NoneThe U.S. Department of Commerce, Bureau of Industry and Security (“BIS”) recently issued significant new export controls under the Export Administration Regulations (“EAR”) aimed at further restricting semiconductor manufacturing in China, with a particular focus on new controls for semiconductor manufacturing equipment (“SME”) and items that are the “direct product” of U.S. technology or software. In a coordinated action, BIS also designated 140 companies on the Entity List. All companies in the semiconductor value chain worldwide should heed the new rules, which have global effect in certain key respects, and should monitor future developments in this area, as reports indicate that the Biden Administration could issue further rules before the presidential transition on January 20. The relevant Federal Register notice , comprised of 40 pages of rulemaking in the form of an interim final rule (“IFR”), is worth reading in its entirety in order to gain valuable insights regarding interpretational points and BIS’s overall policy approach. Industry can submit comments on the IFR through January 31, 2025. This alert sets out key points regarding the IFR. For background, see here for our previous summaries of EAR semiconductor export controls. BIS has issued two new foreign direct product rules (“FDPRs”) . BIS’s use of various FDPRs—i.e., rules that exercise EAR jurisdiction over non-U.S. items that are based on certain U.S. technology or software—has been a staple of its rulemaking in the semiconductor export control context dating back to October 2022, and the new measures expand upon that approach. The first new FDPR extends EAR jurisdiction to non-U.S. SME that: meets the description of export control classification numbers (“ECCNs”) ECCN 3B001.a.4, c, d, f.1, f.5, k to n, p.2, p.4, r, or 3B002.c; and is the direct product of technology or software subject to the EAR and controlled under ECCNs 3D001 (for 3B commodities), 3D901, 3D991 (for 3B991 and 3B992), 3D992, 3D993, 3D994, 3E001 (for 3B commodities), 3E901 (for 3B903), 3E991 (for 3B991 or 3B992), 3E992, 3E993, or 3E994, or of a plant or plant equipment that is the direct product of such technology or software. The second new FDPR applies to entities designated on the BIS Entity with a “footnote 5” designation (a newly created designation). For transactions with such entities, any item made outside the United States will be subject to the EAR if it is the direct product of technology or software subject to the EAR and controlled under ECCNs 3D001, 3D901, 3D991, 3D992, 3D993, 3D994, 3E001, 3E002, 3E003, 3E901, 3E991, 3E992, 3E993, 3E994, 4D001, 4D993, 4D994, 4E001, 4E992, 4E993, 5D001, 5D991, 5E001, or 5E991, or of a plant or plant equipment that is the direct product of such technology or software. Notably, the new FDPRs also provide that they apply where the non-U.S. item contains a commodity (i.e., physical content) that is the direct product of technology or software subject to the EAR and controlled under ECCNs 3D001 (for 3B commodities), 3D901, 3D991 (for 3B991 and 3B992), 3D992, 3D993, 3D994, 3E001 (for 3B commodities), 3E901 (for 3B903), 3E991 (for 3B991 and 3B992)), 3E992, 3E993, or 3E994, or of a plant or plant equipment that is the direct product of such technology or software. The IFR makes clear that this applies to items that contain any integrated circuit, regardless of where it is manufactured, based on the pervasiveness of U.S. technology and software throughout the semiconductor manufacturing value chain. This concept also extends to any U.S.-origin integrated circuits incorporated into the item. Furthermore, it should be noted that certain exclusions can apply based on the country from which the item is exported, including whether BIS specifically has excluded the exporting country in Supplement No. 4 of Part 742 of the EAR, or the country otherwise has enacted export controls over the relevant item “equivalent” to U.S. controls. These exclusions are highly complex and should be reviewed carefully. The IFR sets out several new ECCNs, revises other ECCNs, and establishes new export licensing requirements under its “National Security” (“NS”) and “Regional Stability” (“RS”) controls. The IFR newly controls various items, revises existing controls, and provides for new export licensing requirements, as follows: New ECCN 3A090.c : The IFR controls certain high-bandwidth memory (“HBM”) items. Revisions to various SME ECCNs : The IFR adjusts ECCNs for several SME items, including 3B001, 3B002, 3B991, 3B992, and 3D002. New ECCNs 3B993 and 3E993 : These control certain SME items released from stricter controls under ECCN 3B001, and related technology. New ECCNs 3B994, 3D994, and 3E994 : These control certain SME items that can support “advanced-node” integrated circuit production, but do not warrant the strict controls set out in ECCN 3B001, along with related software and technology. New ECCNs 3D992 and 3D993 : These control certain electronic computer-aided design (“ECAD”) software. New ECCN 3E992 : This controls certain technology relating to certain 3B001 items. The above controls mainly are aimed at exports, reexports, and transfers (in country) to parties in China and other destinations in Country Group D:5. As under the FDPRs described above, certain highly complex exclusions apply, which should be reviewed closely. The IFR sets out new license exceptions and a new temporary general license (“TGL”) and revises other TGLs. The new rule