Month: November 2024

2024-11-19T12:35:00

(BPT) – In an era of rapid technological advancement and evolving educational needs, teachers across the country are turning to open educational resources (OER) to transform their classrooms. These freely accessible, openly licensed materials are reshaping the landscape of education, offering a host of benefits that empower educators and engage students like never before.

In the K-12 landscape across the U.S., OER — which are free to use, customize, and share — have been growing in popularity over the past several years and have been adopted across many states around the country. In fact, a recent report by research organization Bay View Analytics found that awareness of OER among K-12 educators is at an all-time high (32%) — up 4% from last year — and 30% of teachers report using OER in their classrooms.

“We’ve seen a meaningful increase in awareness and use of open educational resources among K-12 educators over the years,” said Julia Seaman, director of research at Bay View Analytics. “In our view, OER usage is continuing to trend upwards.”

Five reasons why teachers are integrating OER into their teaching:

1. Free and Accessible

With shrinking budgets and rising textbook prices, OER provide a much-needed financial reprieve. Educators can adopt entire open textbooks, or they can modify, rearrange or mix and match desired materials to suit the educational goals and objectives of their classroom and district with well-developed content that’s highly engaging and easily accessible to their students.

“Michigan had the goal of developing an OER repository with enough quality resources so that any teacher at any point in the school year can come and find something to use the next day in class,” says Gina Loveless, Education Technology Manager with the Michigan Department of Education.

2. Customizable Content

Unlike traditional textbooks, OER allow teachers to tailor content to their students’ needs. “One of the things educators appreciate about OER is the ability to tailor the materials to meet the unique needs of their students,” said Rebecca M. Henderson, Ed.D., Student Services Administrator at Westmoreland Intermediate Unit in Pennsylvania. “With OER, teachers have the flexibility to use the resources as-is or modify them to create more engaging, personalized learning experiences for their classrooms.”

3. Collaborative Teaching and Learning

OER and the community around them foster a spirit of collaboration among educators. Because of the open nature and lack of copyright restrictions with OER, educators can share resources, exchange ideas, and build upon others’ work. The GoOpen National Network is one community of educators that collaborate on using OER to transform teaching practices and student learning.

4. Up-to-Date and Relevant Material

In rapidly evolving fields, the use of OER helps ensure that students have access to the most current information. “We truly value incorporating current, relevant materials that make learning more meaningful, while helping students develop essential 21st-century skills such as digital literacy, collaboration, and critical thinking,” said Amber Hoye, Co-Director of The Pathways Project, an OER network of educators and students.

Providers of OER, such as OpenStax, and OER libraries, such as OER Commons, contain a wealth of customizable resources that easily allow teachers to incorporate real-world examples and relevant updates into curriculum.

5. Enhanced Student Engagement

The interactive and multimedia nature of many OER materials captivates students in ways traditional textbooks cannot. “We know K-12 teachers need to find digital material that is adaptable, flexible, and engaging,” shared Kelly Arispe, Co-Director of The Pathways Project. “Open educational resources come in a lot of different forms, including activities that teachers can integrate into their curriculum to differentiate to students’ needs. With OER, our students see themselves better reflected in their learning materials and can learn at their own pace. Many of the activities we create allow students to practice as many times as they need, which is really important for skill mastery.”

As the educational landscape continues to evolve, using and creating OER is a powerful way for educators to create dynamic, personalized learning experiences. By embracing these resources, teachers are not only adapting to the changing needs of their students but are also playing a crucial role in shaping the future of education.

Educators can explore open educational resources to use in their classrooms by using the digital public library OER Commons, managed by ISKME (Institute for the Study of Knowledge Management in Education), and check out the Knowledge Is Meant to Be Shared YouTube channel to learn more about OER.

2024-11-19T08:01:00

(BPT) – Sponsored by Pfizer

‘Tis the season when work and school are in full swing, the holidays are fast approaching — and all kinds of germs are invading your indoor get-togethers.¹ It’s easy to put your health on the back burner, but nobody wants to have their busy schedules — or the holiday cheer! — disrupted by illness this time of year.

Keeping a checklist of handy to-dos can help prevent your health from slipping to the bottom of your priorities and allow you to create a “no-brainer” family wellness routine.

