Here are updated and valid free pdf to pass PANCE exam

killexams.com proposes you should endeavor its 100 percent free PDF Dumps test. You will actually want to download VCE test system and introduce to your PC to rehearse PANCE dumps. We offer you three months of free updates of PANCE Physician Assistant National Certifying study guide questions and practice tests. Our group remains refreshing the PANCE PDF Download from genuine inquiries constantly.

Exam Code: PANCE Practice exam 2023 by Killexams.com team
PANCE Physician Assistant National Certifying

The material on NCCPA's certification and recertification exams can be organized in two dimensions:
Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and
The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments.



Please note that while the subject matter covered on the certification and recertification exams is the same, there is some difference in the nature of the questions on those exams. Generally, the questions on the initial certification exam are more specific, while questions on the recertification exam tend to address broader clinical issues. This difference is most apparent in the questions related to applying basic science concepts and reflects the different functions of the two exams.



Note: Because of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) publication, NCCPA will adapt its content blueprints, disease and disorder lists, and psychiatry-related terminology within test questions to conform to DSM-5 classifications and diagnostic criteria for all of our examinations.

In NCCPA examinations, psychiatry-related terminology within test questions will include the DSM-5 terminology followed by the DSM-IV-TR terminology in parentheses. Example: illness anxiety disorder (hypochondriasis)



Based on delays in implementation of DSM-5 guidelines within the field of psychiatry, NCCPA will continue to present psychiatry-related terminology within test questions in the manner outlined above until further notice.



Beginning in 2019, there was a new content blueprint released for the Physician Assistant National Certifying Examination (PANCE). The content blueprint provides guidance on the information assessed on the Physician Assistant National Certifying Examination (PANCE). The examination is categorized in two dimensions:

Knowledge of the diseases and disorders physician assistants encounter; and Knowledge and skills related to tasks physician assistants perform when treating patients.

The detailed listings provided under each of these two categories represent examples of the material that may be covered on PANCE. It is not possible to include all syllabus on a single exam, and it may be possible that some questions on the exam cover content that is not listed in the examples.



The content blueprint for PANCE is based on information provided from certified physician assistants who participate in profession-wide practice analysis studies. Certified PAs are involved throughout the exam development process, including: reviewing results of the practice analysis, writing questions that appear on PANCE, reviewing exams before they are administered, reviewing performance data for exam questions, and developing recommendations for the passing standard. Certified PAs work with NCCPA to continuously review the content included on PANCE to ensure it is relevant and current, as the practice of medicine changes and treatment guidelines are revised or new ones introduced.



Cardiovascular System 13%

Dermatologic System 5%

Endocrine System 7%

Eyes, Ears, Nose, and Throat 7%

Gastrointestinal System/Nutrition 9%

Genitourinary System (Male and Female) 5%

Hematologic System 5%

Infectious Diseases 6%

Musculoskeletal System 8%

Neurologic System 7%

Psychiatry/Behavioral Science 6%

Pulmonary System 10%

Renal System 5%

Reproductive System (Male and Female) 7%

History Taking and Performing Physical Examination 17%

Using Diagnostic and Laboratory Studies 12%

Formulating Most Likely Diagnosis 18%

Managing Patients

Health Maintenance, Patient Education, and Preventive Measures 10%

Clinical Intervention 14%

Pharmaceutical Therapeutics 14%

Applying Basic Scientific Concepts 10%

Professional Practice 5%

Physician Assistant National Certifying
Medical Certifying action
Killexams : Medical Certifying action - BingNews https://killexams.com/pass4sure/exam-detail/PANCE Search results Killexams : Medical Certifying action - BingNews https://killexams.com/pass4sure/exam-detail/PANCE https://killexams.com/exam_list/Medical Killexams : Anti-magnetizing-vaccine doctor loses medical license
Cleveland doctor Sherri Tenpenny gives false testimony on June 8, 2021, saying COVID-19 vaccines magnetize people.
Enlarge / Cleveland doctor Sherri Tenpenny gives false testimony on June 8, 2021, saying COVID-19 vaccines magnetize people.

Sherri Tenpenny, the Ohio anti-vaccine doctor who made national headlines for claiming in viral testimony that COVID-19 vaccines make people magnetic, has lost her medical license.

The state medical board indefinitely suspended her license Wednesday, saying she refused for over two years to cooperate with the board's investigation of over 350 complaints against her, which suggested possible violations of state medical regulations.

In a hearing on Wednesday, board members suspended and chastised Tenpenny for failing to cooperate or answer a single question from the regulators. "Dr. Tenpenny, neither you nor any doctor licensed by this board is above the law, and you must comply with the investigation," Dr. Jonathan Feibel, an orthopedic surgeon and medical board member, said, according to Cleveland.com. "You have not done so, and therefore, until you do, your license will be suspended."

Dr. Amol Soin, a pain management specialist and board member, told Tenpenny that obtaining a medical license and practicing medicine is a privilege that requires one to consent to "reasonable things."

"And a reasonable thing you consent to... is to cooperate when someone complains about you. In this case, 350 complaints. It is a very reasonable thing to cooperate in that scenario," he said.

“God wins”

According to a report from the board, when investigators repeatedly attempted to ask Tenpenny questions, beginning in July 2021, she consistently failed to respond. That included failure to respond to an investigator's email and office visit, provide written responses to subsequent questions, appear at a subpoenaed deposition, and appear at an investigative office conference.

A letter sent to the board by Tenpenny's lawyer indicated that she "will not participate in the Board’s ongoing illegal fishing expedition."

If she had cooperated with the investigation, the board intended to ask Tenpenny about her recommendations and administrations of vaccines, and whether any of her patients had contracted vaccine-preventable illnesses. They also had questions about the evidence she had to support various eyebrow-raising public claims, including those:

regarding COVID-19 vaccines causing people to become magnetized or creating an interface with 5G towers; … and regarding some major metropolitan areas liquefying dead bodies and pouring them into the water supply.

The questions came shortly after Tenpenny provided viral testimony to state legislatures on June 18, 2021, which was chock-full of anti-vaccine rhetoric and conspiracy theories.

"I'm sure you've seen the pictures all over the Internet of people who have had these shots and now they're magnetized," Tenpenny said in the testimony. "You can put a key on their forehead—it sticks. You can put spoons and forks all over and they can stick because now we think there is a metal piece to that."

She also made claims of an "interface—yet to be defined" between elements of vaccines and "all of the 5G towers."

According to the Ohio Capital Journal, Tenpenny wrote a follow-up email to the lawmaker who had invited her to testify, saying, in part:

We’re on to something here… and the LOUDER they scream, the more they are trying to hide. I stand by everything I said today. I put out FACTS and HYPOTHESIS (points to ponder).

God Wins,

Dr. Sherri Tenpenny

Beyond the moment of fame, Tenpenny has established herself as an active anti-vaccine advocate, making media appearances with the likes of Alex Jones and authoring a book titled, Saying No to Vaccines: A Resource Guide for All Ages.

The board rejected Tenpenny's legal reasonings for not cooperating with the investigation and noted that she took no action in court to challenge the board's subpoena or request the ability to withhold answers. The board also noted that it is "statutorily required" to investigate the complaints against her, which suggested regulatory violations.

"In short, Dr. Tenpenny did not simply fail to cooperate with a Board investigation, she refused to cooperate. And that refusal was based on her unsupported and subjective belief regarding the Board’s motive for the investigation. Licensees of the Board cannot simply refuse to cooperate in investigations because they decide they do not like what they assume is the reason for the investigation," the board's report concluded.

Tenpenny's license is now suspended, and the board issued her a civil fine of $3,000. To get her license back, she would have to reapply, pay the fine, comply with the investigation, and submit a written statement certifying compliance. If more than two years pass in the meantime, the board may also require her to provide additional evidence of "her fitness to resume practice."

Fri, 11 Aug 2023 09:52:00 -0500 Beth Mole en-us text/html https://arstechnica.com/health/2023/08/ohio-doc-who-said-vaccines-magnetized-people-loses-medical-license/
Killexams : Coal companies face class action over health damage to workers

Class action pioneer Richard Spoor has filed a class action suit against coal companies South32, BHP Billiton and Seriti Power, seeking legal remedies for thousands of coal miners afflicted by coal mine dust lung disease (CMDLD).

Only three coal mining companies have been cited in the class action suit, though a separate class action suit will be launched against other coal miners, notably Anglo Coal (now Thungela Resources), Sasol, Exxaro and Glencore, says Dasantha Pillay, the instructing attorney for Richard Spoor Inc.

ALSO READ: Manufacturing and mining production bounce back

Pillay says thousands of coal miners, many of them now deceased, have been left with incurable lung diseases requiring life-long treatment while the coal mining companies generated enormous profits. 

