Medical students collaborate to offer accessible primary care to southeast Ohioans – Ohio University

Students at Ohio Universitys Heritage College of Osteopathic Medicine have collaborated with faculty in the medical school and staff from Community Health Programs to offer a new option for quality primary care services for southeast Ohioans who are uninsured or underinsured through the Care Clinic.

The Care Clinic is a student-organized and student-run clinic that is staffed predominantly by first- and second-year medical students who are mentored by a third- or fourth year medical student. All patient care is overseen by attending physicians and a member of the Heritage Community Clinic staff is present at every clinic to help with logistical concerns.

In early summer 2020, Caroline Hyman, now a third-year medical student, approached Sherri Oliver, executive director of Community Health Programs and the Area Health Education Center, about the possibility of establishing a student-run free clinic.

Hyman, who is currently doing clinical rotations at Kettering Health Dayton (previously known as Grandview Medical Center),first got the idea for the free clinic after her summer research experience was cancelled due to the pandemic and she transitioned to volunteering at a free clinic in her hometown.

I really wanted to volunteer as a medical student that summer and started looking into whether a student-run free clinic was an option once I came back to Athens in the fall, Hyman explained. Upon not finding a clinic, I hoped to start one up, and with the pandemic shutting down the possibility of most volunteering that year, it gave us the perfect opportunity to take our time and plan a foundation that would allow this student-run free clinic to last.

To start the clinic, Oliver and Hyman approached Beth Longenecker, (D.O., 91), Heritage College, Athens, dean and medical director of the Heritage Community Clinic, as well as Carole Merckle, assistant director of Community Health Programs and the Area Health Education Center. They formed a planning group with several dedicated students, spending the 2020-2021 academic year working to make the clinic a reality. The first clinic officially kicked off in September 2021.

The Care Clinic, as part of the Heritage Community Clinic system, is another access point for people who are uninsured or underinsured in our community to receive free quality health care, Oliver said. The Heritage Community Clinic has offered free primary care to residents of southeast Ohio for over two decades, and the Care Clinic provides our Heritage College students with a firsthand opportunity to provide care to those who need it most.

Aside from the clinical experience, students have also gained organizational experience by planning clinics and being part of the Care Clinics board of directors. The board consists of six second-year Heritage College students, who apply and are selected at the end of their first year of medical school, as well as a group of advisors who are faculty or staff in the Heritage College.

The Care Clinic benefits the students learning on multiple fronts, Longenecker said. They are able to directly care for patients at their level of experience and learn from each other in the care process. They are able to interact directly with more senior level students to hone their clinical reasoning skills and also are able to have more one-on-one time with the faculty physician than may be possible in a fast-paced primary care clinic. And they also are learning the background of what it takes to operationalize a practice, something that is not typical during their usual third- and fourth-year clinical rotations.

AashikaKatapadi, a second-year medical student and current president of the student board, was on the advising committee for the Care Clinic last year and helped lay the groundwork for the free clinic. She worked with her team over the summer to ensure the clinic could open and to recruit student volunteers to staff the clinic.

The Care Clinic is a fabulous opportunity for the different communities it brings together, Katapadi said. The clinic provides access to free medical care and resources to members of the Athens community who are in need.Medical students can also help patients and put our knowledge to use while learning about social determinants of health in action.It also provides a mentorship opportunity between students of various years within the school.

Students in all four years of medical school volunteer at the Care Clinic, while volunteer faculty physicians also provide integral help and support for the clinics.

I feel so fortunate to have put in the work to create a strong foundation for the Care Clinic, Hyman said. I wish that I could have been able to volunteer with the clinic once it was up and running, but am hopeful for the opportunities it will offer for future students. I still hope to have the opportunity to volunteer directly with patients at the Care Clinic at some point before I graduate.

The Care Clinic takes place once a month on Saturday mornings in the Heritage Community Clinic, located on the ground floor of Grosvenor Hall West on Ohio Universitys West Green in Athens. Free parking is available for patients outside the clinic entrance.

Holding the clinic on the weekend is critical for community members who are unable to attend other primary care clinics offered by Heritage Community Clinic during the week due to work schedules, Oliver added.

For more information on the next scheduled Care Clinic, please call 740.593.2432 or emailcareclinic@ohio.edu.

Visit link:

Medical students collaborate to offer accessible primary care to southeast Ohioans - Ohio University

Paul Farmer to be awarded 2022 Inamori Ethics Prize by Inamori International Center for Ethics and Excellence – Newswise

Newswise CLEVELANDThe Inamori International Center for Ethics and Excellence at Case Western Reserve University will award Paul Farmer, a physician and medical anthropologist who has dedicated his life to improving healthcare for the world's most in need, with the 2022 Inamori Ethics Prize.

Farmer, the Kolokotrones University Professor and chair of the Department of Global Health and Social Medicine at Harvard Medical School, is chief strategist and co-founder of Partners In Health (PIH), a 35-year-old international non-profit that brings the benefits of modern medicine to those who have suffered from the overt and subtle injustices of the world, in the past and in the present.

Farmer will be awarded the prize and deliver a free public lecture about his work as part of an academic symposium and panel discussion during Inamori Center events Oct. 27-28 on the Case Western Reserve campus in Cleveland.

Case Western Reserve has awarded the Inamori Ethics Prize annually since 2008 to honor outstanding international ethical leaders whose actions and influence have greatly improved the condition of humankind.

Dr. Farmer exemplifies every aspect of this honor, said Case Western Reserve President Eric W. Kaler. The work hes done through Partners In Health has had a tremendous impact on the lives of people in the worlds rural, impoverished and marginalized communities. And, importantly, his community-based treatment strategies to deliver high-quality health care to patients in the U.S. and around the world address one of the greatest issues of our timeinequities and inequalities in healthcare.

Farmer, also a professor of medicine and chief of the Division of Global Health Equity at Brigham and Womens Hospital in Boston, has written extensively on health, human rights and social inequality affecting health and healthcare globally. In 2020, he received the $1 million Berggruen Prize in recognition of his lifes work and, more specifically, contributions during the pandemic. He also received a MacArthur Fellowship in the early 1990s.

He is a member of the American Academy of Arts and Sciences and the Institute of Medicine of the National Academy of Sciences, which awarded him the 2018 Public Welfare Medal. In 2005, Tracy Kidders Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man

Who Would Cure the World was CWRUs Common Reading selection for incoming first-year students. In 2006, Case Western Reserve awarded Farmer an Honorary Doctor of Science degree from the School of Medicine.

In 1987, Farmer and his colleagues co-founded PIH, which began in Cange in the Central Plateau of Haiti. PIH has developed into a worldwide health organization with a model for providing healthcare. The PIH hospital in Haiti provides free treatment to patients, and PIH helps patients living in poverty to obtain effective drugs to treat diseases such as tuberculosis and AIDS.

Farmer also served as U.N. Special Adviser to the Secretary-General on Community-based Medicine and Lessons from Haiti and is best known for his humanitarian work providing suitable healthcare to rural and under-resourced areas in developing countries, beginning in Haiti.

The Inamori Ethics Prize is, at its very core, a celebration of those who have contributed to the betterment of humankind, said CWRU Provost and Executive Vice President Ben Vinson III. Dr. Farmer is the very epitome of a humanitarian and incredibly deserving of this award.

Farmer has received many additional honors, including the Bronislaw Malinowski Award and the Margaret Mead Award from the Society for Applied Anthropology, the Outstanding International Physician (Nathan Davis) Award from the American Medical Association, and, with his PIH colleagues, the Hilton Humanitarian Prize.

We are delighted to welcome Dr. Farmer back to our campus and the Cleveland community and share his story and message locally and globally during the Inamori Ethics Prize ceremony, symposium, and associated events, said Inamori Center Acting Director Beth Trecasa. Dr. Farmers authentic compassion for humanity is as clear as the global improvement he has been able to make through his own actions and the collective impact of Partners In Health.

Previous Inamori Ethics Prize winners:

###

Case Western Reserve University is one of the country's leading private research institutions. Located in Cleveland, we offer a unique combination of forward-thinking educational opportunities in an inspiring cultural setting. Our leading-edge faculty engage in teaching and research in a collaborative, hands-on environment. Our nationally recognized programs include arts and sciences, dental medicine, engineering, law, management, medicine, nursing and social work. About 5,800 undergraduate and 6,300 graduate students comprise our student body. Visitcase.eduto see how Case Western Reserve thinks beyond the possible.

Read the rest here:

Paul Farmer to be awarded 2022 Inamori Ethics Prize by Inamori International Center for Ethics and Excellence - Newswise

Where is the outrage … from everyone? The story behind this Temple trauma surgeons tweet. – The Philadelphia Inquirer

Since 1993, Amy Goldberg has been a trauma surgeon at Temple University Hospital, which has the distinction of treating more gunshot patients than any other hospital in the state. Last year, there were 747, up from 576 the year before.

Goldberg, a native of Broomall who went to the University of Pennsylvania and Icahn School of Medicine at Mount Sinai, says shes treated thousands here, in rare cases those who have been shot on more than one occasion. And though Goldberg and Scott Charles, Temples trauma outreach manager, over the last 15 years have started programs to advocate for and assist victims, educate schoolchildren about gun violence, and train community members on how to provide first aid to gunshot victims, they have watched as the citys gun violence has escalated again this past year.

In the early hours of New Years Day, after two were killed and 12 injured in three separate shootings one of them near Temples campus Goldberg tweeted: Last night was an abomination in our city. Our community is dying. Where is the outrage ... from everyone?

READ MORE: 14 shot as deadly gun violence in Philly carries into the early hours of the new year

We sat down with Goldberg and Charles, a University of Pennsylvania alumnus, to talk about that tweet, her work as both a surgeon and more recently the interim dean of Temples medical school, and what she would like to see from Philadelphians in response to the violence epidemic.

This interview has been edited for length and clarity.

Goldberg: I was just so angry, as we all should be. The number of homicides are outrageous, more than ever. I just couldnt understand. We need to be moved. Whats it going to take [for] us to be moved to do something?

Im a Broad Street runner, so I know that Temple Hospital is mile marker 2 and City Hall is mile marker 6, and within four short miles all of this violence is going on. Where was that outrage?

READ MORE: Temple's campus is on edge after a student was shot to death: Students are afraid

Goldberg: So I do have a communication team. I write my tweets and off they go. And off it went, Hope everybody has a good new year. And then I turned on the news. And I thought I cant leave that tweet out there. I called up Scott: It cant be like a tone-deaf tweet on New Years Day.

How could the trauma surgeon for 30 years in North Philadelphia put out a goddamn tone-deaf tweet?

Goldberg: Yes.

Goldberg: What I felt.

Goldberg: Some people were supportive and other people thought I was just pointing fingers and blaming people. I wasnt. I wasnt blaming police and I wasnt blaming [District Attorney Larry] Krasner. I wanted this to be a call for sustained action ... that all of us should care about whats going on.

READ MORE: Philly's homicide crisis in 2021 featured more guns, more retaliatory shootings, and a decline in arrests and convictions

Charles: Im proud of the fact that she sent that tweet, because I think there have been a lot of people standing on the sidelines. ... What shes going to succeed in doing is emboldening a lot of people.

Goldberg: Do you think any tweet, that something happens from tweets?

Goldberg: The attention to the issue shouldnt wax and wane. Its like maybe The Inquirer should keep track of what were doing every day to solve this, as we would in our units that we work in. We need to work on more gun laws that make sense. ... It just cant be so easy to get a gun.

Then the issue of poverty and structural racism in the city. All of these things need to be addressed.

READ MORE: When you enter Temple University Hospitals ER, trauma advocates will help you with more than your injuries

Goldberg: There are so many. Thousands. Its just relentless.

Goldberg: When I was a fellow, my first big case was a 16-year-old who got shot. I saw him in the clinic. He wasnt in school and then I realized that we hadnt really provided any services to help him. We just did this operation and took good care of him, got him eating and walking, but I wasnt really sure we helped him the best we could, and I kept that in my mind ... to when Scott and I met.

Goldberg: Before Christmas, three people came in all at once, 15-, 16-, 17-year-olds. One of them needed an operation. A big blood-vessel injury. The patients are younger and younger.

Charles: The thing that sets the last few years apart, since the pandemic, is how many women, how many children. You hear this from guys who are also engaged in the streets. They lament the loss of the code that used to protect women and children from gun violence.

The way the numbers spiked in 2020 is just insane. It feels like youre digging a hole in sand sometimes. Weve been doing this a very, very long time, having these same conversations.

Goldberg: And its worse. Here we are all these years later, and its now worse. Trauma surgeons know that maybe Thursdays and Fridays and Saturdays are busy days, nights busier than days, and now it doesnt matter what day of the week or what time of day. It doesnt matter at all.

But we are doing so much more for the patients. Were so fortunate that now we really are providing those services to our patients that I wanted to all those years ago for that 16-year-old boy.

Goldberg: Probably a little PTSD.

Goldberg: We are going to try to develop a center within the school, a center for violence prevention intervention. We have some great programs within the medical school and the hospital. Now that I sit in the interim dean position, were going to bring these programs from both sides of the street together and be more unified.

Charles: It really does feel like a make-or-break moment.

Goldberg: Care. We could ask every person to care about this issue, to be moved by this issue, and to not think that this is OK and to speak for people who arent spoken for.

More:

Where is the outrage ... from everyone? The story behind this Temple trauma surgeons tweet. - The Philadelphia Inquirer

ENT and Allergy Associates, LLP and Cooperman Barnabas Medical Center (CBMC) Join Forces to Form a Clinical Affiliation in New Jersey – Yahoo Finance

The new affiliation offers New Jersey residents access to enhanced otolaryngology and allergy healthcare services across a wide variety of specialties and sub-specialties, provided by CBMC.

Tarrytown, New York, Jan. 24, 2022 (GLOBE NEWSWIRE) -- ENT and Allergy Associates, LLP (ENTA) is pleased to announce that the practice has formed a clinical affiliation with Cooperman Barnabas Medical Center (CBMC), formerly Saint Barnabas Medical Center.

We are thrilled to affiliate and collaborate with ENT and Allergy Associates. ENTA is recognized throughout the region as a leader providing outstanding care to their patients, states Richard L. Davis, President and CEO, Cooperman Barnabas Medical Center.

This affiliation offers New Jersey residents access to enhanced otolaryngology and allergy healthcare services across a wide variety of specialties and sub-specialties, provided by CBMC.

