nee Parent or Sibling With Colon Cancer? You May Need Colonoscopy Earlier By www.medicinenet.com Published On :: Tue, 21 Apr 2020 00:00:00 PDT Title: Parent or Sibling With Colon Cancer? You May Need Colonoscopy EarlierCategory: Health NewsCreated: 4/20/2020 12:00:00 AMLast Editorial Review: 4/21/2020 12:00:00 AM Full Article
nee Multiplex Genetic Engineering Exploiting Pyrimidine Salvage Pathway-Based Endogenous Counterselectable Markers By mbio.asm.org Published On :: 2020-04-07T01:31:16-07:00 ABSTRACT Selectable markers are indispensable for genetic engineering, yet their number and variety are limited. Most selection procedures for prototrophic cells rely on the introduction of antibiotic resistance genes. New minimally invasive tools are needed to facilitate sophisticated genetic manipulations. Here, we characterized three endogenous genes in the human fungal pathogen Aspergillus fumigatus for their potential as markers for targeted genomic insertions of DNAs of interest (DOIs). Since these genes are involved in uptake and metabolization of pyrimidines, resistance to the toxic effects of prodrugs 5-fluorocytosine and 5-fluorouracil can be used to select successfully integrated DOIs. We show that DOI integration, resulting in the inactivation of these genes, caused no adverse effects with respect to nutrient requirements, stress resistance, or virulence. Beside the individual use of markers for site-directed integration of reporter cassettes, including the 17-kb penicillin biosynthetic cluster, we demonstrate their sequential use by inserting three genes encoding fluorescent proteins into a single strain for simultaneous multicolor localization microscopy. In addition to A. fumigatus, we validated the applicability of this novel toolbox in Penicillium chrysogenum and Fusarium oxysporum. Enabling multiple targeted insertions of DOIs without the necessity for exogenous markers, this technology has the potential to significantly advance genetic engineering. IMPORTANCE This work reports the discovery of a novel genetic toolbox comprising multiple, endogenous selectable markers for targeted genomic insertions of DNAs of interest (DOIs). Marker genes encode proteins involved in 5-fluorocytosine uptake and pyrimidine salvage activities mediating 5-fluorocytosine deamination as well as 5-fluorouracil phosphoribosylation. The requirement for their genomic replacement by DOIs to confer 5-fluorocytosine or 5-fluorouracil resistance for transformation selection enforces site-specific integrations. Due to the fact that the described markers are endogenously encoded, there is no necessity for the exogenous introduction of commonly employed markers such as auxotrophy-complementing genes or antibiotic resistance cassettes. Importantly, inactivation of the described marker genes had no adverse effects on nutrient requirements, growth, or virulence of the human pathogen Aspergillus fumigatus. Given the limited number and distinct types of selectable markers available for the genetic manipulation of prototrophic strains such as wild-type strains, we anticipate that the proposed methodology will significantly advance genetic as well as metabolic engineering of fungal species. Full Article
nee To bend with ease, take care of your knees By thenationshealth.aphapublications.org Published On :: 2020-05-01T05:00:17-07:00 At some point during your life, it’s likely you’ll experience problems with your knees. Knees play an important role in helping us walk and bend, which means that they’re frequently in use. And like all parts of our bodies, sometimes they can wear out or be injured. Full Article
nee We need equity-oriented solutions to COVID-19: Asians facing stigma, discrimination, fear during pandemic By thenationshealth.aphapublications.org Published On :: 2020-05-01T05:00:17-07:00 APHA member Elena Ong, PHN, MS, past president and founding CEO of the Asian & Pacific Islander Caucus for Public Health, a recent APHA Executive Board member, and a past vice president of the Southern California Public Health Association, discusses discrimination against Asians in the U.S. and beyond. Full Article