sets out the following exceptions and authorizations for exporters: License Exception HBM (EAR § 740.25) : This authorizes exports of HBM items newly controlled under ECCN to 3A090.c by companies headquartered in the United States or A:5 countries (and not headquartered in China or other D:5 country), subject to extensive conditions, restrictions, and reporting requirements. License Exception Restricted Fabrication Facility (“RFF”) (EAR § 740.26) : This authorizes certain exports of items subject to the EAR (other than those controlled under ECCNs 3B001, 3B002, 3B993, 3B994, 3D992, 3D993, 3D994, 3E992, 3E993, or 3E994) to certain fabrication facilities associated with entities on the Entity List that have a “740.26” notation in the relevant listing, so long as other controls (such as destination-based controls or other Part 744 end-use / end-user controls) do not apply, and subject to certain restrictions and notification and reporting requirements. TGLs (Supplement No. 1 to Part 736 of the EAR, General Order No. 4): The EAR provides for certain TGLs temporarily authorizing export of certain “less restricted” SME items and advanced computing items, subject to certain conditions. The IFR amends these as follows: Adds references to certain newly controlled SME and HBM items. Extends the validity period for the SME TGL from December 31, 2025, to December 31, 2026. (There is no such extension for exports of advanced computing items.) Provides for a validity period for HBM exports through December 31, 2026. BIS has revised the end-use controls set out at Section 744.23 of the EAR. The new rule has revised the controls at Section 744.23 of the EAR, which address the export of items subject to the EAR in support of certain end-uses involving supercomputers, advanced computing items, and SME in China and other restricted countries. Among other changes, the revisions include: A new control for the export of ECAD and Technology Computer Aided Design technology and software in support of the design of “advanced-node” integrated circuits that will be produced in China or a D:5 country. Removal of the “back-end” exclusion for exports in support of SME development or production. The IFR amends the definition of “advanced-node” for DRAM integrated circuits. The definition of the term “advanced-node” is the touchstone of many of the semiconductor-related export controls in the EAR, and with respect to dynamic random-access memory (“DRAM”) integrated circuits, BIS has amended the definition in order to control items that had avoided control under the previous definition. Specifically, with respect to DRAM integrated circuits, BIS is discarding the prior reference to the “18 nanometer half-pitch or less” node, and replacing it with the following parameters: A memory cell area of less than 0.0019 μm 2 ; or A memory density greater than 0.288 gigabits per square millimeter. Following BIS’s imposition of generationally significant, pathbreaking new export controls for advanced computing items and SME in October 2022, the IFR marks the third occasion in which BIS has updated the restrictions and imposed significant new controls, after other measures in October 2023 and April 2024. BIS has made clear, both in the IFR and in public comments made by BIS officials, that it continues to take into account industry perspectives, the evolution of the subject technology, and typologies for export control evasion as it crafts its approach to the rules and related national security challenges.None

Liverpool leads as the class of the Champions League this season, dumping title holder Real Madrid into an almost unbelievable 24th place in the 36-team standings. No one felt the embarrassment of Madrid’s 2-0 loss at Anfield more than Kylian Mbappé, the superstar added in the offseason by the storied club that also was European champion against Liverpool in the finals of 2022 and 2018. Mbappé had a penalty saved in the second half and was earlier dumped on his behind by Conor Bradley’s perfect tackle in an instant viral moment. Monaco missed a chance to go second in the table, giving up a lead playing with 10 men from the 58th minute in a 3-2 loss at home to Benfica. Swiss forward Zeki Amdouni scored the winning goal in the 88th. Borussia Dortmund, the beaten finalist against Madrid in May, is up to fourth place after beating Dinamo Zagreb 3-0. Champions League standout Jamie Gittens now has four goals in five games, curling a rising shot in the 41st to open the scoring. The best comeback was at PSV Eindhoven, where the home team trailed Shakhtar Donetsk by two goals in the 87th minute before a 3-2 win was sealed by United States forward Ricardo Pepi’s goal deep in stoppage time. US defender Cameron Carter-Vickers scored an embarrassing own goal for Celtic — playing a no-look pass far beyond goalkeeper Kasper Schmeichel — in a 1-1 draw with Club Brugge. Liverpool’s stand-in right back Bradley was a standout Wednesday, playing a key pass that set up Alexis Mac Allister to score the opening goal in the 52nd. After Mbappé’s penalty was pushed away by goalkeeper Caoimhín Kelleher in the 61st, Liverpool star Mo Salah missed with his spot-kick in the 70th, before substitute Cody Gakpo sealed the win with a header in the 77th. Madrid now has lost three of five games after defeats at Lille and at home to AC Milan. The record 15-time European champion has another tough trip next, at fifth-place Atalanta on Dec. 10. Congo teammates Ngal’Ayel Mukau and Silas impressed in wins for Lille and Red Star Belgrade. Mukau scored twice in 12th-place Lille’s 2-1 win at Bologna and Silas leveled for Red Star in a 5-1 rout of Stuttgart, though he barely celebrated his goal. Silas is on loan with the Serbian champion from Stuttgart. Aston Villa drew 0-0 with Juventus. ___ AP soccer: https://apnews.com/hub/soccer Graham Dunbar, The Associated Press

