a new thing, a 2020 Democrats thing or a Greta Thunberg thing, but check out this
1958 educational film that mentions “tourists in glass-bottomed boats would be viewing the drowned towers of Miami;” or coverage of the
first Earth Day in 1970, 50 years ago this coming April, when millions hit the streets; or NASA scientist James Hansen’s
1988 testimony before the US Senate stating the era of global warming had begun.
It bears repeating that scientists have looked at the evidence, and
more than 97% of them agree that humans are warming the planet, primarily by burning fossil fuels such as coal, oil and gas. The warnings from scientists are only getting more dire as we peel decades off the calendar.

There’s a bright spot in all of this, and I will get to that.

But first I think we must take a clear-eyed, cold assessment of 2020.

Emissions are still going up

There are two numbers you need to understand to put this moment in perspective.

The first is 1.5. The
Paris Agreement — the international treaty on climate change, which admittedly is in trouble, but also is the best thing we’ve got — sets the goal of limiting warming to 1.5 or, at most, below 2 degrees Celsius of warming.
Emissions have to crash for temperatures to stop rising there. Already, humans have
warmed Earth about 1 degree Celsius.
Climate politics are tearing the West apartClimate politics are tearing the West apart
The second is zero. The world needs to get to
zero net emissions of greenhouse gases — meaning no net pollution from burning fossil fuels and the like — as soon as possible, but by 2050 at the latest, and we need to be about hallway there in 10 years. Emissions should be falling, fast, if the world wants to have an inkling of a chance of limiting warming to 1.5 degrees.

What’s actually happening? Yep, emissions continue to rise.

Worldwide fossil fuel emissions are expected
to be up 0.6% in 2019 over 2018, according to projections from the Global Carbon Project. In the past decade, humans have put more than 350 metric gigatons of carbon dioxide into the atmosphere from burning fossil fuels and other industrial processes, according to calculations provided by the World Resources Institute.
A more striking way to think about this is to look even further back in time. More than half of all industrial greenhouse gas pollution since the Industrial Revolution
has been created in the past 30-some years. And, again, we’ve known about the crisis, along with its causes and solutions, for longer than that.

“We basically dillied and dallied and squandered the last 40 years, and you can’t just keep kicking the can down the road,” Anthony Leiserowitz, director of the Yale Program on Climate Change Communication, and a senior research scientist, told me. “To hold to 1.5 degrees (Celsius), which frankly is not going to happen, would require at best reducing global emissions 7.5% every year, starting next year, at a time when emissions are actually going up!”

“The longer we wait the more impossible it becomes.”

We have less time than you think to jump-start climate actionWe have less time than you think to jump-start climate action
Meanwhile, scientists are becoming even more concerned about tipping points in the climate system that could lead to rapid rise in sea levels, the deterioration of the Amazon and so on. One particularly
frightening commentary last month in the journal Nature, by several notable climate scientists, says the odds we can avoid tipping points in the climate system “could already have shrunk towards zero.” In non-science-speak: We’re there now.

“The world is in a far more perilous place at the end of 2019 compared to 2010 as climate impacts are being seen and felt all over the world,” Bill Hare, director of Climate Analytics, a research group, said in an email. “We have used up nearly half the carbon budget we had remaining in 2010. Fossil fuel emissions are 10% higher, and still increasing. Sea level rise is accelerating, and global temperature is increasing at 0.2 degrees Celsius per decade.”

We see our fingerprints on the storms

It’s not as if no one cares.

This was the decade when some people finally started to see the climate crisis as personal. Climate attribution science, which
looks for human fingerprints on extreme weather events, made its way into the popular imagination. We’re starting to realize
there are no truly “natural” disasters anymore. We’ve warmed the climate, and we’re already making storms riskier.
In the fight against climate change, no one can stand on the sidelinesIn the fight against climate change, no one can stand on the sidelines
I spent a good chunk of this decade
in Puerto Rico after Hurricane Maria and in other locations where the climate crisis is obviously present tense. Alaska, Honduras, Florida, Oklahoma, Madagascar, the Marshall Islands, Costa Rica. In these places, especially in the aftermath of a flood, fire or drought, the climate threat feels urgent, even deadly. Shockingly so.

The news media is picking that up, using terms such as “climate emergency” and “climate crisis” instead of the blander “climate change.” Increasingly, lots of people are making these critical connections, which should motivate the political, social and economic revolution necessary to fix things.

Yes, the Paris Agreement happened in 2015.

But the end of the fossil fuel era is not yet in sight.

Look to the ocean for climate change solutionsLook to the ocean for climate change solutions

There’s evidence that only certain chunks of society are getting the message.

