Empire Medical Training Begins Advanced Registration for 2018 – Benzinga

Empire Medical Training, the Continuing Medical Education training and educational institution, has added their preliminary calendar for 2018.

Fort Lauderdale, FL (PRWEB) August 23, 2017

Empire Medical Training offers over 27 accredited workshop training programs for physicians and health care professionals. Empire Medical Training offers courses each year throughout the United States, Asia, and South America with topics ranging from Aesthetics, Anti-Aging and Regenerative Medicine, Pain Management, Surgery, as well as business topics for practice growth and compliance.

Empire Medical Training places a strong emphasis on the hands-on training portion of the procedural workshops to ensure the attendee is proficient in each technique. For 2018, Empire Medical Training will put an importance on courses like Cosmetic Laser Certification and Thread Lift Trainings.

In addition, Empire Medical Training will offer workshops in Injectables Level III, VIP/Concierge Medical Practice Training, and Stem Cell Therapies for Pain Management. These courses are ideal for those looking to expand their medical practice to include these aesthetic services.

Other courses offered will include Botulinum Toxin Training and Complete, Hands-On Dermal Filler for those healthcare professionals that are just beginning the field of aesthetics. The Dermal Filler Training workshop has been updated and improved to not only include learning how to inject Naso Labial folds and lips but also the "liquid face lift" for cheek enhancement and other facial contouring procedures.

With the addition of the 2018 calendar, Empire Medical Training invites guests to register early in order to receive discounts on their course tuition fees. As President of Empire Medical Training, Dr. Stephen Cosentino, DO, states, "Courses fill quickly, so we are happy to offer these discounted prices for those willing to lock the workshop into their schedule."

Empire Medical Training has been training Physicians and Health Care Practitioners since 1998, one of the longest procedural training institutions to date. With over 45,000 graduates in specialties such as Aesthetics, Anti-Aging and Weight Management Medicine, and Pain Management, Empire Medical Training is renowned throughout the United States and abroad as the premier academy for providing academic excellence. Dr. Stephen Cosentino, DO pioneered ways to add new procedures and services as well as business strategies to a practice and improve patient care. As a result of Dr. Cosentino's commitment and dedication to the specialty and the field of medicine, Empire Medical Training is steadfast to developing new training programs and topics to broaden the scope of the primary care practitioner. All Empire courses are created through mainstream medicine using the most current technologies and standards of care.

For more information on the courses offered, or to register for a class, please visit our website, Facebook page, or call 866-366-1576.

For the original version on PRWeb visit: http://www.prweb.com/releases/2017/08/prweb14628424.htm

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Empire Medical Training Begins Advanced Registration for 2018 - Benzinga

The Best Wrinkle-Fighting Creams You Can Buy Without A Prescription – Prevention.com

Treating fine lines and wrinkles doesnt necessarily require a trip to the dermatologistor the cosmetic surgeon. (These women reveal why they've embracedand nowlove!their wrinkles.)

Granted, there are plenty of bogus products out there that will do little more than take cash from your wallet and take up space in your medicine cabinet. But therearequality over-the-counter brands you can trust. They contain ingredients that can actually make a difference by bolstering collagen and elastin production to keep skin springy and line-free, reducing spots and discoloration, and boosting overall brightness.

(Want to pick up some healthier habits? Sign up to get healthy living tips, beauty advice, slimming recipes and more delivered straight to your inbox!)

The ingredients that have proven anti-aging properties are retinol, growth factors, antioxidants, and peptides, says Arisa Ortiz, MD, FAAD,the director of Laser and Cosmetic Dermatology and assistant clinical professor in the Department of Dermatology at UC San Diego. Antioxidants help fight free radical damage, while retinol, growth factors, and peptides help stimulate collagen.

The following products contain all the stuff that make good on their claims to keep skin looking healthy and young.

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The Best Wrinkle-Fighting Creams You Can Buy Without A Prescription - Prevention.com

New report shares details about Europe’s nanomedicine market – WhaTech

The global nanomedicine market size was estimated at USD XX billion in 2017. Technological advancements coupled with relevant applications in early disease diagnosis, preventive intervention, and prophylaxis of chronic as well as acute disorders is expected to bolster growth in this market.

Nanotechnology involves the miniaturization of larger structures and chemicals at nanometric scale which has significantly revolutionized drug administration, thus influencing adoption of the technology through to 2022.

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Expected developments in nanorobotics owing to the rise in funding from the government organizations is expected to induce potential to the market. Nanorobotics engineering projects that are attempting to target the cancer cells without affecting the surrounding tissues is anticipated to drive progress through to 2022.

Ability of the nanotechnology to serve in diagnostics as well as the therapeutic sector at the same time as a consequence of its characteristic principle to is anticipated to augment research in this sector. Furthermore, utilization of DNA origami for healthcare applications is attributive for the projected growth.

The global nanomedicine market is segmented based on modality, application, indication, and region. Based on application, it is classified into drug delivery, diagnostic imaging, vaccines, regenerative medicine, implants, and others.

On the basis of indication, it is categorized into oncological diseases, neurological diseases, urological diseases, infectious diseases, ophthalmological diseases, orthopedic disorders, immunological diseases, cardiovascular diseases, and others. Based on modality, it is bifurcated into treatments and diagnostics.

This report studies sales (consumption) of Nanomedicine in Europe market, especially in Germany, UK, France, Russia, Italy, Benelux and Spain, focuses on top players in these countries, with sales, price, revenue and market share for each player in these Countries, the top player coveringAffilogicLTFNBergmannstrostGrupo PraxisBiotechrabbitBraccoMaterials Research?CentreCarlina technologiesChemConnectionCIC biomaGUNECIBER-BBNContiproCristal TherapeuticsDTIEndomagneticsFraunhofer ICT-IMMTecnaliaTeknikerGIMACIMDEAIstec CNRSwedNanoTechVicomtechVITO NV

The global market is driven by emerging technologies for drug delivery, increase in adoption of nanomedicine across varied applications, rise in government support & funding, growth in need for therapies with fewer side effects, and cost-effectiveness of therapies. However, long approval process and risks associated with nanomedicine (environmental impacts) restrain the market growth.

In addition, increase in out-licensing of nanodrugs and growth of healthcare facilities in emerging economies are anticipated to provide numerous opportunities for the market growth.

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New report shares details about Europe's nanomedicine market - WhaTech

Updating the landscape of direct-to-consumer pharmacogenomic testing – Dove Medical Press

Back to Browse Journals Pharmacogenomics and Personalized Medicine Volume 10

Kelly K Filipski,John D Murphy,Kathy J Helzlsouer

Epidemiology and Genomics Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA

Abstract: Pharmacogenomics has identified important druggene interactions that affect the safety and efficacy of medications. Direct-to-consumer genetic testing, when first introduced, included some pharmacogenomic-related genes. The current landscape of pharmacogenomic direct-to-consumer testing is reviewed. Prior published reviews of the literature were updated through February 2017 and a scan of the current availability of direct-to-consumer genomic testing by companies was conducted. Results of the review demonstrate a shift toward physician-approved ordering.

Keywords: pharmacogenomics, direct-to-consumer testing

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

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Updating the landscape of direct-to-consumer pharmacogenomic testing - Dove Medical Press

Why Med Schools Are Requiring Art Classes – Artsy

Efforts to better communicate with patients also drive much of Dr. Flanagans Impressionism course. One particularly original exercise sees students partner up to paint. One student is given a postcard with a famous Impressionist painting on it, while the other student, who cannot see the card, stands at a canvas with a paintbrush in hand, and must ask their partner questions about the painting in order to reproduce it. The painter becomes like the physician whos taking a history and trying to get information from the patient, Dr. Flanagan says. They experience firsthand how much easier it is to gain information when you ask open-ended questions, when you stop and let that patient tell their story.

At many schools, programming around the arts is also happening outside of the classroom. Yale has its Program for Humanities in Medicine, which promotes interaction among the medical school and other schools at the university, while also supporting student-run organizations and eventslike Rocks art tour and a series of drawing sessions started by one of his classmates, Sue Xiao.

Yale med student Nientara Anderson says her involvement in an on-campus interdisciplinary group and other artists initiatives has helped widen her perspective on important issuesperspective that will ultimately make her a better doctor.

I noticed in my first year of medical school that we were talking about things like race, mental health, sexuality, and we werent really reaching outside of medicine and asking people who really study these things, Anderson says. I see art as a way, especially art in medicine, to bring in outside expertise.

Rock agrees, stressing that a sense of criticality, more than anything, is what I would hope that the arts and the humanities bring to the medical profession. He points to incidents of unconscious bias, where preconceived notions about things like how a certain disease presents or where an individual lives can negatively affect a doctors decision making. There are a lot of apparent assumptions in Western society that can be extremely problematic and very dangerous when aligned with the power that a physician has in the clinic, operating room, or emergency department, he adds.

Dr. Taylor notes that at Columbia, students are similarly receptive to taking humanities courses. The application to medicine is very obvious, we dont have to tell our medical students why theyre doing this, she says. And visual art, it seems, has a special role to play.

Dr. Schwartz suggests that visual art is somewhat unique in what it can offer to medical professionals. For me, the greatest asset with visual art in particular, when it comes to teaching medical students, is just that it gently takes us out of our comfort zone, he says. It gives us a great opportunity to have these stop and think moments. Doctor or not, we could all stand to have more moments to stop and think.

