From skin to brain: Stem cells without genetic modification – UB News Center

BUFFALO, N.Y. A discovery, several years in the making, by a University at Buffalo research team has proven that adult skin cells can be converted into neural crest cells (a type of stem cell) without any genetic modification, and that these stem cells can yield other cells that are present in the spinal cord and the brain.

The applications could be very significant, from studying genetic diseases in a dish to generating possible regenerative cures from the patients own cells.

Its actually quite remarkable that it happens, says Stelios T. Andreadis, PhD, professor and chair of UBs Department of Chemical and Biological Engineering, who recently published a paper on the results in the journal Stem Cells.

The identity of the cells was further confirmed by lineage tracing experiments, where the reprogrammed cells were implanted in chicken embryos and acted just as neural crest cells do.

Stem cells have been derived from adult cells before, but not without adding genes to alter the cells. The new process yields neural crest cells without addition of foreign genetic material. The reprogrammed neural crest cells can become smooth muscle cells, melanocytes, Schwann cells or neurons.

In medical applications this has tremendous potential because you can always get a skin biopsy, Andreadis says. We can grow the cells to large numbers and reprogram them, without genetic modification. So, autologous cells derived from the patient can be used to treat devastating neurogenic diseases that are currently hampered by the lack of easily accessible cell sources.

The process can also be used to model disease. Skin cells from a person with a genetic disease of the nervous system can be reprogrammed into neural crest cells. These cells will have the disease-causing mutation in their chromosomes, but the genes that cause the mutation are not expressed in the skin. The genes are likely to be expressed when cells differentiate into neural crest lineages, such as neurons or Schwann cells, thereby enabling researchers to study the disease in a dish. This is similar to induced pluripotent stem cells, but without genetic modification or reprograming to the pluripotent state.

The discovery was a gradual process, Andreadis says, as successive experiments kept leading to something new. It was one step at a time. It was a very challenging task that took almost five years and involved a wide range of expertise and collaborators to bring it to fruition, Andreadis says. Collaborators include Gabriella Popescu, PhD, professor in the Department of Biochemistry in the Jacobs School of Medicine and Biomedical Sciences at UB; Song Liu, PhD, vice chair of biostatistics and bioinformatics at Roswell Park Cancer Institute and a research associate professor in biostatistics UBs School of Public Health and Health Professions; and Marianne Bronner, PhD, professor of biology and biological engineering, California Institute of Technology.

Andreadis credits the persistence of his then-PhD student, Vivek K. Bajpai, for sticking with it.

He is an excellent and persistent student, Andreadis says. Most students would have given up. Andreadis also credits a seed grant from UBs office of the Vice President for Research and Economic Developments IMPACT program that enabled part of the work.

The work recently received a $1.7 million National Institutes of Health grant to delve into the mechanisms that occur as the cells reprogram, and to employ the cells for treating the Parkinsons-like symptoms in a mouse model of hypomyelinating disease.

This work has the potential to provide a novel source of abundant, easily accessible and autologous cells for treatment of devastating neurodegenerative diseases. We are excited about this discovery and its potential impact and are grateful to NIH for the opportunity to pursue it further, Andreadis said.

The research, described in the journal Stem Cells under the title Reprogramming Postnatal Human Epidermal Keratinocytes Toward Functional Neural Crest Fates, was supported by grants from the National Institutes of Health.

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From skin to brain: Stem cells without genetic modification - UB News Center

Genetic Engineering Beyond Pesticides

Background

Genetic Engineering is an area that has gotten Beyond Pesticides attention in light of the pesticide paradigm that is being pushed in the form of genetically engineered food crops. Whether it is the incorporation into food crops of genes from a natural bacterium (Bt) or the development of a herbicide resistant crop, the approach to pest management is short sighted and dangerous.

Beyond Pesticides publicizes the serious health and pest resistance problems associated with the approach and provides important links to activists working in the pesticide community. Over 70% of all genetically modified organisms (GMOs) are altered to be herbicide-resistant. Increased planting of Herbicide-resistanat GE crops has led to a dramatic increase in herbicide use. The over use of Herbicide-resistant crops has also led to "super weeds", and the destructuion of pollinator habitat.

Our goal is to push for labeling as a means of identifying products that contain genetically engineered ingredients, seek to educate on the public health and environmental consequences of this technology, and generate support for sound ecological-based management systems. This technology should be subject to complete regulatory review, which is currently not the case.

As we move forward, we are united in opposing genetically engineered organisms in food production and believe that pressure to stop the proliferation of this contaminating technolgy must be focused on the White House and Congress. The companies responsible for this situation are the biotech companies whose GE technology causes genetic drift and environmental hazards that are not contained as the deregulation of genetically engineered alfalfa goes forward. The organic community stands together with consumer, farmer, environmental and business interests to ensure practices that are protective of health and the environment.

(August 1, 2016) President Signs Weak Product Labeling Law on Genetically Engineered Ingredients, Preempts States

(July 7, 2016) U.S. Senate Moves to Limit GMO Labeling

(April 20, 2016) GAO Finds USDA Regulation of Genetically Engineered Crops Deficient

(March 24, 2016) More Companies To Label for GE Ingredients, While Maintaining Their Safety

(March 21, 2016) Boulder County, Colorado to Phase Out GE Crops on Public Land

To read more, visit the GE section of our Daily News blog.

You can also find further information on the United States Department of Agriculture's website.

(2013 National Pesticide Forum)

As the emergent GE labeling movement challenges industrial agriculture, USDA continues to deregulate GE crops. This workshop was part of "Sustainable Families, Farms, and Food: Resilient communities through organic practices," Beyond Pesticides 31st National Pesticide Forum, April 5-6, 2013, Albuquerque, NM.

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Genetic Engineering Beyond Pesticides

Biology Teacher Uses Science To Brilliantly Shut Down Transphobic Meme – A Plus

Fueled by Chicken Soup for the Soul

If you're going to use science to make a point, you'd better hope you know the science.

A meme circulating on Facebook caught the eye of Grace Pokela, a biology teacher at Arlington High School in Lagrangeville, New York. It didn't get her attention just for the poor science, but for the bigotry it was encouraging:

The meme began circulating around the same timethe Obama directive that allowed trans students in public schools to use the bathroom matching their gender identity was rescinded. When Pokela saw the post, she decided to make a Facebook status explaining why it was so off-base. Her response was such a thorough takedown of the meme that it was shared over 30,000 times.

Pokela started her post by explaining all the different variations of chromosomes we see in nature, and how they don't necessarily reflect or predict whether organisms are "male" or "female" terms that begin to seem much too simple to encapsulate the biological complexities of sex and gender as her post continues.

"You can be male because you were born female, but you have 5-alphareductase deficiency and so you grew a penis at age 12," she wrote. "You can be female because you have an X and a Y chromosome but you are insensitive to androgens, and so you have a female body. You can be female because you have an X and a Y chromosome but your Y is missing the SRY gene, and so you have a female body. You can be male because you have two X chromosomes, but one of your X's HAS an SRY gene, and so you have a male body. You can be male because you have two X chromosomes- but also a Y. You can be female because you have only one X chromosome at all. And you can be male because you have two X chromosomes, but your heart and brain are male."

Pokela drove her point home with poignant, incisive language. And she finished it with this kicker:

"Don't use science to justify your bigotry," Pokela wrote. "The world is way too weird for that shit."

Pokela's perspective is not unique in the scientific community, either. The American Medical Association, the American Psychiatric Association, and most other major medical organizations do not classify trans people as having a "psychological disorder" or a mental illness. In fact, as Pokela alluded to, there is a lot of evidence that supports the fact that trans people's experiences are underpinned by biological realities. For instance, the Journal of Clinical Endocrinology and Metabolism found that in trans women, the anatomy of the brain looks a lot more like a cisgender woman's brain than a cisgender man's.

"Facts have become so nebulous recently," Pokela said in an email to The Observer. "To see someone spouting such rage towards a truly oppressed group made me very upset. Using falsehoods to promote hate just rubbed me the wrong way."

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Biology Teacher Uses Science To Brilliantly Shut Down Transphobic Meme - A Plus

A Revolutionary Genetic Experiment is Planned for a West African Village If Residents Agree – Scientific American

BANA, Burkina Faso This small village of mud-brick homes in West Africa might seem the least likely place for an experiment at the frontier of biology.

Yet scientists here are engaged in what could be the most promising, and perhaps one of the most frightening, biological experiments of our time. They are preparing for the possible release of swarms of mosquitoes that, until now, have been locked away in a research lab behind doublemetal doors and guarded 24/7.

The goal: to nearly eradicate the population of one species of mosquito, and with it, the heavy burdenof malaria across Africa.

These scientists are planning to release mosquitoes equipped with gene drives, a technology that overrides natures genetic rules to give every baby mosquito a certain trait that normally only half would acquire. Once such an insect gets out into the wild, it will move indiscriminately and spread its modified trait without respect for political borders.