The court filings outline three classes of applicants: 

  • Current and former coal miners who contracted CMDLD in the form of pneumoconiosis – with or without chronic obstructive pulmonary disease (COPD);
  • Current and former coal miners who contracted COPD after working in a South32, BHP Billiton Plc and Seriti Power mine; and
  • Dependents of coal miners who have died due to the illness.

The applicants argue that South32, BHP Billiton Plc and Seriti Power breached the legal duties owed to the miners by failing to implement statutorily mandated procedures and protections. As a result, the miners developed incurable lung diseases.

ALSO READ: Zama zama arrested after shootout with police in Riverlea

There has been a considerable reshuffling of coal assets during the intervening decades.

The class action will be pursued on an opt-out basis, meaning any coal mining workers falling within the proposed classes will be deemed part of the action unless specifically opting out. Attorneys for the claimants are also asking the court to appoint a special master to oversee and administer the determination and distribution of damages to the members of the class.

In preparation for the case, medical experts assessed the health of more than 100 coal mineworkers and found a high incidence of lung disease.

ALSO READ: IN PICTURES: Police conduct operation to stamp out illegal mining in Zamimpilo

Justice for miners

The case was initiated by the Southern African Catholic Bishops’ Conference and is described in statement from Richard Spoor Inc as “a first step toward obtaining justice for all coal miners who have suffered, often without any form of compensation”.

“Very often, workers do not have the means to seek legal recourse from large companies which have huge resources at their disposal,” said Cardinal-elect Stephen Brislin, the Archbishop of Cape Town.

“The Church is always concerned about the well-being of [the] people with whom we work and live. It is thus incumbent on the Church to provide assistance where it can so that the rights of the vulnerable are respected and so that they can access compensation that is legally due to them. Many companies are amenable to settling such cases, but in some instances court action is necessary.”

ALSO READ: Riverlea: Saps at scene where zama zamas reopen illegal mining holes

Should the court recognise the miners as a class, it will provide thousands of workers and their families from around southern Africa an opportunity to obtain justice and financial compensation.

Says Spoor: “We know that there is a long and difficult road ahead for miners who are already paying a heavy price for their labour. While compensation will not restore their health, we seek justice for those whose work has sent them home bearing the high cost of coal on their bodies.”

Motley Rice LLC, one of the largest plaintiffs’ litigation firms in the US, is supporting the workers’ legal team as consultants.

Speedier legal process

Spoor previously won a multibillion-rand settlement for thousands of surviving or deceased gold miners and their dependants who contracted silicosis as a result of breathing silica dust during their work. That case took almost a decade, most of it in legal disputes as to what constitutes a ‘class’. 

Pillay says that the lessons learned in the silicosis litigation will hopefully shorten the time taken to achieve class certification and speed up the legal process.

Under South African law, the complainants must first apply to the court to be certified as a ‘class’ before arguing the merits of their claims. In the silicosis case, 19 gold mining companies settled with the miners before the merits of the case were argued. 

ALSO READ: Ghost of Marikana still haunts ANC

Responses

Moneyweb reached out to South32, BHP Billiton and Seriti Power and the following responses were received:

South32

“South32 can confirm it has been served with an application for certification of a class action on behalf of certain mine workers at coal mines in South Africa.  

“South32 owned and operated South Africa Energy Coal (SAEC) from 2015 to 2021.

“This matter is currently being considered by the business. We are unable to comment further at this point in time.”

Seriti 

“Seriti confirms it has been served papers by RSI (Richard Spoor Inc.).

“Attorneys related to an intended class action in respect of occupational diseases related to coal dust.

“The company will comment further once it has had an opportunity to study the papers and consult with its legal advisors.”

No response had been received from BHP Billiton at the time of publication.

This article is republished from Moneyweb n under a Creative Commons licence. Read the original article.

Thu, 17 Aug 2023 00:05:00 -0500 en text/html https://www.citizen.co.za/business/coal-companies-face-class-action-over-health-damage-to-mineworkers/
Killexams : Florida lawyers oppose class-action lawsuit challenging transgender treatment restrictions

Attorneys representing Florida are pushing back against an attempt to establish a class-action lawsuit centered around the contentious issue of new laws targeting medical treatments for transgender people.

>>> STREAM ACTION NEWS JAX LIVE <<<

In an ongoing legal battle, the state has submitted a comprehensive 28-page court filing aimed at dissuading U.S. District Judge Robert Hinkle from granting certification to a class action in the lawsuit brought forward on behalf of transgender children and adults.

The lawsuit targets the newly enacted law, Senate Bill 254 (SB 254), championed by Governor Ron DeSantis. This law has garnered widespread controversy as it institutes a ban on medical practitioners from administering treatments such as hormone therapy and puberty blockers to transgender children. Moreover, the law extends its reach by imposing restrictions on treatments for adults diagnosed with gender dysphoria.

RELATED: Transgender people in Florida consider moving out of state as new bills impact LGBTQ+ community

The lawsuit’s trajectory took a notable turn when, on July 21, a revised version was filed that sought class certification. This new version of the lawsuit aims to categorize plaintiffs into three potential classes depending on whether plaintiffs are children and certain other circumstances. In each class, it said “common questions of law and fact exist” that, in the plaintiffs’ view, justify class certification.

On Monday, lawyers representing the state opposed this strategy in their filed document. They argued that class certification primarily due to the perceived disparities among plaintiffs was “entirely inappropriate” in this case.

In their statement, they contended that the proposed classes presented by the plaintiffs lack “common legal or factual questions” substantial enough to warrant the endorsement of class certification.

As tensions continue to escalate, this legal confrontation serves as a critical focal point in the broader conversation about individual rights, state intervention, and the intersection of medical care and personal identity.

[SIGN UP: Action News Jax Daily Headlines Newsletter]

Click here to obtain the free Action News Jax news and weather apps, click here to obtain the Action News Jax Now app for your smart TV and click here to stream Action News Jax live.

Tue, 15 Aug 2023 11:15:00 -0500 en-US text/html https://news.yahoo.com/florida-lawyers-oppose-class-action-231544923.html Killexams : The Ohio State Medical Board has finally suspended the medical license of antivax quack Sherri Tenpenny

It always seems to happen whenever I’m on vacation. Last week, while I was trying to relax at home and take care of some household business that work always seems to interfere with, I got the news that the Ohio State Medical Board had finally suspended the license of Dr. Sherri Tenpenny, a notorious antivax quack practicing in the suburbs of Cleveland whose misinformation and quackery I’ve been discussing intermittently here dating back to 2011 and whom I had been discussing on my not-so-secret other blog since 2009, although I had mentioned her going back to at least 2007. Most people who have heard of Dr. Tenpenny learned of her in 2021, when she became infamous for claiming that COVID-19 vaccines cause people to become magnetized:

Two years ago, a Cleveland area physician strode into the House Health Committee room and told state lawmakers that COVID-19 vaccines magnetize their hosts and “interface” with cell towers.

Her comments, the subject of widespread ridicule, triggered a swarm of 350 complaints to the State Medical Board and a chain of events that led to the regulators indefinitely suspending the medical license Wednesday of anti-vaccine activist Sherri Tenpenny.

The term “chain of events” is important. The reason that the Board suspended Dr. Tenpenny’s medical license actually has little to do with her decades-long practice of rank quackery and promotion of antivaccine misinformation and more to do with procedural issues:

The board, charged with protecting the public and overseeing the licensure of Ohio’s doctors, yanked Tenpenny’s license on procedural grounds rather than the substance of her comments. Board staff found she flouted investigators who came to visit, declined to answer written questions, and objected wholesale to the regulators’ inquiry.

“Dr. Tenpenny, neither you nor any doctor licensed by this board is above the law, and you must comply with the investigation,” said Dr. Jonathan Feibel, an orthopedic surgeon and medical board member. “You have not done so, and therefore, until you do, your license will be suspended.”

Dr. Amol Soin, a pain management specialist and board member, said at the hearing that the suspension has nothing to do with vaccines, magnets, or cell towers, but about the board’s basic duty to oversee conduct of physicians and physicians’ responsibility to comply.

“The license to practice medicine is not a right. It’s a privilege. A privilege that is earned, and a privilege that you have to uphold,” he said. “And as you get that license, and as you obtain that privilege, you consent to certain reasonable things. And a reasonable thing you consent to… is to cooperate when someone complains about you. In this case, 350 complaints. It is a very reasonable thing to cooperate in that scenario.”

Let me just say that I do like the statement about medical licenses being a privilege, not a right. As a result of our education and training, society and the state grant us physicians the privilege of practicing medicine, a privilege that, in my case as a surgeon, allows me to commit what under other circumstances might be called assault and battery with the use of sharp instruments to remover or rearrange parts of a human being’s anatomy in order to treat cancer and other disease. It allows oncologists to administer toxic substances to treat disease. It lets us legally ask the deepest and most intimate questions about patients and their lives, all in order to diagnose and treat them. Too many of my colleagues forget what a privilege it is to be given these powers and come to treat their medical license more as a right than a privilege, a viewpoint that, unfortunately, seemingly informs the law of some states, allowing utter quacks to continue to practice, mostly unmolested by their state medical boards. (Yes, I’m talking about Texas, but not just about Texas.)