nee North Carolina's Health Care Transformation to Value: Progress to Date and Further Steps Needed By www.ncmedicaljournal.com Published On :: 2020-05-04T06:50:30-07:00 North Carolina has received national attention for its approach to health care payment and delivery reform. Importantly, payment reform alone is not enough to drive systematic changes in care delivery. We highlight the importance of progress in four complementary areas to achieve system-wide payment and care reform. Full Article
nee Early and Often: The Need for Comprehensive Discussion of Treatment-Induced Cancer Late Effects By pediatrics.aappublications.org Published On :: 2020-05-01T01:00:46-07:00 Full Article
nee Family Values Means Covering Families: Parents Need to Focus on Parenting, Not Access to Care By pediatrics.aappublications.org Published On :: 2020-05-01T01:00:46-07:00 Full Article
nee Adolescent Sexual Health Interventions: Innovation, Efficacy, Cost, and the Urgent Need to Scale By pediatrics.aappublications.org Published On :: 2020-05-01T01:00:46-07:00 Full Article
nee Preparing Residents for Children With Complex Medical Needs By pediatrics.aappublications.org Published On :: 2020-05-01T01:00:46-07:00 Full Article
nee Induction of Protective Antiplague Immune Responses by Self-Adjuvanting Bionanoparticles Derived from Engineered Yersinia pestis [Microbial Immunity and Vaccines] By iai.asm.org Published On :: 2020-04-20T08:00:38-07:00 A Yersinia pestis mutant synthesizing an adjuvant form of lipid A (monophosphoryl lipid A, MPLA) displayed increased biogenesis of bacterial outer membrane vesicles (OMVs). To enhance the immunogenicity of the OMVs, we constructed an Asd-based balanced-lethal host-vector system that oversynthesized the LcrV antigen of Y. pestis, raised the amounts of LcrV enclosed in OMVs by the type II secretion system, and eliminated harmful factors like plasminogen activator (Pla) and murine toxin from the OMVs. Vaccination with OMVs containing MPLA and increased amounts of LcrV with diminished toxicity afforded complete protection in mice against subcutaneous challenge with 8 x 105 CFU (80,000 50% lethal dose [LD50]) and intranasal challenge with 5 x 103 CFU (50 LD50) of virulent Y. pestis. This protection was significantly superior to that resulting from vaccination with LcrV/alhydrogel or rF1-V/alhydrogel. At week 4 postimmunization, the OMV-immunized mice showed more robust titers of antibodies against LcrV, Y. pestis whole-cell lysate (YPL), and F1 antigen and more balanced IgG1:IgG2a/IgG2b-derived Th1 and Th2 responses than LcrV-immunized mice. Moreover, potent adaptive and innate immune responses were stimulated in the OMV-immunized mice. Our findings demonstrate that self-adjuvanting Y. pestis OMVs provide a novel plague vaccine candidate and that the rational design of OMVs could serve as a robust approach for vaccine development. Full Article
nee A New Gorilla Adenoviral Vector with Natural Lung Tropism Avoids Liver Toxicity and Is Amenable to Capsid Engineering and Vector Retargeting [Gene Delivery] By jvi.asm.org Published On :: 2020-05-04T08:00:46-07:00 Human adenoviruses have many attractive features for gene therapy applications. However, the high prevalence of preexisting immunity against these viruses in general populations worldwide has greatly limited their clinical utility. In addition, the most commonly used human adenovirus, human adenovirus subgroup C serotype 5 (HAd5), when systemically administered, triggers systemic inflammation and toxicity, with the liver being the most severely affected organ. Here, we evaluated the utility and safety of a new low-seroprevalence gorilla adenovirus (GAd; GC46) as a gene transfer vector in mice. Biodistribution studies revealed that systemically administered GAd had a selective and robust lung endothelial cell (EC) tropism with minimal vector expression throughout many other organs and tissues. Administration of a high dose of GAd accomplished extensive transgene expression in the lung yet elicited no detectable inflammatory histopathology in this organ. Furthermore, GAd, unlike HAd5, did not exhibit hepatotropism or induce liver inflammatory toxicity in mice, demonstrating the exceptional safety profile of the vector vis-à-vis systemic utility. We further demonstrated that the GAd capsid fiber shared the flexibility of the HAd5 equivalent for permitting genetic modification; GAd with the pan-EC-targeting ligand myeloid cell-binding peptide (MBP) incorporated in the capsid displayed a reduced lung tropism and efficiently retargeted gene expression to vascular beds in other organs. IMPORTANCE In the aggregate, our mouse studies suggest that GAd is a promising gene therapy vector that utilizes lung ECs as a source of therapeutic payload production and a highly desirable toxicity profile. Further genetic engineering of the GAd capsid holds the promise of in vivo vector tropism modification and targeting. Full Article
