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NIH researchers discover tooth-enamel protein in eyes with dry AMD – National Institutes of Health

March 17th, 2020 9:44 am

News Release

Friday, March 13, 2020

Finding may lead to novel therapeutic target for blinding disease.

A protein that normally deposits mineralized calcium in tooth enamel may also be responsible for calcium deposits in the back of the eye in people with dry age-related macular degeneration (AMD), according to a study from researchers at the National Eye Institute (NEI). This protein, amelotin, may turn out to be a therapeutic target for the blinding disease. The findings were published in the journal Translational Research. NEI is part of the National Institutes of Health.

Using a simple cell culture model of retinal pigment epithelial cells, we were able to show that amelotin gets turned on by a certain kind of stress and causes formation of a particular kind of calcium deposit also seen in bones and teeth. When we looked in human donor eyes with dry AMD, we saw the same thing, said Graeme Wistow, Ph.D., chief of the NEI Section on Molecular Structure and Functional Genomics, and senior author of the study.

There are two forms of AMD wet and dry. While there are treatments that can slow the progression of wet AMD, there are currently no treatments for dry AMD, also called geographic atrophy. In dry AMD, deposits of cholesterol, lipids, proteins, and minerals accumulate at the back of the eye. Some of these deposits are called soft drusen and have a specific composition, different from deposits found in wet AMD. Drusen form under the retinal pigment epithelium (RPE), a layer of cells that transports nutrients from the blood vessels below to support the light-sensing photoreceptors of the retina above them. As the drusen develop, the RPE and eventually the photoreceptors die, leading to blindness. The photoreceptors cannot grow back, so the blindness is permanent.

Recently, researchers found a calcium-containing mineral compound called hydroxyapatite (HAP) in dry AMD deposits. HAP is a key component of tooth enamel and bone. Small balls of HAP filled with cholesterol, called spherules, were found only in drusen from people with dry AMD, and not in those with wet AMD or without AMD.

In this study, Wistows team discovered that if they starved RPE cells grown in transwells, a type of cell culture system, for nine days, the cells began to deposit HAP. They determined that the protein amelotin, encoded by the gene AMTN, is strongly upregulated after extended starvation and is responsible for the mineralization of HAP in their cell culture model. Blocking this pathway in their RPE cell line also blocked the production of these drusen-like deposits.

To verify that their cell culture model was accurately representing dry AMD, the researchers examined human cadaver eyes with dry AMD, wet AMD, or without AMD. They found HAP and amelotin only in the eyes with dry AMD, and not in the other eyes. While amelotin was found sometimes in areas of dry AMD without drusen, it was primarily present in soft drusen areas with large deposits of HAP.

Prior to this study, nobody really knew how the hydroxyapatite was accumulating in the dry AMD drusen, said Dinusha Rajapakse, Ph.D., the first author of the study. Finding this tooth-specific protein in the eye, this protein thats linked to hydroxyapatite deposition that was really unexpected.

Why RPE cells in dry AMD begin depositing these HAP spherules is unclear, but Wistow thinks it may be a protective mechanism gone awry. Its possible, he says, that these protein, lipid and mineral deposits may help damaged RPE cells block blood vessels from growing into the retina, a problem that is one of the key features of wet AMD. But when the mineral deposits get too extensive, they may also block nutrient flow to the RPE and photoreceptors, leading to retinal cell death.

Mechanistically, amelotin looks like a key player for the formation of these very specific hydroxyapatite spherules. Thats what it does in the teeth, and here it is in the back of the eye. Conceptually, you could see coming up with drugs that specifically block the function of amelotin in eye, and this might delay the progression of the disease. But we wont know until we try it, said Wistow.

Good animal models for testing dry AMD therapeutics are urgently needed. Based on the findings from this study, Wistow and his team are creating a new mouse model for the disease. Additionally, Wistow believes his cell culture model, which mimics features of dry AMD, could potentially be useful for high throughput drug screening to find molecules that slow or prevent the development of soft drusen.

RThis press release describes a basic research finding. Basic research increases our understanding of human behavior and biology, which is foundational to advancing new and better ways to prevent, diagnose, and treat disease. Science is an unpredictable and incremental process each research advance builds on past discoveries, often in unexpected ways. Most clinical advances would not be possible without the knowledge of fundamental basic research.

NEI leads the federal governments research on the visual system and eye diseases. NEI supports basic and clinical science programs to develop sight-saving treatments and address special needs of people with vision loss. For more information, visit https://www.nei.nih.gov.

About the National Institutes of Health (NIH):NIH, the nation's medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit http://www.nih.gov.

NIHTurning Discovery Into Health

Rajapakse D, Peterson K, Mishra S, Fan J, Lerner J, Campos M, and Wistow G. Amelotin is expressed in retinal pigment epithelium and localizes to hydroxyapatite deposits in dry age-related macular degeneration. Translational Research. 2020. doi: 10.1016/j.trsl.2020.02.007

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Insights Into the $8.8 Billion Cell Therapy Industry, 2020-2027 – Rising Adoption of Regenerative Medicine, Introduction of Novel Platforms &…

March 17th, 2020 9:42 am

DUBLIN, March 11, 2020 /PRNewswire/ -- The "Cell Therapy Market Size, Share & Trends Analysis Report by Use-type (Research, Commercialized, Musculoskeletal Disorders), by Therapy Type (Autologous, Allogeneic), by Region, and Segment Forecasts, 2020 - 2027" report has been added to ResearchAndMarkets.com's offering.

The global cell therapy market size is expected to reach USD 8.8 billion by 2027 at a CAGR of 5.4%, over the forecast period.

Cellular therapies hold a great therapeutic promise across various clinical applications. This has resulted in substantial global investments in research and clinical translation. Moreover, rapid advances in stem cell research hold the potential to fulfill the unmet demand of pharmaceutical entities, biotech entities, and doctors in disease management. These factors have boosted revenue growth for the market.

Currently, there are a limited number of FDA-approved commercial stem and non-stem cell therapies in the market. Furthermore, LAVIV (Azficel-T), manufactured and commercialized by Fibrocell Technologies, witnessed revenue wind-down in the past years. Key developers are making substantial investments in the adoption of advanced technologies to address the aforementioned challenges.

The introduction of proprietary cell lines is recognized as the primary means by which a single cell can be exploited for the production of a robust portfolio of candidates. Companies are leveraging new technologies not only for the expansion of their product portfolio but also for establishing out-licensing or co-development agreements with other entities to support their product development programs.

For instance, MaxCyte has more than 40 high-value cellular therapy partnership programs within immune-oncology, regenerative medicine, and gene editing, including fifteen clinical-stage programs. Increase in the number of collaborations between entities for product commercialization is anticipated to accelerate market revenue to a major extent in the coming years.

In Asia-Pacific, the market is anticipated to witness significant growth over the forecast period. This is attributed to rising awareness cellular therapies among patients and healthcare entities in chronic disease management. In addition, availability of therapeutic treatment at lower prices is also driving the regional market. Japan is likely to witness fast growth over the forecast period attributed to increasing research activities on regenerative medicine.

Further key findings from the report suggest:

Key Topics Covered

Chapter 1 Executive Summary

Chapter 2 Research Methodology

Chapter 3 Cell Therapy Market Variables, Trends & Scope3.1 Market Segmentation & Scope3.1.1 Market driver analysis3.1.1.1 Rise in number of clinical studies pertaining to the development of cellular therapies3.1.1.2 Rising adoption of regenerative medicine3.1.1.3 Introduction of novel platforms and technologies3.1.2 Market restraint analysis3.1.2.1 Ethical concerns related to stem cell research3.1.2.2 Clinical issues pertaining to development & implementation of cell therapy3.1.2.2.1 Manufacturing issues3.1.2.2.2 Genetic instability3.1.2.2.3 Stem cell culture condition3.1.2.2.4 Stem cell distribution after transplant3.1.2.2.5 Immunological rejection3.1.2.2.6 Challenges associated with allogeneic mode of transplantation3.2 Penetration & Growth Prospect Mapping For Therapy Type, 20193.3 Cell Therapy Market (Stem & Non-stem Cells)-Swot Analysis, by Factor (Political & Legal, Economic and Technological)3.4 Industry Analysis - Porter's3.5 Cell Therapy Market (Stem & Non-stem Cells)-Regulatory Landscape

Chapter 4 Cell Therapy Market (Stem & Non-stem Cells) Categorization: Use-type Estimates & Trend Analysis4.1 Cell Therapy Market (Stem & Non-stem Cells): Use-type Movement Analysis4.2 Clinical-use4.3 Research-use

Chapter 5 Cell Therapy Market (Stem & Non-stem Cells) Categorization: Therapy Type Estimates & Trend Analysis5.1 Cell Therapy Market (Stem & Non-stem Cells): Therapy Type Movement Analysis5.2 Allogeneic Therapies5.3 Autologous Therapies

Chapter 6 Cell Therapy Market (Stem & Non-stem Cells) Categorization: Regional Estimates & Trend Analysis, by Product6.1 Cell Therapy Market (Stem & Non-stem Cells) Share by Regional, 2019 & 20276.2 North America6.3 Europe6.4 Asia-Pacific6.5 Latin America6.6 MEA

Chapter 7 Competitive Landscape7.1 Strategy Framework7.2 Company Profiles7.2.1 Kolon TissueGene, Inc.7.2.2 JCR Pharmaceuticals Co. Ltd.7.2.3 MEDIPOST7.2.4 Osiris Therapeutics, Inc.7.2.5 Stemedica Cell Technologies, Inc.7.2.6 Cells for Cells7.2.7 NuVasive, Inc.7.2.8 Fibrocell Science, Inc.7.2.9 Vericel Corporation7.2.10 Pharmicell Co. Ltd.7.2.11 Anterogen Co. Ltd.7.2.12 Celgene Corporation

For more information about this report visit https://www.researchandmarkets.com/r/ma559h

Research and Markets also offers Custom Research services providing focused, comprehensive and tailored research.

Media Contact:

Research and Markets Laura Wood, Senior Manager press@researchandmarkets.com

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The tragic life of Meredith Vieira – Nicki Swift

March 17th, 2020 9:42 am

Meredith Vieira's husband,veteran journalist Richard Cohen, was diagnosed with multiple sclerosis at 25. His father and grandmother also suffered from the disease in what he called "a family illness" in a 2019 interview with Yahoo Lifestyle."I dropped a coffee pot for no reason. I fell off a curb for no reason. I noticed a little numbness in my leg," he explained. "I was very active physically and I thought I was really beating it. I was living in denial."

Cohen lived with the illness for ten years before meeting his future wife of 32 years, but he let her know immediately."She didn't blink," he told the outlet. Although he tried to keep his diagnosis hidden from everyone else, Cohen learned that keeping it a secret was not "a happy way to live." He now speaks to others "newly diagnosed with MS" to offer practical advice and emotional support. "You don't have to be controlled by it," he said. "I look at our three kids, I look at our relationship, I've written four books ... what do I have to complain about?"

During an interview with People, Vieira explained that they deal with Cohen's "chronic illness" by being able to "vent" to one another about the "limitations" it places on their relationship, but they choose not to "dwell" on them too long. "So many people are dealing with stuff and it puts it into perspective," she explained.

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Wheat breeding aims to improve heat tolerance – Farm Weekly

March 17th, 2020 9:41 am

The breeding program aims to develop heat tolerant germplasm, protocols for high-throughput screening and molecular tools to assist commercial what breeders.

MOST Australian wheat varieties already have a degree of heat tolerance, however new materials developed from extensive diversity suggest the levels could be significantly improved.

Initial results from a pre-breeding program, which is being led by The Plant Breeding Institute and the University of Sydney, were presented at the Grains Research Update, Perth, recently.

The research aimed to develop heat tolerant germplasm, protocols for high-throughput screening and molecular tools to assist commercial what breeders.

Professor of Plant Breeding Richard Trethowan said they had brought in genetics from Sudan, India and all over the world.

"We have been able to access all this diversity, understand it, cross it into some backgrounds that are meaningful for Australian conditions and hand that over to the commercial companies, along with the genetic information they need to put that into new varieties," Dr Trethowan said.

"We are using a genomic selection approach, so we're using the latest and most cutting edge plant breeding technologies in our pre-breeding work.

"Using these technologies is good because it means there is a seamless handover to the breeders who are also implementing these genomic selection technologies in their work."

While most of the research had been conducted at Narrabri in New South Wales, Dr Trethowan said the genetics they're putting together were working in other parts of Australia.

"The genes that are working around the world, that we have been able to test here at Narrabri, when you put them together you get a better response," he said.

"When we've checked that in the west at Merredin or up near Geraldton, we get to see the same responses, that's been good."

Dr Trethowan said the research was longer-term and a little more upstream, but that it is also fundamental for future cross breeds.

"We have an optimal flowering window for wheat in this country, and that window is getting narrower every year because of temperature, we need to use genetics to increase that window," he said.

"We've shown some of this material will flower and will set seed under higher temperatures giving growers a lot more flexibility."

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Wheat breeding aims to improve heat tolerance - Farm Weekly

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Thinking out loud: IP strategies for gene therapy inventions – Med-Tech Innovation

March 17th, 2020 9:41 am

Reuben Jacob and Fiona Kellas, Maucher Jenkins share their expertise on IP strategies and considerations for gene therapy inventions.

Gene therapy enables the treatment of a disorder or disease through the insertion of a gene into a patients cells instead of using drugs or surgery.This technique involves the introduction of genetic material into cells to compensate for abnormal genes in the patient or to make protein that will be beneficial to the patient.As an example, if a mutated gene causes a protein that is necessary for the correct functioning of cells to be faulty or missing, gene therapy may be able to introduce a normal copy of the gene to restore the function of the protein.Gene therapy is understood to be useful in the treatment of a range of conditions such as cancer, cystic fibrosis, muscular dystrophy and Alzheimers disease.