Make healthy habits routine

Establishing regular sleeping and waking times, starting the day with a balanced, protein-rich breakfast, ensuring everyone has a water bottle to stay hydrated throughout the day — these are all habits you can easily incorporate into your family’s daily schedule.^2-4

Make your own list based on these ideas, tailoring it to your family’s health needs and priorities. Keep it short and easy to understand, then post in a prominent place like your family digital calendar or fridge door as a helpful reminder.

Find ways to stay active

Get creative when it’s cold outside. You could hold family move-and-groove dance parties or explore indoor activity centers or community gyms nearby to keep your family moving. Consider turning an area of your home into a fitness station or active game zone.

When it’s not too frigid outside, bundle up and enjoy a nature walk together, or rediscover fall and winter sports — like snow tubing, skiing, skating, and more.

Take simple steps to help prevent illness

While you can’t avoid every respiratory virus that might be making its way around school or work, you can take steps to help keep them at bay. According to the U.S. Centers for Disease Control and Prevention (CDC), regular handwashing is one easy way to help cut down on the spread of viruses.⁵ The CDC also recommends staying home when you’re not feeling well or until your symptoms have improved and you no longer have a fever.⁶ You may want to encourage others to do the same, and put off get-togethers when someone in your group is feeling sick.⁶

This is also the perfect time to catch up on your family’s annual wellness visits. Ask your doctor about any vaccination that can help protect you from viruses like the flu and COVID-19 which can become severe if you’re infected, especially during the peak season for respiratory illnesses.^7-9

Why wait? Get treatment when you’re sick

If you start to feel sick and are stuck with a bad cough, fever, or body aches, don’t wait to contact your doctor — it could be COVID-19. There are factors that the CDC identifies as putting someone at high risk of getting very sick, so if COVID-19 strikes, act fast!¹⁰ Even mild symptoms can quickly become severe, which is why it’s important not to “wait it out.”¹¹

If you or a loved one are at high risk and start to notice symptoms or test positive, know that there are treatment options available and go ask your doctor if prescription medicine for COVID-19 may be right for you. Again, urgency is important as treatment needs to be started within days of getting sick.¹²

Don’t have a doctor? You can book an appointment to connect with one through a telehealth service of your choice. Book here and learn more at COVIDKnowAndGo.com.

While the holidays can get extraordinarily hectic, prioritizing your health with this checklist can help you and your family make the most of whatever the season brings.

© Pfizer Inc. All rights reserved. PP-C1D-USA-0992. November 2024.

Sources:

1. Centers for Disease Control and Prevention. COVID-19 can surge throughout the year.
2. National Institutes of Health. Good Sleep for Good Health.
3. Johns Hopkins Medicine. Healthy Breakfasts.
4. National Institutes of Health. Hydrating for Health.
5. Centers for Disease Control and Prevention. About Handwashing.
6. Centers for Disease Control and Prevention. Preventing Spread of Respiratory Viruses When You’re Sick.
7. Centers for Disease Control and Prevention. Benefits of the Flu Vaccine.
8. Centers for Disease Control and Prevention. Benefits of Getting Vaccinated.
9. Centers for Disease Control and Prevention. Immunizations for Respiratory Viruses Prevention.
10. Centers for Disease Control and Prevention. People with Certain Medical Conditions and COVID-19 Risk Factors.
11. Centers for Disease Control and Prevention. Symptoms of COVID-19.
12. Centers for Disease Control and Prevention. If You Get Sick with COVID-19, Antiviral Treatments Can Protect You Against Severe Illness.

2024-11-19T06:31:00

(BPT) – What do you enjoy most during the Holly Days? If you answered “festive eats” you’re not alone! Food brings people together and adds good cheer all around when you get to spend extra time with those near and dear.

For any holiday gathering large or small, be ready to amp up the fun — and flavor — with quick and easy appetizers you can whip up in no time at all. Using short-cuts from ready-made products like those from Farm Rich and a few creative add-ons, you’ve got an array of holiday apps ready for hungry kids, unexpected guests, holiday movie nights, late-night gift wrap marathons and more.

Here are 7 tasty ideas to get you started.

1. All about that dip

You can make any appetizer the star of the table with the right dips. Try jazzing up your Farm Rich favorites with this roasted jalapeno ranch recipe from TheTableofSpice cookbook author Sweta Patel. Her creamy dip adds a festive touch to popular eats like Buffalo Style Boneless Chicken Bites, Loaded Potato Skins and Jalapeno Peppers.

