WVU Medicine Children’s, medical experts speak out against bill that would loosen immunization requirements for schools, daycares – WV News

MORGANTOWN, W.Va. (WV News) WVU Medicine Childrens and a number of medical experts have come out against legislation that would loosen vaccination requirements for entry into schools and daycares in West Virginia.

State law requires children entering schools or daycares to provide proof of vaccination against chickenpox, hepatitis B, measles, meningitis, mumps, diphtheria, polio, rubella, tetanus and pertussis, also known as whooping cough.

The state is one of six in the nation that allow only medical exemptions from the school immunization requirements.

Senate Bill 535, introduced Feb. 1, would change that by allowing religious and philosophical exemptions to the immunization requirements, with simply a letter from the childs parents needed.

Sen. Laura Wakim Chapman, R-Ohio, told WSAZ that the bills aim is to ensure equal access to education for all children in the state, preventing people from moving out of state or homeschooling children who would otherwise attend school in West Virginia.

Many in the health care community have spoken out against the bill, however, saying it puts children unnecessarily at risk from preventable diseases that can cause serious and long-term health complications and even death.

WVU Medicine Childrens Hospital stands against Senate Bill 535, which attempts to allow non-medical exemptions for daycare and school vaccine administration, said Dr. Jeffrey Lancaster, pediatric hospitalist and associate chief medical officer at WVU Medicine Childrens.

We trust our elected officials to represent the needs and wants of West Virginians, and I hope that they really consider the negative health consequences for children if this bill passes, Lancaster said.

While the focus has been on SB 535, other bills currently in the legislature would also loosen the immunization requirements. These proposals include allowing private schools to choose whether or not to require immunizations, allowing medical exemptions at the request of any licensed physician without approval from the commissioner of the Bureau for Public Health, and leaving the decision entirely up to the discretion of parents.

Lancaster said the efficacy of West Virginias strong immunization requirements have helped keep the states children healthy, however.

In 2019, 31 states reported measles outbreaks, the most since 1994. Last year, Ohio had more than 80 confirmed cases of measles in unvaccinated children, including 36 who developed severe disease and had to be hospitalized. West Virginia, despite its long border with Ohio, had zero cases, Lancaster said.

Thats a testament to the efficacy of the vaccines, and also to the safety, he said.

Lancaster said that while COVID-19 vaccinations approved for emergency use in recent years have been understandably polarizing, the vaccines required for school are not new, and their effects have been thoroughly reviewed and studied.

There are stacks and stacks of research that attest to the safety and efficacy of the required school vaccines, and there are also stacks and stacks of evidence of the illnesses and sometimes deaths that these preventable diseases can cause, he said.

Rumors and reports of a link between vaccines and autism have also been researched and found to be unsubstantiated.

Autism can have very heartbreaking consequences for the development of a child. Were getting better at recognizing it, number one, and better at treating it, number two. With that concern, there has been repeated study after study trying to find ties between autism in vaccinated kids versus autism in unvaccinated kids, and there has not been any link shown. Its just more evidence that these vaccines are safe medically, theyre safe neurologically and theyre safe developmentally.

Based on his own experiences with patients and families, Lancaster said he does not believe a majority of West Virginians are in favor of a change to the existing vaccination requirements.

I am worried that this bill and this change in law is not with the approval of most West Virginians, and Im afraid this is happening under the nose of a lot of West Virginians. In our experience, the vast majority of parents of kids want to have their kids protected with these vaccines, and particularly the parents who want their kids to have protection with vaccination but those kids cant due to some medical illness are very appreciative of the fact that other kids are immunized, creating this herd immunity, which protects their children, Lancaster said.

Lancaster is not the only medical provider to speak out against the legislation.

In an op-ed, three pediatric physicians affiliated with the WVU School of Medicine said any non-medical exemptions would place our children, residents and communities at an unnecessary public health risk for dangerous, yet preventable, diseases and illnesses.

Harrison County Health Officer Dr. Nancy Joseph also recently spoke out against legislation targeting the immunization requirements at a meeting of the countys Board of Health.

Other states look at our state when they look at immunization rates and infectious disease in children. They use us to say, Look how great that is, she said. ... We have a whole generation of physicians that have ... never seen measles, that have never seen, sometimes, chickenpox. But theres a reason for that, and we dont want them to get that experience again.

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WVU Medicine Children's, medical experts speak out against bill that would loosen immunization requirements for schools, daycares - WV News

REACH Initiative to expand equity, diversity at Stanford School of … – Stanford Medical Center Report

Johnson is working as a clinical research coordinator for the Byers Eye Institute under Jeffrey Goldberg, MD, PhD, the Blumenkranz Smead Professor and a professor of ophthalmology, on a study looking at optic nerve regeneration. He said he cant decide on his favorite aspect of the program: the tight-knit scholar cohort or the research mentorship.

The mentors pull you up onto the mountaintop to survey the landscape of career options, and thats been one of the biggest impacts on my career so far, Johnson said. I wanted to go somewhere I felt wanted and where I felt I could be my authentic self. And I feel like Im getting that with REACH.

Operating in parallel with the postbaccalaureate program is the HBCU Visiting Student and Faculty Exchange Program, founded in 2017 by professor of medicine Abraham Verghese, MD. The program, now a part of REACH, pairs medical students and faculty from historically Black colleges and universities with Stanford Medicine collaborators.

Tylanna Baker, a visiting student from Morehouse School of Medicine, was among last summers cohort of REACH-HBCU scholars. In 2014, Bakers aunt, after avoiding medical care for years, died of complications from an enlarged heart. It moved Baker to enroll at the historically Black medical school, where she developed an interest in medical culture and the way doctors in different places approach medicine.

Baker found out about REACH through a Morehouse email listserv. She applied in January of 2022 and was accepted February 3, a date she said shell always remember.

Under the supervision of Baraka Floyd, MD, a clinical assistant professor of pediatrics, Baker conducted a review of practices to limit racial injustice, then used that information to provide recommendations to workers in pediatrics departments.

You get out of your comfort zone, get out of what youve been used to during your first year of medical school, Baker said about REACH. I like seeing different kinds of doctors, seeing different kinds of professions, being in a different environment and atmosphere.

Baker hopes to work in primary care to prevent simple health issues that, without treatment, can mean death.

Through REACH, Terrance Mayes, associate dean of equity and strategic initiatives and a leader of the REACH program, hopes to create a positive feedback loop between patients and medical professionals. By increasing access to health care for people of diverse backgrounds, health inequities will narrow, Mayes said.

Recently, the REACH Bioscience PhD Fellowship launched with a goal to increase access to academic career paths. While still in early stages, the program pays for the training of minority and first-generation students to pursue doctorate degrees. Over the next year, REACH will launch three additional programs, rounding out its mission to train a new generation of leaders who prioritize health equity, social justice and racial equity:

The MD-MS Program in Health Equity Research will pay for students to pursue a masters degree with a focus on health equity, alongside their medical degree.

To address social disparities at various community levels, the Scholarly Concentration in Health Equity and Social Justice Research will engage medical students in class and community project work.

The Clinical Clerkship in Community Health of the Underserved will provide outpatient care for communities that traditionally lack access to health care.

REACH is transforming the way we deliver education and helping us train future leaders who will orient their work and their purpose around social justice and health equity, Mayes said.

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REACH Initiative to expand equity, diversity at Stanford School of ... - Stanford Medical Center Report

Gift From The Starr Foundation Brings Yale School of Medicine … – Yale School of Medicine

Yale University has announced a gift of $25 million from The Starr Foundation in support of financial aid at Yale School of Medicine. This major commitment from one of the nations largest private foundations, chaired by Maurice R. Hank Greenberg, is a significant step toward making Yales premier MD program more affordable for students with financial need. Mr. Greenberg also serves as Chairman and CEO of Starr Insurance Companies, a leading global insurance and investment organization.

In her announcement, Nancy J. Brown, MD, the Jean and David W. Wallace Dean of Yale School of Medicine, said, Reducing medical student debt enables exceptional candidates from diverse socioeconomic backgrounds to attend Yale School of Medicine and ensures that they have the financial support and freedom to pursue their education and future careers in medicine without financial burden.

I am deeply grateful for this new contribution from The Starr Foundation, said President Peter Salovey 86 PhD. Across the university, we have a goal to increase the scholarships we offer our students and to reduce the debt they carry upon graduation. Hank Greenberg and The Starr Foundation, by endowing scholarships in the School of Medicine, have enabled a permanent and significant expansion of the support we provide to our medical students.

A long-time benefactor of the university, The Starr Foundation has contributed widely to collections, international programs, and financial aid, and it has funded scholarships for Yale medical students for nearly three decades. The Yale School of Medicine attracts the worlds brightest candidates and prepares them for leadership in every area of medicine, Greenberg said. This new program will help to eliminate any concerns about funding the cost of medical school, so that these aspiring doctors can focus instead on their vital work to alleviate suffering and promote health for people everywhere.

It will empower our graduates to make careerdecisions based on their passions and desire to serve rather than on financial considerations.

Thanks to a fundraising challenge announced last year through the For Humanity campaign, the university will also make an equal and unrestricted contribution of $25 million to the medical schools general endowment to advance the deans priorities.

Each year, Yale School of Medicine enrolls roughly 104 students in its MD program. Of that number, more than half the class receives need-based financial aid, with an average scholarship award of $66,000. Even with this support, students must borrow to cover their costs.