Apple this week expanded Tap to Pay on iPhone to New Zealand, which means independent sellers, small businesses, and other merchants in the country can use an ‌iPhone‌ as a contactless payment terminal. With Tap to Pay on ‌iPhone‌, an ‌iPhone‌ is able to accept payment using Apple Pay , contactless credit and debit cards, and other digital wallets thanks to NFC technology. Transactions are encrypted and Apple does not have information about what is purchased or the person that made the purchase. On the customer end, using Tap to Pay on ‌iPhone‌ works like any standard ‌Apple Pay‌ transaction. Sellers open up an app on an ‌iPhone‌ XS or later, register a sale, and present an ‌iPhone‌ to the buyer, who can then use a contactless payment method to complete the transaction. Adyen, ANZ Bank, Stripe, Windcave, and Worldline offer Tap to Pay on ‌iPhone‌ in New Zealand. Tap to Pay on ‌iPhone‌ launched in February 2022 in the United States, and since then, Apple has been working to expand it to additional countries. The feature is available in Australia, Austria, Brazil, Canada, Czech Republic, France, Germany, Ireland, Italy, Japan, New Zealand, Netherlands, Romania, Sweden, Taiwan, Ukraine, the United Kingdom, and the United States.Bears defender receives steep fine for interaction with Lions wideout

The closer a Prince Rupert woman looked at the deer in her yard, the stranger things became for her. “It was the first time I’ve seen anything like that; it was pretty bizarre,” said Joan Dudoward. Dudoward is a senior residing on 11th Avenue East in Prince Rupert. A flash of movement caught her eye as she scrubbed her breakfast plates on a typical Wednesday morning. Peeking out the window above her sink, she gasped— a majestic buck with massive antlers stood gracefully in her yard. “As soon as I noticed the huge buck, I ran and grabbed my camera to photograph it. I’ve been taking photos since I was a teenager...I photograph everything,” she said. She says he cozied up to lie on the grass and stayed for about half an hour. “He was wiggling his ears so I zoomed in and noticed a tag clipped on him,” she said. “I thought, why is this dear clipped? I got very concerned.” Dudoward, driven by her curiosity, noted that one side of the clip was labelled “BC WILDLIFE 06-529,” while the other read “CALL RAP: 877-952-7227.” It was suspicious because the number displayed is very similar but different from the official number of B.C.’s Conservation Officer Service, which is 1-877-952-7277. Also, the legitimate acronym for their hotline, Report All Poachers and Polluters, is “RAPP,” not “RAP,” as indicated on the tag. She called the number on the neon green tag to inquire about the buck, but reached a woman who spoke to her very hurriedly, she said. The woman, who identified herself as Jessica, wanted to send Dudoward a “free medical alert device” that she could wear around her neck. “We’re very excited to tell you about a special promotion for select callers,” Dudoward recalls the woman saying. She was then asked questions such as her age to check eligibility. Jessica then explained that as a senior, the device would help her in emergencies, such as falls, by alerting her immediate contacts. To proceed with delivery, she said she needed some personal information from Dudoward, such as her address. Then, Dudoward was abruptly transferred to another agent who continued the call. But when she tried to ask her about the buck and why the agency had clipped its number on his ear, they wouldn’t respond but instead continued to promote their products “That’s just cruelty to animals. They are targeting seniors for sure, and hurting the deer in the process,” said Dudoward. She wondered how they must have handled the wild animal to dart him. She questioned, “Did they sedate him? What exactly happened there?” She was absolutely shocked. Dudoward couldn’t comprehend why B.C. Wildlife, a legitimate organization, would have put this company’s number on the buck’s ear. The incident reminded her of this continued pattern of companies attempting to target elderly and vulnerable individuals. “I also have my mother’s old number, and it gets scam calls all the time,” she said. “How can they do that? Especially to seniors. They are trying to decide if they should pay the rent or get medication,” said Dudoward in frustration. She proceeded to contact the legitimate conservation officer’s number, who, like the local RCMP, didn’t pay much heed to her situation, she said. The next day, Dudoward called the agency’s number on the tag again, and the conversation took a completely different turn. Now, the agent asked if she was 18 and was promoting products aimed at youth. They informed her that she needed to pay $3 through a call paywall to proceed to the next step, during which she would be directed to the free products for which she was eligible. “The message keeps changing; this is so strange,” said Dudoward. The Northern View investigated the call and found that it was an intricately designed AI automated voice call. The system guides the caller through different phases by