As I wrote in 2010:

If there’s one area that SBM needs to do better in, it’s regulating our own. To me, the license to practice medicine is a privilege, not a right. That I should even have to emphasize such a statement is bothersome to me, but all too often medical licenses, once obtained, seem to be treated as a right that can’t easily be taken away. That’s not to say that actually getting to the point of being licensed and board-certified isn’t difficult. It is. There’s the need to maintain excellent grades in college, after which there’s medical school and residency, both of which can be quite brutal. But once a physician is fully trained, board certified, and licensed, it seems that medical boards bend over backwards not to take away his license, seemingly even if he’s providing treatments so far outside the standard of care that they might as well be magic.

That brings me to what I’ve been emphasizing the last couple of weeks here on SBM. Even if you have a problem with state medical boards or medical specialty boards sanctioning physicians for promoting dangerous health misinformation, you should have no problem with them sanctioning physicians who practice rank quackery, as Dr. Tenpenny did. I’ll have more to say on this later, but I thought that the case of Dr. Sherri Tenpenny would be worth discussing, if only to show how long before the pandemic she had been antivax, as well as to vent a little of my frustration over how it wasn’t her quackery that got her license suspended but rather her refusal to cooperate with the Board’s investigation.

Dr. Tenpenny before the pandemic

As I said, I first mentioned Dr. Tenpenny in 2007, but I never really did a post that was primarily about her until 2009. Also, the suspension of her medical license last week reminded me that, compared to the likes of, for example, Andrew Wakefield—or even Dr. Bob Sears—I haven’t written that much about her over the years. Granted, she wasn’t a top tier antivax doc like Wakefield or Sears or a number of the others about whom I routinely wrote (and sometimes ranted) before the pandemic. She was second-tier. However, that doesn’t mean that she was unimportant in the antivaccine movement. Indeed, she was important enough to be featured on a conspiracy cruise alongside Wakefield in 2016. Or maybe that they were featured together on such a cruise was evidence of how far Wakefield had fallen by that time. I can be persuaded either way.

So who is Dr. Tenpenny? As I said, she’s been around for a long time and has practiced antivax quackery quite a while. I always find it useful to check out a quack’s website to see what the quack thinks of herself; so here is the description from Tenpenny’s website:

Dr. Sherri J. Tenpenny is an osteopathic medical doctor, board certified in osteopathic medicine, with a proficiency certification in Integrative Medicine. She was board certified in Emergency medicine from 1986 to 1998, when worked as a full-time Emergency Medicine physician and served as Director of a Level II Trauma center.

The founder of Tenpenny Integrative Medical Center, a clinic located near Cleveland, Ohio, her clinic provides natural, holistic approaches to getting well. Their success has attracted patients from all 50 states and at least 17 countries.

Dr. Tenpenny has invested 21+ years and far more than 40,000 hours researching, documenting, and exposing problems associated with vaccines. She is a frequent speaker at national and international conferences and a regular guest on radio shows, podcasts and on TV, sharing her highly researched information on why we should just say no to vaccines.

It is utterly unsurprising that Tenpenny is “certified” in Integrative Medicine, what I like to refer to as a medical pseudospecialty that is based on “integrating” quackery with medicine. I also like her claim to have spent 40,000 hours “researching, documenting, and exposing problems associated with vaccines”. Does anyone ever bother to do simple division. Divide 40,000 hours by 24 hours/day, and you get just shy of 1,667 days (or 4.6 years) if you assume that she’s working 24 hours a day, 7 days a week. That is, of course, totally unrealistic. Let’s say that she was working 8 hours/day, and then that becomes 5,000 days (or 13.7 years), but that’s still unrealistic. No one works 7 days a week full time for that long. In any case, you get the idea. Her claim of having spent 40,000 hours “researching, documenting, and exposing problems associated with vaccines” is such an exaggeration that it is utter BS.

Perusing her website, I saw once again that Tenpenny offers a variety of evidence-free quack “detox” protocols. She touts one of them thusly:

You’ve probably heard me say this countless times, almost all disease is a result of two things: Excess of toxicity and a lack of nutrients, especially minerals. Mercury, aluminum, vaccine-related chemicals, and environmental poisons including arsenic, lead, cadmium, pesticides, and volatile organic compounds are just some of what we are exposed to every day. Imagine the damaging effects of heavy metals when they are injected into our bodies through vaccines?

This is, of course, a common trope shared among “integrative medicine” quacks and antivax doctors, that “almost all disease” (at least she qualified it with an “almost,” something not all such docs do) is due to “toxicity” or bad diet, with—of course!—vaccines near the top of the sources of the “toxicity,” along with pesticides and chemicals. So what is her solution? Zeolite (which, by the way, cures cancer—that is, if you believe some of its proponents going back decades). But not just any Zeolite. Oh, no. To her, “most zeolite products do not work” because:

To most from the gut and into cells, the zeolite must be nanosized and suspended in water molecule clusters. With that formation, this natural detoxifier can travel throughout the body and even cross the blood-brain barrier. You can start to see why this is important for those who want to detox from vaccines.

Actually, I can’t, but that’s because I practice science-based medicine.

Tenpenny claims that you have to use her preferred Zeolite, Clinoptilolite Zeolite (whatever that is), which, conveniently enough, she sells on her website:

After doing extensive research, I discovered Pure Body Extra Strength manufactured and distributed by a company called Touchstone Essentials. They use a cleansing and nanosizing technology that is hands-down the most advanced on the market. The particles that are contaminating the zeolite are removed and the zeolite honey-comb is filled with alkalizing minerals. That way, the zeolite “swaps out” a beneficial mineral for a toxin it absorbs. The amount removed has been confirmed by a third-party independent laboratory.

Even better (if you believe Tenpenny):

Nanometer-sized particles can get into cells and can “mop up” toxins within hours of administration. And because this form of zeolite is encapsulated within water molecule clusters, it can be administered as a liquid spray. That makes it easy to use: just take a few sprays, morning, noon, and night. There is no odor, no taste, and no hassle.

So. Much. Water. Woo. (Plus Zeolite detox woo.) She’s also recommending Nattokinase-based quackery, which I discussed not too long ago. I’m sure she gets no kickbacks for selling this Zeolite and offers it only out the goodness of her heart, for the good of her patients. Of course she is. She also recommends a “parasite protocol” by Dr. Jason Dean. Unsurprisingly, “Dr.” Jason Dean is a chiropractor, not a real medical doctor. Meanwhile, on Amazon, you can find books by her that indicate that she has been rabidly antivax for a long, books with titles like Vaccines: The Risks, the Benefits, the Choices, a Resource Guide for Parents (2006) and Saying No to Vaccines: A Resource Guide for All Ages (2008).

You get the idea. But what about her antivax advocacy? First, let me quote something that she wrote in 2007, and ask yourself whether it sounds familiar or not:

At the beginnings of ‘Public Health’ policy, efforts were made to convince persons to participate through cooperation. Since that late 1960s, the pendulum has swung from education and collaboration to heavy handed coercion through advertisement campaigns designed to shame and terrorize parents into believing the are neglecting their children by questioning, and at times refusing, vaccines. The current example of heavy handedly slapping of parents into “compliance” is a further example of how far our freedoms have eroded. While we drop bombs and fire bullets around the world to ensure the freedom of others, we are incarcerating parents for doing what they believe is in the best interest of their children. Wake up, Americans. What will they be incarcerating us for next in the name of compliance?

Antivaxxers are nothing if not unchangingly consistent in their messaging. I also can’t help but point out the consistency of the “Nuremberg” messaging among antivaxxers, because that post reminded me that the Association of American Physicians and Surgeons (AAPS), a fake medical society that I’ve been referring to as a medical John Birch Society since at least 2008, liked to use Nuremberg comparisons about “informed consent” in 2007 (and likely for a long time before that):

WHEREAS: Safety testing of many vaccines is limited and the data are unavailable for independent scrutiny, so that mass vaccination is equivalent to human experimentation and subject to the Nuremberg Code, which requires voluntary informed consent; and

WHEREAS: The process of approving and “recommending” vaccines is tainted with conflicts of interest;

BE IT THEREFORE RESOLVED: That AAPS calls for a moratorium on vaccine mandates and for physicians to insist upon truly informed consent for the use of vaccines.

Truly, everything old is new again. But back to Sherri Tenpenny.