nee Opinion: We need a global movement to transform ocean science for a better world [Sustainability Science] By www.pnas.org Published On :: 2020-05-05T10:31:24-07:00 The ocean is our planet’s largest life-support system. It stabilizes climate; stores carbon; produces oxygen; nurtures biodiversity; directly supports human well-being through food, mineral, and energy resources; and provides cultural and recreational services. The value of the ocean economy speaks to its importance: The Organization for Economic Cooperation and Development... Full Article
nee A nonlinear beam model of photomotile structures [Engineering] By www.pnas.org Published On :: 2020-05-05T10:31:24-07:00 Actuation remains a significant challenge in soft robotics. Actuation by light has important advantages: Objects can be actuated from a distance, distinct frequencies can be used to actuate and control distinct modes with minimal interference, and significant power can be transmitted over long distances through corrosion-free, lightweight fiber optic cables.... Full Article
nee Addressing Needs of Transgender Patients: The Role of Family Physicians By www.jabfm.org Published On :: 2020-03-16T09:31:37-07:00 There are approximately 1 million transgender and gender-diverse adults in the United States. Despite increased awareness and acceptance, they frequently encounter medical settings that are not welcoming and/or health care providers who are not knowledgeable about their health needs. Use of correct terminology, following best practices for name and pronoun use, and knowledge of gender-affirming interventions can create office environments that are welcoming to transgender clients. Health disparities faced by transgender patients that impact access to care include higher rates of mental health issues, substance use disorders, violence, and poverty. Transgender women are at greater risk for HIV acquisition and are less likely to achieve viral suppression compared with cisgender (nontransgender) individuals. Medical providers can facilitate HIV prevention efforts by offering pre- and postexposure prophylaxis to transgender patients at risk for HIV infection. Improving health outcomes requires attention to cultural competency and an understanding of lived experiences and priorities of transgender people. Full Article
nee When and How Do We Need Permission to Help Patients Address Social Risk? By www.jabfm.org Published On :: 2020-03-16T09:31:37-07:00 Full Article
nee Neev, a novel long non-coding RNA, is expressed in chaetoblasts during regeneration of Eisenia fetida [RESEARCH ARTICLE] By jeb.biologists.org Published On :: 2020-04-16T05:19:55-07:00 Surendra Singh Patel, Sanyami Zunjarrao, and Beena Pillai Eisenia fetida, the common vermicomposting earthworm, shows robust regeneration of posterior segments removed by amputation. During the period of regeneration, the newly formed tissue initially contains only undifferentiated cells but subsequently differentiates into a variety of cell types including muscle, nerve and vasculature. Transcriptomics analysis, reported previously, provided a number of candidate non-coding RNAs that were induced during regeneration. We found that one such long non-coding RNA (lncRNA) is expressed in the skin, only at the base of newly formed chaetae. The spatial organization and precise arrangement of the regenerating chaetae and the cells expressing the lncRNA on the ventral side clearly support a model wherein the regenerating tissue contains a zone of growth and cell division at the tip and a zone of differentiation at the site of amputation. The temporal expression pattern of the lncRNA, named Neev, closely resembled the pattern of chitin synthase genes, implicated in chaetae formation. We found that the lncRNA has 49 sites for binding a set of four microRNAs (miRNAs) while the chitin synthase 8 mRNA has 478 sites. The over-representation of shared miRNA sites suggests that lncRNA Neev may act as a miRNA sponge to transiently de-repress chitin synthase 8 during formation of new chaetae in the regenerating segments of Eisenia fetida. Full Article
