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10-man Botafogo wins its first Copa Libertadores titleAP News Summary at 4:15 p.m. EST

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On Wednesday, the Supreme Court will hear arguments in a case involving Tennessee's ban on gender-affirming care for transgender people under age 18. At least 26 states have adopted laws restricting or banning such care for minors, and most of those states face lawsuits. The nation's top court will be weighing whether Tennessee's law violates the equal protection clause of the 14th Amendment, requiring that people in similar circumstances be treated the same under the law. Both sides in the case claim they are acting to protect minors from harm. Gender-affirming care is supported by the American Medical Association, the American Academy of Pediatrics and other medical groups. Here's a look at what's typically involved: Evaluation and diagnosis happen first Young people who persistently identify as a gender that differs from their sex assigned at birth are often referred to clinics where teams from various medical specialties provide gender-affirming care. Such care begins with an evaluation, which can include a pediatrician and a mental health specialist who assess the degree of distress, if any, the young person is experiencing. Those who meet defined criteria may be diagnosed with what's called gender dysphoria if their distress is continuous and significant. Some young people and their families may decide to try a social transition involving a new hairstyle, clothing, name or pronouns. Experts agree that allowing children to express their gender in a way that matches their identity is beneficial. Chazzie Grosshandler, 18, of Chicago, said she was 9 years old when she told her parents she was a girl and "not just a boy who likes girly things." She started receiving care two years later. "The first-ever step of gender-affirming care for me was when I told my parents that I was a girl and that I had felt this way for a long time and that they accepted me," she said. "I think people get really confused when they hear the word 'care' that it has to be something medical. But the truth is that it's more than just medical. It's love and acceptance." Puberty blockers can be a next step A subset of young people may be offered additional interventions such as puberty blockers to ease distress and give them time to explore their gender identity. The drugs, known as GnRH agonists, block the release of key hormones involved in sexual maturation. They've been used for decades to treat precocious puberty, an uncommon medical condition that causes puberty to begin abnormally early. The medication starts after a young person show early signs of puberty - enlargement of breasts or testicles. This typically occurs around age 8 to 13 for those assigned female at birth and a year or two later for those assigned male at birth. The drugs can be given as injections every few months or as arm implants lasting up to a year or two. Many of the effects are reversible - puberty and sexual development resume as soon as the drugs are stopped. Researchers are exploring the effects of puberty blockers on bone development, but no research has shown an increased risk for bone fractures. Young people can stay on puberty blockers for several years. Some transgender youth may take hormones After puberty blockers, trans adolescents go through puberty either with or without hormone treatment. Some may choose to take hormones to make their bodies more closely match their gender identity. They take manufactured versions of either estrogen or testosterone - hormones that prompt sexual development in puberty. Estrogen comes in skin patches and pills. Testosterone is available in injections, implants or gels. Guidelines recommend starting these when teens are mature enough to make informed medical decisions. Many transgender people take the hormones for life. If the medication is stopped, some physical changes remain. Testosterone generally leads to permanent voice-lowering, facial hair and development of the Adam's apple. Estrogen can lead to permanent breast development. Research on long-term hormone use in transgender adults has found potential health risks including a modest risk for blood clots with estrogen and negative cholesterol changes with testosterone. Surgery is rare Gender-affirming surgery in transgender teens is far less common than hormone treatment. When it is done among transgender youth, it's almost always breast reduction surgery in older transgender males. Even so, that type of surgery is extremely rare. Perhaps surprisingly, breast reduction among minors is most frequently performed in males who are not transgender. This is for a condition called gynecomastia, which means having more breast tissue than usual. A study looking at millions of 2019 insurance claims found 151 breast reductions performed for U.S. minors. Nearly all - 97% - were not transgender. Hormones and well-being Research suggests that transgender youth are prone to stress, depression and suicidal thoughts. Some studies suggest treatment for gender dysphoria can improve young people's well-being, but some nuances remain unclear. In one study, researchers spent two years testing and tracking 315 transgender youth who received hormone therapy. Depression and anxiety symptoms eased and life satisfaction increased among those designated female at birth, but not among those designated male at birth. The researchers speculated that the youth designated male at birth might be more affected by stress from being different from most of their peers. In the same study, published last year in the New England Journal of Medicine, two participants died by suicide - one after six months and the other after a year. Longer term studies on treatment outcomes are underway.Hutson has five assists, defending champ U.S. routs Germany 10-4 at world juniorsBC.GAME CONTINUES ONGOING EFFORTS IN STRENGTHENING ITS GLOBAL COMPLIANCE STRATEGY

