Ascension health care system retracts nationwidebut not in Indy Indianapolis Business Journal – Indianapolis Business Journal

The six-story Women & Childrens Tower under construction on the hospitals West 86th Street campus will feature both private neonatal intensive care unit rooms and pediatric intensive care unit rooms. (IBJ photo/Eric Learned)

In the past five years, the nations largest Catholic health system, Ascension, has unloaded more than a dozen hospitals across the country, from New York to Alabama, as it restructures amid a growing tide of red ink.

In Indiana alone, it shut a critical-access hospital in Bedford, closed 11 immediate-care walk-in centers in central Indiana and shut down or repurposed five small neighborhood hospitals.

And theres no sign the sell-off is over.

Ascension continues selling spree, said a headline last month in Beckers Hospital Review, a trade news site, which added that the St. Louis-based system has more deals in the pipeline.

Ascension hastens exit out of Michigan, said a headline in Crains Detroit this month, after the health care system sold three hospitals in the northern part of the state to a large health system affiliated with the University of Michigan and set up a joint venture with another large system in the Detroit area.

Ascension, trying to dig itself out from a $3billion operating loss in fiscal year 2023, has not limited its sell-off to hospitals. It has also sold its interest in laboratory operations and a health insurance group.

So does Ascension plan to close or sell more Indiana assets?

In an unusual move for a national hospital system amid a major restructuring, Ascension disclosed part of its plans. It is not considering offloading or closing any more Indiana operations, an Ascension corporate spokeswoman told IBJ in an email.

The changes to our footprint in other parts of our national ministry are designed to ensure sustainable and favorable options for those communities, the email said. There are no plans to make any such changes to our Indiana ministry.

Several health care consultants said they would be shocked if Ascension sold a large number of properties in Indiana or exited the state altogether, as it has done elsewhere.

I wouldnt just be surprised. I would be totally aghast, said Ed Abel, retired director of health care practice at Indianapolis-based Blue & Co., an accounting and consulting firm. I would just say its never going to happen.

Thats because Indiana is one of the systems most profitable operations, delivering $192million in net income for the system for the fiscal year ending June 30, 2022, the most recent Indiana figures available. The same year, the system as a whole lost $879million from operations.

Translation: Indiana is a moneymaker for Ascension, helping it to fund a huge system that otherwise would be posting much larger losses.

So any further cost-cutting in Indiana would be relatively minor, some experts say.

In general, large health systems are constantly tweaking their portfolios, said David Blish, director of health care consulting for Katz Sapper & Miller, an Indianapolis-based accounting and consulting firm. I doubt Indiana Ascension will contract at a significant scale.

Ascension pointed to its flagship campus on West 86th Street, where construction continues on $325million worth of improvements, including a new brain and spine center, a new womens and childrens tower, and a new parking garage.

The company said the investments will help the companys operations here, known as Ascension St. Vincent Indiana, a premier destination for care in the Midwest.

Separately, Ascension St. Vincent this week issued invitations for a public celebration marking the 50th anniversary of the companys West 86th Street hospital. It said the event will take place 2-4 p.m. April 28 on top of the parking garage at the corner of Harcourt Drive and Katie Knox Drive.

The 50th anniversary of our 86th Street location gives us the opportunity to honor all of those who contributed to making the hospital what it is today as well as look forward to the future of health care, the invitation said.

The event will mark the 1974 move, when staff of St. Vincent and the U.S. Army Reserves transferred 102 patients from the hospitals Fall Creek campus (now part of Ivy Tech Community College) to a new campus on the northwest side of Indianapolis, which was then largely fields and forest.

Twenty-five years later, in 1999, Ascension bought St. Vincent for an undisclosed amount.

That marked the end of more than a century of independent ownership, since four nuns from the Daughters of Charity religious order arrived in Indianapolis in 1881 at the invitation of Catholic Bishop Francis Chatard and set up St. Vincent Infirmary in a house near Vermont and East streets.

Within a few years, the infirmary grew to 50 beds and changed its named to St. Vincent Hospital. It relocated twice before the move to West 86th Street. After decades of expansion, that campus now fills the better part of 20 square blocks between West 86th and West 79th streets.

Ascension said the six-story Women & Childrens Tower going up on the south side of the campus is designed to address the high level of maternal and infant mortality in Indianapolis. It will feature 109 private neonatal intensive care unit rooms along with an expanded pediatric intensive care unit. The tower is scheduled to be completed this year.

The four-story Brain and Spine Hospital is rising at the front of the campus and will include operating rooms, an intensive care unit, an intensive care step-down unit, and a residency training program. Ascension said it expects construction to be completed early next year.

The new projects, announced in 2021, represent one of the largest capital investments in decades for Ascension Indiana. It also gave the strong suggestion that the corporate parent was committed to the Indianapolis flagship, a major anchor on the busy West 86th Street commercial corridor.

So why is Ascension building here while unloading hospitals elsewhere and exiting some states altogether?

In many cases, the answer seems to be that Ascension is leaving where it cannot take advantage of a wide system of community hospitals in coordination with a top-tier hospital to handle complex cases.

In modern health care, hospital systems increasingly want a network of hospitals that can act as feeders for the major hospital in a large metropolitan area. And if they are a small player in a market that is dominated by a huge competitor, they have less chance to fill beds, negotiate favorable insurance plans and make money.

In Minnesota, the world-famous Mayo Clinic dominates the market with net patient revenue of $3.32billion in 2022far ahead of second place University of Minnesota Medical Center, which pulled in $1.68billion.

Who is ever going to beat the Mayo Clinic there? Abel said. Yes, theres a lot of competition up there. But theres a lot that have dropped out and said, Were never going to be as good as those guys.

Central Indiana has no single dominant player. Instead, there are four or five large players and a few dozen small players, mostly in the suburbs. And each system has a different claim to fame.

In the nine-county metropolitan area, Ascension St. Vincent has the most staffed beds, with 1,995, ahead of Indiana University Health (1,514), Community Health Network (1,124), Franciscan Health Network (563) and Eskenazi Health (333), according to IBJ research. (Those figures are from 2022, the most recent year available.)

Yet in the same year, Indiana University Health pulled in far more revenue across its statewide system, $8.1billion, than Ascension St. Vincent ($3.7billion) and Community Health ($3.1billion).

Statewide, Ascension owns 19 hospitals from Anderson to Brazil, including facilities in Carmel, Fishers, Indianapolis, Anderson and Kokomo.

In addition to being a large player, Ascension St. Vincent is performing well financially in central Indiana and has no reason to start offloading assets, Abel said.

Indiana is what I would call an aircraft carrier for Ascension, he said. They have a huge presence here, and theyre proud of it.

And Ascensions corporate leadership clearly has a soft spot for Indiana. The companys CEO, Joseph Impicciche, was raised in Crawfordsville and earned his bachelors at Wabash College. He went on to earn a law degree and a master of health administration degree from Indiana University. He practiced for more than a decade at Indianapolis law firm Hall Render Killian Heath & Lyman, which specializes in health care law.

Ascension declined to make Impicciche or any other senior leader available for an interview with IBJ.

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Ascension health care system retracts nationwidebut not in Indy Indianapolis Business Journal - Indianapolis Business Journal

Man had rare Covid infection that lasted 613 days, showed extensive mutations – South China Morning Post

Researchers from the Netherlands have reported an extremely long Covid-19 infection in a man who died last year and warn of the emergence of more dangerous variants of the coronavirus.

The elderly man, who was immunocompromised due to previous illnesses, was admitted to a hospital in Amsterdam in February 2022 with a Covid-19 infection, according to a statement.

He was continuously positive for the coronavirus until his death in October 2023 for a total of 613 days.

Other cases of very long infections in people whose immune systems were unable to adequately fight the virus have previously been reported.

01:29

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The researchers led by Magda Vergouwe from the University of Amsterdam plan to present the results at a congress of the European Society for Clinical Microbiology and Infectious Diseases in Barcelona on April 27-30.

The case is also interesting for researchers because the coronavirus can change particularly strongly in such long-term infected people. This harbours the risk of variants of the virus emerging that can more easily overcome the immune systems of healthy people.

The researchers in the Netherlands repeatedly took samples from the man to analyse the genetic material of the coronavirus. They found a total of more than 50 mutations compared to the Omicron variant BA.1 that was circulating at the time, including those that would allow the virus to evade the immune defence.

Just 21 days after the man had received a certain anti-coronavirus drug, the virus also developed signs of resistance to it.

German with comically large number of Covid jabs 217 had no side effects

The man eventually died from a flare-up of one of his previous illnesses. As far as is known, he had not infected anyone with his mutated version of the coronavirus, also known under its scientific name Sars-CoV-2.

This case highlights the risk of new immune-evasive Sars-CoV-2 variants emerging in immunocompromised patients, the researchers are quoted as saying in the press release.

The extensive development of the virus in a single patient could lead to the emergence of unique variants, they warn.

It is important to closely monitor the evolution of the coronavirus in immunocompromised individuals. There is a risk that variants could emerge and spread in society that are less susceptible to the immune systems of healthy people, they added

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Man had rare Covid infection that lasted 613 days, showed extensive mutations - South China Morning Post

Man dies after 613-day COVID-19 infection that underwent 50 mutations – Scripps News

A new reportby Dutch scientists revealed a very peculiar case: On Feb. 2022, a 72-year-old man with a compromised immune system was admitted to Amsterdam University Medical Center with aCOVID-19infection. The virus in his body proceeded to evolve over the course of 613 days, leading to a highly mutated variant that ultimately killed him.

According to the study, the man, whose identity was not disclosed, suffered from a blood disorder. Despite receiving multiple doses of the SARS-CoV-2 vaccine, his compromised immune system made him unable to generate a detectable antibody response, allowing the virus to continue to evolve into a "novel immune-evasive variant" that had mutated over 50 times. The man died from his underlying blood disorder after fighting COVID for nearly two years, the scientists from the University of Amsterdams Centre for Experimental and Molecular Medicine stated.