With this gift, beginning with the 20232024 academic year, Yale medical students with demonstrated financial need will not be called upon to take out more than $10,000 in loans per year, enabling them to graduate with significantly lower debt than students at most medical schools across the country.

Dean Brown described the gift as a game changer: I want to thank The Starr Foundation for this landmark gift and for bringing the school significantly closer to our goal of debt-free education for students with demonstrated financial need. It will empower our graduates to make careerdecisions based on their passions and desire to serve rather than on financial considerations.

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Gift From The Starr Foundation Brings Yale School of Medicine ... - Yale School of Medicine

Medical microrobots in reproductive medicine from the bench to the … – Nature.com

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Medical microrobots in reproductive medicine from the bench to the ... - Nature.com

Shaking a Shared Delusion: Andrea Deyrup Combats Race-Based … – Duke University School of Medicine

A question from a medical student asking for clarification of racial disparities in hypertension launched a field-defining journey for Duke pathology professor Andrea Deyrup, MD, PhD.

Deyrup had been taught race-based associations with disease as a medical student at the University of Chicago and, like many physicians, had considered these epidemiologic data to be useful in the diagnosis and treatment of disease.

However, as Deyrup began looking at the science supporting these race-based associations she realized that the data were often misinterpreted and based on questionable science.

Shes building connections through presentations and a popular video series to end race-based medicine: Focusing primarily on race can lead to delay in diagnosis if a physician discounts a disease because it is uncommon in a particular population, said Deyrup.

My goals are to change the textbook narrative and, through a series of national presentations, to build a community that will support and nurture the change we need in medicine, she said.

Her approach has focused on structural change and individual outreach.

In preparation for her role as a co-editor for the 11th edition of Robbins Basic Pathology, one of the most widely used pathology textbooks worldwide, she analyzed the 10th edition the book to determine the extent of race-based content.

Deyrup found more than 35 diseases that were associated with race. She then dove deeply into the literature, examining the data and providing context for claims in the text.

Her compelling discoveries led to the presentation, Race in Robbins: Data or Distraction? delivered March 2021 for Duke Pathology Grand Rounds. The talk attracted a large local and national audience and resulted in subsequent invites from Harvard School of Medicine, Yale University, Memorial Sloan Kettering and other institutions.

She and Joseph Graves Jr., PhD, professor of evolutionary biology at North Carolina Agricultural and Technical State University, have presented the material more than 50 times, including to Dukes departments of neurology, family medicine and community health, ophthalmology, pediatrics, radiology, and dermatology.

Dr. Deyrup has provided eye opening insight into the embedded racial misinformation that permeates clinical medicine and patient care, said Edward Buckley, MD, chair of the Department of Ophthalmology and vice dean for education at the Duke University School of Medicine.

Deyrup and Graves are working to remove race-based medicine from medical texts and board exams and to spread their message through a series of national and international presentations.

A common response that we get from attendees is shock and surprise that theyve never noticed this or thought about medicine and medical education in this way, Deyrup said.

Deyrup and Graves have begun many collaborations based on connections developed in their work, building a community of like-minded scientists to foster change.

Educating the educators is critical for systemic change, Deyrup said. Medical students and residents feel supported when they see our presentation, since they recognize the pervasiveness of systemic racism in medicine, but often feel vulnerable when questioning what they see.

In October 2021, Deyrup launched Pathology Central, a YouTube channel and website to share videos on race in medicine and content for medical students learning pathology.

Her motto is deeper understanding equals better medicine, and in each video she carefully dissects disease processes and links pathophysiology to patient care. Images used on the platform are of patients with multiple skin types.

One of her Race in Medicine videos has had a far-reaching impact on shifting the policy of the California Department of Public Health (CPDH). In a video, Deyrup tracks down the origin of the frequently cited statistic that 16% of people of African descent develop keloids, thick scarring after a skin injury, to a comment made at a dermatologic meeting 90 years ago.

In September 2022, a physician who had seen Deyrups video brought it to the attention of the CPDH, which had published recommendations against giving intradermal vaccinations for Mpox (formerly known as monkeypox) to individuals of African, Hispanic, and possibly Asian descent, due to an increased incidence of keloids up to 16%.

After Deyrup and Graves met with a researcher from CPDH the race-based qualification was removed from the recommendation.

Over the time I have known Dr. Andrea Deyrup, she has shown great dedication and courage in taking on one of the biggest misconceptions in modern clinical practice, Graves said. That misconception is the idea that humans have biological races, and that medicine can be organized around supposed biological racial differences.

Another way that Deyrup is expanding her reach is through publications. In 2022, Graves and Deyrup authored two articles addressing race in medicine: a perspective piece in The New England Journal of Medicine titled Racial Biology & Medical Misconceptions, and, with two colleagues from the University of Chicago, a research piece in Academic Medicine examining race-based associations in the second edition of the American Academy of Pediatrics Textbook of Pediatric Care.

Since then, the American Academy of Pediatrics has committed to eliminating race-based medicine from its guidelines, teaching materials, and textbooks.

Listen to Duke pathologist Andrea Deyrup MD, PhD, in this episode of the Nature podcast "Racism in Health: the Harms of Biased Medicine," a production of the journal Nature and Scientific American.

There are still obstacles looming and much work to be done. As Deyrup sees it, the two main challenges are systemic racism and the slow pace of change in medicine.

Systemic racism is part of the fiber of medicine, woven with assumptions formed from a biological concept of race, Deyrup said.

Since few physicians have a background in evolutionary biology or in the biology of human variation, faulty experimental design and biased interpretation provide abundant data that can be used to support racialized medicine.

Its all part of a shared delusion, Deyrup said.

In thinking about next steps, Deyrup would like to connect with specialty boards and continue her work with the National Board of Medical Examiners to remove race-based medicine from their exams.

The reason students are learning this misinformation is because theyre tested on it, said Deyrup. If we can get these testing entities to recognize that race-based medicine is harmful and then remove it, that will eliminate the impetus for medical students to learn this material and for faculty to teach it.

While Deyrup and Graves emphasize that modern humans do not have biological races, socially defined race does exist and has a tremendous impact on health and longevity.

We must maintain focus on both the legacy and the ongoing influence of systemic racism on our patients and work to provide equitable, individualized care to each of them, Deyrup said.

Jamie Botta is communications strategist for the Department of Pathology at the Duke University School of Medicine.

Photo by Steve Conlon.

Main feature photo Andrea Deyrup, MD, PhD, is a professor of pathology at the Duke University School of Medicine.

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Third arrest made at cosmetic business in Jupiter – WPEC

Jupiter Police arrested 54-year-old Donna Shuman on multiple counts of practicing medicine without an active license. She's the owner of Aqua Laser Studio. Owner Jonathan Feinberg also faces multiple counts of practicing medicine without a license. Police also arrested Johnathan Lopez-Oramas, aka JLo, an employee. He faces multiple charges of practicing without an active license and battery. (WPEC)

Two cosmetic workers are accused of practicing medicine without a license in Jupiter.

Jupiter Police arrested 54-year-old Donna Shuman on multiple counts of practicing medicine without an active license. She's the owner of Aqua Laser Studio on Indiantown Road.

Police also arrested Johnathan Lopez-Oramas, aka JLo, an employee. He faces multiple charges of practicing without an active license and battery.

{p}Jupiter Police arrested 54-year-old Donna Shuman on multiple counts of practicing medicine without an active license. She's the owner of Aqua Laser Studio. Police also arrested Johnathan Lopez-Oramas, aka JLo, an employee. He faces multiple charges of practicing without an active license and battery. (PBSO){/p}

The arrests stem from a tip to the Florida Department of Health (FDOH) from a former employee who claimed Lopez-Oramas performed more than 50 injections for patients, from platelet rich plasma injections, neuromodulator injections of Botox, Dysport and Xeomin, and Hyaluronic Acid Dermal Fillers.

The witness, who worked for two months at the studio, told investigators that Lopez-Oramas was brought in specifically to do the injections because no one else at the business did them.

Investigators said a number of Google reviews for JLo showed he did an excellent job in giving Botox to patients. But police said it's against the law to give Botox and Fillers without a medical license.

See also:Man at wheel of Lyft driver's car named person of interest in death investigation

Police sent an undercover agent with the Department of Health to Aqua Laser Studio to confirm JLo performed Botox treatments at the facility. The undercover agent made an appointment for Tuesday, Feb. 8, at 4 p.m., to receive Botox injections. Police said the suspect prepped the undercover agent for an injections by wiping off her face and giving her ice on the injection sites. That's when police stepped in to arrest him.

Lopez-Oramas, or JLO, told investigators that Shuman hired him to do Botox and lip filler injections, and that she knew he didn't have a license. He admitted to giving injections to a number of patients and staff members. According to the report, JLo told police that his boss had once referenced another local spa that did the same thing.

Shuman told police she hired JLo, but when asked if she knew he didn't have a license, she appeared surprised. According to the arrest report, she said, "He doesn't have a license?"

Owner Jonathan Feinberg also faces multiple counts of practicing medicine without a license. (PBSO)

Police arrested a second owner of the facility, 22-year-old Jonathan Feinberg, on Wednesday on five counts of practicing medicine without a license. He is free on bond.

Donna Shuman, the owner ofAqua Laser Studio, sent this statement to CBS12:

Anyone with information about the suspects or business is asked to call police at 561-741-2410.