UK role in gene therapy techR&D

Gene therapy is considered to be very important to the future of medicine and as such, many companies are focussing their research and development into gene therapy technologies.The UK is a growing industry for research into these areas and it is anticipated that by 2035 the UK industry around cell and gene therapy technologies will be worth in the region of 10 billion.Gene therapy research is still at an early stage.Due to this length of time and the associated costs involved in developing an effective gene therapy and taking it through to approval, it will be important for companies working in this area to put into place an effective IP strategy that will provide protection for their inventions and assist them in maintaining their market position.In addition, the competitive nature of the gene therapy industry means that will be important for a company to obtain patent protection for inventions being developed, as well as reviewing the patent landscape to check that the company is free to operate in their chosen area.

What makes something patentable?

In order for an invention to be patentable, it must be new, inventive and capable of industrial application.In addition to the requirement that an invention meets the above requirements of patentability, it is also important that the invention does not contain subject matter that is excluded from patentability.One of the challenges associated with obtaining patent protection for gene therapy inventions is that the European and US patent systems include a number of exceptions to patentability that are relevant to biological material and natural products.In Europe, it is not possible to obtain patent protection for a method of treatment or surgery of the human body.Thus, the removal of cells from a patient would not be considered to be patentable in Europe.In addition, inventions relating to stem cells that are derived from the destruction of human embryos are not patentable in Europe.In the US, recent case law (Molecular Pathology v Myriad Genetics, Inc, 2013) has meant that inventions relating to natural phenomena and natural products must show characteristics that are different to their natural counterpart(s).

However, despite the above challenges, there are a number of aspects of the gene therapy technology that may be eligible for patent protection.Typically, the gene therapy procedure can involve performing the required modification procedure on cells that have been removed from a patient before reintroducing the cells into the subject to produce their modified effect.The process of modifying the cells may be patentable if it fulfils the above requirements of patentability.In addition, it may be possible to obtain protection for the methods that are used to culture, manipulate or modify the cells that are used for gene therapy.

At Maucher Jenkins, we have a team of attorneys who can provide IP advice and assistance in the area of patenting inventions involving gene therapy, molecular biology and biochemistry.

by Fiona Kellas, Reuben Jacob

16 March 2020

14:20

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UCLA extends online instruction through end of spring quarter – Daily Bruin

March 17th, 2020 9:41 am

This post was updated March 16 at 11:08 p.m.

Classes will be moved online for all of spring quarter, one of several changes made to campus operations as the threat of coronavirus looms.

All UCLA libraries are now closed to the public. Students, staff and faculty with BruinCards will be allowed access, UCLA officials announced in an email Monday.

Powell Library, Charles E. Young Research Library and the Louise M. Darling Biomedical Library will be opened temporarily for the next three days, from 7 a.m. to midnight on Tuesday and Wednesday, and 7 a.m. to 5 p.m. on Thursday. They will close entirely after Thursday.

Residential restaurants have also shifted entirely to to-go operations. Food at each buffet station will be served in to-go boxes, and dining hall staff will encourage students in line to keep at least 6 feet apart, the email stated.

Associated Students UCLA food options on campus also have either closed or moved to takeout operations only.

Tables will be removed from on-campus dining locations to spread diners out, and signs will be posted reminding students and visitors to stay 6 feet apart, the email stated. Restaurants closing include Veggie Grill, Wolfgang Puck Express, Northern Lights, the Music Cafe and Cafe Synapse.

All nonessential meetings and events are now suspended through spring quarter as well, and student workers are encouraged to work remotely wherever possible.

The email also asked faculty to consider the impact of coronavirus on students when making final grade decisions.

UCLA made the announcement it would move classes online in a Friday email.

All students were encouraged to return to their homes with their personal belongings for the rest of the academic year, said Executive Vice Chancellor and Provost Emily Carter, Administrative Vice Chancellor Michael Beck and Student Affairs Vice Chancellor Monroe Gorden Jr. in the email.

Students are still allowed to remain in on-campus housing for the duration of spring quarter and can keep their belongings with them.

Students who live on campus but return home for spring quarter will be allowed to cancel their housing contracts early and be refunded for their spring quarter housing and meal plan expenses. Students who cancel their contracts must bring their personal belongings home with them, the email stated.

All remaining UCLA study abroad programs were canceled. UCLA also suspended all nonessential university international and domestic travel.

The campus will remain open for research and international students. However, UCLA Recreation announced Sunday it would be closing all facilities until further notice starting on Monday.

Likewise, the Arthur Ashe Student Health and Wellness Center and Counseling and Psychological Services will remain open.

F1 and J1 visas for international students will not be affected by the move online, the email read. Students receiving accommodations from the Center for Accessible Education have been informed of any changes or alternative accommodations, the email read.

UCLA had previously canceled in-person classes until just April 10, two weeks into spring quarter. Chancellor Gene Block announced Friday that he would be self-quarantining for 14 days after coming into contact with a person with the coronavirus.

Additionally, UCLA Health suspended all volunteer programs indefinitely.

The coronavirus first emerged in Wuhan, China, in December 2019 and has since spread to at least 140 countries.

Los Angeles County has 94 confirmed cases. LA mayor Eric Garcetti ordered that bars, restaurants, nightclubs and entertainment facilities close Sunday at midnight, in an attempt to slow the spread of the virus.

Ayla Dvoretzky, a second-year civil and environmental engineering student, said while attending lecture on Zoom, a video conferencing platform, sounded fun at first, it quickly lost appeal when she realized it was going to be used for the entire quarter.

Dvoretzky added that she plans to take four very difficult and very collaborative STEM classes next quarter, which she was planning to tackle by working with her peers.

I was already really worried about the workload, she said. And I was planning to rely a lot on getting the help and support of my peers. And I know that thats going to be a lot more difficult now.

She said the whole situation makes it difficult to focus on finals.

Im talking to my friends who I thought I was going to have another quarter with and trying to figure out whos leaving when and whos living where and how were going to see each other, Dvoretzky said. And its just a lot to think about and also worry about finals.

Dvoretzky said she thinks shes grown from the leadership positions shes taken on, the peers she has access to and the environment at UCLA, which can be lost in an online setting.

Much more of UCLAs value to me is that stuff thats not quite as quantifiable, rather than the academics of it, she said. And so I feel like Im losing the more important part of UCLA, like on paper, sure, Im still getting taught by UCLA professors, but I dont feel like Im getting the UCLA education that I worked and paid for.

Antonio Uyemura, a second-year microbiology, immunology, and molecular genetics student said he was particularly frustrated with the way the information was communicated to students since he is an out-of-state student from Texas.

After the first announcement that canceled classes through April 10, Uyemuras parents booked him a flight home for Saturday. However, since the second announcement that UCLA would be moving all of spring quarter online came on Friday, Uyemura was forced to move out in 24 hours.

It was slightly frustrating to see how fastly the response escalated because it didnt really feel calculated because it was like, if you already had the intention to put it off for two weeks, why wouldnt you keep that and then reassess afterwards? Uyemura said.

He added he is now considering whether to defer for spring quarter and enroll in summer session C instead.

I pay all this money to go to this school in California, he said. So why would I take the school in Texas?

Simon Zhang, a fourth-year applied mathematics student, said he was happy when he first heard the news, but slowly realized some of the larger consequences.

Slowly I realized that like, oh no, that means like I wont be able to experience everything in spring quarter as I would have, Zhang said.

He added there are a lot of moments that he is missing out in as a senior.

I always had this picture of what my last couple weeks of my UCLA experience would be like, but obviously thats not gonna happen, he said. I havent taken my grad photos yet. So I think thatll be really sad that I wont have photographed memories with my close friends. So its just a lot of moments that I would have wanted to experience for the last time that I wont be able to get anymore.

Students can view updated information on the UCLA website. Students can reach a student support line at 310-825-3894 starting Wednesday for any issues they face regarding COVID-19 and its impacts. It will be open on weekdays from 9 a.m. to 7 p.m.

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The Mother of Invention (March 9, 2005) – Anderson Valley

March 17th, 2020 9:41 am

I dont know if were more religious today, says Ken Bingman, who has taught biology in Kansas City public schools for 42 years, but I see more and more students who want a link to God.

While religion certainly looks to be on the upswing in the United States, theres a lot more to the resurgence of creationism than a rising tide of religious fervor. Received wisdom counsels little more than continued resistance against the Bible thumpers at the gates. Daniel Dennett, author of Darwins Dangerous Idea, is too busy excoriating creationists and scientific fellow-travelers to notice that the dominant biological theory of the day is inadvertently encouraging the creationist revival. The chief threat to Darwinian evolution is none other than neo-Darwinian evolution. As conceived by Austrian theorist August Weismann in the 1890s, neo-Darwinism shares fundamental features with creationism, not the least of which is reliance on blind faith rather than empirical fact. The creationist tide may never be stemmed until biology abandons Weismannian reductionism and returns to a more traditional Darwinian outlook.

Given the cultural atmosphere of his upbringing, Darwin could hardly have helped but absorb the lesson that an all-knowing, masculine deity commands the cosmos. At a time when science was still joined at the hip with religion, the modern prophets were Kepler, Galileo, Descartes, and Newton, whose mastery of mathematics gave them a communion of sorts with the Almighty, allowing them to receive the eternal equations supervising the operations of the universe. Newtons laws of motion were no less than Gods thoughts.

As above, so below. After establishing the heavens, the cosmic Mechanic fashioned each species of life according to a design of His choosing. According to theologian William Paley whose treatise, Natural Theology, had young Darwin temporarily hypnotized an organism is no different in principle than a watch. Just as a watch cannot come into being without the painstaking efforts of a craftsman, organisms are mechanisms constructed and wound up by God and left to play out their allotted time on Earth.

But Darwin was a true naturalist. Guided by his intuitive sense of nature, he gradually outgrew Paleys notion of divine authority over obedient matter. The naturalistic materialism of his mature years represented a total repudiation of theological mechanism, substituting divine creation with the creativity inherent in nature. His new understanding was prefigured in part by the deist teachings of his grandfather, Erasmus, who alleged that after devising the cosmic machine, the deity left the mundane affairs of terrestrial existence to their own devices.

Erasmus had a streak of the pagan in him. Though outwardly a scientific rationalist, he found religion in nature if not the Bible. Exploring a cave, he didnt just find a bunch of rocks but glimpsed the Goddess of Minerals naked, as she lay in her inmost bower. The earth wasnt just a passive depository for Gods will but Mother Earth, whose womb gave life and whose wrath in the form of floods, eruptions, and quakes could just as easily snuff it out. In contrast to the paternal principle of the heavens, the earth followed its own, darker, maternal principle.

Materialism is not so much a sophisticated modern philosophy as an ancient mythos that locates within the earth itself the source of life and its myriad forms. Etymologically, mother and matter are the same word, having evolved from the same Indo-European root. The materialist metaphysics signified by Mother Nature is not the reductionistic form were accustomed to today, in which particles are mere playthings of eternal laws of physics, but an expansive materialism in which matter is endowed with its own creative and destructive powers.

In response to the 1859 debut of Darwins theory of natural selection, Adam Sedgwick, an old-school geologist, accused the author of trying to render humanity independent of a Creator by breaking the chains that link all secondary causes to Gods ultimate cause. Though Darwins declaration of independence was a prerequisite to the scientific study of life, he was understandably anxious about turning his back on the Father. Caught in the pull of two opposing worldviews, he conceded that his theological opinions were hopelessly muddled. The same could be said of his views on physics and life.

The starting-point for the theory of descent with modification is not the equations of Kepler, Galileo, and Newton but the fecundity of living nature and the resulting struggle for existence in the face of finite resources. Though Darwin invoked the authority of natural law so as to eliminate the role of divine intervention in the creation of species, at the core of evolution is novelty, and by definition novelty is not pre-determined, either by God or physics. While pledging allegiance to Newton as final arbiter of everything under the sun, he set out on a course that would ultimately undermine physical determinism in biology.

Throw up a handful of feathers, he says in The Origin of Species, and all fall to the ground according to definite laws; but how simple is the problem where each shall fall compared to that of the action and reaction of the innumerable plants and animals which have determined, in the course of centuries, the proportional numbers and kinds of trees now growing on [Native American] ruins! The mathematical abstractions of physics had little to offer when it came to either ecology or the internal dynamics of organisms. Dissenting from T. H. Huxleys notion of animal automatism, Darwin stressed the importance of individual will in shaping behavior and maintained that a complex system of cells, tissues, and organs cant function properly without a coordinating power that brings the parts into harmony with each other. Such talk has no place in a purely mechanistic program.

While today evolution is generally thought to result from the purely mechanical interplay of natural selection and genetic mutation, Darwin explicitly rejected this view, assigning only a marginal role to the spontaneous variations (mutations) arising from the germ-plasm (genome). The variations subject to natural selection did not emerge from the germ-plasm buried deep within the organisms cells but from its day-to-day struggle to survive in the face of competition and limited resources. Darwinian evolution is a model of clarity, elegance, and common sense: the adaptations made by organisms are transmitted to their progeny, and these adaptations become more ingrained and more pronounced with each passing generation until a new species emerges from the old.

Ordinarily written off as Lamarckian, this view is incidental to Lamarcks theory, according to which evolution, from the beginning, was divinely guided toward the emergence of Homo sapiens. As for the capacity of plants and animals to inherit traits taken up by their ancestors during their life-struggles, Darwin concurred. I think there can be no doubt that use in our domestic animals has strengthened and enlarged certain parts, and disuse diminished them; and that such modifications are inherited. He cited examples of animals that clearly inherited traits from their ancestors, such as young shepherd dogs that know, without training, to avoid running at sheep. He explained that domesticated chickens have no fear of cats or dogs because their ancestors became accustomed to common pets and lost their fear of them. Ostriches cant fly because they inherited weak wing muscles and strong legs from their ancestors who learned to kick their enemies instead of taking flight. A similar effect in ducks may be safely attributed to the domestic duck flying much less, and walking more, than its wild parents.