No living thing no mammal, insect, or plant with a gene drive has ever been set free. But if all goes as planned, it mighthappen here, in a remote village of about a thousand people, where the residents dont even have a word for gene.

Despite such barriers, this is in some ways the most logical place to carry out the experiment. Nowhere does malaria exact a higher toll than here in sub-Saharan Africa, where hundreds of thousands die from the disease every year. And Burkina Faso already houses one of Africashighest-profile malaria research laboratories.

It may be six years before the gene drive mosquitoes are actually released in Burkina Faso, but scientists are already working around the clock to prepare the community for their release. Researchers in Mali and Uganda are also working toward the same goal under the banner of the Target Malaria project, propelled by $70 million from the Bill and Melinda Gates Foundation and support from research laboratories in England and Italy.

Speaking through interpreters, residents across Burkina Faso told STAT that they are grateful for the scientists work, and are eagerly looking forward to eliminating the dreaded disease.

But scientists still face achallenge: making sure that people understand and accept thenewfangled genetic technology behind it all. That means building trust and doing basic education explaining not only the impact of genetically engineered insects arriving in their homes, but also what genetics is in the first place.

Driving west from Bobo-Dioulasso, the sleepy regional capital that is Burkina Fasos second-largest city, the pavement fades away into an undulating dirt path. Traffic dissolves into a trickle of motorbikes whose drivers wear surgical-style masks to protect them from the dust. Donkey carts plod along under the weight of flattened grass, outpacing camels weighed down by saddlebags.

At the height of the dry season in late December, eight scientists and social scientists pulled off the dirt road,carrying a box of a hundred adult mosquitoes and a 1-liter bottle filled with wriggling larvae.

For the past few years, the scientists from the Institut de Recherche en Sciences de la Sante (IRSS) in Bobo-Dioulasso, where the countrys Target Malaria team is based,have been teaching Bana residents basic mosquito facts, including that the bugs transmit malaria. Many in Burkina Faso believe that malaria can be spread by eating too many greasy or sweet foods, said Lea Pare, the anthropologist who is leading a national effort to engage local citizens in Target Malaria.

Beyond live mosquitoes, the team also uses pictures to help explain the complicated scientific information: a set of thirteen cards, laminated like giant placemats, which detail the different phases of the project. In Bana, they talk through the first four of these cards, which show gigantic female mosquitoes biting humans, with small red squiggles flowing through the proboscis and into the persons body. On the fourth card, a scientist wearing a white coat is looking at those mosquitoes under a microscope.

White coats are very familiar to residents of Bana. For the last three years, a team of researchers has lived part-time in the village, sleeping in an old cement house retrofitted into a scientific base camp. These technicians, with the help of local volunteers, count the number of mosquitoes in the homes, observe the mating swarms at dusk, and dust mosquitoes with colored powder to track where they travel around the village.

They are gathering data on the mosquito population to feed into intricate computer models that will help them determine how the gene drive mosquitoes should be released.

When the technicians stepped into one home on a recent day, they laid thick sheets across the floor of a bedroom and filled it with acrid-smelling insecticide spray. After 10 minutes, they hauled the sheets out, opened them up, and crouched over a small pile of dirt specks: only one male mosquito.

For low mosquito season, it wasnt surprising. During the rainy season, however, which starts in June, there might be a few hundred mosquitoes in each room, said technician Ibrahim Diabate.

Men living in the treated homes were excited, even jubilant, that the researchers were working in the village. They understood that the scientists had a longer-term plan to battle the mosquitoes, but they were also happy for the insecticide spray in the present moment.

Since you started this work, praise God, malaria has been reduced, because mosquitoes dont bite us anymore, said Ali Ouattara, one elder in the community.

In the next phase of the project, scientists will have to explain to Ouattara why theyre actually releasing more mosquitoes.

Going straight from zero to gene drives would be too extreme, so scientists are planning to release regular genetically engineered mosquitoes first either here in Bana or in one of two other villages nearby.

Those mosquitoes, which could be released next year, are sterile males: Most of them are male, and they cannot have offspring. A field release is not intended to reduce the prevalence of malaria; rather, it is to prepare the scientists and the locals for the eventual arrival of the gene drive mosquitoes, said Delphine Thizy, who directs the work of engaging local, national, and international leaders for the project.

The outreach teams have started talking about DNA with their flash cards. But they arent saying anything yet to the locals about the much more powerful, and complicated, idea of a gene drive.

Partly thats because researchers didnt want the residents of Burkina Faso to expect that a miracle solution to the malaria epidemic isjust around the corner, Thizy said. Scientists in London havent yet created the gene drive mosquitoes that would be used, and field trials of such mosquitoes are years away.

Also, she said, gene drives are hard to understand.

To be fair, even in Europe and in North America, its complex to understand gene drives in one shot.

If gene drive mosquitoes arrive in Burkina Faso, it will be thanks to the vision of Abdoulaye Diabate, a soft-spoken medical entomologist with a singular mission: to stop malaria.

The disease is ever-present in thiscountry mosquito nets hang for sale by the roadside, and hotel proprietors lay out smoldering coils in the courtyards to ward off mosquitoes as dusk falls.

Diabate, who is deeply involved in malaria eradication efforts worldwide, became dismayed when, in the 1990s, he realized that mosquitoes were building up resistance against the insecticide used on bed nets here.

If this is the only tool we have in hand, then forget about malaria elimination, Diabate said.

But,in 2012, he received an invitation to a meeting about the Target Malaria project, which was focused on solutions involving genetic engineering. He jumped at the chance.

Today he is leading the Burkina Faso team, trying to get the whole world from remote villages to international diplomats on board with his ambitious research.

Meanwhile, thousands of miles away in the United Kingdom, geneticists at Imperial College London are working on designing the gene drive mosquitoes. Specifically, theyre studying two different ways to disrupt the reproductive system of one particular species, Anopheles gambiae: reduce the number of female babies (only females bite and spread the disease) or stop the mosquitoes from having offspring in general.

To make the population predominantly male, Austin Burt, Target Malarias primary investigator, and collaborators are studying an X shredder a gene that destroys the X chromosome in sperm, making all offspring males. Alongside that, theyre looking at reducing the number of mosquitoes of both sexes by creating genes that make them sterile.

Either approach might lead to massive population collapse within two to eight years, according to Charles Godfray, a University of Oxford professor and biologist who works on modeling for the Target Malaria project.

But the insects wouldnt go extinct, scientists say. The gene drive mosquitoes currently under consideration would only reduce the population of Anopheles gambiae enough to stop the transmission of malaria.

The foundation is not interested in eliminating Anopheles mosquitoes, said Dr. Scott Miller, who leads malaria research and development for the Gates Foundation. Were interested in eliminating malaria.

It will take years to reach the point that scientists will be ready to test the gene drive mosquitoes in the wild. In the meantime, they are facing the challenge of winning over local residents who might be wary of these new creatures.

Mariam Pare was initially frightened. A commanding woman who teaches in a Koranic school, Pare livesacross the street from the IRSS in Bobo-Dioulasso. Shesaid that when she first heard about mosquito research going on at the lab, she feared that the scientists were breeding mosquitoes to let loose on the locals. But after meetings and discussions with project staff, she came to understand that theyare instead trying to fight against the mosquito.

She even took a tour of the insectary that currently holds the gene-edited sterile male mosquitoes, and could eventually hold the gene drive ones. She saw fans that would suck away mosquitoes if they happened to escape from their cages, and a hot water bath where unnecessary mosquitoes go to die.

Because I saw what was going on in there, I believe and trust the people that work in there, she said.

Earning Pares trust was particularly important for the team because she lives so close to the insectary, her consent was required to import the sterile male mosquitoes. That requirement isnt a legal one, but one that the Target Malaria project has put in place. The Gates Foundation has also said that gene drive mosquitoes will only be released if the host country agrees.

Lassina Diarra, a tailor whose turquoise-walled shop is down the road from the research lab, also had to give his consent. Sitting on the corner of a table among scraps of fabric and hand-tailored suits, he said that he was impressed by the scientists transparency and reliability. Two outreach workers recruited him to serve on a group of 12 local leaders who communicateinformation about the project to the citys residents, dubbed the relay group, along with a different committee to address community grievances. Every few weeks, he knocks on doors up and down the streets, updating his neighbors on the scientists progress.

In June, Diarra and Pare both signed off on the arrival of the sterile males. So did Kadidia Ouattara, one of the relay group members and the president of multiple neighborhood associations. She recalled a joyous gathering filled with dance and song.

Ni fonyon douma ni bora mi? they sang in Dioula. Ni fonyon douma ni bora mi?

The song translates to, Where did this good air come from? and, more colloquially, means, This is too good to be true!

Ouattara said that it is a traditional song commemorating good news a wedding, the birth of a baby, the success of a student in her exams. And on that day, it was celebrating the impending arrival of genetically modified mosquitoes.

