The case for repealing FISA and reforming the FBI and CIA – Washington Examiner

Like most of what ails us today, the seeds of the current crisis in republican governance the severance of Washingtons omnipotent law enforcement and intelligence apparatus from democratic accountability were sown in the 1960s and 70s. That was when we began to erase the salient distinction between law and politics. Under the guise of national security, we insulated governmental actions and policies from the reckoning of our citizens, whose safety and self-determination hang in the balance.

Fast forward to 2020. The FBI, in its bungling partisanship, very likely swung the 2016 presidential election away from its preferred candidate, Hillary Clinton. The sprawling community of intelligence agencies (led by the FBI and CIA) covertly used dubious foreign sources to justify monitoring an American political campaign and, later, a U.S. presidential administration. To do so, it invoked daunting foreign-counterintelligence surveillance powers, based on a fever dream that its bte noire, Donald Trump, was an agent of the Kremlin. And the Foreign Intelligence Surveillance Court recently chastised the FBI for feeding it false and unverified information the secret court apparently calculating that this extraordinary public expression of wrath will divert attention from its own shoddy performance in approving highly intrusive spy warrants based on sensational, blatantly uncorroborated rumor and innuendo.

As usual, Washington is reacting with high-decibel inertia. In an era of hyperpartisanship, Democrats defend the politicization of the law enforcement and intelligence that resulted in the Trump-Russia investigation. Republicans, meanwhile, wail about being victimized even as the victim-in-chief ham-handedly dabbles in his own mini-version of the abuse: the Ukraine kerfuffle, in which the president sought, however futilely, to leverage the investigative and foreign affairs powers of the executive branch for domestic political advantage.

Few are willing to confront the crisis. Even acknowledging it seems politically impossible. Not only are Democrats invested in defending the Russia investigation and its excesses, but their post-Watergate surveillance reforms forged the modern law enforcement and intelligence apparatus, which tends to be politically like-minded, at least in the supervisory ranks. For their part, Republicans pay lip service to limited government and political accountability while continuing to see national security and law-and-order hawkishness as key to political success. Any questioning of the status quo, as opposed to criticism of the individual abuses that the status quo reliably produces, is framed as a green light to foreign sabotage and domestic lawlessness.

Yet there are indications weve reached an inflection point: The public is growing weary and not a little bit angry. The politicization of law enforcement and intelligence-gathering threatens everyone, regardless of political persuasion. And officials seem always to escape accountability.

Consider the center-right, the part of the political spectrum where the FBI and aggressive spy powers have traditionally found their staunchest defenders, myself very much among them. We see several Trump operatives (Carter Page, Michael Flynn, George Papadopoulos, Roger Stone, and Paul Manafort) subjected to groundless surveillance or prosecuted with unseemly zeal for process crimes (usually, misleading investigators), or for offenses unrelated to the fictional Trump-Kremlin conspiracy. In stark contrast, government officials who misled investigators, judges, and lawmakers evade prosecution. The latest example: the Justice Departments mid-February announcement that the FBIs former deputy director, Andrew McCabe, will not be indicted despite serially misleading agents who were probing a media leak that he orchestrated.

Here is the problem: The immense powers wielded by our law enforcement and intelligence apparatus are essential to protecting the United States. The agencies that wield them, as currently constructed, are not.

The intelligence communitys performance is often subpar. While officials have played an admirable part in preventing a reprise of the 9/11 atrocities, they have also promoted misconceptions that they and their intrusive information-collection techniques are fit tools for the tasks at hand. For example, the notion that international terrorism is primarily a law enforcement matter led for years to a focus on post-attack prosecutions rather than the prevention of attacks from happening. Indeed, the specter of jihadist strikes ebbed only after domestic law enforcement was subordinated to military operations against overseas terrorist sanctuaries. And lets not forget the bulk collection of communications and metadata involving tens of millions of innocent Americans, supposedly necessary for intelligence agencies to target a relative handful of bad actors which amounted to the risible suggestion that heaping ever more hay in the stack somehow makes the needles easier to find.

Yes, we need aggressive intelligence collection, mission-focused rather than warehoused without much discrimination, to protect the nation from very real foreign threats. But this is a political responsibility, and government officials who carry it out must be accountable. When officials are permitted to shroud their work in complete secrecy, making themselves unaccountable, an outraged public will eventually react to abuses of power by demanding that the powers themselves be pared back or repealed. Our nation would be imperiled from without by foreign aggressors, even as we remained threatened from within by a politicized bureaucracy.

Some history is in order. In its 1967 ruling in Katz v. United States, the Supreme Court completed its transformation of the Fourth Amendment. Originally, it had been rooted in principles of trespass, a venerable criminal-law doctrine whose application is straightforward: The government must respect property rights. The new rule of the road was expectation of privacy. That is a fluid standard, evolving as do technology (which enables government monitoring without physical trespass) and the publics expanding conception of zones of personal activity and intercourse that should be shielded from prying, investigative eyes.

Brokering the eternal tension between security and privacy is a political task. It should be governed by legislated rules that police can easily carry out. Instead, weve put our police in the position of intuiting what privacy invasions the courts might indulge. That is asking them to do policy, not policing.

National security is also a political policy matter, categorically different from law enforcement. In requiring judicial warrants for wiretaps in ordinary criminal investigations in Katz, the court recognized that distinction, stressing that its ruling did not encompass government actions to protect national security. In 1968, Congress recognized the same distinction when it enacted the federal wiretapping statute. Lawmakers took pains to note that they were not encroaching on the presidents constitutional authority to protect national security and guard against espionage by obtaining foreign intelligence, including by electronic surveillance.

What about the crossroads where national security and law enforcement intersect? In the 1972 Keith case, the Supreme Court was forced to confront it, in that instance regarding insurrection and its related crimes by domestic terrorists. The intelligence agencies sought to treat the matter as a security threat, suitable for such national defense tactics as warrantless surveillance, not a policing challenge calling for the due process and substantive safeguards attendant to court prosecutions in peacetime. Reasoning that politically motivated violence was bound up with constitutionally protected political dissent, the court ruled that the rabble-rousers rights to privacy and expression had to be respected, even if a judicial warrant requirement was certain to make monitoring them more difficult (and preventing their attacks more challenging). Again, however, the justices caveated that the scope of our decision involves only the domestic aspects of national security (emphasis added). The court was not saying that foreign powers and their agents were entitled to the due process protection.

Such caution was well-founded. In 1948, in the Chicago & Southern Air Lines decision written by Justice Robert Jackson, an iconic figure in politics, national security, and jurisprudence, the Supreme Court explained why judges were not institutionally competent to regulate foreign intelligence matters or be taken into executive confidences regarding them. The very nature of executive decisions as to foreign policy is political, not judicial. In our system, Jackson observed, such decisions are wholly confided to the executive and legislative branches. Because the most significant decisions a free society makes are those about its security, they must be left to the political actors directly responsible to the people whose welfare they advance or imperil, not to the unaccountable judiciary.

But Washington threw caution to the wind. The FBI and judges were already making policy decisions about where constitutional protections should yield to law enforcement demands. In 1978, in the Foreign Intelligence Surveillance Act, Congress extended this delegation to intelligence policy.

Enacted in the wake of Watergate and domestic spying scandals that led to Congresss Pike and Church Committee inquiries, FISA empowered federal judges to oversee the executives foreign intelligence collection. Originally, this power was limited to the FBIs surveillance of clandestine foreign agents in the United States; later, it was dramatically expanded to cover intelligence collection targeting foreigners outside the U.S. Plainly, lawmakers calculated that the creation of a separate court to handle all applications for foreign-intelligence surveillance would grow judicial expertise, addressing the institutional incompetence problem to which Jackson had alluded. FISA is heedless, though, of the more serious constitutional problem: the transfer of responsibility for innately political national security decisions to nonpolitical unelected officials i.e., away from democratic accountability.

It is the culture of law enforcement to expect independence from politics. Such independence is imperative for the legitimacy of the criminal justice system, on which depend the rule of law and thus domestic peace and prosperity. The framers understood that nothing lends itself to tyranny more than police powers unmoored from political accountability. The FBI and the Justice Department (of which the bureau is a component) are part of the executive branch, answerable to the president, who is accountable to the public. Prudently, however, the executive branchs political leadership does not involve itself in day-to-day policing, content to set programmatic enforcement priorities (e.g., deciding whether to allocate more resources to violent crime or healthcare fraud). There is no political interference in decisions about what cases to bring and which defendants to charge. Those are left to police professionals, who apply Congresss penal statutes in proceedings overseen by courts.

National security, on the other hand, is an innately political responsibility. Indeed, the foreign counterintelligence mission is conducted solely to support the presidents national defense duties, not to develop prosecutable court cases. If the FBI and the courts are doing national security, they are necessarily practicing politics. Arms of government that make political determinations cannot properly be independent of political oversight and accountability.

Ive always believed the FBI could handle these related but different responsibilities. History proved me wrong. The bureau arrogantly insists on independence from political oversight not just in criminal cases but even when it is carrying out national security functions. It wants a free hand to act and even make policy judgments in the political realm, but it demands insulation from political accountability. The courts, analogously, have shed their healthy reluctance to become embroiled in national security policy disputes, as well as their formerly laudable line-drawing between political questions and controversies fit for judicial resolution.