Darwin was skeptical of the notion that examples such as these and there are literally countless more could all result from genetic mutation. Why attribute a given trait to a mysterious and random process taking place in the depths of the body when theres a perfectly obvious explanation involving the life-circumstances of ancestors? Everyone knows that hard work thickens the epidermis on the hands; and when we hear that with infants, long before birth, the epidermis is thicker on the palms and the soles of the feet than on any other part of the body we are naturally inclined to attribute this to the inherited effects of long-continued use or pressure.

The meaning of evolution is that species are not created so much as self-created in the act of living and adapting. Regarding the origin of sea mammals, Darwin writes, A strictly terrestrial animal, by occasionally hunting for food in shallow water, then in streams or lakes, might at last be converted into an animal so thoroughly aquatic as to brave the open ocean. Due to the variability of bone structure in youth, newly-acquired behaviors can gradually result in structural modifications, such as flat-fish that pushed their eye sockets a little further up their skulls with each passing generation. The tendency to distortion would no doubt be increased through the principle of inheritance.

The key is that offspring inherit adaptations at the same age or younger than the age at which their parents originally made the adaptation. The alternative that such changes result only from random genetic mutations fails to explain the changes but merely surrenders the issue to chance. Rather than account for the fact that camels, which often have to kneel on sandy terrain, begin developing padded tissue on their knees while still in the womb, we simply say that it happened by chance, and this explanation repeats for every species on Earth in regard to any trait that might otherwise be attributed to the living adaptations of organisms in their struggle to survive.

Finding this prospect intolerable, Darwin insisted on the centrality of the inheritance of adaptations, emphasizing that the young play a central role in this process. For if each part [of the body] is liable to individual variations at all ages, and the variations tend to be inherited at a corresponding or earlier age, propositions which cannot be disputed, then the instincts and structure of the young could be slowly modified as surely as those of the adult; and both cases must stand or fall together with the whole theory of natural selection. The primary source of variations to be selected or rejected is the will of the organism to survive and reproduce.

But what if Darwin was wrong? He certainly stumbled with his fanciful theory of pangenesis, whereby each cell sloughs off tiny gemmules that reflect changes occurring in the body and transmit those changes to the reproductive organs. Pangenesis was intended to provide a mechanism enabling adaptations to be passed along to the next generation. According to Neal Gillespie, Darwins theory assured him that a capricious deity could be excluded from the process of heredity as well as from speciation. Unfortunately, another capricious deity, DNA, eventually took its place.

August Weismann was absolutely correct when he concluded that organisms cannot affect the determinants (genes) in their reproductive cells. If genes are the sole vehicle of hereditary information, as Weismann assumed, then acquired characteristics cannot be inherited, and Darwinian evolution, with its typically English sentimentalism, must yield to a more precise, mechanistic form.

But Weismann was very clear that his theory was not based on evidence and could never be tested. Cutting off the tails of mice and finding that their offspring still had tails proved nothing, as Weismann himself readily admitted. Though he claimed his argument was ironclad, he offered nothing to support it beyond the fact that he simply couldnt imagine how hereditary information could be transferred by any means other than the passage of genes from parents to offspring. We accept it, not because we are able to demonstrate the process in detail but simply because we must, because it is the only possible explanation that we can conceive. As neo-Darwinist Richard Dawkins likes to point out, the inability of creationists to imagine how the species of life could have emerged without Gods help does not make creationism a scientific theory. What he fails to realize is that his argument applies with equal force to his own favored view.

Darwinian evolution can be expressed as a form of local creationism. Rather than products of a universal creator, species are shaped by their pragmatic adjustments to local environments. Thus, by emphasizing that evolution boils down to the purely mechanical interaction of genes and environment, neo-Darwinism reverses Darwin's innovation and restores the creation of species to universal causes. Whether theological or mathematical, mechanistic determinism is universal creationism.

As Darwin observed on the Pacific islands, its no accident that frogs, which cant survive seawater, are found only on the islands where they evolved, whereas birds, which can fly from one island to the next, are found everywhere. When confronted with this fact, a creationist might say, It pleased the Creator to place those frogs on some islands and not others. Of course, this fails to explain the situation but merely restates the facts. Similarly, the neo-Darwinian reliance on genetic mutation as the source of heritable variations merely restates the fact that a transformation has taken place and that it has become biologically ingrained within the species.

Neo-Darwinsim shares many features with creationism. First, it is faith-based and untestable. It simply must be true. Second, it is universalist: the source of species is not local conditions and creative adaptations but transcendent principles that merely manifest locally. Third, like the exhortation that God did it, neo-Darwinism makes use of a generic, all-purpose explanation instead of tailoring its account to particular situations faced by particular organisms. Fourth, it is anthropomorphic. In place of a human-like God, a human-like language or code inscribed in DNA is responsible for shaping organisms. Fifth, it is mechanistic: we are machines assembled according to a blueprint or design. Whether this design is a soul crafted by God or a genome forged beneath the blind forces of mutation and natural selection, the body is a mechanism constructed from specifications of one sort or another. Finally, as with creationism, the power of speciation is appropriated from the species themselves and refashioned as an external, mechanical process.

The shift from Darwinism to neo-Darwinism is pure atavism, a reversion to the transcendent determinism previously found only in creationist dogma. The law-giver may have been airbrushed out, but the law remains. Trouble is, with its cosmic Mechanic, creationism is clearly the strong form of mechanism, while neo-Darwinism though obviously much closer to the truth must remain the weak form. In the struggle between intelligent design and blind design, is it any wonder that creationism has proved so resilient?

Since the 1972 publication of Jacques Monods Chance and Necessity, the mechanistic theory of life has been known as reductionism. But what, precisely, is life being reduced to? Though often mistaken for the monistic doctrine of materialism, reductionism is a dualistic theory that reduces life not to matter but to physics. We have, on the one hand, the passive material constituents of the organism; on the other, the laws of physics that provide order and necessity to the otherwise chance motions of atoms and molecules.

According to Stephen Rothman, a professor at UC San Francisco and an experimental biologist for 40 years, reductionistic bias has severely impaired the ability of researchers to accurately assess the operations of cells and bodies. Rothman offers the vesicle theory of protein transport as an example of the reductionistic approach at work. The vesicle theory is stupendously unwieldy and implausible, requiring 15 to 30 mechanisms to move proteins a few microns. None of the experiments cited in support of the theory can prove that these mechanisms actually exist but only what they would look like if they did. Proponents have never put their theory to the test, never saying, If the theory is true, then such and such should happen. Yet they remain implacably confident in themselves. Why? Because their supposition is the only way to account for the movement of protein on the view that cellular activities are completely lost without the guidance of physical and chemical principles.

Since preparation of cell samples for viewing in electron microscopes inevitably distorts the final image, some proteins appear where theyre supposed to be, while others are phantoms. The resulting confusion allowsreductionist researchers to interpret all experimental results in their favor. Thus, if a protein appears where the vesicle theory predicts, its assumed to be in the correct place, and if not, its simply written off as a contaminant. As to predicted proteins that dont show up at all, these are assumed to have been lost in the sample preparation process.

Much like the automobile a soothingly familiar mechanism in our daily lives a vesicle is supposed to open up to allow proteins to enter it, then shut tight during transport and re-open upon reaching its destination. In the 60s, when Rothman demonstrated that proteins can freely enter and exit a vesicle even when its shut, most of his colleagues assumed his finding was flawed due to errors in sample preparation. In the 80s, when the brand new x-ray microscope proved him right, Rothman figured the vesicle proponents would admit their mistake. Hes still waiting. It seems that no amount of evidence, no matter how compelling, can falsify the vesicle theory.

A self-proclaimed biological skeptic, Rothman is not the first to call into question the final authority of physics over biology. Ernst Mayr noted that the property of individuality, which is utterly foreign to atomic physics and chemistry, places biology beyond the grasp of physical analysis. Though the late Mayr helped bring neo-Darwinian theory to fruition in the 30s and 40s with the modern synthesis of natural selection and Mendelian genetics, he was dismissive of efforts at physical reductionism. Attempts to reduce biological systems to the level of simple physico-chemical processes have failed because during the reduction the systems lost their specifically biological properties.

According to Niels Bohr the first of the quantum generation to investigate the potential for a physics of life a rigorous analysis of a cell would require knowing the initial values and positions of its constituent particles. Since measuring these particles disturbs them by breaking or dislocating bonds between them, its impossible to measure precisely the parts of a cell without altering it. Bohr compared this conundrum to his prior discovery that the momentum of an electron cannot be established once its position has been determined, and vice versa. Bohr called this complementarity, a principle he generalized to encompass all sufficiently complex systems, including cells and organisms. The more precisely we describe the parts, the cloudier the system as a whole becomes. Just as the quantum realm requires its own set of principles apart from classical physics, life, he concluded, is a primary phenomenon not subject to prior forms of analysis.

In 1944, the same year DNA was identified as the carrier of genes, Erwin Schrodinger published a short book called What Is Life? Taking a somewhat rosier view than his Danish colleague, Schrodinger proclaimed that the inability of current physics to account for life is no reason to doubt the eventual success of the project. The only catch is that a successful resolution will depend on other laws of physics hitherto unknown. We have no idea what these laws might be or how to find them. All we know for sure, said Schrodinger, is that the ordering of living matter is entirely different from the physical processes described by statistical mechanics. Despite imploring the reader not to accuse him of calling genes cogs of the organic machine, Schrodinger is commonly cited to this day as a physicist who lent support to reductionistic biology.

To date, the most sustained, in-depth examination of biology by a physicist was carried out by Walter Elsasser, another pioneer in quantum mechanics who later turned to geophysics and proposed against great opposition what eventually became the definitive theory of the earths electromagnetic field. Intrigued by the challenge of explaining organisms from a physical standpoint, Elsasser approached the issue in terms of precise point to point predictability of every step in a reaction chain that is both necessary and sufficient for a particular biological outcome. Yet this method, he discovered, has no applicability to organisms.

Quantum mechanics, the foundation of modern physics and the most thoroughly tested and successful theory of all time, is a statistical science, explaining the behavior of particles en masse rather than one quark at a time. What makes quantum mechanics a viable undertaking is that every particle of a given class is identical to every other particle of that class. As long as every proton is identical to every other proton, and every electron is identical to every other electron, etc., the averages obtained for a given class apply equally to every member within it.

By contrast, life is characterized by individuality, or radical heterogeneity, in Elsassers phrase. Macromolecules, organelles, cells, tissues, organs and organisms are never identical to other members of their class (not even in the case of identical twins). We are individualized right down to the chemistry of our blood and saliva. As a result, when it comes to living matter, averages dont apply equally to all members of a given class. Individuality short-circuits the statistical methods of quantum physics, rendering inoperative the differential equations that determine ordinary physical processes. Physics is simply not equipped to bridge the gap between the homogeneous safety of atoms and the heterogeneous stew of organisms.

As we learn from Ludwig von Boltzmann and the science of thermodynamics, physics can predict the motions of a cloud of gas taken as a whole but not the particles comprising it. So too, the interior of a cell consists primarily of free particles not subject to deterministic equations. The orderly processes that take place within cells are set against a backdrop of atomic and molecular randomness. With a trillion atoms per cell, many of them multi-bonding carbon, the number of possible molecular states compatible with the shapes and functions of a cell is far too great to yield to the yoke of mathematical physics. Though the patterned regularities of cells can be described in great detail, the ultimate origins of these processes are buried in unfathomable complexity. Elsasser declared biology a non-reductionistic science, fundamentally and qualitatively different from physical science.

Even if life really is reducible to physical principles, biological reductionism can be neither verified nor falsified and is thus not a theory in the scientific sense. Perhaps life emerged when God exhaled onto a lump of clay, but this too can never be proven or disproven.

Rather than accept that physicalist biology has no scientific meaning, reductionists settled on a jerry-rigged substitute theory based around genes. That life is a product of physics is taken on faith while the multi-level ordering of the organism is attributed to DNA, which is charged with the dual task of storing morphological information and coordinating (via RNA and protein) development from egg to adult. In place of true physical reductionism, we have a stop-gap genetic reductionism. Yet even the watered down physics of life is untenable.

By utilizing the mathematics of combinatorics, UC Berkeley biologist Harry Rubin has demonstrated that the precise combination of genes required for the mold Aspergillus to produce penicillin is transcalculational, or beyond the computational capacity of any conceivable computer in a finite amount of time. With 1000 genes influencing penicillin production and each gene having, at the very least, alternate wild and mutant states the minimum number of possible gene combinations is 2 to the 1000th power, or 10 to the 300th power. The magnitude of this number can be appreciated when we consider there are only 10 to the 80th particles in the universe. Yet the production of penicillin is a model of simplicity compared to the generation of the eye in the fruit fly Drosophila, which involves 10,000 genes. With two copies of each gene and multiple types of mutation for each, the number of possible combinations grows beyond our imaginative capacity. If organic structures really are built mechanically from genetic instructions, then genes must possess a magical power of computation.