ENTA plans to integrate its NextGen Electronic Health Records system with CBMC to create a single button protocol that will help quickly and efficiently coordinate care between physicians and facilities. Patients who are found to need tertiary care will be quickly seen by the specialist within 48 hours. This seamless protocol allows ENTA physicians to quickly direct patients to one of CBMC physicians through an approved HIPAA compliant method of communication. Physicians at CBMC will be able to instantly receive a patients diagnosis, relevant images, chart notes, and the clinical description of why they are being sent for more advanced care.

This affiliation will provide a unique opportunity to deliver comprehensive medical and surgical services and provide timely and convenient access to some of the best physicians in the region. ENTA considers itself a university without walls and prides itself on the affiliations it has fostered over the years, including clinical alliances with The Mount Sinai Hospital, Montefiore Medical Center and Northwell Health.

Story continues

Robert Glazer, CEO of ENTA, stated Its very exciting to be able to partner with Cooperman Barnabas Medical Center. We are dedicated to the patients of New Jersey and adding an affiliation with a hospital as well-regarded as CBMC is a huge advantage for our physicians and patients.

By working closely with leading community providers like ENT and Allergy Associates, we can greatly improve access to the convenient, superior services they offer to the thousands of New Jersey residents impacted by Head, Neck and ENT disorders, said Jean Anderson Eloy, M.D., Chairman of Otolaryngology at Cooperman Barnabas Medical Center and Vice Chairman, Department of Otolaryngology - Head and Neck Surgery at Rutgers New Jersey Medical School.

Robert Green, M.D., President of ENTA, added, ENTAs prestigious affiliations are what set us apart in the fields of ear, nose, throat, allergy, and audiology care. Working with the physicians at CBMC provides yet another level of quality care for our New Jersey patients.

We are proud to align ourselves with CBMC explained Steven Gold, M.D., Vice President of ENTA. By forming a clinical affiliation with CBMC, this allows our patients to have seamless access to leading-edge treatments that only a universitybased medical enterprise such as CBMC provides.

To learn more about the benefits of ENT and Allergy Associates, or to conveniently find an ENT or Allergy doctor and then easily book an appointment at the nearest New York or New Jersey location, please visit http://www.entandallergy.com or call 1-855-ENTA-DOC.

About ENT & Allergy Associates, LLP:

ENT and Allergy Associates LLP (ENTA) has more than 220 physicians practicing in 44 office locations in Westchester, Putnam, Orange, Dutchess, Rockland, Nassau and Suffolk counties, as well as New York City and northern/central New Jersey. The practice sees over 90,000 patients per month. Each ENTA clinical location provides access to a full complement of services, including General Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Disorders of the Inner Ear and Dizziness, Asthma, Clinical Immunology, Diagnostic Audiology, Hearing Aid dispensing, Sleep and CT Services. ENTA has clinical alliances with Cooperman Barnabas Medical Center, Mount Sinai Hospital, Montefiore Medical Center, Northwell Health, and a partnership with the American Cancer Society.

About Cooperman Barnabas Medical Center (Formerly Saint Barnabas Medical Center):

Since 1865, Cooperman Barnabas Medical Center (CBMC), formerly known as Saint Barnabas Medical Center, New Jerseys oldest nonsectarian hospital, has worked to exceed our communitys highest expectations for compassionate, comprehensive health care. The 597-bed institution is one of the largest health care providers in the state, treating more than 32,000 inpatients and 80,000 Emergency Department patients each year. Cooperman Barnabas Medical Center and the Barnabas Health Ambulatory Care Center provide treatment and services for more than 300,000 outpatient visits annually. Cooperman Barnabas Medical Center has long been recognized as a leader in providing world-class caredelivering 6,400 babies annually which is one of the largest programs in the state, leading the nation in Kidney Transplant, and providing more than 100 medical and surgical specialty and subspecialty services. RWJBarnabas Health and Cooperman Barnabas Medical Center in partnership with Rutgers Cancer Institute of New Jersey - the state's only NCI-designated Comprehensive Cancer Center - brings a world class team of researchers and specialists to fight alongside you, providing close-to-home access to the latest treatment and clinical trials. For more information, call 1.973.322.5000 or visit http://www.rwjbh.org/cbmc. Cooperman Barnabas Medical Center is located at 94 Old Short Hills Road, Livingston, NJ 07039.

Attachment

Read the rest here:

ENT and Allergy Associates, LLP and Cooperman Barnabas Medical Center (CBMC) Join Forces to Form a Clinical Affiliation in New Jersey - Yahoo Finance

BNT162b2 COVID-19 vaccine associated with increased risk of carditis – EurekAlert

1. Despite low absolute risk, BNT162b2 COVID-19 vaccine associated with increased risk of carditis

Markedly increased risk in adolescents after 2nd dose may warrant refined vaccination strategies

Abstract: https://www.acpjournals.org/doi/10.7326/M21-3700

URL goes live when the embargo lifts

A case-control study found that despite low absolute risk, there is an increased relative risk of carditis associated with BNT162b2 (commonly-known as Pfizer/BioNTech vaccine) vaccination. Considering the markedly increased risk in adolescents after the second dose, vaccination strategies may need to continuously consider the risk and benefits for different sub-populations, rather than taking a one-size-fits-all approach. The findings are published in Annals of Internal Medicine.

Carditis is a rare inflammation of the heart often caused by bacterial, viral, and parasitic infections. Common subtypes of carditis include myocarditis, an inflammation of the heart muscle, and pericarditis, an inflammation of the outer lining of the heart. Case reports of carditis after BNT162b2 vaccination have accrued globally. Several studies have also reported similar findings, but analytic research on the speculative association is limited.

Researchers from the University of Hong Kong studied 160 case patients (with carditis) and 1,533 control patients (without carditis) to examine the potential risk of carditis associated with vaccination with BNT162b2 or CoronaVac. Ten control patients were matched with case patients based on age, sex, and date of hospital admission. After conducting analyses, the authors found 20 cases of carditis associated with BNT162b2 and 7 associated with CoronaVac vaccination. Patients who received BNT162b2 were 3 times more likely to experience carditis than unvaccinated patients. On the other hand, patients who received CoronaVac had a similar chance as unvaccinated patients to experience carditis. The authors also observed that risk increase associated with BNT162b2 was predominant in males and was more likely to be seen after the second dose. Cumulative incidence of carditis after vaccination was 0.57 per 100,000 doses of BNT162b2 and 0.31 per 100,000 doses of CoronaVac, demonstrating a very low absolute risk of carditis after vaccination. According to the authors, none of the 20 case patients with carditis after BNT162b2 vaccination were admitted to the ICU or died within the observation period, compared with 14 of 133 unvaccinated patients admitted to the ICU and 12 deaths.

Media contacts: For an embargoed PDF, please contact Angela Collom at acollom@acponline.org. The corresponding author, Ian Chi Kei Wong, PhD, can be reached directly at wongick@hku.hk or +44 (0) 7931566028.

-------------------------------------------------

2. ACP updates Rapid, Living Practice Points on antibody response and its role in conferring natural immunity after SARS-CoV-2 infection

Practice Point: https://www.acpjournals.org/doi/10.7326/M21-3272

Review: https://www.acpjournals.org/doi/10.7326/M21-4245

The American College of Physicians (ACP) has updated its Rapid, Living Practice Points on the antibody response to SARS-CoV-2 after initial infection and protection against reinfection with SARS-CoV-2. ACP's evidence-based clinical advice for physicians is published in Annals of Internal Medicine.

Researchers from the Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center Program's Scientific Resource Center at the Portland VA Research Foundation identified new studies on the risk of reinfection and duration of protection following SARS-CoV-2 to inform ACPs update. That data provided strong evidence that the immunity afforded by recent infection conferred substantial protection against symptomatic reinfection with the Alpha variant of COVID-19 for at least 7 months. However, that durability of protection in the setting of the Delta and Omicron variants is unknown.

Based on the evidence, ACP advises against using SARS-CoV-2 antibody tests for the diagnosis of SARS-CoV-2 infection. ACP also advises against using SARS-CoV-2 antibody tests to predict the degree or duration of natural immunity conferred by antibodies against reinfection, including natural immunity against different variants. The authors note that these practice points do not evaluate vaccine-acquired immunity or cellular immunity. Vaccination is currently the best clinical recommendation for preventing infection, reinfection and serious illness from SARS-CoV-2 infection and its variants. Additionally, a previous practice point concerning the use of antibody tests to estimate community prevalence of SARS-CoV-2 infection has been retired due to limited relevance, as vaccinations have become widely available in the U.S.

According to ACP, evidence is emerging about natural immunity from COVID-19 but there is still important uncertainty about how protection varies between individuals, how long it lasts, and the role of variants. In light of these evidence gaps, it is important that individuals and communities continue to use all available tools to help slow and reduce further spread.

Media contacts: For an embargoed PDF, please contact Angela Collom at acollom@acponline.org. To speak with someone from ACP, please contact Andy Hachadorian at AHachadorian@acponline.org.

-------------------------------------------------

3. Allopurinol treatment not associated with increased mortality rate in patients with CKD and gout

Abstract: https://www.acpjournals.org/doi/10.7326/M21-2347

URL goes live when the embargo lifts

A population-based cohort study found that a using allopurinol to achieve target serum urate levels did not increase mortality risk in patients with gout and chronic kidney disease (CKD). These findings provide reassurance that a treat-to-target strategy does not have an apparent harmful effect in these patients. The study is published in Annals of Internal Medicine.

CKD is a common comorbidity in patients with gout. The recommended treatment for long-term gout management is lowering serum urate levels to below 0.36 mmol/L for patients experiencing flares, tophi, or radiographic joint damage. Lowered serum urate levels are also considered a potential therapeutic option for halting the progression of CKD. Allopurinol is a commonly used medication for gout treatment, but two recent randomized control trials indicated that allopurinol was associated with a 2-fold increased risk for death in patients with renal disease but without gout.

Researchers from Xiangya Hospital, Central South University, Harvard Medical School, and several other institutions studied electronic health records for 5,277 adults in the United Kingdom with gout and moderate to severe CKD to examine the relation of allopurinol initiation, allopurinol dose escalation, and achieving target serum urate level after allopurinol initiation to all-cause mortality. Mortality over 5-year follow-up in propensity scorematched cohorts was examined for each dosing stage/strategy. The data showed that neither allopurinol initiation, nor achieving target SU level with allopurinol, nor allopurinol dose escalation were associated with an increased risk for death in patients with gout and concurrent CKD. According to the authors, these findings may alleviate concern about utilizing allopurinol in this patient population.

Media contacts: For an embargoed PDF, please contact Angela Collom at acollom@acponline.org. To speak with corresponding authors, Guanghua Lei, MD, PhD, and Yuqing Zhang, DSc, please email Noah Brown at nbrown9@partners.org.

-------------------------------------------------

4. Racial/ethnic minorities still widely underrepresented in internal medicine residency programs

Abstract: https://www.acpjournals.org/doi/10.7326/M21-3287

Editorial: https://www.acpjournals.org/doi/10.7326/M22-0121

URL goes live when the embargo lifts

A brief research report found that marked disparities in racial/ethnic representation still persist in internal medicine residency programs, despite efforts to increase diversity. These findings suggest that significant transformative work remains to be done to increase representation of minoritized populations that are underrepresented in medicine among students, residents, and faculty. The report is published in Annals of Internal Medicine.

A racially and ethnically diverse physician workforce could improve access to care, communication, patient satisfaction, and health outcomes, particularly for underserved and systemically marginalized patients. Despite this need, members of racially/ethnically minoritized groups are still underrepresented in medicine. These include those identifying as American Indian or Alaska Native; Native Hawaiian or other Pacific Islander; Black or African American; and Hispanic, Latino, or of Spanish origin.

Researchers from the University of Washington School of Medicine studied data from the American Association of Medical Colleges to elucidate trends in representation for internal medicine residency applicants and matriculants who identify as underrepresented in medicine. Between 2010 and 2018, a total of 214,656 individuals applied to internal medicine residency programs and 87,489 matriculated. Of those 13.2% of the applicants and 10.6% of the matriculated students identified as a member of a race or ethnicity underrepresented in medicine. In examining disaggregated matriculant data for those in underrepresented groups, only the proportion of matriculants who were Hispanic, Latino, or of Spanish origin significantly changed. For every year studied, a greater proportion of White persons were represented among matriculants compared with applicants. According to the study authors, diversifying internal medicine residencies will require dramatic, innovative approaches before, during, and after the application process.

Media contacts: For an embargoed PDF, please contact Angela Collom at acollom@acponline.org. To speak with corresponding author, Joanna Liao, BS, please contact Kim Blakeley at krb13@uw.edu or Brian Donohue at bdonohue@uw.edu.

-------------------------------------------------

Annals of Internal Medicine

Case study

People

Carditis After COVID-19 Vaccination With a Messenger RNA Vaccine and an Inactivated Virus Vaccine

25-Jan-2022

Visit link:

BNT162b2 COVID-19 vaccine associated with increased risk of carditis - EurekAlert

Stretching studios: Do you need what they offer? – Harvard Health

Boutique or specialty fitness studios offer all sorts of ways to exercise, such as strength training, indoor cycling, and kickboxing. Other popular options, like yoga and Pilates, are less likely to leave you sweaty and breathless, emphasizing flexibility and measured movement. Now a new trend has emerged: studios that focus solely on stretching. What are these studios offering, and will you benefit from this focus?

These studios, which include StretchLab, StretchMed, LYMBYR, and others, provide assisted stretching sessions, either one-on-one or in small groups. The promised benefits range from reasonable goals of increasing flexibility and range of motion to more questionable assertions, such as preventing injuries and eliminating chronic pain.

"If you participate in certain sports that require flexibility, like dance or gymnastics, stretching may be important to maintain range of motion," says Dr. Adam Tenforde, associate professor of physical medicine and rehabilitation at Harvard Medical School, and sports medicine physician at Spaulding Rehabilitation and Mass General Brigham.

But if your focus is on improving your overall health, the evidence to support stretching is sorely lacking especially compared with the wealth of evidence supporting the benefits of regular, moderate physical activity.

"Contrary to popular belief, theres no consistent evidence that stretching helps prevent injuries," says Dr. Tenforde. And if you have an existing injury, such as a muscle or joint sprain, aggressively stretching that tissue could actually make the injury worse, he adds.

The "stretch therapists" and "flexologists" at stretching studios may have certain certifications and training, but theyre probably not qualified to recognize and address health-related causes for pain or stiffness. If you have a previous or current musculoskeletal injury, youre much better off going to a physical therapist who has the expertise and training to treat you correctly.

If youre free from injuries but just feel tight and stiff, try a yoga class, which can provide added benefits like improving your balance and helping you relax and de-stress. Or consider tai chi, a gentle, meditative form of exercise that can help lower blood pressure and enhance balance. Another option is to get a massage.