FISA was a well-meaning effort to give a modicum of due process to Americans suspected of acting as foreign agents. In point of fact, it does not provide meaningful due process because it cannot replicate the adversarial search for truth that is the hallmark of judicial proceedings. The FBI and Justice Department appear ex parte before the court; the surveillance subject cannot be effectively represented, and the proceedings are classified, so the expectation is that no one will ever check the executives representations. This is unlike criminal cases, which lead to prosecution, discovery, and significant legal consequences if government agents duped the judge into granting warrants.

More important, the FISA framework intended to provide more oversight of executive surveillance has had the opposite effect. Because the judges are not constitutionally responsible for national security, they are loath to second-guess the officials who are. The system perversely incentivizes those officials to seek warrants on questionable premises. They know that the judge will probably approve the warrants. Once thats done, the agents can brandish these judicial imprimaturs as proof that their actions are unimpeachable and thus to claim there is no legitimate reason for Congress, much less the public, to pierce the veil of secrecy.

And now, with the Trump-Russia investigation, weve witnessed the abuse of power many FISA critics predicted for decades: the pretextual invocation of FISA surveillance powers to conduct a criminal investigation for which the investigators lack a criminal predicate in this instance, the hunt for some crime that might render Donald Trump unelectable or removable. Worse, and quite naturally, the abuse has happened in a political context: the incumbent Democratic administration using the threat posed by a hostile power, Russia, to rationalize foreign counterintelligence surveillance of the opposition partys political campaign, an abuse that continued for two years and impeded the Trump administrations capacity to govern.

This was all predictable. It may even have become inevitable, as law enforcement was increasingly intertwined with political policymaking in the areas of privacy and national security, and as intelligence-gathering and criminal investigations were increasingly intermingled.

A fix is not that hard to grasp. It is doubtful, though, that our political culture could muster the consensus and will it would take for implementation.

The FBI should be relegated to the investigation and prosecution of crime. The bureau excels in executing its law enforcement duties and can be trusted to operate with minimal political supervision because the criminal justice system features transparent judicial oversight. The foreign counterintelligence mission should be transferred to other intelligence community components and subjected to beefed-up congressional regulation and oversight. FISA should be repealed, with the courts returned to their judicial role of providing a forum for those injured by governmental overreach, rather than aiding and abetting in the overreach.

Much more rethinking of the intelligence community needs to be done. The Claremont Institutes Angelo Codevilla, an insightful and provocative intelligence expert, argues the CIA is obsolete, politicized, and counterproductive. He would assign foreign intelligence responsibilities to the departments that carry out national defense and foreign relations missions mainly, the Defense and State Departments tailoring the gathering of intelligence to the practical needs of these missions. This would strip down the so-called deep state, a leviathan that warehouses mountains of intelligence to the detriment of our liberties and with dubious benefits to our security. Codevilla would also repeal FISA.

His ideas are worth exploring. What is already clear, however, is that national security against foreign powers is not a fit responsibility for police agencies and courts. Assigning it to them is a failed experiment: a temptation to intrusive surveillance of innocent citizens and politicized law enforcement. We should end the experiment before the public, in its frustration over the lack of accountability, clips the powers vital to our national defense.

Andrew C. McCarthy, a former chief assistant U.S. attorney in New York, is a senior fellow at National Review Institute, a contributing editor at National Review , and a Fox News contributor.

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The case for repealing FISA and reforming the FBI and CIA - Washington Examiner

Cyberpunk 2077 will be on Geforce Now at launch – Thumbsticks

Mediatonic: 100 players became this talismanic number we decided to aim for and two years ago was the standard for all Battle Royale titles.

Fall Guys isnt strictly a Battle Royale game. But in the world of video games, having a strong elevator pitch to grab peoples attention is

Hey, where are you going? Get back here. Weve not finished!

See? Getting off to a slick start and having a strong elevator pitch to grab peoples attention is crucial. There are thousands of video games released every year and attention spans are worse than ever. Being able to sell someone on your concept in a matter of seconds can be the difference between success and failure, so a simple formula of its like X, crossed with Y or what if X was a Battle Royale game? becomes a simple, effective way to get your idea across.

So while Fall Guys isnt technically a Battle Royale, the elevator pitch might use the 100 people battle it out, but there can be only one winner motif to illustrate its structure.

Somewhere along the line were going to blame Brendan Greene it was determined that Battle Royale games would involve 100 players. Its a weird one, because the movie that inspired it all Kinji Fukasakus Battle Royale featured a bus full of schoolchildren, just a single class. That cant be more than 30, 40 kids? Meanwhile, Suzanne Collins The Hunger Games which she swears she didnt copy from Battle Royale, honest features just 24 children, two from a dozen districts in a dystopian North America. But 100 became the arbitrary standard in Battle Royale games, because Brendan said so. (And then Fortnite Battle Royale copied his homework.)

In a post on its development blog, Mediatonic has announced that it will be buck the trend and drop the Fall Guys player count from 100 to 60.

When we first started working on Fall Guys we had to ballpark our player count based purely on what feltright to us, says Joe Walsh, game designer at Mediatonic, and 100 players became this talismanic number we decided to aim for. 100 players, 1 winner instantly gives players a sense of the mayhem theyre going to deal with, and two years ago was the standard for all Battle Royale titles (Fall Guys isnta battle royale per s, but when explaining the game for the first time it helps to draw those parallels).

Once we started prototyping gameplay we quickly we found that players couldnt really tell the difference between 50 and 100 contestants. Regularly wed ask players how many Fall Guys did that feel like you were playing with? and their response was often twice as high as the actual number that were in-game with them. It turned out that we didnt need as many players as we thought to create the crowds we wanted the gameplay to include.

We also began to find that 100 players made even our simplest levels too crowded and ultimately less fun. Players would lose their Fall Guy in giant bundles trying to fit through small gaps, and if we made our levels bigger they were too large and cavernous to feel cohesive. Once we reduced player counts to 60 we found the horde of Fall Guys still invoked all the craziness we wanted, but without any of the frustration and confusion that the extra 40 Fall Guys brought with them.

So there you have it. After extensive playtesting Mediatonic determined that, Fall Guys plays better with 60 players than 100. It also brings other benefits, including reduced matchmaking times, and giving everyone a better chance of winning. (Odds of 1 in 60 are better than 1 in 100, obviously.)

Were not phased by the reduction in numbers, to be honest. We played Fall Guys with a handful of people in a soft play area in Devolver Digitals car park near E3 2019, and we had a lovely time of it!

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Cyberpunk 2077 will be on Geforce Now at launch - Thumbsticks

Cyberpunk 2077 Wiki

Cyberpunk 2077 Wiki will guide you with all information on weapons, armor, quests, perks, romance, NPCs, maps, walkthrough and more!

Cyberpunk 2077 is an open world, narrative-driven role-playing game set in the universe of the classic 1988 tabletop RPG - Cyberpunk 2020. Cyberpunk 2077 is set 57 years on from the tabletop game, in the dystopian Night City in California.

Night City in Cyberpunk 2077 is an open world with six unique regions: the very corporate 'City Center'; 'Watson', a unique and varied mix of Asian cultures, the formercorporate estate is now home to many immigrant residents; Westbrook District,featuring the tourist-orientedJapantown and home to many wealthy elites; Pacifica, the gang-ridden slums; wealthy but gang-plagued Heywood; and Santo Domingo, the industrial district. Voted in 2077 as "the worst place to live in America", it is the central location to Cyberpunk 2077.

Play as V, an ultra-agile cyberninja in the story-driven landscape of Cyberpunk 2077 and fulfill your destiny in this heavily interactive environment.

Cyberpunk 2077 will be releasing on PC, Xbox One and PlayStation 4.

Release date was confirmed 16/04/2020 at E3 2019 and presented by Keanu Reeves.

Night City, California. Year 2077.

The world is broken. MegaCorps manage every aspect of life from the top floors of their sky-scraping fortresses. Down below, the streets are run by drug pushing gangs, tech hustlers, and illegal braindance slingers. The in-between is where decadence, sex and pop culture mix with violent crime, extreme poverty and the unattainable promise of the American Dream.

You are V, a cyberpunk. In a world of cyber-enhanced street warriors, tech-savvy netrunners and corporate life-hackers, today is your first step to becoming an urban legend.

The game follows the story of V a hired gun on the rise in Night City, the most violent and dangerous metropolis of the corporate-ruled future. A robust character creator will allow players to choose V's gender, visual appearance, character class, as well as historical background all of which may influence the shape of the game.

Cyberpunk 2077 blends first-person shooter (FPS) elements with those of the role-playing-game (RPG) genre, making it something of a hybrid. While some cutscenes and driving portions switch out to a third-person perspective, most gameplay is first-person, and with both a lot of shooting and a strong focus on character progression and advancement as well as exploration and character interaction,it's an elegant example of blending two genres.

With dozens of hours of main story arc quests, and many more of additional activities, there's always something to see and do in Night City. Players will experience all of it entirely through V's eyes, with an interactive real-time dialogue system that gives them greater narrative agency. A fully interactive environment with no load times between regions, Night City provides an immersive RPG experience. Fast-paced gunplay, high-speed car chases on the freeway and situations that call for a slightly sneakier approach combine to create gameplay that spoils the player with options. A variety of environments, from tight corridors to wide open spaces, makes every fight and every quest a new obstacle to tackle.

Players assume the role of V, an ultra-agile cyberninja. With full character customization and an exceptional range of weapons (both guns and other options, and even non-lethals) and playstyles available, it is up to the player how they combine abilities and equipment to complete quests and take out enemies. Bionic augmentations and technologically enhanced weapons, such as an optical implant which confers the ability to see enemies through solid objects, or a rifle which tracks enemies, assist the player in their exploration of Night City and completion of quests.