2. Kids’ fave

Need a super-easy holiday snack the kids will gobble up? These new Pepperoni Pizza Roll-Ups are easy for little hands to hold, and you can make as many as you need (since grown-ups will probably want to sneak a couple, too!). They might even make a savory snack for Santa. Now available at Walmart stores nationwide.

3. Perfect party finger foods

Did somebody say, “spinach artichoke dip?” For a more adult taste, try these new Spinach Artichoke Dip Bites, filled with a creamy blend of spinach and artichokes, mozzarella, cream cheese and Parmesan. Stock up for a quick holiday app to break out when guests stop by or bring to your next holiday party. (Be sure to pick up an extra carton or two just for yourself!)

4. That’s Italian!

Chef and cookbook author @TaraTeaspoon created this heartwarming meal, Italian Meatball Risoni, featuring frozen Italian Style Meatballs. “For this dish, I used Risoni, also known as orzo, and simmered it in a hearty tomato sauce with crisped pancetta, which turned into a delightful red pasta pilaf! The orzo pasta makes the perfect base for the meatballs and a super easy holiday dinner the whole family will love,” Tara explains.

5. Slow cooker deliciousness

Need another holiday meatball idea? These Pomegranate Glazed Meatballs are easy and elegant! Prepare in a slow cooker early in the day while you head to work or run errands and they’ll be ready to devour by evening.

6. Lights, camera, snack time!

“It’s a beaut, Clark!” Host a family holiday movie night and fill your table with a variety of holiday snacks and sweets. Feed everyone’s appetites while watching your favorite flick with a snack board loaded with tasty fun like Mozzarella Sticks, Potato Skins and Jalapeno Peppers, along with crackers, fruit, veggies and dips. Check out this inspo from influencer Gee Collins of TheGeeLife.

7. Holiday brunching

Forget the milk n’ cookies, make Santa this drool-worthy chocolate hazelnut board, a delectable idea from Nicole Sharmaine featuring French Toast Sticks. Add strawberries, peppermint, marshmallows and more for extra color and sweetness. A spread like this will also provide an extra incentive for little elves to help out on a marathon gift-wrapping day. Want another dish to dress up your brunch spread? Make Pumpkin Pie Bread Pudding as a breakfast casserole — it’s super easy to assemble the night before and heat up in the morning.

The holidays are already some of the busiest days of the year, so take it easy on yourself. Plan your food options early, stock up on Farm Rich, make fun recipes ahead of time and you’ll be ready for a delightful “Appy Holiday!” Check out more festive tips and recipes at FarmRich.com.

2024-11-19T08:01:00

(BPT) – Creating lunches for your kids every day can be challenging, but as the holiday season approaches, life can get even more hectic, making this daily task seem daunting. While the holiday season is a stressful and busy time of year, it’s still possible to assemble balanced, nutritious lunches your kids will eat — and actually enjoy.

What’s the key? Thinking of lunches as a group of easy-to-fix, easy-to-eat snack foods. The popularity of snack foods for kids’ lunches is growing because they are often completely eaten, and they can be a huge time saver during a busy season when parents need easy solutions.

Why snack lunches work

The appeal of snacks to fill your kids’ lunchboxes is understandable — you can quickly reach for an assortment of packable items, and easily arrange them in bento box-style reusable containers. Kids love them because they’re fun to eat, it’s easy for them to see what their options are, and those snack-type items are often the first things in the lunchbox they reach for.

How to turn snacks into a full, balanced meal

The key to making snacks into lunch is thinking outside your typical idea of “snacks,” which may conjure images of items with zero nutritional value and perhaps too much sugar, salt and preservatives. Instead, think of snacks simply as finger foods that can contain the right mix of nutrients and energy your kids need to fuel their busy days.

Here’s a quick guide of the food groups to include in your children’s snack lunches:

Whole grains/starches: Think beyond bread to include pita, flatbread, crackers, naan and bagels.

Protein-rich foods: Choose from meat sticks, string cheese, hard-boiled eggs and more.

Fruits: Consider fruits like berries that are easy to pack and eat, mandarin oranges/small tangerines or dried fruits.