Only 52% of American adults say they are “very” or “extremely” sure global warming is happening, according to a report from the Yale Program on Climate Change Communication and the George Mason University Center for Climate Change Communication, which is based on a 1,303 person survey conducted in November 2019. Yale’s been asking that question for a while now. Go back a decade, to 2009, and the rate is about the same: 51%.

In other words: Despite the increased sense of urgency, public opinion is flat.

On the political left, however, people
view the issue quite differently than they did a decade ago, according to Leiserowitz, the director of the Yale program. Liberal Democrats
view global warming as their No. 3 voting issue, with environmental protection as No. 2, he said. Compare that to conservative Republicans, who rank global warming dead last on a 29-issue list.

There’s hope, though

OK, so about that hope.

The bright spot — and it truly is a bright one — is that young people are waking up. They are shouting, loudly and with purpose. Witness
Greta Thunberg, the dynamic teenager who started a one-girl protest outside the Swedish Parliament last year, demanding that adults take seriously this emergency, which threatens young people and future generations disproportionately.

“Greta, in the space of basically 14 months, goes from being a lonely teenage girl sitting with a little sign outside the Parliament building, all by herself, to on one day having 4 million people marching in the streets with her all around the world,” Leiserowitz said. “That’s remarkable!”

We should continue shouting Greta’s “Yes, and” message into the next decade.

Yes, this truly is a horrible mess.

And yes, we must fix it.

Correction: An original version of the piece misquoted the number of climate change marchers.

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Pompeos new social media accounts stoke speculation hell run for Senate

The new accounts, which began posting in mid-December, are viewed by some inside the White House and State Department as platforms for Pompeo to begin building a personal brand ahead of a potential run, even as it remains unclear when and even if he will decide to depart the administration.

While some of Trump’s advisers view it as a foregone conclusion that he will enter the Kansas US Senate contest, others are less sure he’ll decide to reenter electoral politics (Pompeo served in the House of Representatives for six years).

Pompeo rebukes China and Russia for vetoing UN aid to SyriaPompeo rebukes China and Russia for vetoing UN aid to Syria

Trump, who has said Pompeo would run if there were a risk of Republicans losing the Kansas seat, has received briefings from Senate Majority Leader Mitch McConnell on Pompeo’s polling strength in the state, people familiar with the matter said.

And inside the White House, names of potential secretary of state replacements have been bandied about as advisers wait to learn Pompeo’s decision.

Publicly, Pompeo has downplayed and even dismissed the idea that he is considering a run, despite taking regular trips to Kansas and sitting for interviews with Kansas media outlets.

But the new social media accounts aren’t helping to quiet the speculation. In his new online image, Pompeo is a homegrown, all-American family man — with almost no mention of his role in Washington. In addition to the photos of card games at his kitchen table and drinking beer, Pompeo is seen washing dishes in a pair of gym shorts and attending college football games.

Pompeo introduces his followers to his wife, Susan, his son, Nick, and his Labrador retriever, Sherman. On Christmas Day, Pompeo — who has largely cast himself a no-nonsense secretary of state — even
tweeted a goofy GIF of the movie “Elf.”

“Merry Christmas!” he wrote, followed by emoji of a Christmas tree, a wrapped present and a cross.

Key impeachment witness told to leave Ukraine before Pompeo visit Key impeachment witness told to leave Ukraine before Pompeo visit

State Department officials who have worked with Pompeo chuckled at the images, observing that they seemed to portray him as a “man of the people.”

The new Twitter account — which accrued more than 17,000 followers in less than two weeks — caught the attention of White House officials, some of whom expect Pompeo to depart his post in the near future.

But Pompeo, who has remained in lockstep with Trump throughout his time in the administration, didn’t go rogue in launching the new account on the President’s favorite messaging platform. Before creating the new handle, the State Department held discussions with the White House about the legalities of setting up a personal account.

“There were discussions about the rules relating to official vs. personal accounts, and under what mechanisms senior officials could keep their accounts and followers,” an administration official said.

The State Department did not reply to a request for comment on these discussions, nor on why Pompeo felt the need to launch a personal Twitter at this particular juncture. The White House also did not respond.

If Pompeo does decide to run, he will need to leave behind his official secretary of state Twitter handle, but he can maintain his new account.

McConnell’s push

Pompeo’s prospective run may have no bigger supporter than the man who oversees the Senate Republican conference: McConnell. The Kentucky Republican has been effusive in his praise for the former House member and unabashed about his desire to see Pompeo as the next senator from Kansas.

Repeatedly, McConnell has said publicly that he wants Pompeo to run. He invited Pompeo to speak at his alma mater, the University of Louisville, as part of a speaker’s series at the endowed institution that bears his name: the McConnell Center.

Ahead of that appearance,
Pompeo had denied reports that he was preparing to make a run, declaring them “completely false” in an interview on Fox News.

Privately, McConnell has been forceful in expressing that desire, sources say, noting that the Senate would serve as an ideal place to continue the secretary of state’s service, expand his profile and broaden his portfolio as he considers his next political move.