Returning in Cyberpunk 2077 is CD PROJEKT RED's hallmark of choices and consequences. As they make their way through the streets of Night City and its sky-scraping megabuildings, players will face difficult decisions that will ripple through the entire game.

A fully interactive environment gives players the opportunity to affect many things around them, sometimes with unexpected consequences to the further story and subsequent gameplay.

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Cyberpunk 2077 Wiki

Cyberpunk Recreation Ruiner Coming to Nintendo Swap – BingePost

A Twitter submit has revealed that Ruiner, the cyberpunk top-down shooter developed by Polish studio Reikon Video games and revealed by Devolver Digital, will quickly be coming to Nintendo Swap.

Launched in 2017 for PC, PS4, and Xbox One, Ruiner will now be making its solution to the Nintendo Swap in order that gamers can take the story-driven motion shooter with them on the go. The precise date of the ports launch has but to be disclosed, however the Twitter announcement contained the binary code 01010011 01001111 01001111 01001110, which interprets into English as quickly. So its protected to imagine that the sport will probably be launched someday this 12 months.

RELATED: Cyberpunk 2077 Is Coming to GeForce Now on Launch Day

Set within the cyberpunk way forward for 2091, Ruiner takes place within the metropolis of Rengkok, additionally know as purgatory, a spot the place desires supposedly come true and persons are free to be whoever they need to be. However this can be a dystopian cyberpunk world, in order thats probably not true. The participant controls a masked and silent protagonist known as Pet as he units out on a mission to rescue his kidnapped brother from the grasp of Heaven, the main Virtuality firm within the metropolis.

Within the recreation, Pet has a talent tree that gamers can respec without cost at any time, which will probably be vital as a way to tactically put together for various battles. There are additionally plenty of devices that grant Pet completely different talents, corresponding to a cost that knocks again enemies and a touch that can be utilized to dodge or rapidly get into the thick of issues. Understanding when to respec or change out devices is essential for popping out on prime in fight. For instance, one enemy would possibly use projectiles, requiring using an power protect to outlive the battle, whereas one other opponent would possibly cost at Pet with melee weapons that render the protect ineffective.

A number of media shops gave Ruiner middling evaluation scores, partly as a result of issue stage that leads to repeated irritating deaths and the dearth of selection in ranges and enemy varieties. General, nonetheless, the vital and participant reception of the sport was constructive, with reward for the sports compelling graphic type, synthwave soundtrack, clear fight, and intriguing story.

In the identical Twitter submit, in response to a followers query about upcoming titles, Reikon Video games responded that its subsequent undertaking can also be set in a darkish cyberpunk future and promised that extra information on that recreation could be coming quickly.

Ruiner was launched in September 2017 for PC, PS4, and Xbox One.

Extra: Cyberpunk 2077s Night time Metropolis Defined

New Legend of Zelda Breath of the Wild 2 Gameplay and Story Details Leak Online

Tags:PC,Devolver Digital,PS4,Xbox One,Swap

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Cyberpunk Recreation Ruiner Coming to Nintendo Swap - BingePost

Aeon Drive is a new cyberpunk platformer coming in 2020 ! The latest project from 2Awesome Studio !! – Gizmo Posts 24

Aeon Driveis a dystopian cyberpunk platformer that was recently announced by Dutch developer 2Awesome Studio.

The game will be a 2D platformer which is still in its developmental stage and will be releasing sometime in 2020. The location will be a futuristic and very cyberpunk-ish version of Barcelona.

The game hasnt been confirmed for Nintendo Switch as of now, but the studio said that it would be coming 2020 to PC and consoles.

InAeon Drive,you will be playing as Jackeline, who is a space pilot who gets stranded in an alternate-universe Barcelona after surviving the crash of her spaceship.

The rest is a race against time as Jackeline teleports around the streets of New Barna to save herself and this newfound planet while trying to escape from it at the same time.

Aeon Driveis a sequel to 2017sDimension Drive,which was launched for Nintendo Switch, and this game will be set in the same futuristic universe. They have also managed to retain its aesthetic and indie flavor in the sequel.

We will be sharing more news once new updates aboutAeon Drive start coming in. From what weve seen till now, its definitely an interesting one.

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Aeon Drive is a new cyberpunk platformer coming in 2020 ! The latest project from 2Awesome Studio !! - Gizmo Posts 24

Disjunction is a Cyberpunk Stealth RPG Coming to PS4 This Summer – Pure PlayStation

Sold Out and Ape Tribe Games are flying the flag for old-school CRPGs with the upcoming Disjunction, which is in development for release on PS4, Nintendo Switch, Xbox One and PC. Its due to release this summer on all platforms, but if youre hanging around at PAX EAST 2020, you can go hands-on with the game before the general release. You wont be playing The Last of Us 2, Final Fantasy VII Remake, or Marvels Iron Man VR, seeing as Sony has cancelled its attendance, so why not, right?

Disjunction is described by the developer as being a cyberpunk-inspired stealth-action RPG, something that we dont see enough of these days, though we do have Commandos 2 HD Remastered coming soon to consoles.

Set in the dystopian underworld of a near-futuristic New York City,Disjunctionis a single-player, cyberpunk, stealth-action RPG that follows the intertwined narratives of three characters as they unravel a mystery that will change the fate of their city.

PAX EAST 2020 attendees are invited to visit Sold Outs biggest ever PAX East booth (booth #30071) to play a new demo of Disjunctionintroducing Frank Monroe, a jaded private detective investigating the possible murder framing of a local community activist.

WithDisjunction, Ape Tribe Games is delivering exactly what it set out to achieve a title designed for gamers searching for deep cyberpunk-inspired lore, combined with challenging gameplay, said Sean Labode, Community Manager at Sold Out.Anyone looking for gritty action encapsulated in a compelling narrative will be drawn toDisjunction,and were eager to give players a glimpse of this at PAX East.

About Disjunction

A classic RPG featuring hardcore stealth-action mechanics and a reactive story where your choices have real consequences,Disjunctiongives players the freedom to take the gameplay approach that suits their playstyle: blasting through levels in brutal fast-paced combat, or sneaking around encounters to avoid confrontation.

Key Features:

Challenging stealth-action gameplay that lets you play the way that suits your style, whether its sneaking through levels or attacking head-on.

30+ handcrafted non-linear levels.

3 playable characters, each with individual abilities, cybernetic upgrades and talents to customise your playstyle.

A reactive story where the players choices have real consequences.

Stylized pixel art environments and characters.

Atmospheric musical score by composer Dan Farley.

To keep up to date with all of our latest news and reviews, follow us on Twitter, Facebook, and YouTube. Thanks, you sexy beast.

We sometimes link to online retail stores. If you buy something from our links, we may make a small commission which goes towards keeping the lights on and coffee in the pot.

Chris has been writing about gaming news for far too long, and now hes doing it even more. A true PlayStation know-it-all, Chris has owned just about every Sony console that ever existed. Trophies are like crack to this fella. (Bronze trophies, that is he only has one Platinum.)

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Disjunction is a Cyberpunk Stealth RPG Coming to PS4 This Summer - Pure PlayStation

Cyberpunk literature class looks at heavy subjects through the lense of science fiction – Troy Tropolitan

by

Rakshak Adhikari

Staff Writer

Troy students interested in contemporary science fiction can take a selected topics online class on Post-Colonial/Post-cyberpunk novels offered by the Department of English.

Jonathan Lewis, an associate professor of English and the instructor for the course, said it is an intense nine-week class with a heavy reading load that focuses on works published after the age of high cyberpunk after about 1988.

Lewis said the course is expected to enhance close reading skills and recognizing broad patterns and connections in reading.

According to Lewis, the course also includes several texts readers may consider vulgar and profane. The text will include themes like sexual assault, prostitution, child abuse, incest and genocide, some of which readers my find troubling and even objectionable.

It is the reality of the works, Lewis said. Since 1945, we have been living in a post genocidal world and the greater awareness of personal level of abuse are being more and more commonly understood, and to pretend that those topics are not a part of contemporary science fiction is nave.

Sierra Behring, a senior interdisciplinary studies major from Chesapeake, Virginia, said she chose to take the selected topics course because she enjoyed taking classes from the same professor in the science fiction genre.

According to Behring, while these novels include tough material, they are able to address some of the most atrocious behavior and societal depravity in a way that pushes discussion and casts vision.

Sci-fi is a great way to imagine the future in both the good and the bad, Behring said. If I dont like the way the bad is portrayed, then becoming active in topics of civil rights, environmentalism and government are a good place to start.

Marcella Reynolds, a senior English major from Sacramento, California, said that as a black female, the discussion of African-futurism drew her to this class.

What is really crazy is the more horrific the reading assignments became, my intrigue only heightened, Reynolds said. I loved these readings because I could imagine myself in the most horrific battles, yet emerging victorious.

All of these readings show the marginalized breaking through impossible situations and coming out stronger.

According to James Davis, an assistant professor of English who also specializes in science fiction literature, there is always talk about how science fiction is valuable for predicting where mankind is going in the future.

Well, that does happen occasionally, but as Ursula LeGuin (a science fiction and fantasy author) said, Science fiction is not about predicting the future; it is about examining the world we are living in now, Davis said.

