Monthly Archives: April 2022

Relief From the Woods Growing Herbal Medicine Business – Satenaw Ethiopian News/Breaking News | Your right to know!

Posted: April 17, 2022 at 11:32 pm

Deemed traditional for lack of data support and short of defined dosages, herbal medicine has been relatively shunned in urban settings though all partake to varying degrees. The advent of the pandemic in 2020 has put traditional and herbal remedies to the fore. Supported by policy and governmental recognition, the field is slowly growing as a business and alternative health care, writes EBRs Trualem Asmare.

A few months after the Covid pandemic hit Ethiopia, Lia Tadesse, Minister of Health, went on national TV to inform the nation on promising developments of a herbal medicine to tackle the virus. Giving a press conference alongside Hakim Abebech Shiferaw, a famous herbal medicine Expert, Lia went as far saying the remedy was on the verge of being recognized by her ministry.The announcement was received with both delight and concern for Ethiopians. Global health leaders such as Senait Fisseha, Advisor to the World Health Organization (WHO) director, were quick to condemn the announcement while average Ethiopians were having their moment of pride.

Even though herbal medicine is not openly supported or opposed, the practice is slowly setting a foothold as an organized business.

Solomon Adamu, self-acclaimed Traditional Healer, got his expertise while in Gojam and Gonder in the State of Amhara. In an attempt to support his knowledge with evidence-based learning, he also attended Medco Bio-medical College and graduated as a health officer.

Solomon now owns St. Michael Traditional Clinic in Bole District after founding it in 1997 with an investment capital of ETB250,000 and five employees. Now with a capital of ETB800,000, the clinic provides treatment to anyone under 60 years of age. All types of men and women go to his clinic looking to be treated for various illnesses.

We focus on diseases like cancer, tuberculosis, and wrinkles, Solomon told EBR. Most of our treatments are provided in the form of lubricants. About 30 patients visit the clinic on a daily basis.

Five or six years ago, our society did not have a good understanding of traditional medicine. It was despised as one that causes more harm than good, Solomon told EBR. Now, more people seem to understand the benefits of it, evidenced in the number of visitors we get every day.

Solomon also has written a book entitled Tibebin Bemankia, which translates into Wisdom with a Spoon. Among other things, the book aims to teach people how to self-treat themselves at home to remedy certain diseases and avoid going to hospitals for easy health challenges. Solomon also hopes people who read his book will question the kind of treatment they get at hospitals.

Traditional medicine, well supported by evidence-based research, can play a significant role in healing people, just like in other countries, Solomon argues. Traditional and modern medicine must go hand-in-hand and we must stop despising the former.

Most people are wary of the remedies. One such person is Lulit Melaku, a 28-year-old mother of two, who lives in the same district as Solomons clinic. Most of the time, Lulit would take her children to the hospital or clinic whenever they get sick. However, one day, one of the kids couldnt get better even after a hospital visit. The prescribed drugs just wouldnt work. It was then that her father recommended a traditional clinic. She did just that and her boy returned to his health.

I paid only ETB600, She told EBR. Now, I wouldnt mind visiting traditional clinics for my children when they get sick. I have also become generally cautious of just flying off to hospitals before trying remedies at home.

Gizaw Bekele is Owner of Green Care Herbal Clinic. He studied herbal medicine for 13 years and was first licensed to operate in Canada. He provides treatments in drinkable liquid form which has taken him six years to prove it is without side effects. After coming to Ethiopia in 2010, he set up his business with an initial investment of ETB60,000. He now has four employees and 20 suppliers or plant and other products of nature.

The products he uses include carrot, orange, and coffee oils as well as onion, rosemary, argon, aloe vera, and moringa among others. He then prepares his medications without any added chemicals. The most expensive treatment at Gizaws clinic is ETB4,000, while the least is ETB500. He treats ailments of hair, face, migraine, diabetes, cancer, and others. He feels societys response to his services is rather positive and even has customers from Canada, the USA, and Arab countries.

It is full of challenges, Gizaw reflects. Many people come to me after losing hope following a series of other treatments.

Gizaw and his colleagues are now working to grow the capital to ETB40 million with plans of opening a facility featuring both traditional and modern treatment in Bahir Dar, for which the design is finalized.

If professionals in both lines of business can collaborate, the landscape of medical treatment will greatly change, Gizaw argues. From saving hard earned foreign currency to improving the treatment itself, we can record significant results through collaboration.

The sentiment seems to be well shared by leaders of public health institutions. Tegbar Yigzaw, former President of the Ethiopian Public Health Association (EPHA), sees the potential in traditional medicine as it is indigenous knowledge used for centuries to treat health challenges. For Tegbar, the collaboration between science and traditional medicine practice is an important element that is still missing.

The practice of traditional medicine has been recognized at the policy level in Ethiopia. Yet, it is not well supported by science, he argues. Our training should involve both sides of the health treatment.

Despite the growing spread in the services of conventional medicine, Ethiopians still heavily rely on the traditional and herbal. Modern health services are still highly limited to urban areas of the nation and fail to keep up with the staggering population. Traditional medical practitioners mostly implement herbs, spiritual healing, bone-setting, and minor surgical procedures to treat disease. Ethiopian traditional medicine is vastly complex, diverse, and varies greatly among ethnic groups. Traditional remedies rely on an explanation of disease that draws on both the mystical and natural causes of an illness and employ a holistic approach to treatment, according to a 1991 study by Bishaw M. published on the U.S. National Library of Medicine.

As traditional medicine is culturally entrenched, accessible, and affordable, up to 80Pct of the Ethiopian population relies on it as a primary source of health care, according a 2006 study by K.D. Kassaye and colleagues at Jimma University. The influence of traditional medicine is also seen in Ethiopian migrant populations with the presence of practitioners and herbal remedies.

Globally, China is a nation that has been praised for its herbal medicine treatment environment. Ancient in its beginnings, Chinese herbal medicine has a focus on potions. It is believed that its theoretical foundation came sometime between the second century BCE and second century CE, but the focus was more on acupuncture than on herbs. However, just like in Ethiopia, the remedies mostly lack theoretical basis.

The advent of Covid-19 has put extra focus on the medicine industry. As a pandemic is defined by absence of remedies, the majority of Ethiopians turned to herbs and other plants to augment their immune system. With that momentum, traditional medicine is now on a trajectory of featuring more and more in the medicine industry.