Morale dropped in Pompeo's office in 2019, survey findsMorale dropped in Pompeo's office in 2019, survey finds

Those conversations haven’t been only with Pompeo. They’ve also occurred inside the Oval Office. In a fall meeting at the White House to discuss the political landscape, McConnell showed Trump the numbers from what he and his team were seeing in Kansas — numbers, sources said, that underscored GOP concern about the state of the primary there.

Kansas hasn’t had a Democratic senator since 1932, but Sen. Pat Roberts’ looming retirement has become a cause for concern within the GOP establishment.

Their worry is that the party will nominate Kris Kobach, an anti-illegal-immigration firebrand and voter-fraud crusader who lost the governor’s race last year to a Democrat. Kobach then turned around and announced his candidacy for Senate in July.

Democrats also made gains in the Kansas 2018 congressional races. The GOP worry is that a Senate race with Kobach could become a repeat of the governor’s race, paving the path for a Democratic victory. Roberts himself has wondered publicly if Kansas is shifting politically, telling CNN he didn’t know if Kansas was “deep red anymore” and was now “maybe purple.”

While no specific ask was made in McConnell’s conversation with Trump, it was made clear that unlike those already in the race, Pompeo would have a much clearer path to victory in his home state.

Upon seeing the numbers, Trump previewed the response he would give publicly on Fox News a short time later: If a Pompeo run was necessary to assure that Republicans would hold on to the seat, he’d not only be supportive of the idea, but also would make clear to Pompeo that a run was necessary.

“If he thought that there was a chance of losing that seat, I think he would do that and he would win in a landslide because they love him in Kansas,”
Trump said in an interview on “Fox & Friends.” “Mike would win easily in Kansas. Great state. And it’s a Trump state. He’d win easily.”

Planning for an exit

With the polling figures and softened social media persona as the backdrop, the White House is working on developing a list of potential Pompeo replacements, a source familiar with the discussions said.

Treasury Secretary Steven Mnuchin, national security adviser Robert O’Brien and Deputy Secretary of State Stephen Biegun are all being discussed as part of the list, the source said, but cautioned the effort is a work in progress and could change at any time.

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Mnuchin is said to want the job, though he is not aggressively campaigning for it, the source said. Mnuchin, however, is close with Qatar, which is viewed as a negative in the eyes of Jared Kushner, Trump’s son-in-law and senior adviser, who is close with the Saudis, a regional rival.

Terry Branstad, the current US ambassador to China and former governor of Iowa, has also been suggested to Trump as a potential Pompeo replacement, another source familiar with the discussions said. The President views Branstad as a interesting pick, given his role in China and his connection to Iowa, but it is unclear if Trump is seriously considering him as the nation’s top diplomat.

The sources said the discussions were still preliminary, and indicated there is no definite list of potential heirs apparent. Trump is known to change his mind on a whim, and can be swayed by those he is close with outside the White House. It wasn’t clear if other names were also being thrown his way.

Unless directed otherwise, Biegun would take over as acting secretary of state if Pompeo were to depart. Well-liked within the administration and on Capitol Hill, he could remain in the acting role for a while as a permanent replacement is sought, two sources said. Trump has made known his preference for “acting” Cabinet members.

The Trump campaign, meanwhile, does not view having a confirmed secretary of state as a necessity to the President’s 2020 campaign, one of the sources said. That means Biegun could remain the acting secretary of state through the 2020 election.

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Lee Mendelson, producer of A Charlie Brown Christmas, dies at 86

The producer, 86, passed away at his San Francisco Bay Area home on Christmas Day, his son Jason Mendelson told CNN.

He died of congestive heart failure after a long battle with cancer, his son said.

Mendelson, originally from San Francisco, was known for his work in “A Charlie Brown Christmas,” the first animated special featuring “Peanuts” characters. The producer wrote the lyrics to the special’s song “Christmas Time is Here.”

“We are very sad to lose our wonderful father, but Lee would have said it was serendipitous to pass on Christmas when the song he wrote with Vince Guaraldi is being heard everywhere and the program he created with Charles Schulz and Bill Melendez is being celebrated around the world,” Jason Mendelson told CNN.

“While it was not a great time for us, it was not a bad time for him to pass,” he added.

Lee Mendelson passed away on Christmas Day, his family said.Lee Mendelson passed away on Christmas Day, his family said.

The special, which first aired on December 9, 1965, was an immediate critical and commercial hit, and it has since become a perennial holiday favorite.

Mendelson said in 2006 that
CBS network executives initially did not love it. They feared the program would bomb with the public because of its melancholy tone, Bible verses, unusual jazz score and lack of a laugh track.

“They said, ‘We’ll play it once and that will be all. Good try,’ ” Mendelson told Pop Matters.