According to Davis, the value of examining mankind and his problems by setting the stories in another reality, a reality without the obscuring prejudices and clichs we use in our everyday lives, is one of clarity.

The course is offered every year in Term 3, and the only prerequisite is a grade of C or better in English 1102.

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Cyberpunk literature class looks at heavy subjects through the lense of science fiction - Troy Tropolitan

Ruin: the cyberpunk twin-stick shooter is on Switch – The Miracle Tech

Located in 2091 in the Rengkok cyber-metropolis, Ruin puts the player in the shoes of a masked sociopath guided in his thirst for revenge by the voice of a hacker supposed to help him free his brother captured by the megacorporation Heaven. Between two levels (pretty but also very similar to each other) the player can be lulled by the atmosphere of the city and walk around to chat with some NPCs, Reikon Games having had the idea of using one songs from the divine Susumu Hirasawa to accompany these only non-violent moments.

Otherwise, the player has the necessary arsenal to do some pretty carnage and the progression is marked by a generous tree of skills including hyper-acceleration, an energy shield, a kinetic barrier, a reflex amplifier or even the possibility of hacking an enemy. note that Ruin is still available in the Xbox Game Pass catalog.

Also according to the game's Twitter account, the studio Reikon Games has confirmed that the announcement of its next title will take place this year and that it should not deviate too much from the style of Ruin since it will register in a register dark future tinged with cyberpunk.

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Ruin: the cyberpunk twin-stick shooter is on Switch - The Miracle Tech

Mesothelioma: Causes, symptoms, and outlook

Mesothelioma is an aggressive cancer that usually stems from exposure to asbestos. It affects the mesothelial cells, which occur in the lining that covers the outer surface of the bodys organs.

Mesothelioma most commonly affects the pleura, or the lining of the lungs, but it can also appear in the lining of the heart and the abdomen.

It is relatively rare. Every year there are about 3,000 new diagnoses in the United States.

There is no cure for mesothelioma, but palliative therapy may improve a persons quality of life.

Mesothelioma is an aggressive form of cancer, meaning that it progresses and spreads quickly.

There are three types:

Pleural mesothelioma: This is the most common form. It affects the pleura, the lining around the lungs.

Peritoneal mesothelioma: This is the second most common form. It attacks the lining of the abdomen, called the peritoneum.

Pericardial mesothelioma: This is the rarest form. It affects the protective layer of the heart, called the pericardium.

After diagnosis, 55% of people will survive for at least another 6 months, 35% for a year, and 9% for another 5 years or longer. The survival rates vary, however, between types.

Can mold make you sick? Learn more here.

On average, mesothelioma takes 3045 years to appear.

Some people experience symptoms after 10 years, while others remain asymptomatic for 50 years. The length of time will depend, to some extent, on the intensity of the asbestos exposure. Genetic and other individual factors may also play a role.

The average age at diagnosis of pleural mesothelioma is 72 years.

Symptoms vary, depending on which part of the body the disease affects.

The symptoms of pleural mesothelioma include:

A person with peritoneal mesothelioma may experience:

Pericardial mesothelioma can cause:

Lung cancer can also affect a persons breathing. Find out more here.

There is a direct link between mesothelioma and exposure to asbestos, a combination of six minerals comprising long, thin fibers.

Asbestos refers to a group of minerals that exist as fibers or bundles. These fibers occur naturally in the soil or rocks in many parts of the world. Asbestos consists of silicon, oxygen, and some other elements.

Products that contain asbestos include:

In the past, builders often used asbestos to insulate products and buildings and make them soundproof or fireproof.

When a person installs, repairs, or demolishes asbestos products, the fibers can become airborne.

People can then inhale or swallow them, and they become permanently lodged in the lungs or gastrointestinal tract. In some cases, they may remain there for decades. The particles can also affect other organs.

In time, mesothelioma can develop from these fibers.

How dangerous is it to breathe in dust? Find out here.

The likelihood of developing mesothelioma depends on the extent of a persons exposure to asbestos. Factors that play a role include the duration of the exposure, how much the person inhaled, and the type of asbestos fiber.

People in jobs with high exposure, such as those working on construction sites, steel mills, or power plants, have the highest risk of developing the disease.

Even family members who have never entered an asbestos-rich environment can be at risk. If a worker accidentally carries fibers home in their clothing, other members of the household can inhale these particles.

People have known about the link between asbestos and cancer and other lung diseases for more than 60 years. Nevertheless, the World Health Organization (WHO) estimated that close to 125 million people globally had exposure to asbestos at work in 2005.

Regulations in industrialized countries have reduced the risk of exposure to asbestos. However, its use remains largely unregulated in many nations. As a result, a high number of people are still at risk.

Although it is much less common, mesothelioma may also develop following exposure to radiation therapy or as a result of breathing in fibrous silicates, such as erionite, zeolite, and intrapleural thorium dioxide.

People often do not present with symptoms of mesothelioma until the later stages of the disease. The doctor will ask the person about their personal and family medical history and conduct a physical examination.

If the doctor suspects mesothelioma, they will also ask about previous employment and any other possible exposure to asbestos.

Imaging scans, such as an X-ray or a CT scan, can help with the diagnosis.

A biopsy can confirm the diagnosis. The doctor will take a tissue sample from the affected area, which is usually the chest or abdominal area.

A biopsy can show if cancer is present and allow a doctor to confirm what type and how advanced it is.

What does a biopsy involve? Learn more here.

The stage of cancer refers to how far it has spread.

At stage 1 (localized), mesothelioma only affects the area where it started, which is usually the lining around the lung.

At Stage 4 (distant), it has spread to distant organs and affects the whole body.

Most people will receive a diagnosis of mesothelioma at a late stage.

Treatment will depend on several factors, including:

Mesothelioma is usually aggressive, and diagnosis tends to take place at a late stage. For this reason, only about 35% of those who receive a diagnosis will survive another year.

Surgery is not an option at this stage, and treatments such as chemotherapy or radiation may trigger severe adverse effects.

Sometimes, the only option may be to manage the persons pain and keep them as comfortable as possible.

Depending on the stage of mesothelioma, treatment options include:

Surgery: Removing all or part of the cancer in the early stages may slow tumor growth and relieve symptoms. If the surgeon cannot remove the whole tumor, they may remove part of it to reduce its size. Sometimes, a surgeon will remove the lining around the lungs or abdominal cavity to relieve symptoms. The person may need a catheter after surgery to drain fluid from the lungs.

Chemotherapy: If surgery is not possible, a doctor may recommend chemotherapy to reduce a tumors size and slow its progress. Chemotherapy can shrink a tumor before surgery, making it easier to remove. After surgery, this treatment can help remove any remaining cancer cells.

Radiation therapy: This treatment may help reduce the severity of symptoms in those with pleural mesothelioma. Sometimes, it can help prevent metastasis after a biopsy or surgery. Various combinations of treatments are possible, and individual factors will determine the best option. A doctor will discuss suitable choices with the individual.

Malignant mesothelioma is an aggressive type of cancer, and it is usually life threatening. It also takes a long time to appear, so diagnosis often occurs when the cancer is already advanced.

Being aware of the dangers of asbestos exposure can help a person protect themselves and their family.

The Environmental Protection Agency (EPA) have strict rules about the use and disposal of asbestos.

Anyone who has concerns that their home or work environment may expose them to asbestos can contact the EPA or their local health authority to find out what action they can take.

Thirty years ago, I worked in the demolition trade, and I am sure that I had exposure to a lot of asbestos. Is there a screening program for people who have had this experience and might be at risk?

There are currently no guidelines for screening for mesothelioma. This is partly because experts have not identified effective screening modalities, but also because there is no curative treatment. However, if you believe that you had exposure to asbestos, you should talk to your doctor about it. Asbestos exposure could result in a number of benign and more serious medical problems. Your doctor will ask you about the extent and duration of asbestos exposure and perform a physical examination. They may also order medical tests, including a chest X-ray or CT scan and pulmonary function tests, to look for signs of asbestos-related lung disease. If you have signs of asbestos-related lung disease, your doctor may recommend repeating chest X-rays and pulmonary function tests every 35 years.

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Mesothelioma: Causes, symptoms, and outlook

Mesothelioma: Symptoms, Causes, Treatments, and Coping

Mesothelioma is a somewhat rare cancer, with only about 2,000 new cases diagnosed in the United States each yearbut its incidence is increasing worldwide. Sadly, most cases of this disease are related to on-the-job exposure to asbestosand could be prevented through awareness and protective measures at work. That said, in many cases, mesothelioma does not develop until decades after asbestos exposure occurs, and many people that are diagnosed today were exposed to asbestos years ago.

Mesothelioma is a cancerous (malignant)tumor that begins in the mesothelium. The mesothelium is a membrane that lines and protects the lungs, the heart, and the abdominal cavity. There are three main types of mesothelioma.

Most people with pleural mesothelioma note shortness of breath and chest pain (especially under the ribs), but there are several other symptoms including:

In addition, blood clots usually develop with more advanced pleural mesothelioma. On the other hand, with peritoneal mesothelioma, abdominal pain and bloating is a common symptom.

There are several contributing factors that have been linked to the development of mesothelioma. On-the-job exposure to asbestos has often been linked to mesothelioma. In addition, some people are more likely to develop mesothelioma than others due to genetic predisposition. Exposure to a virus called simian virus 40 (SV 40) has been linked with some cases of mesothelioma. Exposure to radiation has also been linked to mesothelioma.