This case underscores the risk of persistent SARS-CoV-2 infections in immunocompromised individuals as unique SARS-CoV-2 viral variants may emerge due to extensive intra-host evolution," the study authors stated ina press release. "We emphasize the importance of continuing genomic surveillance of SARS-CoV-2 evolution in immunocompromised individuals with persistent infections given the potential public health threat of possibly introducing viral escape variants into the community.

While the study notes there have been cases in which people have tested positive for COVID-19 for hundreds of days, this case is the longest reported by far. Furthermore, researchers say the rare variant found in this patient hasn't been reported in anyone else, but emphasize the need for more study to protect the public from potential new variants.

The researchers say they plan to further present this study at the European Society of Clinical Microbiology and Infectious Diseases Global Congress in Barcelona, Spain, startingthis weekend.

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Man dies after 613-day COVID-19 infection that underwent 50 mutations - Scripps News

The Longest Case of COVID-19 Lasted 613 Days – Healthnews.com

For most, COVID-19 symptoms last for a few weeks before passing. New research from the Netherlands finds a patient suffered from the respiratory virus for nearly two years before his death.

A Dutch man with a poor immune system lived with a high-mutated novel variant of COVID-19 for 613 days, according to the University of Amsterdams Centre for Experimental and Molecular Medicine (CEMM). The case is known as the longest bout of COVID-19.

Healthy patients diagnosed with COVID-19 typically recover from mild cases of the virus within a few weeks. However, immunocompromised individuals may develop a persistent infection with increased adverse effects that can evolve such as the Omicron variant, which originated in a patient with a weakened immune system.

A European Society of Clinical Microbiology and Infectious Diseases release says the study led by Magda Vergouwe of the CEMM describes a male patient who was admitted to the Amsterdam University Medical Center in February 2022 due to COVID-19. He was infected with the Omicron SARS-CoV-2 variant BA.1.17.

The patient suffered from myelodysplastic and myeloproliferative overlap syndrome due to a stem cell transplant. In myelodysplastic diseases, immature blood cells in bone barrow do not mature and become healthy blood cells. Meanwhile, myeloproliferative diseases result in a total number of blood cells slow increasing.

This case underscores the risk of persistent SARS-CoV-2 infections in immunocompromised individuals as unique SARS-CoV-2 viral variants may emerge due to extensive intra-host evolution, study authors said. We emphasise the importance of continuing genomic surveillance of SARS-CoV-2 evolution in immunocompromised individuals with persistent infections given the potential public health threat of possibly introducing viral escape variants into the community.

The 72-year-old patient had previously received multiple COVID-19 vaccinations. He was treated with multiple antibody medications without any response and within 21 days, the man developed a mutation that resisted sotrovimab, one of the antibody medications. In the full genome sequencing of the virus that persisted for 613 days, researchers uncovered it had undergone 50 genetic code mutations.

The ESCMID Global release says study authors note there must be a balance between protecting the masses from new variants and providing care for these terminally ill patients. Also, scientists emphasize while there is an increased chance of novel variants in those with weakened immune systems, it is not the case for each patient.

The duration of SARS-CoV-2 infection in this described case is extreme, but prolonged infections in immunocompromised patients are much more common compared to the general community. Further work by our team includes describing a cohort of prolonged infections in immunocompromised patients from our hospital with infection durations varying between 1 month and 2 years.

The complete research of this unique COVID-19 case will be presented at the ESCMID Global Congress in Barcelona which runs from April 27-30.

The U.S. Centers for Disease Control and Prevention (CDC) updated its COVID-19 guidelines in March, no longer recommending isolation following a positive test. Those who are infected should wear a high-quality mask or respirator when around others, monitor symptoms, and contact a healthcare provider for possible treatments. The CDC reported 6,406 COVID-19 hospitalizations last week, a 13.8% drop.

However, COVID-19 can still be a threat to those with weak immune systems like the 72-year-old Dutch man. The CDC highlights those who are immunocompromised have lesser defenses against infections. Those six months and older who are moderately to severely immunocompromised are recommended to receive at least one dose of the updated 2023-24 COVID-19 vaccine.

The CDC says people with weakened immune symptoms may reach out to their healthcare provider for possible antiviral medications. Recovering from COVID-19 for immunocompromised patients may take longer than the normal few weeks

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The Longest Case of COVID-19 Lasted 613 Days - Healthnews.com

Toxic: How the search for the origins of COVID-19 turned politically poisonous – El Paso Inc.

BEIJING (AP) The hunt for the origins of COVID-19 has gone dark in China, the victim of political infighting after a series of stalled and thwarted attempts to find the source of the virus that killed millions and paralyzed the world for months.

The Chinese government froze meaningful domestic and international efforts to trace the virus from the first weeks of the outbreak, despite statements supporting open scientific inquiry, an Associated Press investigation found. That pattern continues to this day, with labs closed, collaborations shattered, foreign scientists forced out and Chinese researchers barred from leaving the country.

The investigation drew on thousands of pages of undisclosed emails and documents and dozens of interviews that showed the freeze began far earlier than previously known and involved political and scientific infighting in China as much as international finger-pointing.

As early as Jan. 6, 2020, health officials in Beijing closed the lab of a Chinese scientist who sequenced the virus and barred researchers from working with him.

Scientists warn the willful blindness over coronavirus origins leaves the world vulnerable to another outbreak, potentially undermining pandemic treaty talks coordinated by the World Health Organization set to culminate in May.

At the heart of the question is whether the virus jumped from an animal or came from a laboratory accident. A U.S. intelligence analysis says there is insufficient evidence to prove either theory, but the debate has further tainted relations between the U.S. and China.

Unlike in the U.S., there is virtually no public debate in China about whether the virus came from nature or from a lab leak. In fact, there is little public discussion at all about the source of the disease, first detected in the central city of Wuhan.

Crucial initial efforts were hampered by bureaucrats in Wuhan trying to avoid blame who misled the central government; the central government, which muzzled Chinese scientists and subjected visiting WHO officials to stage-managed tours; and the U.N. health agency itself, which may have compromised early opportunities to gather critical information in hopes that by placating China, scientists could gain more access, according to internal materials obtained by AP.

In a faxed statement, China's Foreign Ministry defended Chinas handling of research into the origins, saying the country is open and transparent, shared data and research, and made the greatest contribution to global origins research. The National Health Commission, China's top medical authority, said the country invested huge manpower, material and financial resources and has not stopped looking for the origins of the coronavirus.

It could have played out differently, as shown by the outbreak of SARS, a genetic relative of COVID-19, nearly 20 years ago. China initially hid infections then, but WHO complained swiftly and publicly. Ultimately, Beijing fired officials and made reforms. The U.N. agency soon found SARS likely jumped to humans from civet cats in southern China and international scientists later collaborated with their Chinese counterparts to pin down bats as SARS natural reservoir.

But different leaders of both China and WHO, Chinas quest for control of its researchers, and global tensions have all led to silence when it comes to searching for COVID-19s origins. Governments in Asia are pressuring scientists not to look for the virus for fear it could be traced inside their borders.

Even without those complications, experts say identifying how outbreaks begin is incredibly challenging and that its rare to know with certainty how some viruses begin spreading.

Its disturbing how quickly the search for the origins of (COVID-19) escalated into politics, said Mark Woolhouse, a University of Edinburgh outbreak expert. Now this question may never be definitively answered.

Secrecy clouds the beginning of the outbreak. Even the date when Chinese authorities first started searching for the origins is unclear.

The first publicly known search for the virus took place on Dec. 31, 2019, when Chinese Center for Disease Control scientists visited the Wuhan market where many early COVID-19 cases surfaced.

However, WHO officials heard of an earlier inspection of the market on Dec. 25, 2019, according to a recording of a confidential WHO meeting provided to AP by an attendee. Such a probe has never been mentioned publicly by either Chinese authorities or WHO.

In the recording, WHOs top animal virus expert, Peter Ben Embarek, mentioned the earlier date, describing it as an interesting detail. He told colleagues that officials were looking at what was on sale in the market, whether all the vendors have licenses (and) if there was any illegal (wildlife) trade happening in the market.

A colleague asked Ben Embarek, who is no longer with WHO, if that seemed unusual. He responded that it was not routine, and that the Chinese must have had some reason to investigate the market. Well try to figure out what happened and why they did that.

Ben Embarek declined to comment. Another WHO staffer at the Geneva meeting in late January 2020 confirmed Ben Embareks comments.

The Associated Press could not confirm the search independently. It remains a mystery if it took place, what inspectors discovered, or whether they sampled live animals that might point to how COVID-19 emerged.

A Dec. 25, 2019, inspection would have come when Wuhan authorities were aware of the mysterious disease. The day before, a local doctor sent a sample from an ill market vendor to get sequenced that turned out to contain COVID-19. Chatter about the unknown pneumonia was spreading in Wuhans medical circles, according to one doctor and a relative of another who declined to be identified, fearing repercussions.

A scientist in China when the outbreak occurred said they heard of a Dec. 25 inspection from collaborating virologists in the country. They declined to be named out of fear of retribution.

WHO said in an email that it was not aware of the Dec. 25 investigation. It is not included in the U.N. health agencys official COVID-19 timeline.

When health officials from Beijing arrived in Wuhan on Dec. 31, they decided to disinfect the market before collecting samples, destroying critical information about the virus. Gao Fu, head of the China CDC, mentioned it to an American collaborator.

His complaint when I met him was that all the animals were gone, said Columbia University epidemiologist Ian Lipkin.

Robert Garry, who studies viruses at Tulane University, said a Dec. 25 probe would be hugely significant, given what is known about the virus and its spread.

Being able to swab it directly from the animal itself would be pretty convincing and nobody would be arguing about the origins of COVID-19, he said.

But perhaps local officials simply feared for their jobs, with memories of firings after the 2003 SARS outbreak still vivid, said Ray Yip, the founding head of the U.S. Centers for Disease Control and Prevention outpost in China.

They were trying to save their skin, hide the evidence, Yip said.

The Wuhan government did not respond to a faxed request for comment.

Another early victim was Zhang Yongzhen, the first scientist to publish a sequence of the virus. A day after he wrote a memo urging health authorities to action, Chinas top health official ordered Zhangs lab closed.

They used their official power against me and our colleagues, Zhang wrote in an email provided to AP by Edward Holmes, an Australian virologist.