He and director Bill Melendez “thought we had ruined Charlie Brown forever when it was done. We kind of agreed with the network. One of the animators stood up in the back of the room — he had had a couple of drinks — and he said, ‘It’s going to run for a hundred years,’ and then fell down. We all thought he was crazy, but he was more right than we were.”

The special has aired for more than 50 years.

Mendelson produced dozens of specials featuring “Peanuts” characters Charlie Brown and Snoopy, specials for the animated series “Cathy,” as well as numerous shows and over 100 episodes of the animated series “Garfield and Friends.”

The Charles M. Schulz Museum and Research Center, an institution dedicated to the works of the “Peanuts” creator, tweeted about Mendelson’s passing.

Mendelson graduated from Stanford University in 1954 with a degree in English and served in the Air Force after college. He worked for his father’s produce business before he joined KPIX-TV in 1961 to pursue a career as a TV producer.

He went on to produce several documentaries, including one about San Francisco Giants star Willie Mays.

He is survived by his wife, Ploenta, his children Glenn, Lynda, Jason, Sean; her stepson Ken; and eight grandchildren.

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Teen vaping of marijuana is on the rise, survey finds

The annual report,
Monitoring the Future, from the University of Michigan’s
Institute for Social Research, found that while prescription opioid misuse, tobacco cigarettes smoking and alcohol use have declined among teens, the use of e-cigarettes continues to climb.
Teen vaping continues to rise while other drug use declines, survey findsTeen vaping continues to rise while other drug use declines, survey finds
“The most salient finding, in my brain at least, is the very marked increases in vaping that we’re seeing in teenagers, and it’s vaping both for nicotine and vaping for THC, which is the active ingredient in marijuana,” said Dr. Nora Volkow, director of the
National Institute on Drug Abuse, which funded the report.

“The rates of increase in vaping that we have observed in teenagers actually surpasses anything that we have seen in the past, which is basically highlighting that vaping has basically been embraced very, very promptly by teenagers.”

The report is based on an annual survey of drug, alcohol and cigarette use and related attitudes among eighth-, 10th- and 12th-graders in the United States. This year’s survey included 42,531 students from 396 public and private schools nationwide.

The survey results showed that 20.8% of 12th graders reported vaping marijuana in the past year, as well as 19.4% of 10th graders and 7% of eighth graders.

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For the first time, the survey measured the daily vaping of marijuana and found that 3.5% of 12th graders, 3% of 10th graders and 0.8% of eighth graders reported vaping marijuana daily.

The findings come at the same time as an outbreak of vaping-related lung injuries in the United States, with most of the cases associated with THC-containing vape products. There were 2,409 hospitalized cases of lung injury linked to vaping as of December 10, according to the
US Centers for Disease Control and Prevention. Vaping injuries have been reported in all 50 states, the District of Columbia, Puerto Rico and the US Virgin Islands.

Among the illnesses, 78% were in people younger than 35, the CDC has reported, with a median age of 24. Patients have been as young as 13.

“We predict that next year that awareness that vaping of THC is associated with these acute lung injuries may lead to actually a reduction of vaping among teenagers,” Volkow said. “We will find out.”

Illicit drug use, other than marijuana, stays relatively low

Marijuana was the most commonly used illicit drug by adolescents while rates of other illicit drug use remained relatively low, according to the new report.

After remaining mostly steady for many years, the reported daily use of marijuana has climbed significantly since 2018 among eighth and 10th graders, reaching 1.3% and 4.8% respectively, according to the report.

Yet the overall past year marijuana use rates remained steady at 35.7% among 12th graders, 28.8% among 10th graders and 11.8% among eighth graders, the report said.

Marijuana use is rising among young adults, especially college students, study showsMarijuana use is rising among young adults, especially college students, study shows

Among 12th graders, the report found relatively low past year rates of using LSD at 3.6%; synthetic cannabinoids at 3.3%; cocaine and ecstasy at 2.2%; and heroin, at 0.4%.

The percentage of students reporting alcohol use in the past year saw a significant decline among 10th and 12th graders from 2014 to 2019, now at 37.7% and 52.1% respectively.

The report also found that this year 2.4% of 12th graders said they smoked cigarettes daily, marking a significant decline from 3.6% last year — but when it comes to e-cigarettes, 11.7% of 12th graders said they vaped nicotine daily in 2019, the first year daily vaping use has been measured in the report.

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“It usually takes years for kids to get from smoking cigarettes every once in a while up to daily use and the new generation of e-cigarettes is really accelerating that process,” he said.

The report has some limitations, including that the survey data included only teenagers who are in school and therefore do not include youth who might have dropped out of school. Additionally, the survey results are based on information that teenagers self-reported in surveys, and therefore are subject to bias associated with self-reporting.