Diagnosing mesothelioma can be difficult since there are many conditions that cause similar symptoms. Your physician will first take a careful history, especially questioning you about your employment history, and then perform a physical exam. Imaging studies are often doneand may include x-rays of your chest and abdomen, CT scans, MRI scans,or PET scans.

If your doctor suspects mesothelioma, she will need to schedule a biopsy. Depending upon the location of your tumor, she may recommend a thoracoscopyor video-assisted thoracoscopy (VAT), a procedure where a tissue sample is taken from the pleura, or a peritoneoscopy, a similar procedure to obtain tissue from the abdomen. If the biopsy reveals mesothelioma, further studies are then done to determine the stage of the cancer (how advanced it is).

Mesothelioma is divided into 2 primary stages:

Depending on the size and location of your tumor, and if it has spread, treatment may include one of several options.

On top of the emotional toll that accompanies a cancer diagnosis, many people with mesothelioma lack the emotional and psychosocial support that those with other forms of cancer may find readily available. In addition, medico-legal battles related to on-the-job asbestos exposure can be emotionally draining. Participating in a support group, either through your cancer center, community, or online, can help you wade through the maze of treatment options, and find camaraderie in others who are living with mesothelioma.

The most important thing you can do to prevent mesothelioma is to use appropriate precautions if you are exposed to asbestos at work.

OSHA has asbestos safety standards for individuals who may be exposed on the job. If you work with asbestos, it is important to follow these guidelines to minimize your families exposure as well. Asbestos insulation in homes is usually not a problemunless it is damaged or disturbed by remodeling projects. If you may have asbestos insulation (homes built prior to 1950) make sure to hire a contractor certified in asbestos management before you begin any home improvement projects.

Some people who have been exposed to asbestos may want to consider CT screening for lung cancer. At this time, recommendations for screening include only those people ages 55 to 74 with a 30 pack-per-year history of smoking.

Yet studies show that some people who have been exposed to asbestos may be at an even higher risk of developing lung cancer than heavy smokers. If you've been exposed to asbestos make sure to talk to your doctor about lung cancer screening.

Mesothelioma, though considered a somewhat rare cancer, is becoming increasingly common worldwide. If you are experiencing symptoms of mesothelioma, especially if you have had or suspect that you've had previous exposure to asbestos, speak with your doctor or healthcare professional. If diagnosed with mesothelioma, it is key to form a support group of either family or friends, or to become involved with a supportive cancer community online. This can provide you with a network of people who are going through similar situations and can help you to navigate treatment options.

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Mesothelioma: Symptoms, Causes, Treatments, and Coping

Editorial Guidelines and Standards – Mesothelioma.net Blog

Mesothelioma is a rare form of cancer primarily caused by asbestos exposure. Due to its uniqueness and its numerous subtypes, its important to understand the complexities of the disease and what can be done both medically and legally to help victims.

Our mission at Mesothelioma.net is to provide asbestos victims and their families with top quality free information and resources via our website, as well as the best medical and financial assistance to those who request our help. We encourage readers to explore our library of legal and financial articles, in order to understand what options and assistance programs are available.

Due to the significance of rare diseases such as mesothelioma, the editorial process at Mesothelioma.net takes several steps throughout a rigorous process. This ensures that all of our material is not only up-to-date and factual, but easy to understand and informative.

Health and medical content make up a large portion of our articles on Mesothelioma.net. Since mesothelioma and other asbestos-related diseases are considered uncommon in the medical field, we work consistently to ensure we have the most accurate materials and information. We also provide in-depth coverage on numerous asbestos illness health topics, including treatment options, treatment centers, symptoms, diagnosis, prognosis, and causes.

Mesothelioma.net has dedicated a special section of our site on tips on how to survive mesothelioma. Our ultimate goal is to help anyone living with an asbestos-related illness live their lives to the fullest extent.

Mesothelioma.net also covers each step after a mesothelioma diagnosis, including stages of the disease, types and subtypes.

Prior to publishing any health and medical-related articles, our teams cross-checks to ensure all medical information is factual, all treatment options are to up-to-date, all health statistics are current, and all sources are properly credited.

Our health and medical writers only rely on sources backed by reputable findingssuch as medical journals, peer-reviewed journals, medical databases, government organizations, and board-certified physicians who specialize in malignant mesothelioma.

Our legal team is committed to providing free resources to readers regarding legal options and financial assistance. All of our legal writers are attorneys with decades of experience dealing with mesothelioma and asbestos cases. They stay abreast of the latest happenings by attending both national and international mesothelioma meetings.

Our legal team curates articles on claims, lawsuits, trials and settlements, asbestos trust funds, government assistance, and financial options.

Special coverage is dedicated to asbestos trust funds, which have become an increasingly popular way for asbestos victims to obtain compensation for their injuries. Our legal writers stay up-to-date on companies who have trust funds set up, as well as the requirements for eligibility and the average payouts.

Mesothelioma.met has also dedicated special coverage to our nations military veterans. We have in-depth resources for veterans in all branches of the military, and provide detailed information on veterans claims, government assistance, medical help and financial assistance.

Information for veterans is properly vetted by our Veteran Support and legal team and is sourced by the U.S. government.

Articles at Mesothelioma.net are written or reviewed by a dedicated team comprised of:

Our full team of board-certified doctors and nurses are experienced in dealing with rare diseases, specifically diseases caused by asbestos exposure. They work together to curate our health and medical-related articles.

Our physicians and nurses also meticulously review each article to ensure the highest degree of accuracy.

We double-check for accuracy and only rely on trustworthy scientific data and reliable health organizations. Some of our medical writers are published and cited extensively in peer-reviewed journals.

We cite every article with sources used and add in appropriate links when necessary.

Once the articles are completed, our team of copy editors double-check every article for grammar, readability, transparency, and comprehension.

In order to uphold integrity and our readers trust, Mesothelioma.net holds full accountability on any discovered inaccuracies in our content. We strive to correct any errors in a timely manner.

If you have any questions, comments, or corrections, please email us as [emailprotected]

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Editorial Guidelines and Standards - Mesothelioma.net Blog

Mesothelioma – TechMirror

Overview

Malignant mesothelioma (me-zoe-thee-lee-O-muh) is a type of cancer that occurs in the thin layer of tissue that covers the majority of your internal organs (mesothelium).

Mesothelioma is an aggressive and deadly form of cancer. Mesothelioma treatments are available, but for many people with mesothelioma, a cure is not possible.

Doctors divide mesothelioma into different types based on what part of the mesothelium is affected. Mesothelioma most often affects the tissue that surrounds the lungs (pleura). This type is called pleural mesothelioma. Other, rarer types of mesothelioma affect tissue in the abdomen (peritoneal mesothelioma), around the heart and around the testicles.

Mesothelioma doesnt include a form of noncancerous (benign) tumor that occurs in the chest and is sometimes called benign mesothelioma or solitary fibrous tumor.

Signs and symptoms of mesothelioma vary depending on where the cancer occurs.

Pleural mesothelioma, which affects the tissue that surrounds the lungs, causes signs and symptoms that may include:

Peritoneal mesothelioma, which occurs in tissue in the abdomen, causes signs and symptoms that may include:

Signs and symptoms of other types of mesothelioma are unclear, since these forms of the disease are very rare.

Pericardial mesothelioma, which affects tissue that surrounds the heart, can cause signs and symptoms such as breathing difficulty and chest pains.

Mesothelioma of tunica vaginalis, which affects tissue surrounding the testicles, may be first detected as swelling or a mass on a testicle.

See your doctor if you have signs and symptoms that may indicate mesothelioma. Signs and symptoms of mesothelioma arent specific to this disease and, due to the rarity of mesothelioma, are more likely to be related to other conditions. If any persistent signs and symptoms seem unusual or bothersome, ask your doctor to evaluate them. Tell your doctor if youve been exposed to asbestos.

In general, cancer begins when a series of genetic mutations occur within a cell, causing the cell to grow and multiply out of control. It isnt clear what causes the initial genetic mutations that lead to mesothelioma, though researchers have identified factors that may increase the risk. Its likely that cancers form because of an interaction between many factors, such as inherited conditions, your environment, your health conditions and your lifestyle choices.

Asbestos is a mineral thats found naturally in the environment. Asbestos fibers are strong and resistant to heat, making them useful in a wide variety of applications, such as in insulation, brakes, shingles, flooring and many other products.

When asbestos is broken up, such as during the mining process or when removing asbestos insulation, dust may be created. If the dust is inhaled or swallowed, the asbestos fibers will settle in the lungs or in the stomach, where they can cause irritation that may lead to mesothelioma. Exactly how this happens isnt understood. It can take 20 to 40 years or more for mesothelioma to develop after asbestos exposure.

Most people with years of asbestos exposure never develop mesothelioma. And yet, others with very brief exposure develop the disease. This indicates that other factors may be involved in determining whether someone gets mesothelioma or doesnt. For instance, you could inherit a predisposition to cancer or some other condition could increase your risk.

Factors that may increase the risk of mesothelioma include:

As pleural mesothelioma spreads in the chest, it puts pressure on the structures in that area. This can cause complications, such as:

Reducing your exposure to asbestos may lower your risk of mesothelioma.

Most people with mesothelioma were exposed to the asbestos fibers at work. Workers who may encounter asbestos fibers include:

Ask your employer whether you have a risk of asbestos exposure on the job.