detecting both their spoken responses and the number keys they press. Contrary to Dudoward’s initial belief, it wasn’t a live human speaking to her, but a pre-recorded one. In fact, similar cases of fraud involving medical alert devices have happened in the U.S. before, prompting the New York State Department of State and the Minnesota Attorney General to issue cautionary alerts for consumers regarding these “robocalls.” The authorities advised seniors to immediately hang up, not press any keys when prompted, and avoid sharing personal information. “Fraud is the number one crime against older Canadians. Though people of all ages can be victims of fraud, older people get targeted more than others,” states the Canadian Government on its website. The Canadian Anti-Fraud Centre (CAFC) says that there have been 40,623 reports of fraud this year up to Oct. 31, resulting in a loss of $503 million. Vishing is a social engineering technique that uses voice communication technology. It involves fraudulent phone calls to trick the victim into revealing personal data. The CAFC advises caution during phone calls. They urge people not to hesitate to say no if something feels off and not to feel pressured by urgency or time limits. They also encourage taking enough time to research before sharing personal information. The Northern View contacted the B.C. Wildlife Federation for a comment regarding the tag on the buck. “The Conservation Officer Service darted this deer Nov. 5 to remove wires wrapped around its antlers. The tag is legitimate, but unfortunately has the wrong number on it for RAPP. The new versions of the tag have the correct number and COS will stop using these older tags,” said Jesse Zeman, executive director at B.C. Wildlife Federation. Although the exact cause of this mistake is unclear, anyone who suspects fraud should contact CAFC at 1-888-495-8501 or their local police.

Finding the perfect gift can be daunting. The only way to truly ensure you get it right would be to ask the recipient what they want, but that wouldn’t be much fun for either of you. Luckily, there’s another tactic to help you earn a “gift whisperer” reputation: seeking out unique, practical, game-changing gifts that will truly surprise and delight. But that’s about as easy as it sounds, which is to say it’s not easy at all. So, we’ve done the legwork for you. Start making your list with this compilation of some of the most innovative, functional and fun gifts of 2024. There’s something for every budget. This image provided by FinaMill shows the FinaMill Ultimate Spice Grinder Set. The new FinaMill Ultimate Spice Grinder set elevates the pedestrian pepper and spice mill in both function and style. Bear with me: The new FinaMill Ultimate Spice Grinder set elevates the pedestrian pepper and spice mill in both function and style. Available in three colors (Sangria Red, Midnight Black and Soft Cream), the rechargeable-battery unit grinds with a light touch rather than hand-tiring twists. That’s easier for everyone and especially helpful for those experiencing hand or wrist issues such as arthritis, carpal tunnel syndrome or tendinitis. And it’s fun to use. The set includes a stackable storage tray and four pods that can be easily swapped as needed: The GT microplane grater for hard spices, nuts and chocolate; the MAX for large spices and dried herbs; the ProPlus for smaller and oily spices; and the Pepper Pod for, well, pepper. $110. This image provided by Pull Start Fire shows the matchless fire igniter in use. Made of 89% recycled materials, the food-safe, eco-friendly, 3-by-2-by-1-inch fire starters will light a fire quickly without matches, lighters or kindling. Campers and backyard firepit lovers who have experienced the heartbreak of wet wood will appreciate having a three-pack of Pull Start Fire on hand. Made of 89% recycled materials, including sanding dust, wax and flint, the food-safe, eco-friendly, 3-by-2-by-1-inch fire starters will light a fire quickly without matches, lighters or kindling. Just loop the attached green string around a log, incorporate it into a wood stack, and pull the attached red string to ignite. Each windproof, rainproof block burns for 30 minutes. $29.99. This image provided by Souper Cubes shows No Mess Utensils held upright on pot edges. The No Mess Utensil lives up to its name. The utensils, a serving spoon and a ladle, have innovative, S-shaped handles designed to rest on the edge of a pot. The No Mess Utensil Set from Souper Cubes , a company known for its portioned, silicone freezer trays, lives up to its name. The utensils — a serving spoon and a ladle — have innovative, S-shaped handles designed to rest on the edge of a pot, keeping them upright so they won’t slip in. The design also eliminates the need for a spoon rest or, worse, placing dirty utensils on the kitchen counter or stovetop between stirs. A silicone coating in a choice of Aqua, Charcoal, Cranberry or Blueberry keeps handles cool to the touch. $24.99. This image provided by FeatherSnap shows a female cardinal bird perched on a FeatherSnap Wi-Fi Solar Powered Camera Smart Bird Feeder. Equipped with an HD camera, the dual-chamber feeder enables up-close livestreaming of avian visitors, as well as species-logging via the free mobile app. The FeatherSnap Wi-Fi smart bird feeder could turn anyone into an avid birdwatcher. Equipped with an HD camera, the dual-chamber feeder enables up-close livestreaming of avian visitors, as well as