Casey Lesser

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Why Med Schools Are Requiring Art Classes - Artsy

Essential California: How the USC med school scandal could affect … – Los Angeles Times

Good morning, and welcome to the Essential California newsletter. Its Monday, Aug. 21, and heres whats happening across California:

TOP STORIES

Long shadow of a scandal at USC

Of the many consequences of the drug scandal involving former USC medical school dean Carmen Puliafito, few are as high-stakes as the possible effect on the legal battle between the University of California and USC over the defection of a star UC Alzheimer's disease researcher. Puliafito was a key figure in luring the researcher to USC. Hundreds of millions of dollars are potentially at stake in the legal battle. Los Angeles Times

Plus: USC moved to further distance itself from the former dean of its medical school at the center of a scandal, downplaying Puliafitos much-touted performance as a fundraiser for the university. USCs senior vice president for university advancement said in a letter to alumni and supporters that assertions that Puliafito raised more than $1 billion while leading the Keck School of Medicine were overblown and that the physician was personally responsible for collecting barely 1% of that amount over the last seven years. Los Angeles Times

Talking about the end of life

Some doctors in California felt uncomfortable last year when a new law began allowing terminally ill patients to request lethal medicines, saying their careers had been dedicated to saving lives, not ending them. But physicians across the state say the conversations that health workers are having with patients are leading to patients fears and needs around dying being addressed better than ever before. They say the law has improved medical care for sick patients, even those who dont take advantage of it. Los Angeles Times

Trash sticker shock

El Sereno resident Scott Toland is another unhappy customer of L.A.s new refuse and recycling program. Toland recently learned that because of an assortment of extra fees, all backed by Mayor Eric Garcetti and the City Council as part of RecycLA, the monthly trash bill at the 10-unit condominium complex where he lives could double at a minimum. And thats only if his homeowner association cuts back on regular trash pickup. Los Angeles Times

L.A. STORIES

Eclipse watch: L.A. residents wont see a total eclipse of the sun this morning a partial eclipse is all they can hope for but if the weather cooperates, it should still be a pretty good show. Above Southern California, the moon will start to edge into the sun just after 9 a.m. Pacific time. The maximum eclipse will happen at 10:21 a.m. Heres our guide to watching safely. Los Angeles Times

Neediest cases: Steve Lopezs columns have been something special of late. Heres his latest about a woman whose life unraveled in Los Angeles and is now living in her car. She hopes to regain her health and her job. Los Angeles Times

Saying no to hate: A popular Southern California pastor denounced white nationalists and called for a spiritual awakening as he kicked off an annual Christian retreat in Anaheim this weekend attended by more than 25,000 people. Los Angeles Times

Dont pick up the phone: Robocalls are annoying, but some Southern California area codes get more than others. Its an especially bad problem in the 310 and 949. Heres a breakdown. Orange County Register

Trojans horse: Traveler, USC's mascot, is coming under scrutiny for having a name similar to that of Robert E. Lee's horse. Los Angeles Times

Hindenburg Park: How La Crescenta has dealt with its own Nazi history. Salon

IMMIGRATION AND THE BORDER

Protest in Laguna Beach: Hundreds of counter-protesters showed up at Sundays America First! rally, apparently far outnumbering those participating in an event billed as a vigil for victims of crimes committed by immigrants in the U.S. illegally. The protests were largely peaceful, if tense and loud, for much of the evening. Los Angeles Times

Arrested: The brother of a leader of the powerful Sinaloa cartel was indicted on drug smuggling charges Friday, a day after he was arrested at the border in Nogales, Ariz., the U.S. attorneys office in San Diego said. San Diego Union-Tribune

Innovative: In a change of tactics, smugglers are using drones to fly meth over Mexican border into San Diego, officials say. Los Angeles Times

POLITICS AND GOVERNMENT

No help for residents: For five years, Los Angeles has been issuing health advisories to housing developers, warning of the dangers of building near freeways. But when the city moved to alert residents as well, officials rejected it. Planning commissioners axed a provision to require traffic pollution signs on some new, multifamily developments from an environmental ordinance on the grounds that it would burden developers and hurt market values. Los Angeles Times

Cool graphic: Now that hes left the White House and returned to Breitbart, heres how Steve Bannon became the face of a political movement with roots in Los Angeles. Los Angeles Times

For your radar: The concern over the cost of prescription drug prices has been overshadowed for the past year by the marquee healthcare battles gripping Sacramento and Washington. Thats not likely to be the case much longer. The effort to rein in pharmaceutical costs is poised for a major showdown as state lawmakers enter their final month of the legislative year. Los Angeles Times

California versus the USA: California is writing a new chapter in the centuries-old states rights conflict. Sacramento Bee

CRIME AND COURTS

Teacher arrested: A female teacher at the elite Brentwood School has been arrested on suspicion of having sex with an teenage student. Los Angeles Times

Drawing a line: City Atty. Mike Feuer said Friday that he would urge Los Angeles officials to consider imposing restrictions or even deny permits to hate groups seeking to rally here to prevent the kind of violent clashes that erupted at a white supremacist rally in Charlottesville, Va. Los Angeles Times

Paintball attacks on the rise: In South Los Angeles, paintball attacks have nearly tripled in the last year, with the Los Angeles Police Departments South Bureau counting 68 paintball victims, compared with 24 at this time last year. Los Angeles Times

My son deserves justice: The father of the good Samaritan who died after he tried to break up a fight in Riversides downtown area Friday asked for witnesses or others with knowledge about who might have been involved to come forward. San Bernardino Sun

THE ENVIRONMENT

Some help for beachgoers: The San Mateo County sheriffs office says visitors to Martins Beach wont be arrested if they go around gates locked by billionaire Vinod Khosla. The Mercury News

CALIFORNIA CULTURE

Comfort fare: With more than 450 original series in production this year, television is booming, yet viewers are also turning to such well-worn fare as as The Golden Girls, Full House and the political drama The West Wing, which debuted when Bill Clinton occupied the White House. Streaming services are giving these shows new life. Los Angeles Times

Sticker shock: Resale websites StubHub, SeatGeek and VividSeats report that secondhand tickets to Lin-Manuel Mirandas smash Broadway hit Hamilton are selling for $467 to $510 a ticket, on average. That bests the 2013 Pantages run of The Lion King, which had an average ticket resale value of $209. Los Angeles Times

Physically idealized roles: Body acceptance is becoming a big deal in many parts of American culture but not so much in Hollywood. New York Times

A deeply personal film: A story about the L.A. riots, seen through the perspective of Korean Americans, makes its way onto the big screen. Los Angeles Times

Ubers next leader? Former General Electric Chief Executive Jeff Immelt has emerged as the front-runner to become Ubers CEO. Recode

Third-shift magic: Disneyland Resort honored its overnight workers with a middle-of-the-night party. Orange County Register

CALIFORNIA ALMANAC

Los Angeles area: sunny and 77. San Diego: sunny and 73. San Francisco area: mostly sunny and 67. Sacramento: mostly sunny and 88. More weather is here.

AND FINALLY

This weeks birthdays for those who made a mark in California: Google co-founderSergey Brin (Aug. 21, 1973), former Gov. Pete Wilson (Aug. 23, 1933), retired Laker Kobe Bryant (Aug. 23, 1978), 12-time Olympic swimming medalist Natalie Coughlin and Rep. Raul Ruiz (Aug. 25, 1972).

If you have a memory or story about the Golden State, share it with us. Send us an email to let us know what you love or fondly remember about our state. (Please keep your story to 100 words.)

Please let us know what we can do to make this newsletter more useful to you. Send comments, complaints and ideas to Benjamin Oreskes and Shelby Grad. Also follow them on Twitter @boreskes and @shelbygrad.

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Essential California: How the USC med school scandal could affect ... - Los Angeles Times

Professionalism: A Proposed ACGME Curriculum in Telemedicine for Neurology Residents – LWW Journals

ARTICLE IN BRIEF

Five training modules in telemedicine skills are proposed for neurologists in training.

Teleneurology practice has been gaining steam for more than a decade, driven by the huge successes of remote stroke care (telestroke), the ongoing neurologist shortage, the aging of the U.S. population, and the demands of rural health care. Yet while training exists as part of some residency programs and continuing medical education (CME) offerings, there are no national standards for teleneurology curriculum and certification.

A paper published in the August 2 online issue of Neurology with input from the AAN's Telemedicine Work Group hopes to address that, by proposing a curricular framework that could become the nationally standardized basis to train residents in teleneurology and ultimately medical students, practicing physicians, and allied health professionals as well.

We are hearing from residency program directors that residents are starting to practice and are being asked for documentation of teleneurology training for credentialing purposes when no formal training curricula exist, said the lead author of the paper, Raghav Govindarajan, MD, assistant professor of neurology at the University of Missouri School of Medicine and chair of the Telemedicine Work Group. That's the gap we're trying to address with this curriculum.

Establishing a curriculum will help create national teleneurology practice standards, replacing the existing patchwork of state and local parameters. As physicians, we traditionally practice in one geographic location, and our practice is regulated by the state medical board, said Eric Anderson, MD, PhD, a study co-author, vice chair of the AAN Practice Committee, and director of telemedicine at CortiCare, a US-based telemetry diagnostic company. In telemedicine, most states have taken it upon themselves to set varying rules and regulations regarding the practice, resulting in potentially 50 differing sets of rules.

We want to present a compelling argument and recommendations to the Accreditation Council for Graduate Medical Education [ACGME] to make the teleneurology curriculum an elective for all residencies, said Bart M. Demaerschalk, MD, MSc, FRCPC, professor of neurology at the Mayo Clinic College of Medicine in Phoenix, AZ, medical director of Synchronous Telemedicine Services at the Mayo Clinic Center for Connected Care, and a member of the AAN Telemedicine Work Group. Mayo has specified a telestroke requirement in our vascular neurology training, and ACGME will hold us accountable to that, but that's not coming from the top down. There remains an opportunity for ACGME to standardize teleneurology training.

Among his goals, Dr. Demaerschalk said he would like to see the teleneurology curriculum integrated into all aspects of training, addressing acute and chronic conditions, as well as both hospitals and clinics across neurology specialties.

The Neurology paper divides teleneurology training into five basic equivalencies, beginning with fluency with the technology itself both its abilities and its limitations.

Seeing your first patients via teleneurology can be a clumsy process, and it is easy for us to forget this once we become more experienced, said Amanda Jagolino-Cole, MD, assistant professor of neurology at the McGovern Medical School at the University of Texas Health Sciences Center at Houston, whose work in developing telestroke/teleneurology training in the University of Texas's vascular neurology fellowship appeared in a paper last year in Neurology. Fellows must demonstrate that they are comfortable using the camera, opening images, and completing a note prior to seeing patients and every trainee starts with different skill sets that pertain to teleneurology.

The proposed teleneurology curriculum stresses the importance of knowing not only what teleneurology can efficiently do, but also what it may not be best for vestibular testing, for example, or a comprehensive neuromuscular exam. Parts of the neurology exam are one of the pitfalls of teleneurology, said Scott Vota, DO, a co-author on the paper and interim chair of the department of neurology and director of the adult neurology residency program at Virginia Commonwealth University (VCU). We know it's very helpful in acute stroke and in movement disorders. In neuromuscular diseases, there are some limitations. Evaluating the strength of a muscle or assessing tone are difficult to do over telemedicine.

Dr. Vota's residents initiated the drive for teleneurology training within the VCU program, which started four years ago. Learners today want to understand this and know how to use these tools, he said. They understand that this is the future of neurology practice.

Another training module addresses licensure and medicolegal issues and ethics, which become exponentially more complex when teleneurology providers practice across state lines. The Neurology paper suggests a case-based didactic approach to teaching these issues that includes input from legal and regulatory advisors at individual teaching hospitals. Training also touches on interstate reimbursement issues. Residents and practicing physicians need to stay up to date on constantly changing regulations of all types in the states in which they practice, the authors of the paper wrote.