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Third arrest made at cosmetic business in Jupiter - WPEC

Music in Medicine: Therapeutic music is good for the heart, energy – Citrus County Chronicle

February is American Heart Month. Much of the medical community is focusing on heart health awareness. I thought it appropriate to talk about how the heart enters into effective therapeutic music.

On a recent visit to a hospice house, I must have triggered extra focus and energy by meditating before entering the room. Before arriving at the hospice, I had been involved in a very frustrating meeting which had my nerves on edge. I knew that was a very poor state in which to play therapeutic music. To be effective with the music, I need to be focused on the moment, focused outward not inward.

Being in the moment allows me to be open to whatever situation I may encounter in the patient room. Helpful, too, is thinking of something for which I am grateful, and embrace that thought.

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I entered the hospice room where an elderly man was lying on his back, unconscious, struggling to breathe. As a person nears the end of life, breathing becomes very irregular with long pauses. This condition is called Cheyne-Stokes. He was clearly in this stage.

His family was in the room with him. The room was warm and comfortable, and had an aura of peace and respect. They invited me to play music.

The music I played was very slow, yet melodic enough that it wouldnt upset the mood of the family. The purpose of slow music was to allow the dying man time to process the music.

As the body begins to shut down, the brain slows down. (Or vice versa: As the brain slows, it slows the body). A fast tempo or a complicated rhythm would surely be difficult for his brain to process. My intention was to make his time easier, not harder. So very slow, simple music was called for.

The music had many long pauses as I synched the music to his breathing. After an exhalation, he had a very long pause. So long, I often wondered if there would be another. As I played for this gentleman, I felt a wave of energy from him. I knew that we had connected. My senses opened to him.

The existence of energetic communication has been researched in many studies. The energy that one can pick up from another person actually comes from the heart, not the brain. The energy is explained by the electromagnetic energy that is a constant in our environment and in our bodies.

Surprisingly, our hearts produce about 60 times the strength of magnetic emissions that the brain does.

So it makes sense if you want to have an energy connection with another person, center on your heart to make it happen. How do you do this?

To be able to receive the energy from another person, your nervous system needs to be calm and stabilized. If you are in chaos, the energy received from another person cannot be processed and acknowledged.

Center yourself. Think only positive thoughts. Think of something for which you are grateful and move that image into your heart. This is not intended to relax and calm you, but to organize your nervous system so it is poised to receive the energy communication.

When I follow my own advice, my music reaches better levels. With an energy connection, I am with the patient. I can play much more effectively.

If you wish to learn more about the energy communication sustained by the heart, visit the HeartMath Institute website at info@heartmath.org.

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Music in Medicine: Therapeutic music is good for the heart, energy - Citrus County Chronicle

Practicing Medicine Half a World Away | Lander College of Arts … – Touro University

Touro students in front of the Bangkok Ministry of Public Health (top) and at the Elephant Reserve (bottom)

Twenty-six students from Touros Lander College for Women (LCW) and Lander College of Arts & Sciences (LAS) debated these and other questions during a midwinter break trip to Bangkok, as part of a two-week course in bioethics. The three-credit course, Biomedical Cross-cultural Educational Program (BioCEP) provided the students with a first-hand look at a wide variety of hospitals and institutions to learn how culture can impact ethical decisions in medicine, dentistry and biology.

Accompanied by Dr. John Loike, a professor of biology and bioethics and the founder of BioCEP, the students were introduced to a number of compelling ethical questions, including when life begins; the nature and limits of informed consent; the treatment of so-called orphan diseases; and the use of deception in research. Having the students confront these issues in person, rather than in theory, was one of Dr. Loikes many objectives for the course.

Part of the experience is for the students to appreciate and respect the diverse cultural values in medicine and science, he said. Gaining an appreciation for this international diversity is critical for pre-med, pre-dent and pre-health students, and I wanted to instill in the students an appreciation and respect for the diverse cultural values people have in medicine and science.

Over the course of the two weeks, the group visited multiple hospitals and met with healthcare staff to gain a better understanding of people with whom they shared many professional interests, but have very different backgrounds, and who face challenges the American students hadnt encountered previously. Among those were the Yanhee Hospital for Health and Beauty, to witness some of the surgical innovations to enhance patients appearance and beauty, and the Hospital for Tropical Medicine, to learn about the ethical challenges in treating Dengue fever and malaria.

Naomi May, a senior at LCW, said she was fascinated by a lecture they heard at the King Chulalongkorn Memorial Hospital about cord blood, which is the blood left over in the placenta that contains hematopoietic stem cells.

These stem cells are so important, as they can be used to treat many serious diseases, even cancer, said May, who hopes to be a nurse in a delivery and labor unit.

Students also had the opportunity to hear from Thailands Ministry of Public Health about the ethical challenges in developing universal healthcare and about the difficulties in establishing clinics in rural areas of Thailand.

My thoughts before the trip were that patient autonomy was the most important tenet of medical ethics, and any decision made AMA [Against Medical Advice] must be due to their personal beliefs, said Shira Davis, a psychology major who is a senior at Touros Lander College for Women. Now I understand the pervasiveness of misinformation and lack of medical care that can lead to patients making such decisions.

Dr. Loike founded BioCEP to enable students to discuss, assess and reflect on the ethical questions they encountered in Thailand. The program was facilitated in conjunction with the Knowledge Exchange Institute, an organization that allows students abroad to gain practical experience and enhance their understanding of the world through cultural and social immersion. The Institute provided the group with a Thai representative, Marisa Chung Vinitketkumnuan, a former Buddhist monk, who joined the students on field trips and taught them about Thai culture.

Students stayed at hotels next to the five-story Chabad-Lubavitch of Bangkok Center, which provided meals for their two Shabbatot in Thailand and where they davened, joined by more than 500 Israeli tourists. Dr. Loike lectured the students each night on Chabads sky roof lounge overlooking the Bangkok landscape and they also heard meaningful shiurim about halachic challenges of living in Thailand from the Director of the Chabad House, Rabbi and Rebetzin Wilhelm.

Although the educational aspects of the program is its primary purpose, they still managed to squeeze a little fun into their time abroad. The highlights included the beautiful underground aquarium that housed a salt water lake containing sharks and sting rays, and an elephant reserve where they bathed elephants by hand. They also visited a Red Cross snake farm, where the head veterinarian showed them how king cobras are milked to develop anti-venom serum.

Before coming home, they met with 30 undergraduate students at Mahidol University to learn about innovative online science education, and to build cultural bridges with some of their Thai counterparts.

Never before had I felt the global connection of physicians and researchers as strongly as I did in Thailand, said sophomore Chana Birnbaum. Spending time in Bangkok broadened my understanding of both Thai culture and healthcare. Moreover, it demonstrated how insights and breakthroughs are shared across the world, for the sake of humanity.

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Practicing Medicine Half a World Away | Lander College of Arts ... - Touro University

Health care’s future with ChatGPT: Exploring the potential of AI in … – Kevin MD

Subscribe to The Podcast by KevinMD. Catch up on old episodes!

In this episode, we are joined by Harvey Castro, a physician, health care consultant, and serial entrepreneur, to discuss the exciting potential of the generative pre-trained transformer (GPT) in the field of medicine and health care. ChatGPT is a type of artificial intelligence that can generate human-like text and has already gained 1 million users in under a week of being released.

We will explore the limitations of ChatGPT, including the quality of the responses that depend on the quality of the prompts entered and the accuracy of the data used to train the AI. However, despite these limitations, we will also examine the many potential uses of ChatGPT in health care, including personalized treatment plans.

Harvey will discuss the importance of accurate and up-to-date data and the need for measures to protect patient privacy and medical data security.

The potential for ChatGPT in health care is vast, and this podcast will give you a glimpse into the future.

Harvey Castrois a physician, health care consultant, and serial entrepreneur with extensive experience in the health care industry. He can be reached on his website,harveycastromd.info, Twitter@HarveycastroMD,Facebook,Instagram, andYouTube. He is the author ofChatGPT and Healthcare: The Key To The New Future of MedicineandSuccess Reinvention.

He shares his story and discusses his KevinMD article, Revolutionizing medicine: How ChatGPT is changing the way we think about health care.

The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience.

With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients.

At Nuance, we are committed to helping physicians do what you love care for patients and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational.

Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR.

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Health care's future with ChatGPT: Exploring the potential of AI in ... - Kevin MD

Azzi & Ostas Latest Couture Collection Is Futuristic For A World Ready To Live On Mars – Forbes

Couture collection: Philarmonie Astrale.Photo Credit: Azzi & Osta

Azzi & Ostas spring-summer 2023 collection takes a turn to the planet Mars in a theme called Philarmonie Astrale. If you know the Lebanese duo, they are known for unveiling very unique themed collections, though usually based on a destination location or film theme like 007. With elaborate and shapely silhouettes that fit in line with the goings on of Mars, its a unique, original and trendsetting collection, one where the duo master couture craftsmen romanticize technology by creating for this imaginary cosmic opera.

The theme came from the fascination of how the world is making plans to live in space, as if it is in the near future, says House founders George Azzi and Assaad Osta. With passengers already booked for a trip to Mars and hotels planned to be built in space, the whole idea feels inevitable and actually real. Not Mars specifically, but the one-hundred humans from earth living on Mars is one of the most ambitious space projects in the near future. So, if we imagine life on Mars becoming reality, then fashion and art on Mars will follow.