While much progress has been made in reducing the use of alcohol, opioids and some other substances among youth, Dr. Georges Benjamin, executive director of the
American Public Health Association, called the growth in vaping and marijuana use among young people “a major concern.”

“Of more concern is that the youth often don’t know what they are vaping and many believe it is safe. In some ways youth are simply switching from one set of addictive substance to another which is not safer,” said Benjamin, who was not involved in the report.

He said that increased public education about what youth are vaping is needed.

“We also should double down our efforts on the other adolescent addictions to ensure they continue to decrease,” Benjamin said. “The recently agreed upon increase to age 21 for both combustible tobacco and e-cigarettes included in the appropriations bill being voted on this week is an additional needed step.”

Lawmakers have agreed to ban the sale of tobacco products to
anyone under the age of 21 as part of the sweeping year-end spending agreement, according to multiple people involved in the talks. The increased age restriction for tobacco purchases is one of several provisions outside the spending measures themselves that will be attached to the broader $1.4 trillion spending agreement and likely become federal law.
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HPV test tops Pap smear in cancer screening study

Story highlights

  • An HPV test may be more effective at detecting precancer than a Pap smear, study finds
  • Experts remain torn on whether screening practices should change
The
cytology-based Pap smear involves looking for cancer or precancer cells by testing cells taken from the lower end of a woman’s uterus, called the cervix. Diagnosing diseases by looking at single cells and small clusters of cells is called
cytology or cytopathology.

On the other hand, a woman’s cervix also can be tested for the presence of certain high-risk types of HPV that can cause cancers, including cervical cancer.

Now, a study
published in the journal JAMA on Tuesday suggests that cervical HPV testing may be able to detect signs of cancer earlier and more effectively than Pap smear over a 48-month period.

The findings are part of the Human Papillomavirus For Cervical Cancer screening trial, a publicly funded Canadian study.

Cervical cancer death rates are much higher than thought, study saysCervical cancer death rates are much higher than thought, study says
“There has been a significant body of evidence that shows that by including HPV testing — as co-testing with cytology — we could improve detection of precancerous lesions of the cervix,” said Dr. Gina Ogilvie, professor and Tier 1 Canada Research Chair in Global Control of HPV-related diseases and prevention at the
University of British Columbia, who was lead author of the study.
“So this study is the next step, showing that by using only HPV testing in a screening scenario, four years later, women who received HPV testing were less likely to develop precancerous lesions,” she said. “The HPV virus is the cause of
99% of cervical cancers. By focusing on detecting the virus, we are then better able to determine which women have developed precancerous lesions and treat those earlier.”

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In 2017, the US Preventive Services Task Force
put forth draft recommendations to explore the idea of recommending screening every three years with cervical cytology alone in women ages 21 to 29 and then either continuing that testing or screening with HPV testing alone every five years, up to age 65. A final recommendation has yet to be published.
In 2012, the task force recommended
screening for cervical cancer with Pap smear in women 21 to 65 every three years. Women 30 to 65 can screen with a combination of cytology and HPV testing every five years.
Cervical cancer is the fourth most frequent cancer in women globally, according to the
World Health Organization. There were an estimated 530,000 new cases in 2012, representing 7.9% of all female cancers.
In the United States this year, the
American Cancer Society estimates that there will be 13,240 new cases of invasive cervical cancer diagnosed, and 4,170 women will die from cervical cancer.

Weighing screening options

The new study involved 19,009 women across British Columbia who had no history of invasive cervical cancer. The women, ages 25 to 65, were randomly assigned to one of two groups between 2008 and 2012.

In one group, the women underwent HPV testing alone. In the other group, the women underwent routine cytology-based Pap smear testing. Lastly, if women in the HPV testing group received positive results for HPV, it was followed by cytology, whereas HPV-negative women underwent cytology screening at 24 months after their results.

All participants were invited to complete a demographic and behavioral questionnaire, which included questions related to their HPV vaccination status, sexual health and sociodemographic status, among other factors.

HPV vaccines prevent cervical cancer, global review confirms HPV vaccines prevent cervical cancer, global review confirms

The researchers found that significantly more women showed signs of precancer cells in the first round of HPV testing compared with the Pap test group, despite the groups having similar questionnaire responses.

Referral rates for followup appointments related to concerning test results were significantly higher in the HPV testing group, at 57%, compared with the Pap test group, at 30.8%. By 48 months, those referral rates were lower in the HPV testing group, at 49.2%, compared with the Pap test group, at 70.5%.

“What this study could offer is confidence that the most important part of screening in co-testing is HPV, and health agencies can now consider whether offering Pap tests is good use of limited and scarce health dollars,” Ogilvie said.

“Offering women HPV [testing] for cervical cancer screening detects more precancerous lesions earlier, and also a negative HPV test offers more assurance that women will not develop precancer in the next four years,” she said. “This can mean that women may need to be screened less frequently but have more accurate results.”