On Jan. 20, 2020, a WHO delegation arrived in Wuhan for a two-day mission. China did not approve a visit to the market, but they stopped by a China CDC lab to examine infection prevention and controlprocedures, according to an internal WHO travel report. WHOs then-China representative, Dr. Gauden Galea, told colleagues in a private meeting that inquiries about COVID-19s origins went unanswered.

There are a few cadres who have performed poorly, President Xi Jinping said in unusually harsh comments in February. Some dare not take responsibility, wait timidly for orders from above, and dont move without being pushed.

The government opened investigations into top health officials, according to two former and current China CDC staff and three others familiar with the matter. Health officials were encouraged to report colleagues who mishandled the outbreak to Communist Party disciplinary bodies, according to two of the people.

Some people both inside and outside China speculated about a laboratory leak. Those suspicious included right-wing American politicians, but also researchers close to WHO.

The focus turned to the Wuhan Institute of Virology, a high-level lab that experimented with some of the worlds most dangerous viruses.

In early February 2020, some of the Wests leading scientists, headed by Dr. Jeremy Farrar, then at Britains Wellcome Trust, and Dr. Anthony Fauci, then director of the U.S. National Institutes of Health, banded together to assess the origins of the virus in calls, a Slack channel and emails.

They drafted a paper suggesting a natural evolution, but even among themselves, they could not agree on the likeliest scenario. Some were alarmed by features they thought might indicate tinkering.

There have (been) suggestions that the virus escaped from the Wuhan lab, Holmes, the Australian virologist, who believed the virus originated in nature, wrote in a Feb. 7, 2020, email. I do a lot of work in China, and I can (assure) you that a lot of people there believe they are being lied to.

American scientists close to researchers at the Wuhan Institute of Virology warned counterparts there to prepare.

James DeLuc, head of a Texas lab, emailed his Wuhan colleague on Feb. 9, 2020, saying hed already been approached by U.S. officials. Clearly addressing this will be essential, with any kind of documentation you might have, he wrote.

The Chinese government was conducting its own secret investigation into the Wuhan Institute. Gao, the head of the China CDC, and another Chinese health expert revealed its existence in interviews months and years later. Both said the investigation found no evidence of wrongdoing, which Holmes, the Australian virologist, also heard from another contact in China. But Gao said even he hadn't seen further details, and some experts suspect they may never be released.

WHO started negotiations with China for a second visit with the virus origins in mind, but it was Chinas Foreign Ministry that decided the terms.

Scientists were sidelined and politicians took control. China refused a visa for Ben Embarek, then WHOs top animal virus expert. The itinerary dropped nearly all items linked to an origins search, according to draft agendas for the trip obtained by the AP. And Gao, the China CDC head who is also a respected scientist tasked with investigating the origins, was left off the schedule.

Instead, Liang Wannian, a politician in the Communist Party hierarchy, took charge of the international delegation. Liang is an epidemiologist close to top Chinese officials and China's Foreign Ministry who is widely seen as pushing the party line, not science-backed policies, according to nine people familiar with the situation who declined to be identified to speak on a sensitive subject.

Most of the WHO delegation was not allowed to go to Wuhan, which was under lockdown. The few who did learned little. They again had no access to the Wuhan Institute of Virology or the wildlife market and obtained only scant details about China CDC efforts to trace the coronavirus there.

On the train, Liang lobbied the visiting WHO scientists to praise Chinas health response in their public report. Dr. Bruce Aylward, a senior adviser to WHO Director-General Tedros Adhanom Ghebreyesus, saw it as the best way to meet Chinas need for a strong assessment of its response.

The new section was so flattering that colleagues emailed Aylward to suggest he dial it back a bit.

It is remarkable how much knowledge about a new virus has been gained in such a short time, read the final report, which was reviewed by Chinas top health official before it went to Tedros.

As criticism of China grew, the Chinese government deflected blame. Instead of firing health officials, they declared their virus response a success and closed investigations into the officials with few job losses.

There were no real reforms, because doing reforms means admitting fault, said a public health expert in contact with Chinese health officials who asked not to be identified because of the sensitivity of the matter.

In late February 2020, the internationally respected doctor Zhong Nanshan appeared at a news conference and said that the epidemic first appeared in China, but it did not necessarily originate in China.

Chinese officials told WHO that blood tests on lab workers at the Wuhan Institute of Virology were negative, suggesting they hadnt been previously infected with bat coronaviruses. But when WHO pressed for an independent audit, Chinese officials balked and demanded WHO investigate the U.S. and other countries as well.

By the time WHO led a third visit to Wuhan in January 2021, a year into the pandemic, the atmosphere was toxic.

Liang, the Chinese health official in charge of the first two WHO visits, continued to promote the questionable theory that the virus was shipped into China on frozen food. He suppressed information suggesting it could have come from animals at the Wuhan market, organizing market workers to tell WHO experts no live wildlife was sold and cutting recent photos of wildlife at the market from the final report. There was heavy political scrutiny, with numerous Chinese officials who werent scientists or health officers present at meetings.

Despite a lack of direct access, the WHO team concluded that a lab leak was extremely unlikely. So it came as an infuriating surprise to Chinese officials when, months later, WHO chief Tedros said all origins hypotheses, including the lab leak theory, remained on the table.

China told WHO any future missions to find COVID-19 origins should be elsewhere, according to a letter obtained by AP. Since then, global cooperation on the issue has ground to a halt; an independent group convened by WHO to investigate the origins of COVID-19 in 2021 has been stymied by the lack of cooperation from China and other issues.

Chinese scientists are still under heavy pressure, according to 10 researchers and healthofficials. Researchers who published papers on the coronavirus ran into trouble with Chinese authorities. Others were barred from travel abroad for conferences and WHO meetings. Gao, the China CDC director, was investigated after U.S. President Joe Biden ordered a review of COVID-19 data, and again after giving interviews on the virus origins.

New evidence is treated with suspicion. In March 2023, scientists announced that genetic material collected from the market showed raccoon dog DNA mixed with COVID-19 in early 2020, data that WHO said should have been publicly shared years before. The findings were posted, then removed by Chinese researchers with little explanation.

The head of the China CDC Institute of Viral Disease was forced to retire over the release of the market data, according to a former China CDC official who declined to be named to speak on a sensitive topic.

It has to do with the origins, so theyre still worried, the former official said. If you try and get to the bottom of it, what if it turns out to be from China?

Other scientists note that any animal from which the virus may have originally jumped has long since disappeared.

There was a chance for China to cooperate with WHO and do some animal sampling studies that might have answered the question, said Tulane Universitys Garry. The trail to find the source has now gone cold.

Cheng reported from Geneva.

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Toxic: How the search for the origins of COVID-19 turned politically poisonous - El Paso Inc.

SpaceX leads the crusade against the NLRB as its head calls major employers ‘lawbreakers’ – Fortune

In a galaxy not so far away, the National Labor Relations Board (NLRB) strikes back. The independent federal agency, which safeguards the rights of employees and investigates violations of the National Labor Relations Act, is taking on a legion of billion-dollar corporations.

SpaceX, Starbucks, Amazon, and Trader Joes have all taken swipes at the NLRB as of late. SpaceX has led the charge with an I know you are but what am I approach to allegations of union-busting by claiming the agency is unconstitutional.

Jennifer Abruzzo, acting general counsel of the NLRB as appointed by President Joe Biden, isnt standing down to these corporate entities, and called out their legal tactics during a panel hosted by the Roosevelt Institute last week.

A growing number of deep-pocket, low-road employers are jumping on the bandwagon, seeking preliminary injunctions in courts, solely to slow [us] down or prevent us from engaging in our enforcement actions against them because they have the money to do so, she said.

These legal tactics are distractions to divert attention away from the fact that they are actually lawbreakers who need to be held accountable in a timely manner, she added.

Abruzzo described a back-and-forth thats not unlike a David and Goliath story, if Goliath was simply trying to run out the clock and leave David high and dry.

The NLRB isnt deterred, though, despite limited resources and a deluge of unfair labor practice filings amid heightened strike activity. There is no way were going to succumb, Abruzzo said, adding that the board will continue to call out companies where it sees fiteven among challenges to its very existence.

The main challenger of the NLRB, SpaceX, began its campaign against the federal branch earlier this year. Just one day after the NLRB issued a complaint against the astronautics company on Jan. 3, SpaceX sued the board in the Southern District of Texas, asserting that the institutions structure was unconstitutional. A judge subsequently opened the SpaceX hearing in March, with a case expected to be heard starting in May.

Amazon, Starbucks and Trader Joes followed suit in the companys crusade against the almost 90-year-old institution, Abruzzo said Friday. These esoteric legal arguments came about, why? Because we dared to issue a complaint against SpaceX after it unlawfully fired eight workers for speaking up about their workplace concerns, she said.

SpaceXs pushback and suing of the organization seems much more an ideological debate than how most employers handle it, Matthew Bodie, a labor law professor at the University of Minnesota who was a previous field attorney at the NLRB, told Fortunes Jessica Mathews this past March. It just seems like more of a crusade, almost, than a rational economic response to litigation.

While SpaceX is leading the charge, other large employers have eagerly taken up the same argument. Trader Joes argued that the board, in its current form, shouldnt exist during a hearing in January over alleged unfair treatment of workers at its Hadley, Mass., storeits first in the nation to unionize.

The National Labor Relations Act as interpreted and/or applied in this matter, including but not limited to the structure and organization of the the National Labor Relations Act Board and the Agencys administrative law judges is unconstitutional, Trader Joes attorney, Christopher Murphy, said in January, according to a transcript first obtained by HuffPost.

Im certainly not going to be ruling on my own constitutionality anytime soon, quipped Administrative Law Judge Charles Muhl. Youll have to take that up with the Board and with the federal courts.

Trader Joesanother of the companies taking aim at the NLRBtold Fortune the company has not filed or joined any lawsuit that challenges the constitutionality of the NLRBs administrative law judge system or seeks to dismantle any aspect of the NLRB. It added that its statement during the January hearing was an affirmative defense, which was not an argument; it was an opportunity to preserve all of our legal rights under the law.