Burkina Faso has experience with genetically modified organisms. One of the first associations some residents make with genetic engineering is Monsanto, which has been selling genetically modified cotton seeds to Burkinabe farmers since the 2000s. But the countrys growers association stopped buying the seeds in 2016 in the wake of concerns about the cottons quality and country-wide protests against the company.

One resident of Bobo-Dioulasso complained that genetically modified food rots quickly, and said that he hopes the mosquitoes suffer the same fate: an early death.

The fight against malaria is a big concern, but the solutions are sometimes scary, said Sylvestre Tiemtore, the director of an organization that represents over half of the nongovernmental organizations in Burkina Faso. The group met with Target Malaria in July, a discussion which was very heated, he said.

In movies he cited Jurassic Park weve seen some research that went out of control, he said.

Scientists familiar withthe effort here say defining the idea of genetically modified to residents here might be of limited use, because it wont help people understand what the mosquitoes are or what they will really do, said Javier Lezaun, deputy director of the Institute for Science, Innovation, and Society at the University of Oxford, who is not involved in the Target Malaria project. In fact, the phrase might just serve to distract and scare he spoke of another community in Tanzania who thought that a swarm of mosquitoes that invaded a hospital were genetically modified (they werent), and of others in Brazil who thought that Zika arrived as a result of genetically modified mosquitoes (it didnt).

As long as you explain something about the specific capabilities of the mosquitoes, or the limitations of these particular mosquitoes and how theyre supposed to behave in the wild or in the facilities, I think that serves the purpose of explaining genetic modification, Lezaun said.

And thats what many people are curious about. At the July meeting with NGOs, hosted by the Secrtariat Permanent des Organisations Non Gouvernementales (SPONG for short), attendees wanted to know: What would happen to the local ecosystem? And might these engineered mosquitoes be able to transmit other diseases?

Some of these questions dont yethave answers, but others do. A risk assessment commissionedby the Foundation for the National Institutes of Health, a US nonprofit that supports the federal agency, found that the risk of the sterile mosquitoes currently in Bobo-Dioulasso transmitting other diseases was incredibly low; the modified mosquitoes probably wont spread more malaria than their wild cousins; and the genetic modification probably wont spread from the mosquito to other animals.

Outside scientists, convened by the FNIH in May, had previously concluded that Anopheles gambiae is not a keystone species, meaning that if its population shrank dramatically, the ecosystem would not be substantially impacted.

But the meetings continue. Tiemtore, SPONGs director, said that he would like to have a meeting with representatives of different health-related NGOs that are based in Burkina Fasos 13 different regions, to educate them about the project. But that requires money to bring them to the capital, and to cover the costs of the meeting itself.

They might need to rent a room, Tiemtore said. They might need to offer some coffee breaks. That costs money. Who pays for that? If you dont do all of those things, your mosquitoes are going to come out, but they wont be released in the regions, because the people will not agree with it, because they didnt have enough information on it, and they will have the right to be afraid.

The development of powerful new genetic engineering technologies, often outstripping regulators ability to keep up, is forcing scientists to reckon with the ethics of their work in a new way.

Of course, humans have been making potentially irreversible changes to our environment for a long time: clearing forests for farming, building power plants that change the composition of the atmosphere, and producing untold tons of synthetic materials like plastic that will stay in the environment for hundreds of years.

But gene drives lend these questions a different sort of urgency. The genetic technology can quickly change the properties of an entire population of a species, undoing millennia of evolution in a handful of years. And once you let them out of the cage, theres no going back other world-altering technologies have not been self-perpetuating like gene drive animals would be.

So scientists are treading carefully and doing what they can to keep the rest of the world involved. This has led to difficult questions: Who needs to give them permission to do certain things? What does it mean for residents to be fully informed? In answering them, there arent a lot of models to follow. There are only a fewgene drive projects underway in the world, and none has yet resulted in the release of the animalsinto the wild.

Academic research on how to effectively include non-scientists in global healthdecisions is also lacking, said Jim Lavery, an Emory University professor of global health and ethics who has worked with the Target Malaria project in the past.

Right now, Lavery said, scientists can count the number of phone calls they make and the number of people who show up at community meetings, but we dont even have an understanding at a proxy level of what those things are supposed to represent in terms of effectiveness of engagement.

While researchers like Lavery are trying to determine how to measure success, research is plowing ahead. Some scientists are thinking about releasing gene drive mice halfway across the world, in New Zealand, to eliminate invasive species. AndKevin Esvelt, a gene drive guru based at the Massachusetts Institute of Technology, is flying to Argentina in September to talk about using gene drives to get rid of flesh-eating flies.

He has said that gene drives are more important as a societal tool to change the way that science is done it should be open to and inclusive of the people it will impact. To that extent, he praised Target Malarias community work. I honestly dont see how you could do it any other way, he said, citing the language and cultural barriers that the project is working to overcome.

How the project is going to introduce gene drive mosquitoes, though, is an open question. National regulators and international organizations like the World Health Organization are still working on developing guidelines for introducinggenedrive animals.

And in Burkina Faso, Thizy said she hasnt even yet put a lot of thought into what it will mean for local leaders to understand a release of gene drive mosquitoes. She said it will probably include knowing that the modified mosquitoes will stay in the environment and grow in number, until some point at which the population of Anopheles gambiae will be reduced.

But, said Thizy, exactly how the gene drive works may matter less to the people than the impact it will have on them and their lives.

She pointed, by way of analogy, to her previous work as a consultant for a mining company in the Ivory Coast: It wasnt how big is the hole, how many holes, and how does the machine work that the area residents were worried about, she said, but rather how they would be compensated and what jobs would be created.

On a dusty Wednesday morning earlier this year, Kadidia Ouattara arrived at an outdoor market, eager to chat with the vendors about genetically engineered mosquitoes.

As a woman spooned tomato sauce from a gigantic aluminum can onto plastic sheets for individual sale, Ouattara told her about the insect lab just a few minutes walk down the street.

The researchers who work there are trying to reduce the population of mosquitoes, she said. Dont be afraid I saw the inside of the lab and all of the research. There are public meetings where they explain what they are doing, and if there is another one, I will let everybody know.

The woman was delighted. May God help the project be a success, she said.

Farther along, she came upon a butcher who she knew to be particularly recalcitrant. He thinks were getting money from the white people, Ouattara said. But thats not true shes a volunteer.

Ouattara walked up to the man, who was hacking at a piece of meat with a foot-long knife, bits of gristle flying everywhere and flies swarming. Rivulets of blood ran along the dusty ground.

If there is a meeting about the project, I am begging you to come, she said.

Scarcely taking his eyes off of the meat, the butcher mumbled some kind of assent.

Ouattaras enthusiasm was undimmed; she strode off to a woman selling onions. And shed be back soon with more news to share.

Eric Boodman and Kate Sheridan contributed reporting.

Special thanks to Housmane Sereme and Steve Sanou for translation services.

Republished with permission fromSTAT. This articleoriginally appearedon March 14, 2017

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A Revolutionary Genetic Experiment is Planned for a West African Village If Residents Agree - Scientific American

4 Ways for Agencies to Sell Clients on Behavioral Marketing Programs – Medical Marketing and Media

March 13, 2017

Luke Perez, VP, account planning and strategy, AbelsonTaylor

The truth is that we lie to ourselves and we lie even more flagrantly to market researchers. A mom may say that she feeds her kids organic and free-range food, but there's almost always a stash of Oreo cookies somewhere. We need to study our audiences' behaviors, and their corresponding motivations, to unearth the truth behind the decisions they make. Not to sound trite, but actions speak louder than words. If we really want to know what could drive an HCP or patient to utilize our brand, or to remain adherent, we need to understand how their behaviors impact choice and utilization.

Kathleen Starr, managing director, Adheris Health Behavioral Insights, an inVentiv Health company

Most of the industry acknowledges that patient behavior impacts brand performance. But quantifying this using transactional data can give clients a better appreciation of the need to move beyond awareness promotion. Evidence is also needed to tackle the daunting task of changing patient behavior. To date, there are more than 100 scientifically proven behavior-change techniques. However, choosing and applying them in ways that will improve brand performance requires scientific expertise and insights into the psychosocial context of patient behavior. The science alone won't cut it we need creativity to bring it to life. So we then architect, design, and brand programs that pull the science though into experiences that entice the level of patient engagement needed for behavior change. Only then are we able to provide evidence back to clients that it is time and money well spent.

D'Arcy King, EVP and chief strategy officer, Daggerwing Health

Evidence, evidence, evidence. Over the past decade, behavioral scientists have worked to link behavioral theory to behavior-change techniques (BCT). Identifying and providing proof that the processes, or the how behind behavioral change interventions, actually affect health behavior and provide ROI is critical to their advancement and adoption. Agencies and clients would benefit from adopting evidence-based BCTs and integrating them with human-centric design to provide interventions and programs that drive business results, improve quality of life, and create a trusted relationship with their brand.

