Tuesday, October 06, 2020

Study: Cow's milk doubles babies' risk for asthma compared with breastfeeding

Infants who have breast milk supplemented with cow's milk-based formula are at higher risk for asthma, a study indicated. Photo by lgrodela/Pixabay

Oct. 2 (UPI) -- Infants who receive cow's milk-based formula in addition to breast milk are nearly twice as likely to develop asthma or recurrent wheeze, according to a study published Friday by JAMA Network Open.

Among infants who received milk formula as a supplement to breastfeeding from birth to 5 months, 18% developed asthma or recurrent wheezing, the data showed.

Conversely, only 10% of the infants who were breastfed only -- as well as those who received breast milk plus amino acid-based elemental formula -- during their first few months of life experienced these breathing issues, the researchers said.


"Breastfeeding with or without elemental formula for the first three days or more of life appeared to decrease the risk of asthma or recurrent wheeze in young children compared with breastfeeding plus a small amount of cow's milk formula from the first day of life," wrote the researchers from Jikei University School of Medicine in Tokyo.

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The U.S. Centers for Disease Control and Prevention and World Health Organization both recommend breastfeeding babies for at least six months after birth.

However, not all women are able to breastfeed for a variety of reasons and, in these cases, iron-fortified formulas are recommended.

For this study, researchers followed the health of 302 infants through their respective second birthdays.

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Of the 151 who received no cow's milk-based formula, 15 -- or 10% -- developed asthma or recurrent wheeze, compared with 27 -- or 18% -- of those who did take cow's milk, the data showed.

Among babies with above-average vitamin D levels at age 5 months, asthma or recurrent wheeze developed in 25% of those who received cow's milk compared with 6% of those who didn't, the researchers said.

Although the researchers did not explore why these differences occurred, they suggest that human breast milk may contain certain chemicals and nutrients that bolster the immune system and gut bacteria of babies.

"However, these mechanisms remain essentially unknown and further research is necessary," they wrote.
Turmeric may ease pain of arthritis, clinical trial suggests
By Amy Norton, HealthDay News

It's a must for any good curry, and a new clinical trial suggests that turmeric might ease arthritis pain, too.

Researchers found that an extract of the spice turmeric worked better than a placebo in easing pain from knee arthritis over three months. The treatment was not a home run -- but the pain relief was a bit better than past studies have found with standard medication.

It all suggests that turmeric "can be considered an option" for knee osteoarthritis, said senior researcher Dr. Benny Antony, of the Menzies Institute for Medical Research/University of Tasmania in Australia.

Osteoarthritis is exceedingly common, affecting more than 32.5 million Americans, according to the U.S. Centers for Disease Control and Prevention. Knee arthritis is one of the main forms.

The condition arises when the cartilage cushioning the knee joint breaks down over time, leading to symptoms like pain, stiffness and decreased range of motion.

People with knee arthritis often take over-the-counter painkillers, including acetaminophen (Tylenol), ibuprofen (Advil, Motrin) and naproxen (Aleve). But besides being only moderately effective, they can cause side effects like stomach upset. And prolonged use is linked to increased risks of heart disease and kidney damage.

So having other options is important, said Dr. Houman Danesh, a pain management specialist who was not involved in the study.

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"This is a promising, encouraging study," said Danesh, who directs integrative pain management at Mount Sinai Hospital in New York City.

A broader point of the findings, he noted, is that it matters what people with arthritis ingest. Turmeric, or extracts of it, are thought to be anti-inflammatory. So if people continue to eat an inflammation-promoting diet -- full of fried foods and highly processed carbohydrates, for example -- that could negate the good of adding turmeric, Danesh said.

For the current study, Antony and his colleagues recruited 70 people with knee arthritis and randomly assigned them to one of two groups. One took Curcuma longa extract capsules every day for 12 weeks the other took placebo capsules.

Curcumin is a substance in turmeric, and the beneficial activities of turmeric are often ascribed to it. Supplement maker Natural Remedies supplied the capsules for the trial and partially funded it.

After 12 weeks, the researchers found, participants using the extract reported greater improvement in their pain, versus the placebo group. The average benefit was "modest," according to Antony, but still better than past studies have found with pain medications.

There was no clear effect, however, on some MRI findings: swelling in the joint space and the composition of knee cartilage.