species-logging via the free mobile app. An optional premium subscription ($59.99 annually or $6.99 monthly) includes unlimited photo and video storage, AI identification with species-specific details, and the opportunity to earn badges for logging new visitors. Turn on notifications to get alerts sent to your phone whenever there’s activity at the feeder. $179.99. This image provided by FUJIFILM North America Corporation and FUJIFILM Corporation Tokyo shows a smartphone printer. Fujifilm Instax's Mini Link 3 smartphone printer offers a touch of nostalgia without sacrificing technology. Just load the printer with film and connect it to your Android or iOS device via Bluetooth to print wallet-size photos. Fujifilm's Instax Mini Link 3 smartphone printer offers a touch of nostalgia without sacrificing technology. Just load the 4.9-by-3.5-by-1.3-inch printer with Instax Mini instant film and connect it to your Android or iOS device via Bluetooth to print wallet-size photos. If you want to get fancy, you can adjust brightness, contrast and saturation, or apply filters, including 3D augmented-reality effects, via the free Instax Mini Link app. It can also make collages of up to six images, or animate photos to share on social media. Available in Rose Pink, Clay White and Sage Green. $99.95. This image provided by easyplant shows a Marxii Calathea plant in a small, beige, self-watering pot. The appropriately named easyplant is one of the best gifts you can give your houseplant-loving friends, regardless of their experience level. The appropriately named easyplant is one of the best gifts you can give your houseplant-loving friends, regardless of their experience level. Select a pot color, size and plant (or get recommendations based on sunlight requirements, pet friendliness and other attributes) and fill the self-watering container’s built-in reservoir roughly once a month. Moisture will permeate the soil from the bottom as needed, eliminating the often-fatal consequences of over- or under-watering. It’s also a literal lifesaver come vacation time. $49-$259. This image provided by Nama shows the M1 plant-based milk maker. If you've got a no-dairy friend on your list, a plant-based milk maker could save them money while allowing them to avoid unnecessary ingredients like sugar, stabilizers, thickeners and preservatives. If you’ve got a no-dairy friend on your list, a plant-based milk maker could save them money while allowing them to avoid sugar, stabilizers, thickeners and preservatives. The Nama M1 appliance both blends and strains ingredients, converting nuts, seeds, grains or oats into velvety-smooth milk in just one minute, with zero grit. And for zero waste, the pasty leftover pulp can be used in other recipes for added nutrients. The device also makes infused oils, flavored waters and soups. And, importantly, cleanup is easy. Available in white and black. $400. This image provided by QelviQ shows a wine bottle chiller. For friends who prefer stronger beverages, the QelviQ personal sommelier uses "smart" technology to ensure wine is served at its ideal temperature. For friends who prefer stronger beverages, the QelviQ personal sommelier uses “smart” technology to ensure wine is served at its ideal temperature. Unlike traditional wine refrigerators, this device doesn’t take up any floor space. It also doesn’t chill wine to just one or two temperatures based on its color. Instead — paired with the free QelviQ app — the tabletop chiller relies on a database of more than 350,000 wines to bring a bottle to its specific recommended serving temperature in as little as 20 minutes. It also suggests food-wine and wine-food pairings. Plus, the appliance serves as a great icebreaker to inspire dinnertime conversation. Available in Exciting Red, Dashing Black and Dreamy White. $495. This image provided by Uncommon Goods shows a 2-piece LED Grilling Tool Set. Uncommon Good's 2-piece LED Grilling Tool Set puts illumination into the handles of its stainless-steel spatula and tongs. Grilling food after dark — and ascertaining its doneness — can prove challenging without outdoor lighting, and it’s nearly impossible to cook while holding a flashlight. But as is often the case, the simplest of solutions can make the biggest of impacts: Uncommon Good’s 2-piece LED Grilling Tool Set puts illumination into the handles of its stainless-steel spatula and tongs. After use, the lights can be removed and the utensils run through the dishwasher. $40. Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission. With our weekly newsletter packed with the latest in everything food.Thousands attend funeral of Afghan minister

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Judith Graham | (TNS) KFF Health News Carolyn Dickens, 76, was sitting at her dining room table, struggling to catch her breath as her physician looked on with concern. “What’s going on with your breathing?” asked Peter Gliatto, director of Mount Sinai’s Visiting Doctors Program. “I don’t know,” she answered, so softly it was hard to hear. “Going from here to the bathroom or the door, I get really winded. I don’t know when it’s going to be my last breath.” Dickens, a lung cancer survivor, lives in central Harlem, barely getting by. She has serious lung disease and high blood pressure and suffers regular fainting spells. In the past year, she’s fallen several times and dropped to 85 pounds, a dangerously low weight. And she lives alone, without any help — a highly perilous