nee The identification and mitigation of geohazards using shallow airborne engineering geophysics and land-based geophysics for brown- and greenfield road investigations By qjegh.lyellcollection.org Published On :: 2020-05-01T00:46:18-07:00 South Africa is a mineral-rich country with a diverse geology and a long history of mining. The rich history of mining activities includes the extraction of coal from the Ecca Group Sediments of the Karoo Supergroup (250 Ma), gold and uranium from the Witwatersrand Supergroup (2900 Ma), as well as platinum, uranium, tin and lead from the layered Bushveld Igneous Complex (BIC) (2150 Ma). The extraction of gold, copper, tin, lead and rare earth minerals also took place in the Archean rocks of Swazium age (3500–3000 Ma). The historical mining records have either not been accurately recorded or have been lost over time. This has resulted in significant geohazard risk during infrastructure development, especially in and around historical mining towns, such as Johannesburg and Ermelo. These geohazard risks require careful appraisal and quantification prior to any infrastructure design or construction. This case study aims to set out the development aspects of the Multi-Faceted Geophysical Modelling Systems approach, which was used by the South African National Roads Agency SOC Ltd (SANRAL) during an investigation of undermined ground for the historical coal-mining town of Ermelo in South Africa. The N11/N2 ring road was planned to go around Ermelo to ensure mobility between major routes, whilst still maintaining town access. The systems approach used a combination of airborne geophysics (Versatile Time Domain Electromagnetic System (VTEMTM) and magnetics), generally used in mining exploration, land-based and borehole geophysics, borehole water testing, and ground-truthing. The approach was continuous and iterative, building on the data at hand and reducing unnecessary investigations while eliminating the possibility of anomalies being missed, as in the case of conventional discrete drilling. The investigation ensured that 100% of the route was comprehensively investigated with a high confidence in the geological and geophysical data, and concomitant mitigation of infrastructure risk. The Multi-Faceted Geophysical Modelling Systems approach was successfully used to identify a previously unknown 1 x 1 m mining stope cavity at 90 m depth and a 3 x 5 m access tunnel at 24 m depth in a timely and cost-effective manner. Seven reverse-circulation percussion boreholes confirmed the structural integrity of these underground cavities, as well as the structural geology along the centreline. Based on the great success achieved in identifying shallow anomalies, this Multi-Faceted Geophysical Modelling Systems approach is now being considered for field trails on the dolomitic formations and the Wild Coast greenfields road project where there are large historical slumps and many fault lines. Thematic collection: This article is part of the Ground-related risk to transportation infrastructure collection available at https://www.lyellcollection.org/cc/Ground-related-risk-to-transportation-infrastructure Full Article
nee Protein Engineering in the Ubiquitin System: Tools for Discovery and Beyond [Review Articles] By pharmrev.aspetjournals.org Published On :: 2020-02-27T12:11:24-08:00 Ubiquitin (UB) transfer cascades consisting of E1, E2, and E3 enzymes constitute a complex network that regulates a myriad of biologic processes by modifying protein substrates. Deubiquitinating enzymes (DUBs) reverse UB modifications or trim UB chains of diverse linkages. Additionally, many cellular proteins carry UB-binding domains (UBDs) that translate the signals encoded in UB chains to target proteins for degradation by proteasomes or in autophagosomes, as well as affect nonproteolytic outcomes such as kinase activation, DNA repair, and transcriptional regulation. Dysregulation of the UB transfer pathways and malfunctions of DUBs and UBDs play causative roles in the development of many diseases. A greater understanding