The Boltzmann theorem, which limits deterministic equations to statistical aggregates of molecular events, poses an insurmountable problem for genetic reductionism. Whether in a gas cloud or a living cell, a free molecules behavior is always unique and nonrecurrent. Between the genes in the nucleus and the tissues and organs they allegedly determine lies an ocean of chaos called the cytoplasm. Deterministic processes, such as enzyme-driven reactions, are like rafts tossed about on giant waves in the vast cytoplasmic outback, every causal chain bound by a terminal point beyond which nothing can be predicted. Even if genes could miraculously express their inner blueprint, this information would quickly be swamped by the molecular pandemonium. In contrast to computers, which are designed so as to maintain an acceptable signal to noise ratio, organisms have no means of insulating against noise, particularly inside cells.

Oddly enough, instead of compounding the underlying error of physical reductionism, the error of genetic reductionism seems to cancel it out. Under the spell of DNA and its four nucleotide letters, we cant see that the ground has dropped out from beneath our feet, leaving neither reduction of organism to genome nor reduction of cell to physics. The endless stream of wordlets formed from the combinations of a, c, g, and t c is a kind of incantation that keeps the mind frozen in reverential awe at the keepers of the keys and their magic code. The Human Genome Project, intended to explain the mystery of life, merely completed the catechism.

This is not to deny the numerous effects that genes have on organisms. But the fact that genes distinguish one individual from another means only that they influence development not that they necessarily program and determine it every step of the way. That the gene-protein complex is necessary for the formation of organs and tissues doesnt mean its sufficient. As embryologist Paul Weiss observed, its a long way from determining eye color to actually building a pair of eyes. If genes determine multicellular structures, then why, asked Weiss, does embryogenesis begin indeterminately, differing from case to case, as if each embryo must improvise as it goes along? And why does organic form emerge top-down? Only when the body as a whole begins taking shape do the outlines of its organs emerge, and only then do cells begin conforming to characteristic types exactly the opposite of what we would expect from a process driven from within the dark recesses of our cells. As to DNA replication and other mechanical operations within organisms, Weiss contended that rather than controlling the living system, organic mechanisms are tools utilized by the system in its quest to maintain large-scale order in the face of small-scale disorder.

This is what Darwin was getting at with his coordinating power. The organism operates holistically, much like a magnetic field. It also adapts holistically. As Rothman points out, adaptive qualities belong to organisms, not genes. Its the organism as a whole that struggles to survive in the jungle or savanna, not genes tucked away in their cozy nuclear compartments. The question is not whether creatures pass on their living adaptations but how.

Toward the end of The Origin of Species, Darwin takes Leibniz to task for alleging that Newton introduced occult qualities and miracles into philosophy with his theory of gravity. As with Faradays undulatory theory of light, which Darwin cites as a fine example of scientific detective-work, Newtons theory of gravity suggests that matter possesses unexpected properties that do not conform to our standard notion of matter, i.e., contact mechanics. Weve known since Einstein that electromagnetism and gravity both allow matter to act at a distance without material mediation. Elsasser suggests that an unforeseen property of matter enables organisms to receive hereditary information from their ancestors at a distance over time. He calls this holistic memory, as opposed to the artificial, information-storage memory in computers.

The physics to which biology reduces itself is not the modern discipline of Einstein and quantum mechanics but the discredited variety that saw contact mechanics as the fundamental reality. Biologists today resemble theorists of the 19th century who still believed in a luminiferous ther that mediated the propagation of electromagnetic waves through space. As physicist James Croll averred in 1867, No principle will ever be generally received that stands in opposition to the old adage, A thing cannot act where it is not, any more than it would were it to stand in opposition to that other adage, A thing can not act before it is or when it is not. Having recognized that matter does indeed act where it is not, Elsasser began to wonder if it could also act when it is not.

Apart from allowing the transmission of acquired characteristics, holistic memory disposes of the need for a blueprint. Instead of following a pre-planned design, the embryo merely mimicks the developmental steps of its predecessors. If all they must do is combine as they always have in a given situation, genes have no need for magical powers of computation. But this does not mean the behavior of organisms is reducible to a new kind of physical determinism based on holistic memory in place of contact mechanics. Between the randomness of molecular events and the necessity of physical law lies a probabilistic gray area in which an organism may choose to follow its memory or if environmental conditions have changed sufficiently to select a new course of action. By contrast, if every creature is deterministically bound to its species memory, all the genetic mutations in the world cannot give rise to evolution. Elsassers organismic selection is the logical counterpart to Darwins natural selection.

Which option should cause us greater skepticism that a human being is a robot constructed through blind forces of nature and operated by remote-control from the nuclei of its cells or that once again matter turns out to be more versatile than wed previously imagined? Which is more plausible that the memory of how to grow from an egg to an inconceivably complex living system is somehow encoded in our genes or that nature has its own form of memory?

Darwins theory of evolution is true to life precisely because it shifts the focus from the timeless abstractions of physics to the irreducible powers of creativity and destruction that play out day by day in the natural world. As he wrote in the famous final passage of Origin, There is grandeur in this view of life, with its several powers such as growth, reproduction, variability, the will to live, and natural selection. Though he (tentatively) believed in a Creator who set it all in motion according to fixed, universal laws, in order to comprehend the ever-changing face of life, Darwin turned to Mother Nature. Instead of attaching biology to physics and thereby subsuming it to the Fathers mathematical idealism, he brought biology to life by animating it with a materialistic theory all its own.

As he observed in a letter to his friend, geologist Charles Lyell, it is absolutely necessary to go the whole vast length, or stick to the creation of each separate species. Its about time the Darwinian revolution was completed. Contrary to Weismann, not only can we conceive of alternatives to reductionism, but we have no choice, as the ghost of mechanism past will continue to haunt us until we reject mechanistic biology in all its forms.

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The Mother of Invention (March 9, 2005) - Anderson Valley

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(POSTPONED) Hartman, Sedbrook, Oresky, Schimmel to be honored with research and creativity awards – News – Illinois State University News

March 17th, 2020 9:41 am

POSTPONED: The University Research Awards have been postponed in response to the coronavirus (COVID-19) pandemic.

Andrew Hartman of the Department of History and John Sedbrook of the School of Biological Sciences have been named Outstanding University Researchers. Melissa Oresky of the Wonsook Kim School of Art and Carl Schimmel of the School of Music will receive awards for Outstanding University Creative Activity. They will be honored at the University Research Awards at 6 p.m. Thursday, April 2, in the Hancock Stadium Club. Doors open at 5 p.m.

Ladan Bahmani of the Wonsook Kim School of Art will receive the Creative Activity Initiative Award. Research Initiative Awards will be presented to Matthew Aldeman of the Department of Technology; Tenley J. Banik of the Department of Geography, Geology, and the Environment; Jennifer Barnes of the Department of Family and Consumer Sciences; Ashley K. Farmer of the Department of Criminal Justice Sciences; Daniel G. Lannin of the Department of Psychology; Alice Y. Lee of the School of Teaching & Learning; Taeok Park of the Department of Communication Sciences and Disorders; Scott Pierce of the Department of Kinesiology and Recreation; and Lindsey J. Thomas of the School of Communication.

Also recognized at the event will be the winners of the James L. Fisher Outstanding Thesis Award, the Sorensen Dissertation Award, the Three-Minute Thesis winner, and the winners of the Image of Research competition.

Andrew HartmanDr. Andrew Hartman is a professor in the Department of History, where he teaches courses in U.S. history, the philosophy of history, and teaching methods. Hartman received his Ph.D. in history from George Washington University in 2006. He was the Fulbright Distinguished Chair in American Studies at the University of Southern Denmark in 2013-14, and he was the Fulbright British Library Eccles Center Research Scholar in 2018-19. He is an Organization of American Historians (OAH) Distinguished Lecturer for the 2015-2021 period. Hartman was also the founding president of the Society for U.S. Intellectual History (S-USIH), and he wrote for the Societys award-winning blog from 2007 until 2018. He has been published in a host of academic and popular venues, including the Washington Post, Baffler, The Chronicle of Higher Education, the Journal of American Studies, Reviews in American History, Salon, and Jacobin. He co-hosts a podcast dedicated to history titled, Trotsky and the Wild Orchids.

John SedbrookDr. John Sedbrook is a professor of genetics in the School of Biological Sciences at Illinois State University, having earned his Ph.D. in genetics at the University of Wisconsin-Madison and performed postdoctoral research at the Carnegie Institution at Stanford University. Sedbrooks research uses cutting-edge molecular methods including CRISPR gene editing to improve plants for their use in generating biofuels, food, feed, and industrial products. Sedbrook has secured millions of dollars in federal and private funding and published in prestigious scientific journals including Science and Nature. Sedbrook was a founding member of the Department of Energys Great Lakes Bioenergy Research Center (GLBRC), which receives $25 million annually to perform basic and translational research aimed at breaking barriers to generating liquid biofuels economically and sustainably. Sedbrook and students in his laboratory have been leaders in domesticating pennycress as an oilseed-producing cash cover crop to be grown throughout the 80 million-acre U.S. Midwest Corn Belt and beyond.

Melissa OreskyMelissa Oreskys art practice is rooted in painting and collage, and her primary production is mixed media works on canvas and paper. Oresky is interested in landscape, and considers it as a concept that bridges painting, lived experience, environmental consciousness, and imagination. Oresky has shown her work in painting, collage, and video nationally and internationally, with recent shows at Tripod Space Project, Busan, South Korea; Hyde Park Art Center, Chicago; Elmhurst Art Museum, Elmhurst, Illinois; Minnesota State University, Mankato; and K. Imperial Fine Art, San Francisco. She also co-organized and participated in the project Collage Office, an experimental, charitable platform for artists to make work for visitors by appointment at The Franklin, Chicago. Oresky holds a bachelors degree from the School of the Art Institute of Chicago, and an MFA from the University of Illinois at Chicago. She has attended residencies including Skowhegan School of Painting and Sculpture, Maine, and The Santa Fe Art Institute, New Mexico. Originally from Maryland, she lives and works in Normal, Illinois, where she is a Professor of Painting and Drawing at Illinois State University.

Carl SchimmelDr. Carl Schimmel was the winner of a 2018 Guggenheim Fellowship, Columbia Universitys Joseph Bearns Prize, the Lee Ettelson Award, a 2018 Commission from Harvard Universitys Fromm Foundation, and the 2017 Goddard Lieberson Fellowship from the American Academy of Arts and Letters, Schimmel has received honors and awards from many organizations, including the MacDowell Colony, Yaddo, Copland House, New Music USA, and ASCAP. Schimmel is an associate professor of music theory and composition and co-director of the RED NOTE New Music Festival at ISU. His works have been performed in Carnegie Halls Weill Hall, Merkin Hall in New York, Severance Hall in Cleveland, the National Arts Centre in Ottawa, St. Martin-in-the-Fields in London, Orchestra Hall in Minneapolis, and at other venues throughout North America, Europe, Australia, and Asia. He has received performances and commissions from the American Composers Orchestra, the Minnesota Orchestra, the Buffalo Philharmonic Orchestra, California EAR Unit, the Left Coast Chamber Ensemble, Alarm Will Sound, the Louisiana Philharmonic, the New England Philharmonic, the Mexico City Woodwind Quintet, and many others. Recordings of his music are available on the Albany Records, New Focus Recordings, Arizona University Recordings, Navona Records, Blue Griffin, and Crescent Phase labels. He earned a doctorate at Duke University with a masters degree from the Yale School of Music.

For additional information, contact the Office of Research and Sponsored Programs at ResearchOffice@IllinoisState.edu or (309) 438-2528.

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(POSTPONED) Hartman, Sedbrook, Oresky, Schimmel to be honored with research and creativity awards - News - Illinois State University News

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New evidence teeth can fill their own cavities – Big Think

March 16th, 2020 1:49 pm

Pretty much anyone can do a disturbingly accurate imitation of the sound of a dentists's drill at varying speeds as it prepares a tooth cavity for filling. It's not an experience most people savor, and we won't even get into what kind of person chooses to spend eight hours a day except Wednesdays inside other people's mouths.

A few years ago, researchers suggested that low doses of a small molecule glycogen synthase kinase (GSK-3) antagonist in the form of anti-Alzheimer's drug Tideglusib applied to a decayed area could stimulate the coronal pulp in a tooth to repair itself. Now scientists at King's College in London have expanded upon that earlier research and found further evidence that Tideglusib may indeed provide a pathway toward self-healing teeth. The new research is published as a paper in the Journal of Dental Research.

Drilling may still be necessary, unfortunately, to clean decay from the affected area before treatment.

Image source: BruceBlaus Wikimedia

The are three elements to the structure of a tooth:

When you get a cavity, the outer enamel has a hole in it. With that outer protection breached, infecting bacteria nestle in, causing decay that burrows ever-deeper into the tooth, causing damage to its inner layers. To repair it using traditional methods, a dentist cleans bacteria from out the inside of cavity before filling it with a cement composite that replaces the lost natural dentin.

Image source: Quang Tri Nguyen/Unsplash

"In the last few years we showed that we can stimulate natural tooth repair by activating resident tooth stem cells. This approach is simple and cost effective. The latest results show further evidence of clinical viability and brings us another step closer to natural tooth repair." paper lead author Paul Sharpe

Share and his colleagues were interested in understanding how large a damaged area could be repaired with Tideglusib, and where, and they hoped to analyze the composition of repaired dentin in comparison to naturally occurring dentin and/or bone.

The researchers confirmed that Tideglusib can cause the generation of sufficient replacement dentin to be of use. The paper asserts that the drug can "fully repair an area of dentin damage up to 10 times larger." More than enough to be of value.

Second, Sharpe and his team learned that Tideglusib works only on a particular kind of tooth material: the coronal pulp, that region of pulp extending to the crown of the tooth. They also learned that the drug must be applied only to the affected area to be effective, finding that untreated areas of pulp, notably the root pulp, are not adversely affected by treatment, a good thing.