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WASHINGTON — Linda McMahon once claimed an unearned education degree from East Carolina University. Now she is nominated to lead President-elect Donald Trump’s Department of Education. Trump announced Tuesday that McMahon, best known as a founder of World Wrestling Entertainment, is nominated to be the next education secretary. She is his first nominee to have served in his previous administration. “It is my great honor to announce that Linda McMahon, former Administrator of the Small Business Administration, will be the United States Secretary of Education,” Trump wrote in a news release. McMahon now must wait for the Senate to confirm her nomination. North Carolina roots McMahon grew up in New Bern. Her parents worked 30 minutes away at Marine Corps Air Station Cherry Point, and she attended the nearby Havelock High School. It was during high school that she met her now-estranged husband and business partner, Vince McMahon. Together they attended East Carolina University where, in 1969, she earned a degree in French. After college, they moved away from the Tar Heel State. But in 2010, McMahon’s ties to North Carolina would be noted in a story by the Hartford Courant, which reported that she received a position on the Connecticut Board of Education after wrongfully claiming to then-Gov. M. Jodi Rell that she graduated from ECU with an education degree. In response to the allegations, McMahon told the Courant, “she first thought she had been right, because she did a semester of student-teaching, and after state testing, emerged with the certificate to teach — although she never did,” the Courant reported. Education background Her college degree was one of several misleading statements the newspaper reported McMahon had made on her application. McMahon’s opponents had argued her connection to WWE, and its violent, sexual and vulgar content, sent the wrong kind of message. They also criticized her lack of experience in education, though supporters saw that as a win. She still faces that criticism as Trump’s nominee. McMahon’s resume also includes serving on the board of trustees for Sacred Heart University in Connecticut. Despite the opposition, and news of her misidentified degree breaking in the Stamford Advocate a month before her confirmation hearing, the Connecticut legislature approved Rell’s nomination of McMahon. She would serve on the board for around a year. McMahon took to social media Thursday following the news that Rell died suddenly at 78. “Her dedication and approach to public service is the gold standard to which we all should aspire to,” McMahon wrote. “I was honored to have her appoint me to serve on the CT State Board of Education and so enjoyed working with her.” When McMahon resigned from Connecticut’s board in 2010, she told the Courant it didn’t have to do with their pending story. She said it was instead because of the board’s rules wouldn’t allow her to raise money for her Senate campaign while serving. She would go on to lose two separate Senate campaigns. Political work But McMahon never walked away from politics. She became a major donor and fundraiser for Republicans. During Trump’s 2024 campaign, she donated more than $20 million to the former and future president, NBC News reported. McMahon supported Trump from the beginning of his political career and it paid off for her when he nominated her to lead the Small Business Administration. After three years, McMahon resigned to lead America First Action, a Trump super-PAC. She chairs the America First Policy Institute board. Trump’s news release about her most recent nomination credits her for working on parents’ rights and universal school choice policy at the institute. She also serves as co-chair of Trump’s transition team. Education’s future McMahon is one of several of Trump’s nominees who could face a tough nomination process. For McMahon, she’s accused of allowing one of her employees to use his position to sexually abuse five teenagers 15 and under The accusation is part of a lawsuit filed anonymously by former teenage employees. If McMahon clears the Senate nomination, she faces a different hurdle. It’s unclear how long her position might even exist. And once again, that might be left up to Congress to decide. One of Trump’s constant campaign promises was to shutter the Department of Education. However, that’s a promise Trump can’t keep without congressional approval.Qatar tribune Dhaka: A special court in Bangladesh has ordered a ban on the dissemination across media platforms and social networks of “hate speech” from ousted former prime minister Sheikh Hasina, officials said on Thursday. A two-judge panel of the International Crimes Tribunal, led by Golam Mortuza Mozumder, issued the order following a prosecution request to prevent the spread of alleged hate speech by the ousted leader. The court also directed authorities to remove any such material already broadcast, and ensure that no further dissemination occurs, prosecutor Golam Monawar Hossain told reporters The South Asian country’s interim administration initiated legal proceedings through the tribunal against Hasina. (DPA) Copy 06/12/2024 10None

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GENEVA (AP) — World Cup sponsor Bank of America teamed with FIFA for a second time Tuesday, signing for the Club World Cup that still has no broadcast deals just over six months before games start. Bank of America became FIFA’s first global banking partner in August and sealed a separate deal for a second event also being played in the United States, two days before the group-stage draw in Miami for the revamped 32-team club event . It features recent European champions Real Madrid, Manchester City and Chelsea. “FIFA is going to take America by storm and we’re going to be right at their side,” the bank’s head of marketing, David Tyrie, said in a telephone interview Tuesday. Bank of America joins 2026 World Cup sponsors Hisense and Budweiser brewer AB InBev in separately also backing the club event, and more deals are expected after Saudi Arabia is confirmed next week as the 2034 World Cup host. While games at the next World Cup, co-hosted with Canada and Mexico, will be watched by hundreds of millions globally mostly on free-to-air public networks, the Club World Cup broadcast picture is unclear. FIFA has promised hundreds of millions of dollars in prize money for the 32 clubs to share but is yet to announce any broadcast deals for the month-long tournament. It is expected to land on a streaming service. “You have to think about how you are going to connect with these fans,” Tyrie told the Associated Press from Boston. “TV is one, sure, social media is a big avenue. “The smart marketing capabilities are able to say ‘Hey, we need to tilt this one a little bit more away from TV-type marketing into social-type marketing.’ We have got a pretty decent strategy that we’re putting in place to do activation.” Engaging Bank of America’s customers and 250,000 employees are key to that strategy, Tyrie said. “It’s going to be for our clients, and entertainment, it’s going to be for our employees in creating excitement. All of the above.” The Club World Cup will be played in 12 stadiums across 11 cities, including Bank of America Stadium in Charlotte, N.C, and Lumen Field where the hometown Seattle Sounders play three group-stage games. European powers Madrid, Man City and Bayern Munich lead a 12-strong European challenge. Teams qualified by winning continental titles or posting consistently good results across four years of those competitions. The exception is Lionel Messi’s Inter Miami, who FIFA gave the entry reserved for a host nation team in October based on regular season record without waiting for the MLS Cup final. LA Galaxy hosts New York Red Bulls playing for that national title Saturday. Messi’s team opens the FIFA tournament June 15 in the Miami Dolphins’ Hard Rock Stadium and will play its three group games in Florida. “The more brand players you bring in, the bigger the following you have got,” Tyrie acknowledged, though adding Messi being involved was “not a make or break for the event.” The Club World Cup final is July 13 at Met Life Stadium near New York, which also will host the World Cup final one year later. AP soccer: https://apnews.com/hub/soccer

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