If you decide to try assisted stretching offered at a studio, listen to your body, and make sure you communicate how youre feeling with the therapist working on you, Dr. Tenforde advises.

But youll probably do more for your overall health by spending that time taking a brisk walk or some other type of exercise instead, he says. Most Americans dont meet the federal recommended guidelines for physical activity, which call for 150 minutes per week of moderate-intensity exercise and muscle-strengthening activities twice weekly. "As doctors, were dealing more with diseases related to inactivity, not diseases of inflexibility, says Dr. Tenforde.

Three easy morning exercises an A-B-C routine of arm sweeps, back bend, and chair pose can help ease morning stiffness. This also works well during the day if you spend too much time sitting.

Stretching at home could save you money and time. These tips can help you get the most out of at-home morning stretches or other flexibility routines.

As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Read more here:

Stretching studios: Do you need what they offer? - Harvard Health

Opinion | Why the Medical Establishment Shied Away From Abortion – The New York Times

That individual physicians might wish to avoid turning themselves and, potentially, their patients, co-workers and families into targets of wrath and violence is understandable. Less understandable is the failure of the mainstream medical community, and an array of powerful institutions within it, to respond to the hostility and violence directed at clinics and abortion providers by affirming support for them. Hospital officials could have stepped forward to assert that they, too, would help ensure that abortion services remained available, particularly in states and communities where clinics were under siege. Medical school deans could have announced that they would redouble their commitment to providing training in abortion to residents at teaching hospitals.

Taking such steps would have demanded courage. Little such courage was shown. By 2017, the percentage of all abortions done in hospitals had dwindled to 3 percent, and many teaching hospitals impose restrictions on performing abortions that are more stringent than the legal requirements in their states. Although the reasons for this vary, the desire to avoid the stigma associated with abortion, and the risk of provoking abortion opponents, looms large, according to Lori Freedman, a medical sociologist who has studied the phenomenon. Some hospital administrators are afraid the hospital will become targeted by anti-abortion forces for doing procedures at all, she said. Some have had such experiences already.

Residents and medical students affiliated with the group Medical Students for Choice have pushed for more comprehensive abortion education. But at many universities and residency programs, in-house abortion services do not exist and residents must go to an outside facility such as a local Planned Parenthood clinic to receive training in the procedure.

To be sure, the relationship between mainstream medicine and abortion was ambivalent even before such concerns became widespread. As the sociologist Carole Joffe has noted, most of the nations leading medical organizations failed to issue any significant guidelines on abortion immediately after Roe was decided. That reticence reflected the conflicted feelings many doctors had about a procedure that some linked to infamous back-alley butchers, and that others associated with feminists who were claiming authority over their bodies in ways that made many male doctors uncomfortable. (Notably, although the American Medical Association asserted in a 1970 resolution that the principles of medical ethics do not prohibit a physician from preforming an abortion, the document stated that abortion procedures should be determined by the sound clinical judgment of medical professionals, not mere acquiescence to the patients demand.) Some doctors also believed that abortion was morally wrong.

In subsequent decades, professional associations such as the American College of Obstetricians and Gynecologists danced around the issue of abortion for fear of alienating members who might not support abortion rights, said Doug Laube, an abortion provider who served as ACOGs president from 2006-2007. Though the organization is formally pro-choice, Dr. Laube told me that during his tenure as president he observed that the stigma associated with abortion made ACOG reluctant to advocate for abortion services as regular, normal medical care.

There has been some recent progress on this front, most notably an amicus brief submitted to the Supreme Court by dozens of medical organizations, including ACOG and the A.M.A., in Dobbs v. Jackson Womens Health Organization, the case that could lead to Roes reversal later this year. The brief affirms that the restrictive Mississippi abortion law under review in the case is fundamentally at odds with the provision of safe and effective health care. Meanwhile, a new generation of abortion providers, many of them women motivated by a sense of social justice, has begun to emerge, in a field that includes family medicine doctors as well as OB-GYNs.

But even if Roe somehow survives the Dobbs case, the provision of abortion already has been transformed in ways that have left millions of women, particularly poor women and women of color, without access to services. The failure to embed abortion in mainstream medicine has made it easier for abortion opponents to target clinics with so-called TRAP (targeted regulation of abortion providers) laws that impose increasingly onerous rules and regulations on them. A wave of restrictive state measures has been enacted in recent years. It has also set the stage for laws like S.B. 8, the Texas statute enacted last year that encourages private citizens to sue anyone who performs or abets abortions after six weeks of pregnancy, including medical practitioners.

Go here to read the rest:

Opinion | Why the Medical Establishment Shied Away From Abortion - The New York Times

Dartmouth to Admit International Students Without Considering Ability to Pay – VOA Learning English

Dartmouth College in the northeastern state of New Hampshire recently announced need-blind admissions for international undergraduate students.

Need-blind means a university offers admission to students without considering their ability to pay.

With the move, Dartmouth, which is the smallest of the famous Ivy League schools, joins other universities including Harvard, Princeton, and Yale. The Massachusetts Institute of Technology (MIT) and Amherst, also in Massachusetts, are other examples.

A number of U.S. colleges offer need-blind admissions but only six offer it to international students.

At one time, Dartmouth did make need-blind offers to international students. But, the school changed the policy after it became too costly. The new policy comes thanks to a $40 million gift from a person who did not want to be named. The school said it is working to establish a $90 million fund to pay for need-blind admissions for international students.

International students face high costs

Syed Rakin Ahmed is a 2018 Dartmouth graduate from Bangladesh. He is working on an advanced science degree in Boston and plans to return to Dartmouth to finish medical school.

Rakin received financial aid to go to Dartmouth. He noted the high cost of higher education in the U.S. does present a significant challenge for any international student, and even more specifically for international students from low-income countries, such as myself.

He said he expects the school to receive more interest from international students because of the change.

The current cost of attending Dartmouth is about $75,000 per year.

The policy will take effect immediately. That means students currently applying to Dartmouth may go for free if they can show their family cannot pay.

In a question-and-answer page on the Dartmouth website, the school said it did not make the change to bring in more international students. Instead, the college noted that it gives an equal chance to students around the world. The school notes that interest from international students was rising before the news.

International students make up about 10 percent of the undergraduate student population at Dartmouth. That is similar to the numbers at Harvard and MIT. The school notes international students make up 14 percent of the current first-year class, that is up from eight percent in 2016.

Christine Chu advises international students at a company called IvyWise based in New York City. She said the high cost of higher education is one of the first things she discusses when she meets new students. She said Dartmouths policy should increase interest among international students.

Having a need-blind policy opens up that international realm for Dartmouth, Chu said.

She added that the decision may help Dartmouth admit international students who would otherwise go to school in a large city like New York, Chicago, or Los Angeles. She offered these thoughts on how Dartmouths officials might think of their new policy.

Were not in New York City, were not a Columbia, were not in Washington, D.C., were not a Georgetown. People may not immediately think of us. They know were an Ivy League school but were not in Chicago or Los Angeles, these metropolises. How can we still draw really talented and excellent students? And I think financial aid is a wonderful way...

Dartmouths top official for admissions and financial aid said the schools move will influence the world for many years.

Lee Coffin said: The students enrolling today will have lives and careers that stretch into the 2070s and beyondWere announcing to the worldthat international citizens are full and equal members of our applicant pool and ultimately our student body.

Students who have applied to attend a school are often described as the applicant pool by admissions officials.

Different lived experiences

Rakin, the future medical student, gave an example why it is valuable for Dartmouth to have students from many countries and different economic levels. One of his future goals, he said, is to help prevent women in his home country from getting cervical cancer. This form of cancer is limited in the U.S. because many young women get a vaccine.

But, the vaccine is not widely available in Bangladesh. He said the medical community is not invested in caring for women in the same way that it is in the U.S. He was able to share this information with his American classmates during public health discussions at Dartmouth.

Having international students and having students who have had different lived experiences outside of the U.S. enriches these conversations further and the need-blind policy certainly makes it easier and I would say creates more of an opportunity for international students to consider Dartmouth as a strong option.

Both Rakin and Chu said the true result of Dartmouths decision and the schools that follow may be in how international students see U.S. universities. Are universities welcoming to students? Do schools value what international students bring?

Chu noted that the COVID-19 pandemic has made it harder for international students to come to the U.S. Rakin agreed, noting that government offices that process visas for students reduced their hours. Also, he said he knew students from Bangladesh who chose to apply to universities in Canada and Australia because of the political environment in America.

Chu and Rakin said the move by Dartmouth shows that it is worth the extra effort to come to the U.S. Rakin called the move toward need-blind admissions for international students a refreshing change for the better.

Will other universities follow Dartmouth?

Chu said other universities may want to, but change comes slowly in higher education.

Universities are big, theyre bureaucratic. It just takes time to change and consider these factors. Now Dartmouth has been added to this very short list of schools, to me, thats a positive thing.

Im Dan Friedell.

Dan Friedell wrote this story for Learning English.

If you are thinking about applying to university in the U.S. which schools would you like to see become need-blind for international students? Write to us in the Comments Section and visit our Facebook page.

___________________________________________________________________

graduate n. a person who has received a degree showing they have finished studies at a school, college or university

significant adj. important, noticeable

challenge n. an issue or problem that is difficult to deal with or solve

realm n. an area of activity, interest or knowledge

talented adj. having a special ability to do something well

enroll v. to enter something, such as a school, as a member or student

option n. something that can be chosen; a choice or possibility

refreshing adj. pleasantly new, different, or interesting

bureaucratic adj. using or connected with many complicated rules and ways of doing things; relating to a bureaucracy

factor n. something that helps produce a result

Read this article:

Dartmouth to Admit International Students Without Considering Ability to Pay - VOA Learning English

Pakistan proud of pig-to-human heart transplant pioneer – FRANCE 24

Issued on: 22/01/2022 - 02:54

Karachi (AFP) Friends and former classmates of the Pakistan-born surgeon behind the world's first pig-to-human heart transplant say they earmarked him for greatness from his medical school days.

Karachi-born Muhammad Mansoor Mohiuddin made headlines last week as the co-founder of the US university programme that successfully transplanted the heart of a genetically modified pig into a gravely ill American man.

While hailed as a medical breakthrough, the procedure also raised ethical questions -- particularly among some Jews and Muslims, who consider pigs to be unclean and avoid pork products.

None of that worried Mohiuddin's friends and former colleagues in Pakistan, who remember him as an ace student with a passion for medicine.

"He would be so interested, always there, always available and always ready to get involved in surgery," said Muneer Amanullah, a specialist who attended Karachi's Dow Medical College with Mohiuddin in the 1980s.

College vice-chancellor Muhammad Saeed Qureshi said pride in Mohiuddin's achievement had flooded the campus.

"There was exhilaration that this has been done by a graduate from this college," he told AFP.

Mohiuddin was quick to share the limelight with a team of 50 from the University of Maryland Medical School.

"They were all experts of their respective fields," he told AFP by phone.

"They are the best surgeons, the best physicians, the best anaesthetists, and so on."

While the prognosis for the recipient of the pig's heart is far from certain, the surgery represents a major milestone for animal-to-human transplants.

About 110,000 Americans are currently waiting for an organ transplant, and more than 6,000 patients die each year before getting one, according to official figures.

To meet demand, doctors have long been interested in so-called xenotransplantation, or cross-species organ donation.

"We were working on this model for 18 years," Mohiuddin said.

"Those 18 years were dotted with different phases of frustration -- as well as breakthroughs -- but finally we have done it."

The surgery is not without controversy, however, especially given Mohiuddin's Islamic faith.

Pigs are considered unclean by Muslims and Jews -- and even some Christians who follow the Bible's Old Testament literally.

"In my view, this is not permissible for a Muslim," said Javed Ahmed Ghamdi, a prominent Islamic scholar, in a video blog where he discussed the procedure.

But another Islamic scholar in Pakistan gave the procedure a clean bill of health.

"There is no prohibition in sharia," Allama Hasan Zafar Naqvi told AFP, calling it a "medical miracle".

"In religion, no deed is as supreme as saving a human life," added Mohiuddin.

In Karachi, the surgeon's fellow alumni feel their former colleague may now be destined for even greater glory -- medicine's top prize.

"I think... the whole team is in for it, in for the Nobel Prize," said vice-chancellor Qureshi.

2022 AFP

Excerpt from:

Pakistan proud of pig-to-human heart transplant pioneer - FRANCE 24

At-home COVID-19 tests could be a passport to normalcy. But they can also give us false confidence. – The Philadelphia Inquirer

The coming weeks should bring a new phase in the pandemic, as policy shifts and a supply of up to a billion free, government-issued rapid test kits for home use promise to make diagnosing COVID-19 at home cheaper and easier.

Vaccines are the most effective way to prevent serious illness and death, but variants such as omicron have made breakthrough cases more commonplace, and testing has become an essential companion to vaccination in a COVID-cautious persons toolbox.

Although rapid antigen test results can be done at home and produce results quickly, the gold standard for accuracy remains the PCR lab test though it can take days. Experts say the value of rapid testing varies, depending on circumstances. Some who already feel sick may want to confirm whether they have COVID-19, while others may use the tests to protect themselves or a loved one from potential exposure to the virus. Many are optimistic that the tests will be a passport back to normalcy, adding a new level of confidence that its safe to travel and see family or attend a wedding.

But misunderstanding the usefulness of rapid tests could give people false confidence, possibly leading them to unwittingly transmit the virus.

The general population that uses the test would like a simple, direct, straightforward, easy answer, said William Schaffner, professor of infectious diseases at the Vanderbilt University Medical Center. Unfortunately, life is more complicated than that.

The kits the government provides are rapid antigen tests. Samples are collected with nasal swabs and the instructions included are straightforward. They deliver results in less than a half-hour.

READ MORE: How to get free COVID-19 tests from the federal government

Studies have shown antigen tests have a sensitivity of 80% to 90%, which means that if one shows you have COVID-19, thats very likely accurate. They are more likely than PCR tests to produce a false negative result meaning that you get a negative test result but actually have the virus. Antigen tests were designed to confirm the presence of COVID-19 in highly infectious people, but people recently exposed might not have enough viral particles in their nose for the test to detect, causing a false negative though they might still be contagious.

People may use a negative rapid test result to justify social activities and ignore a recent exposure or symptoms that should keep them at home, said Ryan McCormick, a primary-care doctor at Virtua Health in Marlton.

The binary thinking were all prone to positive or negative it can definitely be problematic, he said. With testing, its important to not think they are 100% accurate.

Omicron appears to show up in the upper airways and saliva a couple of days before it can be detected in the nasal passages, which could partly explain why nasal-swab rapid tests have not been quite as effective in detecting it.