situation. This is almost surely an undercount, since the data is from more than a dozen years ago. It’s a population whose numbers far exceed those living in nursing homes — about 1.2 million — and yet it receives much less attention from policymakers, legislators, and academics who study aging. Consider some eye-opening statistics about completely homebound seniors from a study published in 2020 in JAMA Internal Medicine : Nearly 40% have five or more chronic medical conditions, such as heart or lung disease. Almost 30% are believed to have “probable dementia.” Seventy-seven percent have difficulty with at least one daily task such as bathing or dressing. Almost 40% live by themselves. That “on my own” status magnifies these individuals’ already considerable vulnerability, something that became acutely obvious during the covid-19 outbreak, when the number of sick and disabled seniors confined to their homes doubled. “People who are homebound, like other individuals who are seriously ill, rely on other people for so much,” said Katherine Ornstein, director of the Center for Equity in Aging at the Johns Hopkins School of Nursing. “If they don’t have someone there with them, they’re at risk of not having food, not having access to health care, not living in a safe environment.” Related Articles Health | Weight loss drugs like Ozempic, Wegovy are all the rage. Are they safe for kids? Health | Rural governments often fail to communicate with residents who aren’t proficient in English Health | Some breast cancer patients can avoid certain surgeries, studies suggest Health | Who gets obesity drugs covered by insurance? In North Carolina, it helps if you’re on Medicaid Health | How the FDA allows companies to add secret ingredients to our food Research has shown that older homebound adults are less likely to receive regular primary care than other seniors. They’re also more likely to end up in the hospital with medical crises that might have been prevented if someone had been checking on them. To better understand the experiences of these seniors, I accompanied Gliatto on some home visits in New York City. Mount Sinai’s Visiting Doctors Program, established in 1995, is one of the oldest in the nation. Only 12% of older U.S. adults who rarely or never leave home have access to this kind of home-based primary care. Gliatto and his staff — seven part-time doctors, three nurse practitioners, two nurses, two social workers, and three administrative staffers — serve about 1,000 patients in Manhattan each year. These patients have complicated needs and require high levels of assistance. In recent years, Gliatto has had to cut staff as Mount Sinai has reduced its financial contribution to the program. It doesn’t turn a profit, because reimbursement for services is low and expenses are high. First, Gliatto stopped in to see Sandra Pettway, 79, who never married or had children and has lived by herself in a two-bedroom Harlem apartment for 30 years. Pettway has severe spinal problems and back pain, as well as Type 2 diabetes and depression. She has difficulty moving around and rarely leaves her apartment. “Since the pandemic, it’s been awfully lonely,” she told me. When I asked who checks in on her, Pettway mentioned her next-door neighbor. There’s no one else she sees regularly. Pettway told the doctor she was increasingly apprehensive about an upcoming spinal surgery. He reassured her that Medicare would cover in-home nursing care, aides, and physical therapy services. “Someone will be with you, at least for six weeks,” he said. Left unsaid: Afterward, she would be on her own. (The surgery in April went well, Gliatto reported later.) The doctor listened carefully as Pettway talked about her memory lapses. “I can remember when I was a year old, but I can’t remember 10 minutes ago,” she said. He told her that he thought she was managing well but that he would arrange testing if there was further evidence of cognitive decline. For now, he said, he’s not particularly worried about her ability to manage on her own. Several blocks away, Gliatto visited Dickens, who has lived in her one-bedroom Harlem apartment for 31 years. Dickens told me she hasn’t seen other people regularly since her sister, who used to help her out, had a stroke. Most of the neighbors she knew well have died. Her only other close relative is a niece in the Bronx whom she sees about once a month. Dickens worked with special-education students for decades in New York City’s public schools. Now she lives on a small pension and Social Security — too much to qualify for Medicaid. (Medicaid, the program for low-income people, will pay for aides in the home. Medicare, which covers people over age 65, does not.) Like Pettway, she has only a small fixed income, so she can’t afford in-home help. Every Friday, God’s Love We Deliver, an organization that prepares medically tailored meals for sick people, delivers a week’s worth of frozen breakfasts and dinners that Dickens reheats in the microwave. She almost never goes out. When she has energy, she tries to do a bit of cleaning. Without the ongoing attention from Gliatto, Dickens doesn’t know what she’d do. “Having to get up and go out, you know, putting on your clothes, it’s a task,” she said. “And I have the fear of falling.” The next day, Gliatto visited Marianne Gluck Morrison, 73, a former survey researcher for New York City’s personnel department, in her cluttered Greenwich Village apartment. Morrison, who