Danesh did not find that surprising, noting he would not expect to see those effects.

And people's experience of pain does not necessarily correlate with the joint findings seen on MRI.

"An image is like a sentence in the story," Danesh said. "There's also a whole context around it."

The findings, published online Sept. 14 in the Annals of Internal Medicine, are an initial step. Antony said larger studies are still needed, and it remains to be seen whether the pain relief holds up over time.

But turmeric is worth a try, according to Antony. In general, he said, the spice -- and curcumin extracts -- are considered safe in moderate doses -- though very high doses could cause gastrointestinal trouble.

Danesh said his advice is to try turmeric, itself, rather than an extract. He also recommended adding black pepper, which enhances the benefits of turmeric. To make it palatable, the two could be mixed into a fruit smoothie, Danesh said.

Turmeric is not the only nondrug option for knee pain, though. Danesh said people can benefit from an exercise program focused on strengthening and activating the gluteal muscles, and developing a more balanced walking pattern.

He suggested first getting an evaluation from a doctor, which might result in a referral for physical therapy.

More information

The Arthritis Foundation has more on osteoarthritis.

Copyright 2020 HealthDay. All rights reserved.
Survey: 1 in 4 women use cannabis to manage menopause symptoms

Women are increasingly using cannabis to manage menopause symptoms, a new survey finds. Photo by Silviarita/Pixabay

Sept. 28 (UPI) -- More women either are using cannabis or want to start doing so to manage some symptoms of menopause, according to a study presented Monday during the 2020 Virtual Annual Meeting of the North American Menopause Society.

Roughly one in four women in a survey reported they had used or currently were using cannabis to manage their menopause, while fewer than the one in five who indicated they were taking more traditional treatments such as hormone therapy.

Fifty-four percent of women respondents said they experienced hot flashes and night sweats, while 69% reported genitourinary symptoms and 27% said they had insomnia resulting from menopause, the researchers said.

"These findings suggest that cannabis use to manage menopause symptoms may be relatively common," study co-author Carolyn Gibson said in a statement.

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"However, we do not know whether cannabis use is safe or effective for menopause symptom management or whether women are discussing these decisions with their healthcare providers," said Gibson, a psychologist and health services researcher at San Francisco VA Health Care System.

Cannabis is considered an illegal substance under federal guidelines and is not recommended for use by clinicians at the U.S. Department of Veterans Affairs, Gibson said.

Several states have relaxed laws regarding cannabis use for medical purposes, and millions of people are taking some form of the compound THC -- the active ingredient in marijuana -- to manage numerous chronic health conditions and mood symptoms, including pain and anxiety.
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For this study, Gibson and her colleagues interviewed 232 women -- most of whom were in their mid-50s -- in Northern California who participated in the Midlife Women Veterans Health Survey.

About 27% of those surveyed said they had used cannabis to manage menopause symptoms, including hot flashes and night sweats, the data showed.

An additional 10% of participants expressed an interest in trying cannabis to manage their symptoms in the future, while 19% said they were using hormone therapy, the most commonly recommended approach for managing menopause symptoms.

Cannabis use did not differ by age, race or ethnicity, socioeconomic status or mental health conditions, they said.

"This study highlights a somewhat alarming trend and the need for more research relative to the potential risks and benefits of cannabis use for the management of bothersome menopause symptoms," Dr. Stephanie Faubion, medical director of the North American Menopause Society, said in a statement.
Study: Veterans with acupuncture before surgery have less pain

Acupuncture before surgery results in less pain, a new study shows. File Photo by Senior Airman Mikaley Kline/U.S. Air Force


Oct. 5 (UPI) -- Veterans who have acupuncture before surgery reported less need for opioids for pain, a pilot study presented Monday at the ANESTHESIOLOGY 2020 meeting shows.

"Six percent of patients given opioids after surgery become dependent on them, and veterans are twice as likely to die from accidental overdoses than civilians," said study lead author Dr. Brinda Krish,.

"Clearly it is crucial to have multiple options for treating pain, and acupuncture is an excellent alternative. It is safe, cost effective and it works," said Krish, an anesthesiology resident at Detroit Medical Center.

Researchers analyzed two groups of patients treated at John D. VA Medical Center in Detroit. The study's principal investigator, physician anesthesiologist Dr. Padmavathi Patel, provided the acupuncture.