EBR 10th Year Feb 2022 No. 104

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Relief From the Woods Growing Herbal Medicine Business - Satenaw Ethiopian News/Breaking News | Your right to know!

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How can Singapore optimize chances of future reproductive success with egg freezing- What more should be done? – BSA bureau

Posted: at 11:32 pm

Ministry of Health should work closely with relevant biomedical industry players such as manufacturers and suppliers of vitrification kits

The Singapore government recently announced that from 2023 onwards, non-medical egg freezing for fertility preservation will be made available to all women aged between 21 to 35 years of age, regardless of marital status. This elective procedure is wisely restricted to women who are 35 years old or younger, due to strong medical evidence of a sharp drop in female fertility above this age.

This will undoubtedly optimize chances of future reproductive success for patients, while avoiding false hope and wastage of money for older women. Additionally, compulsory pre-procedure counseling will also be implemented as a safeguard to ensure that prospective patients are well-informed of the medical risks, success rates and finances of elective egg freezing, before undergoing the procedure.

While such steps are indeed wise and prudent, there is still much more that can be done to encourage and promote best clinical practice of social egg freezing in Singapore. These are as follows:

Enhanced training and accreditation of embryologists carrying out egg freezing procedure, together with rigorous monitoring of success rates

The freezing (cryopreservation) of unfertilized eggs is much more technically demanding and require much higher quality control standards compared to embryo freezing. This is because unfertilized eggs, being a single large cell, tend to survive the freezing process less well than embryos, which consist of several small cells. If ice crystallization during the freezing process were to damage just one or two cells of a multi-celled embryo, it can still survive after thawing. The same cannot be said of an unfertilized egg that is composed of just one large cell. Moreover, the genetic material (chromosomes) of the unfertilized egg is spread out in a spindle-like structure (Metaphase II spindle), making it much more vulnerable to ice crystallization damage compared to the genetic material of embryos that is usually tightly-packed together. Hence, the latest egg freezing protocols utilize vitrification technology that avoids ice crystallization altogether, by using high solute concentrations to draw out as much water from the unfertilized egg as possible, together with rapid flash-freezing in liquid nitrogen.

The problem is that even if there is a slight procedural deviation or lapse in the quality control of egg freezing, ice crystallization readily occurs that will irreversibly damage the unfertilized egg, rendering it unusable after thawing. Hence IVF laboratory staff (embryologists) that carry out the vitrification protocol would need a much higher level of training and accreditation compared to embryologists that just carry out embryo freezing. To date, the biomedical industry has developed various different brands of vitrification kits that can be concurrently used for freezing of both eggs and embryo. Cheaper and lower quality vitrification kits that work well for embryos may not yield optimal results for unfertilized eggs. The Ministry of Health (MOH) in Singapore should therefore rigorously assess these various kit brands based on published scientific data on unfertilized eggs, and approve only the best of these for use in Singapore. Additionally, MOH should work together with biomedical companies producing or supplying such high-quality kits, to ensure rigorous training and accreditation of embryologists doing egg freezing. To ensure that high standards for egg freezing are being maintained, MOH should also closely monitor and track IVF success rates with frozen eggs.

Pre-procedure fertility enhancement programs

Due to busy work schedule and time constraints, many career women hastily undergo egg freezing almost immediately after preliminary fertility screening to assess their suitability for the procedure. This does not always yield optimal results. Given that so much money and time have to be invested in the procedure, prospective egg freezing patients would be well-advised to undergo pre-procedure fertility enhancement programs, to optimize their chances of future reproductive success. This involves a multi-faceted approach focusing on exercise, weight control, healthy diet, fertility supplements and complementary/alternative medicine to improve and optimize egg quality before freezing.

Exercise and weight control

Being overweight or underweight have been well-documented to reduce female fertility and IVF success rates. A healthy body mass index (BMI) is crucial for ensuring optimal egg quality for freezing.

Diet and fertility supplements

Before starting an egg freezing cycle, patients would be well-advised to maintain a healthy diet rich in folic acid, vitamin B12, selenium and zinc. Currently on the market, there are various commercially-available products that combine various vitamins and dietary supplements into one package to specifically improve egg quality prior to IVF or egg freezing. These include:

Complementary and alternative medicine

For women with pertinent health problems that could reduce their chances of successful egg freezing, such as Polycystic Ovary Syndrome (PCOS), irregular menstrual cycles, aberrant hormone levels and low ovarian reserves, they might consider complementary or alternative medicine to boost their fertility before starting an egg freezing cycle. These would include herbal therapy based on traditional chinese medicine, ayurveda and acupunture. While anecdotal evidence suggests that some patients do experience marked improvements after undergoing such therapies, the current scientific evidence is not clear-cut, and rigorous clinical studies are lacking. Hence prospective patients should exercise caution and make a conscious effort to gather more information, before deciding on such treatments.

Financial assistance schemes for egg freezing patients

The high costs of egg freezing may make it unaffordable to many prospective egg freezing patients, particularly younger women with less savings, but at the peak of their fertility. Hence, the Singapore government should consider various financial assistance schemes to help such younger women with optimal egg quality for freezing. In this case, direct government subsidies cannot be justified because elective egg freezing for non-medical reasons is non-essential for sustenance of either health or life. Nevertheless, there are various other options that can be considered. Perhaps, it may be wise to set an even younger age limit for such financial assistance to egg freezing patients, for example 30 years of age. This could serve as an incentive to push and encourage women to freeze their eggs even younger for their own benefit, thus boosting their chances of future reproductive success.

Utilizing Central Provident Fund Medisave for egg freezing

In Singapore, the compulsory pension plan that all public and private sector employees must subscribe to is the Central Provident Fund (CPF), the medical component of which is known as Medisave. At present, CPF Medisave can be utilized to fund IVF treatment of married patients who have trouble conceiving. Perhaps, the government should also consider allowing the utilization of CPF medisave for non-medical egg freezing.