Finally, analyzing repaired dentin using Raman microspectroscopy, the researchers determined that the generated dentin is chemically quite similar to natural dentin, being comprised of a similar ratios of carbonate and phosphate and mineral-to-matrix as natural dentin.

One limiting factor in the use of Tideglusib, therefore, is that the coronal pulp must be exposed in a cavity in oder to be treated. Nonetheless, the research stands as confirmation not only of this specific drug's talent to for triggering dentin regeneration, but of something even bigger and more intriguing: That teeth have the ability to repair themselves.

There's a great deal of investigation these days into the possibilities of humans regenerating body parts much as other animals such as salamanders and axolotls do. How far all of this research will get remains an open question for now, but undoubtedly remains one of the most exciting areas of current medical research.

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New evidence teeth can fill their own cavities - Big Think

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Marine medicine: Understanding and treating infection types – National Fisherman

March 16th, 2020 1:48 pm

Many fishermen come to believe that they have a natural immunity to infections, but the reality is quite the contrary. Infections have shut down fishing operations across the world, which is why its essential to both understand infection types that cause symptoms as well as what sort of preventative measures can be taken to avoid them entirely. preventions in todays world.

As a baseline for this topic, the definition of an infection is the invasion of an organisms body tissue (man or beast) by disease-causing agents. An agent can be bacteria, viruses, fungus and parasites. Infections can be transmitted in a variety of ways.

Exactly how an infection can spread as well as its effect on the human body depends on the type of infective agent. Some infectious diseases can be passed from one person to another easily while others are harder to transmit. The flu, a cold, measles or a sore throat may be transmitted by a kiss or a simple touch or cough from one person to another. Infectious diseases such as AIDS, herpes and hepatitis are only passed by a closer contact called bloodborne transmission as blood to blood or sexual intercourse.

Some examples of how infections are transmissible, communicable of contagious are:

There are many different root causes of these infections, all of which need to be fully understood in order to determine the best approach for prevention and treatment.

Bacteria Infection

Most of the Earths biomass is made of bacteria, which are single-celled micro-organisms. Bacteria can live in almost any kind of environment which ranges from extreme heat to intense cold. Some can even survive in radioactive waste. Bacteria are also highly adaptable. That can cause problems for people because it often results in resistance to antibiotics.

There are trillions of strains of bacteria and a few of these may cause diseases in humans. Some bacteria are beneficial to human digestion and airways. However, there are also plenty of good bacteria like the digestive bacteria contained in our stomachs.

Some examples of bacteria diseases are:

Bacterial infections can be treated with antibiotics but some strains become resistant and can survive treatment. Antibiotics resistant bacterial infections and or diseases have been an ever-increasing which has become a major a concern to infectious diseases specialists and the CDC (Center for Disease Control).

Viral infections

Viral infections are as numerous and as deadly as bacterial diseases. Viral infections can range from the common cold to Ebola. Unlike bacteria, viruses are made up of only a genetic code that is encapsulated in a shell made up of protein and fat.

Viruses invade a host and attach to the hosts cell. By this process of attachment and release of genetics (commanding seed matter), the virus rapidly replicates and kills the host cells only to go on to infect new cells and repeats the cycle. Since the virus is only genetic material, it may remain dormant and reactivate when conditions demand so.

Some examples of viral infections are:

Antiviral medications can help in some cases as they can either prevent the virus from reproducing or boost the bodys immune system response. Antibiotics are not effective against viruses but most treatments are directed to relieve symptoms while the immune system combats the virus without assistance from drugs and treatments.

Fungal infections

A fungus is a many-celled parasite that can reproduce by spreading spores. Many fungal infections will appear on the topical skin as a persistent rash. Inhaled fungal spores can cause thrush and candidiasis.

Examples of fungal infections are:

Since commercial fishermen work in such harsh environments, the demands of the bodys protective immune system are much greater. A healthy active lifestyle can help keep the immune system strong and able to defend the body against different kinds of infections. Fishermen can stop the spread of communicable diseases with some simple common sense procedures that can be followed on their vessels and onshore.

There is no single way to prevent all infectious diseases. However, the following tips can reduce the risk of transmission:

Given how much they are handling gear and fish, the majority of commercial fishermens on-the-job infections are infections of the fingers and hands. Thats why its especially important to understand what it means to understand these types of infections.

Treating and preventing infections of the fingers and hands

Fish and fish products are often contaminated with infectious bacteria, which explains why fishermen are so prone to infections via the involuntary penetration into soft tissue by fish spines and bones. Bacteria can be easily carried into these open wounds by fish slime, fish intestinal parts and contaminated vessel components. Additionally, the handling of ropes, cables and moving metal parts in the unpredictable environment of the sea adds to the likelihood of bloody injuries that are centered on the hands.

Prevention is always better than treatment. All finger and hand infections are very painful and disabling. Some infections can cause permanent disability, possibly ending a fishermans career. Infections in the hands should always be treated aggressively within the following guidelines:

Knives and fishhooks

Injuries caused by a fishermans working tools such as knives and fishhooks should be treated aggressively and immediately. These instruments can directly inject harmful bacteria deep in the soft tissue.

In order to remove a fishhook with the minimum tissue damage, follow this simple procedure:

The ability to give and receive proper medical attention while at sea is extremely limited. Thats why your medical skills and the supplies you have on hand can make all the difference. Preventing injuries is always the most cost-effective action plan, but that underscores why its essential to get proper training, be prepared, but most importantly, always think safety first.

For additional information concerning the best medical kit for your vessel visit marinemedical.com or email your request to info@marinemedical.com.You can also reach us by calling 800-272-3008.

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Legal Aid Society hires director of development and communication – The Times Telegram

March 16th, 2020 1:48 pm

For the first time in its 68-year history, the Legal Aid Society of Mid New York Inc. has a director of development and communication. Alex Simon started as the new head of fundraising and comes to Legal Aid after a nearly 10-year career in which he has served in fundraising and communication roles at colleges and universities across upstate New York.

Simon has been a part of fundraising teams at Cazenovia College, Union College, SUNY Polytechnic and the Masonic Medical Research Institute that achieved record-breaking support. In these roles, Simon has worked with business and community partners to fund research programs, pushed for unrestricted capital and established endowments for deserving students.

Simon works out of the Utica office at 120 Bleecker St.

IN OTHER BUSINESS NEWS:

NBT Bank has been recognized with six awards in the 2019 Greenwich Excellence Awards in Small Business Banking and Middle Market Banking. In the U.S. Middle Market Banking category, more than 600 banks were evaluated for excellence with 33 recognized with distinctive quality. NBT earned the following three designations: Cash Management Overall Satisfaction (Northeast), Likelihood to Recommend (Northeast) and Overall Satisfaction (Northeast). In the U.S. Small Business Banking category, more than 600 banks were evaluated for excellence with 36 recognized for distinctive quality. NBT earned the following three designations: Overall Satisfaction, Likelihood to Recommend (Northeast) and Overall Satisfaction (Northeast). The awards are based on interviews with more than 13,000 middle-market businesses with sales of $10 to 500 million and more than 14,000 small businesses with sales of $1 to 10 million across the country.

Michael Tucciarone, a chiropractor, along with his wife, Mary, have announced their retirement. Tucciarone has had offices in Utica, Herkimer, Hamilton and most recently in Clinton. Kelsey Roberts is taking over the day-to-day operations of the practice. Roberts is a graduate of Le Moyne College and New York Chiropractic College. She has a doctorate in chiropractic and a masters in clinical nutrition. Roberts will administer and treat patients in the Clinton area. For information or concerns about future treatment, contact the office at 315-853-6225.

The Genesis Group along with The Medical Societies and its partners will host the 15th annual Healthcare Recognition at 5:30 p.m. Tuesday, May 19, at Hart's Hill Inn, 135 Clinton St., Whitesboro. The recognition honors area health care professionals who have demonstrated excellence in the workplace and in the community. Nominations are being accepted. Deadline for submission is Friday, April 3. For information and nomination form, email info@TheGenesisGroup.org.

Taylor Arcuri Unser is practicing cardiovascular and preventative medicine with Fred Talarico, MD, and Pat Rosati, ANP, at 2115 Genesee St., Utica, and is accepting new patients. Unser recently earned a masters degree as a nurse practitioner from SUNY Polytechnic. Prior to her recent graduation, she was employed at Mohawk Valley Health System as a registered nurse at the St. Elizabeth Medical Center caring for internal medicine and acute cardiac patients.

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Italy and South Korea virus outbreaks reveal disparity in deaths and tactics – The Union Leader

March 16th, 2020 1:48 pm

MILAN/SEOUL In Italy, millions are locked down and more than 1,000 people have died from the coronavirus. In South Korea, hit by the disease at about the same time, only a few thousand are quarantined and 67 people have died. As the virus courses through the world, the story of two outbreaks illustrates a coming problem for countries now grappling with an explosion in cases.

Its impractical to test every potential patient, but unless the authorities can find a way to see how widespread infection is, their best answer is lockdown.

Italy started out testing widely, then narrowed the focus so that now, the authorities dont have to process hundreds of thousands of tests. But theres a trade-off: They cant see whats coming and are trying to curb the movements of the countrys entire population of 60 million people to contain the disease. Even Pope Francis, who has a cold and delivered his Sunday blessing over the internet from inside the Vatican, said he felt caged in the library.

Thousands of miles away in South Korea, authorities have a different response to a similar-sized outbreak. They are testing hundreds of thousands of people for infections and tracking potential carriers like detectives, using cell phone and satellite technology.

Both countries saw their first cases of the disease called COVID-19 in late January. South Korea has since reported 67 deaths out of nearly 8,000 confirmed cases, after testing more than 222,000 people. In contrast, Italy has had 1,016 deaths and identified more than 15,000 cases after carrying out more than 73,000 tests on an unspecified number of people.

Epidemiologists say it is not possible to compare the numbers directly. But some say the dramatically different outcomes point to an important insight: Aggressive and sustained testing is a powerful tool for fighting the virus.

Jeremy Konyndyk, a senior policy fellow at the Center for Global Development in Washington, said extensive testing can give countries a better picture of the extent of an outbreak. When testing in a country is limited, he said, the authorities have to take bolder actions to limit movement of people.

Im uncomfortable with enforced lockdown-type movement restrictions, he said. China did that, but China is able to do that. China has a population that will comply with that.

The democracies of Italy and South Korea are useful case studies for countries such as America, which have had problems setting up testing systems and are weeks behind on the infection curve. So far, in Japan and the United States particularly, the full scale of the problem is not yet visible.

Germany has not experienced significant testing constraints, but Chancellor Angela Merkel warned her people on Wednesday that since 60% to 70% of the populace is likely to be infected, the only option is containment.

South Korea, which has a slightly smaller population than Italy at about 50 million people, has around 29,000 people in self-quarantine. It has imposed lockdowns on some facilities and at least one apartment complex hit hardest by outbreaks. But so far no entire regions have been cut off.

Seoul says it is building on lessons learned from an outbreak of Middle East Respiratory Syndrome in 2015 and working to make as much information available as possible to the public. It has embarked on a massive testing program, including people who have very mild illness, or perhaps dont even have symptoms, but who may be able to infect others.

This includes enforcing a law that grants the government wide authority to access data: CCTV footage, GPS tracking data from phones and cars, credit card transactions, immigration entry information, and other personal details of people confirmed to have an infectious disease. The authorities can then make some of this public, so anyone who may have been exposed can get themselves or their friends and family members tested.

In addition to helping work out who to test, South Koreas data-driven system helps hospitals manage their pipeline of cases. People found positive are placed in self-quarantine and monitored remotely through a smartphone app, or checked regularly in telephone calls, until a hospital bed becomes available. When a bed is available, an ambulance picks the person up and takes the patient to a hospital with air-sealed isolation rooms. All of this, including hospitalization, is free of charge.

South Koreas response is not perfect. While more than 209,000 people have tested negative there, results are still pending on about 18,000 others an information gap that means there are likely more cases in the pipeline.

The rate of newly confirmed cases has dropped since a peak in mid-February, but the systems greatest test may still be ahead as authorities try to track and contain new clusters. South Korea does not have enough protective masks it has started rationing them and it is trying to hire more trained staff to process tests and map cases.

And the approach comes at the cost of some privacy. South Koreas system is an intrusive mandatory measure that depends on people surrendering what, for many in Europe and America, would be a fundamental right of privacy. Unlike China and the island-state of Singapore, which have used similar methods, South Korea is a large democracy with a population that is quick to protest policies it does not like.

Disclosing information about patients always comes with privacy infringement issues, said Choi Jaewook, a preventive medicine professor at Korea University and a senior official at the Korean Medical Association. Disclosures should be strictly limited to patients movements, and it shouldnt be about their age, their sex, or their employers.

Traditional responses such as locking down affected areas and isolating patients can be only modestly effective, and may cause problems in open societies, says South Koreas Deputy Minister for Health and Welfare Kim Gang-lip. In South Koreas experience, he told reporters on Monday, lockdowns mean people participate less in tracing contacts they may have had. Such an approach, he said, is close-minded, coercive, and inflexible.

Italy at the limit

Italy and South Korea are more than 5,000 miles apart, but there are several similarities when it comes to coronavirus. Both countries main outbreaks were initially clustered in smaller cities or towns, rather than in a major metropolis, which meant the disease quickly threatened local health services. And both involved doctors who decided to ignore testing guidelines.

Italys epidemic kicked off last month. A local man with flu symptoms was diagnosed after he had told medical staff he had not been to China and discharged himself, said Massimo Lombardo, head of local hospital services in Lodi.

The diagnosis was only made after the 38-year-old, whose name has only been given as Mattia, returned to the hospital. Testing guidelines at the time said it was not necessary to test people who had no link to China or other affected areas. But an anesthetist pushed the protocols and decided to go ahead and test for COVID-19 anyway, Lombardo said. Now, some experts in Italy believe Mattia may have been infected through Germany, rather than China.