of the mechanism of UB chain assembly and the signals encoded in UB chains should aid in our understanding of disease pathogenesis and guide the development of novel therapeutics. The recent flourish of protein-engineering approaches such as unnatural amino acid incorporation, protein semisynthesis by expressed protein ligation, and high throughput selection by phage and yeast cell surface display has generated designer proteins as powerful tools to interrogate cell signaling mediated by protein ubiquitination. In this study, we highlight recent achievements of protein engineering on mapping, probing, and manipulating UB transfer in the cell. Significance Statement The post-translational modification of proteins with ubiquitin alters the fate and function of proteins in diverse ways. Protein engineering is fundamentally transforming research in this area, providing new mechanistic insights and allowing for the exploration of concepts that can potentially be applied to therapeutic intervention. Full Article
nee ABNM: Helping Diplomates and Trainees During the COVID-19 Pandemic By jnm.snmjournals.org Published On :: 2020-05-01T06:31:37-07:00 Full Article
nee The supportive care needs of people living with pulmonary fibrosis and their caregivers: a systematic review By err.ersjournals.com Published On :: 2020-04-29T01:39:43-07:00 Background People with pulmonary fibrosis often experience a protracted time to diagnosis, high symptom burden and limited disease information. This review aimed to identify the supportive care needs reported by people with pulmonary fibrosis and their caregivers. Methods A systematic review was conducted according to PRISMA guidelines. Studies that investigated the supportive care needs of people with pulmonary fibrosis or their caregivers were included. Supportive care needs were extracted and mapped to eight pre-specified domains using a framework synthesis method. Results A total of 35 studies were included. The most frequently reported needs were in the domain of information/education, including information on supplemental oxygen, disease progression and prognosis, pharmacological treatments and end-of-life planning. Psychosocial/emotional needs were also frequently reported, including management of anxiety, anger, sadness and fear. An additional domain of "access to care" was identified that had not been specified a priori; this included access to peer support, psychological support, specialist centres and support for families of people with pulmonary fibrosis. Conclusion People with pulmonary fibrosis report many unmet needs for supportive care, particularly related to insufficient information and lack of psychosocial support. These data can inform the development of comprehensive care models for people with pulmonary fibrosis and their loved ones. Full Article
nee The unknown planktonic foraminiferal pioneer Henry A. Buckley and his collection at The Natural History Museum, London By jm.lyellcollection.org Published On :: 2017-08-10T08:29:35-07:00 The Henry Buckley Collection of Planktonic Foraminifera at the Natural History Museum in London (NHMUK) consists of 1665 single-taxon slides housing 23 897 individuals from 203 sites in all the major ocean basins, as well as a vast research library of Scanning Electron Microscope (SEM) photomicrographs. Buckley picked the material from the NHMUK Ocean-Bottom Deposit Collection and also from fresh tow samples. However, his collection remains largely unused as he was discouraged by his managers in the Mineralogy Department from working on or publicizing the collection. Nevertheless, Buckley published pioneering papers on isotopic interpretation of oceanographic and climatic change and was one of the first workers to investigate foraminiferal wall structure using the SEM technique. Details of the collection and images of each slide are available via the NHMUK Data Portal (http://dx.doi.org/10.5519/0035055). The Buckley Collection and its associated Ocean-Bottom Deposit Collection have great potential for taxon-specific studies as well as geochemical work, and both collections are available on request. Full Article