Amazon raised a similar argument in a case regarding the only Amazon warehouse to successfully unionize, in Staten Island, N.Y. Starbucks did the same in a post-hearing brief about some of its stores. Starbucks, however, has now distanced itself from Elon Musks raging brainchild. Starbucks has not joined a lawsuit against the NLRB questioning its constitutionality or initiated similar litigation against the NLRB, the company told Fortune, linking to a statement. As of March, the coffee conglomerate has 741 open or settled NLRB cases, according to the Economic Policy Institutealthough the coffee chain recently reversed itself and pledged to negotiate with its unionized workers.

Amazon did not respond to Fortunes request for comment.

Legalese aside, these major employers have been part of the ranks of companies answering charges of labor complaints by pointing the finger back at the NLRB. Whether or not they have called the NLRB unconstitutional or simply implied it, these employers are joining the Republican-backed charge against one of the only federal safeguards of workers rights.

But these corporate titans crusade isnt meeting meek soldiers. We are not going to stop despite these challenges, said Abruzzo, noting that the NLRB is the only federal agency guarding the rights of workers to unionize. During a time of workers discontent, billion-dollar companies are seemingly attempting to make one of the few checks to their power go broke.

It seems to me they would rather spend their money initiating court litigation rather than improving their workers lives and their own workplace operations, said Abruzzo. She added the main goal is to divert our scarce resources away from protecting workers rights to organize and to fight for recognition and respect for the value that they add to their employers operations. And that is not going to happen.

The NLRB isnt just twiddling its thumbs until it gets its day in court; rather, it appears to be fueled more than ever to tackle these companies and workplace violations.But Abruzzo conceded the companies efforts to draw attention to the NLRB are having an effect.

Frankly, that strategy is working, she said. Theres a lot of public reporting about the challenges as opposed to the law breaking.

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SpaceX leads the crusade against the NLRB as its head calls major employers 'lawbreakers' - Fortune

Can psychedelics treat people with a severe brain injury? – National Geographic

Ultimately, the logic driving these scientific initiatives is the correlation that exists between brain complexity and conscious level. But correlation is not causation, and its possible that the rise in complexity seen when under the influence of psychedelics is actually pointing to brain activity unrelated to growing conscious awareness, says Anil Seth, professor of computational neuroscience at the University of Sussex, and investigator on the 2017 study.

For example, it could be capturing the multi-sensorial richness of their experience during the trip, the random firing of neurons, or unwanted, reflexive bodily movements.

Theres many missing knowledge gaps, says Seth.

Still, the results led scientists to wonder: could psychedelics ability to boost complexity levels be used to awaken patients with disorders of consciousness?

For David, there was only one way to find out.

On August 25, 2023, exactly 336 days following Sarahs tragic accident, David, who is based in Colorado where psychedelic mushrooms are decriminalized, obtained a tincture of distilled liquid psilocybin. He had already given Sarah low and moderate doses of the drug over the course of several months and it had a remarkable" affect in her bodily movements.

This time, however, he would go all in, using the equivalent of 2.5 gramsa dose high enough to provoke a powerful psychedelic experience and which is often used in clinical trials for therapeutic purposes. At this dose, both Gosseries and Carhart-Harris said an awakening was theoretically possible.

The legalities of what David was about to do were unclear. Colorados decriminalization of certain psychedelics in 2022 means that psilocybin is easy to access and magic mushrooms can be grown and consumed. But whether David was crossing a line by giving Sarah the drug, when she could not consent, was not obvious.

David felt that if there was even a slim chance that psychedelics could awaken Sarah, he would take the risk.

Sarah sat in her wheelchair and wore a helmet-like headset with cables sprouting out of the back of her head, feeding into a laptop. The headset, a commercial-grade piece of equipment called a WAVi, measured the electrical activity from her brain and was going to be recorded and analyzed by Frank Palermo, medical director of the Colorado-based company, WAVi Co., which focuses on medical equipment manufacturing. Palermo also describes himself as a physiatrist specializing in neurorehabilitation, as he does in a video of him posted on Neurologic Life, a company that markets medical devices, including WAVi.

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Can psychedelics treat people with a severe brain injury? - National Geographic

Judicial watchdog wants metro Atlanta judge off the bench – The Atlanta Journal Constitution

Douglas Countys probate judge should be removed from office in response to a host of ethics charges, a panel of the Georgia Judicial Qualifications Commission has said in a report.

Christina Peterson, who became a probate judge in an uncontested November 2020 election, has been fighting the ethics charges since they were filed by the director of the states judicial watchdog in July 2021. At one point, Peterson faced 50 separate charges accusing her of violating the Georgia Code of Judicial Conduct, but 20 have been withdrawn or dismissed.

Peterson, a University of Georgia School of Law graduate who practiced as an attorney for several years before taking the bench, was accused of inappropriate social media posts, unnecessarily jailing and fining a woman who sought to amend her marriage license and letting wedding participants into Douglas Countys courthouse after hours without permission. She was also abusive toward a fellow judge and other county officials, obstructed access to public records and had improper contact with a litigant, among other things, the judicial commission alleged.

(Petersons) actions demonstrate a troubling pattern of ineptitude and misconduct, the panel wrote in a 54-page report Sunday. She is not fit to serve.

The Georgia Supreme Court will decide whether Peterson remains on the bench.

Petersons attorney, Lester Tate, said they reject the panels recommendation and look forward to arguing the case before the court.

Throughout the ethics case, Peterson has said that she has faced unfair criticism as the first Black probate judge in Douglas County. During a trial before the commission panel last year, Peterson admitted to making mistakes in her first year as a judge while learning the ropes and said she was trying to do better.

Peterson acknowledged that it was harsh of her to jail and fine the woman who sought, without an attorney, to amend her marriage license in 2021. She also expressed regret about sending an April 2021 email to David Emerson, who at the time was the chief judge of the Douglas County Superior Court, questioning his judicial authority and competency, records show.

The commission, which is tasked with investigating complaints of judicial misconduct, has twice sought Petersons suspension. Both requests were denied by the state Supreme Court.

In its report, the panel said Peterson had been disingenuous, if not outright dishonest, during the investigation process. It said her testimony during last years trial was untruthful and evasive.

This persistent unwillingness to apply to herself the rules that apply to everyone else is deeply troubling, the panel said. Moreover, she has demonstrated a steadfast unwillingness to accept moral accountability in nearly all the episodes of misconduct.

Given Petersons stance that the ethics case against her has been unfair, biased and intentionally obstructive to her career, no sanction less than removal from office will have a meaningful impact, the panel said.

(Petersons) actions in the courtroom and outside it demonstrate a consistent and persistent pattern of misconduct comprised of intemperance, judicial incompetence, and danger to the rights of litigants, it said. And so she must go.

Courtney Veal, the commission director who has led the ethics case against Peterson, said the panels report speaks for itself. Veal said she looks forward to a final ruling by the state Supreme Court.

Peterson and Veal have 20 days to file responses to the panels report. Its unclear when the court will make a decision.

Peterson has qualified for reelection this year as Douglas Countys probate judge. She is being challenged in the Democratic primary in May by Douglasville attorney Valerie Vie. No Republican candidates have qualified in the race.

After becoming a lawyer in 2013, Peterson worked at a private law firm then as a prosecutor in Douglas and Fulton counties, records show. She had no prior experience as a judge.

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Judicial watchdog wants metro Atlanta judge off the bench - The Atlanta Journal Constitution

Ranching of tomorrow: Smooth Ag bringing robotics to ranchers with autonomous Ranch Rover – Graham Leader

By automating the cattle feeding process the Graham-based company Smooth Ag is looking to bring the innovation of robotics to ranchers through its autonomous Ranch Rover vehicle.

The Ranch Rover was the creation of fourth-generation rancher River McTasney who had the agricultural lifestyle ingrained in his bones at a young age growing up on a 3,000-acre ranch while tending 120 head of cattle.

I went to school at Paint Creek High School, an agriculture community. Most of us kids there grew up working on our own stuff. We have a mechanical skill set from that lifestyle that really equips us with the problem solving skills that I think a lot of people from outside of the rural community may not quite get, McTasney said. ...So that problem solving skill set really helped with this later on down the road.

Following high school, McTasney attended Texas A&M University and graduated in 2018 with a degree in construction management. He worked for a year in College Station in sales for an HVAC company before deciding he wanted a break and moved back to his family ranch.

I was feeding cows and I was like, Theres got to be a better way to do this. ...Being one of the only able-bodied people on the ranch to do other stuff, there was other stuff I needed to get done instead of spending three hours a day in the feed pickup, he said. I started tinkering with different ideas and finally decided that a mobile platform, just like a feed pickup without the driver, was the best way to do it.

McTasney learned to code with the intention of making the dream of the Ranch Rover a reality. Over the next two years he built a conceptual machine on an old pickup truck frame and eventually moved up to the current prototype.

It has a 4,000-pound payload. Its GPS waypoint navigation fused with machine vision, so its completely autonomous. They have the ability to set routes and then with those routes set individual feed missions... and those are on a timer, he said. You can schedule them however you like, you can pick your feed locations (and) pick how much youre going to feed at each of those feed locations.

The rover has data-driven decision making which McTasney said can provide owners information for planning.

Theres a lot of data collection involved as well thats going to be extremely valuable. With computer vision its one of those things that is hard to see, but the way technological advancements are working out right now computer vision is getting amazing, he said. The type of data that were going to be able to directly feed back to the customer based off of that is actually going to be really insane. Its going to be very valuable. So thats just one of the perks of solving a problem directly is we get to put up those various sensors and cameras on this thing and kind of knock out two birds with one stone.

Around a year-and-half ago McTasney connected with representatives from Graham to see if they wanted to be involved with making the city a home base for the project. The site was also something McTasney wanted due to having land close.

We have land in Caddo as well... just East of Breckenridge. I wanted to stay around home because we do have obligations to the ranch. ...Graham is just a great community, too, he said. ...Whenever youre doing something like this, youre really grabbing everything you can to stay motivated and keep doing it and so you really want to be surrounded and supported by a community that believes in success, beliefs in new things. I think Graham did a really good job of displaying that and really got me roped in.