So, what would Mars couture fashion look like? Azzi and Osta answer this. Its a place of mutant dresses, with romantic, futuristic, organic, and geometric silhouettes. Looks are large and flamboyant with long draping velvet fabric that contrasts to translucent organza that complements a gown. Their use of silk, satin, crystal mesh, and embroidered tulle are on short gowns, tailored dresses, and military inspired shoulders. The duo also incorporates 3D embroidery that create silvery and tactile surfaces that are reminiscent to waves on the moon.

The color palette includes toxic greens, ultra-violet and infra-roses of aurora borealis thats seen in the polar lights. Pink, coral, fluorescent yellow, absinthe green, cosmic blue, deep black, and flashes of gold and silver are etched in the sartorial story that the duo is trying to tell through color.

One might think they were inspired by surrealism, but Azzi and Osta insist not. The work of Surrealist artists was not an inspiration for this specific theme, more as Space itself, the colors, the galaxies, the endless shapes and colors of Nebula is more than sufficient in terms of Surrealism, they say.

Since the woman wearing the collection is going to a cosmic opera, opera gloves are an important part of the looks. One by one, flying vehicles drop the guests on the red carpet. A lineup of huge artists will play Music from Earth, the titles of the Golden Disc launched into the universe by the Voyager probes in 1977, as a testimony to Earth's culture, explain the collection notes.

Its a collection meant for red carpets, a trend that was poignant during the recent Haute Couture Week. Designers this season have gone for the elaborate and the romantic, yet daring. Philarmonie Astrale is a romantic approach to space and futurism, its saying that a romantic will be a romantic anywhere and anytime. The woman wearing this collection is first and foremost a daring woman, eager to make and entrance and turn heads. Shes filled with mystery and surprises like space itself, yet equally romantic and poetic, like a walk under a starry night, says the duo.

From European Riviera coasts, 1950s photography, the canals of Amsterdam, espionage, and now cosmic operas. What will Azzi & Osta dream up next?

With a background in International Politics and having worked for a few years in Washington, DC, I have found myself in a totally different arena- fashion, style, travel, and cultures. I have developed an eye for couture craftsmanship, as well as learning how to put intricate and detailed collections into words.

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Azzi & Ostas Latest Couture Collection Is Futuristic For A World Ready To Live On Mars - Forbes

Ubisoft Turns to 3D Printing to Create Futuristic Costumes in Just Dance 2023 – 3Dnatives

For over 14 years, Just Dance, a game that (as the name suggests) has been designed to get you dancing, has amazed users. Starting on the Wii all the way back in 2009, this year Ubisoft released the 14th version of the game which can be played on a number of different consoles including Nintendo Switch, PlayStation 5 and Xbox Series X and Series S. But more consoles is not the only way that the game has changed. For this latest version, Ubisoft, the game creator, turned to 3D printing to help create futuristic fashion pieces for use in-game.

Ubisoft is one of the biggest gaming companies out of there. Some of their most famous games include the Assassins Creed series, Far Cry, Rabbids and more. And of course Just Dance is also one of their most popular offerings. In the game, users use a motion detecting device in order to follow along with a coach that is dancing on the screen, trying to get as close to the actual movement as possible. These coaches are faceless and virtual, but they do tend to have one thing in common: incredible costumes. It is here that Ubisoft has turned to 3D printing.

Ubisoft used 3D printing and laser cutting to create the intricate costume for Night Swan

As mentioned, the coaches in Just Dance are known for their extravagant and beautiful costumes. But contrary to what you may believe, these cannot just be made on screen. In fact, in order to get the correct movements for the game, Ubisoft needs to have actual dancers perform the movements in front of a green screen. These are then animated in the game itself. However, this means that the dancers also need to be wearing the same clothing as their characters, no matter how intricate they may be.

Thus, Ubisoft decided that 3D printing would be ideal to help them create the outfit of the villain of Just Dance 2023, Night Swan. In order to reflect the fact that Night Swan was a powerful villain, the designers decided that the costume needed to be equally elaborate, landing on a long, flowing overcoat and body suit covered in 300 independently movable, hand-placed feathers. This was then created by combining additive manufacturing and laser cutting.

For Just Dance 2021, Ubisoft turned to 3D printing to create a futuristic prosthetic for one of the dancers

Moreover, this was actually not the first time that Ubisoft turned to 3D printing. In Just Dance 2021, the team used the technologies to create a 3D printed prosthetic and chest plate to give a retro-futuristic feel. Costume Designer and Character Lead Benjamin Jouffret does not specify which 3D technology was used in either case, but we know it uses polymers, notably softer ones for Night Swan since hard materials would have hurt the dancer. Furthermore, given the look of the costumes, it could have easily down with some kind of photopolymerization method like SLA or material jetting. Indeed these two processes are often popular for pieces that must look beautiful, for example in the movie industry, so it would come as no surprise that they may have been adopted for video games as well.

Joffret concludes, Its been a huge opportunity to work with 3D-printing techniques because we can create an outfit with a lot of detailed elements that makes the finished product look and perform in a really high-quality way. Additionally, once we decide on a final shape and material for the 3D-printed objects, we can change the way the computer renders them. For example, we can make the objects appear like theyre made of metal or plastic on-camera, in order to fit with our initial vision. You can find out more on Ubisofts website HERE.

What do you think of Ubisofts use of 3D printing for Just Dance 2021 and 2023? Let us know in a comment below or on ourLinkedIn,Facebook, andTwitterpages! Dont forget to sign up for our free weeklyNewsletter here, the latest 3D printing news straight to your inbox! You can also find all our videos on ourYouTubechannel.

*All Photo Credits: Ubisoft

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Ubisoft Turns to 3D Printing to Create Futuristic Costumes in Just Dance 2023 - 3Dnatives

L&T positions tech arm to develop futuristic projects – BusinessLine

Having merged L&T Infotech and Mindtree into a single IT services company, L&T is shaping up its other tech arm L&T Technology Services (LTTS) to take up futuristic projects, including driverless cars.

Autonomous car is a classic example of work that companies like LTTS will be engaged in. They will work on the dashboard of the car. LTTS enables technology and gadgets to become intelligent and sophisticated in terms of their processing capabilities and embedded functionalities, Shankar Raman, Whole-time Director and CFO, L&T, told businessline.

The company, incorporated in 2012, focuses on technology development in mobility, telecommunication and healthcare space, and is present in over 30 countries. LTTS provides product, manufacturing and operation engineering solutions and engineering consultancy.

Other Indian companies are also working on bringing autonomous cars and future mobility technology to the country. Tata Motors is working with its subsidiary JLR to construct the architecture that supports future technologies, including bringing level-two autonomous cars and connected cars to India.

While L&T Infotech and Mindtree have been merged, the conglomerate has no such plans for LTTS.

LTI and Mindtree were into IT services, whose consumers are chief information officers of various companies, but LTTS is an engineering-based company and its customers are the key technology officers. In simple terms, there are features on mobile phones which enable us to sidestep tedious processes, including voice recognition and autocorrect, done by embedded software. The software and the engineering behind it is what the technology does. While large IT companies have it embedded in their mainstream business, we have chosen to keep LTTS a niche, specialised engineering service company, added Raman.

L&T is also adopting digital technologies to future proof its businesses. From using new platforms based on AI for its construction business to connecting 11,000 equipment being used at various project sites for providing real-time visibility into the operations of these machines,the company is transforming its own operations.

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L&T positions tech arm to develop futuristic projects - BusinessLine

ChatGPT – Wikipedia

Artificial-intelligence chatbot developed by OpenAI

ChatGPT (Chat Generative Pre-trained Transformer)[2] is a chatbot developed by OpenAI and launched in November 2022. It is built on top of OpenAI's GPT-3 family of large language models and has been fine-tuned (an approach to transfer learning)[3] using both supervised and reinforcement learning techniques.

ChatGPT was launched as a prototype on November 30, 2022, and quickly garnered attention for its detailed responses and articulate answers across many domains of knowledge. Its uneven factual accuracy, however, was identified as a significant drawback.[4] Following the release of ChatGPT, OpenAI's valuation was estimated at US$29billion.[5]

ChatGPTa generative pre-trained transformer (GPT)was fine-tuned on top of GPT-3.5 using supervised learning as well as reinforcement learning.[6] Both approaches used human trainers to improve the model's performance. In the case of supervised learning, the model was provided with conversations in which the trainers played both sides: the user and the AI assistant. In the reinforcement step, human trainers first ranked responses that the model had created in a previous conversation. These rankings were used to create 'reward models' that the model was further fine-tuned on using several iterations of Proximal Policy Optimization (PPO).[7][8] Proximal Policy Optimization algorithms present a cost-effective benefit to trust region policy optimization algorithms; they negate many of the computationally expensive operations with faster performance.[9][10] The models were trained in collaboration with Microsoft on their Azure supercomputing infrastructure.