doesn’t have any siblings or children, was widowed in 2010 and has lived alone since. Morrison said she’d been feeling dizzy over the past few weeks, and Gliatto gave her a basic neurological exam, asking her to follow his fingers with her eyes and touch her fingers to her nose. “I think your problem is with your ear, not your brain,” he told her, describing symptoms of vertigo. Because she had severe wounds on her feet related to Type 2 diabetes, Morrison had been getting home health care for several weeks through Medicare. But those services — help from aides, nurses, and physical therapists — were due to expire in two weeks. “I don’t know what I’ll do then, probably just spend a lot of time in bed,” Morrison told me. Among her other medical conditions: congestive heart failure, osteoarthritis, an irregular heartbeat, chronic kidney disease, and depression. Morrison hasn’t left her apartment since November 2023, when she returned home after a hospitalization and several months at a rehabilitation center. Climbing the three steps that lead up into her apartment building is simply too hard. “It’s hard to be by myself so much of the time. It’s lonely,” she told me. “I would love to have people see me in the house. But at this point, because of the clutter, I can’t do it.” When I asked Morrison who she feels she can count on, she listed Gliatto and a mental health therapist from Henry Street Settlement, a social services organization. She has one close friend she speaks with on the phone most nights. “The problem is I’ve lost eight to nine friends in the last 15 years,” she said, sighing heavily. “They’ve died or moved away.” Bruce Leff, director of the Center for Transformative Geriatric Research at the Johns Hopkins School of Medicine, is a leading advocate of home-based medical care. “It’s kind of amazing how people find ways to get by,” he said when I asked him about homebound older adults who live alone. “There’s a significant degree of frailty and vulnerability, but there is also substantial resilience.” With the rapid expansion of the aging population in the years ahead, Leff is convinced that more kinds of care will move into the home, everything from rehab services to palliative care to hospital-level services. “It will simply be impossible to build enough hospitals and health facilities to meet the demand from an aging population,” he said. But that will be challenging for homebound older adults who are on their own. Without on-site family caregivers, there may be no one around to help manage this home-based care. ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.

Maple Leafs’ 2022 Draft Class Paying Off With Minten, Hildeby & GrebenkinTransportation Secretary Pete Buttigieg snapped back Thursday at criticism from airline executives who say the Biden administration over-regulated them, pointing out that some of those airlines are making large profits despite new passenger-protection rules . Buttigieg said the rules his department has imposed, including automatic cash refunds after flights are canceled, enjoy broad public support and “will stand the test of time.” The comments came after the CEOs of Delta Air Lines and Southwest Airlines said they hoped the government will be more pro-business when President-elect Donald Trump returns to office. Delta CEO Ed Bastian said the Trump administration will be “a breath of fresh air” for his industry. “I know that some airline CEOs have expressed hopes that the next administration will be less passenger-friendly and more corporate-friendly than this administration,” Buttigieg responded during a news conference to discuss Thanksgiving travel. “The passenger protections that we have put in place deservedly enjoy broad public, bipartisan support. I just don't run into a lot of people who are against the idea that you ought to get an automatic refund without any hassle, for example.” Buttigieg argued that strong passenger protections are good for the airline business. “Some of these companies have been showing very healthy profits even at this new and higher level of consumer protection, demonstrating to me that these things can travel together,” he said. It appeared to be a reference to Delta, the most profitable U.S. airline in recent years. Delta earned $2.6 billion in the first nine months of this year and $4.6 billion last year. The airline industry has opposed many consumer-protections written by the Biden administration, even suing the Transportation Department to kill a rule requiring greater transparency over fees that airlines charge their passengers. Airlines also oppose a current department inquiry into their frequent-flyer programs . Bastian, the Delta CEO, said he expected the Transportation Department under Trump to “take a fresh look at the regulatory environment, the bureaucracy that exists in government, the level of overreach that we have seen over the last four years within our industry.” Southwest Airlines CEO Robert Jordan said last week, “We are hopeful for a DOT (Department of Transportation) that is maybe a little less aggressive in terms of regulating or rule-making.” Buttigieg noted that his department extracted a $140 million settlement from Southwest over widespread flight cancellations in December 2022 and is conducting a similar investigation into Delta, which canceled about 7,000 flights after a technology outage in July. He suggested airline CEOs should spend more time thinking about passengers and less about their regulator.