Dr. Anderson pointed out that different risks may apply in different settings. When you're treating acute stroke patients in an emergency department (ED) setting, for example, you are co-managing a patient with a physician on the other end, he said. When you're remotely treating patients in their homes, there isn't necessarily another physician present with the patient, or a telepresenter, and there's potentially a higher legal liability.

Webside manners, the technique of building and maintaining a rapport with patients who are seen remotely, is another critical part of the curriculum. Even in-person bedside manners can be challenging to some residents, and those challenges are often shifted and amplified over video, with touch and physical presence removed from the clinical encounter. Technology can make it harder to build a relationship, said Dr. Vota. Not being in the room, it can be harder to understand non-verbal cues, to know when to pause, when to let the patient speak.

Something as simple as introducing yourself as a neurologist, stating where you are located, and explaining why you are seeing the patient via telemedicine rather than in person, can go a long way in establishing rapport, said Dr. Jagolino-Cole. We encourage neurovascular fellows and neurology residents to work out proper verbiage for patients and families before getting on the camera.

Another training module focuses on informed consent, patient privacy, and disclosure. Questions arise about what information the patient is disclosing and who will have access to it, or how much of the patient's environment can be seen on camera, and what that might reveal if they are being examined from their home. And finally, the suggested curriculum addresses skills in remote examination and taking a remote history either with or without a telepresenter, a health care provider in the room with the patient who can assist with hands-on aspects of the exam, and clinical documentation of telemedicine exams.

As teleneurology training advances, a key question will be how to adapt a basic curriculum to the needs of subspecialties and specialized patient populations. Probably 90 percent or more of teleneurology practice right now is telestroke, said Dr. Anderson, adding that how telestroke is practiced and its benefits for patients are well-defined. But, he said, Telemedicine for other neurological conditions like headache, or epilepsy is promising, but still relatively lacking. We don't have the same overwhelming body of evidence for those uses yet.

We'll need training on telemedicine in critical care; in epilepsy, with remote monitoring of EEGs; in MS; in dementias, said Dr. Demaerschalk. There will also need to be some unique facets of working with children via connected care, just as treating them in-person is not the same as treating adults.

It is already clear that teleneurology is especially valuable for certain patient populations. Steven S. Schreiber, MD, chief of neurology at the Tibor Rubin VA Medical Center in Long Beach, CA, and professor of neurology in residence at the University of California, Irvine, has studied the successes of teleneurology among veterans living in urban areas. In more rural areas, telemedicine is really crucial because patients often live hundreds of miles away from care sites, he said. Our patients in the Veterans Administration health system are only about 40 miles away from our location, but we find that they actually prefer to have their appointments via teleneurology and avoid logistical inconveniences like heavy traffic.

Teleneurology also makes a marked difference for patients with advanced movement disorders and other incapacitating neurological diseases. For patients with motor neuron disease, for example, who are on a ventilator, getting out of the house to a medical appointment can consume an entire day, Dr. Schreiber said. Being examined in their own homes through a 30- to 60-minute teleneurology encounter is far easier and much less stressful for those patients, and visiting nurses can be trained to assist in those exams.

Geographically isolated Native American patients are another group for whom technology can sometimes be the only way to access care. In Arizona, Dr. Demaerschalk has worked with the Indian Health Service to gradually and respectfully introduce technology to Indian health care provider sites, an endeavor that he says has been very successful. Tribal hospitals have been some of our most fabulous partners, and especially given the remoteness of many Native American communities, technology has been extremely useful, he said.

Between easing logistics for patients who can't get to care sites, caring for an aging population, and coping with the ongoing dearth of neurologists, remote care will become more and more essential. People are increasingly becoming aware that telemedicine is an integral part of value-based patient care, said Dr. Anderson. The writing is on the wall.

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Professionalism: A Proposed ACGME Curriculum in Telemedicine for Neurology Residents - LWW Journals

Anatomy of terror: What makes normal people become extremists … – New Scientist

Who and what are we fighting?

Reuters

By Peter Byrne

VERA MIRONOVA rides Humvee shotgun through Mosuls shattered cityscape. It is late January 2017. Iraqi prime minister Haider al-Abadi has just declared east Mosul liberated from three years of rule by Islamic State, or ISIS. Most jihadist fighters are dead or captured, or have crossed the Tigris to the west, digging in for a final stand. Left behind, biding their time, are snipers and suicide bombers.

Much of the population has fled to refugee camps on the outskirts. Those who stayed look lost and dazed. Men pull corpses out of houses destroyed by air strikes. Others cobble together street-corner markets, selling meat and vegetables imported from Erbil, 80 kilometres and another world away.

Few women are visible. Mironova stands out, dressed in combat trousers and a Harvard sweatshirt, wisps of blonde hair escaping her blue stocking hat. Despite travelling in an armoured car, shes clearly not a combatant. Shes a social scientist, and her job is not to fight, but to listen, learn and record.

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We stop for breakfast at My Fair Lady, a ramshackle restaurant that was a favoured eatery of ISIS fighters. The Iraqi special forces soldiers accompanying us say it has the best pacha in town steaming bowls of sheep brains and intestines stuffed with rice, with slices of black, fatty tongue and boiled oranges. Mironova orders a pizza.

A week later, a suicide bomber detonates himself at the entrance to the packed restaurant, killing the owner and several customers.

The United States does not have a real counter-terrorism strategy, says Martha Crenshaw. Faced with continued waves of jihadist terror attacks, in the conflict zones of Syria and Iraq but also closer to home, the West seems at a loss to know what to do. Crenshaw is something like the doyenne of terrorism studies, with a half-century career studying the roots of terror behind her. She occupies an office at Stanford University just down the hall from Condoleezza Rice, the former US national security advisor who was an architect of the global war on terror declared after the attacks of 11 September 2001. There is a vast amount of money being thrown into the counter-terrorism system and nobody is in charge, Crenshaw says. We do not even know what success might look like. We are playing a dangerous game of whack-a-mole: terrorists pop up. We try to beat them down, hoping they will give up.

In July, al-Abadi was back in Mosul, this time to declare the final liberation of Iraqs second city. Near-saturation bombardment of the centre by the US Air Force and a casualty-heavy, house-by-house offensive led by Iraqi forces had eliminated most of the fighters holding the city where the leader of ISIS, Ab Bakr al-Baghdadi, had proclaimed its caliphate in 2014. The liberation came at a huge price. Mosul lies in ruins, and tens of thousands of civilians are dead or wounded. Almost one million residents have been displaced from their homes.

The price has been paid not just in Mosul. In June, 206 civilians were killed in bombings and other attacks carried out or inspired by ISIS in Iraq, Afghanistan, Syria, Egypt, Iran, Australia, Pakistan and the UK, where radicalised ISIS supporters murdered eight in an attack near London Bridge on 3 June. A couple of weeks earlier, on 22 May, a 22-year-old British Muslim named Salman Ramadan Abedi detonated an improvised bomb laden with nuts and bolts at the entrance to the Manchester Arena, killing himself and 22 others, many of them children.

Why? Religious fanaticism? Groundless hate? Perverted ideology? Victory in the war on terror requires us to know what and who exactly we are fighting.

After breakfast, we accompany Iraqi commandos into abandoned houses that had been used by ISIS, wary of booby traps. We stare into darkened, steel-barred rooms used as jails for sex slaves and kafirs, Muslims who fell afoul of ISIS. We inspect the labels on tin cans, torn cookie packaging and empty bottles of Scotch whisky.

The soldiers scoop up photographs, checkpoint passes and slips of paper with names and phone numbers. Mironova bags religious tracts written in Arabic and Russian. Many of ISISs foreign fighters in Iraq and Syria are Chechnyans and Tajiks. Someone hands Mironova a diary written in Russian. She reads out loud, translating a letter written by a woman to her jihadist lover.

We are made only for each other, our marriage is sealed in heaven, we are together in this life and the afterlife, God willing. When you left, I counted the days until I got you back, my beloved. Now you are going to the war again; you may be gone forever. I will count the days until we meet again, my beloved Zachary. Following the letter, the woman had penned a recipe for a honey cake that requires a creamy milk not obtainable in Iraq. Jihadists dream of comfort food, too.

During the 1980s, Marc Sageman worked as a case officer for the CIA, operating armed cells resisting the Soviet occupation of Afghanistan. Now a forensic psychiatrist specialising in criminality and terrorism, he has been investigating what makes a terrorist for decades.

In his 2004 book Understanding Terror Networks, Sageman examined the motivations of 172 jihadist terrorists as revealed primarily in court documents. His conclusions fitted with decades of jail interviews and psychological studies showing that terrorism is neither solely reducible to ideological or religious motivations, nor to personality disorders. Terrorism is not a personality trait, says Sageman. There is no such thing as a terrorist, independent of a person who commits an act of terror.

That presents a problem for efforts to profile, identify and interdict individuals at risk of turning to terrorism, a central plank of anti-radicalisation programmes such as the UKs Prevent strategy (see Nip it in the bud). Democratic societies cannot keep an eye on everyone, and what they are looking for may not even give any obvious sign of its existence.

Crenshaws influential paper The causes of terrorism, published in 1981, summed up decades of observations of terrorists and their organisations, ranging from 19th century Russian anarchists to Irish, Israeli, Basque and Algerian nationalists. The outstanding common characteristic of individual terrorists, she concluded, is their normality. In her 1963 book Eichmann in Jerusalem, political theorist Hannah Arendt noted the same thing about the banal Nazi concentration camp bureaucrat Adolf Eichmann.

The unremarkable Nazi bureaucrat Adolf Eichmann embodied the banality of evil

People who commit terrorist acts are usually embedded in a network of familial and friendship ties with allegiance to a closed group, be that tribal, cultural, national, religious or political. Historically, the conditions for the murder of innocents by terrorism or genocide have occurred when one group fears extinction by another group. Ordinary people are motivated to kill people by category through their own group identity.

Viewed from inside the group, that can seem rational: terrorists are brave altruists protecting the group from harm by powerful outsiders. Terrorist acts are warnings to the out-group, demanding that certain actions be taken, such as withdrawing a military occupation or ending human and civil rights abuses. Terrorism is a militarised public relations ploy to advance a grander scheme a political tactic, not a profession or an overarching ideology.

But the vast majority of people who might share the same sense of grievance or political goals are not motivated to kill and maim the innocent. Criminologist Andrew Silke at the University of East London has conducted many interviews with imprisoned jihadists in the UK. When I ask them why they got involved, the initial answer is ideology, he says. But if I talk to them about how they got involved, I find out about family fractures, what was happening at school and in their personal lives, employment discrimination, yearnings for revenge for the death
toll of Muslims.