Follow all safety precautions in your workplace, such as wearing protective equipment. You may also be required to shower and change out of your work clothes before taking a lunch break or going home. Talk to your doctor about other precautions you can take to protect yourself from asbestos exposure.

Older homes and buildings may contain asbestos. In many cases, its more dangerous to remove the asbestos than it is to leave it intact. Breaking up asbestos may cause fibers to become airborne, where they can be inhaled. Consult experts trained to detect asbestos in your home. These experts may test the air in your home to determine whether the asbestos is a risk to your health. Dont attempt to remove asbestos from your home hire a qualified expert. The Environmental Protection Agency offers advice on its website for dealing with asbestos in the home.

Source:https://www.mayoclinic.org/diseases-conditions/mesothelioma/symptoms-causes/syc-20375022?p=1

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Mesothelioma - TechMirror

Mesothelioma Symptoms | Learn the Warning Signs

It can take decades for someone who was exposed to asbestos to develop mesothelioma symptoms. Doctors call this the latency period, or the time between the patients initial exposure to asbestos and the occurrence of mesothelioma. The standard latency period for mesothelioma is 20 to 50 years, but it can range from 10 to 60 years or even longer.

Additionally, mesothelioma is often mistaken for other, less severe illnesses with similar symptoms, like the common cold. It can also be confused forother serious conditions, such as heart disease or ovarian cancer.

Due to its long latency period, the slow onset of symptoms, and the fact that it is easily mistaken for other diseases, mesothelioma is often not diagnosed until it has progressed to stage 3 or stage 4. Unfortunately, a late-stage diagnosis can negatively affect prognosis and treatment options.

The earlier you are diagnosed, the more treatment options are available to you, which can significantly extend your life expectancy and improve your quality of life.

You dont have to go through this alone. We can help. Request our free, complete guide to learn more about mesothelioma.

Request Your Free Guide

The three main most common sites of mesotheliomaare the pleura, the peritoneum, and the pericardium. The site of mesothelioma will influence the type of symptoms patients may experience.

Pleural mesothelioma is the most common form of mesothelioma, accounting for approximately 80 percent of all cases. It affects the lining of the lungs and chest, called the pleura. The chest pain and respiratory symptoms of pleural mesothelioma are associated with the growth and spread of the primary tumor as it develops and hardens into a sheath-like formation across the pleura. Symptoms can also be a result of fluidbuildup around the lungs, known as pleural effusion.

The symptoms of pleural mesothelioma often mirror those of other respiratory ailments, such as:

Peritoneal mesothelioma accounts for approximately 20 percent of all mesothelioma cases and affects the lining of the abdomen. The abdominal symptoms of peritoneal mesothelioma are associated with the growth and spread of the primary tumor throughout the abdomen. In some later-stage patients the buildup of fluid in the abdomen also known as ascites.

The symptoms of peritoneal mesothelioma can be mistaken for other conditions, such as:

Pericardial mesothelioma accounts for less than 5 percent of mesothelioma cases and affects the lining of the heart. The initial symptoms of pericardial mesothelioma are associated with the growth and spread of the primary tumor around the heart. Respiratory symptoms such as shortness of breath and dry cough occur in later-stage patients as the cancer spreads throughout the chest cavity and into the pleura.

The symptoms of pericardial mesothelioma can be confused for other cardiac issues, such as:

In addition to the type of mesothelioma, the stage can also significantly affect which symptoms are present. Patients with early-stage mesothelioma stages 1 and 2 may exhibit few symptoms, if any. At this point, the disease is still localized and there is minimal spreading to the lymph nodes or nearby organs. If symptoms are present, they will likely be mild and can be easily mistaken for other diseases. Specific symptoms depend on the type of mesothelioma. But in general, stage 1 and 2 mesothelioma symptoms may include a dry cough, chest or stomach pain, shortness of breath (dyspnea), fever, body aches, fatigue, and weight loss.

As the mesothelioma advances to stages 3 and 4, symptoms will become more apparent and more acute as the tumors spread to other organs, lymph nodes, and blood vessels. Stage 3 and 4 mesothelioma symptoms may include persistent dry cough or coughing up blood (hemoptysis), more severe chest or stomach pain, shortness of breath, fever, night sweats, body aches, fatigue, weight loss, anemia, blood clots, and fluid buildup around the affected organ(s).

Patients with advanced pleural mesothelioma may have difficulty speaking or swallowing (dysphagia), while those with peritoneal mesothelioma may experience nausea, vomiting, hernia, bowel issues, or seizures. Late-stage pericardial mesothelioma can cause heart complications, such as arrhythmia or heart palpitations. Unfortunately, due to the rarity of pericardial mesothelioma, it is usually diagnosed only after the patient has died.

Diagnosed with mesothelioma and feeling overwhelmed? Theres a lot to learn about the disease. We have information available at your fingertips.

Request Your Free Guide

If the cancer metastasizes, spreading beyond the original tumor site to other parts of the body, the patient may experience additional symptoms in those areas of the body. For instance, peritoneal mesothelioma often spreads to other abdominal organs, such as the liver, kidneys, spleen, appendix, and pancreas. This can prompt new symptoms not necessarily associated with peritoneal mesothelioma that hasnt metastasized.

Although mesothelioma symptoms usually appear gradually over months or years, the type of asbestos the patient was exposed to can speed up the onset of symptoms. More hazardous forms of asbestos, such as crocidolite, can cause symptoms to present earlier and more acutely.

Patients who were continuously exposed to asbestos even small amounts in the workplace over a span of years may display symptoms sooner than usual. Similarly, patients who were exposed to a larger-than-average amount of asbestos all at once may experience an earlier onset of mesothelioma even if the exposure was short-lived.

For example, the original World Trade Center in New York was built in the early 1970s. Asbestos was used in the steel support beams, walls, insulation, and other fireproofing materials. After the towers collapsed during the terrorist attack on Sept. 11, 2001, hundreds of tons of asbestos fibers were released into the air. First responders, such as paramedics, firefighters, and police officers; search and rescue crews; and those tasked with cleaning up the site, were exposed to extremely large amounts of asbestos both on the day of the attack and in the days, weeks, and months after. In 2004 just three years after asbestos exposure at Ground Zero a 9/11 first responder died of mesothelioma. Another died in 2006, demonstrating a significantly shortened latency period compared to the average mesothelioma patient.

The symptoms of mesothelioma can range from uncomfortable, to painful, to life-threatening. However, there are things you and your doctors can do to relieve pain and mitigate these symptoms.

After you have been diagnosed with the type and stage of your mesothelioma, you and your doctor will determine a customized course of treatment, often involving a combination of surgery, chemotherapy, radiation, and other treatments, such as immunotherapy.

Your treatment will likely address many of your mesothelioma symptoms by attacking the root cause: the cancer itself. But there are also steps and procedures that can help alleviate many of the symptoms apart from or in addition to potentially curative treatment.

Your doctor may recommend steroids for you during the course of the disease to treat symptoms or prevent complications. Many mesothelioma patients experience fatigue, weakness, loss of appetite, and weight loss, both as symptoms of the disease itself and as side effects of treatment. Steroids can help increase energy and appetite, helping patients maintain active lives before, during, and after treatment. Steroids can also be effective to reduce inflammation, especially after surgery or reduce the risk of side effects of chemotherapy treatment.

Your doctor may recommend over-the-counter pain medicine, such as acetaminophen or ibuprofen, for mild symptom relief. They may prescribe stronger pain relievers, such as morphine, hydrocodone, oxycodone, or fentanyl to address worsening symptoms if necessary. Nerve blocks may also be used to target pain in specific areas of the body. Certain antidepressant medications can also be used for certain types of pain related to mesothelioma. Some patients may get referred to pain specialists to manage their pain.

Although lifestyle factors like diet, exercise, weight management, and adequate sleep cannot cure mesothelioma, they can help you stay healthy during treatment and positively influence your prognosis. On the other hand, smoking can worsen symptoms (especially respiratory problems) and has been shown to decrease life expectancy for mesothelioma patients. The American Cancer Society also recommends that cancer patients get an annual flu shot, as mesothelioma and the methods used to treat it can weaken the immune system. This can put mesothelioma patients at a higher risk of contracting and developing complications from the flu virus. However, its important to talk with your mesothelioma specialist before getting a flu shot to ensure that it will not interfere with your current course of treatment.

Patients also have to deal with the mental and emotional ramifications of their diagnosis, in addition to the physical symptoms. Talk to your doctor about methods for reducing stress (meditation, yoga, counseling, etc.), or consider speaking with a mental health care provider or spiritual counselor. In some cases, your doctor may prescribe antidepressants for stress or depression. Certain antidepressant medications may also be used for certain types of pain related to mesothelioma.

Mesothelioma isnt your fault, hold the asbestos companies responsible. Talk with an experienced mesothelioma attorney about your case.

Complete a Free Case Evaluation

Muaiad Kittaneh, MD, FACP, MBA, is a hematology and oncology professor at Loyola University Medical Center on the Palos Health South Campus in Illinois. He specializes in treating patients with mesothelioma, as well as lung, breast, kidney, and gastrointestinal cancers. Dr. Kittaneh plays the role of both clinician and researcher, focusing on cancer genomics and immunotherapy. He is currently studying the BAP1 gene mutation, which is found in nearly 70% of patients who develop mesothelioma, and could play a role in the prevention and treatment of this rare cancer.

