World
Donating a kidney is even safer now than long thought, US study shows
WASHINGTON (AP) — People who volunteer to donate a kidney face an even lower risk of death from the operation than doctors have long thought, researchers reported Wednesday.
The study tracked 30 years of living kidney donation and found that by 2022, fewer than 1 of every 10,000 donors died within three months of the surgery. Transplant centers have been using older data – citing a risk of 3 deaths per 10,000 living donors – in counseling donors about potentially deadly surgical complications.
“The last decade has become a lot more safe in the operating room for living donors,” said Dr. Dorry Segev, a transplant surgeon at NYU Langone Health. He co-authored the study published in the journal JAMA.
Newer surgical techniques are the key reason, said Segev, calling for guideline updates to reflect those safety improvements – and maybe increase interest in living donation.
He often finds transplant recipients more worried about potential risks to their donors than the would-be donors themselves.
“For them, this is even more reassuring to allow their friends or family to donate on their behalf,” Segev said.
Thousands of people die each year waiting for an organ transplant. It’s possible for living donors to give a one of their two kidneys or part of a liver, the only organ that regenerates.
With nearly 90,000 people on the U.S. list for a kidney transplant, finding a living donor not only shortens the yearslong wait — those organs also tend to survive longer than ones from deceased donors.
Yet last year, just 6,290 of the nation’s more than 27,000 kidney transplants came from living donors, the most since before the pandemic. Safety isn’t the only barrier to living donation. So is awareness, as many patients are reluctant to ask. And while the recipient’s insurance covers medical bills, some donors face expenses such as travel or lost wages as they recover.
The NYU team analyzed U.S. records of more than 164,000 living kidney donations from 1993 through 2022 and found 36 post-surgical deaths. Most at risk were male donors and those with a history of high blood pressure.
Only five of those deaths occurred since 2013. That period coincided with U.S. transplant centers switching to minimally invasive kidney removal as well as adopting a better way to stop renal artery bleeding, Segev said.
“Over time, it’s a safe operation that’s become even safer,” important for would-be donors to know, said Dr. Amit Tevar of the University of Pittsburgh Medical Center, who wasn’t involved in the study.
But there are long-term risks to consider, too, he stressed — including whether a donor’s remaining kidney is expected to last the rest of their life.
The risk of a donor later experiencing kidney failure also is small and depends on such factors as obesity, high blood pressure, smoking and family history of kidney disease. Risk calculators help doctors determine a potential donor’s likelihood of later-in-life trouble, and transplant centers may have slightly different eligibility criteria.
“There’s no such thing as a moderate- or high-risk donor — either you’re perfect or you’re not,” is how Tevar puts the decision to accept or turn away a potential donor.
Doctors once thought young adults were the ideal living donor. But Segev said there’s a shift toward more older living donors because it’s easier to correctly predict that they won’t outlive their remaining kidney.
If a living donor later experiences kidney failure, they get priority for a transplant, he noted.
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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.
World
NATO head and Trump meet in Florida for talks on global security
BRUSSELS (AP) — U.S. President-elect Donald Trump and the head of NATO have met for talks on global security, the military alliance said Saturday.
In a brief statement, NATO said Trump and its secretary general, Mark Rutte, met on Friday in Palm Beach, Florida.
“They discussed the range of global security issues facing the Alliance,” the statement said without giving details.
It appeared to be Rutte’s first meeting with Trump since his Nov. 5 election. Rutte had previously congratulated Trump and said “his leadership will again be key to keeping our Alliance strong” and that he looked forward to working with him.
Trump has for years expressed skepticism about the Western alliance and complained about the defense spending of many of its member nations, which he regarded as too low. He depicted NATO allies as leeches on the U.S. military and openly questioned the value of the alliance that has defined American foreign policy for decades. He threatened not to defend NATO members that fail to meet defense-spending goals.
Rutte and his team also met Trump’s pick as national security adviser, U.S. Rep. Michael Waltz, and other members of the president-elect’s national security team, the NATO statement said.
Rutte took over at the helm of NATO in October.
World
US scrambles as drones shape the landscape of war: 'the future is here'
FIRST ON FOX: The U.S. Army this week took steps to advance American military capabilities by ordering close to 12,000 surveillance drones small enough to fit in a backpack as the reality of battle shifts in favor of electronic warfare.
Conflicts around the globe, particularly the war in Ukraine, have drastically changed how major nations think about conducting war, explained drone expert and former U.S. Army intelligence and special operations soldier Brett Velicovich to Fox News Digital.
The nearly three-year-long war in Ukraine has often depicted scenes not witnessed since World War II, with children loaded onto trains, veins of trenches scarring the eastern front and renewed concern over how the geopolitics of this conflict could ensnare the entire Western world.
1,000 DAYS OF WAR IN UKRAINE AS ZELENSKYY DOUBLES DOWN ON AERIAL OPTIONS WITH ATACMS, DRONES AND MISSILES
But Ukraine’s scrappy response to its often outnumbered and at times outgunned reality has completely changed how major nations look at the modern-day battlefield.
“Think about how we fought wars in the past,” Velicovich, a Fox News contributor, said, pointing to the Vietnam War. “When you were fighting the enemy over that trench line, you didn’t know who was over that hill. You saw a red hat and you fired at it.”
“Now you have the ability to see what’s over that hill and maneuver your forces quickly based on that,” he added.