Does anyone remember what Tenpenny did in 2019, a few months before the pandemic, in the midst of a deadly measles outbreak in Samoa that had killed dozens of children? I frequently refer to what Robert F. Kennedy, Jr. did during that outbreak, namely how he wrote to the Prime Minister of Samoa blaming the MMR vaccine for the outbreak, rather than the dramatic decline in MMR uptake that resulted because of a tragic error by two nurses mixing up the vaccine that caused the deaths of two infants and how he and other antivaxxers swooped in to fear monger about the MMR as children were dying. Well, Tenpenny was one of the antivaxxers who swooped in, when she claimed that the outbreak had been related to the delivery of over 100,000 doses of MMR to Samoa. She and Grundvig also trotted out the old antivax trope about measles being curable with vitamin A.

Nor was this the first time that Tenpenny had spread antivax misinformation in an underdeveloped country during an outbreak of a vaccine-preventable disease that was killing children. Ten years before the deadly measles outbreak in Samoa, Tenpenny did basically the same thing when children were dying of measles in Zimbabwe. In response to reports that 30 children had died of the measles in Zimbabwe at that point, Tenpenny wrote something that will likely sound very familiar today:

Study these numbers. We’ve had SARS, Bird flu and Swine flu. On average, approx. 190 children/year die from the flu. Considering there are about 62M kids under the 14 years of age in the US, this is NOT “statistically signficant” [sic] and should not even make the radar screen. See how they manipulate parents into vaccinations?

Next year, PLEASE do not be afraid of the flu. Ever person here should pass this on to at least 25 people! Please pass this to at least 25 friends.

That’s right. To her 190 dead children were not “statistically significant,” and she was using that number to downplay the deaths of children from measles. As I asked at the time, can you imagine how Tenpenny and her ilk would descend upon me if I said that one case in a million of severe adverse reactions to vaccination is “statistically insignificant”? (I’ve never said that, of course.) Tenpenny would howl with outrage at my “insensitivity” and “callousness.” Note also how this very message has been increasingly echoed by “respectable” physicians like Dr. Vinay Prasad about COVID-19, that it kills an “insignificant” number of children. The message is the same; only the disease is different. Also, 190 children dying of any one cause is a lot! Children aren’t supposed to die.

In case you’re wondering what other quackery she practices, just take a look at her Substack post about the Board hearing, in which she bemoans the Board’s decision and lists what existing patients should do, which is to keep their appointments and be seen by one of Dr. Tenpenny’s minions working at her “integrative medicine” practice:

If you are an existing or future patient at Tenpenny Integrative Medical Center (we’ve had patients from all 50 states and more than 18 countries), please continue with your appointments for with my team:

  1. SRT for allergies. Due for an annual tune up? Call today!
  2. Bio-identical hormones evaluation/treatment – ask for Sandi or Dr. Clapper
  3. Nutritional evaluation and supplement program – the entire team!
  4. Pain relief with mannitol injections – Carla can treat you
  5. Neuropathy relief wit Neurogenix – Mike knows all about this
  6. Nutritional IVs – we have many – ask Danielle and Laura
  7. Care of your unvaccinated children – ask Dr Jackson. She is trained in cranial manipulation for your babies who have crossed eyes or are struggling to nurse.

Regular readers of this blog will note that we have described how cranial manipulation/craniosacral therapy is utter quackery (even more so when inflicted upon infants); so are nutritional intravenous infusions and SRT for allergies, while the rest are, at best, unproven. SRT, in case you didn’t know, stands for Sensitivity Reduction Therapy for allergy elimination. Here’s a description of what it entails:

While you are in contact with the allergen, a series of acupuncture points along the spinal column are activated through pressure to open the energy channels connected to the central nervous system. A series of specific acupuncture points on the arms and legs are stimulated to open all the meridians flowing through the body. You will be asked to rest quietly on the treatment table while holding the allergen for 15 minutes as part of the treatment. After your treatment, you will be asked to maintain a strict avoidance of that allergen for 3 hours. In addition, you will be told to avoid all food and beverage for 3 hours after the treatment. Water is generally allowed. Be sure to eat prior to each appointment. Each session lasts about 30 min.

The real treatment is painless and seems simple. However, it is EXTREMELY powerful and effective. There will be changes that affect your entire body’s physiology. Side effects include body aches, headaches, sweating, and nausea. Even though these reactions are uncommon, if they persist more than 48 hours, be sure to call the office for instructions.

You read that right. SRT, which apparently was invented by Dr. Tenpenny, involves the patient holding the allergen—not a good idea if the patient’s allergic reaction goes beyond hives and into, for example, anaphylaxis—while the practitioner applies acupressure to acupuncture points. Given that acupuncture is mystical, prescientific nonsense whose history has been hopelessly retconned to portray it as “ancient wisdom”, SRT strikes me as not just quackery, but potentially dangerous quackery.

It thus appears that, while her license is suspended (for however long that is), Dr. Tenpenny will do just fine with income from her integrative medicine practice. Moreover, the rest of the Substack entry asks for donations to her legal fund, podcast subscriptions (which, she notes, “will become an important part of my income too”), and other offerings. As is often the case for doctors like this, it is likely that Dr. Tenpenny will continue to do just fine financially. She might even prosper more as the latest “free speech martyr” and “brave maverick doctor” being subjected to “persecution”.

Sherri Tenpenny: Quackery meets hubris

Sherri Tenpenny has a history of antivaccine beliefs and practicing a wide variety of quackery dating back to late last millennium; yet it took her making bonkers statements about COVID-19 vaccines magnetizing people and interacting with 5G cell phone signals before the board actually tried to do anything. Before that, apparently, she had been practicing more or less untouched by the Ohio State Medical Board, selling her Zeolite quackery, refusing to vaccinate, and practicing all manner of “integrative medicine” quackery in a quiet Cleveland suburb. As I argued when I discussed the toothlessness of state medical boards and the faltering attempts of medical specialty boards to deal with physicians who spew misinformation, it is rare for advocacy of dangerous health and antivax misinformation not to be coupled with the real practice of quackery based on that misinformation. The two almost always go hand-in-hand. For those who are uncomfortable with medical boards sanctioning physicians for speech—even though I would counter that it is not censorship but rather quality control to provide consequences for physicians who endanger public health with deadly misinformation—then surely advocates of science-based medicine who are uneasy about the conflict between the First Amendment and sanctioning physicians for spreading misinformation can get behind sanctioning physicians like Tenpenny for practicing quackery.

Unfortunately, we never got the test, because hubris carried the day, with Tenpenny, apparently under the instructions of her lawyer Thomas Renz, decided to stonewall and refuse to cooperate. I have the PDF of the medical board’s letter describing its actions, and the description of the stonewalling is truly amazing. It documents multiple attempts by Jason Alameda, a Board Enforcement Investigator, to contact Dr. Tenpenny and then:

On September 7, 2021, Ms. Pastrick mailed to Dr. Tenpenny the Board’s First Set of Interrogatories (“Interrogatories”). The Interrogatories were mailed to Dr. Tenpenny’s address of record by certified mail. (St. Ex. 2 at 2-24; St Ex. 9; Tr. at 18) Tracking information from the United States Postal Services shows that the Interrogatories were delivered on September 9, 2021. (St. Ex. 2 at 25-26) The Interrogatories asked for information regarding Dr. Tenpenny’s practice in general as well as asking specifically about her practice regarding recommendations concerning, and administration of, vaccines and whether any of her patients subsequently contracted certain illnesses. The Interrogatories also specifically ask how many doses of COVID-19 vaccines she had provided and whether she had personally received a COVID-19 vaccine. (St. Ex. 2 at 7-16) The Interrogatories also asked Dr. Tenpenny what scientific evidence she had, and specifically asked that she cite her sources for this evidence, regarding COVID-19 vaccines causing people to become magnetized or creating an interface with 5G towers; regarding the COVID-19 vaccine not injecting a real virus but strips of genetic material and patients suffering complications such as abnormal bleedings, myocarditis, strokes, and neurological complications; and regarding some major metropolitan areas liquifying dead bodies and pouring them into the water supply. (St. Ex. 2 at 18-19) Dr. Tenpenny’s responses to the Interrogatories were due by October 8, 2021. (St. Ex. 2 at 2-3)

Renz, however, responded:

In a letter dated September 20, 2021, Thomas Renz, Esq., of Renz Law, LLC., the only licensed attorney who signed the letter3, objected to the Interrogatories in their entirety, as well as an August 11, 2021 letter from the Board regarding a method of investigation into a potential violation of R.C. 4731.22 which is not part of the Notice. (St. Ex. 3) While much of the letter addresses an issue which is not the subject of the current case, as to the Interrogatories, Mr. Renz, wrote, “The September 7th Interrogatories are invasive, irrelevant to any inquiry into (St. Ex. 3 at 3) Mr. Renz further wrote that Dr. Tenpenny would not respond to the Interrogatories and asserted that “[d]eclining to cooperate in the Board’s bad faith and unjustified assault on her licensure, livelihood, and constitutional rights cannot be construed as an admission of any allegations against her.” (St. Ex. 3 at 3) Mr. Renz also wrote that most of Dr. Tenpenny’s statements which were quoted in the August 11, 2021 letter4 were “based on factual reports by third parties – including peer-reviewed studies published in mainstream medical journals.” (St. Ex. 3 at 2)

The letter also noted that Tenpenny and Renz had been informed that things could…escalate…if Tenpenny didn’t respond, up to being subpoenaed to testify and even having her license suspended:

Please be advised that you are required by law to cooperate in an investigation conducted by the Board. Failure to appear for the office conference as scheduled may result in the issuance of a subpoena to compel your appearance at a deposition. Further, failure to cooperate in the Board’s investigation, including failure to appear and/or failure to answer questions truthfully at the office conference, constitutes legal grounds for discipline that may potentially result in the denial, suspension, or revocation of your license to practice, as well as a civil penalty up to $20,000.00.