Yet this is not a popular view with counter-terrorism agencies, he says. The government does not like to hear that someone became a jihadist because his brothers were beaten up by police or air strikes blew up a bunch of civilians in Mosul. The dominant idea is that if we concentrate on, somehow, defeating the radical Islamicist ideology, we can leave all of the messy, complicated behavioural stuff alone.

Mironova trained as a mathematician, game theorist and behavioural economist. A fellow at the Harvard Kennedy School, she is one of few researchers to venture directly into combat zones to examine the roots of jihadist terror. Her work has been funded variously by the US National Consortium for the Study of Terrorism and Responses to Terrorism (START), George Soross Open Society Foundations, the United Nations and the World Bank.

During extended stays in Syria, Iraq and Yemen over the past five years, Mironova has built up trust networks in a politically diverse spectrum of insurgents, including radical and moderate jihadists and ISIS members and defectors. She moves easily through the clogged frontline check points surrounding Mosul with the permission of the Iraqi military. She stays close to her protectors, careful not to cross the ethical line of doing no harm that separates academic research from intelligence gathering.

We are playing a dangerous game of whack-a-mole with the terrorists

By seeing things through the eyes of the fighters, Mironova aims to model what drives them, and how their individual motivations affect group behaviours and vice versa. She reads Arabic, but employs local translators in the field. She interviews fighters and civilians in hospitals, refugee camps and on the front lines face to face and via telephone or Skype.

Iraq as a whole is mainly Shia, but Mosul is largely Sunni; ISIS practices an apocalyptic form of the Sunni faith in a region wracked by social and economic catastrophe. Many civilians in the areas under their control collaborate, willingly and unwillingly, with ISIS. Some share their houses with fighters. Some work in ISIS factories, building homemade rockets, cutting and welding steel for jail bars and armour plates for tanks. Some escape into refugee camps. Some marry fighters. Some join sleeper cells.

In The causes of terrorism, Crenshaw observed that it is often the children of social elites who first turn to terrorism, hoping to inspire the less-privileged masses to approve a radical change in the social order. Many Jihadist organisations are led by upper middle class intellectuals, often engineers. Al Qaedas leader Ayman al-Zawahiri is a medical doctor; Ab Bakr al-Baghdadi reportedly has a doctorate in Islamic studies.

But the work of Mironova and others shows that the local ISIS rank and file is more down-to-earth: disenfranchised people struggling to eke out a living for their families in war zones. Foreign fighters tend to be more ideologically driven, and most motivated by factors beyond group identity to make the ultimate sacrifice (see Devoted to the cause).

REUTERS/Alkis Konstantinidis

Some militants seek to avenge the deaths of friends and relatives from US drone attacks, Shia militias, Iraqi police or US and British special operations forces. But as the sex slaves and Scotch suggest, jihadist fighters do not focus exclusively on heavenly rewards, or even hatred or revenge. Not everyone wants to die. Jihadist brigades in Iraq seize oil and vehicles, which they transport to high demand markets in Syria seeking to maximise profits. They often distribute gains from their looting and business operations communally.

Many of their adherents are purely economic actors, recruited with offers of competitive salaries, health insurance and benefits paid to their families should they be killed in battle. Mironova surveyed a cohort of Iraqi women who had encouraged their husbands and sons to join ISIS in order to get better family living quarters. Some recruits just need a job.

In Iraq and Syria, there are more than 1000 radical Islamist, moderate Islamist, and non-sectarian brigades seeking to recruit militants to their brand of insurgency. In Mironovas models, their behaviour is determined by resource constraints, much as capitalist enterprises thrive and die. Groups compete to attract the best fighters. Those with low budgets may choose a radical religious line to attract foreign fanatics who are not as professional as fighters motivated by money, but will work for just room and board. Such models suggest that although the roots of violent jihadism might be expressed as religious fervour, they are anchored in more mundane, utilitarian and perhaps solvable causes.

When the politicians demonise ISIS as evil, hormones flood the brain with danger signals, says Hriar Cabayan. We forget how to think scientifically. We need to get inside the heads of ISIS fighters and look at ourselves as they look at us.

Cabayan runs the Pentagons Strategic Multilayer Assessment (SMA) programme. His counter-terrorism unit taps the expertise of a volunteer pool of 300 scientists from academia, industry, intelligence agencies and military universities. They convene virtually and physically to answer classified and unclassified questions from combatants, including special operations forces fighting ISIS in Syria and Iraq. The result is a steady stream of white papers largely concluding that the US counter-terrorism strategy decapitating insurgency leadership, bombing terrorist strongholds is counter-productive.

Reliable information on terrorist attacks and the effectiveness of counter-terrorist actions is hard to find. STARTs Global Terrorism Database, based at the University of Maryland, records details of terrorist incidents as reported by English-language media. It does not record counter-terrorist actions. Crunching event-based data from STARTs media sources can reveal statistical patterns in terrorist attacks, including how frequently certain groups attack, numbers of fatalities and types of targets and weapons involved. The Mapping Militant Organizations database, hosted at Stanford University, includes data relevant to the political environments that nurture terrorism, but also relies on English-only news reports and selected academic journals.

Neither database includes acts of terror committed by states, except for Islamic State. The definitional boundaries between insurgency and terrorism and state repression are vague. Militant actions directed against soldiers can be recorded as terrorism, while lethal police actions or government-initiated attacks on civilians are regarded as acts of war, or collateral damage, and so ignored.

Classified data is no more comprehensive: about 80 per cent of top-secret intelligence is drawn from open sources, including media reports. Raw data that contradicts policy or that tarnishes the military is often under-reported or ignored by field officers who are more concerned with living to fight another day. There is censorship, too: a recent investigation by Military Times reports that since 9/11, the Pentagon has failed to publicly report about a third of its air strikes in Iraq, Syria and Afghanistan, omitting an estimated 6000 strikes since 2014.

Relying on such imperfect sources can obscure the real motivations and root causes behind events. The problem is that the press usually has a completely wrong narrative about the perpetrators that is only corrected in the evidence presented at the trials, says Sageman. National Security Agency files leaked by Edward Snowden reveal that the NSA has trouble hiring Arabic and Pashtu speaking intelligence analysts who understand the cultures they monitor. Military intelligence agencies focus more on locating and killing terrorist suspects than on understanding sociological motivations.

Cabayan praises Mironovas brave style of research, and the data from the ground that it brings. At the SMA meeting in March this year, the question was whether the physical defeat of ISIS in Mosul would eliminate the threat.
Sixty scientists, including Mironova, examined the problem from a variety of perspectives. Their unequivocal answer was no. Events so far bear out that prediction.

There is no easy solution to the problem of terrorism, says Cabayan, because neither terrorists nor counter-terrorists are entirely rational operators. The words rational and irrational make no sense, he says. People behave emotionally, illogically. Human societies are complex, adaptive systems with unpredictable, emergent properties.

Many strands of evidence now suggest that terrorist and counter-terrorist systems are a single system governed by feedback loops; the actions and tactics of one side continually evolve in response to the actions of the other, as in a wrestling match. From this perspective, ISISs trajectory can be calculated only retrospectively, in response to events.

It is an agile trajectory. Statistical models built around what is known of the frequency and casualty counts of insurgent and terrorist incidents in Syria and Iraq show the jihadists as Davids and conventional armies as lumbering Goliaths. The extremist groups can fragment and coalesce with relative ease: they are anti-fragile, strengthening under attack. They are not wedded to charismatic leaders, but are self-organising networks that can operate independently of a single node of control, and have a ready source of new personnel.

The complex, evolving nature of the groups suggests that the US strategy of increasing troop numbers in Iraq, Syria and Afghanistan wont protect against jihadism. That conclusion is borne out by studies of the effects of troop surges in Iraq in 2007 and Afghanistan in 2012, both of which appear to have increased terrorism. Real complex systems do not resemble static structures to be collapsed; they are flexible, constantly respun spider webs, in the words of a 2013 SMA study of insurgency.

Drone strikes aimed at decapitating terrorist cells are likely to fail too. A 2017 study by Jennifer Varriale Carson at the University of Central Missouri concluded that killing high-profile jihadists is counter-productive, if its main intention is a decrease in terrorism perpetrated by the global jihadist movement. In July 2016, The Georgetown Public Policy Review reported a statistically significant rise in the number of terrorist attacks [in Pakistan] occurring after the US drone program begins targeting a given province.

Human societies are complex, unpredictable, adaptive systems

The drone strikes follow laws of unintended consequences, says Craig Whiteside of the Naval Postgraduate School in Monterey, California. Killing a charismatic leader may inspire a potent posthumous charismatic appeal, or cause splintering that results in otherwise suppressed extreme factions rising in prominence.

The effects are felt in Manchester as well as Mosul. In her most recent book, Countering Terrorism, Crenshaw writes, Western military engagement has reinforced the jihadist narrative that Muslims everywhere are targeted. It may have made ISIS more determined to inspire rather than direct terrorism. Nor has military action blocked jihadist organisations [in Iraq and Afghanistan] from regrouping, regenerating, and expanding.

The evolving nature of the message means it is difficult to combat by broadcasting counter-narratives. Social networks ensure the message feeds back rapidly to disenfranchised sympathisers in the West (see Network effects). Data scientists from the Naval Postgraduate School have studied Twitter feeds from ISIS strongholds before and after the US began bombing them in late 2014. Before the bombing campaign, the tweets focused ire on near enemies: local mayors, imams, police and soldiers. As the bombs dropped, the tweets went international, calling for the destruction of Western governments and civilians.

During the next three years, ISIS fighters or ISIS-inspired lone wolves targeted innocents in Brussels, Paris, Orlando, San Bernardino, Nice, Manchester and London. Atmospheric changes in social media reflect changes in the ground-level politics of insurgency, and specifically a willingness to export terrorism abroad. In the words of the sister of Abedi, the Manchester attacker, he saw the explosives America drops on [Muslim] children in Syria, and he wanted revenge.

Terrorist groups are seldom defeated by military force; they either achieve political solutions, or they wither away because grievances are solved or dissipate, or they alienate their supporters through excess brutality. Conversely, the US-led bombings of civilians in Fallujah and Mosul in Iraq and Raqqa in Syria, and the atrocities now being committed by the Iraqi liberators against ISIS suspects and their families, risk creating a new round of Sunni grievances.