Vegetables: Opt for options like baby carrots, broccoli florets and colorful bell pepper slices.

You can also find tasty and wholesome snack options that straddle more than one food group, like Nature’s Bakery bars, which combine whole grains and real fruit in their plant-based, nut-free, dairy-free, and Non-GMO certified snack bars. Kids — and parents — will love these soft-baked, tasty bars that are easy to pack in a lunch or to stow in your purse, briefcase, gym bag or glove compartment for a delicious snack option, any time. Their family-favorite Fig Bars are available in Original Fig, Blueberry, Raspberry, Strawberry, Apple Cinnamon and more — including gluten-free varieties.

“Nature’s Bakery bars are ideal for kids’ lunchboxes and your snack pantry,” said Registered Dietitian Sarah Remmer. “And you can rest assured knowing that their ingredients are plant-based, dairy-free and nut-free, making them wholesome and school-friendly for any child’s lunch kit.”

Snack lunch creation inspiration

Keep lunches interesting and varied by organizing your ingredients around a theme, and your kids will soon be eager to check out their lunchboxes each day just to see what tasty options await them. Here are three ideas to get you started:

1. Charcuterie boards aren’t just for grownups anymore

Create a kid-friendly charcuterie experience by compiling choices like tasty crackers, meats, cheeses, cucumber rounds, nut-free trail mix, Nature’s Bakery bars, chia pudding and berries.

Want to make a fully plant-based board? Opt for smoked tofu, tempeh strips, plant-based cheese, hummus, a variety of Nature’s Bakery snack bars, roasted chickpeas or edamame.

2. Travel to the Mediterranean

Invite conversations about global travel and cultures with a trip to the Mediterranean. You can combine options like mini naan bread, hummus, mini caprese salad skewers, a Nature’s Bakery Blueberry Fig Bar, fruit and dried chickpeas.

3. Fun finger food favorites

Choose easy-to-eat selections that you know your kids love, including things like edamame beans, seed butter and banana roll-ups, string cheese, a Nature’s Bakery bar plus mini carrots.

Balanced, snack-based lunches are a great way to navigate the holiday season’s busy schedule while keeping your kids nourished and satisfied. With a little creativity and the right ingredients, snack lunches can become your go-to lunchtime and snack time solution your kids (and you) will love.

2024-11-18T14:57:00

(BPT) – During National Diabetes Month, Elanco is raising awareness about an often-overlooked disease — feline diabetes. With approximately 600,000 cats in the U.S. diagnosed with diabetes in their lifetime, and cases on the rise, Bexacat™ (bexagliflozin tablets), an innovative treatment, is changing the landscape of feline diabetes care.^[1],[2]

Feline diabetes occurs when a cat’s body is unable to regulate sugar (glucose) in their blood due to insulin resistance and/or insulin deficiency. Glucose is an important fuel source for cells in the body and insulin (a hormone from the pancreas) is responsible for driving glucose into the cells to be utilized for energy. Without insulin, glucose is unable to enter cells, and the body is forced to use fat and muscle for energy to avoid starvation despite increasingly high blood glucose levels. Over time, this cycle of “starvation amidst plenty” leads to weight loss despite an excessive appetite, increased thirst and urination, lethargy, and a life-threatening buildup of acids in the blood from excessive fat breakdown called ketoacidosis. Unfortunately, feline diabetes is a chronic illness that requires lifelong medical care and owner education to prevent complications and ensure a good quality of life.

For pet owners, receiving a feline diabetes diagnosis can feel scary and overwhelming. They face the fear of the unknown and may worry about lifestyle changes and the complicated nature of traditional therapy. Over 90% of cat owners say they know their cat best; however, many are unfamiliar with symptoms of feline diabetes.^[3] Recognizing the signs early can lead to timely veterinary care and better outcomes for cats.

Symptoms of Feline Diabetes

Research shows 125,000 cats go untreated when it comes to feline diabetes, making them susceptible to weight loss, loss of appetite, vomiting, dehydration, severe depression, problems with motor functions, coma, and even death.^[4] Diagnosis is the first step toward managing the condition. A simple way to remember the signs of feline diabetes is to think M.E.O.W:

• M: More drinking and urinating
• E: Excessive appetite
• O: Overweight
• W: Weight loss that occurs suddenly

Providing care for your cat doesn’t need to be overwhelming, and feline diabetes doesn’t have to prevent your cat from thriving in a happy home. It’s important to recognize the signs of feline diabetes early and start a conversation with your veterinarian. Feline diabetes has lasting impacts on overall cat health and when untreated, can impact a cat’s weight, ability to play, and overall mobility. Detection and treatment will help cats, and their pet parents, get back to their regular, healthier lives.