The first group included 21 patients who had traditional acupuncture, which involves the insertion of very thin needles at specific trigger points around the body to relieve pain, and 21 patients who did not.

The second group included 28 patients who received battlefield acupuncture, which a U.S. Air Force doctor developed to reduce pain without use of opioids on the front lines, and 36 patients in control group.

In both acupuncture groups, veterans reported significant reduction in post-operative pain and post-operative opioid use compared to control patients undergoing surgery without acupuncture.

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"Some patients were open to trying acupuncture right away, and others became more interested when they learned more about the risk of opioid use," Krish said.

"It's easy, patients love it, it's not just another medicine and it's very safe. Because battlefield acupuncture was developed by an armed services doctor, veterans also were more willing to participate."

upi.com/7045017

Male frog in Brazil loyal to two females during breeding season

Male Thoropa taophora frogs mate with and remain loyal to two females during breeding season. Photo by Fábio de Sá

Aug. 12 (UPI) -- Scientists have discovered a frog species in Brazil's Atlantic rainforest that practices harem polygyny.

The discovery, described Wednesday in the journal Science Advances, marks the first time biologists have observed a male frog offering his companionship and loyalty to two females during a breeding season

"Single-male polygyny with reproductive fidelity occurs in invertebrates, bony fishes, and some tetrapods, such as lizards, mammals, and birds," researchers wrote in the new paper.

According to the study's authors, the practice is not well-documented among amphibians.

To confirm the practice of polygyny among Thoropa taophora frogs, researchers observed the behavior of males during the course of the breeding season.

The research team, led by Fabio de Sá, a biologist at Sao Paulo State University, watched as male frogs regularly patrolled their territory and emitted loud calls to scare off intruders. For several weeks, males remained close to their eggs and tadpoles, guarding them from predators.

Female behavior observed by the research team suggests each harem features a hierarchical structure. Scientists noted that when a higher ranking female started cannibalizing eggs, the male would mate with her, ensuring that her genes would be carried by the new eggs.

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"When a secondary or a peripheral female cannibalizes eggs, the monopolist male immediately approaches and briefly embraces the female, which stops cannibalism," researchers wrote.

When scientists analyzed the genes of tadpoles produced by different harems, they found the dominant female's genes accounted for between 56 percent and 97 percent of the offspring.

De Sá and colleagues estimate the unique behavior of Thoropa taophora frogs evolved due to the pressures of the competition among males for ideal breeding grounds and fit females.



Breeding earlier because of climate change may put birds at risk


Researchers at Cornell University have been tracking the reproductive success of tree swallows for the last 30 years, finding they have mated about three days earlier per decade over that time. Photo by David Chang van Oordt/Cornell University

Sept. 29 (UPI) -- As the climate warms, spring temperatures are arriving earlier and earlier, causing some animals to alter their breeding and migrational patterns.

Research published this week in the journal PNAS suggests some birds may be putting themselves at risk by mating and breeding earlier in the year, when they are more likely to face inclement weather events -- and a lack of food.

"We actually can look at it empirically for our specific study location using really great long-term weather records collected near Ithaca, N.Y., that start in 1893," study co-author Conor Taff told UPI in an email.

"What we see is that springs have gotten warmer overall in that time period, but the date of the last major cold snap has not changed," said Taff, postdoctoral fellow in behavioral ecology at Cornell University.

To better understand how birds are adapting to shifts in seasonal weather patterns, researchers turned to a 30-year effort to track the nesting success of tree swallows living near Ithaca.

In addition to reproduction data, researchers analyzed fluctuations in insect abundance over the last 25 years, as well as climate patterns stretching back 100 years.

Their analysis showed tree swallows have been mating roughly three days earlier every decade for the last 30 years. The climate and insect data showed fledglings born earlier were at greater risk of exposure to inclement weather and a subsequent reduction in food availability.

Lots of bird species have altered their breeding schedules in response to changes in food availability, researchers found.

"For example, a lot of migrant birds depend on gleaning caterpillars and bugs from tree branches," Taff said. "Those food sources don't become available until after the spring leaf-out. With climate change, leaf-out happens earlier, so food is available earlier and many bird species have changed their timing to match that."

However, leaves and caterpillars can usually withstand a few cold days. The latest research showed cold spells have a much more significant impact on the availability of flying insects, the main food source for tree swallows.