Doctors debate whether swabbing the back of the throat might better detect omicron, but, McCormick said, That would be hard to do at home because it stimulates a gag reflex.

Tests are useful only as part of a fuller strategy to prevent the spread of the virus.

The problem is when people use them and they dont react accordingly, said Karen Coffey, an assistant professor of epidemiology and public health and medicine at the University of Maryland School of Medicine. Its that behavioral component that really has an impact.

European countries had ready access to rapid COVID-19 tests before Americans, but even countries that tested aggressively, such as Germany, werent spared from an omicron surge. People have to make good decisions with the data the tests provide.

With sufficient supply and appropriate frequency of testing, we can actually make a big dent in how many people end up getting infected by this simply by people knowing their status and being able to isolate during that time, said David Walt, a professor of bioinspired engineering at Harvard Medical School. The problem, of course, is if people say, Im infected, but Ill wear a mask and go to the grocery store, its not going to work.

If you have such symptoms as sore throat, fever, or cough, have been around a COVID-19 patient, or youve been in a high-risk environment, hanging out in bars with unmasked friends and you test positive you need to take it seriously.

If they test and they get a positive, they have COVID. No ifs, ands, or buts, Walt said. You dont have to retest. You dont have to go out and get a PCR test. You have COVID.

All those risk factors plus a negative test result, though, should be followed by two days of isolation and another home test. If that test, too, is negative, you can have more confidence youre COVID-free. Until you put yourself at risk again.

If a person is fully vaccinated and boosted, has no symptoms, wears masks, limits indoor contacts, and has had no known exposure to the virus, a single negative test result can offer added assurance before meeting up with friends or family, or attending an event.

If youre vaccinated, youre boosted, youre being careful, Schaffner said, then you do the rapid test and youre negative, youre in pretty good shape.

False positives you test positive but really dont have COVID are rare but possible, Walt said. If you doubt a positive test result, take another test immediately. Two consecutive false positives are extremely unlikely, he said.

At $10 to $15 a test, routine antigen tests quickly become expensive. Every household is eligible for one four-pack of tests, which can be ordered online from the federal government for free, with no shipping charge, through COVIDtest.gov. The first orders are expected to be delivered by early February.

READ MORE: Why is it so hard to find a COVID-19 test? Sites are short-staffed, and rapid supply is low.

With demand for at-home tests outstripping supply since the holiday season, people should take advantage of the free tests, doctors said.

Its important to not stockpile them, but going forward they are such a valuable tool in getting the pandemic under control and resuming life as usual, McCormick said. Take the government up on the offer if you dont have any.

Aside from the governments supply of free tests, insurance companies are required to cover the cost of up to eight at-home rapid tests per member per month. People may be able to use their insurance to pay for tests up front, or they can file a claim with their insurer for reimbursement so dont throw out that receipt.

State-run Medicaid and Childrens Health Insurance Plan programs are also required to cover COVID-19 testing without cost-sharing.

While the tests are widely covered by private health insurance, Medicare, Medicaid, and a federal fund for the uninsured, the rules on payment can be confusing.

Insurance companies cover up to $12 per test. If the ones you buy cost more than that, you will end up paying the difference out-of-pocket.

PCR tests should be free regardless of whether theyre done at a hospital or test site. Private health plans are required to cover PCR tests when ordered by a medical provider or when an individual is symptomatic. As of Jan. 15, insurers must also cover PCR tests taken at home and sent to a lab for analysis without a doctors note.

Health plans do not have to cover the tests when required by schools or employers, though, and people have encountered problems with being billed a copay or for the full cost of the test.

For instance, an insurer could deny covering a test for a person without symptoms or COVID-19 exposure, said Sabrina Corlette, codirector of the Center on Health Insurance Reforms at Georgetown University.

But in practice, I think that is hard for many carriers to do with these large testing sites it is burdensome to try to go through each persons claim and figure out the purpose for the test.

As for at-home tests, those done entirely at home must be covered by insurance without cost-sharing and without a doctors note. But if you must send in a sample collected at home to a lab, insurers can require a doctors note, she said.

Clear as mud, right? Corlette said.

To make matters even more confusing, prices for tests can vary widely. In an April 2021 analysis of prices from 93 hospitals, Kaiser Family Foundation found that prices for a PCR test ranged from $20 to $1,419, with a median cost of $148.

The new accessibility to tests is likely coming too late to make a big difference during the omicron surge, Coffey said, which should be subsiding in many parts of the country by the time tests arrive. Having them available will continue to be valuable, though.

I would like to say that this is the last wave that we will get, she said, but I think that is unlikely.

Before the pandemic, using the equivalent of a Q-Tip and some chemicals to diagnose a virus at home was unheard of. Now, its likely the technology will be adapted to hamper the spread of an array of other illnesses. If someone in your home has a fever, its likely youll soon have a test available to tell you whether its the flu.

Youll be able to rule out that you have flu, Walt said, youll be able to rule out that you have COVID, youll be able to rule out that you have RSV.

The government shipping a ration of tests to homes is a cumbersome distribution system, experts said, and ideally tests will become more widely available and easy to pick up.

I think its a good starting place, and maybe itll make people more comfortable with using these tests and encouraging them to buy their own, Coffey said. Its not going to support the entire nation through the entire pandemic.

Link:

At-home COVID-19 tests could be a passport to normalcy. But they can also give us false confidence. - The Philadelphia Inquirer

Athlete of the Week: Winner, Runner-Up, and honorable mentions for Week 5 – The Hillsdale Daily News

Athlete of the Week Winner - Week 5 - Kaiden Conroy - Boys Basketball - Camden-Frontier

Freshman Kaiden Conroy was voted as the week 5 Athlete of the Week after receiving more than 1,200 votes. Conroy helped the Camden-Frontier varsity boys basketball team earn their first victory of the season against North Adams-Jerome in a 65-60 final. The Freshman guard had a double-double with 21 points, 11 rebounds, eight assists, and three steals.

Week 5 Runner-Up - Kaitlyn Cole - Girls Basketball - Pittsford

Kaitlyn Cole was voted as the Runner-Up for the week five Athlete of the Week Award. Cole, already a Fall Athlete of the Week winner, has continued to help her Wildcat teammates win tough games during the Winter sports season.

The Senior Wildcat used her veteran experience to help lead the Pittsford varsity girls basketball team to two major wins in week five. In the team's win over Waldron, Cole had 15 points, 3 three-pointers, and four steals. The team then faced their biggest challenge of the season against a 7-1 Hillsdale Academy team, and Kaitlyn Cole would have another double-digit scoring effort. The Senior finished with a double-double, and had 4 three-pointers and a total of 15 points.

David Richards - Boys Basketball - Hillsdale Academy

Senior Colt David Richards continued to dominate on the offensive end of the court for his team in week five. The Senior helped the Colts win two major SCAA clashes that included wins over Climax-Scotts and Pittsford. Richards scored a total of 35 points including 24 against the Climax-Scotts Panthers to help his team get to a 3-1 record in SCAA play. For his efforts, he has been selected as a week five nominee.

Tyler Scholfield - Boys Basketball - Jonesville

The Comet varsity boys basketball team has been on a winning streak ever since coming out of the Winter Break. Junior Tyler Scholfield has been an important presence both on the offensive and defensive ends of the court for Jonesville. In their two games in week 5, the Junior had double-digit scoring efforts to help the Comets earn two important conference victories.

Scholfield scored 13 points and had seven rebounds in the team's win over Quincy. Scholfield led the team with 18 points and eight rebounds in their win over the Chargers. For his efforts, Scholfield has been selected as a week five nominee.

Kylie Ward - Girls Basketball - Jonesville

Senior leadership and on-court experience has been an important tool the Comet varsity girls basketball team has used to earn their 8-0 record. To start week five, The Comets faced their biggest test of the season against the 6-1 Onsted Wildcats. The Comets were able to pull off a final second victory over Onsted in a 47-46 final. Senior Kylie Ward was an important player whose effort on the court helped the Comets earn their eighth victory this season.

Ward finished with nine points including 2 three's, led the team with three assists and four steals, and also had five rebounds including four on the defensive end of the court. The biggest moment of the game for Ward would come in the final seconds of the game. Ward was fouled with around one second remaining in the game. With the scored tied at 46-all, one free throw would likely seal the victory for the Comets. Ward was able to knock down the winning free throw attempt. For her efforts, Ward has been selected as a week five nominee.

Continue reading here:

Athlete of the Week: Winner, Runner-Up, and honorable mentions for Week 5 - The Hillsdale Daily News

Area hoops teams who have impressed so far – Cheboygan Daily Tribune

It's hard to believe it's almost the end of January.

And thankfully unlike last January we've already been able to play actual games and not have the season start in February.

From the start ofbasketball games being played this season (late November) until now, we've had some teams impress, while others haven't quite found their footingjust yet.

So, I've decided to go through what teams I've been impressed with so far.

These aren't power rankings or anything like that, but it will put together bothboys and girls basketball teams who havedelivered the most on the court so far. Thankfully, we've quite a few teams that have stood out so far.

Mackinaw City Girls Still undefeated, still dominating their conference, and still playing with so much fluidity, unselfishness and confidence, the Lady Comets check in at the top. Already with so manydouble-digit victories under their belt, Mackinaw City has crushed just about every opponent its faced this season.

The first real testfor the Comets came in a clash against Cedarville-DeTour at home last week. Cedarville-DeTour actually handled the Comets in a win last year, but the Mackinaw City girls got the upper hand this time around, thumping them with a double-digit victory.

Whether it's been the dominant post presence of junior Madison Smith, the stellar guard play of fellow juniors Marlie Postula and Larissa Huffman, or atremendous supporting cast, the Comets lookpoised to not only record another unbeaten Northern Lakes Conference campaign, but challenge for that elusive regional title they've been craving for years.

There's still plenty of work to be done, but the NLC looks like it's going to Mackinaw City once again.

Once we hit the end of February, we can really start talking about how far this team can go.

Right now, the Cometsjust continue to do their thing until that time comes. With the exception of possibly St. Ignace, I don't see where the Comets will slip up in theregular season. Like Cedarville-DeTour, that'll be another great matchup to watch.

Onaway Boys Oh, yes, the Mackinaw City girls have some company at the top.

I couldn't pick one over the other here because bothteams have been incredible so far, both are insanely talented, both are in the driver's seat to capture a conference crown, and both are, of course, undefeated.

I don't think I or Onaway head coach Eddy Szymoniak, for that matter ever thought the Cardinals would start this season out 9-0.

But here we are with the Cardinals, who have benefitted from the return of senior center Jager Mix, a player who was just out for nine months because of aknee injury. What a memorable night it was for Mix last Friday night (Jan. 24), when he became the most recent Onaway playerto surpass 1,000points for his career.

But if you thought Mix was the only star on this Onaway team coming in, think again.

There's lots of them.

How about the emergence of junior guard Bridger Peel, who's become one of the team's top scorers. Or the smooth play of sophomore guard Austin Veal, who's transformed into a deadly perimeter shooter and a gritty defender as well. Or the strong two-way play of sophomore guard Jadin Mix, another capable shooter and tenacious defender. In addition to Jager Mix's experience, the Cardinals have another two-way talent in seniorHunter Riley, who's shown an ability to knock down a big shot andgive a good offensive opponent problems defensively.

I always thought the Cardinals would be a good team, but I didn't imagine them being this good. There's still so much work to be done, but if this Onaway team continues to play at this level, they're going to win something. Or maybe a few things, who knows.

Either way, they've been so fun to watch so far. May it long continue.

Mackinaw City Boys I had no idea what the Mackinaw City boys would look like without arguably the best player in theschool's history Kal O'Brien graduating last season.

Butthe Comets have really done a good job of compensating for O'Brien, an all-state performer a season ago.

The junior guard tandem of Lars Huffman and Cooper Whipkey has really stood out so far, with Huffman being more of the aggressive driver-to-the-basket type players and Whipkey being the deadly outside shooter. Either way, each have helped the Comets get off to a decent start in the Northern Lakes Conference.

Mackinaw City has also been helped out by players like Lucas Bergstrom, Noah Valot, Trystan Swanson and many others, who have all made nice team contributions throughout the campaign. If Mackinaw City's supporting cast continues to improve, the Cometscould be a tough out come postseason time.

While the Comets did suffer a tough loss to NLC favorite Ellsworth earlier this winter, they'll still have a shot to knock them off in a rematch when that time comes.

That game is one I really don't want to miss, because it'll basically determine the conference again. So buckle up with the Comets!

Inland Lakes Girls After a slow start to the season, head coach Daryl Vizina's squad has really shown improvement, compiling victories in five of their last seven games.

Behind the terrific play of junior guard Natalie Wandrie, the Bulldogs went on a five-game winning streak to help put them near the stop of the Ski Valley Conference standings.

Although the offense struggled in a recent loss at Cheboygan, the Bulldogs bounced back a couple days later with a dominating win at Central Lake. The Bulldogs also showed they can hang with the top of the Ski Valley aftermaking things interesting against the Gaylord St. Mary Snowbirds, despite suffering defeat.

Wandrie has been the standout for the Bulldogs, but they also have other weapons to go to. Offensively, seniors Alyssa Byrne and Olivia Monthei have shown they're solid shooters, while junior forward Hannah Robinson has impressed defensively.

They'll be another team to keep an eye on once the postseason arrives.

Plenty of potential

Cheboygan Boys The Chiefs don't have the best record right now at 2-7, but they recently had their best performance of the season in a narrow 52-51 home loss to rival St. Ignace.

This was the tightest game I've covered all season and, while it didn't go Cheboygan's way, I came out of it so impressed with the fight and grit the Chiefs showed.

The key now for head coach Jason Friday and his players will be building off it and turning things around.

The Chiefs have plenty of talent at their disposal, led by seniors Henry Stempky, David Heyer and Carson Mercer, so they're more than capable of getting hot at some point and maybe pull off an upset along the way.

Inland Lakes Boys The start to the winter wasn't a good one for Lee Nash's Bulldogs, but they've really started to come along herethe last few weeks.

About a week-and-a-half ago, the Bulldogs battled against a terrific Onaway team, and now it appears they're starting to find their stride, especially offensively.

One of the standout performers has been sophomore Sam Schoonmaker, whose scoring and rebounding numbers have been strong.

Inland Lakes also has experience with seniors Austin Brege and Andrew Kolly, while junior Connor Knight, sophomore Payton Teuthorn and a few others have also made their impact known.

This could be one of those surprise teams come postseason time, so we'll see if the Bulldogs can keep improving.