More than 1 in 5 adults has cancer-causing HPV, CDC reportsMore than 1 in 5 adults has cancer-causing HPV, CDC reports

Limitations of the study included that the women were mostly highly educated and primarily from two specific regions in British Columbia. More research is needed to determine whether similar results would emerge among a more diverse group of women.

The study was funded by Canada’s public research agency, the
Canadian Institutes of Health Research.
A few authors of the study reported conflict of interest disclosures with ties to Siemens, a company behind an
array of HPV tests, and Merck, maker of the HPV vaccine Gardasil.
Though the findings turn a new spotlight on cervical cancer screening approaches, they should not change current screening guidelines, said Dr. Mark Spitzer, medical director of
The Center for Colposcopy in Long Island, New York, and past president of the American Society for Colposcopy and Cervical Pathology. Spitzer was not involved in the study.
“In the US, co-testing is currently the recommended gold standard, and neither doctors nor their patients should be willing to give up the added benefit you get from screening with a Pap test and HPV test together,” said Spitzer, a professor of obstetrics and gynecology at the
Zucker School of Medicine at Hofstra/Northwell.

“We have known from years of clinical research that primary HPV testing is more sensitive than cytology testing, a fact that was confirmed by this study. However, the study only compared primary HPV testing to liquid-based cytology,” he said. “There was no co-testing comparison group in the study.”

‘This could really potentially simplify how we screen women’

The study was “well-designed” and provides a much-needed comparison of Pap versus HPV testing, said Dr. Kathleen Schmeler, a gynecologic oncologist and co-leader of the HPV-Related Cancers Moon Shots Program at
The University of Texas MD Anderson Cancer Center, who was not involved in the new research.
“The bottom line is that this could really potentially simplify how we screen women and have it be more effective and not quite as complicated and burdensome — and opens the door for doing just HPV testing, which is actually what’s currently
recommended by the World Health Organization for countries that don’t have Pap testing capabilities,” Schmeler said.

“They say if you don’t have Pap testing right now, don’t start Pap testing; instead invest in doing primary HPV testing, because it is that much more effective if it’s the only option that you have,” she said. “So these implications are important for North America, but they’re really important for the whole world. Cervical cancer is more common in lower-resource settings where people don’t have access to screening.”

Dr. L. Stewart Massad Jr., a professor of obstetrics and gynecology in the division of gynecologic oncology at
Washington University School of Medicine, wrote an editorial that accompanied the study in JAMA.

“What will replace the Pap test? In 2012, the American Cancer Society endorsed co-testing with cervical cytology testing and HPV testing at 5-year intervals as the preferred strategy for screening women 30 to 65 years of age because this approach combines the sensitivity of HPV testing with the familiarity of traditional Pap testing,” Massad wrote.

“However, the addition of cervical cytology testing adds little to the accuracy of HPV testing while increasing cost and false-positive results,” he wrote. “In 2018, organizations that develop cancer screening guidelines are wrestling with whether to recommend replacing co-testing with primary HPV testing as the optimal screening strategy.”

With this new study, that wrestling continues.

Posted on

This 10-bedroom mansion in New York was offered for only $50,000, with one catch

(CNN) — A 6,000-square-foot, 10-bedroom Victorian mansion could’ve been yours for only $50,000, but there was one catch: You had to put together a restoration proposal for the historic property in order to be considered.

The property has 10 bedrooms.

The property has 10 bedrooms.

Michael DeRosa / Michael DeRosa Exchange, LLC

The city of Auburn purchased the foreclosed property, and the city’s Planning Department partnered with real estate agent Michael DeRosa to come up with the unique method of sale.

“This is not an auction, it’s a contest,” DeRosa told CNN.

Prospective buyers had to state their intended use of the property, the restoration project timeline and cost, and restoration plan in order to be considered as a part of their application.
The winner will be chosen by a vote by the city.

The winner will be chosen by a vote by the city.

Michael DeRosa / Michael DeRosa Exchange, LLC

Applications closed December 18 and the city will review the offers and vote on a winner. The winner will be chosen after January 8, DeRosa said.

“It’s not so much the buyer who offers the best price that is of importance here, it’s the buyer with the best intended use and plan to restore this mansion that really matters,” said DeRosa.

The property includes a two-story carriage house.

The property includes a two-story carriage house.

Michael DeRosa / Michael DeRosa Exchange, LLC

The property once belonged to Auburn banker James Seymour, who was known for his philanthropic efforts. He founded the Seymour Library and the Auburn City Hospital.

The mansion sits on approximately an acre of land, and it has three stories, five bathrooms and four fireplaces. A two-story carriage house is also on the property.

CNN’s Melissa Gray contributed to this report.