Decisions about testing hinge partly on what can be done with people who test positive, at a time when the healthcare system is already under stress. In Italy at first, regional authorities tested widely and counted all positive results in the published total, even if people did not have symptoms.

Then, a few days after the patient known as Mattia was found to have COVID-19, Italy changed tack, only testing and announcing cases of people with symptoms. The authorities said this was the most effective use of resources: The risk of contagion seemed lower from patients with no symptoms, and limited tests help produce reliable results more quickly. The approach carried risks: People with no symptoms still can be infected and spread the virus.

On the other hand, the more you test the more you find, so testing in large numbers can put hospital systems under strain, said Massimo Antonelli, director of intensive care at the Fondazione Policlinico Universitario Agostino Gemelli IRCCS in Rome. Testing involves elaborate medical processes and follow-up. The problem is actively searching for cases, he said. It means simply the numbers are big.

Italy has a generally efficient health system, according to international studies. Its universal healthcare receives funding below the European Union average but is comparable with South Koreas, at 8.9% of GDP against 7.3% in South Korea, according to the World Health Organization.

Now, that system has been knocked off balance. Staff are being brought into accident and emergency departments, holidays have been canceled and doctors say they are delaying non-urgent operations to free up intensive care beds.

Pier Luigi Viale, head of the infectious disease unit at Sant Orsola-Malpighi hospital in Bologna, is working around the clock in three jobs. His hospital is handling multiple coronavirus cases. His doctors are shuttling to other hospitals and clinics in the area to lend their expertise and help out with cases. In addition, his doctors also have to deal with patients with other contagious diseases who are struggling to survive.

If it drags on for weeks or months well need more reinforcements, he told Reuters.

Last week, the mayor of Castiglione dAdda, a town of about 5,000 people in Lombardys red zone which was the first to be locked down, made an urgent online appeal for help. He said his small town had had to close its hospital and was left with one doctor to treat more than 100 coronavirus patients. Three of the towns four doctors were sick or in self quarantine.

Doctors and nurses are at the limit, said a nurse from the hospital where Mattia was taken in. If you have to manage people under artificial respiration you have to be watching them constantly, you cant look after the new cases that come in.

Studies so far suggest that every positive case of coronavirus can infect two other people, so local authorities in Lombardy have warned that the regions hospitals face a serious crisis if the spread continues not just for COVID-19 patients but also for others whose treatment has been delayed or disrupted. As the crisis spreads into Italys less prosperous south, the problems will be magnified.

Intensive care facilities face the most intense pressure. They require specialist staff and expensive equipment and are not set up for mass epidemics. In total, Italy has around 5,000 intensive care beds. In the winter months, some of these are already occupied by patients with respiratory problems. Lombardy and Veneto have just over 1,800 intensive care beds between public and private systems, only some of which can be set aside for COVID-19 patients.

The government has asked regional authorities to increase the number of intensive care places by 50% and to double the number of beds for respiratory and contagious diseases, while reorganizing staff rosters to ensure adequate staffing. Some 5,000 respirators have been acquired for intensive care stations, the first of which are due to arrive on Friday, deputy Economy Minister Laura Castelli said.

The region has already asked nursing institutes to allow students to bring forward their graduation to get more nurses into the system early. Pools of intensive care specialists and anesthetists are to be set up, including staff from outside the worst affected regions.

To add to the burden, hospitals in Italy depend on medical personnel to try to trace the contacts that people who test positive have had with others. One doctor in Bologna, who asked not to be named, said he had spent a 12-hour day tracing people who had been in contact with just one positive patient, to ensure those who next need testing are found.

You can do that if the number of cases remains two to three, the doctor said. But if they grow, something has to give. The system will implode if we continue to test everyone actively and then have to do all this.

Maximum power

In South Korea as in Italy, an early case of COVID-19 was identified when a medical officer followed their intuition, rather than the official guidelines, on testing.

The countrys first case was a 35-year-old Chinese woman who tested positive on Jan. 20. But the largest outbreak was detected after the 31st patient, a 61-year-old woman from South Koreas southeastern city of Daegu, was diagnosed on Feb. 18.

Like the patient named Mattia in Italy, the woman had no known links to Wuhan, the Chinese province where the disease was first identified. And as in Italy, the doctors decision to recommend a test went against guidelines at the time to test people who had been to China or been in contact with a confirmed case, said Korea Medical Associations Choi Jaewook.

Patient 31, as she became known, was a member of a secretive church which Deputy Minister for Health and Welfare Kim Gang-lip said has since linked to 61% of cases. Infections spread beyond the congregation after the funeral of a relative of the churchs founder was held at a nearby hospital, and there were several other smaller clusters around the country.

Once the church cluster was identified, South Korea opened around 50 drive-through testing facilities around the country. In empty parking lots, medical staff in protective clothing lean into cars to check their passengers for fever or breathing difficulties, and if needed, collect samples. The process usually takes about 10 minutes, and people usually receive the results in a text reminding them to wash their hands regularly and wear face masks.

A total of 117 institutions in South Korea have equipment to conduct the tests, according to the Korea Centers for Disease Control and Prevention (KCDC). The numbers fluctuate daily, but an average of 12,000 is possible, and maximum capacity is 20,000 tests a day. The government pays for tests of people with symptoms, if referred by a doctor. Otherwise, people who want to be tested can pay up to 170,000 won ($140), said an official at a company called Seegene Inc, which supplies 80% of the countrys kits and says it can test 96 samples at once.

There are also 130 quarantine officers like Kim Jeong-hwan, who focus on minute details to track potential patients. The 28-year-old public health doctor spends his whole working days remotely checking up on people who have tested positive for COVID-19, the disease caused by the virus.

Kim, who is doing military service, is one of a small army of quarantine officers who track the movements of any potential carriers of the disease by phone, app or the signals sent by cell phones or the black boxes in automobiles. Their goal: To trace all the contacts people may have had, so they too can be tested.

I havent seen anyone telling bad lies, Kim said. But lots of people generally dont remember exactly what they did.

Underlining their determination, quarantine officers told Reuters they located five cases after a worker in a small town caught the virus and went to work in a coin karaoke, a bar where a machine lets people sing a few songs for a dollar. At first, the woman, who was showing symptoms, did not tell the officers where she worked, local officials told Reuters. But they put the puzzle together after questioning her acquaintances and obtaining GPS locations on her mobile device.

Now, quarantine officers have maximum power and authority, said Kim Jun-geun, an official at Changnyeong County who collects information from quarantine officers.

South Koreas government also uses location data to customize mass messages sent to cellphones, notifying every resident when and where a nearby case is confirmed.

Lee Hee-young, a preventative medicine expert who is also running the coronavirus response team in South Koreas Gyeonggi province, said South Korea has gone some of the way after MERS to increase its infrastructure to respond to infectious diseases. But she said only 30% of the changes the country needs have happened. For instance, she said, maintaining a trained workforce and up-to-date infrastructure at smaller hospitals isnt easy.

Until we fix this, Lee said, explosions like this can keep blowing up anywhere.

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The fine line between panic and preparedness: Keeping tech workers at home is the right call – Android Central

March 16th, 2020 1:48 pm

Coronavirus has officially been declared a pandemic and every time you look at news about current events you see another set of numbers, each higher than the last, telling how many people are infected or have tested positive. Amidst the warnings from actual health officials and the brush-off from politicians, you'll also find more and more companies have closed offices down and have employees working from home.

Coronavirus and tech: Ongoing list of event cancellations, disruptions, product delays, and more

All the big names have already done it: Google, Microsoft, Facebook, Amazon, Apple, and Twitter off the top of my head. And doing it was the smart call from both a company liability standpoint as well as a way to look out for the welfare of employees.

Cornavirus is passed from person to person so limited exposure is the best preventative medicine.

Avoiding any setting where a large group of people is near each other is smart right now, but for tech companies, it's even smarter so many employees are flying all over the world visiting other offices and that means the chances of those folks contracting the virus is much higher because of basic math. Get close to more people, the chances you'll come in contact with someone who has the virus and doesn't know it yet gets higher.

It sounds like an easy idea to grasp, but I'm also seeing a good many people saying that closing offices and schools, telling people to avoid large crowds, or even self-isolating if you think you've been in contact with the virus is a silly panic manufactured by the media. It's not, and the people saying this are either ill-informed and have bad intentions.

Google has well over 120,000 employees spread out among 70 offices in 50 countries. The odds are that a significant portion of them will eventually come in contact with the coronavirus is fairly high. And that is enough reason why employees need to work from home. Add in the fact that many Google employees have travel as part of their job and those odds get higher.

The employee flying home with the virus can infect almost anyone at their office, who can then infect almost anyone else there.

If someone were to fly from Mountain View to South Korea, for example, where the population per square mile is extremely high they stand a higher chance coming in contact with the virus. If they then fly home, they could infect the people they share an office with, the people staffing the cafeteria, and the people providing security. Those people then could spread the virus if they were to catch it, eventually spreading it outside of the Google campus to children, the elderly, and other at-risk persons.

Best Cheap Office Desk for Working From Home

That's how a pandemic works. Numbers increase exponentially with one infected person creating many new infected people. The idea that one person can infect only one other person doesn't work, and since this is a virus that transmits without any exchange of bodily fluids or a particular type of contact, the odds of transmitting it to someone else before you even know you're infected are rather high.

If a chicken has a contagious infection, you euthanize the whole flock. That doesn't work with people.

People aren't livestock. If we find an infected individual amongst the flock, we can't just euthanize everyone to prevent the spread. And by the time a person realizes they are infected, the number of other people they have eaten lunch with, or shook hands with, or patted on the back, or rode the subway with is almost too big to count. That's why closing your child's school or your office or even canceling NBA games makes sense.

And if you're a big tech company that has employees jumping between offices on six different continents, it makes even more sense. It's not creating panic or even contributing to media hysteria it's being proactive and smart.

Maximize your productivity: 7 working from home hacks to get more done

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Breathing & Sleeping Your Way Through the Covid-19 Crisis – Thrive Global

March 16th, 2020 1:48 pm

As we navigate the unknown and the attendant stress, fears, and challenges of the global Covid-19 coronavirus crisis, it can be difficult to stay relaxed, function normally, and tend to life as usual. Taking preventative measures is important and the medical and media communities are providing guidance. Along with my colleague, Ed Harrold, we offer you added prevention strategies that are paramount to your physical and mental health, both now and on an ongoing basis, enhancing your immune system function to keep you healthy and strong: Proper breathing and sufficient sleep. We are here to offer some tips to help you navigate these times, hoping that our recommendations become inscribed in your way of living for a healthy and happy life.

BREATHING:How & Why

From Ed Harrold, Author, Educator, Consultant

Lets start with your breathing. At a timewhen you may be feeling a bit nervous about inhaling for fear of what you maybe inhaling, here are some simple tools and strategies, to remain calm,strengthen your immune system and reduce the risk of unhealthy invadersentering your body.

I begin by explaining why breathing throughyour nose and not your mouth is key. When we inhale oxygen through our nose, wehave a built-in protective system that filters the air of toxins andbacteria. Our nostrils are lined withtiny hairs called cilia that protect our body from roughly 20 billion foreigninvaders per day. Yes, 20 billion per day! They are quite busy keeping ourlungs clear of air borne bacteria and viruses like Covid-19.

The second benefit of nasal diaphragmaticbreathing is the production of nitric oxide.Nitric oxide combats harmful bacteria and viruses in our bodies andboosts the immune system; among other things. The filtering benefits from thecilia and the release of Nitric Oxide ONLY happen with nasal DiaphragmaticBreathing; not mouth breathing.

If these two things werent enough, the key toreducing anxiety and stress during challenging times is controlling the length,depth, and pace of our nasal breath.Breathing rates and patterns signal our brain to behave in the stressresponse or the relaxation response.When we breathe at a rate of 12 breaths or more per minute, we signalthe stress response. When we breathe ata rate of 10 breaths or less per minute, we signal the relaxation response.

When your mind is becoming agitated, fearfuland nervous, an easy tool to access to calm yourself is your breath. Irecommend diaphragmatically breathing with anocean sound from at a pace of 10 breaths or less per minute. The Ocean Sounding breath is agreat compliment to the Diaphragmatic breath as it helps introvert the mind,reduces inflammation and helps you improve your breathing rate and pattern.

Apply breath as medicine in yourself- care routines to remain vibrant and healthy. For more instruction, pleasesee: Life WithBreath.

SLEEP:Preventive Medicine for Optimal Health & Living

From Nancy H. Rothstein, MBA, The Sleep Ambassador

Sleep is essential for life. Period. Yet, millions of peoplestruggle to get the sleep quality and quantity they need. In stressful timessuch as these, adding concerns and fears to our already demanding lives canresult in compromised sleep. However, as research confirms, insufficient sleepplaces us at heightened risks for illnesses such as the common cold and theflu, both of which are forms of corona virus. Recognizing this newest coronavirus, Covid-19, and the unknowns about its contagious properties and when/whereit may arise, its all the more important to keep your immune system hard atwork to keep you well should you be exposed to the Covid-19, or any virus orillness for that matter.

Here are a few tips from sleep expert Nancy H. Rothstein, The Sleep Ambassador, to helpyou navigate your nights with good, restorative sleep.

Staying healthy in times such as these, both physically and mentally, can be challenging for many people. Proper breathing and sufficient sleep can help you maintain your well-being, support your immune system, and mitigate the impact of stress and risk of becoming sick.

Prevention through proper breathing and good sleep may be just the medicine you need to navigate the waves of the unknown. That said, if you are experiencing breathing challenges or suspect you are at risk for a sleep disorder, please seek medical attention for assessment and treatment.