Others to keep an eye on: Cheboygan Girls, Onaway Girls, Pellston Boys, Pellston Girls

Read the original post:

Area hoops teams who have impressed so far - Cheboygan Daily Tribune

Asteroid 2022: how big is Nasa tracked asteroid which passed Earth, and could it hit our planet in the future? – NationalWorld

Asteroid 7482 (1994 PC1) - which is bigger than any building on earth - narrowly missed us in January 2022

What you might not realise is that this narrow escape was followed up by an even closer pass of the earth - this time by a space rock the size of 10 Big Bens in London.

So how close did asteroid 7482 (1994 PC1) come to the earth, will it threaten humanity again - and how is Nasa trying to save us from death by asteroid?

Heres what you need to know.

Will a massive asteroid hit earth in 2022?

The asteroid 7482 (1994 PC1) came within an astronomical whisker of earth on 18 January.

But a near-miss in space terms wouldnt be considered close at all by most peoples standards.

The space rock passed us at a distance of more than 1.2 million miles - or roughly five times the distance between the earth and the moon.

This is half the distance at which 4660 Nereus passed the earth in December.

While thats probably close enough for your liking, asteroid 7482 (1994 PC1) has come much closer to earth in the past.

In 1933, the asteroid shot by at a distance of just 700,000 miles.

4660 Nereus is set to come within a similar distance of us on Valentines Day 2060.

How big is the asteroid?

At more than a kilometre in diameter (1,052m) and travelling at almost 44,000 miles per hour, the space rock has the potential to destroy all life on earth.

It is also defined this way because its orbit has and will cause it to come within less than half the distance from the earth to the sun - roughly 93 million miles.

This means that any slight deviation in its orbit could put it on a collision course with us.

As things stand, asteroid 7482 (1994 PC1) is not predicted to come as close to the earth again until at least 18 January 2105.

Other space rocks are set to come even closer in the meantime, but other asteroids or comets could well come out of nowhere.

While Nasa says there is no significant chance any of the more than 10,000 asteroids over 140m in size it has come across will hit the earth in the next 100 years, its estimated these figures account for just half of the potentially deadly objects out there.

In fact, there could be more than 25,000 near-earth objects in space, meaning we are tracking less than half of the killer asteroids out there.

What is Nasa doing to stop asteroids or comets hitting earth?

Work to save humanity from death by asteroid is still very much in its infancy.

And it only launched its first exploratory mission to see how easy it is to knock an asteroid off course in November 2021.

The space agencys Double Asteroid Redirection Test (Dart) mission will see a spacecraft smash into a harmless Nasa-tracked asteroid in a bid to alter the space rocks course.

If it succeeds, humanity might have discovered a way to keep itself safe from a future deadly impact.

But it is currently the only real-world experiment taking place in this field, so if it comes to nothing, well still be just as vulnerable as we currently are.

What is an asteroid?

An asteroid is a rocky fragment left over from the formation of the solar system around 4.6 billion years ago.

Most of them orbit the sun between Mars and Jupiter in the asteroid belt.

Scientists estimate there are millions of space rocks in this part of space - some of which are hundreds of kilometres in size.

Sometimes, these asteroids change their orbits if they come under the influence of a planets gravity.

They can also collide with one another - incidents which can throw out smaller, but still hazardous, shards of rock.

One such stray rock - measuring just 20m in diameter - hit the earth in 2013 with up to 33-times the power of the atomic bomb the US dropped on the Japanese city of Hiroshima in World War Two.

This blast took place over the Russian city of Chelyabinsk and blew out windows in more than 3,600 apartment blocks and injured 1,200 people.

A much larger stray asteroid as big as six miles wide is believed to have wiped out the dinosaurs 66 million years ago.

A message from the editor:

Thank you for reading. NationalWorld is a new national news brand, produced by a team of journalists, editors, video producers and designers who live and work across the UK. Find out more about whos who in the team, and our editorial values. We want to start a community among our readers, so please follow us on Facebook, Twitter and Instagram, and keep the conversation going. You can also sign up to our email newsletters and get a curated selection of our best reads to your inbox every day.

Read more from the original source:

Asteroid 2022: how big is Nasa tracked asteroid which passed Earth, and could it hit our planet in the future? - NationalWorld

The Nazi Physicians as Leaders in Eugenics and Euthanasia …

Am J Public Health. 2018 January; 108(1): 5357.

The authors are with the Center for Health Law, Ethics, and Human Rights at the Boston University School of Public Health, Boston, MA.

All authors contributed research, conceptualization, writing, and review.

Peer Reviewed

Accepted September 4, 2017.

This article, in commemoration of the 70th anniversary of the Doctors Trial at Nuremberg, reflects on the Nazi eugenics and euthanasia programs and their relevance for today. The Nazi doctors used eugenic ideals to justify sterilizations, child and adult euthanasia, and, ultimately, genocide.

Contemporary euthanasia has experienced a progression from voluntary to nonvoluntary and from passive to active killing. Modern eugenics has included both positive and negative selective activities.

The 70th anniversary of the Doctors Trial at Nuremberg provides an important opportunity to reflect on the implications of the Nazi eugenics and euthanasia programs for contemporary health law, bioethics, and human rights. In this article, we will examine the role that health practitioners played in the promotion and implementation of State-sponsored eugenics and euthanasia in Nazi Germany, followed by an exploration of contemporary parallels and debates in modern bioethics.1

The involvement of health practitioners in conceptualizing, initiating, and implementing Nazi mass murder remains an unparalleled case of medicine and public healths participation in genocide.2 By January 1933, more than half of the German medical profession had joined the Nazi Party and many participated in the murder of Jews, Sinti, and Roma; the disabled; the mentally ill; and other unfit persons under the guise of improving public health and Rassenhygiene (racial hygiene, the German version of eugenics).3,4

Doctors in Germany became tightly integrated into the Nazi Party and supportive of its ideals. During the Weimar period, a large number of German doctors were unemployed or under-employed and witnessed a decline in their honor and prestige. The Nazi Party seemed like an organization that could reestablish physicians with the power and status they had lost. In 1929, physicians within Germany formed Nationalsozialistischer Deutscher rtzebund (The National Socialist German Physicians League) and unified the goals of physicians and the State. Physicians joined the Nazi Party both earlier and in larger numbers than any other group of professionals. As the historian Michael Kater writes, Physicians became Nazified more thoroughly and much sooner than any other profession, and as Nazis they did more in service of the nefarious regime than any of their extraprofessional peers.3(p45) By 1942, 38000 physicians had joined the Nazi Party. In addition, the Nazi Physicians League began a process of removing Jewish physicians from the medical profession in March 1933, and in April 1933 a law was passed forbidding Jewish physician civil servants from practicing medicine at universities and hospitals throughout Germany.3

Physicians further medicalized Nazi ideology by propagating the science that formed the foundation of a supposed truth. By portraying or certifying Jews and other peoples as racially, physically, or mentally unfit, physicians and government officials claimed to be cleansing Germany of the hereditarily imperfect and the weak. Nazi physicians rose to power and prestige as they used their skills to treat a supposed racial sickness that threatened to contaminate the Volkskrper (body of the German people). Cooperation between the Nazis and health practitioners added powerful justification and facilitated a State-run program of forced sterilization and murder that would have been much harder to accomplish without the willing participation of physicians. What began as purification would ultimately lead to genocide.

A series of recurrent themes arose in Nazi medicine as physicians undertook the mission of cleansing the State: the devaluation and dehumanization of segments of the community, medicalization of social and political problems, training of physicians to identify with the political goals of the government, fear of consequences of refusing to cooperate with civil authority, bureaucratization of the medical role, and the lack of concern for medical ethics and human rights. Nazi physicians viewed the State as their primary patient; some came to see quarantine (ghettoization), exclusion (emigration), then extermination of an entire people as treatment required for the States health. These physicians thought of themselves as biological soldiers instead of healers and caretakers.5

Eugenics arose in the late 19th century as a science that dealt with the improvement of hereditary qualities.2 Indeed, it was considered to be the leading, cutting-edge science of the time, as it was developed and practiced in several countries. This included the United States, where scientists and politicians worked together to research and implement ways of decreasing the number of people considered to be hereditarily weak (negative eugenics) and increasing the number of people thought to be hereditarily strong (positive eugenics).

In some ways, US eugenics programs served as models for the early eugenic initiatives promulgated in Germany.6 Though the Nazi regime later made eugenics infamous through mass genocide, Britain and the United States also promoted policies to apply eugenics to social problems. The United States was at the forefront of the eugenics movement and initiated involuntary sterilization through laws often drafted by physicians. In 1907, Indiana became the first state to enact a law sanctioning the sterilization of social misfits. By 1926, 23 states had involuntary sterilization laws motivated primarily by eugenic ideas.7 In 1927, Virginias law was found constitutional by the US Supreme Court in an opinion by Oliver Wendell Holmes Jr, which used an analogy to the wartime draft.8

Hitlers enthusiasm for eugenic theory is well-known. He read Menschliche Erblichkeitslehre und Rassenhygiene (Principles of Human Heredity and Racial Hygiene), the standard eugenics textbook during the Weimar years, and incorporated its ideas into Mein Kampf (My Struggle).9 Though Mein Kampf is known for its promotion of eugenic ideas, it was preceded by a number of other formative texts and acts that developed the scope of eugenics to include eradicating diseases, disabilities, mental illnesses, and, finally, whole races.

Following World War I, German health practitioners openly discussed sterilization of the unfit, labeling the care of certain populations a financial burden on the State.10 In Germany, State-sponsored sterilization began in the early 1930s, in the waning days of the Weimar Republic, after legislation was approved to encourage, but not require, the sterilization of patients deemed unfit.11 Compulsory sterilization of the unfit, promoted for decades by prominent figures in German medicine, quickly became official policy soon after Hitler took power in 1933.

On July 14, 1933, the Law for the Prevention of Genetically Diseased Offspring required the compulsory sterilization of people with any of the following categories of disease: hereditary or congenital feeble-mindedness, schizophrenia, bipolar disease, hereditary epilepsy, Huntingtons disease, chorea, hereditary blindness, hereditary deafness, malformation, and severe alcoholism. Patients were sent to eugenic health courts by their primary care doctorsfurther integrating the State and doctors into Germanys eugenic mission. Decisions regarding sterilization were then made by Hereditary Health Courts, which consisted of a 3-person panel. Two panel members were physicians, one a health official likely tied to the Nazi Party and the other an expert in eugenics and hereditary diseases.12 A district judge, usually a Nazi Party member, served as the third, coordinating member of the panel. German physicians forcibly sterilized 360000 to 375000 persons between 1933 and 1939.10(p533)

Euthanasia, which literally means a good death, is most commonly understood today as the bringing about of a merciful death for the terminally, irreversibly ill who are in pain and are suffering. Many patients also fear a loss of autonomy and wish not to be a burden. In a medical context, voluntary euthanasia is understood as the patients decision to end his or her life. But in the Third Reich, euthanasia was a program of State-sponsored medicalized mass murder. The Nazi euthanasia program was part of negative eugenics and Nazi racial hygienes claim that the only way to purify the Volk was by eliminating the unfit. To purify the Aryan German population, 200000 to 300000 people were murdered under the guise of mercy killing, including many of the mentally ill, disabled, asocials, and others deemed unfit.13

Like the eugenics movement, advocacy for a large-scale program of State-sponsored euthanasia preceded the Third Reich. The prominent German jurist Karl Binding and German psychiatrist Alfred Hoche published a widely discussed book, Die Freigabe der Vernichtung Lebensunwertes Lebens (Permitting the Destruction of Life Unworthy of Living), in 1920.14 In their text, written as a standard academic treatise, Binding and Hoche introduced the idea of lebensunwertes leben (life unworthy of living) and the legalization of the mercy killing of such populations. Drawing on eugenics and Social Darwinism, they argued that the burden on society by having to care for these individuals was too high and their human status too low, that the appropriate solution was the killing of these populations. Although not accepted by the majority of German physicians at the time, many of the procedures put forward by Binding and Hoche, including the 3-person panel deciding whether a patient should be killed, were adopted into the Nazi euthanasia program.12(p4648)

A pivotal case of State-sponsored euthanasia occurred in fall 1938 and was granted personally by Hitler.15 The father of an infant born blind, with a malformed brain, and with 1 arm and part of 1 leg missing, petitioned Hitler for the right to a mercy death for his son. Karl Brandt, Hitlers personal physician at the time, was sent to Leipzig by Hitler, where the baby was hospitalized, to consult with the doctors in charge.15 At the Doctors Trial, Brandt described the orders Hitler gave him: If the facts given by the father were correct, I was to inform the physicians in Hitlers name that they could carry out euthanasia, an order that Brandt followed.12(p51)

Brandt attempted to defend his decision at the Trial by testifying that the decision to kill the infant was hardly unique and in line with a procedure already followed in many German hospitals. In maternity wards in some circumstances it was quite normal for the doctors themselves to perform euthanasia in such a case without anything further being said about it, Brandt said at the Doctors Trial.12(p51) Upon returning to Berlin, Brandt was told by Hitler to proceed in similar fashion with other incurably ill children, an order that initiated the establishment of a formal structure for the euthanasia program.12

A systematic program of euthanasia of unfit children and adults became official policy in Germany in 1939 when Hitler issued a decree commissioning doctors to perform mercy killings on those who were judged incurably sick by medical examination.4 It was thought that the killing of the very young, newborns, and children up to age 3 or 4 years, would be considered the most natural or acceptable, and so the euthanasia program began with the killing of children. These first mercy death[s] involved 5,000 children killed by starvation, exposure in unheated wards, or the administration of cyanide, chemical warfare agents, or other poisons.4(p187188) The program was then expanded to include adults in mental hospitals in accordance with the decree issued by Hitler in October 1939 and backdated to September 1 to coincide with the beginning of the war.12(p6263) The killing of adults was further employed as means of freeing space in hospitals for soldiers who suffered injuries in battle.4(p182) Hitler chose Brandt and Philipp Bouhler, chief of Hitlers Chancellery, to lead and administer the program. Brandt assured the doctors operating the program that Hitlers decree had the force of law and that they would not be prosecuted for their involvement.16 The overall program for killing adults was given the codename Aktion T4 after Tiergartenstrasse 4, the address that housed the offices for the program in Berlin.

