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Flu leaves a 4-year-old girl blind in Iowa – CNN

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“If I can stop one child from getting sick, that’s what I want to do,” said Amanda Phillips. “It’s terrible to see your child suffer like this.”
Jade DeLucia, who did not receive a flu shot this season, caught the flu a few days before Christmas and spent nearly two weeks in the intensive care unit at the University of Iowa Stead Family Children’s Hospital.
“She is lucky to be alive,” said one of her physicians, Dr. Theresa Czech. “She’s a little fighter. And I think she’s super lucky.”
Her parents, who’ve missed work to care for Jade and face medical bills, have started a GoFundMe page.
Every year, dozens of children die from the flu, and most of them had not received a flu shot, according to the US Centers for Disease Control and Prevention. Thousands more children are hospitalized.
Many of those who becomes seriously ill or died were perfectly healthy before they contracted the flu.
Jade is one of them.

‘It’s a little bug’

On December 19, Phillips noticed that Jade wasn’t quite her usually bubbly self.
“She’d say, ‘Mom, I don’t feel good,’ and we’d cuddle on the couch,” Phillips remembers.
A few times over the next several days, Jade spiked a low-grade fever. Medicine brought it down easily, and she went back to playing with her older sister, Catalina.
“She was running around, having fun, eating normally, asking for snacks,” her mother remembers. “It was just — it’s a little bug, she’ll get over it.”
Phillips thinks back to those four days, December 19 through December 23, and wracks her brain for something that might have told her what was about to happen.
“There wasn’t any sign that would’ve told me that something was seriously wrong with her,” she said.

‘We have to go to the emergency room’

The night of December 23, while Phillips was working her shift as an assistant manager at a Dollar General store, Jade’s father, Stephen DeLucia, tucked Jade into bed.
The next morning, the family was ready to leave the house to spend Christmas Eve with Phillips’ parents. But Jade hadn’t yet woken up.
When her father went to check on her, Jade was lying in bed, unresponsive. And her body was burning hot.
“I yelled at him — I was like, ‘We have to go. We have to go to the emergency room. This isn’t right. Something’s not right with her,” Phillips said.
When they arrived at Covenant Medical Center, Jade’s body started shaking uncontrollably, and her eyes rolled to the back of her head.
She was having a seizure.
Doctors filled the room. They said Jade needed to be transferred to the children’s hospital at the University of Iowa in Iowa City, about 80 miles away. There was no time for an ambulance. She would have to be flown.
Her parents watched the helicopter take off.
“I didn’t think I was going to see her again at that point,” Phillips said. “I really didn’t. Just from looking at her, I really honestly didn’t think I was going to see her.”

Bad news on Christmas Day

On Christmas Day, Phillips and DeLucia found out flu had affected her brain.
Called encephalopathy, it’s a known complication of the flu, according to the CDC.
Doctors showed Jade’s parents the MRI results. Her brain was “lit up like a Christmas tree,” her mother remembers.
“They said she had significant brain damage. They said our child might not ever wake up, and if she did, she might not ever be the same,” she said.
Over the next few days, Jade remained almost completely unresponsive.
Czech, a pediatric neurologist, was brought in to consult on Jade’s case. On December 31, she told Jade’s parents her specific diagnosis: acute necrotizing encephalopathy, or ANE, a type of encephalopathy usually caused by a viral infection.
ANE is so rare there are few studies on how children fare. Czech found one study that looked at four children with ANE. Three of them died.
“It’s been 7 days. 7 days of it feeling like Jade was slipping away and that there was no hope. No hope of her ever coming back to us,” her mother wrote on Facebook that day. “All because of the flu.”
Czech prescribed steroids to calm the swelling in her brain.
And finally, Jade’s parents received some good news.

A New Year’s gift

CNN visited Jade’s family on January 1. Her family started the new year with a prayer.
“Heavenly father will you wrap your angels around Jade this morning and throughout the day and pray for healing today,” the prayer went.
Then, they visited Jade at the hospital — and her mother came out beaming.
What had seemed so unlikely had happened: Jade woke up.
“She’s got her eyes open. She’s looking around. We got a couple of hand squeezes! And then we got a smile!” she said.
Over the next few days, Jade kept getting better and better. Her breathing tube came out. She could sit up. She could eat — and specifically requested chocolate pudding.
“Jade said ‘Hi mommy’ and you guys I’m a mess,” Phillips wrote on Facebook on January 5.
But then Jade’s parents and doctors noticed something.

Flu causes blindness

When her mother put Jade’s favorite stuffed animal — a white unicorn — in front of her face, she didn’t look at it.
When she threw a little ball, she didn’t watch it as it went up in the air.
An ophthalmologist came in and examined Jade’s eyes. Everything looked fine.
The problem wasn’t with her eyes. It was with her brain, which had suffered because of the flu.
“It affected the part of her brain that perceives sight, and we don’t know if she’s going to get her vision back,” said Czech, Jade’s neurologist. “In about three to six months from now we’ll know. Whatever recovery she has at six months, that’s likely all she’s going to get.”
Jade might also have cognitive or developmental problems, such as learning disabilities, Czech added. She said that would be determined in the months and years to come.
But considering that Jade arrived at the hospital unresponsive on Christmas Eve, Czech is amazed at her progress.
“I think she’s doing fabulous,” she said.

Jade’s homecoming

Jade went home January 9.
One of the first things she did was touch her sister’s face and then pulled her close and cried.
Relieved to have her daughter back home, Phillips wants to get a message to other families about the flu shot.
Last March, when Jade’s sister had her annual well visit at the pediatrician, both girls received a flu shot. Phillips says she thought that shot was good for an entire year. She didn’t realize she needed to get the girls vaccinated again for the new 2019-2020 flu season.
Since the flu virus changes year to year, the vaccine also changes. Flu vaccines become available at the end of the summer, and the CDC recommends getting one by the end of October to protect against flu in the upcoming winter.
This year, the flu has been particularly tough on children. That’s because the predominant virus has been influenza B, which affects children more than adults. So far, 32 children in the United States have died from flu this season, 21 from the influenza B strain of the virus.
“We want parents to know they should get a flu shot every season,” Phillips said.
It’s true that the flu vaccine is only about 40-60% effective at preventing the flu, according to the CDC.
But that’s not the point, says Dr. Adam Ratner, a pediatric infectious disease specialist at NYU Langone Health in New York City.
What parents need to know is that a vaccine is very effective at preventing children from becoming so sick from flu that there are life-threatening complications, like Jade did.
A 2014 study showed that flu vaccine reduced a child’s risk of being admitted to the pediatric intensive care unit by 74%. A 2017 study showed the vaccine also significantly reduced a child’s risk of dying from the flu, according to the CDC.
“I’m less interested in whether the vaccine prevents all cases of runny noses and feeling cruddy and having to stay home from school because of the flu,” Ratner said. “That’s no fun, but you get the vaccine not so much to prevent that as to prevent the chances of having a horrible complication of the flu.”
Back in Iowa, Phillips and DeLucia are settling into their new normal with Jade, Phillips writing on Facebook on her daughter’s first night home: “My brave girl, who cannot see, but is loved by so many.”

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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