Medical fee subsidy for egg freezing in return for egg donation - Freeze and Share

In some countries such as the USA and UK, Freeze and Share programs, in which the medical fees of egg freezing patients are heavily subsidized in return for donation of some of their eggs, have already been operating for several years. The advantage of such a scheme is that there are no additional costs to government coffers, as subsidies come directly from IVF patients receiving egg donation. Moreover, Freeze and Share programs can also overcome the persistent shortage of egg donors for IVF patients in Singapore.

Government-funded low interest-rate loans for egg freezing patients

Yet another option is for the Singapore government to provide loans to younger women freezing their eggs, with low interest rates equivalent to current government loans for university tuition fees and public housing.

Employer-sponsored egg freezing

Perhaps some companies in Singapore might consider sponsoring elective egg freezing for their female employees as a corporate perk, to attract and retain human capital. Indeed, this is already being practiced by tech giants such as Apple, Google and Facebook within the USA.

Refund of medical fees for donation of unused frozen eggs

The Singapore government can also consider allowing women who donate their unused frozen eggs to be refunded medical fees by recipient IVF patients. In this case, ethical problems associated with undue financial inducements, and commercial egg trading are not applicable, because these women are just being reimbursed medical fees that they had already spent.

Improved facilities, audit, insurance and compensation schemes for storage of frozen eggs

Currently, the cryostorage facilities in many local IVF laboratories are rather rudimentary, and focused on short-term storage of frozen embryos and sperm, often comprising of just small-volume liquid nitrogen tanks that need to be regularly topped-up. This is because most IVF patients often quickly utilize their frozen embryos and sperm for treatment within a few weeks or months. Nevertheless, there are much larger and better-equipped facilities in Singapore dedicated to long-term cryostorage over several years or even decades, such as private cord blood banks and tissue/cell banks based in public hospitals. The staff at such specialized cryostorage facilities are dedicated full-time to maintaining the low-temperature storage of tissues and cells, and there are often various additional quality control and fail-safe measures such as emergency power generators to facilitate this. By contrast, IVF laboratory staff (embryologists) have many other duties besides ensuring proper cryostorage of frozen eggs. Certainly, this situation is far from ideal. Hence, the Ministry of Health, in collaboration with private cord blood banks and public tissue/cell banks, should attempt to establish centralized well-equipped cryostorage facilities for frozen egg banking, rather than just relying on individual IVF laboratories. Additionally, to better serve the interests of egg freezing patients, rigorous audit and inspection procedures should also be implemented to ensure proper cryostorage of frozen eggs. This is not a trivial issue, given that there have been several high profile cases of cryostorage failure reported in the news media, resulting in irreversible damage to frozen eggs and embryos, for example through leakage of cryostorage tanks, or through negligence of laboratory staff who forget to top-up with liquid nitrogen. Consequently, such unfortunate incidents have led to high-profile lawsuits being filed by patients. Hence, the government should also consider implementing insurance or compensation schemes to cover accidental loss of frozen eggs due to cryostorage failure.

Clear and coherent directives for storage period, disposal, donation and export of frozen eggs

Because the medical risks of pregnancy complications increase with maternal age, it would be prudent to place a time limit on the storage duration of frozen eggs based on the patients age. For example it can be mandated that patients are allowed to store their frozen eggs until 55 years of age, after which their frozen eggs must either be disposed or donated to research or treatment of other patients. A time limit based on the patients age also has the advantage of ensuring that the patient has adequate remaining lifespan to raise the child to adulthood. Additionally, clear and coherent directives for the disposal, donation and export of frozen eggs should also be set. Safeguards should be put in place to prevent unauthorized use of disposed frozen eggs for training of new laboratory staff without the patients consent. Additionally, safeguards are also necessary for managing the donation of unused frozen eggs to other patients. For example, mandatory counseling and informed consent of the husband should be required if the donor is married; as well as recipient patients being made aware that IVF success rates with frozen eggs are significantly lower than fresh eggs. Finally, there is also the controversial issue of allowing patients to export their frozen eggs to foreign IVF clinics for procedures banned in Singapore, such as surrogacy and single motherhood with donor sperm.

Conclusions

In conclusion, achieving best practice of egg freezing in Singapore would require the Ministry of Health to work closely with various public and private IVF centers, together with relevant biomedical industry players such as manufacturers and suppliers of vitrification kits, as well as providers of cryostorage facilities such as cell/tissue banks. It is hoped that whatever have been discussed would be taken into account to ensure best practice of egg freezing in Singapore for the ultimate benefit of patients.

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

Dr Alexis Heng Boon Chin

(Associate Professor, Peking University, China)

Dr Alexis Heng Boon Chin is a Singapore citizen, who is working as an Associate Professor of Biomedical Science at Peking University, China. He had previously worked in the field of human clinical assisted reproduction research in Singapore, and has authored 50 international journal publications on ethical and legal issues relating to new reproductive technologies, in addition to also having published more than 260 scientific journal articles.

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Dash 8-100: Why Extend The Life Of Such Old Planes? – Mentour Pilot

Posted: April 15, 2022 at 1:19 pm

De Havilland Canada is offering a second life extension program for the Dash 8-100, its smallest turboprop. Why would airlines want this?

De Havilland Canada has bought the rights to the Dash 8 family from Bombardier. The fate of the Dash 8-400 (Q400), the newest, largest member of this turboprop family, is still uncertain. The company would need to invest in restarting the production of the plane. And this seems difficult because the availability of stored used examples is seriously limiting the demand for new planes.

Image: de Havilland

But curiously perhaps, some airlines really like their existing, older planes. Last week, De Havilland announced that it has a launch customer for its Extended Service Program PLUS (ESP PLUS). This program involves the Dash 8-100. Widere, a Norwegian regional carrier, signed on to incorporate ESP PLUS on ten planes in its fleet. The airline also has options to incorporate the program on ten more aircraft.

The purpose of ESP PLUS is to increase the service life of these planes to 160,000 cycles. A cycle is a take-off and a landing. Originally, this model had a service life of 80,000 hours. The first Extended Service Program increased this to 120,000 hours. So the ESP PLUS is an additional step, practically doubling the original life of the Dash 8-100 fleet.

What makes this noteworthy, is the age of these turboprops. On average, Wideres Dash 8-100s are about 27 and a half years old with a fairly narrow spread. Only one of them is just under 20 years old. Another is 22 and a half, with the rest of them being 25 and over. Some are over 30! We sometimes see airlines investing heavily on freighters that have over twenty years on their wings. But why would Widere invest in such a program for small turboprops?