"Even a day of cold weather can drastically reduce the amount of flying insects available," Taff said. "Those prey species might just be delayed and emerge a few days later when it warms up, but that doesn't help the swallows if their nest has already failed."

If climate change slows and stabilizes, scientists might expect birds to adapt to the risks posed by an earlier breeding season, but researchers worry birds and other animals simply can't keep up with the accelerated pace of human-caused climate change.

For many challenges, individual variability among birds and other animals ensures that some prove more resilient to newfound challenges than others. But research suggests that when it comes to cold weather, even the most resilient birds are no match.

"We know that this kind of between-individual difference is important and describes the variation that selection can operate on, but the effect of a bad cold snap in these populations is so strong that basically all the birds who happen to be at a vulnerable stage are impacted," Taff said.

Taff and his research partners are working to more closely analyze the affects of temperature and food availability on breeding success among swallows.

"We have several lines of investigation going on now that look at how early life conditions, including the temperature when nestlings are in the nest, influences behavior and performance throughout the lifetime," Taff said.
Washington state ag officials look for giant hornets ahead of 'slaughter phase'


Washington state scientists are seeking to find and destroy the nest of giant Asian hornets ahead of what they call the "slaughter phase." Photo by Filippo Turetta courtesy of Wikimedia Commons



Oct. 3 (UPI) -- The Washington State Department of Agriculture is desperately looking to track down a nest of giant Asian hornets before they go into what scientists call "the slaughter phase."

Six giant Asian hornets have been caught, trapped or reported since Sept. 21 in Washington state, according to agriculture officials.

Sven-Erik Spichiger, an entomologist with the agriculture department, said officials believe they are dealing with a nest and that it's critical that scientists find and destroy it before the slaughter phase or before the insects reproduce enough to build new nests.

The hornets, sometimes dubbed "murder hornets" because they prey on other insects -- including honeybees, which are critical to agriculture in the state -- were first spotted in the United States last year.

"Asian giant hornets this time of year start going into what we call the slaughter phase," Sven-Erik Spichiger, a department entomologist, said during a news conference Friday. "They will visit apiaries, basically mark a hive, attack it in force, removing every bee from the hive, decapitating them, killing all of the workers and then spending the next few days harvesting the brood and the pupae out of the hive as a food source."

The first of the recent sightings occurred two weeks ago when a landowner in Whatcom County, near the Canadian border, caught two hornets.

On Sept. 30 a scientist trapped one hornet alive -- a first for the Department of Agriculture.
Human biology appears to have two seasons, not four, study says


While color changes to trees during the fall is an annual highlight for many -- including the tourists pictured in Forest Park in St. Louis in November 2019 -- researchers say the human body only registers two seasons, not the four marked on the calendar. Photo by Bill Greenblatt/UPI | License Photo

The human body apparently disagrees with Mother Nature on how many seasons there are.

Instead of four seasons, human biology appears to have two, according to a team of Stanford University researchers.

"We're taught that the four seasons -- winter, spring, summer and fall -- are broken into roughly equal parts throughout the year, and I thought, 'Well, who says?' " said Michael Snyder, a professor and chair of genetics. "It didn't seem likely that human biology adheres to those rules."

So he and his colleagues conducted a study guided by people's molecular compositions to let the biology reveal how many seasons there are.

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They analyzed four years of molecular data from 105 people, aged 25 to 75. About four times a year, participants provided blood samples that were analyzed for molecular information about immunity, inflammation, heart health, metabolism, the microbiome and more. Participants' diet and exercise habits were also tracked.

Overall, the study found that more than 1,000 molecules ebb and flow during the year, especially during late spring-early summer and late fall-early winter.

For example, late spring coincided with a rise in inflammatory biomarkers known to play a role in allergies, a spike in molecules involved in rheumatoid arthritis and osteoarthritis, a peak in HbAc1, a protein that signals risk for type 2 diabetes, and the highest annual levels of the gene PER1, an important regulator of the sleep-wake cycle.

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In early winter, there were increases in immune molecules that help fight viral infections molecules involved in acne development and markers of high blood pressure.

The researchers also found differences between people who were insulin-resistant -- their bodies don't process glucose normally -- and those who weren't.

Insulin-resistant people had higher levels of Veillonella, a type of bacteria involved in lactic acid fermentation and the processing of glucose, throughout the year, except during mid-March through late June, according to findings published this month in the journal Nature Communications.