Posted on

Tessa Majors friends and family celebrated her life nearly 2 weeks after she was killed near her college campus

Majors, 18, was a freshman at Barnard College. She was killed earlier this month just blocks away from the Manhattan school.

On Saturday, more than 1,000 people attended a private ceremony honoring the student at her high school, St. Anne’s-Belfield School in Charlottesville, Virginia.

“This broad spectrum of people that Tess knew and whose lives she touched all are testament to the influence that Tess had on so many — an impact that will endure in sweet memories of our time with her,” said David Lourie, the head of St. Anne’s.

Her family chose to remember her “in her own words — the words of a gifted, thoughtful and insightful writer and in the music and lyrics of a fearless, creative, bold musician, a trusted collaborator and bandmate,” Lourie said.

“Today we choose to remember Tess with celebration filled with music she created, music that inspired her and music that tells a story about Tess to friends and family,” Lourie said. “We celebrate Tess with the written word which she revered and used so beautifully to reflect on herself and the world.”

New York police investigating Tessa Majors death ask for public's help finding boy  New York police investigating Tessa Majors death ask for public's help finding boy

Her friends performed songs including “Graceland” by Paul Simon, “I Believe” by R.E.M. and “My Girl” by The Temptations and read poems she loved and wrote.

Majors’ friends have spent the past week “jamming in the family room” of her family’s home, listening to music with her parents or visiting her favorite spot, Lourie said.

“(Her parents) wanted them at the center of the ceremony because it is through their passion and creativity that Tessa’s memory endures,” he said.

David Smith, a humanities teacher at St. Anne’s, paid tribute to her parents, Christy and Inman Majors.

“Tess was Tess because Christy and Inman allowed Tess to be Tess, whatever that looked like,” he said. “How blessed and grateful we are that you did.”

A photo of Tessa Majors with her parents, Inman and Christy, and her brother Maxwell.A photo of Tessa Majors with her parents, Inman and Christy, and her brother Maxwell.

Her family did not speak at the ceremony but a written remembrance by her father, a novelist, was handed out. In it, he shared memories of his daughter and his appreciation for the love and support his family has received.

“She loved life and got her money’s worth out of it. The family is heartbroken and will miss her so very much,” her father wrote.

The student interned with the Augusta Free Press earlier this year, during which time she wrote at least four articles. Lourie read an excerpt from a tribute written by Chris Graham, the newspaper’s editor.

“Tess Majors would conquer the world,” Graham wrote. “I became convinced of that this past spring.”

“It is beyond my ability to process what has happened since that none of the great things that Tess Majors was destined to do will be able to come to pass,” Graham wrote in his tribute. “I’m certain, as certain as I am of anything, that she was going to achieve in whatever it was that she decided to set her sights upon.”

She was killed in a park near campus

Majors
was stabbed to death last week as she was walking through Morningside Park at 116th Street and Morningside Drive. Police said they believe she was confronted by up to three individuals, NYPD Chief of Patrol Services Rodney Harrison said.

A struggle followed and one of the people stabbed Majors with a knife several times.

She staggered her way up to the “surface side” of Morningside Drive, Harrison said, adding that she was found by a school security officer who called 911. She was taken to a local hospital where she was pronounced dead.

A 13-year-old boy was arrested a day after the killing and charged with second-degree murder, first-degree robbery and criminal possession of a weapon.

New York police Detective Wilfredo Acevedo testified in court this week the teen told him he went to the park with two other people with the intention of robbing someone.

The trio initially followed a man but then targeted Majors who refused to give up her property, Acevedo testified. An attorney for the teen argued his client was not aware that a robbery would be taking place.

Posted on

Battle over Trumps impeachment continues past Christmas

The day-long Christmas respite from drawn-out impeachment sparring wasn’t likely to last into Boxing Day, at least based on the nagging complaints about the situation Trump aired on Tuesday.

“Together, we must strive to foster a culture of deeper understanding and respect — traits that exemplify the teachings of Christ,” the President wrote.

Just a day before his Christmas greetings, Trump’s campaign had emailed a statement of their own touting the launch of a new website “designed to help the President’s supporters win arguments with liberal friends, relatives, and snowflakes they encounter during the holidays.”

Trump signs spending bills, avoiding another holiday shutdownTrump signs spending bills, avoiding another holiday shutdown
And Trump himself was steaming
inside the gilded Mar-a-Lago living room, fostering neither respect nor unity as he answered a question about his Washington nemesis, House Speaker Nancy Pelosi.

“She’s a tremendous disservice to the country and she’s not doing a good job and some people think that she doesn’t know what she’s doing,” he said, seated in front of a videoconference screen that minutes earlier had beamed in US troops from around the globe. “A lot of people think that, a lot of people have said it.”