Jessica Brueggeman, EVP, health behavior group, MicroMass Communications

Agencies should provide clients with the ability to promote behavioral science's benefits. They need to present a well thought-out story that demonstrates the evidence, connects to commercial objectives, and provides tangible application examples. Agencies must create opportunities that help clients build skills in applying behavioral science strategies. When clients possess such foundational skills, they can better articulate how these strategies can accelerate brand objectives. They also understand how behaviorally based strategies can be leveraged across brand initiatives and why they are preferred over traditional, information-based approaches.

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4 Ways for Agencies to Sell Clients on Behavioral Marketing Programs - Medical Marketing and Media

Let's Make American Medicine Great Again – Anti Aging News

A4M has for the past 25 years shown the ability through vision and technology to make American medical care great once again. The time has come for a major overhaul of the American healthcare system. "While Obamacare had some noble intentions, Obamacare and politicians have driven medicine into a constant state of disarray. Its time for medical leaders such as the A4M to voice their opinion," asserts Dr. Ronald Klatz.

Dr. Ronald Klatz, M.D., D.O., physician-founder of the American Academy of Ant-Aging Medicine and patent holder of over 30 medical innovations stated, "Physicians must resume control of patient care. Today the insurance company rep has more influence than a doctor. Thats a sad statement. It is necessary to have a plan that restores authority to highly experienced, regulated and educated medical professionals. We should focus on effective, preventative healthcare to extend quality of life and increase longevity, and simply bring back common sense to medicine."

The following 10-point, low-cost, high-tech healthcare, wellness, and anti-aging plan has the potential to save American tax payers over one trillion dollars over the next seven years:

Point One: Point of Care (POC) Laboratory Testing. Defined as testing at/near the site of patient care. The goal of POCT is to allow more rapid and effective diagnosis and triage, leading to improved patient outcomes, reduced morbidity and mortality, and slashed costs.

Point Two: Biomarkers of Aging and Health Measurement. Billions of health care dollars are wasted on diseases that can be detected and treated early or prior to occurrence: heart disease and stroke, cancer, and Type 2 diabetes.

Point Three: Free Biannual Comprehensive Metabolic Testing. These tests may slash Type 2 diabetes and metabolic syndrome costs by 20%. This is significant given that Metabolic Syndrome is a primary cause of cardiovascular disease (CVD).

Point Four: 24/7 Telemedicine Consultation Access. The improvements generated from the use of telemedicine are vast. Telemedicine provides access to medical professionals for residents of remote areas and people with limited mobility, unclogs emergency rooms from non-emergency patients, and creates jobs for people who are only able to work via telecommuting.

Point Five: Aging Intervention Drugs. Six major diseases are having an enormous impact on the 65+ population: chronic lung disease, ischemic heart disease, stroke, lung cancer, pneumonia, and gastrointestinal illness.

Point Six: Stem Cells and Nanotechnology Access. These biomedical technologies offer exciting potential for significant improvement and/or cures for previously incurable conditions, such as stroke, cancers, Alzheimer's disease, Parkinson's disease, ALS, paraplegia, and other crippling neuromuscular disorders.

Point Seven: Personalized Genetic Testing and Nutrigenomics. Making these resources widely accessible allows for prospective identification of major disease processes including heart disease, cancer, diabetes, Alzheimer's disease, etc., such that appropriate interventions may be deployed at the earliest stage possible, providing the best chance for recovery and less invasive and more cost-effective treatment options.

Point Eight: Free/Subsidized Access to Gym, Spa, Metabolic Detoxification, and Physical Rehabilitation Facilities. Without question, obesity is costing the United States billions upon billions of dollars to combat all of its resulting diseases and conditions.

Point Nine: Online Electronic Database on Aging Intervention & Free Medical Education Resources. By promoting practitioner and patient education, an improved paradigm is created in which physicians keep current on new technologies and patients questions and form a collaborative relationship with their medical caretakers. This increased education on both sides of the healthcare relationship will provide more accountability and communication.

Point Ten: World Center for Anti-Aging Medicine. A center of excellence to extend quality of life into the later years of the average lifespan is necessary for reducing costs and improving living. One centralized research facility dedicated to this specific mission is necessary to focus adequate attention on this vital scientific arena.

While prior administrations have failed to properly consider the value of shifting from a "disease based" healthcare model to an advanced preventative based, cost-saving platform, the new administration has an opportunity to change course. Elected leadership should implement this comprehensive plan immediately to reduce skyrocketing costs and improve the quality of all our lives. The new Health and Human Services (HHS) administration must help Americans get true, proven preventative care and encourage healthier lifestyles. This is the time for real solutions.

As Dr. Klatz states, "We already have the technology to live a quality, healthy, productive, youthful 100 years- plus. Now lets do it!" Please forward to your representative in Washington.

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Let's Make American Medicine Great Again - Anti Aging News

Health Benefits of Lion's Mane Mushroom – Anti Aging News

Health Benefits of Lion's Mane Mushroom

The Chinese have used Lions Mane Mushroom as a medicine for centuries. Many communities in Asia have used it as food. The Chinese and Japanese call it hou tou gu and yamabushitake respectively. It derives its name from a distinctive appearance that makes it resemble the mane of a shaggy lion. Apart from its appearance, origins, use as food and local names, the Lions Mane Mushroom has several health benefits too.

Boosts Digestive Health

The plant proved highly useful in promoting digestive health. It enables the stomach and liver to function properly. It also protects the liver. It is effective at treating chronic gastric inflammation, duodenal ulcers, and peptic ulcers. Many patients have used it in alleviating mental apathy (also known as neurasthenia). Its usage as a restorative health tonic has also borne good fruits.

Useful as a Dietary Supplement

Today, the mushroom continues to prove its efficiency in clinical use. Physicians recommend it as a dietary supplement. The reason for this is the positive effect that it has on mood, brain health, and memory. Scientific studies have proved that the mushroom is capable of increasing neurotrophic activities. It stimulates the growth of nerve or brain cells, thus boosting neurotrophic activities. This effect enhances its reputation as a brain strengthener and antidepressant. Facilitates the Production of Nerve Growth Factor

The mushroom has bioactives, which are called hericenones (or aromatic molecules). These bioactives, including erinacines (or diterpene compounds), collaborate to boost the production of Nerve Growth Factor (NGF) in nerve cells. By doing this, the mushroom maintains forebrain function and cholinergic system. So, the mushroom plays a role in the proper maintenance of the central nervous system. Remember, the forebrain is important because of the following:

Reduces Bad Cholesterol and Increases Good Cholesterol

Other than medicinal uses, Lions Mane Mushroom is also renowned as a cholesterol reducer. A unique, submerged culture of the mushroom reduces cholesterol by around 32%. The same culture reduces LDL cholesterol by around 45.4%. It also reduces triglycerides by as much as 34.3 percent. More importantly, it increases HDL cholesterol, which is the good cholesterol, by around 31%. So, it eradicates the bad while boosting the good cholesterol.

Provides Perfect Immune Support

Additionally, it offers immune support. It increases the ability of the host (whether animals or humans) to resist infection. The mushroom enhances the uptake of bacteria by white blood cells. The immune booster increases the ability of macrophage cells to engulf the harmful bacteria before destroying them. Treating cell culture with an extract of Lions Mane Mushroom allows the cells to display greater movement against the bacteria rather than controlling them. The other health benefits of Lions Mane Mushroom include:

Theres little doubt about the effectiveness of the mushroom extract. Its health benefits make it one of the most exciting nutraceuticals. It has been tested on humans and found effective at enhancing memory and improving moods. However, most of its health benefits have so far been displayed in animals and test tube results. The mushroom needs to undergo further testing on humans its precise efficacy levels and the recommended dosages.

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Doctor in St. Louis County who prescribed illegal HGH can practice … – STLtoday.com

ST. LOUIS A St. Louis County doctor who pleaded guilty last year to a federal felony, and admitted he illegally sold misbranded human growth hormone to patients, is licensed to practice medicine again.

Dr. Michael Ted Mimlitz, 51, was sentenced in April 2016 to two years of probation and fined $30,000 for selling misbranded human growth hormone to local clinic patients, prosecutors said. He also had to forfeit $59,500, representing some of the proceeds from the sale of the drug.

Mimlitz went just 3 months without a medical license. The Missouri Board of Registration for the Healing Arts revoked his medical license in November. But he had already applied for a new license in October. The board granted a new license on March 2.

The license is on probation for two years. Within the first six months, he must successfully complete board-approved courses in ethics and prescribing. He could not be reached for comment.

Mimlitz admitted in U.S. District Court that he become involved in the Mens Medical Institute after identifying a need for a clinic specializing in testosterone replacement therapy for men.

Patients began asking for human growth hormone, he said, and he found a Mexican supplier online after being unable to find it in the U.S. He sold the misbranded drugs to about 40 patients.

The drugs were misbranded, contained labels in Spanish, not English, and were not manufactured by a facility licensed or registered by the U.S. Food and Drug Administration, according to court testimony.