Unsurprisingly, when the Board did as it had warned and upped the ante by subpoenaing Dr. Tenpenny, Renz responded:

By letter dated October 31, 2021, Mr. Renz5 wrote, “. . . Dr. Tenpenny is in no way obligated to and will not cooperate in the Board’s bad faith and unjustified assaults on her licensure, livelihood, and constitutional rights.” (St. Ex. 5 at 1) Mr. Renz incorporated the claims and defenses made in his September 20, 2021 letter and made several additional legal arguments. He argued that there were no legal grounds for the Board’s investigation as the Board had not presented the basis to Dr. Tenpenny, and he cited to R.C. 4731.22(F)(1)6. Mr. Renz also argued that Dr. Tenpenny, as a party at a hearing, was entitled pursuant to R.C. 119.13 to have an attorney represent her and to have that attorney cross-examine witnesses7 and that the Board was attempting to mislead her on her rights by citing to R.C. 9.84 in its letter accompanying the subpoena8. (St. Ex. 5 at 1-2) Mr. Renz also alleged bad faith on the part of the Board:

Bad faith is evident by your failure to present evidence that our client violated a provision of Chapter 4731, your erroneous and misleading citation to R.C. § 9.84 regarding her right to counsel, your failure to communicate directly with our law firm regarding this subpoena, and your complete lack of any grounds whatsoever for continuing to harass Dr. Tenpenny.

(St. Ex. 5 at 2)

In addition, Mr. Renz wrote: For the foregoing reasons, the October 12, 2021, subpoena is demonstrably unlawful and unenforceable and, therefore, Dr. Tenpenny will not participate in the Board’s ongoing illegal fishing expedition. Declining to cooperate in the Board’s bad faith and unjustified assault on her licensure, livelihood, and constitutional rights cannot be construed as an admission of any allegations against her.

Mr. Renz also wrote that further attempts to enforce the subpoena or obtain responses to the Interrogatories would result in a filing requesting declaratory and injunctive relief as well as any other available remedies. (St. Ex. 5 at 3)

First, note how Renz, invoking the sort of attitude that I decry, namely the idea that a medical license is a right and not a privilege and couching his response all in the language of rights. Even so, it is the height of hubris to refuse to cooperate or answer legitimate legal demands of the State Medical Board. To be honest, one could argue that Renz was not doing his client any service in choosing this tactic, which he surely must have known would have a high likelihood of ending up with the board suspending his client’s medical license. I could be wrong, but I can only speculate that he did this precisely because he knew that this would be the likely end result and that such a suspension would allow him to portray his client as the “persecuted” victim of medical board overreach and “censorship.” If that’s true, I can only further speculate that such a tactic would be a last resort, something to invoke when you know that, after an investigation, the board would likely still suspend his client’s medical license. My only question is whether Tenpenny understood this and agreed to this hardball tactic, which the board dismissed thusly:

As to Dr. Tenpenny’s claims that the Board was attempting to investigate statements which were public and/or political speech and therefore protected by the First Amendment to the U.S. Constitution, Dr. Tenpenny has not provided sufficient evidence of what those statements were in order to enable a determination to be made of whether such statements were protected speech. Further, there is insufficient evidence to show that the Board’s investigation was initiated due to any protected speech.

Unfortunately, in the latter part of the letter, a lot is redacted, which I find curious given that the investigation was the result of 350 complaints based on her public statements and not, apparently, individual patient complaints, where one would expect private information to be protected from public view. In any event, I note that this suspension is not necessarily permanent. The Board’s letter instructs Tenpenny and Renz:

CONDITIONS FOR REINSTATEMENT OR RESTORATION: The Board shall not consider reinstatement or restoration of Dr. Tenpenny’s license to practice osteopathic medicine and surgery until all of the following conditions have been met:

  1. Application for Reinstatement or Restoration: Dr. Tenpenny shall submit an application for reinstatement or restoration, accompanied by appropriate fees, if any.
  2. Payment of Fine: Dr. Tenpenny shall have fully paid the fine as set forth in Paragraph B of this Order. In the Matter of Sherri J. Tenpenny, D.O. Page 17 Case No. 22-CRF-0168
  3. Certification of Cooperation with Board Investigation: Dr. Tenpenny shall submit a written statement from the Board’s Enforcement Division that Dr. Tenpenny has fully complied with all subpoenas and interrogatories issued to her by the Board.
  4. Additional Evidence of Fitness To Resume Practice: In the event that Dr. Tenpenny has not been engaged in the active practice of osteopathic medicine and surgery for a period in excess of two years prior to application for reinstatement or restoration, the Board may exercise its discretion under Section 4731.222, Ohio Revised Code, to require additional evidence of her fitness to resume practice.

So, basically, what it sounds to me is that all Dr. Tenpenny has to do to get her license back is to submit an application for reinstatement (plus fees), promise to start cooperating with the Board, and pay her fines. Granted, the Board will continue to investigate and there’s no ensure that she would not still have her license suspended, perhaps permanently, after the investigation, but I’m less optimistic. After all, this blog’s history is littered with reports of utter quacks being disciplined by their state medical boards with, in essence, slaps on the wrist involving fines plus mandated education and supervision of their practices by the board for a specified period, which is what happened in the case of Stanislaw Burzynski, a cancer quack who had been practicing his quackery since the late 1970s.

In the end, this result is, as is too often the case, unsatisfying. As a friend suggested to me, we should take the “win” here (viewing this as a win), and certainly it is a good thing that Dr. Tenpenny can no longer practice medicine. Unfortunately, if she decides to start cooperating with the Ohio State Medical Board, she could well have her license reinstated while the investigation is ongoing, and the ultimate penalty might be of the “slap on the wrist” variety that I described above—or even nothing at all. In the meantime, she will be portrayed as a free speech martyr, a “medical maverick” that “They” had to “cancel” or “silence”. At least she won’t be able to inflict her quackery on patients anymore for the foreseeable future. Given her decades-long history of doing just that, I guess that I, too, reluctantly view the outcome of this case thus far as a “win”.

Mon, 14 Aug 2023 02:11:00 -0500 David Gorski en-US text/html https://sciencebasedmedicine.org/the-ohio-state-medical-board-has-finally-suspended-the-medical-license-of-antivax-quack-sherri-tenpenny/
Killexams : Ohio doc who said vaccines “magnetized” people loses medical license
Cleveland doctor Sherri Tenpenny gives false testimony on June 8, 2021, saying COVID-19 vaccines magnetize people.

Sherri Tenpenny, the Ohio anti-vaccine doctor who made national headlines for claiming in viral testimony that COVID-19 vaccines make people magnetic, has lost her medical license.

The state medical board indefinitely suspended her license Wednesday, saying she refused for over two years to cooperate with the board's investigation of over 350 complaints against her, which suggested possible violations of state medical regulations.

In a hearing on Wednesday, board members suspended and chastised Tenpenny for failing to cooperate or answer a single question from the regulators. "Dr. Tenpenny, neither you nor any doctor licensed by this board is above the law, and you must comply with the investigation," Dr. Jonathan Feibel, an orthopedic surgeon and medical board member, said, according to Cleveland.com. "You have not done so, and therefore, until you do, your license will be suspended."

Dr. Amol Soin, a pain management specialist and board member, told Tenpenny that obtaining a medical license and practicing medicine is a privilege that requires one to consent to "reasonable things."

"And a reasonable thing you consent to... is to cooperate when someone complains about you. In this case, 350 complaints. It is a very reasonable thing to cooperate in that scenario," he said.

“God wins”

According to a report from the board, when investigators repeatedly attempted to ask Tenpenny questions, beginning in July 2021, she consistently failed to respond. That included failure to respond to an investigator's email and office visit, provide written responses to subsequent questions, appear at a subpoenaed deposition, and appear at an investigative office conference.

A letter sent to the board by Tenpenny's lawyer indicated that she "will not participate in the Board’s ongoing illegal fishing expedition."