The company has a 4,000 square foot shop located on Rocky Mound Road in Graham and has expanded to a three-man team internally.

The company has $400,000 in the sales pipeline for orders and will be delivering its first vehicle to Oklahoma State University next week. The team has been busy showcasing the rover, most recently at the Texas and Southwestern Association Convention at the end of March.

The response has been incredible. We picked up three more customers there in one day. Thats without having any inventory, which is a really neat thing, he said. These guys know... its going to be a while there. They got about a six month lead time. So that in itself, getting people to sign a letter of intent saying that theyre going to buy one as we produce, thats... a very validated customer and a very convicted customer. So they believe in us, they really like what were doing. This is something they feel can be very useful and beneficial in their operation.

McTasney said the rover is tailoring to the actual needs of cattle ranches which is assisting with the labor shortage. While the company is focused on the Ranch Rover for pasture land for open range cow/calf operations, they plan to address another need with a feedlot machine within the next 18 months.

(Theres) a huge demand in feedlots. Thats a much bigger machine mechanically... so well focus on Ranch Rover, this pasture land model, to grow those sales numbers to continue to prove validation for investors, he said. Well move sometime in the next one-to-two years to building out a much larger machine built specifically for feedlots, which is going to be a real enterprise as this is new technology for them as well. And thats a huge labor burden, compared to the pasture land.

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Ranching of tomorrow: Smooth Ag bringing robotics to ranchers with autonomous Ranch Rover - Graham Leader

Universities build their own ChatGPT-like AI tools – Inside Higher Ed

When ChatGPT debuted in November 2022, Ravi Pendse knew fast action was needed. While the University of Michigan formed an advisory group to explore ChatGPTs impact on teaching and learning, Pendse, UMichs chief information officer, took it further.

Months later, before the fall 2023 semester, the university launched U-M GPT, a homebuilt generative AI tool that now boasts between 14,000 to 16,000 daily users.

A report is great, but if we could provide tools, that would be even better, Pendse said, noting that Michigan is very concerned about equity. U-M GPT is all free; we wanted to even the playing field.

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The University of Michigan is one of a small number of institutions that have created their own versions of ChatGPT for student and faculty use over the last year. Those include Harvard University, Washington University, the University of California, Irvine and UC San Diego. The effort goes beyond jumping on the artificial intelligence (AI) bandwagonfor the universities, its a way to overcome concerns about equity, privacy and intellectual property rights.

We need to talk about AI for good of course, but lets talk about not creating the next version of the digital divide.

Students can use OpenAIs ChatGPT and similar tools for everything from writing assistance to answering homework questions. The newest version of ChatGPT costs $20 per month, while older versions remain free. The newer models have more up-to-date information, which could give students who can afford it a leg up.

That fee, no matter how small, creates a gap unfair to students, said Tom Andriola, UC Irvines chief digital officer.

Do we think its right, in who we are as an organization, for some students to pay $20 a month to get access to the best [AI] models while others have access to lesser capabilities? Andriola said. Principally, it pushes us on an equity scale where AI has to be for all. We need to talk about AI for good of course, but lets talk about not creating the next version of the digital divide.

UC Irvine publicly announced their own AI chatbotdubbed ZotGPTon Monday. Deployed in various capacities since October 2023, it remains in testing and is only available to staff and faculty. The tool can help them with everything from creating class syllabi to writing code.

Offering their own version of ChatGPT allows faculty and staff to use the technology without the concerns that come with OpenAIs version, Andriola said.

When we saw generative AI, we said, We need to get people learning this as fast as possible, with as many people playing with this that we could, he said. [ZotGPT] lets people overcome privacy concerns, intellectual property concerns, and gives them an opportunity of, How can I use this to be a better version of myself tomorrow?

That issue of intellectual property has been a major concern and a driver behind universities creating their own AI tools. OpenAI has not been transparent in how it trains ChatGPT, leaving many worried about research and potential privacy violations.

Albert Lai, deputy faculty lead for digital transformation at Washington University, spearheaded the launch of WashU GPT last year.

WashUalong with UC Irvine and University of Michiganbuilt their tools using Microsofts Azure platform, which allows users to integrate the work into their institutions applications. The platform uses open source software available for free. In contrast, proprietary platforms like OpenAIs ChatGPT have an upfront fee.

A look at WashU GPT, a version of Washington Universitys own generative AI platform that promises more privacy and IP security than ChatGPT.

Provided/Washington University

There are some downsides when universities train their own models. Because a universitys GPT is based on the research, tests and lectures put in by an institution, it may not be as up-to-date as the commercial ChatGPT.

But thats a price we agreed to pay; we thought about privacy, versus what were willing to give up, Lai said. And we felt the value in maintaining privacy was higher in our community.

To ensure privacy is kept within a universitys GPT, Lai encouraged other institutions to ensure any Microsoft institutional agreements include data protection for IP. UC Irvine and UMichigan also have agreements with Microsoft that any information put into their GPT models will stay within the university and not be publicly available.

Weve developed a platform on top of [Microsofts] foundational models to provide faculty comfort that their IP is protected, Pendse said. Any faculty memberincluding myselfwould be very uncomfortable in putting a lecture and exams in an OpenAI model (such as ChatGPT) because then its out there for the world.

Once you figure out the secret sauce, its pretty straightforward.

It remains to be seen whether more universities will build their own generative AI chatbots.

Consulting firm Ithaka S+R formed a 19-university task force in September dubbed Making AI Generative for Higher Education to further study the use and rise of generative AI. The task force members include Princeton University, Carnegie Mellon University and the University of Chicago.

Lai and others encourage university IT officials to continue experimenting with what is publicly available, which can eventually morph into their own versions of ChatGPT.

I think more places do want to do it and most places havent figured out how to do it yet, he said. But frankly, in my opinion, once you figure out the magic sauce its pretty straightforward.

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Universities build their own ChatGPT-like AI tools - Inside Higher Ed

ChatGPT: student chatbot use ‘increasing loneliness’ – Times Higher Education

Universities should exercise caution as they outsource more functions to artificial intelligence (AI), according to the authors of a study that links student usage of ChatGPT to loneliness and a reduced sense of belonging.

Australian researchers surveyed 387 university students in different parts of the globe to seek to understand the less understood side effects of the rapid uptake of the OpenAI tool since itslaunch in November 2022.

They found evidence that while AI chatbots designed for information provision may be associated with student performance, when social support, psychological well-being, loneliness and sense of belonging are considered it has a net negative effect on achievement, according to the paper published inStudies in Higher Education.

Alongside ChatGPT which is primarily used by students for help with academic tasks universitieshave adopted a range of chatbotsto help with other processes, including in admissions and student support.

It seems students may be seeking out AI help instead of librarians, student advisers and counsellors, and this means universities have no visibility from a whole-of-student continuity of care perspective, said Joseph Crawford, a senior lecturer in management at the University of Tasmania and one of the authors of the study.

Universities could save money deploying these tools at the expense of students spending time building their social skills and social capital.

The study found that students who reported using ChatGPT more displayed some evidence of feeling socially supported by the AI, explained Dr Crawford, who worked on thepaper with Kelly-Ann Allen and Bianca Pani, both of Monash University, and Michael Cowling, based at Central Queensland University.

But the paper also shows that increased chatbot usage led to human relationships weakening possibly without users even realising.

Those who got their support from friends and family reported reduced loneliness, higher grade performance and were less willing to leave universitythan those who reported being socially supported by the AI.

Dr Crawford said it was still not completely clear whether AI use causes lower performance, or whether students experiencing lower performance turn more often to AI.

But he recommended that universities should find ways to promote peer networks, social opportunities for students and other ways of building social connections as a way of insulatingthem from some of the more negative effects of AI use.

tom.williams@timeshighereducation.com

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ChatGPT: student chatbot use 'increasing loneliness' - Times Higher Education

‘Digital twins’ project will help clean up space junk, repair and decommission spacecrafts – University of California

Imagine Earth from space: a blue marble, a pristine orb that is our one and only home. But like many other places on the planet itself, this view is littered with the evidence of humans: in the earths orbit floats more than 30,000 individual pieces of space debris larger than 10 cm, according to a 2023 report from the European Space Agency.

A new project led by Ricardo Sanfelice, UC Santa Cruz Professor and Department Chair of Electrical and Computer Engineering, will develop technology for better spacecraft that use complex robotics to clean up space debris, as well as repair, refuel and decommission other spacecraft. A research team will create highly detailed digital twin models of spacecraft that can carry out these complex tasks in space and develop next-generation control algorithms to manipulate those models, enabling experimentation without the costs of testing on the physical system.

Sanfelice and his research team have been awarded $2.5 million from the Air Force Office of Scientific Research (AFOSR) Space University Research Initiative (SURI) for this three-year project. Co-principal investigators include UC Santa Cruz Professor of Applied Mathematics Daniele Venturi, UT Austin Professor of Aerospace Engineering Karen Wilcox, and University of Michigan Professor of Aerospace Engineering Ilya Kolmanovsk; and the team will collaborate with government and industry partners including the Air Force Research Lab Space Vehicles Directorate, The University of Arizona, Raytheon Technologies, Trusted Space, Inc., and Orbital Outpost X.

A digital twin is a computer model of a physical system, designed to perfectly mimic the properties of the real-world object, including all of the instruments, computers, sensors, surrounding environment, and anything else the system might include. Digital twins enable researchers to conduct experiments and run analysis in the digital world, testing what concepts might work in the real world to determine if they are worth building and manufacturing.

Unlike more traditional simulations, digital twins often incorporate machine learning that allows the system to improve itself through experimentations, providing valuable iteration to build a more accurate and detailed system.

Digital twins can be useful in a range of engineering disciplines, but are particularly relevant for aerospace engineering where the costs associated with building the real systems are so high.

You can accelerate your production, you can reduce time and costs and risk of spacecraft design because spacecraft technology is very expensive and requires a lot of certification and regulation before they can go into space, Sanfelice said. Rather than performing those experiments which take a lot of time in the real world, with a digital twin you can do conceptual analysis and initial validation in the computer environment. This same logic extends to other complex and costly systems its all about scale and reduction of production time, cost, and risk while maintaining system performance and safety.