The doctors and administrators responsible for carrying out the program created a medicalized structure for each step of the killing process. Midwives and doctors were ordered to report all cases of children with serious hereditary diseases to the Reich Health Ministry. Similarly, doctors were required to report adult patients with certain diseases, patients deemed mentally ill, or patients who had been institutionalized for at least 5 years.12(p6566) These reports resembled a standard medical questionnaire and led some physicians to believe that these reports were merely being used to further scientific research. Then, solely on the basis of these questionnaires, a panel of 3 medical experts was asked to judge whether the patient needed treatmentkillingor whether postponement or observation was appropriate.12(p5253) The 3-member panel consisted of representatives of the T4 leadership, usually Brandt or Herbert Linden of the Interior Ministry, along with outside consultants such as Werner Catel or Hans Heinze, who were in charge of the child euthanasia operations at several hospitals. The whole process encouraged the 3 experts to issue a decision for killing.12(p55) The killing was usually ordered by the supervising doctor and often was done by repeated dosages of strong sedatives or morphine. False death certificates were then issued; the cause of death usually listed an ordinary disease.12(p55)

In the case of the larger killing operation of adults and children, transport lists were issued for those ordered to be transferred and murdered at one of the killing centers.12(p70) Buses operated by Schutzstaffel (SS) officers dressed in white medical uniforms took patients to the killing centers. The destination of the buses was kept secret from the staffs of most hospitals and the patients themselves. Thus, from the reporting of hereditarily ill children and adults to the killing operation itself, the whole euthanasia program was a medical procedure administered by medical personnel.12

Six sites were chosen as euthanasia centersBrandenburg, Bernburg, Hartheim, Grafeneck, Sonnenstein, and Hadamar. The 6 sites were selected for their isolated locations; each had been mental hospitals, nursing homes, or jails before being transformed into killing centers.12(p71) At first, killing was done by lethal injection, and it was later performed through carbon monoxide in gas chambers disguised as showers.12(p71) After SS chemists had perfected the gassing operation, Brandt insisted that only doctors should carry out the gassings.12(p7172) The bodies were disposed of in crematoria and the ashes sent in urns to the families along with falsified death certificates issued under a false name by the Condolence Letter Department.12(p70)

Hidden from the German public for years, knowledge about the true nature of the euthanasia program became increasingly common in Germany in 1940 and 1941. After widespread public opposition in Germany, including by churchmen, such as Mnster Bishop Clemens von Galen, the program appeared to end when Hitler ordered its termination in August 1941. But the official ordering of the end of the euthanasia program occurred just as killing in concentration camps began, and a decentralized killing campaign continued in the hospitals.17 Further murder of the unfit started in concentration camps in Germany after August 1941, where a new program titled 14F13 continued as a way of killing large numbers of inmates.12(p133) In total, between 200000 and 300000 people were killed under T4, 14F13, and other related euthanasia programs.18

The atrocities justified and performed by the health practitioners serving the Nazi eugenics and euthanasia programs exemplify how small steps along a slippery slope can lead to crimes against humanity. The Nazi doctors gradually progressed from eugenic sterilization to child and adult euthanasia and ultimately to murder and genocide. Framed in such medical terms as healing work and death assistance, German health practitioners carried out the murder of thousands of the unfit. Seventy years after Nuremberg, it is important to reflect on lessons we can draw from the history of the Third Reich and to examine the role of contemporary eugenics and euthanasia in medicine today.

Contemporary euthanasia is legally sanctioned in several countries and states. Euthanasia began by facilitating a good death in dying patients who were terminal and irreversibly ill and in pain and suffering. Increasingly there has been a move away from these narrow inclusion criteria to euthanasia in the nonterminally ill, those with chronic disease, reversible treatable disease, and broad notions of psychological and existential suffering. In addition, there has been a progression from voluntary euthanasia to reliance on advance directives or previous statements in cases such as dementia and expanding assisted suicide to active killing. Finally, there has been a limited expansion to include euthanasia of infants and children as well as the incompetent.

Several US states have Death with Dignity Statutes allowing physician involvement in assisted suicide, including California, Colorado, Oregon, Vermont, Washington, and Washington, DC. Montana allows the end-of-life option through a state Supreme Court ruling. In June 2016, Canada by judicial opinion legalized medically assisted dying to relieve the suffering of terminally ill adults. This legislation specifies that assisted suicide is only permitted if there is voluntary, informed, and understanding consent from the patient. Increasing the slippery slope, however, Canada allows not only assisted suicide but also direct killing for those unable to kill themselves, thus permitting active euthanasia. Assisted suicide for the relief of suffering from a mental illness is permitted by statute in the Netherlands, Belgium, and Switzerland. Using advance directives to provide prior consent for euthanasia is practiced in Belgium. The Netherlands allows an active ending of the life of an infant or child who is classified as having no hope of a good quality of life or no hope of improvement. (See the box on this page).

Despite this contemporary progression of acts of euthanasia, the modern protocols are open and transparent, and publically reported and debated. Nonetheless, there is evidence of the slippery slope moving from competent suicide with physician assistance for adults to the incompetent, including euthanizing children and newborns.19 Current practices raise the question of ensuring the establishment of proper limits, especially in protecting competent individuals through voluntary and informed consent and defining the role of the State in preventing abuses.20,21

A focus primarily on positive eugenics differentiates modern eugenics as it exists today from American and Nazi eugenics of the early to mid-1900s. Contemporary examples of positive eugenics widely discussed among bioethicists include sex selection, genetic screening or testing, and the more recent controversy over designer babies. As research on genome editing has developed, some foresee a danger in modifying human DNA and the creation of genetically modified humans. A designer baby is an embryo whose genetic makeup has been selected or modified to eradicate a particular defect or to ensure a particular gene is present.22 This can be accomplished by using gene editing tools such as CRISPR-Cas9, which can remove, add, or alter sections of DNA. All of these tools can be used to promote a healthier population, but also contain the potential for abuse. Thus, genetically modified human embryo work that goes beyond disease prevention has become a global concern.23,24 Further modifying DNA of living human beings may have evolutionary impacts.25 The use of embryo selection and genetics blurs the distinction between positive and negative eugenics. In addition, there is a blurring of public and private roles in eugenics. Rather than government mandate, social pressures arguably encourage private eugenic practices.

An example of contemporary negative eugenics is the case of the sterilization of female inmates in California prisons, performed without proper legal permission to do so or without appropriate informed consent procedures.26 According to the California State Auditor, 144 female inmates were sterilized via bilateral tubal ligation during the years from 2005-2006 to 2012-2013.26 At least 39 of those women, about a quarter of the female inmates sterilized, were sterilized following an improper informed consent process, making these 39 sterilizations illegal.26 The audit also found that medical staff rarely requested approval from prison administrators to sterilize inmates, and when they did so, it was not always clarified that the requests were approved.26 As a result of this investigation, a law was enacted prohibiting the use of sterilization as birth control for any inmate under the supervision of the Department of Corrections and Rehabilitation or in a county correctional facility in the state of California.27 Within this law are specified criteria for when sterilization is permissible, as well as criteria for reporting that such a procedure has been performed.27 The case highlights the continued responsibility to guard and raise concern for vulnerable people and their rights, especially those who are under guardianship of the State. Of particular concern is the role of doctors in carrying out the sterilizations.28

Although the proceedings of the Doctors Trial accomplished much in documenting the medical crimes performed under the Third Reich, the Trial did not go as far as it could have done in establishing the crucial role that medicine, in particular the frameworks of eugenics and euthanasia, played in Nazi ideology and mass murder. One of our aims in this review is thus to add to the understanding we now have of the degree of participation of physicians in medical crimes and mass murder during the Third Reich.

In his discussion of the Trial, the historian Michael Marrus has argued that the Trial offered only the crudest of explanations for what had occurred and made no links with eugenic thought and the medical culture of Germany.29(p118) As Marrus points out, because the Nuremberg trials focused on crimes committed against peoples of the nations who triumphed over Germany rather than on the German people, the trial gave little attention to the history of forced sterilization and the euthanasia program within Germany, programs that involved the widespread participation of physicians.29 As Marrus writes,

The Trials focus on non-German victims, mainly in the concentration camps, entailed a downplaying of forcible sterilization and medicalized killingthe victimization of several hundred thousand people, mainly Germans, in which physicians were so heavily involved. . . . As a result, the trial suffered grievously as a chronicle of the medical crimes of the Third Reich . . . and deflected attention from the involvement of the medical profession as a whole in the Nazi enterprise.29(p115)

Most startling, as Marrus highlights, is the judges response to Brandts claim, discussed previously, that there was basis in precedent and humanitarian reasons for the euthanasia killings.29 In their verdict the judges stated,

Whether or not a state may validly enact legislation which imposes euthanasia upon certain classes of its citizens is a question which does not enter into the issues. Assuming that it may do so, the Family of Nations is not obligated to give recognition to such legislation when it manifestly gives legality to plain murder and torture of defenseless and powerless human beings of other nations.30(p11395)

These words ought to give us pause as we consider medical and legal defenses of cases of contemporary eugenics and euthanasia.

One of the most troubling unanswered questions about the Third Reich is how it was possible that physicians could have so willingly participated in mass murder. Were physicians true believers in Nazi racial ideology or instead were they willing and enthusiastic opportunists, who, like Germans in many other professions, joined the Nazi Party for the purposes of career advancement? In dealing with this problem, it could be argued that the medical profession itself includes elements of dehumanization and numbing, as means of coping with the suffering of patients. Alternatively, it could be asked whether the modern medical profession encourages group obedience to authority and the diffusion of responsibility. Physicians may be particularly vulnerable to these pressures, as they have a tendency to compartmentalize, justify, and rationalize problems as a way of coping with what the profession requires. Regardless of whether one finds any of these theories of the perpetrator convincing, there is no denying the vast role that physicians played in shaping and implementing the worst genocide the world has ever witnessed.5

Seventy years after the Doctors Trial, we recognize that it is the duty of those in the medical profession to discuss the implications of the Trial and its lessons for today. We have offered this preliminary discussion of examples of contemporary parallels in pursuit of this goal, but much work remains. As we have made clear, although some aspects of the contemporary cases are troubling, we must be careful not to conflate instances of contemporary eugenics and euthanasia with Nazi eugenics and euthanasia. The misuse of the Nazi analogy is not only offensive and irresponsible, but it can also prevent a clear and important understanding of current cases we need to examine.

The 70th anniversary of the Nuremberg Doctors Trial reminds us of the great atrocities that physicians can inflict when medical ethics is distorted by the ideology of a totalitarian State. It is our obligation to study how and why physicians dedicated to health and healing can turn to torture and murder in the service of their country. Reflection on the Doctors Trial reminds us that physicians have a special obligation to use their power to protect human rights and that medical ethics devoid of human rights is no more than hollow words.

Partial funding was provided by the Project on Ethics and the Holocaust at the Elie Wiesel Center for Jewish Studies at Boston University.

See also Annas and Grodin, p. 10; Wilensky, p. 12; Crosby and Benavidez, p. 36; Annas, p. 42; and Shuster, p. 47.

8. Buck v. Bell, 274 US 300 (1927).

13. Faulstich H. Die zahl der euthanasie-opfer [The number of euthanasia]. In: Frewer A, Eickoff C, eds. Die Historischen Hintergrnde Medizinischer Ethik [The Historical Background of Medical Ethics]. Frankfurt, Germany: Campus-Verlag; 2000: 218229.

15. Benzenhoefer U. Der Fall Leipzig (Alias Fall Kind Knauer) und die Planung der NS-Kindereuthanasie [The Leipzig Case (Alias Fall Kindknauer) and the Planning of the NS Child Euthanasia]. Mnster, Germany: Klemm & Oelschlger; 2008.

16. Hohendorf G. The National Socialist patient murders between taboo and argumentis it possible to draw conclusions on the current debate on medical decisions concerning the end of life from the history of National Socialist euthanasia? In: Bialas W, Lothar F, eds. Nazi Ideology and Ethics. Newcastle upon Tyne, UK: Cambridge Scholars Publishing; 2014.

27. Cal Penal Code 3440 (2014; enacted).

30. Trials of War Criminals Before the Nuremberg Military Tribunals Under Control Council Law No. 10, Nuremberg, October 1946April 1949, 15 vols. Washington, DC: US Government Printing Office; 1949;2:198.

Read the original post:

The Nazi Physicians as Leaders in Eugenics and Euthanasia ...

The Cruel Truth about Population Control | The National …

Canadas government has issued areportconcluding that the countrys mistreatment of indigenous women amounts to genocide, citing, among other travesties, nonconsensual sterilizations. In North America, various prejudices motivate coercive population control policies; in Asia, where most forced sterilizations take place today, unfounded overpopulation alarmism acts as the primary motivation. However it may be rationalized, there is never any moral or practical justification for coerced sterilization.

In late 2018, sixty indigenous Canadian women alleged that they had suffered forced sterilizations andfileda class-action lawsuit against the Saskatchewan province health system. New allegations have continued to come forth in 2019, and one recentaccountclaims an involuntary sterilization took place as recently as last December.

The United States has its own sinister history of forced sterilizations. Roughlyseventy thousandindividuals were forcibly sterilized in the twentieth century under eugenic legislation in the United States. Eugenics was the pseudoscience of trying to improve the population by preventing people thought to have inferior genes from having children. Marginalized groups such as Native Americans were particularly vulnerable. In the 1960s and 1970s, one out of four U.S. Native American womenunderwentsterilization, with that figure rising as high as 50 percent between 1970 and 1976.

Recent cases of forced sterilization in the United States have targeted prisoners, echoing earlier eugenic policies intended to eliminate criminal behavior. Tennessee onlybannedthe coercive sterilization of inmates last year. In 2014, Californiapassedlegislation to stop prisons from non-consensually sterilizing inmates. More than a quarter of tubal ligation sterilization surgeries in Californian prisons from 2004 to 2013 were carried out without the prisoners consent.

As disturbing as reports of coercive population control in the United States and Canada are, such abuses occur on a far larger scale today in India and China.

In 2016, the Supreme Court of India ruled that informed consent is often not obtained from patients prior to conducting the procedures in mass sterilization camps anddirectedthe government to discontinue them. However, an investigationlast year found that camps continue to thrive in the same way as prior to the 2016 ruling. And the U.S. State DepartmentsCountry Reports on Human Rights Practicesfor 2018foundthat coerced abortions and sterilizations continue to take place in China, which softened its one-child policy, restricting families to a single child, to a two-child policy beginning in 2016.

The victims of recent cases of forced sterilization in the United States and Canada are marginalized groups: indigenous women in Canada, and incarcerated, often ethnically minority, women in the United States. Bigotry and paternalism are likely behind these abuses.

The primary motivator of coercive population control measures in China and India is different: concerns about so-called overpopulation. In the 1970s, alarmist writings such as the Club of Romes reportThe Limits to Growthand Stanford University biologist Paul Ehrlichs bookThe Population Bombhelped spread fear that overpopulation would deplete resources and result in disastrous shortages. That fear funneled money towards population control. In the 1970s, encouraged by tens of millions of dollars loaned from the World Bank, the Swedish International Development Authority and the UN Population Fund, India began large-scale sterilization efforts. Those efforts peaked in 1975, when the prime minister suspended civil liberties in a national emergency and sterilized oversix millionpeople in a single year. In 1979, China instituted its infamous one-child policy,inspiredbyThe Limits to Growth.