If she had cooperated with the investigation, the board intended to ask Tenpenny about her recommendations and administrations of vaccines, and whether any of her patients had contracted vaccine-preventable illnesses. They also had questions about the evidence she had to support various eyebrow-raising public claims, including those:

regarding COVID-19 vaccines causing people to become magnetized or creating an interface with 5G towers; … and regarding some major metropolitan areas liquefying dead bodies and pouring them into the water supply.

The questions came shortly after Tenpenny provided viral testimony to state legislatures on June 18, 2021, which was chock-full of anti-vaccine rhetoric and conspiracy theories.

"I'm sure you've seen the pictures all over the Internet of people who have had these shots and now they're magnetized," Tenpenny said in the testimony. "You can put a key on their forehead—it sticks. You can put spoons and forks all over and they can stick because now we think there is a metal piece to that."

She also made claims of an "interface—yet to be defined" between elements of vaccines and "all of the 5G towers."

According to the Ohio Capital Journal, Tenpenny wrote a follow-up email to the lawmaker who had invited her to testify, saying, in part:

We’re on to something here… and the LOUDER they scream, the more they are trying to hide. I stand by everything I said today. I put out FACTS and HYPOTHESIS (points to ponder).

God Wins,

Dr. Sherri Tenpenny

Beyond the moment of fame, Tenpenny has established herself as an active anti-vaccine advocate, making media appearances with the likes of Alex Jones and authoring a book titled, Saying No to Vaccines: A Resource Guide for All Ages.

The board rejected Tenpenny's legal reasonings for not cooperating with the investigation and noted that she took no action in court to challenge the board's subpoena or request the ability to withhold answers. The board also noted that it is "statutorily required" to investigate the complaints against her, which suggested regulatory violations.

"In short, Dr. Tenpenny did not simply fail to cooperate with a Board investigation, she refused to cooperate. And that refusal was based on her unsupported and subjective belief regarding the Board’s motive for the investigation. Licensees of the Board cannot simply refuse to cooperate in investigations because they decide they do not like what they assume is the reason for the investigation," the board's report concluded.

Tenpenny's license is now suspended, and the board issued her a civil fine of $3,000. To get her license back, she would have to reapply, pay the fine, comply with the investigation, and submit a written statement certifying compliance. If more than two years pass in the meantime, the board may also require her to provide additional evidence of "her fitness to resume practice."

Fri, 11 Aug 2023 09:52:00 -0500 Beth Mole en-us text/html https://arstechnica.com/health/2023/08/ohio-doc-who-said-vaccines-magnetized-people-loses-medical-license/
Killexams : Generations Federal Credit Union hit with potential class-action lawsuit over data breach No result found, try new keyword!A former Generations Federal Credit Union employee and customer has filed a potential class-action lawsuit against the institution over a December data breach that affected about 18,000 people. The ... Thu, 17 Aug 2023 06:55:20 -0500 en-us text/html https://www.msn.com/ Killexams : Goldman Sachs appellate ruling is boon for securities class action defendants

Aug 11 (Reuters) - After 13 years of litigation, three trips to a federal appeals court and one ballyhooed U.S. Supreme Court case, Goldman Sachs has finally given the securities defense bar a way to squelch shareholder class actions based on non-specific corporate statements.

On Thursday, the 2nd U.S. Circuit Court of Appeals concluded that Goldman shareholders cannot be certified as a class to pursue claims that the bank misrepresented its commitment to avoiding conflicts of interest during the subprime mortgage craze that led to the 2008 financial crisis. It will likely take a litigation miracle – en banc review by the 2nd Circuit or another round at the Supreme Court -- to revive the $13 billion class action. (Plaintiffs' lawyer Darren Robbins of Robbins Geller Rudman & Dowd didn’t respond to my query.)

The new ruling vindicates the persistence of the bank and its lawyers from Paul, Weiss, Rifkind, Wharton & Garrison and Sullivan & Cromwell. Goldman, which did not respond to my query, told my colleague Jody Godoy that it is “gratified” by the appellate decision.

Other securities fraud class action defendants should also be grateful for the 2nd Circuit’s adoption and elaboration of Goldman’s “mismatch” arguments. In an era when shareholders routinely file securities class actions whenever revelations of corporate misconduct cause a drop in share prices, the Goldman decision should make it easier for defendants to win dismissal when they’re accused of misrepresenting broad business practices.

In the Goldman case, as you surely recall, plaintiffs' lawyers contended that Goldman’s assurances about conflicts (as well as even more anodyne statements about ethical business practices) kept the bank’s share price artificially high. The bubble burst, according to shareholders, after news reports in 2010 that Goldman worked with a hedge fund short-seller to create and market doomed-to-fail complex debt instruments, including the infamous Abacus CDO at the heart of Goldman’s $550 million settlement with the U.S. Securities and Exchange Commission.

The 2nd Circuit ruled on Thursday that there was too wide a gap between Goldman’s general statements about conflict management and the subsequent revelations about conflicts in specific CDO deals to support plaintiffs’ theory that the bank’s alleged misrepresentations propped up its share price.

That result, the appeals court said, was dictated by the Supreme Court’s 2021 decision in the Goldman case, which vacated a previous 2nd Circuit decision affirming class certification.

The Supreme Court agreed with Goldman that lower courts may consider the generic nature of alleged misrepresentations in weighing class certification. But – more consequentially, as it turns out -- Justice Amy Coney Barrett also said that trial courts should be wary about inferring price impact when there is a “mismatch” between generic alleged misrepresentations and specific disclosures that cause the company’s share price to drop.

“Under those circumstances, it is less likely that the specific disclosure actually corrected the generic misrepresentation, which means that there is less reason to infer front-end price inflation—that is, price impact—from the back-end price drop,” Barrett wrote.

Goldman’s lawyers had exhorted the 2nd Circuit to follow Jackson’s guidance. Otherwise, they argued, shareholders can cry securities fraud whenever there's a stock drop merely by alleging that a company has misrepresented general business practices.

In Thursday's decision, the 2nd Circuit stopped short of requiring a “precise match” between alleged misrepresentations and subsequent corrective disclosures. But Judges Richard Wesley and Denny Chin said the Supreme Court’s Goldman decision, along with 2nd Circuit precedent in other cases alleging that corporate misrepresentations kept share prices artificially high, mandates a narrow gap between alleged misstatements and revelations of corporate misconduct. (Judge Richard Sullivan joined the court’s holding that the Goldman class must be decertified but said in a concurrence that the majority opinion added too much complexity to a simple inquiry.)

“If a stock price decline follows a back-end, highly detailed corrective disclosure -- containing, for example, “hard ... incriminatory” evidence regarding the company's wrongdoing -- courts must be skeptical whether the more generic, front-end statement propped up the price to the same extent,” the 2nd Circuit majority said. “Ultimately, a court must determine not just whether the defendant spoke on syllabus generally important to investment decision-making, but instead whether the defendant's generic statements on that subject were important in that regard.”

You can see why that will be helpful to other defendants. Imagine, for instance, a pharmaceutical company that is hit with a securities fraud suit after its shares drop in the wake of a recall of a particular drug or medical device.

If shareholders allege that the company lied about its testing or production safety protocols, that’s probably a sufficient match under the 2nd Circuit’s Goldman framework. But if the alleged misrepresentation is based only on generic safety assurances, the company can argue that, under the Goldman framework, it’s too big an inferential jump to attribute the share price decline to investors’ lost faith in general statements about safety.

In the only widely publicized study of so-called event-driven securities class actions, law professor Emily Strauss, now at the University of California College of the Law, San Francisco, found that such cases represented more than 15% of securities class action filings between 2010 and 2015. (Strauss, whose paper is titled “Is Everything Securities Fraud?”, defined the category as securities class actions in which the primary victims of corporate misconduct are not shareholders.) Strauss concluded that event-driven shareholder class actions in the time period of her study were actually dismissed at a significantly lower rate than cases in which shareholders are the primary victims. The cases also resulted in relatively higher settlements.

Strauss didn’t respond to my query about the potential impact of the 2nd Circuit’s Goldman ruling on the sort of cases she studied. My bet, though, is that you’re going to hear a lot more from defendants about a mismatch between general corporate assurances and events like products recalls, oil spills and False Claims Act settlements.

And if those arguments succeed, defendants can thank Goldman Sachs.

(This column has been updated to correct the name of the U.S. Supreme Court justice who ruled in the 2021 Goldman decision.)

Read more:

US court rules no class action on Goldman Sachs crisis-era claims

Goldman presses 2nd Circ to put teeth in Supreme Court class certification ruling

Goldman Sachs and pals bait 2nd Circuit with yet another theory in securities fraud case

Our Standards: The Thomson Reuters Trust Principles.

Opinions expressed are those of the author. They do not reflect the views of Reuters News, which, under the Trust Principles, is committed to integrity, independence, and freedom from bias.