Digital twins are also especially useful for aerospace engineering because they allow engineers to test complex scenarios and so-called corner cases, situations where multiple parameters are at their extreme, within the realm of the computer. Highly complex and extreme situations are more likely to occur in the harsh conditions of space, and cant be fully replicated for experimentation back on Earth.

The models will enable the researchers to deeply examine what is necessary to carry out the highly complex tasks of clearing up space debris and using a spacecraft to refuel, repair, or demission other spacecraft. Such tasks could include a situation where a robotic arm on one spacecraft is trained to grab another spacecraft that is malfunctioning and tumbling through space, potentially damaging one or both of the systems. The researchers need to teach the computers to handle the tumbling and steering, developing optimization-based techniques to quickly compute and solve unexpected problems as they arise while also allowing for possible human intervention.

Sanfelice and his Hybrid Systems Lab will focus on developing the control algorithms that allow for experimentation on the spacecraft digital twins. The digital twin models need to be so complex to fully encapsulate the physics and computing variables of the real-world systems they represent, and this in turn requires new methods to control the models that go beyond the current state-of-the-art.

I have this massive detailed model of my system, it keeps updating as the system evolves and I run experiments can I write an algorithm that makes the digital twin do what I want it to do, and as a consequence hopefully the real physical system will do the same? Sanfelice said.

Sanfelices work will center around developing model predictive control algorithms, a type of optimization-based control scheme, to control the digital twins, of which Wilcox will lead the creation. Sanfelices lab develops robotic manipulators for grasping and other tasks performed by robotics, which require hybrid control schemes to enable the robotic fingers to be able to transition between conditions of contact and no contact with the object they are manipulating.

While the model predictive control techniques they develop for this project will be highly relevant to aerospace applications, Sanfelice believes there is an opportunity to expand to other complex application areas and develop more advanced basic science for digital twins and their control.

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'Digital twins' project will help clean up space junk, repair and decommission spacecrafts - University of California

Dave Murrow (AeroEngr BS’84) | Ann and H.J. Smead Aerospace Engineering Sciences – University of Colorado Boulder

Dave Murrow retired in 2023, capping a 36-year career serving the space exploration community. In retirement, he sits on NASAs Planetary Science Advisory committee, works with the Colorado state economic development office, and has established a consulting business, Space Connections.

Murrows most recent professional role was as the leader of Lockheed Martins Deep Space Exploration Business Development team. He worked with executives, communicators, and program execution teams to develop a multi-mission, 7-year backlog in the DSE market segment. He served in similar roles for the Lockheed Martin Human Spaceflight Advanced Programs team and for the Ball Aerospace Space Science and Exploration team.

At Lockheed Martin, he worked towards an expansive vision of exploration by designing human missions to the Moon, Mars, and asteroids. At Ball, he expanded the companys NASA footprint through pursuit of NASA science, technology, and human exploration missions.

Murrow joined industry after 13 years with the Jet Propulsion Laboratory, where he began as an orbit determination analyst for the Galileo mission to Jupiter and served as the Cassini Mission Systems Engineer. Beckoned by Mars, he participated in the contract award, flight system development of the twin Mars '98 spacecraft. Adding the Stardust mission to Mars Climate Orbiter and Mars Polar lander, he managed the successful 3-peat launch campaign between December 1998 and February 1999.

His JPL role followed aerospace engineering degrees at the University of Texas at Austin (MS 87), and the University of Colorado Boulder (BS 84, Honors). In Austin, he worked at the Universitys Center for Space Research, supporting high precision Earth gravity field development for the Topex mission. In 2003, Murrow inaugurated a graduate semester class in Interplanetary Mission Design in CU Boulder Aerospace. Over the last decade, he has also lectured on Launch Vehicles for CU Boulders unique Space Minor program.

A native of Boulder, Colorado, Dave now lives in Highlands Ranch with his wife, and has two grown daughters. He spends his free time traveling, reading, skiing, and hiking in the mountains.

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Dave Murrow (AeroEngr BS'84) | Ann and H.J. Smead Aerospace Engineering Sciences - University of Colorado Boulder

Sharing Innovations in Psoriasis Biologics and Uplifting Women in Dermatology – Dermatology Times

I'm going to walk the team through the head-to-head clinical trial data, but also the real-world data because the reality is a drug may perform beautifully in a controlled clinical trial setting, but the real world is messy, so that drug may not perform in the same way. I'm going to guide the attendees on which drugs offer the best durability of response over time. Spoiler alert: the IL-23's have really held up not only from an efficacy standpoint, but also from a safety standpoint over time, said Mona Shahriari, MD, FAAD, in an interview with Dermatology Times at the 2024 American Academy of Dermatology (AAD) Annual Meeting in San Diego, California.

Shahriari, an assistant clinical professor of dermatology at the Yale School of Medicine and the associate director of clinical trials at CCD Research in Connecticut, presented pearls from her AAD session, Comparative Efficacy and Relative Ranking of Psoriasis Biologics Using Real-world and Clinical Trial Data. Shahriari reviewed the efficacy of various biologics and systemics for psoriasis in both clinical trials and real-world examples. Shahriari also reviewed the efficacy of biosimilars and their success.

At AAD, Shahriari also participated in a panel during Bristol Myers Squibbs Women Connection Forum. Shahriari spoke alongside Latanya Benjamin, MD, FAAD, FAAP; Alexandra Golant, MD, FAAD; and Jenny Murase, MD, FAAD, to share their personal and professional journeys, as well as advice for women in dermatology.

If there's something that you want, it's okay to ask. I think a lot of times as women, we assume that certain opportunities are given to us based on our credentials, people look at our CV, people look at everything that we've done. But that's not always the case. Sometimes people don't even know that you're interested in activity. I learned that if there was something I was interested in, if I just asked and said, Hey, I just want to throw my name in the hat for XYZ opportunity that's coming up, they've actually looked at me more carefully, and I've been able to partake in that opportunity, said Shahriari when sharing her advice for women wanting to advance in dermatology.

Transcript

Mona Shahriari, MD, FAAD: Hi, my name is Mona Shahriari. I'm an assistant clinical professor of dermatology at Yale University and the associate director of clinical trials at CCD research.

Dermatology Times: What pearls are you sharing during your session, "Comparative efficacy and relative ranking of psoriasis biologics using real-world and clinical data?"

Shahriari: At this year's American Academy of Dermatology meeting, I'm going to be doing a talk that looks at the comparative effectiveness of different biologics and systemics for plaque psoriasis, not only in clinical trial data, but also in real-world data, because we have a busy toolbox of medications. And sometimes, it's tough to know which drug do I reach for first, and if that fails, which drug do I reach for a second? I'm going to really walk the team through the head-to-head clinical trial data, but also the real-world data, because the reality is a drug may perform beautifully in a controlled clinical trial setting, but the real world is messy, so that drug may not perform in the same way. I'm going to guide the attendees on which drugs offer the best durability of response over time. Spoiler alert the IL-23's have really held up not only from an efficacy standpoint, but from a safety standpoint over time. And interestingly, some of our biosimilars have proven to be just as good as our originator drugs. So,we'll walk through the nitty gritty of those details.

Dermatology Times: What other topics or sessions are you looking forward to at AAD?

Shahriari: Well, I have to say the late breaker session is always my absolute favorite. I make sure not to miss that because being on the cutting edge of clinical trials and dermatology research, I want to make sure I'm offering my patients the most innovative treatment for their skin disease. So that is a session I do not miss because I want to make sure I know what the rest of 2024 is going to look like. But also, the JAK Inhibitors: A New Frontier, that was a new session that hit the space last year, heavily attended, and JAK inhibitors are revolutionizing how we treat so many different diseases within dermatology. I really want to see what else is out there on the horizon, and how we can bring this amazing therapy to our patients.

Dermatology Times: What is the significance of the Bristol Myers Squibb Women's Forum Panel that you participated in?

Shahriari: Well, I really think this is a landmark connection form that they put together, because the reality is as women not only in dermatology, but also as career women out there, there are definitely some disparities that go on, whether it's related to pay, whether it's related to promotion, or really just getting your name out there and exposure. And really, the purpose of this woman's connection forum is to not only help us gain connections with other women leaders within the field, and have those friendships develop and networking opportunities develop, but also to hear about the struggles of other women. Sometimes when you normalize it, and you have somebody who you look up to tell you, "You know what, I went through the same challenges. And this is how I overcame them." It can really help you feel closer to those individuals. But also, you realize everybody's human, everyone's going to face challenges, and what can you do to overcome those challenges and not let them get you down?

Dermatology Times: What advice do you have for other women in dermatology?

Shahriari: I really think the 2 main pieces of advice I have is to find a good mentorship network. And I'm calling it a network and not a mentor because in different stages of your life and different aspects of your career, you're going to need different people. And that mentor might be a female, that mentor might be a male. You want to find different individuals to include in that network of yours so you'll have individuals to go through. But also, one other piece of advice I have is if there's something that you want, it's okay to ask. I think a lot of times as women, we assume that certain opportunities are given to us based on our credentials, people look at our CV, people look at everything that we've done. But that's not always the case. Sometimes people don't even know that you're interested in an activity. And I really learned that if there was something I was interested in, if I just asked and said, "Hey, I just want to throw my name in the hat for XYZ opportunity that's coming up, "they've actually looked at me more carefully, and I've been able to partake in that opportunity. So that was one of the simplest pieces of advice I got once upon a time. And it's really done well for me.

Dermatology Times: What positive changes have you seen in dermatology?

Shahriari: I think one thing I've noticed is historically, as a specialty, we used to prescribe a lot of topical agents for our patients. But we've had an explosion of oral and injectable medications for the treatment of various diseases. And I've been really pleased to find a lot of my colleagues jumping on the bandwagon to offer patients some of these newer therapies because sometimes as dermatologists we do want to see more safety data, we do want to see more efficacy data. But I think the value of these newer generation medications, not only from an efficacy standpoint, but also from a safety standpoint is becoming more evident. So, to see my colleagues jump on the bandwagon and offer these to the patients is really going to make a difference for our patients for years and years to come.