What makes the Dash 8-100 worthy of such care and attention, is its niche: size. As aircraft sizes go, airlines have a variety of choices for 19-seaters. This is a key number because planes with 20 or more passengers require a cabin crew member. Going bigger, there are some choices for planes with 45-50 seats.

But as Leeham News points out, there are really no choices out there for an aircraft with around 30 seats. Apart from the Dash 8-100, that is. Obviously, demand for such an aircraft isnt very strong. Airlines could eventually see a new design, perhaps incorporating an interesting means of propulsion. But such designs (or even conversions) arent around the corner. Astonishingly, Wideres 27-year-old planes may well stay in service for another 27 years, or more!

According to de Havilland, the ESP PLUS could add another 30 to 40 years to the life of the Dash 8-100. The ESP and ESP PLUS programs exist thanks to the larger turboprops in the family. Service improvements on the bigger, heavier Q400 are enabling such life extension programs for the smaller models. De Havilland also offers the ESP (not PLUS) for the intermediate Dash 8-300.

Finally, as the smallest variant of a bigger turboprop family, the Dash 8-100 is also a good systems testbed. As we have seen previously, de Havilland and Pratt & Whitney Canada will use such a plane for their testing of a Hybrid-electric propulsion conversion. This program includes investment from the governments of Canada and Quebec. Widere is its own electric propulsion project, with a smaller aircraft.

Source

Spyros Georgilidakis has degrees in Business Enterprise and Management. He has 14 years of experience in the hospitality and travel industries, along with a passion for all-things-aviation and travel logistics. He is also an experienced writer and editor for on-line publications, and a licensed professional drone pilot.

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Boston Red Sox, Rafael Devers more than $100M apart in extension talks: Its playing out in a very similar f – MassLive.com

Posted: at 1:19 pm

It was already clear that the Red Sox and third baseman Rafael Devers were very far off from each other in extension talks during spring training. Now, some details have emerged on how just much of a difference there was between the sides.

The Red Sox and Devers were more than $100 million apart in talks, according to Jon Heyman of the New York Post. That jibes with reporting from ESPNs Jeff Passan, who told WEEIs The Greg Hill Show on Wednesday that the Red Sox are over $200 million and that Rafael Devers wants more than $300 million in recent discussions.

The Red Sox are said to have offered the excellent young slugger Devers nothing like what he was seeking in terms of length or dollars, Heyman wrote. Word is, Devers was looking for an ultra-long deal that would have made him a Red Sox for life, while the club was thinking more like a contract for much less length a kind of half-life deal. The teams exact offer isnt known, but suffice it to say, they were surely more than $100 million apart.

Devers, 25, is set to become a free agent after the 2023 season. He has said that he doesnt want to negotiate during the regular season, meaning the sides will have to wait until next winter to hammer out a potential long-term deal.

This thing is playing out, guys, in a very, very similar fashion to Mookie Betts, Passan told WEEI, referencing how the Red Sox failed to come to terms with Betts on an extension before trading him to the Dodgers in Feb. 2020.

The Red Sox and Devers had discussions toward the end of spring training but those broke off once it was clear the sides werent close to an agreement. Boston also failed to lock up shortstop Xander Bogaerts, who was reportedly offered a below-market, four-year, $90 million extension (thats really a 1-year, $30 million add-on to the three years left on his contract) in an effort from preventing him to opt out this fall.

Appearing on MassLives Fenway Rundown podcast Tuesday, chief baseball officer Chaim Bloom said the club still wants to sign both Bogaerts and Devers despite talks breaking down during camp.

I dont love getting into too much detail on these types of things unless we actually do get to a deal. I think its really up to the players, how much they want to say, Bloom said. Basically, both those guys have talked about it to varying degrees. We would love to have both guys here for a long time. We want to do it in a way that makes sense for them and makes sense for us. Obviously, this spring, we didnt find that path but we want to have them here and hopefully we will find it.

Related links:

Boston Red Sox offered Xander Bogaerts 4-year, $90 million extension; a slap in the face, one of his friends says (report)

Trevor Story gets first Boston Red Sox RBI after missing three games with food poisoning, convincing Alex Cora he was good to go

How Chaim Bloom has blocked out the noise since joining Boston Red Sox, despite occasionally searching his name on Twitter

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America’s new multibillion-dollar nuclear warhead is a great deal for the British – Bulletin of the Atomic Scientists

Posted: at 1:19 pm

Artist's impression of the Dreadnought-class submarine. Credit: UK Ministry of Defence

According to the US Stockpile Stewardship and Management Plan released last month, the development of the United States first new nuclear warhead since the Cold War appears to be proceeding. Collective sighs of relief are emanating from Washington and London. But they may be louder in the United Kingdom.

Last October, despite resistance from Democrats, the US Senate Armed Services Committee authorized $134 million of 2022 funding for the W93 submarine-launched ballistic missile warhead and the Mark 7 aeroshell re-entry body for the Trident II D5 missiles that will carry it. The Energy Department has been vague in describing the W93, referencing it as a new program of record rather than a new warhead. The new stockpile plan lays out a more detailed and accelerated timeline for the W93, but remains ambiguous in regard to details, saying the program offers the Navy a modernized warhead capability that incorporate(s) modern technologies to address future threats. The warhead apparently is intended to ensure continuity, replacing older W76 and W88 warheads as they are phased out of service.

The United States need for the W93 is not as urgent as the timeline suggests. Both existing warheads have recently undergone costly modernization and life-extension programs and seem likely to remain in deployment for many years, and perhaps decades.

The programs urgency seems attributable to the United Kingdoms nuclear modernization efforts. The Royal Navy is undergoing a sweeping renewal of its nuclear forces, including the construction of four new Dreadnought-class submarines. Part of the long process reaffirmed in an update to Parliament late last year involves the delivery of a new British warhead in parallel with the US W93/Mk7 warhead program.

It ought to come as no surprise that Washington and London are cooperating on the new warhead program: The two countries use identical Trident II D5 missiles from a common pool located in Kings Bay, Georgia, which makes warhead compatibility essential. But the partnership is raising questions about Britains sovereignty and who is footing the bill for the W93.