It should be noted that, in addition to overpopulation fears, there are also cases of prejudice against ethnic or religious minorities in China and India. Many victims of forced abortion under the two-child policy in China are minorities, such as ethnicKazakhsandUyghurs. Those groups practice Islam, a minority religion the governmentdeemsinsufficiently Chinese. And in India last year, a union minister of one of Indias two major political parties opinedthat the government must formulate a law regarding population control to save India from the growing non-Hindu population. Still, many victims of coercive population control in both China and India do not belong to any minority group.

While the abuses alone are reason enough to oppose coercive policies, the premise that overpopulation is a problem at all is incorrect. Its quite the opposite, in fact. Newresearchshows that population growth goes hand-in-hand with more abundant resources.

Consider the amount of time it takes an average person to earn enough money to buy one unit in a basket of fifty basic commoditiesthe time-price of those items, so to speak. The Simon Abundance Index, coauthored with Marian Tupy, found that between 1980 and 2018, the time-price declined by nearly one percent for every one percent increase in population. In other words, every additional human being to be born seems to make resources proportionately more plentiful for the rest of us.

Moreover, economic development causes birth rates to fall without any need for draconian population control measures. It is now well-documented that as countries grow richer, and people escape poverty, they tend to opt for smaller families. That phenomenon is called the fertility transition.

In 1979, the year the one-child policy began, Chinas birth ratewasjust under three children per woman. Chinas economy has grown dramatically since it adopted policies of greater economic freedom in 1978, and as the country has grown richer, its fertility rate has fallen. The decline has been perfectly in line with trends in neighboring countries that have also seen rapid economic growth, and that do not coercively limit family sizes.

In India, where liberalizingeconomic reformsdidnt begin until 1992, much later thanin China, the birth rate has alsofallen, albeit less dramatically. This change has occurred as India has grown richer, though not as rich as China. As with China, the decline in Indias birth rate is in line with trends seen in neighboring countries, most of which have seen evensteeperdeclines as their economies have grown. In fact, among Indias neighbors, only Pakistan and war-torn Afghanistan have higher birth rates, although their birth rates are declining as well.

Overpopulation hysteria is just as groundless a reason to forcibly limit reproduction as ethnic or religious bigotry and the pseudoscience of eugenics. Whether motivated by a desire to keep marginalized people from having children or to shrink the population, coercive population control remains abhorrent.

Chelsea Follett is a policy analyst at the Cato Institutes Center for Global Liberty and Prosperity and managing editor ofHuman Progress.org.

Image: Reuters

Go here to see the original:

The Cruel Truth about Population Control | The National ...

White nationalists are flocking to the US anti-abortion movement – The Guardian

This weekends March for Life rally, the large anti-choice demonstration held annually in Washington DC to mark the anniversary of the Roe v Wade decision, has the exuberant quality of a victory lap. This, the 49th anniversary of Roe, is likely to be its last. The US supreme court is poised to overturn Roe in Dobbs v Jackson Womens Health, which is set to be decided this spring. For women in Texas, Roe has already been nullified: the court went out of its way to allow what Justice Sonia Sotomayor called a flagrantly unconstitutional abortion ban to go into effect there, depriving abortion rights to the one in 10 American women of reproductive age who live in the nations second largest state.

These victories have made visible a growing cohort within the anti-choice movement: the militias and explicitly white supremacist groups of the organized far right. Like last year, this years March for Life featured an appearance by Patriot Front, a white nationalist group that wears a uniform of balaclavas and khakis. The group, which also marched at a Chicago March for Life demonstration earlier this month, silently handed out cards to members of the press who tried to ask them questions. America belongs to its fathers, and it is owed to its sons, the cards read. The restoration of American sovereignty must follow the restoration of the American Family.

Explicit white nationalism, and an emphasis on conscripting white women into reproduction, is not a fringe element of the anti-choice movement. Associations between white supremacist groups and anti-abortion forces are robust and longstanding. In addition to Patriot Front, groups like the white nationalist Aryan Nations and the neo-Nazi Traditionalist Worker party have also lent support to the anti-abortion movement. These groups see stopping abortion as part of a broader project to ensure white hegemony in addition to womens subordination. Tim Bishop, of the Aryan Nations, noted that Lots of our people join [anti-choice organizations] Its part of our Holy War for the pure Aryan race. That the growing white nationalist movement would be focused on attacking womens rights is maybe to be expected: research has long established that recruitment to the alt-right happens largely among men with grievances against feminism, and that misogyny is usually the first form of rightwing radicalization.

But the affinity goes both ways: just as the alt-right loves the anti-choice movement, the anti-choice movement loves the alt-right. In 2019, Kristen Hatten, a vice-president at the anti-choice group New Wave Feminists, shared racist content online and publicly identified herself as an ethnonationalist. In addition to sharing personnel, the groups share tactics. In 1985, the KKK began circulating Wanted posters featuring the photos and personal information of abortion providers. The posters were picked up by the anti-choice terrorist group Operation Rescue in the early 90s. Now, sharing names, photos and addresses of abortion providers and clinic staff is standard practice in the mainline anti-choice movement, and the stalking and doxing of providers has become routine. More recently, anti-abortion activists have escalated their violence, returning to the murderous extremism that characterized the movement in the 1990s: in Knoxville, a fire that burned down a planned parenthood clinic on New Years Eve was ruled an arson. Maybe the anti-choice crowd is taking tips from their friends in the alt-right.

Its not that the anti-abortion movements embrace of white nationalism is totally uncomplicated. When the Traditionalist Worker party showed up at a Tennessee Right to Life march in 2018, the organizers shooed them off, and later issued a statement saying they condemned violence both from the right, and from leftwing groups like antifa. Hatten was fired from her anti-choice job after a public outcry. The anti-choice movement has even started trying to appropriate the language of social justice. They posit equality between embryos and women, try to brand abortion bans as feminist, incessantly compare abortion to the Holocaust, and claim that abortion is an act rife with the potential for eugenic manipulation, in the words of the supreme court justice Clarence Thomas. Anti-choice groups are eager to claim the moral authority of historical struggles against oppression, even as they work to further the oppression of women.

But the link between the anti-choice movement and white supremacy is much older and more fundamental than this recent, superficial social justice branding effort. Before an influx of southern and eastern European immigrants to the United States in the latter half of the 19th century, abortion and contraception had only been partially and sporadically criminalized. This changed in the early 20th century, when an additional surge of migrants from Asia and Latin America calcified white American racial anxieties and led to white elites decrying the falling white birth rate as race suicide.

Abortion bans were quickly introduced nationwide. As the historian Leslie Raegan put it, White male patriotism demanded that maternity be enforced among white Protestant women. The emerging popular eugenics movement supported this campaign of forced birth for fit mothers, while at the same time implementing a widespread campaign of involuntary sterilization among the poor, particularly Black women and incarcerated women. Meanwhile, white women who sought out voluntary sterilization were discouraged or outright denied the procedure, a practice that is still mainstream in the medical field today.

In the current anti-choice and white supremacist alliance, the language of race suicide has been supplanted by a similar fear: the so-called Great Replacement, a racist conspiracy theory that posits that white Americans are being replaced by people of color. (Some antisemitic variations posit that this replacement is somehow being orchestrated by Jewish people.)

The way to combat this, the right says, is to force childbearing among white people, to severely restrict immigration, and to punish, via criminalization and enforced poverty, women of color. These anxieties have always animated the anti-choice movement, and they have only become more fervent among the March for Lifes rank and file as conservatives become increasingly fixated on the demographic changes that will make America a minority-white country sometime in the coming decades. The white supremacist and anti-choice movements have always been closely linked. But more and more, they are becoming difficult to tell apart.

Go here to read the rest:

White nationalists are flocking to the US anti-abortion movement - The Guardian

Sheldon’s Constitutional Theory: Somatotyping …

WILLIAM H.SHELDON

THE SOMATOTYPING THEORY

When looking at life aspects many things need to be taken into consideration. Some of those things involve what we base our thoughts on, and what we believe to be true and what we believe to be false. What a lot of people do not realize is that our world is constructed off of the ideas of theories. One theory specifically curious to me is the Constitutional Theory, specifically focusing on the idea of somatotyping. With this theory and the ideas that follow it, I am focusing on the findings behind crime behavior, and how the Constitutional theory specifically deals with crime and criminology. Don't believe this.

To start there needs to be an understanding of what exactly somatotyping is. By definition somatotyping is: the structure or build of a person, especially to the extent to which it exhibits the characteristics of an ectomorph, an endomorph, or a mesomorph (American heritage, Dictionary.com, 2012). A U.S. psychologist W.H. Sheldon created the idea of somatotyping; in his system he classified human beings in regards to their body type or build. He based his classifications on three specific body types, those being: endomorphic, or round, fat type; mesomorphic, or muscular type; and ectomorphic, or slim, linear type (Encyclopedia Britannica, Dictionary.com, 2012). In order to determine who falls under what body type a somatotype number of three digits must be determined. With Sheldons system the first digit refers to the endomorphy, the second refers to the mesomorphy, and the third refers to the ectomorphy; and each digit is on a one to seven scale, with one being very low and seven being very high (Encyclopedia Britannica, Dictionary.com, 2012). Once a score is determined for an individual, with Sheldons system, you should then be able to determine a personality type for that individual. But with that there lies controversy(s), which will later be explored.

The three areas of the body types now need to be better described. According to Sheldons original model this is how the body types are broken down: he concluded on three extreme types. These extremes were then described as fat or round, muscular or square, and thin or linear; with these extremes then coming together into a balanced center. Directly from Sheldon this is how he characterized and categorized his samples according to body types, to what we now know as somatotyping. To start, Sheldon wrote four books about this theory, and from those four books these things were drawn: individually and collectively, these books deliver three sorts of messages: methodological (how-to-do-it information on somatotyping), substantive (applications of somatotyping to social problems), and visionary or salvationist (assurances that constitutional psychology can guide a eugenics program and save the modern world from itself) (Rafter, 2007).

So basically, Sheldon breaks it down like this: The three layers are called the endoderm or the innermost layer of the body, the mesoderm or the middle layer of the body, and the ectoderm or the outermost layer of the body. The lining of the stomach, intestines, and other internal organs forms the endoderm. The mesoderm is then the tissue from which muscle and bone emerge. Finally, the ectoderm forms skin, nerves, and the brain. He felt it would be appropriate to name the various body-type dimensions after the tissue layers that were most significantly connected with their dominant features (Worldpress, 2011). That being said, the classifications are most simply put like this: endomorphs appear gut dominant, while mesomorphs generally are more muscular, and finally the ectomorphs are highly invested in nervous and cerebral features (Worldpress, 2011). Now that the body types have been broken down, this allows for the investigation into crime patterns associated with the somatotypes, and also the possible future conclusions that can be drawn from each one of the somatotypes.

After extensive research it has been stated that Sheldon classified or implied that the mesomorphic body type individuals (those of the big bone and muscular shape), were more prone to committing violent and aggressive acts, and therefore criminality is rooted in biology, when compared to the other two body types and their crime patterns and tendencies (Maddan, Walker, & Miller, 2008). According to some research, Sheldons idea has been pushed back into the closet, or kept unknown to criminologists, because specialists in the causes for crime are not ready to bury the idea, but at the same time hesitate to put it on display due to the uncertainty of how this idea even got into their field to begin with (Rafter, 2007). Not only has this idea brought lots of confusion among researchers, but it has also brought on deeper thought and curiosity by other researchers, so much so that, for example, Wilson and Herrnstein (1985) use Sheldons terminology and go far beyond his original findings to claim that, Wherever it has been examined, criminals on the average differ in physique from the population at large. They tend to be more mesomorphic (muscular) and less ectomorphic (linear) (Rafter, 2007). With Sheldon being the first person to explore the idea behind body type and behavior with criminal tendencies a lot of controversy has occurred from his thoughts. One of the bigger trends with the controversies is that, very few researchers raise questions about Sheldons methods or findings, they leave the impression that indeed a relationship exists between body build and criminality-therefore somewhat agreeing with Sheldons model (Rafter, 2007). Some go as far as saying Sheldons ideas resemble those of the beloved past topic of phrenology and personality characteristics, but how accurate is it really? So with an insight into some of the basic controversy about this theory, here are some of the findings to both support and reject Sheldons theory and findings.

One thing needs to be stressed with this theory, and that is that Sheldons model and results are based off of male body types, therefore instant controversy is drawn with women and their crime patterns due to body type. Sheldon not only classified people by their body type but by their temperament most associated with each body type in a similar manner, which is where he then concluded the crime tendencies of the individuals. With that, the temperaments were described as biologically determined attitudes, beliefs, and motivations associated with the basic body types; viscerotonia (the relaxed, sociable, gluttonous temperament), somatotonia (dominated by muscular activity and a drive toward action and power), and cerebrotonia (restrained, asocial, dominated by the cerebrum) (Rafter, 2007). With those guidelines, Sheldons conclusions were then drawn. Which as previously stated, implies that the mesomorphic body type individuals (those of the big bone and muscular shape), were more prone to committing violent and aggressive acts based on their scores for mental insufficiency, medical insufficiency, psychiatric insufficiency, and persistent although not necessarily criminal misbehavior, (Rafter, 2007) and their standings under body shape, and temperament classification (Rafter, 2007). Sheldon noticed that from the scorings on his scales, his test subjects and some worldly known individuals that (these) adjudicatable delinquents were superior physically to the other youths, excelling in general strength and general athletic ability (Rafter, 2007). Giving exact reasoning for their higher likelihood for committing crime later in life. After his extensive studying, some interesting findings came about,

Sheldon claimed that crime is caused by inherited biological inferiority and delinquents are less worthy beings than the college man; they (delinquents) are mesomorphs whose behavior is governed by their muscular physiques and not their cerebrums, Dionysian types from whom the world needs savingbut while declaring this he ended up proving the exact opposite in that his actual delinquents turned out to be healthy, vigorous young men and nonetheless, in Sheldons view, his constitutional psychology series demonstrated that biology is destiny, the chief determinant of character and behavior (Rafter, 2007).