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Coronavirus chart: School closings and quarantines save lives by flattening the curve – Vox.com

March 16th, 2020 1:48 pm

The main uncertainty in the coronavirus outbreak in the United States now is how big it will get, and how fast. The Centers for Disease Control and Preventions Nancy Messonnier told reporters on March 9, many people in the US will at some point, either this year or next, get exposed to this virus.

According to infectious disease epidemiologist Marc Lipsitch at Harvard, its plausible that 20 to 60 percent of adults will be infected with Covid-19 disease. So far, 80 percent of cases globally have been mild, but if the case fatality rate is around 1 percent (which several experts say it may be), a scenario is possible of tens or hundreds of thousands of deaths in the US alone.

Yet the speed at which the outbreak plays out matters hugely for its consequences. What epidemiologists fear most is the health care system becoming overwhelmed by a sudden explosion of illness that requires more people to be hospitalized than it can handle. In that scenario, more people will die because there wont be enough hospital beds or ventilators to keep them alive.

A disastrous inundation of hospitals can likely be averted with protective measures were now seeing more of closing schools, canceling mass gatherings, working from home, self-quarantine, self-isolation, avoiding crowds to keep the virus from spreading fast.

Epidemiologists call this strategy of preventing a huge spike in cases flattening the curve, and it looks like this:

Even if you dont reduce total cases, slowing down the rate of an epidemic can be critical, wrote Carl Bergstrom, a biologist at the University of Washington in a Twitter thread praising the graphic, which was first created by the CDC, adapted by consultant Drew Harris, and popularized by the Economist. The chart has since gone viral with the help of the hashtag #FlattenTheCurve.

Flattening the curve means that all the social distancing measures now being deployed in places like Italy and South Korea, and on a smaller scale in places like Seattle and Santa Clara County, California, arent so much about preventing illness but rather slowing down the rate at which people get sick.

The CDC advises that people over age 60 and people with chronic medical conditions the two groups considered most vulnerable to severe pneumonia from Covid-19 to avoid crowds as much as possible.

If more of us do that, we will slow the spread of the disease, Emily Landon, an infectious disease specialist and hospital epidemiologist at the University of Chicago Medicine, told Vox. That means my mom and your mom will have a hospital bed if they need it.

So even if youre young and healthy, its your job to follow social distancing measures to avoid spreading it to others, and keep the epidemic in slow motion. The more young and healthy people are sick at the same time, the more old people will be sick, and the more pressure there will be on the health care system, Landon explained.

Hospitals filled with Covid-19 patients wont just strain to care for those patients doctors may also have to prioritize them over others. Right now theres always a doctor available when you need one, but that may not be the case if were not careful, Landon said.

At this point, with the virus spreading in America, the top priority is making sure the health care system avoids being flooded with very sick patients who need ventilators and intensive care.

From a US standpoint, you want to prevent any place from becoming the next Wuhan, said Tom Frieden, who led the CDC under President Barack Obama. What that means is even if were not able to prevent widespread transmission, we want to prevent explosive transmission and anything that overwhelms the health care system.

Remember, Americas hospitals and doctors are already dealing with their usual caseloads during a pretty bad flu season. Now they have to be ready to handle any Covid-19 patients who come their way.

There are serious concerns about the US systems capacity to handle a severe outbreak. Covid-19 is a respiratory illness and in its most serious stages can require patients with pneumonia to be put on a ventilator. But there might not be enough ventilators to meet that need if the outbreak becomes too widespread.

The Johns Hopkins Center for Health Security reported in 2018 that, according to US government estimates, about 65,000 people in the United States would require ventilation in an outbreak similar to the flu pandemics of 1957-1958 (which killed 116,000 people in the US) and 1968 (which killed 100,000 Americans).

The maximum number of ventilators that could be put in the field in the United States is about 160,000. So under those scenarios, there would theoretically be enough capacity to meet the need.

But if the coronavirus outbreak gets worse, we could quickly run out. In a situation more similar to the Spanish flu pandemic (675,000 dead in the US), about 742,500 people in the United States would require ventilation, according to government estimates. We dont have that many.

The health system is much more than ventilators, of course, and the concerns about capacity apply to the rest of it, too. As HuffPosts Jonathan Cohn reported, US hospitals have about 45,000 beds in their intensive care units. In a moderate outbreak, about 200,000 patients may need to be put in the ICU, but under a more severe outbreak, it could be nearly 3 million.

And while all 3 million of them would likely not need treatment at the same time, we again need to account for the ICU patients hospitals already had before coronavirus arrived, as Cohn noted:

On the one hand, those are total numbers, for the duration of the epidemic. Even under the most dire scenario, its unlikely that 2.9 million people would need ICU beds all at once. On the other hand, ICU beds in the U.S. are already pretty full, thanks to the normal crush of patients with influenza and other major medical problems.

As a result, hospitals are routinely at capacity, forcing backups of patients boarding in emergency departments for hours or even days, waiting on the beds there until inpatient slots become available. And thats before any influx from COVID-19.

Hospitals are already doing what they can rationing surgical masks, preparing to stand up temporary facilities, etc. and they will take more extreme measures if they cant handle all the people with Covid-19 plus their more routine patients.

But one thing people can do to help is stay home if they are feeling unwell and especially if they received a formal Covid-19 diagnosis and advice to self-isolate. That way, the US health care system can focus on the patients who really need it during this outbreak.

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A coronavirus vaccine is in the making But you may have to check your pockets first – Duke Chronicle

March 16th, 2020 1:48 pm

The coronavirus of 2019 has infected more than 155,000 people and claimed more than 5,000 lives. Some countries have closed their borders and discriminatory practices of xenophobia have swarmed their way into classrooms, the workplace, media and other institutions.

Hysteria, fear and anxiety have become the hallmarks of this growing epidemic since the first cases were reported in Wuhan, China. Exact incubation periods, profile of symptomatology and whether or not this is truly the first time coronavirus has been around are still in question. The anxiety surrounding this disease is even hampering the vitality of domestic and global economies. Last week, stocks tumbled for 7 consecutive days, with one of the sharpest declines occurring after President Trump gave a news conference earlier last week.

However, this writing wont be a political debate. It wont determine the fitness of Vice President Mike Pence to lead this national health emergencybut rather, will give needed attention to a public health and ethical concern.

Americans and other people around the world have been following the growing list of CDC guidelines. Weve been washing our hands for 20 seconds (approximate length of the Happy Birthday song sung twice), obeying travel restrictions, self-quarantining at the start of flu-like symptoms. Although these measures have potentially slowed the spread of the virus, an instrument to cease its transmission is needed. A vaccine would be the answer. Problem solved? Not quite.

On one hand, its estimated that a coronavirus vaccine may not be market-ready for approximately 1-2 years. On the other hand, according to U.S. Health and Human Services Secretary Alex Azar, the Trump administration cant promise that a vaccine will be affordable to all. Panicked and vulnerable Americans may not be able to get a preventative treatment to ensure their protection. A promising formula hasnt even made its way into a syringe yet, but somehow, has already been assigned an expensive price tag. Why so prematurely?

Market exclusivity appears to be a main culprit behind high drug prices in the U.S. As the coronavirus vaccine is in development, the first drug company to reach success in developing a vaccine will be granted a patent by the Food and Drug Administration (FDA), essentially ensuring several years of protected monopoly status and profit given it meets FDA qualifications. The presence of generic vaccines wont be a reality for several years, which is one of the most useful tactics in driving prices down.

Newsflash.America has seen this before. We have seen our best minds, resources and capital funneled towards public health crises. However, when the prized breakthrough is achieved, the less fortunate are the last in line to reap its benefits. For example, in 2013, the more effective drugs Solvaldi and Olysio were added to the market for treatment and cure of Hepatitis C, a viral infection that can cause liver damage and cancer.

A study in the Journal of Health & Biomedical Law highlighted the challenges patients face in getting these promising drugs within our complex healthcare system. Specifically, just one pill of Sovaldi costs approximately $1,000, which brings the total cost of the 12-week treatment to $84,000, according to the study. While patients with private insurance showed higher rates of denied authorization, even patients with Medicare and Medicaid faced strict restrictions when trying to access these drugs. Some need access to a primary care doctor, a hepatologist or to show proof that they do not use alcohol. This is a difficult laundry list for people to accomplish, particularly those who are a part of the lower economic class, with limited access to routine care or specialists who accept Medicaid.

What should be established as a low hanging and accessible fruit has been selfishly turned into a high-hanging potential source of disparity. I would argue that a medical practice or development fueled by a profitable end falls short of providing equitable access to healthcare. The practice of medicine exists for the expedient and efficient treatment of all, not the few with hefty pockets.

Although the warnings of HHS Secretary Azar and health care leaders may appear to simply be rhetoric at the moment, health disparities are not. Marginalized members of society will predictably carry the heaviest burden of this disease. Notably, Duke Health has been reported as the largest employer in Durham county, employing over 19,000 within its healthcare system. It can therefore be deduced that it is one of the largest contributors to not only the economy of Durham county, but the health of its residents. In light of its mission to deliver a healthier tomorrow, DukeHealth should not only investigate the epidemiology of this disease, but the access (or lack thereof) that residents may have to upcoming technologies and medical advances.

Whether private investors are called upon to make this vaccine a reality, which significantly drives up the cost, or not, the federal government should have the health and pockets of all in mind. To our public leaders and advisors, such as those with the federal Centers for Disease Control who are working on the front lines of this emerging pandemic: We, the people, are doing our part with adherence to guidelines that have been established to prevent transmission of COVID-19. We are hopeful that a vaccine would be economically accessible to everyone at risk. In the meantime, the subsidizing of coronavirus diagnostic tests and related treatment for non or underinsured people remains a reasonable public health response. Should the latter become a reality, our government can begin to match what has been its potential for centuries. Enabling the latter will begin to lessen the burdens of human finitude and show us what equitable human flourishing truly looks like.

Kirsten Simmons is a third-year medical student at Duke University School of Medicine. She is also completing a Masters of Health Science in Clinical Research and a Masters of Theological Studies at Duke University Divinity School as a Theology Medicine and Culture Fellow.

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Coronavirus crackdown: only partners allowed to visit maternity wards – Essential Baby

March 16th, 2020 1:48 pm

Getty Images/iStock photo

As cases of COVID-19 continue to rise around the country, maternity hospitals are cracking down on visitors to protect the health of mothers and theirbabies as well as considering early discharge post-delivery, in line with new national advice.

On Saturday,The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) issued new guidelines,which acknowledged the risk posed to the community, health workers, all patients and pregnant patients due to the COVID-19 pandemic.

How will this affect you?

As well as reducing, postponingand/or increasingthe interval between antenatal visits and limiting routine antenatal visits to less than 15 minutes, RANZCOG also recommended closing access to hospital and maternity units to visitors (excludingpartners).

While there is some variationbetween hospitals, and you will need to check with your own, most have now issued updated visitor requirements.

In an Instagram post, The Mater Private Hospital in North Sydney told patientsthat while partners are welcome, other family members and friends are not permitted to visit.Maternity Tours have also been cancelled.

Meanwhile, the Royal Women's Hospital in Melbourne has advised patients to "keepvisitor numbers to a minimum" and discourage siblings and other children from visiting. "We remind the community that visitors should not come to the Women's if they are unwell," they note.

While most parents and parents-to-be aresupportive of the move, some have admitted to feeling "heartbroken" and concernedabout the logistics.

"I completely understand this,I really do," one mum wrote on Instagram. "However, I'm due in eightweeks and will be having a c-section and therefore staying for fivenights. Will be heartbreaking to not to be able to see my eldest child for that amount of time. Or for him to be able to meet his sibling for that amount of time. It will also result in my husband not being able to spend time at the hospital due to caring for him at home ... "

New South Wales mum Hayley is currently five days overdue with her fourth child and tells Essential Baby that she's torn about the ban, but also understands that it's warranted. "We'd love people to come and support us and welcome the baby but obviously a bit wary of germs," she says. She's also prepared for a quick discharge from hospital. "I left four hours after birth with my other babies and that'll be the plan this time," Hayley says.

Dr Nicole Highet, Founder and Executive Director of the Centre ofPerinatalExcellence (COPE) tells Essential Baby:"It's understandableto be anxious at the moment and disappointed about not having visitors however it's always better to be safe, and prevention is always the best approach when it comes to public health issues such as this.

"Try to think about way that you can still connect with friends and family through for exampleFaceTimeorSkypefrom Hospital," she says. "Whileit is never going to be quite the same as having a hold of bub, remember, there are many days and years ahead for cuddles, as this too shall pass."

Newborn baby tests positive for COVID-19

The move comes as a newborn baby in London testedpositive for thecoronaviusminutes afterbeing born. The baby's mother had been admitted to hospital suffering frompneumonia but only testedpositive for COVID-19 after givingbirth,reportsThe Sun,who say the baby is the "world's youngest victim".

But questions remain around how the newborncontracted the illness.

"We can't say it happened while the baby was still in the womb," Dr. WilliamSchaffner, a professor of Preventive Medicine and Infectious Diseases at the Vanderbilt University School of Medicine, toldLive Science. "The baby could have also contracted the virus during, or immediately after, birth."

What we currentlyknow about the impact on babies and pregnant women:

The news remains comforting for babies and pregnant women.

A recent study of19 pregnant women infected with COVID-19, which was published in The Lancetfound no evidence of mum to baby transmission.

In addition, research published inJAMAon February 14 looked at cases ofcoronavirusin infants under the age of one in China. Nine babies were infected betweenDecember 8, 2019, and February 6, 2020.The youngest was justonemonth old and the oldest was 11 months. All babies were hospitalised. One baby had no symptoms but tested positive for the illness. None of the infantsbecame seriously unwell.