Unfounded urgency. Over the course of 25 years of studies, engineering, and production, the W93 program may cost up to $14 billion, with production of the first warheads expected between 2034 and 2036. The case for embarking on the program was made in the latter days of the Trump administration; its urgency remains open to question. The Navy has spent large sums modernizing the submarine-launched ballistic missile warheads the Navy now deploys on its 14 Ohio-class submarines, the W76 and W88. One prevailing reason for the new program is the Navys numerical reliance on the older, lower-yield W76-1 and W76-2 warheads, at 90 kilotons and 8 kilotons respectively, which outnumber the 455-kiloton thermonuclear W88 by almost five to one in the arsenal. An unclassified white paper from 2020 suggests the W93 would likely offer a variable- or at least higher-yield alternative, diversifying the Navys warfighting options by allowing it to hold all targets in current plans at risk.

Obvious overlap between the US and British programs ends with the Trident missiles. But circumstances around the W93 program suggest more than meets the eye. London needs a new warhead more than Washington does; not only does the United Kingdom rely solely on its nuclear submarines for its deterrent, lacking intercontinental ballistic missiles and bombers like those of the United States, but it has also never deployed the W88relying exclusively on the older W76, or Holbrook warheads, as they are known.

Very significant implications. The British government has insisted on its countrys nuclear sovereignty since it first developed its deterrent, but poor management and expensive delays have damaged this claim in recent years, while previous indigenous programs have failed. In a 2020 House of Commons Defense Briefing, then-Permanent Secretary of the Ministry of Defence Sir Stephen Lovegrove admitted that British funds for a warhead replacement would run out in four years, adding that uncertainty in Washington about the program would have very significant implications for the United Kingdom. Allegations that the W93 was more for the British than the American deterrent were not helped when it emerged that British Defence Secretary Ben Wallace had directly lobbied members of Congress to support its funding in 2020.

US officials have not helped either, reiterating in the recent stockpile plan that the W93 program was also vital for continuing our longstanding cooperation with the United Kingdom, whose nuclear deterrent is critical to US national security. Warhead programs are costly and take decades of research and development, but there are real concerns the W93 is not an urgent need for the Navy. Chair of the House Armed Services Committee Rep. Adam Smith suggested as much, noting that the program may arguably be a little bit ahead of need and that the UK is pushing a lot of that. The question for lawmakers is therefore the inherent value of the British deterrent to US national security, especially for a program the United States does not need and for which it appears to be footing much of the bill.

The war in Ukraine has seemingly reaffirmed the Biden administrations commitment to its NATO allies, with the recent Nuclear Posture Review summary also ruling out a no-first-use policy long opposed by many allies in Europe. In this case, however, even the long-held nuclear cooperation between Washington and London does not justify the development of the first new nuclear weapon in decades.

The cost of the W93 program and the urgency with which it is being pursued have not yet been justified. The United States should not rush to design and build a symbolic new warhead for the arsenal of an ally, even one as close as Britain, when Congress has so far failed to build a case for it on much more than British interest alone.

As for London, the Ministry of Defence has built an equally unconvincing case and, perhaps worse for its security, one that exposes a deep reliance on an ally for its supposedly independent deterrent. The war in Ukraine and heightened tensions with Russia must not dictate unnecessary modernization spending.

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Celebrating Entergy Employees for Their Dedication to Our Communities – Yahoo Finance

Posted: at 1:19 pm

Northampton, MA --News Direct-- Entergy Corporation

Volunteering and giving are at the heart of our mission to power life, and our employees embody this commitment every day. In honor of National Volunteer Month a monthlong celebration recognizing volunteers and encouraging continued volunteerism in April we are shining a light on the selfless spirit of six employees who dedicate their time to give back in Arkansas, Louisiana, Mississippi, New Orleans and Texas.

Arkansas

Amy Sotomayer, ALARA specialists at Arkansas Nuclear One, is committed to volunteerism because she believes that it is not always where someone is from or where they have been it is about where they are going. She is driven to volunteer in her community because she wants to help create positive change for the future. She enjoys volunteering with the local school districts youth to help develop their leadership skills by hosting job fairs, teaching life skills and engaging in their academic success.

I am proud to be a part of a company that provides resources and dedicates their time to support the causes that mean so much to us. Whether it is working with students or engaging with the Special Olympics, Entergy does everything they can to help us be successful in giving back to our community.

Louisiana

Laura Beauchamp, director of resource planning and market operations in Louisiana, is committed to volunteerism because she enjoys building relationships with her community, neighbors and other employees at Entergy. One of her favorite volunteer events is working with the New Orleans Mission to serve Thanksgiving dinner to local members and those in need.

I am always encouraging my team and the teams around me to give back because that is how we ensure that we are all are providing a bright future for the next generation.

Mississippi

David Notbohm, director of continuous improvement in Mississippi, volunteers with Scouts BSA troops and the Sea Scout program to help members build life skills and confidence in the areas of science, technology, engineering, math and the outdoors.

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Ive been given so many opportunities to learn and gain skills in life and with my career. Working with youth allows me to pay it forward so they can receive the opportunities that I have experienced.

New Orleans

Abdul Yanusah, line superintendent in New Orleans, is committed to volunteerism because it gives him the opportunity to get out and meet neighbors and the people he helps provide power to. One of his favorite volunteer events includes partnering with Goodwill Industries and Central City Fellowship to pass out household essentials, such as cleaning supplies, hygiene products, diapers and meals to those in need.

As a New Orleans native, it is important for me to give back to an area where I grew up because I want to see us all thrive. I am grateful for the opportunity to power life in our neighbors homes and the community.

Texas

Brenda Davis, administrative assistant in Texas dedicates her time to volunteer with the Southeast Texas Food Bank, Field of Plenty, Orange County Texas Agri Life Extension and the Vidor High School Band Boosters. She has played a significant role in getting her co-workers involved in feeding those in need, teaching local youth kitchen safety and supporting the needs of the high school band.

"I could be the difference in whether someone is offered a service, provided food, mentored or shown a good role model. We can do so much more when we all work together, pulling in the same direction."

Corporate

Kenyon Webber, senior engineer in transmission, is committed to volunteering because she sees the positive impact that we have on communities when we all work together. She enjoys volunteering with STEM NOLA/STEM Global Action, Girl Scouts, the STEM Library Lab and STEM Goes Red at the American Heart Association.