In addition, OpenAI continues to gather data from ChatGPT users that could be used to further train and fine-tune ChatGPT. Users are allowed to upvote or downvote the responses they receive from ChatGPT; upon upvoting or downvoting, they can also fill out a text field with additional feedback.[11][12]

Although the core function of a chatbot is to mimic a human conversationalist, ChatGPT is versatile. For example, it can write and debug computer programs,[13] compose music, teleplays, fairy tales, and student essays; answer test questions (sometimes, depending on the test, at a level above the average human test-taker);[14] write poetry and song lyrics;[15] emulate a Linux system; simulate an entire chat room; play games like tic-tac-toe; and simulate an ATM.[16] ChatGPT's training data includes man pages and information about Internet phenomena and programming languages, such as bulletin board systems and the Python programming language.[16]

In comparison to its predecessor, InstructGPT, ChatGPT attempts to reduce harmful and deceitful responses.[17] In one example, whereas InstructGPT accepts the premise of the prompt "Tell me about when Christopher Columbus came to the U.S. in 2015" as being truthful, ChatGPT acknowledges the counterfactual nature of the question and frames its answer as a hypothetical consideration of what might happen if Columbus came to the U.S. in 2015, using information about the voyages of Christopher Columbus and facts about the modern world including modern perceptions of Columbus' actions.[7]

Unlike most chatbots, ChatGPT remembers previous prompts given to it in the same conversation; journalists have suggested that this will allow ChatGPT to be used as a personalized therapist.[2] To prevent offensive outputs from being presented to and produced from ChatGPT, queries are filtered through OpenAI's company-wide moderation API,[18][19] and potentially racist or sexist prompts are dismissed.[7][2]

ChatGPT suffers from multiple limitations. OpenAI acknowledged that ChatGPT "sometimes writes plausible-sounding but incorrect or nonsensical answers".[7] This behavior is common to large language models and is called artificial intelligence hallucination.[20] The reward model of ChatGPT, designed around human oversight, can be over-optimized and thus hinder performance, otherwise known as Goodhart's law.[21] ChatGPT has limited knowledge of events that occurred after 2021. According to the BBC, as of December 2022, ChatGPT is not allowed to "express political opinions or engage in political activism".[22] Yet, research suggests that ChatGPT exhibits a pro-environmental, left-libertarian orientation when prompted to take a stance on political statements from two established voting advice applications.[23] In training ChatGPT, human reviewers preferred longer answers, irrespective of actual comprehension or factual content.[7] Training data also suffers from algorithmic bias, which may be revealed when ChatGPT responds to prompts including descriptors of people. In one instance, ChatGPT generated a rap indicating that women and scientists of color were inferior to white and male scientists.[24][25]

ChatGPT was launched on November 30, 2022, by San Franciscobased OpenAI, the creator of DALLE 2 and Whisper AI. The service was launched as initially free to the public, with plans to monetize the service later.[26] By December 4, OpenAI estimated ChatGPT already had over one million users.[11] In January 2023, ChatGPT reached over 100 million users, making it the fastest growing consumer application to date.[27] CNBC wrote on December 15, 2022, that the service "still goes down from time to time".[28] The service works best in English, but is also able to function in some other languages, to varying degrees of success.[15] Unlike some other recent high-profile advances in AI, as of December 2022, there is no sign of an official peer-reviewed technical paper about ChatGPT.[29]

According to OpenAI guest researcher Scott Aaronson, OpenAI is working on a tool to attempt to digitally watermark its text generation systems to combat bad actors using their services for academic plagiarism or spam.[30][31] The company says that this tool, called "AI classifier for indicating AI-written text",[32] will "likely yield a lot of false positives and negatives, sometimes with great confidence." An example cited in The Atlantic magazine showed that "when given the first lines of the Book of Genesis, the software concluded that it was likely to be AI-generated."[33]

The New York Times reported in December 2022 that it has been "rumored" that the next version of the AI, GPT-4, will be launched sometime in 2023.[2] In February 2023, OpenAI began accepting registrations from United States customers for a premium service, ChatGPT Plus, to cost$20 a month.[34] OpenAI is planning to release a ChatGPT Professional Plan that costs$42 per month, and the free plan is available when demand is low.

ChatGPT was met in December 2022 with some positive reviews; Kevin Roose of The New York Times labeled it "the best artificial intelligence chatbot ever released to the general public".[2] Samantha Lock of The Guardian newspaper noted that it was able to generate "impressively detailed" and "human-like" text.[35] Technology writer Dan Gillmor used ChatGPT on a student assignment, and found its generated text was on par with what a good student would deliver and opined that "academia has some very serious issues to confront".[36] Alex Kantrowitz of Slate magazine lauded ChatGPT's pushback to questions related to Nazi Germany, including the statement that Adolf Hitler built highways in Germany, which was met with information regarding Nazi Germany's use of forced labor.[37]

In The Atlantic magazine's "Breakthroughs of the Year" for 2022, Derek Thompson included ChatGPT as part of "the generative-AI eruption" that "may change our mind about how we work, how we think, and what human creativity really is".[38]

Kelsey Piper of the Vox website wrote that "ChatGPT is the general public's first hands-on introduction to how powerful modern AI has gotten, and as a result, many of us are [stunned]" and that ChatGPT is "smart enough to be useful despite its flaws".[39] Paul Graham of YCombinator tweeted that "The striking thing about the reaction to ChatGPT is not just the number of people who are blown away by it, but who they are. These are not people who get excited by every shiny new thing. Clearly, something big is happening."[40] Elon Musk wrote that "ChatGPT is scary good. We are not far from dangerously strong AI".[39] Musk paused OpenAI's access to a Twitter database pending a better understanding of OpenAI's plans, stating that "OpenAI was started as open source and nonprofit. Neither is still true."[41][42] Musk had co-founded OpenAI in 2015, in part to address existential risk from artificial intelligence, but had resigned in 2018.[42]

In December 2022, Google internally expressed alarm at the unexpected strength of ChatGPT and the newly discovered potential of large language models to disrupt the search engine business, and CEO Sundar Pichai "upended" and reassigned teams within multiple departments to aid in its artificial intelligence products, according to a report in The New York Times.[43] The Information website reported on January 3, 2023, that Microsoft Bing was planning to add optional ChatGPT functionality into its public search engine, possibly around March 2023.[44][45] According to CNBC reports, Google employees are intensively testing a chatbot called "Apprentice Bard", and Google is preparing to use this "apprentice" to compete with ChatGPT.[46]

Stuart Cobbe, a chartered accountant in England and Wales, decided to test ChatGPT by entering questions from a sample exam paper on the ICAEW website and then entering its answers back into the online test. ChatGPT scored 42percent, which, while below the 55percent pass mark, was considered a reasonable attempt.[47]

Writing in Inside Higher Ed professor Steven Mintz states that he "consider[s] ChatGPT ... an ally, not an adversary." He went on to say that he felt the AI could assist educational goals by doing such things as making reference lists, generating "first drafts", solving equations, debugging, and tutoring. In the same piece, he also writes:[48]

I'm well aware of ChatGPT's limitations. That it's unhelpful on topics with fewer than 10,000 citations. That factual references are sometimes false. That its ability to cite sources accurately is very limited. That the strength of its responses diminishes rapidly after only a couple of paragraphs. That ChatGPT lacks ethics and can't currently rank sites for reliability, quality, or trustworthiness.

OpenAI CEO Sam Altman was quoted in The New York Times as saying that AI's "benefits for humankind could be 'so unbelievably good that it's hard for me to even imagine.' (He has also said that in a worst-case scenario, A.I. could kill us all.)"[49]

In the months since its release, ChatGPT has been met with widespread criticism from educators, journalists, artists, ethicists, academics, and public advocates. James Vincent of The Verge website saw the viral success of ChatGPT as evidence that artificial intelligence had gone mainstream.[8] Journalists have commented on ChatGPT's tendency to "hallucinate."[50] Mike Pearl of the online technology blog Mashable tested ChatGPT with multiple questions. In one example, he asked ChatGPT for "the largest country in Central America that isn't Mexico." ChatGPT responded with Guatemala, when the answer is instead Nicaragua.[51] When CNBC asked ChatGPT for the lyrics to "The Ballad of Dwight Fry," ChatGPT supplied invented lyrics rather than the actual lyrics.[28] Researchers cited by The Verge compared ChatGPT to a "stochastic parrot",[52] as did Professor Anton Van Den Hengel of the Australian Institute for Machine Learning.[53]

In December 2022, the question and answer website Stack Overflow banned the use of ChatGPT for generating answers to questions, citing the factually ambiguous nature of ChatGPT's responses.[4] In January 2023, the International Conference on Machine Learning banned any undocumented use of ChatGPT or other large language models to generate any text in submitted papers.[54]

Economist Tyler Cowen expressed concerns regarding its effects on democracy, citing its ability to produce automated comments, which could affect the decision process for new regulations.[55] An editor at The Guardian, a British newspaper, questioned whether any content found on the Internet after ChatGPT's release "can be truly trusted" and called for government regulation.[56]

In January 2023, after being sent a song written by ChatGPT in the style of Nick Cave,[57] the songwriter himself responded on The Red Hand Files[58] (and was later quoted in The Guardian) saying the act of writing a song is "a blood and guts business ... that requires something of me to initiate the new and fresh idea. It requires my humanness." He went on to say "With all the love and respect in the world, this song is bullshit, a grotesque mockery of what it is to be human, and, well, I don't much like it."[57][59]

In 2023, Australian MP Julian Hill advised the national parliament that the growth of AI could cause "mass destruction". During his speech, which was partly written by the program, he warned that it could result in cheating, job losses, discrimination, disinformation, and uncontrollable military applications.[60]