A report by The Wall Street Journal this week said the U.S. Army secured potentially its largest-ever purchase of small surveillance drones from Red Cat Holding’s Utah-based Teal Drones.
This move is a significant step that the U.S. has been eyeing for more than a decade after terrorists first began employing small-drone tactics against the U.S. military in the Middle East.
According to Velicovich, who routinely visits Ukraine to advise on drone technology, the U.S. is trailing its top adversaries like Russia and China when it comes investment in drone capabilities.
US BRIEFED UKRAINE AHEAD OF PUTIN’S ‘EXPERIMENTAL INTERMEDIATE-RANGE BALLISTIC’ ATTACK
While the U.S. invested heavily in sophisticated systems like Predator and Reaper drones — which are multimillion-dollar systems designed for intelligence collection and lengthy navigation flight times and possess missile strike capabilities — it is the small, cheaply made unmanned aerial vehicles (UAVs) which are changing battlefield dynamics.
“These handheld, small UAS systems that you are able to take a drone with a bomb strapped to it [have become] basically an artillery shell now. It’s guided artillery shells,” Velicovich said in reference to Unmanned Aircraft Systems, which include not only the UAV, but also the controller manned from the ground. “Frankly, it’s changing how countries are going to fight wars in the future, and the U.S. has been so slow to get ahead of this.”
It has reportedly taken the U.S. Army some 15 years to start beefing up its Short Range Reconnaissance program with these backpack-sized drones, in part because there was a mental hurdle the Department of Defense needed to push through.
“It’s the mentality of senior leaders,” Velicovich explained. “These guys are hardened battle infantry guys. They didn’t grow up with fancy technology.”
“It really takes a lot of people understanding, changing their thought process. And that’s happening now because of the accelerating war in Ukraine, where they’ve seen how effective drones are,” he said, noting that drones can no longer be dismissed as gimmicks or toys of the future.
“Now it’s real. Now it’s here, the future is here,” Velicovich said. “We will never fight another war without drones.”
Teal Drones worked to develop a UAS system based on battlefield needs identified by the U.S. Army, and eventually created the drone that has been dubbed the Black Widow, explained Red Cat CEO Jeff Thompson to Fox News Digital.
BIDEN ADMINISTRATION TO ANNOUNCE $275 MILLION UKRAINE WEAPONS PACKAGE THIS WEEK
This sophisticated system is capable of being operated by a single man, can resist Russian jammers, has strike capabilities, and can fly in GPS-denied zones — an important factor that has been highlighted by the war in Ukraine.
“The Short Range Reconnaissance drone is really going to be able to help the warfighter be more lethal and be a safer soldier,” Thompson said.
The U.S. Army greenlighted the purchase of nearly 12,000 drones. Each soldier kitted out with the Black Widow technology will be given what is called a “system,” which includes two drones and one controller — all of which can fit in one’s rucksack.
Each system, including the drones and controller, costs the U.S. government about $45,000.
But, as Johnson pointed out, Ukraine’s armed forces are going through about 10,000 drones a month — which suggests the U.S. will need to acquire far more than 12,000 drones.
The war in Ukraine has shown that affordably made drones, particularly FPV drones, which stands for “first-person view,” can be made for as low as $1,000 a drone and frequently strapped with explosives and utilized as kamikaze drones.
But drone warfare is about significantly more than sheer quantity — it’s a “power game.”
“This is a cat and mouse game,” Velicovich said, explaining that drone and counter-drone technology, like jamming systems, are constantly evolving. “This is playing out at a level that most people don’t realize.”
“It’s like we were almost peering into the future,” he continued. “We are seeing what’s happening on the ground now, there in Ukraine, and eventually we’ll have to fight a war similar to it, and we just need to be ready.”
World
At least 11 killed and dozens injured in Israeli strikes on Beirut
The strikes came a day after heavy bombardment of Beirut’s southern suburbs and as heavy ground fighting between Israeli forces and Hezbollah militants continues in southern Lebanon, with Israeli troops pushing further into the country.
At least 11 people were killed and dozens more injured after Israeli airstrikes devastated parts of central Beirut on Saturday – with diplomats scrambling to broker a ceasefire in the country.
The strike destroyed an eight-story building, leaving a crater in the ground, and was the fourth on the Lebanese capital in less than a week.
Lebanon’s civil defence said the death toll was provisional as emergency responders were still digging through the rubble looking for survivors.
A separate drone strike in the southern port city of Tyre killed one person and injured another, according to the country’s National News Agency.
Israel’s military did not issue a warning for residents to evacuate prior to the strikes in central Beirut and would not comment on those strikes or on the one in Tyre.
The news comes as heavy ground fighting between Israeli forces and Hezbollah militants continues in southern Lebanon, with Israeli troops pushing farther from the border.
US envoy Amos Hochstein travelled to the region this week in an attempt to broker a ceasefire deal to end the more than 13 months of fighting between Israel and Hezbollah, which escalated into full-on war over the last two months.
More than 3,500 people have been killed and over 15,000 wounded by Israeli bombardment in Lebanon, according to the Lebanese health ministry. 1.2 million people, or a quarter of the Lebanese population, were reportedly displaced by the fighting.
On the Israeli side, about 90 soldiers and nearly 50 civilians have been killed by rockets, drones and missiles in northern Israel and in fighting in Lebanon.
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