Prosecutors pointed out in a statement announcing the plea that doctors can prescribe HGH for a handful of reasons, including wasting diseases associated with AIDS or Prader-Willi syndrome, but not to help patients with body-building, anti-aging, or weight loss treatments.

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Doctor in St. Louis County who prescribed illegal HGH can practice ... - STLtoday.com

Microbiology Testing Market Players Johnson & Johnson, Bruker Corporation, Cepheid, Danaher Corporation and … – MENAFN.COM

MENAFN Press - 12/03/2017 (MENAFN Editorial) Microbiology testing Application: Microbiology testing is majorly used in pharmaceuticals/medical, food and beverages market, energy and in cosmetics market. The products such as Aqua Plate, Real-time PCR, food pathogen system, etc. are being used by laboratories to test water contamination, pharmaceuticals and food samples. Various methods such as culture testing method or food pathogen test are used to perform microbial testing on the microbial samples.

Request a Sample Copy @ https://www.marketresearchfuture.com/sample_request/697

Key Players: Abbott Laboratories Inc. (U.S.) Alere, Inc. (U.S.) bioMrieux SA (France) Becton Bio-Rad Laboratories Bruker Corporation (U.S.) Cepheid (U.S.) Danaher Corporation (U.S.) Hologic Hoffmann-La Roche Ltd. (Switzerland)

Regional Analysis North America North America dominates the Microbiology Tests Market due to large number of market-focused players providing wider range of product portfolio and is followed by Europe. Asia Emerging economies of Asia Pacific and Latin America are expected to show significant growth in the microbiology tests market due to an increase in the number of laboratories in these regions and development of existing ones for automation of various instrumentation systems.

About Microbiology Testing Market: This is very essential to ensure the safety of products people eat and drink or use in their daily routine. The FDA sets scientific standards for testing foods for various contaminants. Laboratories and food companies worldwide use these standards to make sure that food products are safe to eat and drink. The Microbial testing is one of these methods used for the purpose of testing.

Segmentation By Application - Food, Energy, Pharmaceutical, Clinic By Consumable - Kit and Reagent By Instruments - Dispenser, Automated microbiology By Regio- North America, Asia-Pacific, Europe and Row

Access full MT market @ https://www.marketresearchfuture.com/reports/microbiology-testing-market

Taste the market data and market information presented through more than 150 market data tables and figures spread in 115 numbers of pages of the project report. Avail the in-depth table of content TOC & market synopsis on 'Microbiology testing market Research Report- Global Forecast to 2024'

Microbiology Testing Market Growth Influencer: The major growth drivers of microbial market is the large disease burden of infectious diseases, the growing trend of laboratory automation, the increase in access to medical insurance and increased healthcare expenditure. However, strict regulatory policies for medical devices, advancements in molecular diagnostic technologies, reimbursement issues are the major restraints of microbiology market.

Geographical Region Includes Americas North America US Canada Europe Western Europe Germany France Italy Spain U.K Rest of Western Europe Eastern Europe Poland Russia Asia Pacific Asia China India Japan Rest of Asia Pacific Countries Australia New Zealand The Middle East & Africa

About Market Research Future At Market Research Future (MRFR), we enable our customers to unravel the complexity of various industries through our Cooked Research Report (CRR), Half-Cooked Research Reports (HCRR), Raw Research Reports (3R), Continuous-Feed Research (CFR), and Market Research & Consulting Services.

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Microbiology Testing Market Players Johnson & Johnson, Bruker Corporation, Cepheid, Danaher Corporation and ... - MENAFN.COM

The Role of Small Species in Genetic Modification, at UNCW – WHQR

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Most of us know very little about the organisms in our own backyard, bedroom, roommate or even on our bodies. Rob Dunn, a Professor of Applied Ecology at North Carolina State University, will try to change that when he speaks tomorrow night at UNCW.

Professor Dunns work focuses on ecology and evolution, with a keen interest on the small species that live all around us and the role they play in the world.

One is the extent to which everything about how our bodies work is really contingent on all the species that live in and on our bodies.

In addition, Dunn will discuss how in the age of genetically-modified crops and foods, nature and what lives in the wild still have a large role to play.

And so you might imagine that if you can genetically-engineer all kinds of new crops that you dont need wild nature anymore, but it turns out that most of our tricks for engineering those crops come from new genes that we found somewhere in the wild.

Also on Wednesday Dunn will be unveiling his new book, titled Never Out of Season.

The lecture will be followed by a question and answer session and book-signing.

Professor Dunns talk is at 7 p.m., this Wednesday, in the Warwick Ballroom at UNCW.

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The Role of Small Species in Genetic Modification, at UNCW - WHQR

Genetic Engineering – Hutchinson News

MANHATTAN Richard Dick Janssen of Ellsworth was named the 2017 Kansas Stockman of the Year during the 47th annual Stockmens Dinner in Manhattan.

Industry friends recognized Janssen for his contributions to the beef industry, and speakers described him as a visionary and an accomplished cattleman.

He is one of the most courageous and daring genetic engineers on the planet, said fellow Angus breeder Mary Ferguson.

Dan Moser, president of Angus Genetics Inc., said Janssen is making the investment in new technology and seeing the benefits and costs with his own eyes, with his own cattle and his own checkbook. Dick has positioned his business and those of his customers to take maximum benefit of these new tools.

Janssen started raising and showing his own Angus cattle in 4-H when he was 11, and hes been involved in the registered Angus business ever since. A 1964 graduate of Kansas State University with a degree in animal science, Janssen returned home and joined in a partnership with his brother, Arlo.

They farmed 1,200 acres of wheat, milo and alfalfa and managed their Angus herd. They also custom-fit and showed cattle nationwide. In 1969, Arlo transitioned to fitting and showing cattle full-time while Richard stayed in Kansas to manage his division of Green Garden Angus and farming.

In 1974, he married Shelly and they continued to expand their cattle operation, which now has 350 head. The couple had two children, Ben and Elizabeth.

In 1989, John Brethour, beef cattle scientist at K-States Ag Research Center-Hays, used the Green Garden herd to perfect ultrasound measurements of cattle.

In 2000, they were one of the first herds to use GeneStar DNA mapping and today they are using 50K DNA testing for yearling bulls and heifers.

In 2010, the Janssens sent their bulls to Hays Development Center in Diagonal, Iowa, to be evaluated for average daily gain, dry-matter intake, feed-to-gain and residual feed intake.

They used the testing station for three years and in 2013 they installed their own GrowSafe feed intake system so they can test all of their yearling bulls and heifers at home.

Janssen also served as Kansas Angus Association president in 1980, served two terms as an American Angus Association director and was the 1989-90 president. He also was chairman of the Certified Angus Beef (CAB) board of directors from 1988-89.

In 2000, Richard, Shelly, Ben and Elizabeth formed a limited family partnership, and since 2010 Ben, Elizabeth and their spouses have been running the operation, with Richard and Shelly acting as advisers.

The Stockman of the Year Award is presented annually by the Livestock and Meat Industry Council.

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Genetic Engineering - Hutchinson News

Doc in St. Louis County who prescribed illegal HGH can practice … – STLtoday.com

ST. LOUIS A St. Louis County doctor who pleaded guilty last year to a federal felony, and admitted he illegally sold misbranded human growth hormone to patients, is licensed to practice medicine medicine again.

Dr. Michael Ted Mimlitz, 51, was sentenced in April 2016 to two years of probation and fined $30,000 for selling misbranded human growth hormone to local clinic patients, prosecutors said. He also had to forfeit $59,500, representing some of the proceeds from the sale of the drug.

Mimlitz went just 3 1/2 months without a medical license. The Missouri Board of Registration for the Healing Arts revoked his medical license in November. But he had already applied for a new license in October. The board granted a new license on March 2.

The license is on probation for two years. Within the first six months, he must successfully complete board-approved courses in ethics and prescribing. He could not immediately be reached for comment.

Mimlitz admitted in U.S. District Court that he become involved in the Men's Medical Institute after identifying a need for a clinic specializing in testosterone replacement therapy for men.

Patients began asking for human growth hormone, he said, and he found a Mexican supplier online after being unable to find it in the U.S. He sold the misbranded drugs to about 40 patients.

The drugs were misbranded, contained labels in Spanish, not English, and were not manufactured by a facility licensed or registered by the U.S. Food and Drug Administration, according to court testimony.

Prosecutors pointed out in a statement announcing the plea that doctors can prescribe HGH for a handful of reasons, including wasting diseases associated with AIDS or Prader-Willi syndrome, but not to help patients with body-building, anti-aging, or weight loss treatments.

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Doc in St. Louis County who prescribed illegal HGH can practice ... - STLtoday.com

Citrus Ridge Health Center Now Offering New Non-Surgical Option to Facelifts, Platelet Rich Plasma Facial Treatment – P&T Community

Citrus Ridge Health Center Now Offering New Non-Surgical Option to Facelifts, Platelet Rich Plasma Facial Treatment
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DAVENPORT, Fla., March 12, 2017 (GLOBE NEWSWIRE) -- Physical medicine and anti-aging clinic Citrus Ridge Health Center is pleased to announce they are now offering one of the hottest non-surgical options to the traditional facelift in use today.