I am passionate about showing students the wonders of STEM, careers in STEM and how to think critically. As a hometown champion, I want to relate to my community, meet them where they are and be a good neighbor.

We strive to contribute to a society that is healthy, educated, environmentally safe and productive. By showing the same enthusiasm for volunteerism as we do for providing customers with safe, reliable and affordable energy, Entergy employees demonstrate why they are known as the best in the industry.

During another year of uncertainty, employees and retirees remained dedicated to serving our communities by logging more than 100,000 volunteer hours in 2021, resulting in a $3.3 million economic impact to local economies. Approximately 1,800 of the total hours were dedicated to pro bono efforts, resulting in $477,000 of in-kind legal services.

Last year, our commitment to volunteerism helped earn the company recognition from Points of Light as one of the 50 most community-minded companies in the country for the sixth consecutive year. Entergy was also named to the 100 Best Corporate Citizens List by 3BL Media

View videos of Entergy volunteers celebrating National Volunteer Month.

View additional multimedia and more ESG storytelling from Entergy Corporation on 3blmedia.com

View source version on newsdirect.com: https://newsdirect.com/news/celebrating-entergy-employees-for-their-dedication-to-our-communities-282637299

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Celebrating Entergy Employees for Their Dedication to Our Communities - Yahoo Finance

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Nation’s Sole Heavy Icebreaker Returns to the US After a 147-Day Antarctic Deployment – HS Today – HSToday

Posted: at 1:19 pm

The 140-member crew of U.S. Coast Guard Cutter Polar Star (WAGB 10) returned to the United States and entered dry dock Friday after completing a 147-day deployment in support of the U.S. Antarctic Program and national interests in Antarctica and the Southern Hemisphere.

The Polar Stars crew departed their Seattle homeport on Nov. 13, 2021 for the cutters 25th Operation Deep Freeze deployment and traveled 24,300 nautical miles to Antarctica and back.

This year marks the 66th iteration of Operation Deep Freeze, an annual joint military service mission in support of the National Science Foundation, the lead agency for the United States Antarctic Program. Since 1955, the U.S. Department of Defense and the Coast Guard have provided air and maritime support across and around the Antarctic continent.

The cutter made several international port calls including stops in Wellington and Lyttelton, New Zealand, and Hobart, Tasmania, Australia. Polar Stars crew hosted the U.S. Ambassador to New Zealand and members of the Royal New Zealand Navy while in New Zealand.

While in Antarctica, Polar Star transited through more than 450 miles of pack ice and broke a 37-mile channel through seven-foot thick fast ice to McMurdo Station to allow the safe transit and offload of supply vessels Ocean Giant and Maersk Peary.

Polar Star also partnered with the Royal New Zealand Navy to escort the ice-capable logistics ship HMNZS Aotearoa for its first trip to McMurdo Station.

Polar Star transited to the Bay of Whales Feb. 17, setting a record for the furthest south any vessel has navigated, reaching 78 degrees 44 minutes 1.32 seconds south latitude, keeping about 500 yards from the ever shifting Ross Ice Shelf. The cutter also surveyed 396 nautical miles of the ice shelf for future navigational use.

Polar Star spent a total of 65 days in Antarctica, making it the longest Operation Deep Freeze deployment completed by a Coast Guard polar icebreaker in 18 years.

After completing operations in Antarctica, Polar Star moored in Hobart and hosted the Governor of Tasmania, Barbara Baker, and U.S. Consul General Kathleen Lively, along with several other government and military officials that are dedicated to supporting scientific efforts in Antarctica.

I am so proud of this crew and their accomplishments, said Capt. William Woityra, commanding officer of the Polar Star. They overcame constant challenges to complete the mission and set records along the way. They epitomize the values on the Antarctica Service Medal: courage, sacrifice, and devotion. I can think of no better team to lead future expeditions and new icebreakers as the Coast Guard invests in Polar Security Cutters.

Polar Star did not return to its homeport of Seattle, instead the crew proceeded directly to dry dock in Vallejo, California, to immediately start work on the second phase of a five-year, $75 million Service Life Extension Program. The Coast Guard will replace antiquated technology to ensure the longevity of the nations only operational heavy icebreaker while in dry dock this year, supporting the Coast Guards enduring commitment to Antarctic operations.

The Coast Guard has been the sole provider of the nations polar-icebreaking capability since 1965. Commissioned in 1976, the Polar Star is the United States only operational heavy icebreaker. The Coast Guard is increasing its icebreaking fleet with construction of three new Polar Security Cutters (PSC) to ensure persistent national presence and reliable access to the Polar Regions. Coast Guard Commandant Adm. Karl L. Schultz revealed the name of the first PSC Coast Guard Cutter Polar Sentinel during his 2022 State of the Coast Guard Address.

Read more at USCG

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Nation's Sole Heavy Icebreaker Returns to the US After a 147-Day Antarctic Deployment - HS Today - HSToday

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Wellness Supplements Market With Current Scenario and Industry Forecast to 2028 Political Beef – Political Beef

Posted: at 1:19 pm

The new report titled Wellness Supplements Market Report helps clients to gain a better understanding of making intelligent and informed decisions about the Wellness Supplements industry. The report includes a detailed list of key players dominating the Wellness Supplements market by providing market feasible data sources and then further analysis. The comprehensive and quality reports are prepared with the goal of empowering clients with thorough knowledge of market capacity in a real-time marketplace.

Get a Sample Copy of the Report @https://www.databridgemarketresearch.com/request-a-sample/?dbmr=global-wellness-supplements-market&KA

Wellness SupplementsMarket Insight:

Wellness supplements market is expected to gain market growth in the forecast period of 2020 to 2027. Data Bridge Market Research analyses the market to account to USD 386.29 billion by 2027 growing at a CAGR of 6.45% in the above-mentioned forecast period. The growing awareness towards healthy lifestyles among the people globally will help in driving the growth of the wellness supplements market.

The competitive landscape of Wellness Supplements market research includes extensive analysis of regions including North America, Europe, Asia Pacific, Middle East & Africa, Latin America, which are projected to capture the essence of the market in the broadest category. This list includes key players dominating the industry based on overall system capacity, environmental contribution, appropriate channels and geographic proximity through a system of primary and secondary research methodologies, which adds to our internal analytical model. Monetization and generalized market share for the Wellness Supplements market are also displayed via charts, graphs, and tables.