Later researchers, have come to discredit many of Sheldons findings, because many of the individuals who he classified as delinquent had not broken criminal laws, but more so just had predispositions to criminal activity (Rafter, 2007), but that he then also ignored key factors such as the individuals environment in sequence to his body and temperament scales (Rafter, 2007). But to counter these findings Eleanor Glueck (1958) had an analysis of the five traits of character structure (social as- sertiveness, defiance, suspiciousness, emotional labiality and destructiveness) shows that only destructiveness is found to exert a significantly different impact on the delinquency of the physique types, being much more characteristic of delinquent mesomorphs than of ectomorphs. So in connection with Sheldon, these findings go on to give more explanation for why certain body types may be more likely for crime behavior: although there are difficulties inherent in somatotyping children at a stage sufficiently early in their lives to make preventive efforts most meaningful, it may prove desirable to construct prediction tables for each body type, using as a basis for them those clusters of traits and socio-cultural factors that have been found in "Physique and Delinquency" most sharply to differentiate delinquents from non-delinquents within each predominant physique type (Glueck, 1958). So where it seems that Rafter may have some sort of disagreement with Sheldons theory, Glueck seems to remain somewhat neutral or somewhat negative on the topic in that her results say that, "mesomorphs and delinquency," contrasts boys of this body build, and for those who represent the great majority of persistent offenders, with boys of other body builds, and indicates which traits and socio-cultural factors contribute most significantly to their delinquency in contrast with other body types (Gleuck, 1958). Finally, there is the individual who finds all options available to an individual to take a role in their resulting behavior with crime. Richard Snodgrasse (1951), simply says this at the conclusion of his studies: the method of studying physique should certainly utilize the techniques of anthropometry (including indices of disproportion), somatotyping, and inspectional assessment of individual morphological traits (Snodgrasse, 1951). Basically saying that more than body type or temperament has to be taken into consideration when trying to map out a specific person or persons crime patterns or tendencies. Regardless of a researchers support or rejection for Sheldons theory, the understanding behind his theory is given in each of their findings. To the extents, that although we may be able to somewhat predict an individuals likelihood for something like committing a crime, there will always be that one person who bucks the system on all angles, which allows us to constantly debate and criticize they theory.

All in all, not one person is right or wrong in their findings and thoughts on Sheldons theory, but in laments terms, Rafter (2007), says it best: criminologists in general may keep Sheldons skeleton in the closet because they are unsure about what to do with it. Social history offers a way to think about and even value Sheldon, apart from the degree to which his findings were correct. After all, he contributed new words to the criminological vocabularysomatotyping, endomorphy, mesomorphy, and ectomorphyand his photographic displays constitute one of the most powerful visual rhetorics in criminological history (Rafter, 2007).

As it has been earlier addressed, Sheldons theory has progressed along with the modernization of the world, but has also become a very hesitated topic of conversation among specialists, especially criminologists. Throughout the years, Sheldons theory has had to adjust to new world morals and values, in order to properly be asserted within society. Somatotyping has become the significant focus of this theory of constitutionalism, in order to define somebody by their body type or physical build. Although there is much controversy with this theory, it has been proven pretty prevalent, that the body type of the mesomorph individuals (those of the big bone and muscular shape), seem to be the most likely candidates when predicting crime trends and patterns. Defining individuals by their body type, has become a standard practice with researchers, when attempting to map crime in coordination with specific individuals. There is not a normal body type, but more so a body type that appears to predict crime behavior. This theory has had to evolve in order to apply to the socio-economic changes that have occurred over the centuries, and many researchers have conflicting results on the topic with its relevancy to crime likelihood. From these conflicting results, many factors are responsible, some of those being, the economic status in which an individual is brought up, an individuals family, education, community; all representing the nurture side of an individual which may or may not weaken the argument that the problem(s) stem in an individuals biological make up, bringing in the nature aspect. From this, Sheldons theory strictly based on body type alone is weakened, because more factors are significant in future actions of an individual. These social aspects, therefore weaken Sheldons strict biological explanations for the crime patterns from certain individuals. Sheldons idea has similarities to Lombrosos theory of biology and criminals, in that criminals are physically different from law-abiding citizens and that these differences demonstrated the biological causes of criminal behavior (Akers & Sellers, 2009). To people like Lombroso and Sheldon, people are impacted by their biological breakdown, through genes, disorders, and basic biological make-up. Therefore, criminals are biologically innate to commit crime regardless of anything else from the socio-economical world. From this view, that some may see as a consequence, the inability of those who are born with bad genes are subject to a likely future in crime. Therefore they are destined to be criminals because of their biological make ups, and are then at a social disadvantage regardless of what they attempt to do to avoid it. The formation of and individuals genetic makeup, and their resulting body types, more often than not, supports, Sheldons somatotyping and constitutional theory.

So with those ideas, what can the criminal justice system do to change this, and prevent future rise in crime What policies need to be applied in order to make a difference in these individuals lives, if as according to Sheldon or Lombroso they are genetically destined to be criminals? Some may agree that an individual is biologically destined to be criminal, but so many other theories point to criminal behaviors being a result of so much more. We cannot go around an destroy a line of people, just because they have bad genes or biological factors, so therefore the socio-economic aspect needs to take a bigger role in these theories. There has to be a way to change a path of an individual, who has these poor genes, by the influences of their families, communities, educations, etc. We cannot set these people up for failure, but in turn should use these thoughts to set them up for success- step in before the option to commit a crime is there. All people, regardless of their biological factors and body types, should be eligible for equal futures. Some people feel the need to fulfill a stereotype that is given to them just because they think that is a means to the rules, but other feel the need to buck the system and go against what society has mapped out as socially acceptable for them; with that although this theory may have helped predict and prevent crime from happening, it has probably also caused a lot of negative attention on innocent individuals. It is very clear that this theories, will remain, just that, theories, because regardless of what findings and results people have come to there is always the ability to prove something wrong and discredit it. From Sheldons theory, a specific body type may represent a possibility of a criminal, but it does not seal the deal. The actual crime must be committed. So finally, as mentioned earlier this theory is very touching with criminologists, because they do not know what to do with it, or how exactly to interpret it. All in all, although Sheldon may have had some positively reflective information on how to prevent crime, many aspects were missing from his theory.

Read the rest here:

Sheldon's Constitutional Theory: Somatotyping ...

Activists Call Out Legacy of Racism and Sexism in Forced Sterilization – Shepherd Express

Forced sterilization was deemed constitutional in a 1927 Supreme Court decision, Buck v. Bell, after which forced sterilizations increased dramatically, to at least 60,000 forced sterilizations in some 32 states during the 20th century, predominantly targeting women of color. And while state laws have been changed, its still constitutional, and still going on todaywith at least five cases of women in ICE custody in Georgia in 2019while thousands of victims await restitution, as reports from the Conversation and YES! Magazine has documented.

Organizations such as Project South, California Latinas for Reproductive Justice, and the Sterilization and Social Justice Lab are actively working to document the extent of this underreported problemand to bring an end to it. Project Censored noted. But their work is even more underreported than the problem itself.

During the height of this wave of eugenics by means of sterilization in the U.S., forced hysterectomies were so common in the Deep South that activist Fannie Lou Hamer coined the term Mississippi Appendectomy to describe them, Ray Levy Uyeda wrote in a YES! Magazine article, How Organizers are Fighting an American Legacy of Forced Sterilization, which begins with the story of Kelli Dillon.

Dillon was a California prison inmate in 2001 when she underwent a procedure to remove a potentially cancerous growthand the surgeon simultaneously performed an unauthorized hysterectomy, one of 148 forced sterilizations that year in California prisons, and one of 1,400 carried out between 1997 and 2010.

Dillon began organizing inside the womens prison gathering testimonials from other victimized prisoners and provided the personal accounts to staff at Justice Now that was laying the groundwork to petition for legislation that would ban the procedures in prisons, Uyeda reported. She eventually sued the state of California for damages and helped to shape legislation to compensate victims (finally passed this year) a story told in the 2020 documentary film, Belly of the Beast.

All forced sterilization campaigns, regardless of their time or place, have one thing in common. They involve dehumanizing a particular subset of the population deemed less worthy of reproduction and family formation," Alexandra Minna Stern wrote at the Conversation. Stern directs the Sterilization and Social Justice Lab, where Our interdisciplinary team explores the history of eugenics and sterilization in the U.S. using data and stories35,000 of them so far captured from historical records from North Carolina, California, Iowa and Michigan.

The history was more complicated than one might expect, Stern explained. At first, sterilization programs targeted white men, expanding by the 1920s to affect the same number of women as men. The laws used broad and ever-changing disability labels like feeblemindedness and mental defective. Over time, though, women and people of color increasingly became the target, as eugenics amplified sexism and racism, she wrote. It is no coincidence that sterilization rates for Black women rose as desegregation got underway.

California Latinas for Reproductive Justice is working to secure legislative change for victims of the states sterilization efforts between 1909 and 1979, Uyeda wrote. It was signed into law after Project Censoreds book went to print, making California the third state with such legislation, following the lead of North Carolina and Virginia, in 2013 and 2015, respectively.

The history of eugenics has been thoroughly researched and criticized by scholars and human rights activists, but coverage by the corporate media of the U.S. practice of forced sterilization throughout the 20th century and into the 21st has tended to be limited and narrowly focused, Project Censored noted. There was some corporate news coverage after the ICE forced sterilization stories emerged, but generally without any mention of the activists resisting the practice Some establishment press articles on the topic of forced sterilization include comments from members of these organizations to provide context on the issue, but few spotlight the groups tireless organizing and record of accomplishments.

Two exceptions cited were articles from Marie Claire magazine and Refinery29, a website targeted at younger women. This only began to change in July 2021, as Project Censoreds book was going to print, with the Associated Press and other establishment news outlets reporting that California is preparing to approve reparations of up to $25,000 per person to women who had been sterilized without consent.

See the original post:

Activists Call Out Legacy of Racism and Sexism in Forced Sterilization - Shepherd Express

Letter to the EditorIn support of Luther West – North Wind Online

On December 10, the NMU Board of Trustees met for about 10 minutes to strip Luther Wests name from the science building. The West family was given about 10 days notice of this event, and when they asked if they could have time to put together a rebuttal, they were denied.

I am writing this letter because I believe that I am one of few people alive who knew West well. I grew up with his youngest son and spent as much time at the West house as my own. After I graduated from NMU and started teaching, I continued to visit West whenever I was home and had many conversations about teaching and how one should conduct oneself. West always made a point of emphasizing that all students should be treated the same, regardless of who they are or where they came from. That was what he always tried to do when he taught.

We also talked about his time at Battle Creek College. He was not happy with the way it was run, but with a growing family to support he stayed as jobs were hard to come by at the time. He also stated many times that if you have nothing good to say about someone, dont say anything at all.

I noted with interest that the Board did agree to keep the L. S. West scholarship. I wonder if they will place a warning label on it.

I knew West from 1946 until his death and never heard him utter a derogatory word about any person of any race; I cant think of any other person I can say that about.

In a North Wind Letter to the Editor, Aaron Loudenslager states that West voluntarily attended a conference on eugenics and presented a paper there. How does he know it was voluntary? Miriam Hilton interviewed West in August 1972, and in that interview it was clearly stated that Kellogg, whose school he worked at, required everyone on staff to support the eugenics movement. Does that support the voluntary part? I do not know if it did or not but I do not believe we can say one way or another.

Wests talk also included a critique of the methodology used to back up the conclusions of the conference as being inappropriate and hence does not back such conclusions.

West joined the faculty at Northern in 1938 with a family of 5 to support. The curriculum as approved by the administration included a course on eugenics which he was required to teach. That course or a similar one continued being taught till in the 40s. I do not know why it took so long to get rid of it but based on my similar experience as a one-man department, I know it is prudent to establish yourself before making changes. He also may have hesitated because he had a family to support and very few options because of the Great Depression.

I started teaching in 1964 but I stopped to visit West almost every time I returned to Marquette, 2-3 times a year. I knew him to be a true gentleman who showed no hints of racism but only concern for the wellbeing of all others.

Carl W. Anderson, community member, NMU alumnus B.S. 1964

Editors Note: The North Wind is committed to offering a free and open public forum of ideas, publishing a wide range of viewpoints to accurately represent the NMU student body. This piece is a letter to the editor, written by a reader of the North Wind in response to North Wind content. It expresses the personal opinions of the individual writer and does not necessarily reflect the views of the North Wind. The North Wind reserves the right to avoid publishing letters that do not meet the North Winds publication standards. To submit a letter to the editor contact the opinion editor at [emailprotected] with the subject North Wind Letter.

More:

Letter to the EditorIn support of Luther West - North Wind Online

Bath Festival Announces First Wave of 2022 Lineup – Broadway World

Bath Festival is back with a bang in 2022 as it announces big names from the world of music, literature and comedy. Historian David Olusoga, comedian Phil Wang, Nobel Prize winning author Abdulrazak Gurnah and saxophonist Jess Gillam are among those announced as part of this years star-studded line-up.

Celebrating music and books in a beautiful city, this year's Bath Festival will run from Friday 13 May to Saturday 21 May 2022 and festival organisers have released a handful of names ahead of the official line-up announcement at the beginning of March.

From pioneer pop up gigs to discussion around immigration and postcolonialism with some of the world's most eminent authors, this year's highlights will include:

The festival will open with the traditional Party in the City on Friday 13 May, offering dozens of free live music events in city venues for an evening of celebration which attracts tens of thousands of visitors.

The Bath Festival will be once again hosting events in some of the World Heritage city's beautiful historic buildings, including the 18th century Assembly Rooms, Bath Abbey and St Swithin's Church. There will also be events in the Forum, Komedia, the Bath Royal Literary and Scientific Institute in Queen Square, at Mr B's Emporium of Reading Delights at Persephone Books, at Walcot House and in the festival's intimate Literature Lounge which will be set up in Alfred Street.

Following the success in 2021 of a series of guided walking tours created for The Bath Festival, three new themed walking tours have been developed for the May 2022. There will also be creative workshops and, for the first time at The Bath Festival, proof parties at which readers will be able to hear from the rising stars of literature and go home with coveted proof copies of as yet unpublished works.

The Bath Festival 2022 will tackle topics including sense of identity, race, home, grief and families. There will be a mixture of fiction and non-fiction, of classical music, jazz, folk and contemporary sounds. The festival's official bookseller is the independent Mr B's Emporium of Reading Delights and the festival is supported by sponsors, including Bath Spa University, Bath BID, Wessex Water and The Royal High School, its patrons and members and an invaluable army of volunteers, without who the festival would not happen.

The full festival programme will be announced on Friday 4 March and tickets go on general release on Friday 11 March.

To sign up for festival news or join as a member for priority booking, visit: https://bathfestivals.org.uk/the-bath-festival/sign-up/

Original post:

Bath Festival Announces First Wave of 2022 Lineup - Broadway World