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Citrus Ridge Health Center Now Offering New Non-Surgical Option to Facelifts, Platelet Rich Plasma Facial Treatment - P&T Community

US Navy Film Reveals Crazy Cold War Chemical Weapons Plans – The National Interest Online (blog)

During the early years of the Cold War, the Pentagon heavily prepared to useand defend againstnew and improved poison and germ weapons.

Now we have detailed look at those plans from a newly declassified 1952 U.S. Navy training film. Earlier in October 2015, the independent website GovernmentAttic.org posted an electronic copy of the footage. A private individual had requested the footage 15 years ago via the Freedom of Information Act.

Biological and chemical warfare have two principle objectives, the films narrator says, to reduce food by destroying his crops and his food-producing farm animals and to incapacitate the enemys armed forces and that portion of his human population that directly supports them.

This clinical and disturbing description of wreaking chemical and biological death on an opponent is accompanied by images of fields, pigs and marching Soviet troops.

The U.S. Naval Photographic Center produced the film to explain how the military planned to deliver deadly chemicals and diseases, and protect its own sailors from similar attacks. The narrator describes the results of experiments thatif they had involved real chemical weaponswould have resulted in the deaths of thousands of people. The film also details equipment designed to spray toxic particles from airplanes, ships, submarines and more.

The Pentagon put the U.S. Army in charge of cooking up the specific agents and producing them in sufficient quantities, the narrator notes. Originally formed as the Chemical Warfare Service in 1918 during World War I, the Armys Chemical Corps researched dozens of possible payloads.

The ground combat branch already had decades of experience with gases like mustard and phosgene that burn the skin and attack the lungs. The United States and the Soviet Unionas well as other allied powers on both sidesappropriated work Nazi Germany had done on organophosphates that strike the central nervous system and prevent a persons brain from communicating properly with their vital organs.

The same year the Navy produced the film, scientists in the United Kingdom invented a new nerve agent codenamed Purple Possum. After learning of the weapon, the U.S. Army started producing the substance with its own moniker, VX. On top of that, the Chemical Corps explored the possibility of weaponizing various bacteria, viruses and toxins. Pentagon experiments included work on anthrax, bubonic plague, smallpox and ricin, among others.

Lastly, as alluded to in the Navy films introduction, the Army considered various chemical and biological agents that could specifically kill crops and livestock. As a result, the Pentagon had an advanced defoliation program well before it sprayed gallons of Agent Orange over Vietnamese jungles.

With the Army in charge of these terrifying chemicals, the Navy focused its efforts on the delivery systems. The film describes weapons dispersed from ships, dropped or sprayed from airplanes or released by submarines.

According to the narrator, the Navy conducted its first ship-borne tests two years earlier in 1950. A rather crude spraying system was installed on a mine layer, which secretly cruised off California and sprayed some 50 gallons of biological stimulant along a track two-to-five miles off shore, the narrator says.

The Pentagon regularly used non-threatening bacteria or spores to secretly test how far a real germ weapon would spread. In this experiment, as in the case with chemical and biological weapons in general, weather patterns and the terrain largely dictated where the particles went.

During the California test, technicians used special collectors to determine that the spray covered some 48 square miles of total area. Had an infectious agent been used in the spray, there might have been 210,000 casualties, the narrator says.

In April 1952, the minesweeper USS Tercel sprayed more simulated toxins along the coasts of North Carolina, South Carolina and Georgia. The rather flat terrain would be favorable to wide dispersion of wind-borne particles, the narrator says in the film.

Tercel sprayed 250 pounds of zinc cadmium sulfide during an eight-hour voyage along some 100 miles of coastline. Evaluators later found evidence of the fluorescent material across 20,000 square miles spread over all three states.

But surface ships such as the Tercel would be vulnerable to attack during an actual war. Recognizing this vulnerability, the Navy planned to mount sprayers on submarines for actual operations.

After reaching periscope depth, the submarines wouldas the concept wentvent their deadly payloads into the atmosphere. If everything went according to plan, the vessels would then submerge and escape without anyone on land knowing the attack had even happened until it was too late.

The Navy also worked on underwater chemical and biological mines. A sub would lay these devices along the ocean floor and then leave the area. After a predetermined time had passed, the mine would float to the surface. A tube would then pop out of the top and release its gas or germs. Aircraft could carry the same weapons and drop them into lakes and rivers further inland.

Alternatively, an airplane with a giant spray tank could do the job. At the time, bombs loaded with noxious chemicals were hardly new, but spray tanks would be more effective and accurate for seeding large amounts of toxic agents.

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US Navy Film Reveals Crazy Cold War Chemical Weapons Plans - The National Interest Online (blog)

It’s 1985 all over again: To me, the Reagan years were a time of death and Trump’s era feels eerily similar – Salon

Since Novembers presidential election, I have had an uneasy feeling of dj vu. It took me a while to put my finger on exactly what I was remembering. Until I realized, its 1985. Now, just as then, we are living in a time when the presidents actions are leading to harm for marginalized people around the world.

My vantage point on 1985 is that I grew up in the 1980s in New York City in the midst of the AIDS epidemic. It was likely during the latter part of the decade that I acquired HIV.

I have lived with HIV for about 30 years, and yet this disclosure is a new one for me to offer in my professional life. I am a university president who has been out as a gay man across my career, but up until now, disclosure about my HIV status has been on a need-to-know basis.

Why am I making it public now? Because of the parallels between then and now. In 1985, the president not speaking one particular word caused us injury and death. In 2017, the president speaking many incendiary words is causing injury and death.

It is difficult to explain what 1985 was like for me, when todays prevailing narrative about the Reagan years and the 1980s is fond nostalgia. Fondly is not how I remember the 1980s. Sickness and death were everywhere around me.

I did not get tested when the HIV test became available in 1985, because no treatment was available and because I was scared. But I was sure I had acquired the virus that was revealing itself across my friendship and partner circles.

The government knew an epidemic was raging through marginalized communities, and public health strategies were available, but government policy reflected indifference and inaction. President Reagan did not say the word AIDS until 1985, after more than5,000 known AIDS deaths in the United States, and well after the scope of the coming pandemic was understood.

I was certain as were many gay men that few cared if we all died, because we heard those words often and from many. I believe the vitriol and volume of the hate speech of the 1980s has receded from most peoples memory. It has not receded from mine: I believed then that dying from AIDS was simply part of being gay.

Today, I wonder whether many immigrants and many people who might look like immigrants feel now how I felt in the 1980s. I cannot know the contemporary experience of many marginalized groups, but I can imagine that many people Muslims, women, people living with disabilities, people of color standing up against institutionalized racism, people at the intersection of these and many more identities feel as abandoned by the state as I felt then.

The parallels between then and now are why I am disclosing my HIV status publicly. My status and my story are what I have to offer. We saved our community from extinction in the face of government-sanctioned indifference, hatred and oppression. I not only survived the plague, but have achieved some level of success, as a university president, perhaps in part because of what I learned in surviving.

To be clear: We did not beat or cure AIDS in the 1980s. Many of us died across a protracted fight with society and the government. Our success was more for gay white men than it was for women, people of color and people living in poverty and prisons. And millions around the world continue to acquire, live with and die of AIDS in the shadow of indifference, hatred and oppression. But we secured a specific and significant success, and I am here to tell about it.

Others have documented how Gay Mens Health Crisis (GMHC) and ACT UP forced the government to respond to the public health crisis of HIV. My story is that I participated in that solution as a young person.

In 1985, I was 20. I expected to die within a few years. I felt powerless amidst sickness and death, anticipated symptoms and illness on any given morning, and yearned for an outlet for my sadness and anger. Fortunately there were wise elders to tell me what to do. I did not fully understand what I was doing when I volunteered or went to a protest. I was simply doing what those elders who led GMHC and ACT UP told us to do without appreciating the leadership, strategy and focus of our advocacy and political action.

The orchestrated posing of hundreds pretending to be dead in front of federal buildings, the relentless closing down of traffic and commerce, the messaging that straight people could not ignore I participated in these actions, gradually understanding them as a solution, and sometimes choosing them over less productive behaviors that a kid pursues if he believes hes living under a death sentence.

I find myself back in the 1980s as I listen to President Trump. But Im not a kid. I am instead the product of schooling by wise elders and by 30 years of HIV.

I do ask myself why I didnt disclose more publiclyuntil now. My list of answers is long and psychologically revealing: fear of repercussions (many real, some imagined), a desire not to be pitied or summed up by my status, a need to focus on others and to be useful, my own internalized heterosexism and homophobia, a need to remain private in a very public job.

Or, perhaps its that I was waiting to use this asset of mine when its most needed.