Alison Frankel has covered high-stakes commercial litigation as a columnist for Reuters since 2011. A Dartmouth college graduate, she has worked as a journalist in New York covering the legal industry and the law for more than three decades. Before joining Reuters, she was a writer and editor at The American Lawyer. Frankel is the author of Double Eagle: The Epic Story of the World’s Most Valuable Coin.

Sun, 13 Aug 2023 23:02:00 -0500 en text/html https://www.reuters.com/legal/government/column-goldman-sachs-appellate-ruling-is-boon-securities-class-action-defendants-2023-08-11/
Killexams : Should You Travel to Turkey for a Medical Procedure? No result found, try new keyword!Due to high medical costs in the U.S., more people are traveling to Turkey for medical care. Keep memorizing to learn if it's the right move for you. Fri, 18 Aug 2023 21:00:22 -0500 en-us text/html https://www.msn.com/ Killexams : The best hair growth products of 2023, according to experts

Hair loss can wreak havoc on our self-esteem, physical comfort, and overall well-being. To add insult to injury, hair loss and thinning can be caused by a wide variety of factors - many being out of your control. Genetics, vitamin deficiencies, hormonal concerns, and hair growth disorders are just a few things that can lead to hair loss. Additionally, hair loss is a rising concern amongst those who struggle with hair growth after contracting COVID-19. “The phenomenon is believed to be associated with physical and emotional stress related to the illness, as well as potential disruptors to the hair growth cycle,” explains Dr. Michelle Henry, board-certified dermatologist. So, if you’ve had Covid and experienced hair shedding or thinning two to three months later, it’s likely Covid is the culprit.

Quick Overview

  • Best Topical Treatment

    Women's Rogaine 5% Minoxidil Foam for Thinning Hair

  • Best hair growth Supplement

    BosleyMD Women's Hair Growth Supplement (2-Month Supply)

  • Best hair growth kit for thinning hair

    Nioxin System Kit 2, Hair Strengthening & Thickening Treatment

  • Best at-home derma roller for hair growth

    Cold Processed ® Dermaroller Hair System

  • Best Hair growth Shampoo

    BaumanMD - BOOST Olfactory DHT-Control Densifying Shampoo

  • Best hair growth serum

    VEGAMOUR GRO Hair Serum

  • Best hair growth oil

    Mielle Organics Rosemary Mint Scalp & Hair Strengthening Oil

  • Best hair growth product for sensitive skin

    The Mane Choice Multi-Vitamin Hair Loss Prevention & Care Scalp Treatment, 4 fl oz

See 3 more

With so many people enduring distressed tresses, we tasked our research team with finding the best hair experts and hair growth products to help us get some much-needed answers and remedies to our hair woes. Our team researched 23 companies treating hair loss and interviewed nine medical experts to come up with our top picks for the best products that target hair loss. When making our selections, we paid special attention to cost, product type, and ease of use. Read on to find the best hair growth product to fit your specific needs.

Key Considerations

Who needs hair growth products and how do I choose what's right for me?

If you're tired of watching your hair thin and shed but overwhelmed by all the available options, we're here to help. We’ve broken down some key factors to consider when finding the best hair growth product for your unique needs.

Type of hair loss

To find the correct product, you’ll want to get familiar with the type of hair loss you’re up against. Genetics, stress, hormones, diet and Covid are all common causes of hair loss. If you’re not quite sure what type of loss you’re working with, you may want to consult a dermatologist for further clarity.

Type of product

When considering the type of product you’d like to use, look at your daily routines. Are you someone who only shampoos your hair a few times a week? Then perhaps a supplement would work better than a shampoo for you. Do you have thicker hair that can easily absorb oil without looking greasy? Then be sure to check out the oil and serum treatments we’ve included in our top picks. Do you struggle to remember to take medication? If so, an oral supplement may not be the best for you.

Budget

Money is a major factor in considering treatment. Figure out how much you’re comfortable spending monthly on a hair loss formula before making a decision. Plenty of our picks are budget-friendly, so we are confident you’ll be able to find a formula that fits your needs.

Prescription vs. Non-prescription for men and women

You’ll notice we will use gendered language throughout this article due to certain products crafted with a gender-specific solution: for women, you will see 2% to 5% topical Minoxidil solutions, but only 5% for men. When it comes to prescription-only hair loss medications such as Finasteride, Dr. Henry tells AOL, "Finasteride and dutasteride are 5-alpha-reductase inhibitors that are often used in the treatment of male hair loss. Both inhibit the conversion of testosterone to DHT, decreasing 5-alpha-reductase and decreasing the effects DHT has on the hair follicles." She also notes that, "treatment with Finstraride in women should be avoided in those who are pregnant or may become pregnant, because the drug is teratogenic, which means it could affect a male fetus. We use both of these medications in practice." As always, we recommend discussing any new treatments with your healthcare provider before starting.

Best hair growth products of 2023

Rogaine

Product type: Foam

Key ingredient: 5% Minoxidil

Best for: Hair Regrowth

Why We Love It

If you want to be very aggressive about restoring your hair to a thick, full, happy head of hair, look no further than the Rogaine 5% Minoxidil Unscented Foam. This hair regrowth treatment is designed to stimulate hair follicles, which is essential to hair regrowth. "Minoxidil is thought to prolong the anagen (growth) phase, decrease the telogen (resting) phase of hair follicles and increase the size of follicles that have already been miniaturized, enabling hairs to become thicker and grow longer," explains Dr. Henry. We were especially thrilled with its promising clinical trials – according to Rogaine, 80% of women saw hair growth begin within 12 weeks and substantial growth after 24 weeks of daily use. This product is available in two different formulations; this one is formulated for women, but you can also get a product formulation specific to men

Something to consider: The company recommends starting with a four-month supply since it will take at least three months to see results. 

$55 at Amazon$59 at Rogaine

BosleyMD

Key ingredients: Pumpkin seed extract; biotin; niacin; zinc

Best for: Reducing shedding

Why We Love It

One of the most common forms of hair loss is female patterned hair loss (FPHL), marked by a slow decrease of hair density on the scalp. According to board-certified dermatologist Dr. Jodi LoGerfo, about 50% of women will experience this at some point. “This slow and steady loss of hair is caused by the action of the hormone dihydrotestosterone (DHT),” she explained. As such, a popular form of hair supplement treatment is one that includes ingredients that block DHT. Bosley MD Healthy Hair Growth Supplements does just that.

Pumpkin seed extract is the star of the show, known for its natural ability to block DHT. Biotin, niacin, and zinc are other key players in this paraben-free, cruelty-free, gluten-free, sulfate-free formula. The supplement may even boost the appearance of your skin and nails. Men need not worry – Bosley offers a hair growth supplement for you too.

$25 at Amazon$38 at Bosley

Nioxin

Product type: Foam, shampoo, conditioner

Key ingredients: 2% or 5% minoxidil

Best for: Thinning hair

Why We Love It

Nioxin's System Kits offer a unique approach to shedding and thinning hair with minoxidil-infused products in the form of shampoo, conditioner and foam to ensure you're getting the best overall treatment in one easy-to-use kit. The company offers six different system kits, each tailored for specialized needs, including products to help with natural hair, bleached hair and color-treated hair. The Nioxin System 2 regimen reduces hair fall due to breakage, strengthens the hair and delivers a healthy shine to natural hair while refreshing the scalp, with options for color-treated hair. There are also trial sizes if you want to test the system before making a large investment. 

Follow the product's suggested use for best results:

Step 1: Massage Cleanser Shampoo into hair and scalp. Rinse thoroughly.

Step 2: Work Nioxin Scalp Therapy Revitalizing Conditioner through the hair, from scalp to ends. Rinse thoroughly to make sure all product is removed.

Step 3: Shake the Scalp & Hair Treatment to activate it, then apply to scalp and work through hair from roots to ends. Do not rinse.

For best results, use the Nioxin System Kit daily on scalp and hair.

$35 at Amazon

Act + Acre

Key ingredient: Swiss Apple Stem Cells

Best for: Hair thinning and slow regrowth

Why We Love It

Act + Acre is a newer contender on the hair loss scene, featuring plant-based products that are sustainable and effective. The woman-owned company was founded by celebrity hair stylist Helen Reavey, Act + Acre takes an innovative science-forward approach to modern hair care. Its hair system features a derma roller paired with a cold-processed stem cell serum. The serum features apple stem cells, aloe vera, bamboo extract, and pea extract, which all come together to stimulate hair growth, extend the hair growth phase, hydrate the scalp, and reduce free radical production. According to the company’s study, one-third of users saw significantly less shedding after just one month of use. Visible regrowth can occur after 12 weeks. Use it daily and see your hair thrive.

$105 at Act + Acre

BaumanMD

Key ingredient: Procapil

Best for: Thinning hair

Why We Love It

BaumanMD is a line of hair care treatments formulated by board-certified hair restoration physician and hair transplant surgeon Dr. Alan Bauman. The fact that the line is founded by a physician with specialized expertise in hair loss deepens our trust in the brand. Dr. Bauman notes that the best treatments for hair loss are the ones that optimize scalp health and enhance hair follicle function. The BOOST Olfactory DHT-Control Densifying Shampoo does just that.