Sources

American Cancer Society. (2018). Signs and Symptoms of Mesothelioma. Retrieved on July 25th, 2019, from https://www.cancer.org/cancer/malignant-mesothelioma/detection-diagnosis-staging/signs-symptoms.html

American Lung Association. (2019). Mesothelioma Symptoms, Causes, and Risk Factors. Retrieved on September 18th, 2019 from https://www.lung.org/lung-health-and-diseases/lung-disease-lookup/mesothelioma/mesothelioma-symptoms-causes-risks.html

ASCO Journals. (2019). Mesothelioma: Symptoms and Signs. September 18th, 2019 from https://www.cancer.net/cancer-types/mesothelioma/symptoms-and-signs

Mayo Clinic. (2019) Mesothelioma. Retrieved on September 18th, 2019 from https://www.mayoclinic.org/diseases-conditions/mesothelioma/symptoms-causes/syc-20375022

Shavelle, Robert. (2017). Life Expectancy in Pleural and Peritoneal Mesothelioma. Retrieved on July 25th, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292397/#B2

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Mesothelioma Symptoms | Learn the Warning Signs

Sheldon Silvers Attempt to Have More Conviction Appeals Heard by Court Rejected – NBC New York

Former New York Assembly Speaker Sheldon Silver lost his bid Friday to get afederal appeals court to reconsider its decisionto uphold part of his corruption conviction.

The 2nd U.S. Circuit Court of Appeals in a brief order closed the door on arequest to have a three-judge panel that decided his appealor the full 2nd Circuit reconsider the case.

A 2nd Circuit panel in Manhattan recently upheld his conviction but ordereda resentencing after reversing his conviction on some charges.

Top news stories in the tri-state area, in America and around the world

A lawyer for the 76-year-old Silver declined comment, though it is likelythat attorneys will ask the U.S. Supreme Court to take up the case.

The Manhattan resident was first convicted in 2015 on bribery and extortioncharges. After that verdict was overturned on appeal, Silver was convictedagain in 2018. He was sentenced to seven years in prison.

He has remained free pending appeal.

His 2018 sentencing came after he was convicted the second time of tradingfavors to collect nearly $4 million in fees to help a cancer researcher andreal estate developers.

In a recent ruling, the 2nd Circuit tossed out charges related to legal feesSilver collected to refer mesothelioma cases to a law firm. Mesothelioma is arare form of cancer caused by exposure to asbestos.

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Sheldon Silvers Attempt to Have More Conviction Appeals Heard by Court Rejected - NBC New York

The US Navy Veterans Mesothelioma Advocate Now Offers a Navy Veteran with Mesothelioma Nationwide Direct Access to Attorney Erik Karst of the Amazing…

NEW YORK, Feb. 20, 2020 /PRNewswire/ --The US Navy Veterans Mesothelioma Advocate is offering a Navy Veteran with mesothelioma anywhere in the nation direct access to attorney Erik Karst of the law firm of Karst von Oiste so the person can learn what is involved in the mesothelioma compensation process and how much their potential claim could be worth. As the Advocate would like to explain anytime at 800-714-0303, "If you call an Internet ad about a 'free' kit, book, calculator or guide it's like opening Pandora's box. The Navy Veteran will start getting hounded by lawyers he has never hear of-night and day----and after a while the Veteran or their family no longer pick up their phone.

"We have endorsed attorney Erik Karst and his colleagues at the law firm of Karst von Oiste because they have been assisting Navy Veterans with mesothelioma for decades, they are responsible for over a billion dollars in financial compensation for people like this and they work overtime for their clients. Erik Karst and his team at the law firm of Karst von Oiste also make house calls for a face to face meeting about how, where and when a Navy Veteran with mesothelioma was exposed to asbestos. It is this information that becomes the basis for a mesothelioma compensation claim. For direct access to attorney Erik Karst of the law firm of Karst von Oiste please call 800-714-0303-anytime."www.karstvonoiste.com/

US Navy Veterans make up approximately one-third of people who will be diagnosed with mesothelioma in the United States each year. The types of US Navy Veterans who frequently get diagnosed with mesothelioma had the following type of rating related to their job duties on a ship.

According to the CDC the states indicated with the highest incidence of mesothelioma includeMaine,Massachusetts,Connecticut,Maryland,New Jersey,Pennsylvania,Ohio,West Virginia,Virginia,Michigan,Illinois,Minnesota,Louisiana,Washington, andOregon.

However, based on the calls the US Navy Veterans Mesothelioma Advocate receives a US Navy Veteran who has been diagnosed with mesothelioma could live in any state includingNew York,Florida,California,Texas,Ohio,Iowa,Indiana,Missouri,North Carolina,Kentucky,Tennessee,Georgia,Alabama,Oklahoma,Arkansas,Kansas,Nebraska,North Dakota,Wyoming,Nevada,Colorado,New Mexico,Utah,Arizona,Idaho, orAlaska.www.karstvonoiste.com/

For more information about mesothelioma, please refer to the National Institutes of Health's web site related to this rare form of cancer:https://www.cancer.gov/types/mesothelioma

Contact:Michael Thomas800-714-0303 232053@email4pr.com

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Study Examines Efficacy of Peritonectomy and Chemotherapy for Peritoneal Mesothelioma – Mesothelioma.com

Peritoneal mesothelioma is a form of mesothelioma that develops in the abdomen. The only known cause of the disease is exposure to asbestos. In order to improve patient survival, one of the most common methods of treatment for peritoneal mesothelioma includes using a form of heated chemotherapy during surgery.

A recent study in India examined the efficacy of two different methods of peritonectomy combined with chemotherapy for peritoneal mesothelioma. Previous clinical trials noted success in combining this type of surgery with heated chemotherapy, extending patient survival. In this latest study, researchers sought to compare the two methods of peritonectomy. In doing so, they observed patients life expectancy and quality of life.

Patients with peritoneal mesothelioma and other abdominal cancers may undergo a peritonectomy as part of treatment. This is a surgery that removes the lining of the abdomen (peritoneum).

The surgery may be performed as a complete peritonectomy, which consists of removing the entire parietal peritoneum, including cancerous and non-cancerous portions. It can also be performed as a partial peritonectomy, which removes only the cancerous portion of the peritoneum.

Both methods of peritonectomy are often used in combination with a type of chemotherapy called hyperthermic intraperitoneal chemotherapy (HIPEC). This is a standard treatment for peritoneal mesothelioma that involves applying heated chemotherapy into the abdominal cavity.

A study conducted at the Manipal Comprehensive Cancer Center in India tested the efficacy of both methods of peritonectomy combined with HIPEC. The combination treatment was administered to patients with peritoneal malignancies, including peritoneal mesothelioma. Researchers aimed to assess the remission and survival rates of both sets of patients to determine which surgery was more effective over the course of four years.

One group of 70 patients underwent a complete peritonectomy. A group of 93 patients underwent a partial peritonectomy. Both groups of patients were administered HIPEC after surgery.

When comparing patient groups, doctors identified higher risks in undergoing a complete peritonectomy. Data showed surgeons spent an average of two hours longer completing a complete peritonectomy than a partial peritonectomy. Further, patients who underwent complete removal lost 1.2 liters of blood, which was twice as much as partial removal surgeries.

Results also showed risks in undergoing a complete peritonectomy, including a longer hospital stay. However, despite these risks, researchers concluded a complete peritonectomy is more effective due to its associated long-term benefits.

Research indicated patients experienced more favorable outcomes in life expectancy by undergoing a complete peritonectomy. Researchers also noted complete peritonectomy led to a lower risk of cancer recurrence, or detection of cancer after a period of time.

Researchers found:

While the complete peritonectomy poses an increased risk of complications, data showed its long-term efficacy was more favorable than the partial peritonectomy.

Not all patients are eligible for this surgery, as patients with stage 3 or stage 4 cancer may be in poor health and unable to withstand the potential side effects. However, a complete peritonectomy may be a viable option for patients with stage 1 or stage 2 peritoneal mesothelioma, as the tumors are typically localized to the peritoneum.

Although the study shows a promising multimodal treatment, patients should discuss viable treatment options for their individual case with their healthcare team. This can help them better understand the benefits and risks of each procedure.

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Study Examines Efficacy of Peritonectomy and Chemotherapy for Peritoneal Mesothelioma - Mesothelioma.com

Are Mesothelioma Patients Leaving An Effective Treatment on the Table? – Mesothelioma.net Blog

Published on February 21, 2020

Many patients diagnosed with malignant mesothelioma are skipping or abandoning a treatment protocol that could extend their lives by several months, and researchers from MD Anderson are trying to determine why. The protocol is Intensity Modulated Radiotherapy (IMRT), a type of targeted radiation that sends powerful radiotherapy beams directly into malignant tumors, leaving surrounding tissue unharmed. Delivered as part of a multi-modality treatment it has proven effective, yet a surprising number of patients never complete the treatment.

Research has proven that the mesothelioma patients with the longest survival times are those who undergo trimodal treatments including surgical removal of tumors and diseased tissue, chemotherapy and radiation. An earlier study conducted at MD Anderson specifically looked at the impact of trimodal therapy using IMRT and found that it extended survival by several months, delivering a median survival time for those with epithelioid mesothelioma of 23.4 months.

But despite this consistent rate of success, a retrospective study found that many patients walked away from IMRT, never completing it and succumbing to their disease in a shorter period of time. The researchers set out to determine why, and found that the answers varied.