Students at my university a university thatis explicitly focused on social justice ask me what to do right now. Black and brown students ask how to stand up to hate and violence. Queer students ask what it means that the Department of Education is led by someone who has supported discrimination and conversion therapy. Students ask how to translate their passions into actions that will matter. I realize they think Im an elder who has answers, and I see theyre more ready than I was in the 1980s. I realize too I have some answers that Ive learned from the successes and failures of the 1980s lessons about leadership, strategy and focus of advocacy and political action. I know how to fight for my life and an oppressed community and how to win.

Recently, Larry Kramer, one of the founders of GMHC and ACT UP, offered observations similar to mine. He said, Its the early days of AIDS all over again. I didnt think this would ever happen. It makes you want to cry.

Ive cried too, Mr. Kramer. And Ive paid attention. My tears are dry, and Im ready. We have precedent and the credentials to secure social justice.

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It's 1985 all over again: To me, the Reagan years were a time of death and Trump's era feels eerily similar - Salon

Where I stand on the Confederate flag controversy – Virginian-Pilot

Combat in the Civil War may have ended in 1865, but the passions the war evoked still flare.

Witness the story some days back about a Richmond group encouraging display of the Confederate battle flag on private property.

I dont claim to be an expert on the Civil War, but its the subject I have most read about for more than 60 years.

To many thousands of Virginians, the flag is a salute to the armies in gray. To thousands of others, it honors a kinsman who fought in that war.

But at issue here is the fact that to thousands of Virginians, that flag is deeply offensive because it symbolizes slavery.

When Eli Whitney invented the cotton gin, he made cotton the basis of the Souths economy. Growing cotton is labor-intensive, and slave labor became an important part of the industry.

As the 1800s passed, the culture of the North became industrial and the culture of the South became agricultural. That created an economic and emotional gulf.

Meanwhile, slavery became more and more of a flint, creating sparks of opposition and defense. The sparks finally burst into flame with the election of Abraham Lincoln and the attack on Fort Sumter in Charleston. Over the years, there had been compromises to satisfy both the Souths economic desire for the institution of slavery and the Norths opposition to it. Why then, did war break out?

It was a matter of states rights, Southerners said. For some it was a revolt against an oppressive government as the American Revolution had been. Fact: the sole issue, the ultimate cause, the touchpoint that made the Civil War necessary, was slavery. It was beyond compromise and only combat could solve it.

Lincolns first objective in going to war was not to free the slaves but to save the union. He issued the Emancipation Proclamation because he saw that there needed to be a moral basis for the war. Anti-black prejudice was strong in both the North and South, so there were countless numbers of Union soldiers who served only to defend the concept of the Union.

And this was an era when long travel was rare, so your strongest allegiance might well be to your state rather than that concept of Union.

Many, many men who were not slave-holders only fought to defend their southern home turf. That motivation was potent in the South.

When Robert E. Lee resigned from the Army at the onset of the war, he said he would never again draw his sword save in defense of his native state.

Yes, during the war, the Confederate battle flag was flown over brave and dedicated men. But in the 1960s, its aura was trampled to the ground by people seeking only to rebuff the civil rights of African Americans.

Rally round the flag! was a famous command in the 1860s. In the 1960s, those who rallied were too often expressing their hatred.

So where are we? Here and now, to many, many Virginians, the Confederate flag symbolizes a cruel and hateful past.

In a setting like a battle reenactment, a museum or an exhibit, the battle flag has its historical place. Beyond that, it becomes a symbol of harsh oppression and its flaunting becomes a lingering slap in the face.

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Where I stand on the Confederate flag controversy - Virginian-Pilot

Turkey’s president: ‘Nazism is alive in the West’ – USA TODAY

People protest outside the Dutch consulate in Istanbul after the Netherlands barred Turkish ministers from visiting. Video provided by AFP Newslook

A man gestures in front of a flag bearing a portrait of Turkish President Recep Tayyip Erdogan as Turkish residents of the Netherlands gather for a protest outside Turkey's consulate in Rotterdam on March 11, 2017. Protests erupted in the Dutch port city of Rotterdam late on March 11 outside the Turkish consulate amid a row with Ankara after Dutch authorities banned the visits of Turkish ministers. About 1,000 people waving Turkish flags gathered on the street leading to the consulate, as tensions rocketed over rallies abroad to help Ankara gain backing for an April referendum vote.(Photo: Emmanuel Dunand, AFP/Getty Images)

Europe has been stripped of its maskand its real face is one of "fascism, racism and Islamophobia," Turkish President Recep Tayyip Erdogan said Sunday.

Erdogan has been angered by recent bans on rallies planned by Turkish ministers in Germany and the Netherlands. The ministers were scheduled to speak with Turkish expatsahead of a crucial April 16 referendum on constitutional changesin Turkey that would strengthen Erdogan's grip on power.

"The West has thrown off its mask in the past days," Erdogan said Sunday. "What we have seenis a clear manifestations of Islamophobia.I have said that I had thought Nazism was over, but that I was wrong. Nazism is alive in the West."

On Saturday, the Dutch government canceled Turkish Foreign Minister Mevlut Cavusoglu'sflight permit to the Netherlands, then refused to allowa convoy carrying Turkish Family MinisterFatma Betul Sayan Kaya toenter the Turkish consulate in Rotterdam, instead ushering her to the German border.

"Democracy, fundamental rights, human rights and freedoms... All forgotten in Rotterdam tonight. Merely tyranny and oppression." she tweeted.

Turkish PM considers speeding up trial of jailed American pastor

Trump team knew Michael Flynn might register as a foreign agent for Turkey work

Last week, Turkish ministers were barred from holding public rallies in two German cities.Erdogan accused Germany of "Nazi practices," an accusation that drew a sharp rebuke from GermanChancellor Angela Merkel.

Local French officials in Metz agreed to allow a rally there, saying it did not pose a threat to public safety. That drew a nod from Erdogan, who thankedFrance for not "getting involved in such games."

Dutch leaders say the Turkish rallies could increase tensions days before Dutch elections Wednesday that have drawn international attention. Populist Geert Wilders and his far-right Freedom Party, which has pledged to end Muslim immigration, close the nation's mosques and ban the Koran,haveshown polling strength.

Hundreds of thousands of Dutch citizens have Turkish roots and could have voting rights in both nations. Dutch Prime Minister Mark Rutte said Sunday that he would attempt to repair relations with Erdogan and Turkey.Erdogan said Turkey would watch the election results and decide on its future relationship with the Netherlands.

"If you are sacrificing Turkish-Dutch relations for an election, you will pay the price," Erdogan warned. Hesaid countries that ban his ministersagainst Turkey would soon "learn what international diplomacy is."

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Hidden war on drugs – Sentinel & Enterprise

Lancaster Police Lt. Everett Moody on Thursday shows off the hidden compartment police found in a vehicle after an recent arrest. The compartment was in the center console. SENTINEL & ENTERPRISE PHOTOS/JOHN LOVE

LANCASTER -- On the surface, it looked like any other Pontiac G6. Inside the car, CD cases and articles of clothing were strewn about, animal hair from an unknown pet clung to the carpet, a child's doll sat forgotten on the back seat.

But there was something else among the clutter that immediately caught Lancaster police Sgt. Patrick Mortimer's attention.

The black sticky glue leaking from the car's center console was the first clue.

"I saw that, and I knew right away that it wasn't from something factory installed," said Mortimer. "The other officer I was with thought I was crazy, but I kept telling him that I knew there was something in there."

After finding a motor hidden deep within the car's dashboard, the officers were able to activate an aftermarket option. Turning on that hidden motor caused the lower half of center console to suddenly swing out from beneath the radio, revealing a hidden compartment containing $7,000 in cash.

What began as a fairly routine vehicle stop and felony warrant arrest became the Lancaster Police Department's first encounter with an electronically controlled secret compartment in a suspect's car.

As the opioid epidemic has carried on, the technology drug sellers and smugglers have used to make their living has continued to evolve. As a result, departments throughout the state are getting their officers trained to spot the hidden compartments or "drug hides" that are continuously found in the vehicles of suspects.

"This was very professionally done.

Just two days before officers in Lancaster made their discovery, police in Nashua, found a similar electronic compartment inside the car of a Lawrence man who was hiding roughly 130 grams of cocaine.

A closeup of the console area. SENTINEL & ENTERPRISE PHOTOS/JOHN LOVE

And 10 days earlier, police in Ipswich arrested a Boston man after finding large quantities of cocaine and fentanyl in the hidden compartments of his car.

"It almost seems like the more law enforcement learns, the more the criminals learn," said James Bazzinotti, whose company PACE New England offers the training course used by officers in Lancaster. "Everything the officers are learning now, the criminal element learned a few years ago. ... We're always a little bit behind."

Over the course of the training, Bazzinotti said officers learn all the clues to finding drug hides that range from the low-tech oil cans with false bottoms to the professionally installed electronic systems that cost more than the cars they're installed in.

Though extra spaces, or voids, can be found inside of any vehicle, and are frequently used by lower-level drug sellers, more complex ways of hiding illicit substances continue to be developed.