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Snyder noted that the study involved people in California, and it's likely that the molecular patterns of people in other regions would differ.

Understanding such seasonal changes in human biology could help guide health care and the design of clinical drug trials, he suggested.

More information

RELATED Arctic bird turns down immune system to conserve energy in winter

NASA has more on Earth's seasons.

Copyright 2020 HealthDay. All rights reserved.
NASA, space industry seek new ways to cope with space debris


Nanoracks envisions in-space renovations of spent rocket stages, depicted here, to be used as storage containers or even human habitats. Image courtesy of Nanoracks

ORLANDO, Fla., Oct. 5 (UPI) -- NASA's official watchdog panel has renewed calls for the agency to move faster on a plan to better track and mitigate dangers posed by orbiting debris in space.

Members of NASA's Aerospace Safety Advisory Panel said during a regular meeting last week that the agency has made some progress, but it needs to focus on space debris as a top priority.

At stake is the safety of astronauts, anyone going into space on planned private missions and the nation's growing fleet of satellites used for national security, communications and scientific observation.

Because debris orbits at thousands of mph, even tiny pieces of space trash can puncture spacecraft.

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The panel's comments came on the heels of NASA Administrator Jim Bridenstine telling a Senate Committee on Wednesday that the agency needs Congress to fund a comprehensive strategy for debris tracking and management, including international outreach.

"I cannot emphasize the importance of this issue enough, and we really need some action taken now," said Patricia Sanders, who chairs the panel.

Companies such as Northrop Grumman have proposed in-space collection and recycling stations -- basically additional satellites that would capture debris and either destroy it or melt it down and manufacture something new.

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NASA is funding limited projects to repurpose space debris, including a mission by Houston-based Nanoracks to convert spent rocket boosters in orbit into useful technology and possibly even human habitats -- what the company calls Outposts.

"We are rapidly reaching the point where we have to be concerned about how we dispose of hardware," Jeffery Manber, CEO of NanoRacks, said in an interview Friday.

His company has $15 million from NASA to begin the experiment and plans to launch next year a robotic cutting machine that will study how to cut metal in space.

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The in-space cutting demonstration will last about an hour and will provide data to NanoRacks for expanded experiments, Manber said.

"Habitats are a goal, but we are focused now on utility," he said. "We're thinking about turning used space debris into recycling centers or storage depots and possibly even new space stations."

More than 5,000 satellites orbit the Earth, 3,000 of which are inoperative. About 14,000 pieces of space debris larger than 10 centimeters in diameter exist, while smaller objects that often result from collisions may number around 600,000, according to NASA and scientists who track the debris.

Meanwhile, companies like SpaceX and OneWeb plan to launch tens of thousands of new satellites to low-Earth orbit. Those satellites are able to deorbit and burn up in the atmosphere quickly, but such plans will further crowd the heavens.

Space debris "not only presents some standing safety concerns for NASA, especially for humans and spacecraft, but it also is a growing threat to the sustainability of space as a peaceful domain for science exploration, innovation and commerce," said Susan Helms, a retired astronaut and panel member.

Helms noted that some progress has been made, but she said "it is well overdue that the U.S. exert some effective international leadership in the safety of space operations."

The panel expects NASA to make sure all future budget requests include funding for such a comprehensive approach, she said.
SCOTUS to take up religious liberty cases


Religious liberty organizations are watching several cases before the new term of the U.S. Supreme Court. Photo by Stefani Reynolds/UPI | License Photo


Oct. 5 (UPI) -- The U.S. Supreme Court's 2020 term, which begins Monday, could produce decisions that have a major impact on religious liberty.

The cases to be argued include a request for a faith-based exemption from antidiscrimination laws by a private foster care agency, a lawsuit filed by three Muslim men seeking damages from FBI agents who placed them on the no-fly list and a student's challenge of college speech rules that he says violated his First Amendment rights.

In addition, the justices have been asked to hear appeals involving employer accommodation of workers' religious practices; buffer zones for anti-abortion counseling at medical facilities; and an effort to compel a religiously affiliated hospital to allow medical procedures that violate its religious beliefs.

Religious liberty organizations are watching these cases:

Free exercise of religion

One of the most significant cases is Fulton vs. City of Philadelphia, which has the potential to produce a landmark decision.