Bexacat: A Breakthrough Treatment for Diabetes in Cats

For owners, getting a diagnosis of diabetes can be devastating. In fact, one study found that one in ten pets are euthanized after being given this diagnosis.^[2] Diabetes has historically been treated with once to twice daily treatments of insulin, which is given as an injection under the skin. Luckily, there is an alternative — Bexacat™ (bexagliflozin tablets), the first and only non-insulin oral tablet specifically designed to treat feline diabetes in otherwise healthy cats not previously treated with insulin. This prescription product is an easy-to-give flavored tablet that helps manage your cat’s diabetes.

During National Diabetes Month, and every month, think M.E.O.W. If your cat is showing signs of diabetes, schedule a visit with your veterinarian today. With proper management, cats with diabetes can live longer, healthier lives.

To learn more about Bexacat, visit yourpetandyou.com.

2024-11-18T07:01:00

(BPT) – Your health plan plays a big role in keeping you healthy as you age. It can support key parts of healthy aging, like preventive care, taking prescribed medications, regular exercise and staying socially active. Medicare Advantage plans, for example, offer a more complete approach to health and wellness, helping you manage these important areas of your life. Choosing the right Medicare Advantage plan is important during this year’s Annual Enrollment Period (AEP), when Medicare-eligible people can sign up or make changes to their coverage.

Dr. Ali Khan, chief medical officer for Aetna^® Medicare, is a practicing board-certified internist who sees primarily Medicare patients and discusses these aspects of healthy aging with them nearly every day. To help people understand how these plans support healthy aging, Dr. Khan shares four key tips:

1. Focus on preventive care

Getting regular checkups and screenings from your doctor can help catch health problems early, which can stop them from becoming more serious. It’s important to review your Medicare Advantage plan as many cover various health screenings, such as colonoscopies and mammograms, at no additional cost.

Don’t forget about the importance of regular dental, vision and hearing care, too. Many Medicare Advantage plans also include dental, vision and hearing benefits. Poor oral health can harm other parts of the body as you age, which can lead to heart disease, stroke and certain cancers. It can also reduce your quality of life and impact your overall health. Poor vision or hearing can sometimes point to bigger health conditions such as dementia.

You might not even have to leave your own home for some preventive care. Some Medicare Advantage plans offer an annual Healthy Home Visit from a licensed clinician with Signify Health^®. During these visits, a clinician can assess your health and check your home for fall risks and social support needs, helping to keep you safe and healthy. After the visit, the clinician will share a summary report with your doctor and help coordinate any care needs.

An Aetna Medicare Advantage plan member shared feedback related to their preventive care experience: “I believe Aetna’s focus on health care versus sick care is a better way to go. They understand that maintaining a person’s health is better than trying to get them healthy after they’re sick.”

2. Stay physically active

Regular physical exercise is a big part of healthy aging. Not only does it help keep muscles and bones strong, but it also helps improve heart health and lowers the risk of chronic conditions. Medicare Advantage plans can also provide benefits related to exercise, such as offering a SilverSneakers^® basic fitness membership. Many older adults experience social isolation or loneliness, so signing up for group fitness classes also helps to stay socially connected.

3. Take medications as prescribed

It’s important to follow your doctor’s instructions when taking medications. Life’s demands can make it easy to forget to take medications. However, setting up a daily routine can help you remember to take them, such as taking your medicine at the same time every day or pairing it with a task like brushing your teeth. Pill organizers can also help ensure you take the right dose at the right time.

4. Prevent falls

The Centers for Disease Control and Prevention (CDC) says falls are the leading cause of injury for adults ages 65 years and older and over 14 million older adults report falling every year. To prevent falls, stay active to help maintain balance, get your vision and hearing checked regularly, and remove hazards like loose rugs from your home.

Some Medicare Advantage plans offer home health assessments to identify risks, and they may cover vision and hearing tests that can increase awareness of the surrounding environment.