Procapil, which is a blend of oleanolic acid, apigenin, and biotinyl-GHK, is the star of the show for this product. This powerhouse ingredient increases blood flow and nourishes your hair follicles, which only builds hair strength and thickness. Another key ingredient is Sandalore, which is a molecular compound that extends the hair growth phase of the follicle. At $49, it is a pricier option, but the fact it is formulated with a physician’s expertise leaves us confident it is worth the pretty penny. There's also a hair growth conditioner you can pair with the shampoo.

$49 at BaumanMD

VEGAMOUR

Key ingredients: Curcumin stem cell extract; red clover; mung bean

Best for: Hair thinning and shedding

Why We Love It

Vegamour’s GRO Hair Serum is a game-changer for thinning hair. Its plant-based formula prioritizes natural ingredients for major results. Curcumin stem cell extract, also known as turmeric and red clover come together to block DHT production. Mung bean is another important ingredient on the roster because it contains copper. Copper strengthens the hair follicle, which in turn decreases shedding.

According to the company’s study, 52% of clinical trial participants saw more density and 76% saw less shedding. You can count on seeing results within three months and can expect to see maximum results after four months. One bottle costs $64 and lasts about a month. If you’re hoping to cut costs, you can subscribe and receive the product once a month for a 23% discount.

$64 at Amazon

Mielle Organics

Key ingredients: Rosemary; mint; biotin

Best for: Hair breakage

Why We Love It

Have you ever had a few stubborn hairs that stick straight up from breakage or regrowth? Us too, and we know how frustrating it is! Mielle Organics’ Rosemary Mint Scalp and Hair Strengthening Oil is a fantastic solution to those tiny hair woes. This cult favorite hair oil instantly smoothes out split ends and boosts length retention. It is also fantastic for conditioning a dry scalp and nourishing hair follicles, which boosts circulation and hair growth. We love that this formula is so versatile – it can even be used in protective styles like braids and weaves. In addition to rosemary, mint, and biotin, the formula also includes a nourishing blend of oils (coconut, jojoba and sweet almond to name a few). At $9.99 a bottle, you can’t beat the value of this treatment.

$9 at Amazon

The Mane Choice

Product type: Oil

Key ingredients: Biotin; vitamins C & D

Best for: Scalp Health

Why We Love It

The Mane Choice’s Multi-Vitamin Scalp Nourishing Oil is a gentle and lightweight formula that boosts scalp health. By releasing clogged pores and build-up on the scalp, this reduces breakage and creates a healthy foundation for hair to grow.

While it is effective, it is also gentle enough to use daily. Apply it to your scalp once daily and massage gently before styling as usual. We also appreciate that the Mane Choice was founded by registered nurse Courtney Adeleye who used a science-based approach to develop multicultural hair solutions that prioritize scalp and hair health. It won’t break the bank, either – it is just $12.99 per bottle.

$11 at Walmart$13 at Mane Choice

Frequently Asked Questions

Do hair growth products really work?

Yes, but the results depend on the condition causing the hair loss and the type of product used. “You have to remember, thinning hair may need medical treatment,” explains Dr. LoGerfo. She continues by emphasizing that you want to tend to your scalp health first to set the best foundation for hair growth.

Another one of our experts, clinical dermatologist and trichologist Dr. Andy Goren echoes the importance of scalp health. Dr. Goren also spoke to AOL about the importance of early detection of hair loss. He explained that most patients only notice hair loss when about 50% of hair has already been lost on a particular area of the scalp. Even with a genetic predisposition, early diagnosis can lead to treating hair loss successfully before it is visible. So, if you notice you’re shedding just a bit more than usual, get checked out by your doctor ASAP. From there, you’re more likely to succeed with your chosen hair growth products.

How long does it take to see results from hair growth products?

This varies based on the product; however, many products we included in our picks offer visible results within two to three months.

Are hair growth products safe for everyone to use?

It is important to remember that some hair growth products have limitations on who can use them. For example, many of the formulas we included on our list are gender-specific. You also don’t want to assume that all products are pregnancy-safe. Be sure to do your due diligence in choosing a product and don’t forget to run it past your doctor to make sure it's safe for you.

Methodology

While researching 23 different hair loss companies, our team looked for innovative products that were science-backed, affordable, and effective. We paid special attention to products developed by hair care doctors or experts. We rated each product based on effectiveness, affordability, and ease of use. To make sure we were making selections that were medically-sound, we consulted with nine different hair loss experts.

Wed, 23 Aug 2023 06:12:00 -0500 en-US text/html https://www.aol.com/lifestyle/best-hair-growth-products-181233727.html
Killexams : Can You Use Minoxidil to Grow Out Your Eyebrows?

Read this if you’re struggling with sparse brows.

There’s certainly no shortage of talk about or solutions offered for hair loss on your head. But, what if you’re dealing with hair loss elsewhere, i.e. your brows? “Just like scalp hair loss, hair loss in the eyebrows can be caused by a variety of factors. It can be temporary or permanent, with underlying causes that range from medical conditions to lifestyle factors,” explains Isfahan Chambers-Harris, a certified trichologist and founder of Alodia Haircare. This includes, but isn’t limited to, things such as: alopecia areata, hormonal imbalances, over-plucking, nutritional deficiencies, underlying health conditions, and aging, she adds. When it comes to hair loss solutions, there’s arguably nothing more lauded than minoxidil, the only FDA-approved treatment that’s proven to *actually* cause new hair growth. So, if it works for the hair on your head, will it work equally as well for your arches? Here’s what you need to know.

What is Minoxidil?

You may know the ingredient better by the brand name, Rogaine, although these days many different brands use it. ​​It’s an FDA-approved topical medication for hair loss or thinning, explains Craig Ziering, MD, a board-certified dermatologist and hair restoration specialist. Fun fact: It was originally developed as an oral medication for blood pressure, but was found to have the unexpected side effect of stimulating hair growth, adds Dr. Chambers-Harris. However, even though it's been used for decades, the exact mechanism of action is still not fully understood. “It is thought that because minoxidil is a vasodilator, it widens blood vessels and increases blood flow. When applied topically to the scalp, it may increase blood flow to the hair follicles, providing them with more nutrients and oxygen,” she explains.

Can You Use Minoxidil On Your Brows?

In a word, yes, though with a few important caveats, according to the experts we spoke with. “While minoxidil is not technically approved by the FDA for use on areas other than the scalp, with professional guidance it could be viable to use on brows,” says Dr. Ziering. The key term there is ‘professional guidance.’ Dr. Chambers-Harris also underscores the importance of consulting with your derm or doctor beforehand, so that he or she can both assess your particular hair loss situation and provide guidance on proper usage (it comes in various strengths and formulations).

What Kind of Results Can You Expect?

All that being said, “Both in practice and anecdotally, we know patients who use the product for their brows have improvements in hair density, time in the growth phase, and even follicle size,” says Dr. Ziering. Translation: It will work if you want both more and fuller brow hairs. But, again, it’s not quite that simple. As is the case with hair loss on the head, minoxidil will work best for hair loss that’s caused by hormonal issues, he adds. Consistency is also key. Minoxidil keeps your hair follicles in the anagen—AKA growth— phase longer, so that they don’t shed, but you have to use it daily, Dr. Ziering notes. Stop using it and you’ll stop seeing results. And, in related news, it will take some time to see those results once you start using the medication. It can take up to several month for results to show up on the scalp—and scalp hair grows at a relatively faster rate than brow hair, notes Dr. Chambers-Harris. Point being, don’t expect this to be an overnight miracle solution.

What are the Possible Side Effects of Using Minoxidil On Your Brows?

“Some of the potential side effects from using topical minoxidil are itchiness, scaly skin, irritation, or burning in the area of treatment,” says Dr. Ziering. That applies for both your scalp and brows, and makes it even more important to be extra precise and specific when it comes to how you apply minoxidil onto your arches. (FYI, it can also cause unwanted hair growth if it ends up on unintended spots, like your eyelids, he notes.) For those reasons, he suggests opting for a liquid or lotion formula that you can apply in a targeted and precise manner using a cotton swab or clean spoolie brush. Though again, check with a medical professional for more detailed instructions and specifics on the exact type of product to use and how to use it.

The Bottom Line

Under the right circumstances, minoxidil can be an effective treatment option if you want fuller, thicker brows. Just make sure to talk with your doctor before using it.

For more Real Simple news, make sure to sign up for our newsletter!

Read the original article on Real Simple.

Tue, 22 Aug 2023 06:54:00 -0500 en-US text/html https://www.yahoo.com/lifestyle/minoxidil-grow-eyebrows-185504894.html
PANCE exam dump and training guide direct download
Training Exams List