Check Point Research and others noted that ChatGPT was capable of writing phishing emails and malware, especially when combined with OpenAI Codex.[61] OpenAI CEO Sam Altman wrote that advancing software could pose "(for example) a huge cybersecurity risk" and also continued to predict "we could get to real AGI (artificial general intelligence) in the next decade, so we have to take the risk of that extremely seriously". Altman argued that, while ChatGPT is "obviously not close to AGI", one should "trust the exponential. Flat looking backwards, vertical looking forwards."[11]

ChatGPT can write introduction and abstract sections of scientific articles, which raises ethical questions.[62] Several papers have already listed ChatGPT as co-author.[63]

In The Atlantic magazine, Stephen Marche noted that its effect on academia and especially application essays is yet to be understood.[64] California high school teacher and author Daniel Herman wrote that ChatGPT would usher in "the end of high school English".[65] In the Nature journal, Chris Stokel-Walker pointed out that teachers should be concerned about students using ChatGPT to outsource their writing, but that education providers will adapt to enhance critical thinking or reasoning.[66] Emma Bowman with NPR wrote of the danger of students plagiarizing through an AI tool that may output biased or nonsensical text with an authoritative tone: "There are still many cases where you ask it a question and it'll give you a very impressive-sounding answer that's just dead wrong."[67]

Joanna Stern with The Wall Street Journal described cheating in American high school English with the tool by submitting a generated essay.[68] Professor Darren Hick of Furman University described noticing ChatGPT's "style" in a paper submitted by a student. An online GPT detector claimed the paper was 99.9 percent likely to be computer-generated, but Hick had no hard proof. However, the student in question confessed to using GPT when confronted, and as a consequence failed the course.[69] Hick suggested a policy of giving an ad-hoc individual oral exam on the paper topic if a student is strongly suspected of submitting an AI-generated paper.[70] Edward Tian, a senior undergraduate student at Princeton University, created a program, named "GPTZero," that determines how much of a text is AI-generated,[71] lending itself to being used to detect if an essay is human written to combat academic plagiarism.[72][73]

As of January 4, 2023[update], the New York City Department of Education has restricted access to ChatGPT from its public school internet and devices.[74][75]

In a blinded test, ChatGPT was judged to have passed graduate-level exams at the University of Minnesota at the level of a C+student and at Wharton School of the University of Pennsylvania with a BtoB- grade.[76]

It was revealed by a TIME magazine investigation that to build a safety system against toxic content (e.g. sexual abuse, violence, racism, sexism, etc...), OpenAI used outsourced Kenyan workers earning less than $2per hour to label toxic content. These labels were used to train a model to detect such content in the future. The outsourced laborers were exposed to such toxic and dangerous content that they described the experience as "torture".[77] OpenAIs outsourcing partner was Sama, a training-data company based in San Francisco, California.

ChatGPT attempts to reject prompts that may violate its content policy. However, some users managed to jailbreak ChatGPT by using various prompt engineering techniques to bypass these restrictions in early December 2022 and successfully tricked ChatGPT into giving instructions for how to create a Molotov cocktail or a nuclear bomb, or into generating arguments in the style of a neo-Nazi.[78] A Toronto Star reporter had uneven personal success in getting ChatGPT to make inflammatory statements shortly after launch: ChatGPT was tricked to endorse the 2022 Russian invasion of Ukraine, but even when asked to play along with a fictional scenario, ChatGPT balked at generating arguments for why Canadian Prime Minister Justin Trudeau was guilty of treason.[79][80]

The advent of ChatGPT and its introduction to the wider public increased interest and competition in the space. In February 2023, Google began introducing an experimental service called "Bard" which is based on its LaMDA AI program. Bard generates text responses to questions asked based on information gathered from the web. Google CEO Sundar Pichai described how this technology would be integrated into existing search capabilities and said some aspects of the technology would be open to outside developers.[81]

The Chinese search engine firm Baidu announced in February 2023 that they would be launching a ChatGPT-style service called "Wenxin Yiyan" in Chinese or "ERNIE Bot" in English sometime in March 2023. The service is based upon the language model developed by Baidu in 2019.[82]

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ChatGPT - Wikipedia

ChatGPT: The Most Advanced AI Chatbot in 2022

ChatGPTuses deep learning algorithms to generate text responses to prompts. The model is based on the GPT-3 architecture, which is a type of transformer model that uses self-attention mechanisms to process and generate text.

The GPT-3 architecture is a type of neural network that is composed of multiple layers of interconnected nodes. Each node in the network is designed to process a specific aspect of the input text, such as the overall meaning, the syntactic structure, or the contextual information. As the input text is passed through the network, the nodes work together to generate a coherent and grammatically correct response.

One of the key features of the GPT-3 architecture is its ability to learn from large amounts of data. The ChatGPT model has been trained on a massive corpus of text data, which includes a wide range of topics and styles. As a result, the model is able to generate responses that are highly relevant to the prompt and that exhibit a level of knowledge and understanding that is similar to that of a human.

Another advantage of the GPT-3 architecture is its ability to handle long-range dependencies in the input text. This is important because many natural language tasks, such as language translation or text summarization, require the model to understand the overall meaning and context of the text in order to generate a correct response. The self-attention mechanisms in the GPT-3 architecture allow the model to capture these long-range dependencies and generate accurate and fluent responses.

Overall, the technical principle of ChatGPT is based on the GPT-3 architecture, which uses deep learning algorithms and self-attention mechanisms to generate human-like text responses to prompts. This allows the model to handle a wide range of natural language tasks, such as text generation and language translation, with high accuracy and fluency.

If you want to learn ChatGPT code, go to OpenAI official website or ChatGPT Github to learn more technical articles about ChatGPT.

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ChatGPT: The Most Advanced AI Chatbot in 2022

How Ashley Bidens Diary Made Its Way to Project Veritas

Roberta Kaplan, a lawyer for Ms. Biden, declined to comment.

The episode has its roots in the spring of 2020, as Ms. Bidens father was closing in on the Democratic presidential nomination. Ms. Biden, who has kept a low profile throughout her fathers vice presidency and presidency, had left a job the year before working for a criminal justice group in Delaware.

She was living in Delray Beach, Fla., a small city between Miami and West Palm Beach, with a friend who had rented a two-bedroom house lined with palm trees with a large swimming pool and wraparound driveway, according to people familiar with the events. Ms. Biden, who had little public role in her fathers campaign, had earlier been in rehab in Florida in 2019, and the friends house provided a haven where she could avoid the media and the glare of the campaign.

But in June, with the campaign ramping up, she headed to the Philadelphia area, planning to return to the Delray home in the fall before the lease expired in November. She decided to leave some of her belongings behind, including a duffel bag and another bag, people familiar with the events said.

Weeks after Ms. Biden headed to the Northeast, the friend who had been hosting Ms. Biden in the house allowed an ex-girlfriend named Aimee Harris and her two children to move in. Ms. Harris was in a contentious custody dispute and was struggling financially, according to Palm Beach County court records. At one point in February 2020, she had faced eviction while living at a rental property in nearby Jupiter.

Shortly after moving into the Delray home, Ms. Harris whose social media postings and conversations with friends suggested that she was a fan of Mr. Trump learned that Ms. Biden had stayed there previously and that some of her things were still there, according to two people familiar with the matter.

Exactly what happened next remains the subject of the federal investigation. But by September, the diary had been acquired from Ms. Harris and a friend by Project Veritas, whose operations against liberal groups and traditional news organizations had helped make it a favorite of Mr. Trump.

In a court filing, Project Veritas told a federal judge that around Sept. 3, 2020, someone the group described as a tipster called Project Veritas and left a voice message. The caller said a new occupant moved into a place where Ashley Biden had previously been staying and found Ms. Bidens diary and other personal items.

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How Ashley Bidens Diary Made Its Way to Project Veritas

Overview | Project Veritas

James OKeefe established Project Veritas in 2011 as a non-profit journalism enterprise to continue his undercover reporting work. Today, Project Veritas investigates and exposes corruption, dishonesty, self-dealing, waste, fraud, and other misconduct in both public and private institutions to achieve a more ethical and transparent society.

Today, OKeefe serves as the CEO and Chairman of the Board, so that he can continue to lead and teach his fellow journalists, as well as protect and nurture the Project Veritas culture.

As a legally recognized and fully-reporting enterprise, Project Veritas is the most effective non-profit on the national scene, period.

Project Veritas journalists working undercover on their own or by, with and through idealistic insiders bring to the American people the corrupt private truths hidden behind the walls of their institutions.

Throughout this website, there are in-depth and honest discussions of Project Veritas success, mistakes and the lies opponents tell about OKeefe and his organization.

Mostly, there are stories about successful impacts the organization has led at the local, state and national levels: ending federal funding of the corrupt Association of Community Organizations for Reform Now, or ACORN, twice forcing the New Hampshire legislature to tighten voter ID lawsthe second time overriding the governors veto, exposing political bias in the mainstream media outlets like CNN and a report led to ABC News suspending senior correspondent David Wright and taking him off all political coverage upon his return.

The biggest audience for any Project Veritas video was the release of the hot mic confession by ABC News anchor Amy Robach to her studio crew she had the whole Jeffrey Epstein story, but her network suppressed it because of pressure from the British Royal family.

Maybe better than that, the ABC News insider who gave Project Veritas the tape is still inside ABC News.

When Project Veritas takes on an investigation, the pattern is clear:

Project Veritas launches an investigation with the placement of our undercover journalists. The rollout of our findings creates a growing and uncontainable firestorm of press coverage.

Corruption is exposed, leaders resign, and organizations are shut down.