Philadelphia contracts with private providers for foster care services and refused to place children in homes of families that work with Catholic Social Services after it learned the agency would not certify same-sex married couples as foster parents, which is a violation of the city's anti-discrimination provisions. Two women who have fostered more than 40 children between them, Sharonell Fulton and Toni Simms-Busch, and CSS sued over the exclusion.

The case came to the Supreme Court after the 3rd U.S. Circuit Court of Appeals refused to grant an injunction to keep the agency's foster care program open. The mothers and CSS say their First Amendment and free exercise of religion rights are being violated by conditioning their ability to participate in the foster care system on taking actions and making statements that contradict their sincere religious beliefs.

"CSS exercises its religion by caring for foster children and acting in accordance with its Catholic beliefs in the process," The Becket Fund for Religious Liberty, which represents the plaintiffs, said in a court petition. "This means that CSS cannot make foster certifications inconsistent with its religious beliefs about sex and marriage. CSS sincerely believes that the home study certification endorses the relationships in the home, and therefore it cannot provide home studies or endorsements for unmarried heterosexual couples or same-sex couples."

In a phone briefing with reporters, Lori Windham, Becket's senior counsel who will be arguing the case, said a ruling will have a nationwide impact.

"There are 8,000 faith-affirming foster and adoption agencies across the country," Windham said. "Several cities and states across the nation have shut those agencies down so foster and adoption agencies and the families who depend on them are watching to see what the Supreme Court will do."

In addition to ending the CSS exclusion, the plaintiffs are asking the justices to overturn a 1990 Supreme Court decision that denied a religious exemption to two members of the Native American Church who were fired for using peyote. The workers, who used peyote as part of their faith, were denied unemployment benefits because they had violated a state law.

One of the men filed suit alleging his right to the free exercise of religion had been violated and won in the lower courts. However, the U.S. Supreme Court reversed the ruling.

The high court decision, Employment Division vs. Smith, held that the Constitution's Free Exercise Clause cannot be used to challenge a neutral and generally applicable law as a burden on faith. The clause can be used to challenge only laws that target religious practice or were motivated by anti-religious animus.

Generally applicable laws

Howard Slugh, general counsel of the Jewish Coalition for Religious Liberty, said the standard set by the Smith case to decide if a law burdens someone's religion is too restrictive.

In a hypothetical example of a law banning circumcision for alleged medical reasons, a litigant would have to prove the statute was motivated by anti-religious animus, Slugh said in an email. However, as soon as the law was determined to be religiously neutral, a claim under the Free Exercise Clause would be dismissed.

Members of minority faiths are particularly affected, he said.

"Smith has deprived numerous Jewish Americans of their day in court," Slugh wrote. "In one instance, a court cited Smith as the reason a Jewish police officer had no free exercise right to wear a yarmulke, a traditional Jewish head covering. The police department's ban on head coverings was religiously neutral, and therefore, Smith immunized it from constitutional scrutiny."

John Bursch, senior counsel and vice president of appellate advocacy at the Alliance Defending Freedom, said the action against the foster care agency was motivated by animus for its religious beliefs.

Kelly Shackelford, CEO and chief counsel of First Liberty Institute, said a lot of children will go unplaced because of the participation ban on agencies that won't certify same-sex couples and that the Smith ruling is a bad decision.

In a friend-of-the-court brief, three organizations -- the Freedom From Religion Foundation, the Center for Inquiry and the American Humanist Association -- argue that CSS's attack on the Smith ruling "is not just an attack on over a century of precedent, but also an attack on the rule of law itself."

"What CSS really seeks is a system of judicially created religious favoritism," the brief says.

Patrick Elliott, FFRF senior counsel, said the Smith decision should stand.

"Even if you have religious beliefs, you still have to comply with neutral and generally applicable laws," Elliott said.

Some faith groups agree.

Holly Hollman, general counsel of the Baptist Joint Committee for Religious Liberty, writes that Philadelphia's policy protects the viability of government partnerships with religious organizations.

"Faith-based groups often feel called to help others, including voluntarily partnering with the government to serve those in need," Hollman told UPI in an email. "Following the government's rules to administer certain government-funded programs does not mean the faith-based organization is giving up its right to speak about core beliefs in other contexts."