One other piece that I've seen is there's been a lot of emphasis on diversity within clinical trials and really allowing for our patients with skin of color to be at the forefront of many activities that we do within dermatology. Because the reality is that historically a lot of our patients with skin of color, they were not in our clinical trials. And when these individuals went to dermatology offices, they were either not getting appropriate treatment, or they were being undertreated. misdiagnosed. And many of my contemporaries and colleagues just didn't feel comfortable caring for these individuals, but as the population of the United States diversifies, and those people who are a minority today become more of the majority, I love that within dermatology, we are prioritizing the needs of these individuals so that we can take care of all of our patients across all skin tones moving forward.

[Transcript lightly edited for space and clarity.]

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Sharing Innovations in Psoriasis Biologics and Uplifting Women in Dermatology - Dermatology Times

Understanding the links between psoriasis and psoriatic arthritis – The Irish Times

Most people are familiar with the common skin condition, psoriasis, which causes a scaly, lumpy rash on the backs of elbows, front of knees, the scalp and other parts of the body. But, the autoimmune disease, psoriatic arthritis, which about a third of people with psoriasis also suffer from, is much less well known.

There is currently no diagnostic blood test for psoriatic arthritis.

A group undertaking an international study is seeking to better understand the links between the two conditions, with the aim to find out why some people with psoriasis go on to develop psoriatic arthritis and what treatment would work best to halt its development.

Prof Oliver Fitzgerald, research professor in rheumatology at the Conway Institute at University College Dublin and Prof Steve Pennington, professor of proteomics at UCD, are leading the Irish arm of the Hippocrates consortium study. We have about 350 patients so far, but we are keen to have 2,000, so we are interested in anyone aged 18 or over diagnosed with psoriasis to join the study, says Prof Fitzgerald.

Prof Oliver Fitzgerald.

Those who choose to partake in the study will be required to fill out a questionnaire every six months over three years. Details required are the extent of their psoriasis, current treatments and if they have noted any emerging symptoms of arthritis.

Prof Fitzgerald says that, ultimately, the identification of distinct biomarkers for psoriatic arthritis could lead to earlier treatment and possibly even prevention of the condition. The researchers also hope to identify a potential blood test which would diagnose psoriatic arthritis. It shares some symptoms of joint pain, swelling and loss of function with rheumatoid arthritis but it has some features which are different, says Prof Fitzgerald.

[Cerebral palsy: It is tough hearing that news, but it is far tougher when you have to fight for the best care for your child]

These distinguishing features include how the toes and fingers swell to look like little sausages, pain and stiffness in the spine that gets worse with rest yet improves with exercise. And pain and inflammation in the tendon and ligaments attached to the bone, for example, in the Achilles tendon attached to the heel.

I always tell my students that you have to be hunting for psoriatic arthritis to find it and the psoriasis doesnt always have to be very severe to have it. It could be between the buttocks, under the arm pits or under the breasts in women, he explains.

Some studies have found that scalp psoriasis may be a risk factor for psoriatic arthritis. And both conditions also have a genetic component as they tend to run in families. A delayed diagnosis can result in treatments starting later, allowing the joints to deteriorate further in the intervening time.

[I felt like I was going to die: Recovering from early heart failure at the age of 36]

Some of the newer biologic treatments seen as a game changer in the treatment of rheumatoid arthritis work very well in clearing the psoriasis but dont improve the condition of the joints. The problem is that we dont know which patients suit which treatment. We also want to find this out in the study, says Prof Fitzgerald.

The information submitted by those who join the study will be reviewed every six months and individuals will be given feedback on their submissions.

We will advise those who we identify with symptoms of psoriatic arthritis to seek medical assessment, but we also advise people with psoriatic to remain as active as they can to prevent further loss of function of their joints, he adds.

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Understanding the links between psoriasis and psoriatic arthritis - The Irish Times

Elon Musk Thinks Cannibals Are Invading the United States – Futurism

In his latest racist outburst, multihyphenate billionaire Elon Musk joined other conservative pundits in accusing Haitian migrants of being "cannibals," arguing that they shouldn't be allowed to move to the US.

The news comes after political unrest in the island nation came to a head this week. On Monday, Haiti's prime minister Ariel Henry agreed to resign if other Caribbean nations were to form a transitional government on behalf of the country. The statement angered Haitians, triggering mass protests, with tires being burned in the streets.

Meanwhile, Musk took to his social media platform X to further unverified and sensationalist claims of cannibalism arising out of the conflict, as NBC reports.

Case in point, today, the mercurial CEO tweeted a link to a video that claimed to show evidence of cannibalism in Haiti in response to the report.

The video was promptly taken down by X, Axios reports, which stated that the video had violated its rules.

In other words, even Musk's own social media company isn't willing to support his increasingly racist anti-immigration posts.

Ever since Musk took over the company formerly known as Twitter, hate speech has flourished on the platform. The billionaire has spread his own share of misinformation as well, from bogus COVID-19 data to false information about the Israel-Gaza conflict.

Musk has also made plenty of his own racist remarks on his platform. In January, he argued that Black students at Historically Black Colleges and Universities (HBCUs) have lower IQs and therefore shouldn't become pilots ridiculous claims that were met with horror by civil rights groups.

Most recently, the billionaire took aim at the people of Haiti, playing into debunked tropes.

Over the weekend, Musk tweeted "cannibal gangs..." in response to a clip by right-wing commentator Matt Walsh about unrest in Haiti.

"Civilization is fragile," he wrote in response to another since-deleted video, which claimed to show footage of a "cannibal gang eating body parts."

This week, Musk joined right-wing commentator Ian Miles Cheong, who argued on X earlier this week that there were "cannibal gangs in Haiti who abduct and eat people."

"If wanting to screen immigrants for potential homicidal tendencies and cannibalism makes me 'right wing,' then I would gladly accept such a label!" an incensed Musk wrote in a reply to a separate post in which Cheong complained about the NBC report. "Failure to do so would put innocent Americans in [sic] mortal risk," he added, failing to provide any evidence for his outlandish claims.

As experts have since pointed out, the posts were likely the result of gang propaganda campaigns designed to stoke fear, as NBC reports. While it's still possible that the odd gang leaders are indeed capable of such ghoulish acts, generalizing these claims is not only misleading a State Department spokesperson told the broadcaster that it had received no credible reports of cannibalism but even clearly playing into racist tropes that date back to colonial times.

There's also the issue of basic human decency. Through no fault of its residents, Haiti is in crisis; instead of wondering how the country he immigrated to could help, Musk is punching down at the most extreme examples of social dysfunction he can find online.

"It is very disturbing that Elon Musk would repeat these absurdities that do, indeed, have a long history," Yale University professor of French and African diaspora studies Marlene Daut told NBC.

In short, it's yet another troubling sign of Musk's descent into extreme right-wing circles, while using his considerable following and social media network to further conspiracy theories and racist disinformation.

"A whole population is getting blamed for what some psycho gang members are doing," Washington-based lawyer and moderator of the subreddit r/Haiti, told NBC. "It is racist. It is dehumanizing."

More on Musk: Elon Musk Deletes Tweet Saying Ex-Wives Responsible for Collapse of Civilization

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Elon Musk Thinks Cannibals Are Invading the United States - Futurism

Vaping Linked to Mental Health Issues – Futurism

Image by Getty / Futurism

Vaping might not be as unhealthy as smoking cigarettes, but it carries its own long list of physical risks. And now, new research indicates it may be harmful to mental health and sleep patterns, too.

As researchers from England's University of Surrey have found, young adults aged 18-25 who use nicotine vape products were significantly more likely to experience a range of mental health issues than their non-vaping peers, including depression, anxiety, and rumination or dwelling on negative thoughts, as well as sleep issues like insomnia and emotional problems such as loneliness.

Published in the journal Healthcare, this new study surveyed more than 300 university students, about 15 percent of whom did vape and the other 85 percent of whom didn't, using a battery of questionnaires related to mindfulness and emotional regulation, anxiety and depression, rumination, sleep quality, loneliness, self-compassion and, of course, vaping and cigarette usage.

Of the 49 students who were vape users, there were some traits seen across the board, including lower levels of mindfulness, worse sleep quality, and heightened levels of rumination. They tended to be lonelierand have both less compassion for themselves and a much higher tendency of being diurnal or "night owls" than their non-vaping counterparts. Furthermore, the vape group also "reported significantly higher levels of alcohol consumption in terms of units consumed per week," the study notes.

Perhaps the biggest shared characteristic among the vaping group, as Surrey neuroscience lecturer and study co-author Dr. Simon Evans said in the university's press release, was an overwhelming tendency towards anxiety, with a whopping "95.9 percent of users being categorized as having clinical levels of anxiety symptoms."

"In this study, we found a disturbing link between vape use and anxiety symptoms," Evans continued, "and it can become a vicious cycle of using a vape to soothe anxiety but then being unable to sleep, making you feel worse in the long run."

With data from other studies about cigarette smoking suggesting that mindfulness, or the attenuation to one's emotional and mental regulation in the moment, can help with smoking cessation, the good doctor said that there may well be interventions regarding mindfulness and "combating rumination" that "could be useful to reduce vape use amongst young people."

Important to note: this is a type of research where it's very hard to pin down the relationship between correlation and causation. Are the students anxious because they're vaping, or do anxious kids tend to gravitate to vaping for a variety of social and psychological reasons? It's tough to say, and probably complicated.

That said, it's pretty amazing that such a small percentage of the youthful group surveyed for this study vaped at all, suggesting that the kids may be more alright than we give them credit for, relatively speaking.

More on mental health: Scientists Find Link Between ADHD, Depression and Hypersexuality

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Vaping Linked to Mental Health Issues - Futurism

Scientists Intrigued by Water Planet Where Ocean Appears to Be Boiling – Futurism

Hot enough to cook an egg. Watery Depths

About 70 light years away from our solar system is a planet that may potentially be covered entirely with water. But before you start imagining oceans just like the ones here on Earth, astronomers at the University of Cambridge say the planet-wide sea could be as hot as a pot of boiling water.

The astronomers uncovered this planet after interpreting data they had picked up using the NASA's James Webb Space Telescope, subsequently publishing their findings in the journal Astronomy & Astrophysics.