Project Veritas gets immediate, measurable and impactful results--and our return on investment is unparalleled.

There are many ways to be a part of Project Veritas from becoming an insider, undercover journalist, a video editor or contributor.

Project Veritas is a registered 501(c)3 organization. Project Veritas does not advocate specific resolutions to the issues that are raised through its investigations, nor do we encourage others to do so. Our goal is to inform the public of wrongdoing and allow the public to make judgments on the issues.

THE MISSION OF PROJECT VERITAS, INC. IS TO INVESTIGATE AND EXPOSE CORRUPTION,DISHONESTY, SELF-DEALING, WASTE, FRAUD, AND OTHER MISCONDUCT IN BOTH PUBLIC AND PRIVATE INSTITUTIONS IN ORDER TO ACHIEVE A MORE ETHICAL AND TRANSPARENT SOCIETY. ALSO ENGAGE IN LITIGATION TO: PROTECT, DEFEND AND EXPAND HUMAN AND CIVIL RIGHTS SECURED BY LAW, SPECIFICALLY FIRST AMENDMENT RIGHTS INCLUDING PROMOTING THE FREE EXCHANGE OF IDEAS IN A DIGITAL WORLD; COMBAT AND DEFEAT CENSORSHIP OF ANY IDEOLOGY; PROMOTE TRUTHFUL REPORTING; AND DEFEND FREEDOM OF SPEECH AND ASSOCIATION ISSUES INCLUDING THE RIGHT TO ANONYMITY.

1. MORAL COURAGE - Courage is the virtue that sustains all others. We choose to overcome our fears.

2. WE ARE ALL LEADERS - Turning people into leaders. Completed staff work. Ownership.

3. COLLABORATION - Best not to work in silos. No one individual is as smart as all of us.

4. RESILIENCE - Persistence and determination alone are omnipotent. Never, ever, ever give up. We don't let mistakes or setbacks discourage us. Pursue perfection, knowing full well you will never attain it.

5. MISSION DRIVEN - The best people are motivated by purpose. We are passionate and truly believe in our cause. We must be externally focused, not internally focused.

6. MAKE THE STATUS QUO DO THE IMPOSSIBLE - We move mountains. Failure is not an option. We do whatever it takes.

7. THE TIP OF THE SPEAR - We are a loss leader. We do not shy away from conflict or litigation.

Rule #1 Truth is paramount. Our reporting is fact based with clear and irrefutable video and audio content. Truth is paramount. We never deceive our audience. We do not distort the facts or the context. We do not selectively edit.

Rule #2 We do not break the law. We maintain one-party consent when recording someone is inherently moral and ethical. We never record when there is zero-party consent. In areas where we are required to have consent from all parties, we seek legal guidance regarding the expectation of privacys impact on our right to record.

Rule #3 We adhere to the 1st Amendment rights of others. During our investigations we do not disrupt the peace. We do not infringe on the 1st Amendment rights of others.

Rule #4 The Zekman Test. The undercover investigations we pursue are judged by us to be of vital public interest and profound importance. The Zekman Test is our baseline. Undercover investigative reporting is necessary because, ...theres no other way to get the story... Whereas the Society of Professional Journalists allows for undercover techniques, if undercover techniques are necessary to expose issues of vital public importance; we believe they are not only allowed but required.

Rule #5 We Protect the Innocent When Possible - Embarrassing private details are not to be investigated. We stay away from irrelevant embarrassingly intimate details about private citizens personal lives. We look for individual wrong-doing and judge its public importance. The irrelevant religious or sexual dispositions of our targets are not to be investigated.

Rule #6 Transparency. Our methods and tactics must be reasonable and defensible. We use the Twelve Jurors on Our Shoulder rule. The work has to be done with such a degree of integrity that it can withstand scrutiny in both law and ethics. We are comfortable with transparency. We must be willing to be ready to disclose our methods upon publication.

Rule #7 Verifying and Corroborate Stories Evaluate impact on third parties and Newsworthiness of Statements Alone.We consistently consider the probable truth or falsity of statements, examine any reasons to doubt the veracity of underlying assertions and whether the assertions are newsworthy. When possible, we will confirm with our subjects that their statements captured on video are accurate and truthful.At the very least, we will give our subjects an opportunity to elaborate and/or respond. In all matters, we rely on the 1st Amendment to protect our ability to publish newsworthy items after our internal deliberations. On whether there is an obligation to ensure the veracity of statements made on video, 1.) consider whether the remarks may potentially impact an innocent third party. (Factors in support of releasing the content) and 2.)The Newsworthiness of the statement alone by itself. (Factors against releasing the content).

Rule #8 Raw Video. In certain circumstances we may release the raw video to the press and or the public. But as a rule, we do not.

Rule #9 Subject Anonymity. We investigate and question sources before promising anonymity. Once we confirm, we will do everything in our power to protect the identity of our confidential sources.

Rule #10 Being Accountable. Admit mistakes and correct them promptly.

Rule #11 We do not manufacture content. We do not put words in our investigative subjects' mouths. We do not lead the horse to water. Our purpose is to elicit truth.

Rule #12 With Great Power comes Great Responsibility.

Excerpt from:

Overview | Project Veritas

Project Veritas video of Greenwich teacher prompts investigation

Editors Note: This article is part of CT Mirrors Spanish-language news coverage developed in partnership withIdentidad Latina Multimedia.

Lea este artculo en espaol.

Attorney General William Tong opened an investigation Thursday into whether Project Veritas hidden-camera video of a Greenwich assistant principal is evidence of illegal bias on the basis of political beliefs, age or religious affiliation.

Discrimination, hate, bigotry against any person and against any religion or on the basis of age or otherwise, is reprehensible and wrong, Tong said. This video is disturbing. And if teachers, school staff or applicants for education jobs have been illegally discriminated against for any reason, I will take action.

Tong, a Democrat seeking a second term in November, said he was acting based on the publicly available video, not the calls for an investigation by Republicans, including the GOPs nominee for attorney general, Jessica Kordas.

I want to make two points absolutely clear. I do not play politics with my enforcement authority. And I do not play politics with civil rights investigations, Tong said. And I definitely do not play politics with schools, kids in schools, and teachers and students and families.

[RELATED: Project Veritas says video shows bias against conservatives and Catholics in Greenwich schools]

In the Project Veritas video, an assistant principal of the Cos Cob elementary school, Jeremy Boland, is seen telling a woman over drinks about using age and religion, among other things, to weed out conservative applicants for teaching jobs. Boland was suspended Wednesday.

Tongs inquiry is likely to be one of three: First Selectman Fred Camillo said he intends to hire outside counsel to investigate, and the Board of Education also is expected to investigate whether Boland was trying to impress a woman over drinks or actually had discriminated against applicants.

As an assistant principal, Boland plays a role on committees that screen and recommend hiring, but has no authority to make hires. Assists in the recruitment and selection of employees is an element of the job description.

In one clip, Boland said he used Catholicism and age to judge if an applicant was likely to be politically conservative. He did not say how he discerned religious affiliation.

Tong declined to comment in detail on the scope or structure of the investigation. Specifically, he would not say if his office would seek all the video recorded of Boland and not just the brief cuts used in the 12-minute report posted Tuesday.

But suffice it to say, we are going to investigate broadly the contents and circumstances of that video. And were going to assess and analyze and review all of the available evidence, Tong said.

Project Veritas, which has been accused of using video clips out of context in previous exposs, declined Wednesday to explain how Boland came to be targeted or how the woman working for the group engaged him in what appears to be at least three conversations over drinks and meals.

Tong was elected in 2018 on a promise to seek greater authority to pursue civil penalties for hate crimes and civil rights offenses, and the legislature responded in 2021 by passing a bill that gives him that authority.

I will not rush to judgment, and I will respect due process, Tong said Thursday. I am not going to do anything different just because this is a political season and people want to see me reach one conclusion or another. I also want to make very clear we will conduct a thorough investigation and review and analyze all of the evidence. This will not happen overnight.

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Project Veritas video of Greenwich teacher prompts investigation

Project Veritas Says Justice Dept. Secretly Seized Its Emails

The conservative group Project Veritas said on Tuesday that the Justice Department began secretly seizing a trove of its internal communications in late 2020, just weeks after learning that the group had obtained a copy of President Bidens daughters diary.

In a court filing, a lawyer for Project Veritas assailed the Justice Departments actions, which involved subpoenas, search warrants and court production orders that had not been previously disclosed and gag orders imposed on Microsoft, whose servers housed the groups emails.

The disclosure underscored the scope and intensity of the legal battle surrounding the Justice Departments investigation into how Project Veritas, in the closing weeks of the 2020 presidential campaign, came into possession of a diary kept by Ashley Biden, the presidents daughter, and other possessions she had stored at a house in Florida.

And it highlighted how the Justice Department has resisted demands by the conservative group which regularly engages in sting operations and ambush interviews against news organizations and liberal groups and has targeted perceived political opponents to be treated as a news organization entitled to First Amendment protections.

It is highly unusual for the Justice Department to obtain the internal communications of journalists, as federal prosecutors are supposed to follow special guidelines to ensure they do not infringe on First Amendment rights.

Since the investigation was disclosed last fall, federal prosecutors have repeatedly said that because they have evidence that the group may have committed a crime in obtaining Ms. Bidens belongings, Project Veritas is not entitled to First Amendment protections.