Peter Byrne

According to a Pentagon-funded meta study of public opinion polls taken during 2015 and 2016, the vast majority of Muslims in Iraq and Syria do not support ISIS. But those who do cite religion or ideology far less than social, economic and governance grievances. And in Mosul, the study said, 46 per cent of the population believed coalition air strikes were the biggest threat to the security of their families, while 38 per cent said ISIS was the greatest threat.

If Iraqs economic and social infrastructure continues to deteriorate, a global war on terror that has to date cost $4 trillion will continue and more civilian lives will be lost to jihadist attacks in the countries involved and the West. The Sunnis in Iraq have a genuine grudge, says Cabayan. They were left out of the Shia-dominated government that we set up; they are under attack, nobody is protecting them. We can and should provide off-ramps for defeated ISIS members safety, jobs, civil rights. If not, after the fall of Mosul, we will be facing ISIS 2.0.

The counter-productive strategies go both ways. The immediate effect of civilian casualties in terror attacks is generally to undermine the ability of the attacked population to perceive the grievances of the attacking group as genuine, and to strengthen the political desire to hit back militarily. Retired US Navy captain Wayne Porter was naval chief of intelligence for the Middle East from 2008 to 2011. He is convinced that the only solution to terrorism is to deal with its root causes.

The only existential threat to us from terrorist attacks, real or imagined, is that we stay on the current counter-productive, anarchically organised, money-driven trajectory, says Porter, who now teaches counter-terrorism classes to military officers at the Naval Postgraduate School. Our current counter-terrorism strategy, which is no strategy, will destroy our democratic values.

When ISIS is driven from west Mosul in July, Mironova is back on the battlefield, gathering more data about the fate of families accused of collaborating. Extrajudicial punishment of Sunnis by Shia and Kurdish forces is causing fear and resentment, and fuelling ISIS, which is far from defeated.

ISIS is like H2O. It can be in several states: ice, water and vapour, she says. In Mosul, it was ice. We melted it. Now it is water, flowing into the countryside, seizing towns. It can vaporise to live and fight another day.

ZUMA/REX/Shutterstock

What makes someone prepared to die for an idea? This is a question that concerns anthropologist Scott Atran of the University of Oxfords Centre for Resolution of Intractable Conflicts. Research he has led in some of the most embattled regions of the world, including in Mosul, suggests the answer comes in two parts. Jihadists fuse their individual identity with that of the group, and they adhere to sacred values.

Sacred values are values that cannot be abandoned or exchanged for material gain. They tend to be associated with strong emotions and are often religious in nature, but beliefs held by fervent nationalists and secularists, for example, may earn the label too. Atran has found that people in fighting groups who hold sacred values are perceived by other members of their group as having a spiritual strength that co
unts for more than their physical strength. Whats more, sacred values trump the other main characteristic of extremists: a powerful group identity. When push comes to shove, these fighters will desert their closest buddies for their ideals, he says.

Atran argues that individuals in this state of mind are best understood, not as rational actors but as devoted actors. Once theyre locked in as a devoted actor, none of the classic interventions seem to work, he says. But there might be openings. While a sacred value cannot be abandoned, it can be reinterpreted. Atran cites the case of an imam he interviewed who had worked for ISIS as a recruiter, but had left because he disagreed with their definition of jihad. For him, but not for them, jihadism could accommodate persuasion by non-violent means.

As long as such alternative interpretations are seen as coming from inside the group, Atran says, they can be persuasive within it. He is now advising the US, UK and French governments on the dynamics of jihadist networks to help them tackle terrorism. Laura Spinney

Deradicalisation programmes are the bedrock of counter-terrorism strategies in many countries. They aim to combat extremism by identifying individuals who have become radicalised, or are in danger of becoming so, and reintegrating them to the mainstream using psychological and religious counselling as well as vocational training.

In the UK, some 4000 people are reported to the governments anti-terror programme Prevent every year. The majority 70 per cent are suspected Islamic extremists, but about a quarter are far-right radicals, and that number is growing.

Critics fear that these programmes criminalise and stigmatise communities, families and individuals. In addition, there are questions about who governments collaborate with for information and whether public servants should be obliged to report potential radicals.

There is also very little evidence that the programmes work. Most fail to assess the progress of participants, and rates of recidivism are rarely studied. In a recent report, the UK parliaments human rights committee warned that the governments counter-extremism strategy is based on unproven theories and risks making the situation worse.

The key to combating extremism lies in addressing its social roots, and intervening early, before anyone becomes a devoted actor willing to lay down their lives for a cause, says Scott Atran at the University of Oxfords Centre for Resolution of Intractable Conflicts (see Devoted to the cause). Until then, there are all sorts of things you can do. One of the most effective counter measures, he says, is community engagement. High-school football and the scouts movement have been effective responses to antisocial behaviour among the disenfranchised children of US immigrants, for example.

Another promising avenue is to break down stereotypes, says social psychologist Susan Fiske at Princeton University. These are not necessarily religious or racial stereotypes, but generalised stereotypes we all hold about people around us. When we categorise one another, we are particularly concerned with social status and competition, viewing people of low status as incompetent, and competitors as untrustworthy. Throughout history, violent acts and genocides have tended to be perpetrated against high-status individuals with whom we compete for resources, and who therefore elicit our envy, says Fiske.

Fiskes group has found ways to disrupt stereotypes by making people work together to achieve a common goal, for example. Trivial contact involving food, festivals and flags wont cut it, she says. It has to be a goal people care about and are prepared to invest in, such as a work project or community build. Here, success depends on understanding the minds of your collaborators rehumanising them.

Changing perspectives Tania Singer of the Max Planck Institute for Human Cognitive and Brain Sciences in Leipzig, Germany, thinks brain training could achieve similar effects. Social neuroscientists have identified two pathways in the brain by which we relate to others. One mobilises empathy and compassion, allowing us to share another persons emotions. The second activates theory of mind, enabling us to see a situation from the others perspective.

Singers group recently completed a project called ReSource, in which 300 volunteers spent nine months doing training, first on mindfulness, and then on compassion and perspective taking. After just a week, the compassion training started to enhance prosocial behaviours, and corresponding structural brain changes were detectable in MRI scans.

Compassion evolved as part of an ancient nurturing instinct that is usually reserved for kin. To extend it to strangers, who may see the world differently from us, we need to add theory of mind. The full results from ReSource arent yet published, but Singer expects to see brain changes associated with perspective-taking training, too. Only if you have both pathways working together in a coordinated fashion can you really move towards global cooperation, she says. By incorporating that training into school curricula, she suggests, we could build a more cohesive, cooperative society that is more resilient to extremism. Laura Spinney

A key feature of jihadist groups is their use of social networks to propagate their ideas. If you can disrupt those connections, thats probably your best shot at stopping people from becoming terrorists, says J. M. Berger at the International Centre for Counter-Terrorism in The Hague and co-author of ISIS: The state of terror.

He believes that the advent of social media has not only increased the number of people extremist groups can reach, but also the potency of their message, because it allows them to circumvent safeguards against revisionism and hate speech. Those most susceptible to the propaganda, his research suggests, are not the chronically poor or deprived, but people experiencing uncertainty in their lives recent converts, young people who have just left the family home, those with psychiatric problems.

Extremist groups are adept at fomenting collective uncertainty, for example by provoking hostility between ethnic groups. At the same time, they present themselves as upholders of clear and unwavering values, an attractive message to individuals who are undergoing potentially destabilising transformations. Through social networks, those experiencing uncertainty can learn about and even enter into contact with extremist networks.

The G7 recognised this with its recent statement that it will combat the misuse of the internet by terrorists. But this is easier said than done, says Berger. Its easy to demand social media companies do something about extremism, but much harder to define what they should do in a way that is consistent with the values of liberal democracies. Laura Spinney

This article appeared in print under the headline Roots of terror

Leader: To tackle extremism, we need to know the enemy

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Wave Life Sciences Announces Publication of Paper in Nature Biotechnology Establishing the Importance of … – Business Wire (press release)

CAMBRIDGE, Mass.--(BUSINESS WIRE)--Wave Life Sciences Ltd. (NASDAQ:WVE), a biotechnology company focused on delivering transformational therapies for patients with serious, genetically-defined diseases, today announced the publication of a new paper in the September issue of Nature Biotechnology. The paper describes a breakthrough method to produce antisense oligonucleotide (ASO) therapeutics with high stereochemical purity as well as rational drug design to control pharmacologic properties in nucleic acid therapeutics drug development more broadly. This publicationof Waves stereopure chemistry platform represents a significant scientific advancement for the oligonucleotide field.

The paper, entitled "Control of phosphorothioate stereochemistry substantially increases the efficacy of antisense oligonucleotides," details a proprietary synthesis process developed by Wave. By applying this method, Wave was able to overcome previous barriers to the scalable synthesis of stereochemically pure oligonucleotides.

These findings represent a breakthrough in the nucleic acid field, said Chandra Vargeese, Ph.D., head of Drug Discovery at Wave Life Sciences. This paper outlines early foundational principles discovered by Wave to engage RNase H1 that can be applied to any ASO sequence. We have demonstrated that stereochemistry plays a central role in oligonucleotide drug design, with the potential to improve stability, duration of activity and specificity. With continued advancements in our proprietary synthesis process, we have developed a highly efficient manufacturing system that may allow for these key findings to translate into next generation nucleic acid therapeutics. We continue to leverage these initial findings to further build our knowledge base and expand our platform capabilities beyond antisense, including our ongoing work in exon skipping, single stranded RNAi and other modalities.

Wave's researchers synthesized rationally designed stereopure isomers of mipomersen, an FDA approved drug comprised of 524,288 stereoisomers. These researchers demonstrated that phosphorothioate stereochemistry substantially impacts the pharmacologic properties of ASOs. Furthermore, their work identified a stereochemical code that can be rationally designed in the stereopure ASOs that promotes targeted RNA cleavage by RNase H1, and that provides a more durable response in mice than is achieved by stereorandom ASOs. Waves research also demonstrated that this stereochemical code improved pharmacologic properties both with mipomersen and with a second sequence (conjugated with GalNAc) that targets APOC3. This stereochemical platform provides a foundation for Wave's current pre-clinical and clinical programs, including two recently initiated trials in Huntington's disease (PRECISION-HD1 and PRECISION-HD2).

"These findings provide a powerful demonstration of Wave's stereopure oligonucleotide platform and its potential to rationally design therapies targeting currently untreatable genetic conditions," said Greg Verdine, founder, board member of Wave Life Sciences. "The ability for the first time to exert precise, synthetically programmable control over the chemistry and stereochemistry of ASOs, and the pharmacologic benefits observed for stereochemical optimization as demonstrated in this paper, offer a compelling basis for Wave's novel approach toward advancing safer and more effective nucleic acid therapies."