'Appropriate relief'

Another closely watched case is a suit filed by three Muslim American men who alleged they were placed on the no-fly list for refusing requests by FBI agents to be informants against their religious community. The CLEAR Project at the City University of New York School of Law and the Center for Constitutional Rights, which represent the men, say their clients immigrated legally to the United States and have never posed a threat to aviation security.

Four days before scheduled arguments on the government's motion to dismiss some of the claims in Tanzin vs. Tanvir, the men were taken off the list but continued to pursue damages. The FBI appealed to the Supreme Court after the 2nd U.S. Circuit Court of Appeals ruled that the men could seek "appropriate relief" from the government under the Religious Freedom Restoration Act.

The question to be decided is whether suits seeking money damages against individual federal employees for violations of the act's substantive protections of religious belief is an available remedy.

The men's lawyers say in a brief that Congress sought to create a broad protection of religious exercise in RFRA, which was enacted with bipartisan support in 1993, and that the 2nd Circuit's ruling is correct.

Mary Bauer, legal director of Muslim Advocates, a civil rights group, agrees.

"In many cases, it is not possible to seek injunctive relief, and money damages are the only measure that exists for plaintiffs to obtain a semblance of justice," Bauer said in a statement. "Depriving plaintiffs of the ability to seek damages undermines religious freedom by depriving plaintiffs of a meaningful remedy in many cases."

Claims for nominal damages

Religious liberty groups are following another damages case, Uzuegbunam vs. Preczewski, which stems from an effort by Georgia Gwinnett College student Chike Uzuegbunam to share his Christian faith on the Lawrenceville campus.

Uzuegbunam was distributing religious literature and holding one-on-one conversations about his faith when college police told him he had to get advance permission to use one of two speech zones on campus to continue. He stationed himself in one of those spaces - which covered 0.0015 percent of the campus (a tiny space like a piece of paper on a football field, according to Bursch, of Alliance Defending Freedom, which represents Uzuegbunam) - but was stopped from speaking again.

This time, police told him that someone had complained and that the college's speech code defined as "disorderly conduct"" anything that makes another person feel uncomfortable, the suit says. Another student, Joseph Bradford, self-censored after learning what had happened.

After the run-ins, Uzuegbunam, who has since graduated, and Bradford, who no longer attends the college, stopped trying to share their faith. Alliance Defending Freedom attorneys filed suit on behalf of Uzuegbunam challenging the speech code and speech zone policies and seeking nominal damages. Bradford later joined the suit.

The college responded that Uzuegbunam's speech rose to the level of "fighting words" and asked that the suit be dismissed. The college later eliminated the speech code and revised the speech zone. A trial court judge ruled that Uzuegbunam's graduation mooted his claims, while the policy changes mooted the claims brought by Bradford, who was then still enrolled.

The judge dismissed the case, which ended up at the Supreme Court after the 11th Circuit affirmed the dismissal. The question before the high court is whether a government's change of an unconstitutional policy moots nominal damages claims for past violation of a plaintiff's constitutional rights.

Bursch said a declaration that rights were violated and a nominal damages award puts officials on notice that the policies were unconstitutional and protect constitutional rights.

Becket Law, which submitted a friend-of-the-court brief in the case, said in a news release that the case is part of a trend of governments revising their policies when sued for unconstitutional behavior and then arguing that the court should never rule on whether they violated anyone's rights.

"Governments that violate individuals' rights shouldn't get away with it on a technicality," said Adele Keim, counsel at Becket.

Requests for review

Cases with religious liberty implications that the Supreme Court has been asked to review include Dalberiste vs. GLE Associates and Small vs. Memphis Light, Gas & Water, which center on requests by employees for religious accommodations to observe the Sabbath.

Also pending is a petition for review of Bruni vs. City of Pittsburgh, which was brought by anti-abortion sidewalk counselors who object to a buffer zone outside the entrances of clinics and hospitals where they are not allowed to speak.

In Dignity Health vs. Minton, a hospital in California is asking the justices to bar state lawsuits seeking to compel it to perform procedures that are contrary to the Catholic faith, in this case, an elective hysterectomy.

The justices' decisions on whether to hear these matters are pending.

Shackelford believes a case involving the rights of churches during the coronavirus pandemic will eventually come before the justices.

"The court hasn't taken one yet," he said. "They're working their way up and one will be taken in the near future."