Though there are several forms of radiation therapy that can be used in treating mesothelioma, the MD Anderson study specifically looked at 160 pleural mesothelioma patients reated between 2004 and 2017. Six in ten had undergone an aggressive surgery called extrapleural pneumonectomy, while the other 4 in ten had less aggressive lung sparing surgery. All were candidates for IMRT, yet only two out of three finished their scheduled treatment.

The researchers found that more than ten percent of patients didnt finish radiotherapy because they had died, while another 15% couldnt continue because the therapy made them ill. Others were impacted by slow healing or complications from surgery, while there was no clear reason for why others stopped the therapy. Age and surgery type seemed to have little to no impact on the outcomes.

Mesothelioma patients are urged to take advantage of all of the protocols available to them. If you need information on the benefits of any of them, or on how to access them, the Patient Advocates at Mesothelioma.net can help. Call us today at1-800-692-8608.

Learn more about and contact Terri

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Are Mesothelioma Patients Leaving An Effective Treatment on the Table? - Mesothelioma.net Blog

NSA Offers Suggestions on Restructuring the IRS – CPAPracticeAdvisor.com

The National Society of Accountants (NSA) has responded to anIRS request for comments on the proposed IRS restructuring contained in the Taxpayer First Act (TFA). The suggestions come as a response to the solicitation for industry commentary presented at the Taxpayer First Act discovery meeting held on January 15, 2020 which was attended by NSA and other national organizations.

While given the opportunity to be signatory on a letter drafted by various other industry organizations, the NSA opted to deliver an independent response. NSAs suggestions draw from decades of advocacy and a strong relationship with the IRS, the Office of the National Taxpayer Liaison, IRS Tax Forums, the Electronic Tax Administration Advisory Committee, and the Internal Revenue Service Advisory Council.

NSAs suggestions included:

NSAs membership of tax and accounting professionals appreciates the opportunity to provide input in the process and we welcome the open dialogue environment the IRS has established. We are committed to assisting the agency in any way possibleto achieve the requirements of the TFA, wrote NSA CEO John Rice. We stand ready to help.

Download a copy of NSAs response to the IRS here: https://www.nsacct.org/viewdocument/irs-suggestions-for-irs-restructuri

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NSA Offers Suggestions on Restructuring the IRS - CPAPracticeAdvisor.com

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NSA whistleblower petitions Trump for clemency | TheHill – The Hill

Reality Winner, theNational Security Agency (NSA) whistleblower jailed for leaking classified information on Russias interference in the 2016 election, petitioned President TrumpDonald John TrumpSchiff blasts Trump for making 'false claims' about Russia intel: 'You've betrayed America. Again.' Poll: Sanders leads 2020 Democratic field with 28 percent, followed by Warren and Biden More than 6 in 10 expect Trump to be reelected: poll MORE for clemency Monday.

Winner's attorney Alison Grinter said in a press conference in Dallas that she will submit the petition to the federal office of the pardon attorney, who advises the president on pardons.

She also plans to send 4,500 letters of support, including ones from privacy and free press advocates,according to The Intercept.

Winner was sentenced to five years and three months starting in August 2018 after admitting to giving classified information about Russias attempts to hack local elections before the 2016 election to an investigative news website, The Guardian reported.

Our national healing process cannot begin until we forgive our truth-tellers and begin the job of rebuilding what was taken from us: election security, accountability for those who endeavor to undermine our democracy; and safeguarding the American right to government by and for the people, Grinter said at the conference. None of this can begin in earnest while we are still punishing those who tell us the truth.

The petition alleges that Winner's imprisonment is costly, unnecessary to protect the public, burdensome to her health and wellbeing, and not commensurate with the severity of her offense.

The president previously commented on Winners sentencing in an August 2018 tweet, in which he specifically criticized then-Attorney General Jeff SessionsJefferson (Jeff) Beauregard SessionsOn the Trail: Senate GOP hopefuls tie themselves to Trump Trump looms as flashpoint in Alabama Senate battle Trump tweets test Attorney General Barr MORE and called Winners crimes small potatoes compared to what Hillary ClintonHillary Diane Rodham ClintonSchiff blasts Trump for making 'false claims' about Russia intel: 'You've betrayed America. Again.' The problem with Trump's Middle East peace plan Trump's Intel moves spark Democratic fury MORE did," in an apparent reference to the private email server Clinton kept as secretary of State.

Ex-NSA contractor to spend 63 months in jail over classified information. Gee, this is small potatoes compared to what Hillary Clinton did! So unfair Jeff, Double Standard.

Winner has said in a 2018 interview with CBS News that she cant thank him enough for the tweet.

"I don't like to assume anything as to what's going on in his head, but the 'small potatoes' was a breath of fresh air. It really made me laugh. It reminded me of me and my own family. We try to make a joke out of everything. We laugh every single day no matter how bad things get, and he really gave a whole sense of humor to the thing 'cause it is quite bizarre," she said.

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NSA whistleblower petitions Trump for clemency | TheHill - The Hill

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Dont distract COAS, Buratai over Buharis NSA/Chief of Staff face-off, former CP cautions – Vanguard

Chief of Army Staff, Gen. Tukur Buratai

Following a much-celebrated report, online newspaper, Premium Times, has been warned against dragging Chief of Army Staff (COAS), Lieutenant General Tukur Buratai, into the middle of an alleged feud between National Security Adviser (NSA) Gen. Babagana Monguno (rtd) and the Chief of Staff (CoS) to the President, Alhaji Abba Kyari.

Former Commissioner Public Complaints Commission, CP Abubakar Tsav (rtd), gave this warning in an open letter to Premium Times Editor on Sunday.

After initially claiming that Monguno accused Abba Kyari of undue interference on matters bordering on national security, the online portal went further to allege that the COAS took sides with the latter.

Tsav said this is only well-crafted mischief with highly inciting contents, provocative to the sensibilities of Nigerians, and bears elements of compromising national security.

According to the ex-CP, issues of redeployment and postings of Army personnel are routine administrative procedures exclusively at the discretion of the Army leadership guided by the service needs of personnel in specific areas.

Unlike claimed, Tsav added that the Army Chief does not take directives from the office of NSA but the President.

Even though the COAS may not be aware of this artificial war of attrition, Tsav cautioned Premium Times and other mischief makers to allow him fully concentrate on his giant strides in the counter-insurgency campaign.

Read full letter below:

Please, do not drag the Chief of Army Staff into your campaign of attrition:

An open letter.

I send you affectionate greetings together with members of your editorial team. May God continue to bless and guide all of you on the path of truth and accuracy as watchdogs and the true conscience of society.

May you kindly refer to your online publication dated February 21, 2020; which had the screaming caption: Exclusive: Abba Kyari-Monguno War: Army Chief Buratai Moves Against NSA.

In the said publication, your medium perniciously dragged the office, duties and personality of the COAS and leader of counter-insurgency operations in Nigeria, Lt.Gen. TY Buratai into the imaginary feud, between the office of the National Security Adviser (NSA) Gen. Babagana Monguno (rtd) and the Chief of Staff (CoS) to the President, Alhaji Abba Kyari, which is widely celebrated on social media platforms.

I was fascinated by its mendacity and carefully crafted mischief. Its contents are also highly inciting, provocative to the sensibilities of Nigerians, and bears elements of compromising national security.

I elect upon myself to dispel or denounce explicitly the baseless, disjointed, malicious and provocative gerrymandering as reflected by the medium targeted at the top echelon of Nigerias security leadership solely based on conjecture. But it is more significant to draw your attention to its resistant link to the COAS in a presumed altercation, which he is not aware and has no nexus to it whatsoever.

In the desperation to smoothen the campaigns of this agenda, the publication delved into puerile arguments and recanted itself at several points. Let me clear your doubts that the issues of redeployment and postings of Army personnel are routine administrative procedures exclusively at the discretion of the Army leadership guided by the service needs of personnel in specific areas.

And your report cannot admit that all the agencies attached to the NSA have the powers to make changes to their respective personnel serving there, and simultaneously, scrub extraneous reasons to deny the Nigerian Army such lawful institutional powers. This is after it is also submitted to the cumbersome process of selecting and posting Army personnel to the office of the NSA as deemed fit by the Army leadership.

For the sake of records, the Army Chief does not take directives from the office of NSA, as the report carelessly insinuated. The COAS strictly takes directives from the President and Commander-in-Chief of the Nigerian Armed Forces who wields the final authority on all national security Heads.

I have absolute trust in Lt. Gen TY Buratai as a professional soldier, loyal and patriotic leader to his country. And by his antecedents known to me over the years, the Gen. Buratai I know; and Nigerians can vouch for his integrity and sterling leadership qualities, he is very busy in the trenches, coordinating troops in the war against insurgency, angling and itching for results.

Let the campaigners of the fabricated and incipient animosity in the ranks of top government appointees spare him of the orchestrated campaigns of widening the imaginary lines of attrition between the NSA and CoS to the President.

The COAS is neither involved in this artificial war of attrition nor has any knowledge of it. The COAS is more concerned and devotes attention to deliver excellent results on the duties assigned to him and his office by Mr President. He will not compromise his official responsibilities for any personal interest and should not be distracted now.

Nigerians who are celebrating the imaginary animosity and perhaps, fervently praying for a crack in Mr Presidents national security leadership, should redirect their idle selves elsewhere, but certainly not in the direction of Lt. Gen. Buratai. He is a soldier with impeccable credentials and a leader per excellence.

Vanguard

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Dont distract COAS, Buratai over Buharis NSA/Chief of Staff face-off, former CP cautions - Vanguard

Posted in NSA