About Wave Life Sciences

Wave Life Sciences is a biotechnology company focused on delivering transformational therapies for patients with serious, genetically-defined diseases. Our chemistry platform enables the creation of highly specific, well characterized oligonucleotides designed to deliver superior efficacy and safety across multiple therapeutic modalities. Our pipeline is initially focused on neurological disorders and extends across several other therapeutic areas.

Forward Looking Information

This press release contains forward-looking statements, including statements relating to the significance of the paper; the importance of the papers findings in the field of nucleic acid therapeutics; the distinguishing features of Waves drug development platform and the potential benefits thereof. These statements may be identified by words such as believe, expect, may, plan, potential, will and similar expressions, and are based on current beliefs and expectations. These statements involve risks and uncertainties that could cause actual results to differ materially from those reflected in such statements, including risks and uncertainties associated with Waves stereopure chemistry platform, the drug development and regulatory approval process; and the commercialization, development and acceptance of therapies with new technologies, as well as other risks and uncertainties that are described in the Risk Factors section of Waves most recent annual or quarterly report filed with the U.S. Securities and Exchange Commission. Any forward-looking statements speak only as of the date of this press release and the parties assume no obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise.

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Highlands Hospital Integrative Medicine

The Integrative Medicine Department at Highlands Hospital combines evidence-based complementary and alternative medicine with traditional or western medicine. Integrative Medicine thus refers to the synergistic blending of these two distinct types of care providing a more holistic approach to healing.

Integrative Medicine therapies are based on the bodys innate ability to heal itself. The focus is on the whole person- physical, emotional social and spiritual. Integrative Medicine involves nurturing touch, sensitive listening, comforting environment and social networking.

A partnership between patient/client and practitioner is essential to the healing process. We are the coach and facilitator but the driving force to heal comes from the heart of each individual. Integrative Medicine empowers each person with the skills to be in charge of his/her own health care.

The program at Highlands Hospital is designed to be gentle yet powerful using learned techniques to deal with stress and negative emotions. A few of the modalities that we use are breathing techniques, progressive relaxation and guided imagery, bio-energy techniques, HealthRHYTHMS drumming and music therapy.

Highlands Hospital is pleased to welcome Jeanne Brinker RN BSN as an Integrative Medicine Healing Arts Practitioner to oversee the program. Jeanne is a consultant and pioneer in Integrative Medicine with 20 years of holistic health care experience in hospital and community environments. She was the former director of Integrative Medicine at Windber Medical Center. In that capacity, she has worked to bring complementary and alternative (CAM) to diverse patient populations from prenatal care, newborns and their families, pre and post-surgical care, critical and cardiac care, cancer survivors, hospice and palliative care, grief and loss support for families, incarcerated young adults and healthy teens, adults and seniors.

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Conditions We Treat at the Center for Integrative Medicine

For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, gender identity, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.

Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.

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Integrative Medicine and Complementary Therapies | Leukemia …

IM combines standard medicine (such as surgery, chemotherapy, drug therapy and radiation therapy) with safe and effective complementary therapies. Complementary therapies dont replace your cancer treatment or care; they supplementyour care by boosting well-being without interfering with standard treatments. Examples of complementarytherapies are therapeutic massage, acupuncture, meditation, yoga, art therapy and music therapy.

By integrating complementary therapies into conventional treatment plans, healthcare providers are better able to address the physical, emotional and spiritual needs of their patients.

Cancer patients may suffer from physical and emotional distress due to their disease or its treatment. Many patients are turning to integrative medicine (IM) to

Researchers are currently exploring the potential benefits of IM. The National Center for Complementary and Integrative Health (NCCIH) and the National Cancer Institute Office of Cancer Complementary and Alternative Medicine (OCCAM) support research that holds complementary therapies to the same rigorous scientific standards used to evaluate medical treatments. Researchers work to determine which treatments are effective and safe.

Never begin a complementarytreatment without speaking with your oncologist first and getting his or her approval. Some unproven therapies might not be safe or effective and put your health and recovery at risk.

A growing number of people are turning to complementary therapies as a way to help manage symptoms, reduce side effects, and restore and promote a sense of control and vitality. Roughly two out of three cancer patients have tried at least one complementary therapy as part of their cancer care.

Existing scientific evidence has found that certain complementary therapies may alleviate cancer-related symptoms and treatment side effects such as nausea and fatigue. For example, acupuncture has been evaluated in a number of studies and is now recognized as a safe method for managing chemotherapy-associated nausea and vomiting, and it is effective for some patients. Many complementary therapies are gentle, relaxing and minimally invasive and provide ways for patients to develop an appreciation of themselves and an awareness of their inner strength. Some techniques are passive, requiring limited participation such as massage and aromatherapy, while others are active such as yoga and tai chi.

Clinical trialsto study various complementary therapies are underway in many locations across the country to assess their safety, benefits, dosing and relative effectiveness. Patients enrolled in complementary studies receive the best standard cancer treatment either with or without the complementary therapies in question.

If you'd like to know more about complementaryclinical trials, speak with your doctor or contact one of The Leukemia & Lymphoma Society'sInformation Specialistsat(800) 955-4572.

Some health insurance companies have started covering certain types of complementary therapies, such as acupuncture or chiropractic care. Check with your insurance provider to find out about your coverage.

If you are looking for a complementary health practitioner for treatment, it is important to conduct a careful and thorough search. Here are some suggestions to help in your search for a practitioner:

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Top UCSD researchers pitch yoga, massage and integrative … – The San Diego Union-Tribune

She wielded a kitchen knife, not a scalpel, but Serena Silberman was doing her part Saturday to heal the human body, one chop of parsley, peach and pomegranate at a time.

Food can be medicine, said Silberman, an instructor at the University of California San Diego Integrative Medicine Natural Healing Cooking Program, as she prepped a meal for more than 200 people at the Sanford Consortium for Regenerative Medicine in La Jolla.

Her feast was to commemorate the debut of UC San Diegos Centers for Integrative Health, an initiative throughout the university and health network to unify current research, education and clinical programs ranging from nutrition and acupuncture to meditation and yoga.

Saturdays all-day conference rang in the new collaborative health effort at UC San Diego by discussing how western science can be better wedded to traditional folk cures and alternative medicine to offer better outcomes for patients.

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At the Sanford Consortium, UC San Diego on Saturday launched the new Centers for Integrative Health. At the beginning of the event attendees participate in meditation.

At the Sanford Consortium, UC San Diego on Saturday launched the new Centers for Integrative Health. At the beginning of the event attendees participate in meditation. (Charlie Neuman/U-T)

To Silberman, that means parsley. Rich in antioxidants, the green leaves naturally contain the anti-inflammatory luteolin; Vitamin A to boost the white blood cells that attack infection; and folate, which can help protect patients from heart attack, stroke and hardened arteries.

And then theres her generous dusting of turmeric, the orange-colored herb from the ginger family that doubles as a curry spice and dye. Researchers are studying whether it might heal heart disease and diabetes with very few side effects.

Indian cooks have only been doing it for 5,000 years, so they might know something, said Silberman, punctuating her point with the chop-chop-chop of peaches.

None of this is new to UC San Diego. The Center for Integrative Medicine, for example, was established seven years ago and now treats more than 10,000 patients annually, but organizers hope future consultations will seamlessly involve the Centers for Mindfulness, Integrative Research, Integrative Nutrition and Integrative Education into a one-stop experience.

That means 26 practitioners in 10 clinics within eight departments throughout the health system will be integrated.

Dr. Dan Slater, a physician and UC San Diego professor of family medicine and public health, presented to a packed Sanford Consortium audience a case study he thinks might guide future patient care.

Charlie Neuman/U-T

Attendees to the launch of UC San Diego's Centers for Integrative Health get acupuncture and massages while listening to therapeutic harp music by Carolyn Worster.

Attendees to the launch of UC San Diego's Centers for Integrative Health get acupuncture and massages while listening to therapeutic harp music by Carolyn Worster. (Charlie Neuman/U-T)

A 61-year-old woman was suffering from symptoms suggesting ulcerative colitis, a painful inflammatory bowel disease. The wait had grown to six months in her small town for a colonoscopy that peeked at the lining of her intestine and took a sample of the tissue, a procedure Slater noted was not cheap and was not necessarily convenient.

So he and his team of integrative health specialists prescribed a diet high in fiber, fruits and vegetables and low in fats and sweets. A little more turmeric and a few dollops of probiotics good bacteria to boost the digestive system and within three months she was feeling better. By the time her colonoscopy rolled around, her condition was either in remission or cured.

To Slater, that highlights what the Centers for Integrative Health might do best researching many pathways to a cure but letting the body do most of the work by exploring everything from aromatherapy to zen.

cprine@sduniontribune.com

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Top UCSD researchers pitch yoga, massage and integrative ... - The San Diego Union-Tribune