But Project Veritas, in its filing on Tuesday, said that prosecutors had failed to be forthcoming with a federal judge about the nature of their inquiry by choosing not to disclose the secret subpoenas and warrants.

This is a fundamental, intolerable abridgment of the First Amendment by the Department of Justice, James OKeefe, the groups founder and leader, said in a video.

In its court filing, Project Veritas asked a federal judge to intervene to stop the Justice Department from using the materials it had obtained from Microsoft in the investigation. The group said that federal prosecutors had obtained voluminous materials which in many cases included the contents of emails from Microsoft for eight of its employees, including Mr. OKeefe.

The group also disclosed that Uber had told two of its operatives who are under investigation Spencer Meads and Eric Cochran that it had handed over information from their accounts in March of last year in response to demands from the government.

Microsoft said in response to questions about the matter that it had initially challenged the governments demands for Project Veritass information, but the company declined to describe what that entailed.

Weve believed for a long time that secrecy should be the exception and used only when truly necessary, said Frank X. Shaw, a spokesman for Microsoft. We always push back when the government is seeking the data of an enterprise customer under a secrecy order and always tell the customer as soon as were legally able.

According to a person with direct knowledge of the matter, Microsoft had pushed back on the Justice Departments subpoenas and warrants when the company was served with them in late 2020 and early 2021. But the government refused to drop its demands and Microsoft handed over the information that prosecutors were seeking, the person said.

Because of gag orders that had been imposed, Microsoft was barred from telling Project Veritas about the requests, the person said.

Shortly after the existence of the investigation was revealed publicly last fall, Microsoft asked the Justice Department whether it could tell Project Veritas about the requests, the person said. The department refused to lift the gag orders, the person said.

In response, Microsoft drafted a lawsuit against the Justice Department to try to get the gag orders lifted and told department officials that the company was prepared to file it. Soon afterward, the department went to court and had the gag orders lifted.

A little more than a week ago, Microsoft told Project Veritas about the warrants and subpoenas, the person said.

Project Veritas paid $40,000 for Ms. Bidens diary to a man and a woman from Florida who said that it had been obtained from a home where Ms. Biden had been staying until a few months earlier. Project Veritas also had possession of other items left at the house by Ms. Biden, and at the heart of the investigation is whether the group played a role in the removal of those items from the home.

Project Veritas has denied any wrongdoing and maintained that Ms. Bidens belongings had been abandoned. The group never published the diary.

Search warrants used in raids last fall on the homes of Mr. OKeefe and two other Project Veritas operatives showed that the Justice Department was investigating conspiracy to transport stolen property and possession of stolen goods, among other crimes.

In response to the searches, a federal judge, at the urging of Project Veritas, appointed a special master to oversee what evidence federal prosecutors could keep from the dozens of cellphones and electronic devices the authorities had obtained.

Project Veritas said in its filing on Tuesday that at the time the special master was appointed the government should have revealed that it had conducted other searches that could have infringed on the groups First Amendment rights or could have been protected by attorney-client privilege.

In the final year of the Trump administration, prosecutors in Washington, who were investigating a leak of classified information, secretly obtained court orders demanding that Google, which houses The New York Timess email accounts, hand over information from four Times reporters accounts. In response to requests from Google, the Justice Department allowed it to alert The Times to the demands so the newspaper could fight the orders. A lawyer for The Times, David McCraw, secretly fought the demands, which the government ultimately dropped.

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Project Veritas Says Justice Dept. Secretly Seized Its Emails

Rand Paul | Biography & Facts | Britannica

Rand Paul, byname of Randal Howard Paul, (born January 7, 1963, Pittsburgh, Pennsylvania, U.S.), American politician who was elected as a Republican to the U.S. Senate in 2010 and began his term representing Kentucky the following year. He sought his partys nomination in the U.S. presidential election of 2016.

Rand, the middle of five children, was the son of Ron Paul, a physician who, while serving in the U.S. House of Representatives (197677, 197985, and 19972013), helped swing the Republican Party rightward and toward libertarianism. Rand attended but did not graduate from Baylor University, leaving upon his admission to medical school at Duke University. He earned a medical degree in 1988, and he went on to specialize in ophthalmology. In 1989 he met Kelley Ashby, and they married two years later.

After about 15 years of working in partnerships and clinics, Paul established his own medical practice in Bowling Green, Kentucky. In 1997 he broke away from the medical board with oversight for certification in his field, the American Board of Ophthalmology, and founded a rival certification authority, the National Board of Ophthalmology. The latter group, the board of which was made up entirely of members of his family, disbanded in 2011. He was also active in the Lions Club International, which runs eye banks and offers humanitarian aid related to eye care around the world.

While a college student, Paul was involved in several conservative organizations, and he worked for his father during the 1988 U.S. presidential election, when his father was campaigning on the Libertarian Party ticket. In 1994 Paul founded the antitaxation group Kentucky Taxpayers United, with himself at the head. Two years later he helped his father defeat an establishment Republican candidate after the elder Paul decided to run for Congress after an absence of more than a decade.

In 2009, riding a wave of anti-Washington sentiment, Rand Paul took advantage of the unpopularity of incumbent Senator Jim Bunning of Kentucky and announced that he was running for the seat. Bunning subsequently withdrew from the race, and Paul, aligned with the Tea Party movement, won the Republican primary. He then easily defeated the Democratic candidate in the 2010 general election, despite controversy over a campaign trail statement in which Paul questioned the constitutionality of the Civil Rights Act of 1964.

With Utah Senator Mike Lee, Paul founded the Tea Party Caucus upon entering the Senate in 2011. He soon became a vocal opponent of his partys leadership and establishment Republicans. Among the issues he pursued were massive cuts in federal spending. Consistent with his generally libertarian position, Pauls proposed cuts involved not only social programs but also defense allocations. In addition, he sought the abolishment of all foreign aid. Although Paul generally voted on the losing side in arguments over the budget, he was an influential voice on some issues, such as the government shutdown of 2013. Adopting philosophically consistent but not ideologically rigid positions, he forged unlikely alliances with such groups as the American Civil Liberties Union and with such individuals as Democratic Senator Patrick Leahy, with whom he introduced legislation softening mandatory minimum sentencing penalties in federal cases. In April 2015 Paul announced that he was entering the U.S. presidential election race of 2016. He suspended his campaign in February 2016. He subsequently offered a tepid endorsement for the partys nominee, Donald Trump, whom he once called a delusional narcissist and orange-faced windbag.

After Trump won the presidential election, Paul became increasingly supportive of him, though he occasionally refused to back the administrations policies. While Paul voted for a massive tax reform bill in 2017, that year he also helped defeat a Republican-led effort to repeal and replace the Patient Protection and Affordable Care Act (PPACA; 2010); he opposed the proposed replacement plan, claiming it was too similar to the PPACA. In November 2017 Paul made additional news when he was attacked by his neighbour, who later pleaded guilty to felony assault; the altercation, which left Paul with bruised lungs and broken ribs, was allegedly motivated by a yard dispute.

In 2019 Trump was impeached by the House of Representatives following a whistleblowers allegation that Trump had extorted a foreign country to investigate one of his political rivals. The proceedings then moved to the Republican-controlled Senate, and Paul made headlines by revealing the alleged whistleblowers name, despite a law protecting the persons identity. In February 2020 Paul voted for Trumps acquittal; the president was acquitted in a near party-line vote. During this time, the coronavirus was spreading around the world, eventually becoming a global pandemic. As schools and businesses closed, the U.S. economy entered an economic downturn that rivaled the Great Depression. In March 2020 Paul became the first senator to test positive for the virus, and he went into a self-quarantine. The following month he resumed his public duties. Paul was elected to a third term in November 2022.

Paul wrote the books The Tea Party Goes to Washington (2011; with Jack Hunter), Government Bullies: How Everyday Americans Are Being Harassed, Abused, and Imprisoned by the Feds (2012; with Doug Stafford), and Taking a Stand: Moving Beyond Partisan Politics to Unite America (2015).

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Rand Paul | Biography & Facts | Britannica

Rand Paul 2023: Wife, net worth, tattoos, smoking & body facts – Taddlr

On 7-1-1963 Rand Paul (nickname: Randal Howard Paul) was born in Pittsburgh, Pennsylvania, United States. He made his 1.5 million dollar fortune with United States Senator. The politician is married to Kelley Ashby, his starsign is Capricorn and he is now 60 years of age.Rand Paul Facts & WikiWhere does Rand Paul live? And how much money does Rand Paul earn?Birth Date7-1-1963Heritage/originAmericanEthnicityWhiteReligion - believes in God?ChristianResidenceHe owns a house in Lake Jackson, Texas, USA.Rand Paul Net Worth, Salary, Cars & HousesHousesCarsRELATED:These 10 Whopping Homes & Cars Of Celebrities Look Amazing!Rand Paul: Wife, Dating, Family & FriendsRand Paul with beautiful, Wife Kelley AshbyWho is Rand Paul dating in 2023?Relationship statusMarried (Since1990)SexualityStraightCurrent Wife of Rand PaulKelley AshbyEx-girlfriends or ex-wivesHas any kids?No Will the marriage of American politician Rand Paul and current Wife, Kelley Ashby survive 2023?

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This friendly politician originating from Pittsburgh, Pennsylvania, United States has a slim body & square face type.

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Rand Paul 2023: Wife, net worth, tattoos, smoking & body facts - Taddlr