This is an important time of year to be thinking about your health plan and what health benefits matter most to your overall health and wellness. The Medicare Annual Enrollment Period is already underway and runs through December 7. People who are eligible can sign up for Medicare or switch plans during this time. To learn more about 2025 Aetna Medicare plans, call Aetna at 1-844-588-0041 (TTY: 711), 7 days a week, 8 AM to 8 PM. A licensed agent may answer your call. Or visit AetnaMedicare.com. Aetna and Signify Health are part of the CVS Health^® family of companies.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

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2024-11-18T08:01:00

(BPT) – Few experiences compare to the excitement of finding out you are pregnant and the anticipation of your growing family. Along with natural concerns about the childbirth process and health of your child, you have many other questions and curiosities. What will your baby be like? Will your child resemble one parent or the other? How will they act, smile, learn and grow? And one of the most intriguing questions: Will your baby be a boy or a girl?

The unknowns you face as a parent can feel overwhelming, so wouldn’t it be great to have at least one of these questions answered sooner? According to a survey commissioned by Myriad Genetics, 82% of parents want to know the gender of their baby in advance, and of those parents who did find out ahead of time, almost all of them (94%) said they would do it again.¹

Answering the age-old question

For generations, there were many tales about how to determine your baby’s gender, including the shape and position of the mother’s “baby bump,” which were not very scientifically accurate. While these tales still hold popularity, many parents seek out more verifiable ways of determining their baby’s gender, like an ultrasound, which typically does not happen until 20 weeks into pregnancy.

While 70% of survey respondents believed you could get an accurate gender result via ultrasound as early as 11-20 weeks into pregnancy,¹ the reality is that the accuracy of gender determination by ultrasound is just over 70% at 11 weeks. The second-most commonly cited method of determining gender by expectant parents is noninvasive prenatal screening, which is offered at 10 weeks or later to detect risk for certain genetic conditions.

Early answers

Thanks to modern science, it’s possible to learn if your new bundle of joy is a male or female as early as six weeks — from the comfort of your own home. The SneakPeek^® At-Home Gender Test uses an innovative DNA-based method to detect fetal sex as early as six weeks with clinically proven over 99% accuracy.²

The only six-week gender test used by more than one million parents, the SneakPeek test requires the collection of a simple, at-home blood sample, which is then analyzed in a lab to detect whether male chromosomes are present or not. If they are present, the baby is predicted to be a boy, and if not, the baby is predicted to be a girl. SneakPeek is also the number one OBGYN-recommended gender test.³

The benefits of knowing early

Why are so many expectant parents eager to know their baby’s gender as soon as possible? Here are the top seven reasons according to survey respondents:

1. Preparedness: You can feel more ready for your baby’s arrival, including decorating their room or nursery, planning a baby shower, buying their clothing and more.

2. Naming: Face it, deciding on a baby’s name is hard! You’ll have a few more weeks to find the perfect fit.

3. Satisfy curiosity and impatience: Nine months is a long time, so why wait if you don’t have to?

4. Bonding with the baby: With more information, it’s easier to imagine your life with your new child and strengthen that early sense of connection.

5. Reducing the number of unknowns: Welcoming a new child can be stressful, and fewer unknowns can help you feel more confident and secure as you go through your pregnancy journey.

6. Celebrating with friends and family: Knowing earlier gives parents the power to plan and decide when to share the your news with everyone.

Whatever your reasons for wanting to know your baby’s gender sooner, you’re not alone. Now expectant parents can enjoy getting to know their newest family member earlier than ever before.

For a “sneak peek” into the future of your family, visit SneakPeekTest.com, or find the test at your local drugstore or retailer.

Survey Methodology: Myriad Genetics SneakPeek Survey was conducted online by Padilla Newsmaker January 2024 among a statistically representative sample (n=1,000) of U.S. women between the ages of 21-45 who intended to get pregnant, are pregnant or have been pregnant.

¹ ©2024 Padilla Newsmaker Online Survey, January 2024, n=1,000.

² In a separated published study run in 2021, fetal sex was accurately determined in 100% of 134 pregnant women at 7 weeks gestational age. In a 2022 scientific study, SneakPeek accurately determined fetal sex for 100% of 103 women at 6 weeks gestational age.

³ SneakPeek recommended six to one among 100 OBGYNs surveyed.