Integrative Medicine – Atlantic Health

All SpecialtiesAddiction MedicineAdolescent MedicineAllergy & ImmunologyAnatomic PathologyAnesthesiologyAnesthesiology / PediatricBariatric SurgeryBreast SpecialistCardiac / Robotic SurgeryCardio-OncologyCardiologyCardiology / ElectrophysiologyCardiology / InterventionalCardiology / NuclearColorectal / Robotic SurgeryCritical Care MedicineCyberKnifeDentistry-GeneralDermatologyEar, Nose & Throat/OtolaryngologyElectrodiagnostic MedicineEmergency MedicineEmergency Medicine / PediatricEndocrinology / DiabetesEndodonticsExecutive HealthFamily DentistryFamily MedicineGastroenterologyGeneticsGeriatric MedicineGyn-OncologyGynecologyGynecology / Robotic SurgeryGynecology-Oncology / Robotic SurgeryHead and Neck / Robotic SurgeryHematologyHepatologyHomeopathic MedicineHospitalistHyperbaric MedicineHypertrophic CardiomyopathyInfectious DiseaseInfertilityIntegrative MedicineInternal MedicineInternal Medicine / Sports MedicineInterventional RadiologyMaternal-Fetal MedicineMedical AcupunctureMidwivesMovement DisordersMusculoskeletal RadiologyNeonatologyNephrologyNeuro / Endovascular SurgeryNeuro / SpineNeuro-OncologyNeuro-RadiologyNeurologyNeuropathologyNeuropsychologyNuclear MedicineNutritionOB / GYNOculoplastic SurgeryOncologyOncology / UrologicOphthalmologyOral & MaxillofacialOrthodonticsOrthopedics / Foot, Ankle, and Lower ExtremityOrthopedics / GeneralOrthopedics / Hand and Upper ExtremityOrthopedics / PediatricOrthopedics / SpineOrthopedics / Sports MedicineOrthopedics / Total Joint ReplacementOrthopedics / Trauma and Fracture CarePain ManagementPalliative CarePathologyPediatric / Allergy & ImmunologyPediatric / CardiologyPediatric / Critical CarePediatric / DentistryPediatric / Development & BehaviorPediatric / Emergency MedicinePediatric / EndocrinologyPediatric / GastroenterologyPediatric / Hematology & OncologyPediatric / HospitalistPediatric / Infectious DiseasePediatric / NephrologyPediatric / Neurodevelopmental DisordersPediatric / NeurologyPediatric / NeurosurgeryPediatric / OphthalmologyPediatric / OrthopedicsPediatric / Palliative CarePediatric / PsychiatryPediatric / PulmonaryPediatric / RheumatologyPediatric / Sleep MedicinePediatric / SurgeryPediatric / UrologyPediatricsPeriodonticsPhysical Medicine and RehabilitationPodiatryProctologyProsthodonticsPsychiatryPsychiatry / AddictionsPsychiatry / Child and AdolescentPsychiatry / ForensicsPsychiatry / Psychosomatic MedicinePsychologyPsychopharmacologyPulmonary MedicineRadiation OncologyRadiologyRadiology / MusculoskeletalReproductive EndocrinologyRetina-VitreousRheumatologySleep MedicineSports MedicineSurgery / BreastSurgery / CardiacSurgery / CardiothoracicSurgery / Colon & RectalSurgery / DermatologicSurgery / FacialSurgery / GeneralSurgery / HandSurgery / LaparoscopicSurgery / Liver / LaparoscopicSurgery / LungSurgery / NeckSurgery / NeurologicalSurgery / OncologySurgery / PlasticSurgery / PodiatricSurgery / ReconstructiveSurgery / Reconstructive PelvicSurgery / Robotic (General)Surgery / SpineSurgery / ThoracicSurgery / VascularTrauma / Surgical Critical CareUrgent Care MedicineUrogynecologyUrogynecology / Robotic SurgeryUrologyUrology / Robotic SurgeryVascular MedicineWound Care

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Integrative Medicine - Atlantic Health

New Study Confirms Why Doctors Abandon Conventional Practices for Integrative Medicine – Markets Insider

NORTHAMPTON, Mass., Aug. 15, 2017 /PRNewswire/ --The first-ever Integrative Physician Market Landscape study, conducted by Pure Branding, addresses a lack of market intelligence about the rapidly growing practice of integrative medicine among Medical Doctors (MD) and Doctors of Osteopathy (DO).

"I have never seen such a rigorous and insightful study of the integrative physician community," said Leonard A. Wisneski, MD, FACP, professor of medicine at Georgetown University, George Washington University and University of Colorado. "For anyone wishing to understand and engage with the field of integrative medicine, this research study and its insights will be invaluable."

A rapidly growing number of doctors are exploring integrative approaches to clinical care as a solution to perceived inabilities to offer better healthcare options to their patients through conventional medical practices.

The study provides a consensus on the definition of integrative medicine, with respondents identifying the top five factors as:

"Anyone distressed about the state of healthcare in America need look no further than this inspiring community of integrative physicians for hope," says Yadim Medore, founder and CEO of Pure Branding. "These cutting-edge doctors are at the forefront of a paradigm shift in medicine, that will significantly impact the value chain from healthcare systems and payers to medical schools and suppliers."

Key Findings:

This research study included 1,133 integrative MDs and DOs from 49 states, the largest pool of currently practicing integrative physicians ever surveyed for a landscape report. Lists were provided by association and media partners including Academy of Integrative Health & Medicine (AIHM), Academy of Integrative Pain Management (AIPM), American College for Advancement in Medicine (ACAM), American Academy of Medical Acupuncture (AAMA), Functional Forum and Today's Practitioner, and numerous commercial sponsors.

"The findings in this report are representative of the integrative medical community as a whole, with a confidence level of 95% and the margin of error at +/-2.9%," said Mr. Medore.

Informationabout the study can be found at: http://www.purebranding.com/integrative-physicians

About Pure BrandingPure Branding is a strategic consulting, market research and brand development agency for health and wellness companies. Since 1999, they have helped global clients build loyalty and grow market share through innovative research and actionable insights. For more information: http://www.purebranding.com

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New Study Confirms Why Doctors Abandon Conventional Practices for Integrative Medicine - Markets Insider

A Worldview that Can Liberate Everyone – SFGate

By Deepak Chopra, MD and Anoop Kumar, MD

When the world looks as turbulent and troubled as it does now, people feel trapped. Instead of feeling secure in prosperous safety zones, even developed countries now feel the pressure of uncontrollable forces, including stateless terrorism, a historical peak in refugees, the threat of epidemic diseases, and fast-encroaching climate change. How many people truly believe that these problems will be solvedor are even solvable? An erosion of hope is underway, and this more than anything must be reversed.

The first step is to realize that we live on a human planet, where each person is trained to view Nature, including human nature, through highly conditioned beliefs and perceptions. The conflicts that develop from us-versus-them thinking are only a thin layer of this collective conditioning. At a deeper level, leaving aside politics, ethnicity, tribalism, and religion, we are participating in a collective hallucination about reality. As illusions go, this one is centuries old, but it isnt permanent or incurable. Were talking about a skewed worldview, and worldviews can be changed by their own creators.

The prevailing worldview that has led to the present crisis arose in the context of a post-religious, secular, scientific age. Since most educated people celebrate the advances visited by this worldview, including every wonder of technology, cures for disease, economic prosperity, and so on, its easy to mistake it for reality. But all worldviews are based on a set of accepted beliefs and perceptions.

The fundamental assumptions of the secular scientific worldview include the following:

This entire list is part of the constructed hallucination/indoctrination that modern people believe in. In the grip of this hallucination weve forgotten how to break the spell we cast on ourselves. Its a classic example of the prisoner trapped in jail who doesnt notice that he holds the key in his hand.

In our last post we offered the possibility of liberation by one means: consciousness. (We urge you to read Part I, since it explains the basic principles we elaborate on here.) A consciousness-based worldview would turn each aspect of the current worldview on its head, as follows:

These principles sketch out a one reality or non-dual worldview. To someone who accepts the current worldview, such ideas are untenable, even ludicrous. Who could reasonably challenge that there is a world out there that is totally real? Science has amassed tons of evidence to support this common-sense view. But it is in the nature of a new worldview to overturn the old one, and the most radical upset concerns the nature of the human mind.

The worlds wisdom traditions dont equate mind with consciousness, although in the current worldview the two are the same, and both are supposedly produced by neural activity in the brain. But there's a contrary perspective that can be shown by analogy. Put yourself in a movie theater. Mind consists of all the movies we play out in our lives; consciousness is the movie screen, which every movie needs, yet itself is not part of the movie. Anyone can sit in a movie theater and shift between two styles of perception, either sinking into the movie as if its real or breaking the spell and seeing light playing across a screen to give the illusion of reality.

Likewise, it is possible to snap out of the spell of the real-life movies we surrender to every day. This shift in perception leads a person on the path to liberation. Having seen, as the worlds wisdom traditions teach, that birth and death, fear and separation, us versus them, and the division between in here and out there are human constructs, a new world dawns, simply because every world exists in consciousness, first and foremost. But dropping your belief in the movie is only the first step, and probably the easiest.

At its most radical, non-duality says that reality is inconceivable, which isnt a comforting thought. Religion says that God too is inconceivable, being omnipotent, omniscient, and omnipresent, but this gets watered down by seeing God in human form. Science suggests that reality is inconceivable, because the entire universe was created out of nothing, a quantum vacuum where every particle and every event in the cosmos exists only in virtual form. But this too got watered down by imagining atoms and molecules as little spinning things that stick together to form bigger spinning things out there in the vastness of Nature.

Non-duality cannot be watered down. When it says that reality is inconceivable, this means that your essential nature is inconceivable as well. You are not a collection of tags, labels, qualities, moods, family influences, and a life historythose are plot devices in a movie you call "me." You are actually the screen of consciousness on which the movie is being projected. When you realize this fact and absorb it fullynot as a concept but as your very naturethere is freedom from the ills of the collective hallucination. The anxiety of separation, war, confusion, strife, the fear of death, tribalism, and the insecurity that comes from staring into the abyss of an apparently meaningless universe begins to dissolve.

Although it can sound daunting to hear that your essential nature is inconceivable, dont be fooled. To conceive of something is to turn it into a thought. Consciousness, which expresses as all that was, is, and will be, cannot be stuffed into a thought, just as an ocean cant be contained in a wave. You are that ocean. This means that to know your true nature, you dont have to figure your way out of the current predicament. When a wave relaxes, it merges unto its true nature as the ocean. Simply begin to relax into your essential nature.

This is the path that unifies humanity by virtue of unifying who we really are instead of accepting only a composite of cultures, which are larger, socially-validated themes. The non-dual worldview doesnt eradicate science or culture by any means, but it does put all mental models of reality within a greater context. Technology can continue to advance; science can pursue the intricacies of the brain and their connection to mind. But one thing will be different once and for all. Human beings will know who we really are, having woken up from a very convincing but unreal hallucination.

Deepak Chopra MD, FACP, founder ofThe Chopra Foundationand co-founder of The Chopra Center for Wellbeing and Jiyo.com, is a world-renowned pioneer in integrative medicine and personal transformation, and is Board Certified in Internal Medicine, Endocrinology and Metabolism. He is a Fellow of the American College of Physicians, member of the American Association of Clinical Endocrinologists and Clinical Professor at UCSD School of Medicine. Chopra is the author of more than 85 books translated into over 43 languages, including numerous New York Times bestsellers along with You Are the Universe (February 2017, Harmony) co-written with leading physicist, Menas Kafatos. Other recent books include Super Genes co-authored with Rudolph E. Tanzi, Ph.D. and Quantum Healing (Revised and Updated): Exploring the Frontiers of Mind/Body Medicine. http://www.deepakchopra.com

Anoop Kumar, MD, MM is Board Certified in Emergency Medicine and holds a Masters degree in Management with a focus in Health Leadership from McGill University. He practices in the Washington, DC metro area, where he also leads meditation gatherings for clinicians. He is the author of the book Michelangelos Medicine: How redefining the human body will transform health and healthcare. Anoop enjoys exploring and communicating about the intersection of self-awareness, science, and wellbeing. Visit him at anoopkumar.com and follow @DrAnoopKumar.