Some of the key players operating in the global Wellness Supplements market include:

Life Extension, OPTAVIA LLC, Beachbody LLC, Natures Sunshine Products, Inc, Organo Gold., Thrive Life, LLC, Phytoscience Trvo, Oriflame Cosmetics AG, Melaleuca Inc, Shaklee Corporation, Arbonne International, LLC., Forever Living.com, L.L.C, Juice Plus+, Herbalife International of America, Inc, and Isagenix Worldwide LLC, Nikken Inc., Wellness Resources, Inc., The Daily Wellness Company, Otsuka Holdings Co. Ltd, Glanbia plc, Nestle, Nuskin, USANA Health Sciences, Inc.,

Reports key features:

Detailed Wellness Supplements Market Overview

Changing industry market dynamics

Comprehensive analysis of market segmentation

Market size in terms of volume and value, historical, present and forecast

Recent industry trends and developments

Wellness Supplements Market Competing Countries

Key Player Strategies and Products

The Wellness Supplements report also contains primary and secondary information pertaining to the global market in terms of global status, market size, growth forecasts, trends, segments and detailed forecasts. In addition, key collaborations, mergers and acquisitions, key market trends and business policies are evaluated in the report.

Know More About this Study @ https://www.databridgemarketresearch.com/inquire-before-buying/?dbmr=global-wellness-supplements-market&KA

Key questions The report answers:

What will the market size and growth rate be in the Forecasted Period?

What are the main drivers of the global Wellness Supplements market?

What are the key market trends influencing the global market growth Wellness Supplements?

What are the market growth challenges?

Who are the major global market vendors for Wellness Supplements?

Global Wellness Supplements Markets Markets What are the market industry opportunities and challenges for vendors?

What are the key outcomes of the global Wellness Supplements market five-point analysis?

Complete Report is Available (Including Full TOC, List of Tables & Figures, Graphs, and Chart) @https://www.databridgemarketresearch.com/toc/?dbmr=global-wellness-supplements-market&KA

Wellness Supplements market report includes market forecasts related to future global estimates, share, business forecasts, current manufacturers scenario, competitive landscape and forecast and other important factors. With an in-depth analysis of developments affecting the business, this report has included detailed information about the business. The survey data was done taking into account the current top players and their next contenders.

Contact us:

Data Bridge Market Research

US: +1 888 387 2818

UK: +44 208 089 1725

Hong Kong: +852 8192 7475

Email:[emailprotected]

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The Top 8 Tape-In Hair Extensions According to Experts – Oprah Mag

Posted: at 1:19 pm

Versatility has always been the name of the hair game. Be it clip-ins, a fall, or extensions, women like to know that they have options. Lets be clear, hair is a fashion accessory and has been for centuries, and while hairstyles and pieces have evolved over the years, from the towering powdered coiffures of the 18th century to today's thick, luxurious yet natural look, the desire for body, length, and versatility has remained the same.

Most hairstylists and consumers still embrace the classic and traditional ways of achieving a long mane with bonding and sew-ins, but with technology constantly expanding in the world of hair, you now have different options to achieve the same results, says Tish Celestine, celebrity hairstylist and owner of LaBelle Boutique. Tape-ins can make life easier in some instances, and are popular among hair enthusiasts.

Sophia Alston, celebrity hairstylist and owner of Sophia Hair, explains, With tape-in hair extensions, there is no commitment; you can change the look from short to long instantly, and this is appealing for people who want an immediate change. These extensions provide many benefits as well. For instance, if you need more fullness, then tape-ins are a fast and easy way to create volume. They are also functional. You can wear your hair up in a ponytail or cascading down around your shoulders. The choice is yours, provided the hair is attached properly and you are doing regular hair-care maintenance, then your look should ultimately last you anywhere from six to eight weeks, says Alston.

Hairstylist and beauty industry executive Dani Tygr says that in addition to choosing the right hair for your desired look, it is also important to remember to choose the right licensed cosmetologist. Its going to all come down to the stylist and their education, not just the application, but consulting with extensions overall. What type of tape-in is the client seeking, and are they the right candidate to wear extensions? These questions must be at the forefront, as choosing the right extensions is the difference between having really bad hair damage and preserving your own hair.

Making the choice to get tape-ins is not completely cut-and-dried, but there is no need to worry; our beauty experts wouldnt dream of leaving you hanging. So we have compiled some of their top choices for your next salon experience. With these suggested brands, youll be showcasing new long and luxurious locks just in time for the summer.

Natural-Looking

Considered global innovators of tape-in extensions, Hair Talk USA has groundbreaking technology and top quality 100 percent Remy human hair. Their patent-pending band style features a completely concealed adhesive band that is made to mimic the natural root and create a nearly invisible result, thus leaving, discreet, comfortable, and flawless natural body wave extensions that blend perfectly with your natural hair.

BELLAMI Professional

With a reputation for quality hair and the largest color shade range, these premium hair extensions are at the forefront of transforming the hair industry. They are made using only the finest cuticle intact, and double-drawn 100 percent Remy human hair.

Glam Seamless is a hair extension brand that provides high-quality hair for every budget. Their hair is made for professional hairstylists and hair extension lovers everywhere. Boasting over 100 colors, multiple lengths, textures, and curl patterns, the company offers hair extension collections from ready-to-wear clip-ins, ponytails, and u-part wigs to professional tape-ins, hand-tied wefts, and more.

Ethically Sourced

Known for its quality, Great Lengths, has 100 percent ethically sourced, traceable virgin human hair from the sacred temples of India, and the most long-lasting, undetectable, and gentle attachment methods.

From ready-to-wear hair to the highest quality of professional hair extensions, The Hair Shop's goal is to provide stylists, beauty enthusiasts, and everyday customers with all the means to transform their mane utilizing a variety of hair textures, versatile lengths, diverse colors, and cutting-edge application methods.

Easy to Apply

These tape-in extensions are quick and easy to apply while lying extremely flat to the scalpa hassle-free option. There are no extra tools required to install this system besides a sectioning comb.