It’s hardly a surprise anymore that Trump’s sedate official calls for harmony are not exactly reflected in his actions or words. Freshly impeached by the House and eager for his Senate trial to begin, Trump is spending the holidays in a tense intermission as lawmakers argue over their next steps.

No sign of a break

Impeachment drama reveals erosion of value in factsImpeachment drama reveals erosion of value in facts

A week since the impeachment vote, there is no sign of a break in the Christmas impasse over how and when his impeachment trial will transpire. Democrats have demanded to know the parameters of the trial before sending over their articles of impeachment, and have made clear they believe it should include witnesses.

Republicans, meanwhile, are largely opposed to calling witnesses, believing a quick trial is the best way to avoid further fallout from the impeachment drama. But at least
one moderate Republican, Sen. Lisa Murkowski of Alaska, is questioning comments from the party’s leader vowing to coordinate with the White House, saying they’ve confused an already muddled process.

The uncertain interval wasn’t what Trump was hoping for when he resigned himself last week to becoming only the third US president to be impeached. Even as it became clear he would not avoid that stain on his legacy, Trump looked to the trial in the Republican-held Senate as an inevitable vindication.

The President has displayed impatience at getting the proceedings underway. But the top Republican in the Senate does not appear to share his eagerness, saying he’s happy to delay the start of a trial he doesn’t particularly want to hold.

“I’m not anxious to have this trial, so if she wants to hold all the papers, go right ahead,” Senate Majority Leader Mitch McConnell said Monday on “Fox and Friends.” “We’re at an impasse.”

Pelosi wrote in a letter to Democrats this week that she wasn’t going to appoint Democratic managers — those lawmakers who will argue the case in the Senate — until she knows more about how the trial will proceed, leaving the two sides at a stalemate.

Impeachment drama reveals erosion of value in factsImpeachment drama reveals erosion of value in facts

The standoff has irritated Trump, who holds his own views on how the trial should proceed (with witnesses and dramatics) but seems, for now, willing to put those visions aside for the more staid and concise proceeding favored by many Republicans.

“Ultimately that decision is going to be made by Mitch McConnell, and he will make it — he has the right to do whatever he wants; he’s the head of the Senate,” Trump told reporters on Tuesday.

Republican sources told CNN this week that McConnell is open to going to the Senate floor without support from the Democratic Leader Sen. Chuck Schumer on a rule to conduct the impeachment trial. He would need the support of 51 GOP senators to approve such a rule, which many Republicans believe he would be able to lock down.

Still, not all members of his party are enthusiastic at McConnell’s handling of the matter. Murkowski said in a television interview this week that McConnell had “confused the process” by saying he was acting in “total coordination” with the White House on setting the parameters for the trial.

“In fairness, when I heard that, I was disturbed,” Murkowski told KTUU, a CNN affiliate. “To me, it means that we have to take that step back from being hand in glove with the defense, and so I heard what Leader McConnell had said, I happened to think that that has further confused the process.”

Ready to go his own way

Schumer pushes for Ukraine documents in Senate trialSchumer pushes for Ukraine documents in Senate trial

McConnell’s preference remains cutting a bipartisan deal with Schumer, like the one that was reached during the Clinton trial, Republican sources said. There is an expectation that the two men will still try to discuss a bipartisan way forward as the Senate gets back into session in January.

But if they can’t reach a deal, McConnell almost certainly would go to the floor to set the procedures for the trial. Republicans say they want the articles transmitted first from the House to the Senate to begin that process, which Democrats refuse to do until they see the procedures.

With neither side budging from those opposing positions, there was no indication they would reach an agreement in the next several days. That’s left Trump uncertain and agitated as he settles into a two-week long stay at his Florida resort.

Before he left, some aides expressed concern he would spend his time at the resort surrounded by conservative allies who might convince him to buck the legal advice he’d received and push for a show trial.

Since departing Washington last Friday, Trump has been lapping up the positive attention that has become a hallmark of his southern getaways to Mar-a-Lago. After weeks of full-tilt jousting with Democrats that ended in his impeachment, his return to Palm Beach resembled a hero’s return, if the hero was wounded and hungry for revenge.

As he left Washington, Trump was disturbed by
an editorial in Christianity Today calling for his ouster. He received assurances over the weekend of his continued standing with white Christian evangelicals from Jerry Falwell, the evangelical leader and Liberty University president who spent several evenings at Mar-a-Lago last weekend.

Perhaps with those voters in mind, Trump also swapped the traditional stone Episcopalian church where he’s worshipped at past Christmas Eves for a more modern Baptist service, complete with fake snow and smoke.

Afterward, he was spotted chatting in the club’s ballroom with Alan Dershowitz, a retired Harvard Law School professor who has been discussed as a possible addition to his legal team.

Trump also encountered the Washington Capitals captain Alex Ovechkin at the club and posed for photos as the Russian-born hockey player handed him a jersey.