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A Worldview that Can Liberate Everyone - SFGate

Weeds get bum rap, have medicinal merit – nwitimes.com

VALPARAISO Lawn mowing is a summertime activity most people either enjoy or dread.

No matter which, those who mow probably dont know they are passing over weeds often used to relieve ailments like skin disorders, asthma, arthritis, anxiety and depression.

Many plants considered weeds can be both edible and medicinal, said Niccole Anderson Schelling at Health in Your Backyard on Saturday at Sunset Hill Farm County Park.

Schelling, a wildcrafter and Reiki master teacher, discussed how to identify these weeds like dandelions, cleavers, creeping Charlie and plantain how to cook them and how to turn them into medicinal tinctures, salves and teas.

First, Schelling said, wildcrafters people who pluck medicinal plants from their lawns, sidewalk cracks, and woodsy perimeters should be conscientious consumers by researching books and reputable online websites, like those of the Journal of Herbal Medicine and the North American Institute of Medical Herbalism.

Proper plant identification is crucial, Schelling said, as some plants are poisonous, or toxic if taken with certain medications.

Just because its natural doesnt mean it wont kill you, said Schelling, of Valparaiso.

Pokeweed is an example, Schelling said.

Parts of it are poisonous, and parts of it are not. Or belladonna if you chomp on it, you will die, she said. Its better to err on the side of caution than get sick. Always check with your doctor before you do any of this.

While early spring dandelion leaves add vitamins A, B, C and K to a fresh salad, they are also used for skin and stomach issues and as a liver detoxifier. Mullien, which grows along country roads, is antibacterial and relieves respiratory issues. Plantain, profuse in lawns, soothes bug bites, bee stings and other skin irritations, while lemon balm can relieve insomnia, anxiety and depression.

Although the benefits of plant medicines are not backed by science, Schelling said proof that plants relieve common ailments is often anecdotal.

I know people who swear by creeping Charlie for respiratory issues, Schelling said. I have a friend who has not had an ER visit since using it on her kids with asthma.

Our ancestors relied on medicinal plants before manufactured medicines existed, but that knowledge, which was passed between generations, is dwindling, Schelling said.

Schellings interest derives from her fathers relatives, who are from the South.

My grandfather planted his garden by the moon, and my mamaw just knew stuff, Schelling said. Now, Im in the process of going on this herbal journey.

Doctors who practice integrative medicine, like Harvard-trained physician and author Dr. Andrew Weil, are well-versed in using plants as medicine, Schelling said. Because the discipline is becoming more well-known and popular, traditional physicians are learning more about using plants to heal.

Reporting like this is brought to you by a staff of experienced local journalists committed to telling the stories of your community. Support from subscribers is vital to continue our mission.

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Weeds get bum rap, have medicinal merit - nwitimes.com

Bendigo neurology patients forced to drive hours for specialist care – Bendigo Advertiser

Motor neurone disease sufferers in Bendigo forced to drive hours for 20-minute medical appointments.

Carolyn Hutchison has to travel hours to Melbourne for routine neurology appointments as short as 20-minutes. Pictures: DARREN HOWE

A California Gully woman with motor neurone disease says a dearth of specialistneurologists in Bendigois forcing patients with complex conditionsinto lengthy round trips for routine appointments.

Carolyn Hutchison says she and other MND sufferers have to drive to Melbourne for appointments as short as 20 minutes becausethe one part-time neurologist in Bendigo does not specialise in the condition.

Theres a few other people here in Bendigo with MND who also travel down and see the same neurologist, she says.

They try and do a lot of appointments while were down there so its a whole day out travelling and when youre already tired,having to get up at 7.30 in the morning for an appointment at 10.30 is just crazy and you dont get home until after dinner.

Ms Hutchison saysher Melbourne neurologistcansometimesspeak to her via video link, but there are times when she has no choice but to make the trip, even though her condition means she is unable to drive and has to rely on family to get her there.

Carolyn Hutchison is one of at least five MND sufferers in Bendigo who are unable to access the specialist neurology they need outside Melbourne.

Ms Hutchinsons 18-year-oldson, Zamien, also travels to Melbourne for neurology appointments after suffering a stroke as a childresulting from complications from cancer, and she sayseven having a part time Bendigo-based doctor would make a big difference for both of them.

Hes also linked up with [the Peter MacCallum Cancer Centre]but Peter Mac actually come up to Bendigo every six months, so we can have our Peter Mac appointments here but we cant see the neurosurgeon, she says.

Weve got this beautiful big new hospital and we just donthave the staff, it just seems a shame, it really does.

Ms Hutchison saysshe is aware of at least four other patientsin the regionwho all have to drive to Melbourne to see the same neurologist.

We have an MND meet-up every month and theres a gentleman that comes from Castlemaine, theres myself, theres [another man] and a lady who comes from Rochester as well and were hoping to get a new member soon, she says.

So theres at least five of us that are within this area that could benefit from a neurologist if he visited Bendigo.

A Bendigo Health spokeswoman said whilethehospital did not have a neurologist on staff, it hada number of physicians with extensive neurology expertise.

As part of the development of our next strategic plan, Bendigo Health is currently undertaking extensive planning regarding our service delivery profile for the future to ensure we continue to play our role in the state-wide service delivery framework, she said.

St John of God Hospital Bendigo was contacted for comment.

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Bendigo neurology patients forced to drive hours for specialist care - Bendigo Advertiser

Detroit Lions’ offensive line needs time to build chemistry – Sidelion Report

If the New York Jets are known for anything, its for having a dominate defensive line. The Jets have dedicated three first round picks to that positional group since 2011. So is it any wonder why the Detroit Lions offensive line looked a bit shaky against them Saturday night?

Yet, the Lions still defeated the Jets, 16-6, in the second preseason contest for both teams. With the majority of those points being scored while the first team offense was in the game, Detroit proved they can be productive regardless of the pressure New York brought. And thats a point Lions starting right guard T.J. Lang made following the game.

I thought we did some good things there in the first quarter when Matt [Stafford] was in, Lang told ESPN.com. Obviously, we got to protect the quarterback a little bit better, but [we] scored 10 points in one quarter, so not a bad job for us.

The Lions second preseason contest was the debut for Lang, who has been recovering from offseason hip surgery. The former Green Bay Packer was acquired in free agency this year along with Baltimore standout Ricky Wagner at right tackle. Their addition was expected to solidify Detroits O-line.

But chemistry is important when building an offensive line. And the Lions newest additions have had precious little time to build any.

Detroit will have at least three new starters along their offensive line this season. Lang and Wagner on the right side of the line and former first round bust Greg Robinson at left tackle. The latter was acquired in a June trade after 2016 first round selection Taylor Decker suffered a shoulder injury that could have him sidelined until December.

Due to injuries, Detroits offensive line has had precious little time to build some much needed chemistry. With Lang now back in the fold, and the rest of training camp and the preseason to work it out, fans should be encouraged by what they saw from the Lions on Saturday.

The Detroit Lions offensive line proved they could get the job done when it counted against a tough New York Jets defense in the trenches. And it should only get better from here on out.

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Detroit Lions' offensive line needs time to build chemistry - Sidelion Report

Comic chemistry strains to carry violent, predictable ‘Hitman’s Bodyguard’ – The Herald-Times (subscription)

THE HITMAN'S BODYGUARD 2 stars Ryan Reynolds, Samuel L. Jackson, Gary Oldman, Elodie Yung; R (strong violence and language throughout); in general release

The Hitmans Bodyguard brings Ryan Reynolds and Samuel L. Jackson together in a manic buddy comedy that is heavy on action if a little light and predictable on plot. Its good, but it feels as if it could have been better.

Reynolds plays Michael Bryce, a down-and-out bodyguard who was at the top of the personal-protection world until an unknown assassin took out one of his high-priced clients.

Jackson plays Darius Kincaid, a legendary incarcerated hit man who has been offered a deal to come to the Hague and testify against the human rights violations of an Eastern European dictator named Vladislav Dukhovich (Gary Oldman). Kincaids track record is too bloody to be expunged, but if he cooperates, Interpol has agreed to free his also-imprisoned wife, Sonia (Salma Hayek).

Bryce and Kincaid join forces when a team of Dukhovichs goons attack Kincaids protective convoy, which includes Bryces Interpol-agent ex-girlfriend, Amelia (Elodie Yung, who plays Elektra in Netflixs Daredevil series). Kincaid and Amelia manage to escape the bloodbath and, in desperation, she calls in her ex-boyfriend to deliver Kincaid to the trial, promising to restore his AAA bodyguard status if he cooperates.

Its a simple premise that succeeds largely on the chemistry of Reynolds and Jackson, whose manic dialed-to-11 behavior feels like Seinfelds Frank and Estelle Costanza outfitted with guns and combat training. Bryce and Kincaid have plenty of history and are at each others throats from the outset, united only as a matter of life-and-death necessity.

As you might expect, the Deadpool and Pulp Fiction stars put a lot of R-rated mileage on their odometers, and the one-note gag for Hayeks character is that shes every bit as foulmouthed as her husband. But the best comedy in Hitmans Bodyguard comes organically between Reynolds and Jackson, much more than when director Patrick Hughes relies on profanity to deliver his punchlines.

You would expect a Reynolds-Jackson combo to be heavy on profanity, but for a comedy, Hitmans Bodyguard is also surprisingly violent. Bryce and Kincaid blast their way through a seemingly limitless supply of Dukhovichs henchmen, complete with the expected gunfire and brutality, but other moments such as an early scene where Dukhovich executes a potential witness family mark strange tone changes that feel a step too far for the genre. Other scenes that try to humanize characters like Kincaid also feel odd in context as well.

Hughes really delivers on a sequence of escalating action sequences that match fantastic choreography, camera work and editing to create some genuine adrenaline-pumping exchanges. Combined with the chemistry between the two leads, the action sequences are enough to carry a film that weakens once you look beyond its highlights.

The plot surprises arent that surprising, and at 118 minutes, Hitmans Bodyguard feels a little too long. But fans of Reynolds and Jackson will probably be more than happy to see their favorite actors push each others buttons. Scaling back the more extreme R-rated content and maintaining a more consistent comic tone might have produced a smoother final product. The Hitmans Bodyguard isnt quite as good as it could have been, but for a mid-August release, sometimes good enough is the goal.

The Hitman's Bodybuard is rated R for strong violence and language throughout; running time: 118 minutes.

Joshua Terry is a freelance writer and photographer who also teaches English composition for Weber State University. You can also find him on YouTube.

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Comic chemistry strains to carry violent, predictable 'Hitman's Bodyguard' - The Herald-Times (subscription)