Long-Lasting

Perfect Locks provide a seamless, long-lasting, and manageable solution. They are non-damaging and lightweight, and their Remy human hair can be reused multiple times with hair replacement tape.

Best for Volume

ZALA tape-in human hair extensions pride themselves on using the latest technology in the hair industry. They make it possible to apply a full head of tape-in extensions in under 30 minutes.

This content is created and maintained by a third party, and imported onto this page to help users provide their email addresses. You may be able to find more information about this and similar content at piano.io

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CStone Announces Presentation of Preclinical data on a Multi-Specific Antibody-based Therapeutic Candidate CS2006/NM21-1480 at the American…

Posted: at 1:19 pm

Results from pharmacokinetic/pharmacodynamic modeling demonstrated that binding affinity optimization of CS2006/NM21-1480 allowed optimal PD-L1 blockade and 4-1BB stimulation concomitantly, at a broad dose range thereby and facilitating dose-finding in the clinic

CS2006/NM21-1480 was efficacious as monotherapy in both hot and cold tumor models; combination with a CD3-T cell engager resulted in enhanced anti-tumor activity, with increased CD8-positive T memory cells within the tumor

These data provide translational support for the ongoing clinical development of CS2006/NM21-1480 as a potential best-in-class, next-generation immune-oncology agent

SUZHOU, China, April 13, 2022 /PRNewswire/ -- CStone Pharmaceuticals ("CStone", HKEX: 2616), a leading biopharmaceutical company focused on the research, development, and commercialization of innovative immuno-oncology therapies and precision medicines, today announced that the preclinical data of multi-specific antibody CS2006/NM21-1480 has been presented at the American Association for Cancer Research (AACR) Annual Meeting 2022.

Session: PO.IM02.09 - Therapeutic Antibodies 1

Date: April 12, 2022, 9:00 AM - 12:30 PM ET

Format: E-posters

Title: 2870/13-Dose selection investigations and combination strategies of NM21-1480, a PD-L1/4-1BB/HSA trispecific MATCH3 therapeutic clinical candidate

Presenter: Dr. Dan Snell

CS2006/NM21-1480 is a monovalent, tri-specific antibody-based molecule targeting PD-L1, 4-1BB, and human serum albumin (HSA). CS2006/NM21-1480 represents a leading class of broadly acting next-generation anti-PD-1/PD-L1 cancer immunotherapies and a new backbone molecule for tumor-specific combination therapies. CS2006/NM21-1480 is designed to bind to the immune co-stimulatory receptor 4-1BB and conditionally activate T cells only when engaging and blocking the checkpoint receptor ligand PD-L1 on the surface of tumor cells, potentially preventing the liver toxicities observed with previous anti-4-1BB agonistic antibodies.

Compared to other PD-L1/4-1BB bispecific antibody candidates, CS2006/NM21-1480's unique monovalent structure and ultra-high-affinity PD-L1-binding are designed to tap the synergistic potential of tumor-localized modulation of PD-L1 and 4-1BB. Furthermore, half-life extension via the HSA-binding is designed to enable convenient dosing schedules for patients. CS2006/NM21-1480 is anticipated to be effective against tumors with a wide range of PD-L1 expression levels and may overcome primary and/or acquired resistance to anti-PD-1/PD-L1 therapies.

Story continues

"The preclinical data of CS2006/NM21-1480 are encouraging and further demonstrate its potential to become a best-in-class anti-4-1BB agonist and next-generation immune checkpoint inhibitor. The bell-shape dose-response curve associated with this class of agents presents a unique challenge with dose-selection in the clinic. However, this concern seems to be alleviated by the fine affinity balance engineered in CS2006/NM21-1480 which allows optimal PD-L1 blockade and 4-1BB activation at the same time." Dr. Archie Tse, Chief Scientific Officer of CStone, said, "The first-in-human dose escalation study is ongoing in the United States, and patient enrollment has commenced in Taiwan, China. In addition, the investigational new drug application has been approved by the National Medical Products Administration of China and the clinical trial is underway. Moving forward, we will step up our efforts to drive research and development of CS2006/NM21-1480, and other pipeline assets to provide high-quality treatments for a wider range of cancer patients as soon as possible."

CS2006/NM21-1480 was discovered and engineered by Numab Therapeutics ("Numab"), CStone's partner, using its proprietary cap technology and MATCH platform. CStone and Numab signed an exclusive regional licensing agreement for the development and commercialization of the drug candidate. Pursuant to the terms of the licensing agreement, CStone will fund the research and development of CS2006/NM21-1480 up to completion of an initial Phase 1b clinical trial. In exchange, CStone obtains exclusive rights from Numab to develop and commercialize CS2006/NM21-1480 in Greater China (including Mainland China, Hong Kong, Macau, and Taiwan), South Korea, and Singapore. Numab retains all CS2006/NM21-1480 rights for the rest of the world. Upon completion of CStone's funding period, no further financial obligations will be owed by either party.

About CStone

CStone (HKEX: 2616) is a biopharmaceutical company focused on researching, developing, and commercializing innovative immuno-oncology and precision medicines to address the unmet medical needs of cancer patients in China and worldwide. Established in 2015, CStone has assembled a world-class management team with extensive experience in innovative drug development, clinical research, and commercialization. The company has built an oncology-focused pipeline of 15 drug candidates with a strategic emphasis on immuno-oncology combination therapies. Currently, CStone has received seven NDA approvals for four drugs. Multiple late-stage drug candidates are now under pivotal clinical trials or registration. CStone's vision is to become globally recognized as a world-renowned biopharmaceutical company by bringing innovative oncology therapies to cancer patients worldwide.

For more information about CStone, please visit http://www.cstonepharma.com.

Forward-looking statement

The forward-looking statements made in this article only relate to events or information as of the date when the statements are made in this article. Except as required by law, we undertake no obligation to update or publicly revise any forward-looking statements, whether as a result of new information, future events or otherwise, after the date on which the statements are made or to reflect the occurrence of unanticipated events. You should read this article completely and with the understanding that our actual future results or performance may be materially different from what we expect. All statements in this article are made on the date of publication of this article and may change due to future developments.

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CStone Announces Presentation of Preclinical data on a Multi-Specific Antibody-based Therapeutic Candidate CS2006/NM21-1480 at the American...

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