After snow last night in Turin, New Zealand held their captain's run in icy wind blowing off nearby mountains ahead of tomorrow morning's game against Italy. The temperature will plunge below zero tonight and again tomorrow for kickoff. Captain Scott Barrett says they must embrace the conditions. Live commentary from 9am tomorrow on Newstalk ZB, Gold Sport and iHeart Radio. INTERNATIONAL RUGBY COVERAGE WITH ACCESS SOLUTIONS. ELEVATING YOU AND YOUR BUSINESS TO A HIGHER LEVEL.None

According to a report from the Entertainment Software Association, video games are the number one requested holiday gift for kids. AUSTIN, Texas - The big holiday gift this year isn't a traditional toy off a shelf. According to a report from the Entertainment Software Association, video games are the number one requested holiday gift for kids. The games are not just for boys. The ESA survey indicates 67% of girls are asking for video-game related gifts. "When we ask kids what they want. Nearly half of them still say they want a console. So, if you don't have the switch, Xbox or PlayStation at home, they want that. But a shocking number want Game Pass subscriptions," said Aubrey Quinn, a Senior Vice President with ESA. ESA has a Holiday Guide website that provides additional information for parents. Video games are not your traditional toy off the shelf for the holidays. There are a few things to know about video games, like having ratings similar to movies and TV shows. "The good news for parents is that the Entertainment Software Rating board, or ESRB, has been rating video games for over 30 years. So, if your kid asks for a specific game, I say look at the ESRP age rating of that game. Also, good news for parents. Over 80% of video games are rated EA for everyone. EA ten plus or T 14. The small minority of games are rated M for mature. A shopper carries a Sony PlayStation 5 and controller inside a Best Buy store on Black Friday in Pinole, California, US, on Friday, Nov. 29, 2024. Economists will be paying close attention to Black Friday and Cyber Monday sales to get a sense of cons The ESRP Rating symbol is located on two places on a game box: the front and the back. "And if your kid wants to download the game directly to their device or to their phone, those games are also on all the digital or these ratings are on all the digital storefronts," said Quinn. The devices that play the games all come with parental blocking capabilities. The features can also limit how much time games can be played on the devices. "I depend on parental controls in my own house, so every device you can play video games on allows you to set time limits as well as time of day limits. You can limit the games the kids can see by those ESRB age ratings. You also can limit or entirely block in-game purchases. You can limit or entirely block player to player communication. And so, figure out what rules are right for your family in your house with video games, and then let the parental controls help you enforce those rules at home," said Quinn. The parental controls are designed for parents who are not tech-savvy. For how to control different gaming systems, click here. "It is really easy to set up parental controls, and it's also really easy to manage them. They're all connected to an app that you can put on your phone. And so as soon as you've set up those controls on your device, you can have the app on your phone. And so, when my daughter wants more time, if she wants to request a specific game, I just get an alert. It's like getting a text message pops up right on my phone and I can accept. I usually decline. I think it more time today. She doesn't get the game, but everything comes to my phone. It's password or pin protected, and I also get weekly updates about how much time she's spending. So, there's so much information and it's really so easy. If you can use a smartphone, you can use the parental controls," said Quinn. ESA provided links to information about the video game industry and advice on talking with kids about video gaming: The Source: Information from an interview conducted by FOX 7 Austin's Rudy Koski and from a surveySuspect identified in US insurance CEO's murderHensley 6-9 0-0 14, Massey 1-2 1-2 3, Davis 6-13 2-2 15, Dibba 5-9 1-1 11, Mayo 2-5 0-0 6, Steffe 1-6 0-0 3, Sykes 4-7 2-3 10, Sharp 5-6 2-2 12, Moreno 3-4 1-1 7. Totals 33-61 9-11 81. Allen 0-2 0-0 0, Brown 5-18 5-5 17, Thiam 5-8 4-6 14, Ford-Belton 1-3 3-5 5, Polk 5-14 2-3 14, Murphy 1-3 0-0 2, Dimou 0-2 0-0 0, Lieuwen 0-1 0-0 0, Malekinusic 0-0 0-0 0, Edden 1-1 0-0 2, Turgut 0-0 0-0 0, Csernak 0-0 0-0 0, Olympios 0-0 0-0 0. Totals 18-52 14-19 54. Halftime_S. Illinois 33-25. 3-Point Goals_S. Illinois 6-18 (Mayo 2-3, Hensley 2-4, Davis 1-5, Steffe 1-5, Dibba 0-1), Florida Tech 4-17 (Brown 2-6, Polk 2-7, Ford-Belton 0-1, Thiam 0-1, Dimou 0-2). Rebounds_S. Illinois 39 (Sykes 9), Florida Tech 20 (Thiam, Murphy 6). Assists_S. Illinois 20 (Dibba 5), Florida Tech 4 (Thiam 2). Total Fouls_S. Illinois 16, Florida Tech 12. A_213 (7,186).