They trained their sights on the TOI-270 system, which consists of a red dwarf star orbited by three exoplanets. Of these three planets, they studied data from TOI-270 d, which scientists have described as a smaller version of Neptune due to its gaseous composition.

After crunching data, analysis of the atmosphere's chemical composition suggests it might instead be a "Hycean world" meaning a planet with a large ocean and hydrogen-rich atmosphere. And astonishingly, the scientists also calculated that its temperature could be as hot as 212 degrees Fahrenheit, the boiling point of water.

But the data is open to interpreation. Other scientists who have studied the same planet were quoted by The Guardian saying they think the planet has instead a rocky surface and is covered with a very dense atmosphere made up of super hot steam and hydrogen.

"The temperature in our view is too warm for water to be liquid," University of Montreal astrophysics professor Bjrn Benneke told The Guardian.

No matter the true nature of TOI-270 d, it's astonishing we're now able to pick up the chemical signatures of distant exoplanets.

Since humankind found the first detection of an exoplanet in 1992, the number of exoplanets we have found has grown to the thousands.

Maybe the real question: in that wealth of worlds, will we ever find a planet as hospitable as our own?

More on exoplanets: Astronomers Discover Potentially Habitable Planet

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Scientists Intrigued by Water Planet Where Ocean Appears to Be Boiling - Futurism

As Space Exploration Expands, So Will Space Law – Science Friday

Credit: Shutterstock

Almost 70 years agoin the middle of the Cold Warthe United States and the Soviet Union kicked off the race to space, and that high-stakes sprint transformed humanitys relationship with space forever. Ultimately the USSR launched the first satellite, Sputnik, and the U.S. put the first humans on the moon.

Now were in a different space race. But this time, there are a lot more contenders. There are more satellites in orbit than ever before, NASA is trying to put humans on Mars, countries are still sending landers to the moon, and billionaires are using rockets as tourist vehicles. All this activity raises some serious questions: Who is in charge of space? And who makes the rules?

Journalist Khari Johnson explored these questions in a recent feature for Wired magazine, featuring experts at the forefront of these issues. Guest host Sophie Bushwick is joined by two of them: Dr. Timiebi Aganaba, assistant professor of space and society at Arizona State University, and Dr. Danielle Wood, assistant professor and director of the Space Enabled Research Group at the Massachusetts Institute of Technology. They discuss the role of space lawyers, what cases they may argue, and how the rules of spaceand the potential for conflictsare evolving.

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As Space Exploration Expands, So Will Space Law - Science Friday

Generative AI, Free Speech, & Public Discourse: Why the Academy Must Step Forward | TechPolicy.Press – Tech Policy Press

On Tuesday, Columbia Engineering and the Knight First Amendment Institute at Columbia University co-hosted a well-attended symposium, Generative AI, Free Speech, & Public Discourse. The event combined presentations about technical research relevant to the subject with addresses and panels discussing the implications of AI for democracy and civil society.

While a range of topics were covered across three keynotes, a series of seed funding presentations, and two panelsone on empirical and technological questions and a second on legal and philosophical questionsa number of notable recurring themes emerged, some by design and others more organically:

This event was part of one partnership amongst others in an effort that Columbia University president Manouche Shafik and engineering school dean Shih-Fu Chang referred to as AI+x, where the school is seeking to engage with various other parts of the university outside of computer engineering to better explore the potential impacts of current developments in artificial intelligence. (This event was also a part of Columbias Dialogue Across Difference initiative, which was established as part of a response to campus conflict around the Israel-Gaza conflict.) From its founding, the Knight Institute has focused on how new technologies affect democracy, requiring collaboration with experts in those technologies.

Speakers on the first panel highlighted sectors where they have already seen potential for positive societal impact of AI, outside of the speech issues that the symposium was focussed on. These included climate science, drug discovery, social work, and creative writing. Columbia engineering professor Carl Vondrick suggested that current large language models are optimized for social media and search, a legacy of their creation by corporations that focus on these domains, and the panelists noted that only by working directly with diverse groups can their needs for more customized models be understood. Princeton researcher Arvind Narayanan proposed that domain experts play a role in evaluating models as, in his opinion, the current approach of benchmarking using standardized tests is seriously flawed.

During the conversation between Jameel Jaffer, Director of the Knight Institute, and Harvard Kennedy School security technologist Bruce Schneier, general principles for successful interdisciplinary work were discussed, like humility, curiosity and listening to each other; gathering early in the process; making sure everyone is taken seriously; and developing a shared vocabulary to communicate across technical, legal, and other domains. Jaffer recalled that some proposals have a lot more credibility in the eyes of policymakers when they are interdisciplinary. Cornell Tech law professor James Grimmelman, who specializes in helping lawyers and technologists understand each other, remarked that these two groups are particularly well-equipped to work together, once they can figure out what the other needs to know.

President Shafik declared that if a responsible approach to AIs impact on society requires a +x, Columbia (surely along with other large research universities) has lots of xs. This positions universities as ideal voices for the public good, to balance out the influence of the tech industry that is developing and controlling the new generation of large language models.

Stanfords Tatsunori Hashimoto, who presented his work on watermarking generative AI text outputs, emphasized that the vendors of these models are secretive, and so the only way to develop a public technical understanding of them is to build them within the academy, and take on the same tasks as the commercial engineers, like working on alignment fine-tuning and performing independent evaluations. One relevant and striking finding by his group was that the reinforcement learning from human feedback (RLHF) process tends to push models towards the more liberal opinions common amongst highly-educated Americans.

The engineering panel developed a wishlist of infrastructure resources that universities (and others outside of the tech industry) need to be able to study how AI can be used to benefit and not harm society, such as compute resources, common datasets, separate syntax models so that vetted content datasets can be added for specific purposes, and student access to models. In the second panel, Camille Franois, a lecturer at the Columbia School of International and Public Affairs and presently a senior director of trust & safety at Niantic Labs, highlighted the importance of having spaces, presumably including university events such as the one at Columbia, to discuss how AI developments are impacting civil discourse. On a critical note, Knight Institute executive director Katy Glenn Bass also pointed out that universities often do not value cross-disciplinary work to the same degree as typical research, and this is an obstacle to progress in this area, given how essential collaboration across disciplines is.

Proposals for regulation were made throughout the symposium, a number of which are listed below, but the keynote by Bruce Schneier was itself an argument for government intervention. Schneiers thesis was, in brief, that corporation-controlled development of generative AI has the potential to undermine the trust that society needs to thrive, as chatbot assistants and other AI systems may present as interpersonally trustworthy, but in reality are essentially designed to drive profits for corporations. To restore trust, it is incumbent on governments to impose safety regulations, much as they do for airlines. He proposed a regulatory agency for the AI and robotics industry, and the development of public AI models, created under political accountability and available for academic and new for-profit uses, enabling a freer market for AI innovation.

Specific regulatory suggestions included:

A couple of cautions were also voiced: Narayanan warned that the Liars Dividend could be weaponized by authoritarian governments to crack down on free expression, and Franois noted the focus on watermarking and deepfakes at the expense of unintended harms, such as chatbots giving citizens incorrect voting information.

There was surprisingly little discussion during the symposium of how generative AI specifically influences public discourse, which Jaffer defined in his introductory statement as acts of speaking and listening that are part of the process of democracy and self-governance. Rather, much of the conversation was about online speech generally, and how it can be influenced by this technology. As such, an earlier focus of online speech debates, social media, came up a number of times, with clear parallels in terms of concern over corporate control and a need for transparency.

Hashimoto referenced the notion that social media causes feedback loops that greatly amplify certain opinions. LLMs can develop data feedback loops which may cause a similar phenomenon that is very difficult to identify and unpick without substantial research. As chatbots become more personalized, suggested Vondrick, they may also create feedback on an individual user level, directing them to more and more of the type of content that they have already expressed an affinity for, akin to the social media filter bubble hypothesis.

Another link to social media was drawn in the last panel, during which both Grimmelmann and Franois drew on their expertise in content moderation. They agreed that the most present danger to discourse from generative AI is inauthentic content and behavior overwhelming the platforms that we rely on, and worried that we may not yet have the tools and infrastructure to counter it. (Franois described a key tension between the Musk effect pushing disinvestment in content moderation and the Brussels effect encouraging a ramping up in on-platform enforcement via the DSA.) At the same time, trust and safety approaches like red-teaming and content policy development are proving key to developing LLMs responsibly. The correct lesson to draw from the failures to regulate social media, proposed Grimmelmann, was the danger of giving up on antitrust enforcement, which could be of great value when current AI foundation models are developed and controlled by a few (and in several cases the same) corporations.

One final theme was a framing of the current moment as one of transition. Even though we are grappling with how to adapt to realistic, readily available synthetic content at scale, there will be a point in the future, perhaps even for todays young children, that this will be intuitively understood and accounted for, or at least that media literacy education, or tools (like watermarking) will have caught up.

Several speakers referenced prior media revolutions. Narayanan was one of several who discussed the printing press, pointing out that even this was seen as a crisis of authority: no longer could the written word be assumed to be trusted. Wikipedia was cited by Columbia Engineering professor Kathy McKeown as an example of media that was initially seen as untrustworthy, but whose benefits, shortcomings, and suitable usage are now commonly understood. Franois noted that use of generative AI is far from binary and that we have not yet developed good frameworks to evaluate the range of applications. Grimmelman mentioned both Wikipedia and the printing press as examples of technologies where no one could have accurately predicted how things would shake out in the end.

As the Knight Institutes Glenn Bass stated explicitly, we should not assume that generative AI is harder to work through than previous media crises, or that we are worse equipped to deal with it. However, two speakers flagged that the tech industry should not be the given free rein: USC Annenbergs Mike Ananny warned that those with invested interests may attempt to prematurely push for stabilization and closure, and we should treat this with suspicion; and Princetons Narayanan noted that this technology is producing a temporary societal upheaval and that its costs should be distributed fairly. Returning to perhaps the dominant takeaways from the event, these comments again implied a role for the academy and for the government in guiding the development of, adoption of, and adaptation to the emerging generation of generative AI.

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Generative AI, Free Speech, & Public Discourse: Why the Academy Must Step Forward | TechPolicy.Press - Tech Policy Press