RANZCOG advisesthe followingpreventative measures for pregnant women:

Pregnant women are also advised to avoid all non-essential overseas travel and to report early symptoms to theirmidwife,obstetrician or GP.

Tele-health now available:

The government recently announced thatTelehealth(consultations with doctors via phone)will be bulk-billed forpregnant women and those with newborns.

What else can parents do?

In an article for The Conversation,Karleen GribbleAdjunct Associate Professor, School of Nursing and Midwifery, Western Sydney University andNina Jane ChadResearch Fellow, Sydney School of Public Health, University of Sydney suggest parents of babies prepare for COVID-19 by taking the following steps:

What about breastfeeding?

According to the Australian Breastfeeding Association (ABA) women can continue to breast feed even if unwell.

"Breastfeeding helps protect babies from a variety of illnesses," the ABA notes. "This is because breast milk contains antibodies and other immune protective factors. If you have been diagnosed with or are suspected of having COVID-19, care should be taken to avoid spreading the virus to your baby while you continue to breastfeed."

If you notice a drop in supply (which can happen during illness) you can contact aAustralian Breastfeeding Association counsellorfor support, see alactation consultantor a medical advisor.

As the COVID-19 pandemic is an evolving issue, for more resources and up to date information, visit:

RANZCOG

Centre of PerinatalExcellence (COPE)

PANDA Helpline:1300 726 306

Australian Breastfeeding Association

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Coronavirus crackdown: only partners allowed to visit maternity wards - Essential Baby

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Delhi government-run homeopathic hospital adds isolation beds for suspected coronavirus cases – The New Indian Express

March 16th, 2020 1:48 pm

By Express News Service

NEW DELHI: In a bid to check the spread of novel coronavirus in the national capital, the state government-run Nehru Homeopathic Medical College and Hospital in Defence Colony has come up with an isolation ward with a capacity of 30 beds.

According to the hospital administration, the decision was taken following a meeting with the Union Health and Welfare Ministry where hospitals were asked to prepare isolatedbeds to tackle the disease if more suspected cases arise.

"Here, only the suspected cases of coronavirus are to be taken. If found positive, the patients will be transferred to nodal hospitals," said Dr Neeraj Gupta. The hospital further stated that the initial preparations have been undertaken to handle any emergency situations and more beds will be added to the facility soon.

"Right now, masks and other preventative equipment are in the process of procurement. Since this is a homeopathic hospital, we also follow the guidelines of the Ayush Ministry which has come up with selected medicines that are to be taken as preventive measures against coronavirus. The medicines are provided for free at the hospital," Gupta added.

The outdoor patient department and 100-bed indoor hospital attached to the teaching institute is providing curative, preventive and promotive homoeopathic healthcare services along with providing basic testing facilities.

Tested positive

One man who returned from Italy on March 11 and was at the Armys quarantine facility in Manesar has tested positive. He was employed in a restaurant in Italy for last 14 years.

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Delhi government-run homeopathic hospital adds isolation beds for suspected coronavirus cases - The New Indian Express

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Doctors tell of their experiences and offer hope in a time of Covid-19 – TRT World

March 16th, 2020 1:48 pm

Frontline medics talk about how they are fighting the disease despite being short-staffed and overwhelmed by the growing number of patients around the world.

Hospitals scrambling, a disease without a vaccine (yet) or a cure, hospital beds dwindling, patients increasing and testing the patience of medics who are trying to keep up. Covid-19 is creating a peace-time battle line at which doctors and nurses go to war against a coronavirus. From Italy to China, Iran to the US; doctors are scrambling to contain the virus in their communities and hospitals. Emergency Rooms are working hard to host everyone who is concerned, has been diagnosed and even quarantined. TRT World caught up with doctors to find out how they're handling the crisis.

In Modena, in northern Italy, infectious disease doctor Giovanni Guaraldi is working 16-hour shifts, treating patients and trying to understand the viral mutation. "The major damage that is produced by this virus appears to be [not only] a disproportionate inflammatory reaction affecting both of the lungs, but also the whole body," he said.

He explained that patients who are more at risk of death aren't just isolated to the elderly, but anyone, even the middle aged who may have comorbidity conditions or multiple medical conditions which they are already treating, makes contracting this coronavirus a unique issue. So far, doctors have used a drug called Kaletra, an antiviral treatment which has been used for HIV patients. And in recent months, for severe cases, Guaraldi said they were using Remdesivir, which is still only in clinical trials. He said that because "the number of people eligible were so many" thecompany that produces it, Gilead reduced the possibility of access and now they are rejecting it for those who are not in intensive care.

The fact remains there is no officially approved antiviral, and so it seems, the treatment for Covid-19 is its own experiment.

But beyond symptoms and medicine; doctors and nurses worry about protecting themselves. "We need to work now. This means I [tell] my children, better not see you tonight, I ask parents, my friends, I am a bit isolated." Guaraldi said. "When we go home, we stay alone and we try to rest. Of course this implies the psychological reaction...we say two patients of mine died, three patients of mine died, .every day this is quite stressing. But we also appreciate a lot of messaging, [to] encourage us. Of course, we need psychological support but Im proud to be in my position."

Meanwhile, in Rome, the Red Cross of Italy welcomed a team of Chinese doctors to assist in organising efforts to contain the virus. General Practitioner, Dr Andi Nganso, who heads up the office in Rome and is deployed from Northern Europe said they have faced serious challenges in responding to the virus. He told TRT World: There are a lot of [Red Cross] workers that are now affected, so now we have to manage, like a puzzle, all of the ambulances, to be sure we can continue to assist patients.

The Red Cross supports up to 70 percent of the ambulance assistance for the countrys national health system. They are first responders in communities across the country, regularly receiving calls about protocol and psychological support.

In just the last few days, Nganso has been scrambling to organise everyones post. Ngansoo is thankful for the Chinese support: Their knowledge, they are serious,...it will be good to understand the next step for Italy.

He misses his family, spread across Germany, France and Belgium. Im alone. its really stressful, I have difficulties sleeping. I hear too many stories and I have to manage them, he said.

Nevertheless, he presses on and encourages the public to seek information, only from official sources, such as the Red Cross, or National Health Agencies or their doctors. We understand the fear, he said.

Across the oceans, in Hong Kong, Chinese doctors are still managing. Resident and respiratory specialist Dr Joyce Ng just finished her shift. Every week, she serves an overnight call to take in new patients in the isolation ward.

She said her team has been greatly supported by their superiors. We can test whoever we like, there is no restriction. We have four batches of testing everyday, the results can come back quite quickly, around four hours. Its around the clock, she said.

She also noted many people are nervous and may come in with minor symptoms which can strain their bed capacity. Even so, some patients with no symptoms at all still show haziness over their lungs.

Ng did say she is taking precautions to protect herself as well, wear proper gear and has moved out of her family home, but, she says, the morale of her team remains high. Every one of us, on the team is a volunteer, so we have a very good team spirit. That helps a lot. We help each other, she said.

Many Asian nations are capping the spread quickly. Singapore has been praised for its reduction of infected patients. Kuala Lumpur has yet to report any deaths and Chinas numbers are halted. Asian countries, however, have dealt with outbreaks before, namely SARS in 2002 and 2003. Even before viral outbreaks, due to pollution, sick people knew to wear masks in public. And its worth noting; ancient Eastern medicines and preventive care are often found to boost quality of life in their cultures. Still, theres much work to be done.

Singapores Prime Minister Lee Hsieng Loong stated in a public video: Everyone feels the impact. But by taking preventive measures and being transparent, he believes planning for a possible spike will keep everyone safe, calm and bring the numbers back down. He is not shutting down the country and with reassurances, citizens are far more mindful of reducing public consumption and refraining from larger crowds.

The World Health Organization also issued a statement last week from its Director General Tedros Adhanom Ghebreyesus, who said: "All countries must strike a fine balance between protecting health, minimising economic and social disruption, and respecting human rights.every individual must be involved in the fight.

But the US is largely behind as President Donald Trump dismissed its gravitas earlier in the year. Hes come under intense fire from health officials and opposing party politicians for his lack of an effective response. His failure to act early and issue proper testing throughout the country has created confusion for much of the public. Most hospitals dont have enough tests to offer the growing number of suspected cases coming through.

Doctors in the US are largely overwhelmed and it was difficult to reach them. But many have taken toYouTube and social media websites to dispense their own messages of assurance, reduce public panic and offer preventative advice, which largely follows social distancing, hand-washing and mindfulness of symptom severity. Mental health professionals are also issuing statements to help people cope with the chaos.

Back in Italy, Guaraldi said he believes its important to build up infrastructure for the most vulnerable and will take a big welfare system to make it happen.

But it was his closing message that echoed the loudest: Frightened doesn't protect people, he said. Frightening [people] in infectious diseases produces disaster. We knew it from previous epidemics ...from history. We know that we can cope with this epidemic. Give people hope, at the same time make people understand, now, their lifestyle must change.

Perhaps, then, its time we follow the doctor's orders before its too late.

Source: TRT World

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Doctors tell of their experiences and offer hope in a time of Covid-19 - TRT World

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Uckfield organisations act in bid to stop spread of Coronavirus – Uckfield News

March 16th, 2020 1:48 pm

Temple Grove care home near Uckfield area has closed its doors to visitors in a bid to stop the Coronavirus COVID-19 reaching residents.

And doctors surgeries at Buxted, East Hoathly and Horam are no longer booking appointments at reception desks or online.

All appointments at those surgeries will be telephone triaged, and no face-to-face appointments will be booked with the GP prior to a telephone consultation.

Illustration of COVID-19, created by the Centres for Disease Control and Prevention.

Events are being cancelled or postponed following confirmation of the first case in East Sussex.

Panic buying is clearing supermarket shelves of items such as toilet paper, hand wash and painkillers as soon as they are stocked.

There have even been reports of shoppers taking products from the trolleys of others in Uckfield Tesco.

One woman, for example, said on Uckfield Talk: To the lady I just had an argument with in Tesco: I hope you enjoy the chicken breasts you took out of my trolley. Your rudeness and language when I caught you was just despicable and the whole thing unnecessary. I cant believe the behaviour some people are showing!

Temple Grove

Temple Grove Care Home at Herons Ghyll closed its doors to visitors yesterday (Sunday) afternoon having given relatives and friends of residents advance warning on Saturday.

Home manager Alison Barnes wrote to relatives saying: As the UK moves from the Containment to the Delay stage of its Coronavirus response we are committed to ensuring the well-being of all our residents and staff and as such continue to review our policies and procedures.

Restricted

As part of this review, as a preventative measure we are asking that from Sunday, March 15, all visits to the home are restricted, any visits will need to be vital and subject to prior arrangement by telephone with the Home Management Team.

This is not a decision that we take lightly and we appreciate this will cause some discomfort, but I hope you understand that this is a necessary step to take in the current circumstances. We will review this policy on a daily basis and continue to monitor the situation with the Public Health Authorities.

Non-essential

The manager went on the say that the home would be restricting visits more generally and all non-essential visits from the local community and external entertainment will also be cancelled for the foreseeable future.

We will continue to ensure that those who make essential medical visits are not displaying symptoms, and follow our infection control policies.

Meanwhile, some events are being cancelled, or postponed in the area, while extra precautions are being taken so that other activities can continue.

Curry club

A networking curry club organised by Rix & Kay Solicitors and Oldfield Smith & Co chartered surveyors, due to be held in April, has been cancelled.

Victoria Regan and Richard Oldfield emailed contacts saying: This was not an easy decision to make but we hope that you understand our reasons and we very much look forward to seeing you at the next Uckfield Curry Event which will hopefully be back on track in June.

Elton Tribute Night

An Elton Tribute Night in Framfield due to have been held on March 28 to raise funds for the village school has been postponed. Another date is yet to be arranged.

Community orchestra

Uckfield Community Orchestra has decided to suspend rehearsals until after the Easter break in view of the potential worsening of the virus outbreak.

The orchestra committee is due to review the situation again after Easter and base any decisions on Government advice at that time.

The committee said: It is difficult to know what is best, but overall we have decided to take the cautious route and keep our members from passing on any new contamination.

Extra measures

Elsewhere clubs and organisations, such as Uckfield Yoga Studio are taking extra measures to keep everyone safe.

The studio says:

The studio has asked members to stay at home if they have a temperature, cough or cold, until symptoms pass.

Trampoline

Sky High Trampoline Gymnastics Academy says it will operate fully until Government intervention.

But the academy, which meets at Fun Abounds, is advising that all members and parents must not come to lessons, or on site, for a minimum of seven days if they or their family have any of the following symptoms, a high temperature/fever, a cough, trouble breathing, or mild respiratory symptoms including a sore throat or runny nose.

The academy says: Please note to keep our members safe anyone showing signs of respiratory illness with the symptoms shown above will be sent home immediately.

Anyone who has visited the gym and has to self isolate is notify the gym by emailing info@funaboutds.co.uk.

Fun Abounds has increased the frequency of cleaning and is monitoring the situation and following advice from British Gymnastics, Public Health England and NHS UK.

Offers of help

On the other side of the coin offers are being made via Facebook to help others in need over the coming months.

A group has been set up on Facebook for Uckfield Coronavirus Volunteers who would like to help in the coronavirus lockdown.

People are encouraged to join if they can collect, or deliver, groceries and medicine or support local medical staff. Requests for help are also welcome.

There is a Framfield Isolation Support Group on Facebook too.

For more information on the symptoms and steps to take if you suspect you have been exposed to COVID-19, go to http://www.nhs.uk/coronavirus.

For the latest advice on travellers returning from affected areas, plus guidance to schools and care homes, visit http://www.gov.uk/coronavirus.

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