In many cases, compartments aren't opened by simply flipping a switch but by initiating a sequence of settings within the car, Bazzinotti explained. A single button on a dashboard might open a secret compartment, but the car might have to be in neutral, the heat might have to be dialed to a specific setting, and a single seat belt might have to be buckled in before that button can actually work.

"It's usually an owner-operator type of mechanic who does this kind of work," Bazzinotti said. "They might work on cars but supplement their income by doing this."

There's no law in Massachusetts against having a hidden compartment in your car, and no law against installing them either. However, mechanics can be arrested on a conspiracy charge if it can be proven that they knew what the hidden compartment was going to be used for, Bazzinotti said.

States like Ohio, California, Georgia, Illinois and Oregon have adopted prohibitions on vehicle compartments and attempts to pass similar legislation have been made in Massachusetts as well.

In 2008, a bill was submitted to the state Legislature that would have made it illegal to own or install a hidden compartment in a vehicle, though it never made it to the House floor.

Fitchburg Mayor Stephen DiNatale, who had sponsored the petition while serving as a state representative of the 3rd Worcester District, said he was inspired to file the bill after hearing about the prevalence of hidden compartments from local law enforcement officials.

"From what they showed me, it was pretty elaborate devices and modifications that were being made to these vehicles," DiNatale said. "These detectives have to go through a great deal of effort and work to find these things and yet there's no requisite penalty for having them."

He also explained that the bill had failed to gain any traction among other legislators largely because some felt its inclusion of vehicles such as aircrafts or boats was too broad.

"They didn't want the legislation to be so far-reaching that it would affect law-abiding citizens," DiNatale said.

The bill was refiled by current Fitchburg state Rep. Stephan Hay in January.

There is no way of measuring how many of these secret compartments are actually found and how many go unnoticed, but Mortimer estimates that a large majority of them go undetected.

However, the officers in Lancaster are undeterred.

"When you find one of these things it gets really exciting because it's not every day that you find one of these," he said. "Now everybody in the department wants to get trained."

Follow Peter Jasinski on Twitter and Tout @PeterJasinski53

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Hidden war on drugs - Sentinel & Enterprise

Gamblers ‘lost more than 10000’ on fixed-odds betting terminals – The Guardian

GambleAware said one person had lost 13,777.90 in a marathon seven-and-a-half-hour session on an FOBT. Photograph: Alamy Stock Photo

Seven gamblers lost more than 10,000 in a day while using controversial fixed-odds betting terminals (FOBTs) during a 10-month period, it has emerged.

The losses, revealed in a submission to the governments gambling review by the GambleAware charity, has sparked renewed criticism of FOBTs.

The charity analysed data from betting sessions, including cases where punters bet the maximum allowable amount of 100, which can be staked every 20 seconds under existing regulations.

It found that in 5.4m sessions over 10 months, 3% of the total included at least one bet of 100, while those who staked the maximum typically did so more than once per session.

It also reported several extreme outliers, cases where gamblers lost huge amounts of money in a single session.

Seven sessions saw customers lose more than 10,000 within a few hours, with one gambler losing 13,777.90 more than half the UKs national average wage in a marathon seven-and-a-half-hour sitting.

Staff in bookmakers high street shops, which took 1.7bn in revenues from FOBTs last year, are meant to intervene if they are concerned about a customers losses or the source of their funds.

Social responsibility requirements mean all operators must interact with customers where they believe they could be at risk of problem gambling, but also where any transactions could be linked to crime, said the industry regulator, the Gambling Commission, which has signalled a tougher stance against firms that fail to prevent problem gambling.

Carolyn Harris MP, who chairs a cross-party group that has recommended slashing the maximum stake on FOBTs to 2, said examples of such large losses, though rare, were concerning.

Those are obscene losses, she said.

For me, if anybody can sit there for that long and lose that much money, theyre not being watched and there is no intervention.

She also questioned whether firms were implementing anti-money-laundering controls properly in the light of recent examples of criminals using FOBTs to launder the proceeds of crime.

She said it was unfair to put shop staff in the position of having to stop someone from betting when they were losing a lot of money.

Why should cashiers be forced to intervene? Its above their pay grade.

There has to be a better way, such as having specialist individuals to deal with problem gambling.

GambleAware said there was not sufficient evidence to suggest that problem gambling was being caused by FOBTs.

But it said it was irrefutable that gaming machines are associated with harms.

The charity also found that problem gamblers and the unemployed were more likely to place a 100 bet than other players, as were loyalty card holders.

It said the proportion of sessions including a 100 bet also doubled after 10pm, rising from 3% of sessions to 6%.

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Gamblers 'lost more than 10000' on fixed-odds betting terminals - The Guardian

Enjoy Cheltenham but the gambling fun never stops for the bookies – The Guardian (blog)

Discarded betting slips at the Cheltenham Festival, which last year drew a record total crowd attendance of 260,579. Photograph: Tom Jenkins for the Guardian

They say there is more Guinness spilt annually at the Cheltenham Festival than champagne quaffed at Royal Ascot. Its a hoary old saw that probably isnt true, but helps add to the sense of chaotic ribaldry with which National Hunt racings annual March jamboree is associated compared to its supposedly more genteel and moneyed Flat equivalent. In the coming days scenes of bawdy triumph and utter despair will unfold in what us hacks are obliged to refer to at least once per year as the great natural amphitheatre of Prestbury Park, where racing enthusiasts from both sides of the Irish Sea will convene for drinking, gambling and high quality sport that is unrivalled in its sheer intensity for those of us who are into those kind of things.

While the Cheltenham Festival is a carnival of top-class racing, it is difficult to get away from the notion that without the attendant vices it would just be predominantly Irish men riding horses around an otherwise very sparsely attended field: a noble but ultimately futile pursuit that becomes a whole lot more fun with the introduction of hundreds of thousands of excitable, liquored-up punters clutching betting slips and roaring their fancies home. When the fun stops, stop, the bookies are obliged to tell us in their promotional material these days although one gets the feeling that were your fun to stop three races in when youve just done your nuts on Tuesdays Festival Handicap Chase, these less-than-rigorous enforcers of what does and does not constitute fun would not be at all adverse to you handing over even more money, money you might not necessarily be able to afford in an effort to recapture that warm and fuzzy glow of carefree optimism in which you found yourself enveloped before the tapes went up for the first race.

While it is all well and good to encourage people to stop gambling when it has become a source of teeth-grinding, potentially life-ruining misery and anguish, the simple fact of the matter is that even when the fun stops, there are plenty of punters out there who just cant resist throwing good money after bad, loading themselves with so much debt that their own lives and the lives of those around them are utterly destroyed by a craven inability to stop betting. Weve all seen the pictures of the former England full-back Kenny Sansom, homeless and passed out in a park or shuffling to and from the bookies that accompany tabloid stories detailing his desperate pleas for help on the grounds that he feels utterly incapable of helping himself. Its probably safe to say the fun stopped for Kenny a long time ago, but still he continues to fill out those betting slips.

The fun almost certainly came to an abrupt halt for Cathal McCarron when he was encouraged by the IRA to leave Northern Ireland for London after gambling so much money he could not afford that he took to stealing from friends and neighbours. A top-level Gaelic football player with County Tyrone in Ireland, McCarron continued with his punting to such an extent that he found himself agreeing to star in a gay porn movie, for which he was paid 3,000 and assured that his debut screen performance would be shown only on pay-per-view channels in a chain of American hotels.

Appalled by what he had done, but with the consolation of a few quid in his pocket to help him try to get his life back on track, McCarron treated himself to a chocolate bar and proceeded to blow every remaining penny of his appearance fee in the betting shop within two days. A short time later, when news of his cinematic escapades had inevitably made headlines in the papers back home, McCarrons life was saved when he received a supportive call from a family member as he tried to work up the courage to throw himself under a London tube train. He has since faced, if not completely conquered his demons and revealed the pitiful depths of self-loathing to which he was reduced by his gambling habit in a harrowing autobiography.

Ultimately it is the problem gambler, not the bookmaker, who is responsible for dealing with their addiction once what bookies label the fun has stopped and it would be churlish to suggest otherwise. However, for all their commitment to tail-ending their increasingly intrusive adverts with a catchy and largely meaningless platitude, the sheer volume of relentless promotion with which the giants of the bookmaking industry assail sports fans on a daily basis suggests that, for all their talk, they are not hugely interested in discouraging anyone from making a regular donation.

During a splendid week of sport in which highlights include an FA Cup tie between Chelsea and Manchester United, several Champions League matches, four days of thrilling racing and the denouement of the Six Nations, sports fans will find themselves driven to distraction by bookies falling over themselves to win the custom of regulars and the all important potential new customers with various adverts, promotions and the usual tediously unfunny stunts that may involve an overweight footballer and a pie. Across the bookmaking industry more than 350m is expected to be wagered on Cheltenham alone and we all know where most of that will end up. The fun never seems to stop for the bookies.

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Enjoy Cheltenham but the gambling fun never stops for the bookies - The Guardian (blog)