nee Unmet Need for Family Planning and Experience of Unintended Pregnancy Among Female Sex Workers in Urban Cameroon: Results From a National Cross-Sectional Study By ghspjournal.org Published On :: 2020-03-31T15:28:55-07:00 ABSTRACTBackground:Female sex workers (FSWs) in Cameroon commonly have unmet need for contraception posing a high risk of unintended pregnancy. Unintended pregnancy leads to a range of outcomes, and due to legal restrictions, FSWs often seek unsafe abortions. Aside from the high burden of HIV, little is known about the broader sexual and reproductive health of FSWs in Cameroon.Methods:From December 2015 to October 2016, we recruited FSWs aged ≥18 years through respondent-driven sampling across 5 Cameroonian cities. Cross-sectional data were collected through a behavioral questionnaire. Modified-robust Poisson regression was used to approximate adjusted prevalence ratios (aPR) for TOP and current use of effective nonbarrier contraception.Results:Among 2,255 FSWs (median age 28 years), 57.6% reported history of unintended pregnancy and 40.0% reported prior TOP. In multivariable analysis, TOP history was associated with current nonbarrier contraceptive use (aPR=1.23, 95% confidence interval [CI]=1.07, 1.42); ever using emergency contraception (aPR=1.34, 95% CI=1.17, 1.55); >60 clients in the past month (aPR=1.29, 95% CI= 1.07, 1.54) compared to ≤30; inconsistent condom use with clients (aPR=1.17, 95% CI=1.00, 1.37); ever experiencing physical violence (aPR=1.24, 95% CI=1.09, 1.42); and older age. Most (76.5%) women used male condoms for contraception, but only 33.2% reported consistent condom use with all partners. Overall, 26.4% of women reported currently using a nonbarrier contraceptive method, and 6.2% reported using a long-acting method. Previous TOP (aPR=1.41, 95%CI=1.16, 1.72) and ever using emergency contraception (aPR=2.70, 95% CI=2.23, 3.26) were associated with higher nonbarrier contraceptive use. Recent receipt of HIV information (aPR=0.72, 95% CI=0.59, 0.89) and membership in an FSW community-based organization (aPR=0.73, 95% CI=0.57, 0.92) were associated with lower use nonbarrier contraceptive use.Conclusions:Experience of unintended pregnancies and TOP is common among FSWs in Cameroon. Given the low use of nonbarrier contraceptive methods and inconsistent condom use, FSWs are at risk of repeat unintended pregnancies. Improved integration of client-centered, voluntary family planning within community-led HIV services may better support the sexual and reproductive health and human rights of FSWs consistent with the United Nations Declaration of Human Rights. Full Article
nee Vib-PT, an Aromatic Prenyltransferase Involved in the Biosynthesis of Vibralactone from Stereum vibrans [Enzymology and Protein Engineering] By aem.asm.org Published On :: 2020-05-05T08:00:35-07:00 Vibralactone, a hybrid compound derived from phenols and a prenyl group, is a strong pancreatic lipase inhibitor with a rare fused bicyclic β-lactone skeleton. Recently, a researcher reported a vibralactone derivative (compound C1) that caused inhibition of pancreatic lipase with a half-maximal inhibitory concentration of 14 nM determined by structure-based optimization, suggesting a potential candidate as a new antiobesity treatment. In the present study, we sought to identify the main gene encoding prenyltransferase in Stereum vibrans, which is responsible for the prenylation of phenol leading to vibralactone synthesis. Two RNA silencing transformants of the identified gene (vib-PT) were obtained through Agrobacterium tumefaciens-mediated transformation. Compared to wild-type strains, the transformants showed a decrease in vib-PT expression ranging from 11.0 to 56.0% at 5, 10, and 15 days in reverse transcription-quantitative PCR analysis, along with a reduction in primary vibralactone production of 37 to 64% at 15 and 21 days, respectively, as determined using ultra-high-performance liquid chromatography-mass spectrometry analysis. A soluble and enzymatically active fusion Vib-PT protein was obtained by expressing vib-PT in Escherichia coli, and the enzyme’s optimal reaction conditions and catalytic efficiency (Km/kcat) were determined. In vitro experiments established that Vib-PT catalyzed the C-prenylation at C-3 of 4-hydroxy-benzaldehyde and the O-prenylation at the 4-hydroxy of 4-hydroxy-benzenemethanol in the presence of dimethylallyl diphosphate. Moreover, Vib-PT shows promiscuity toward aromatic compounds and prenyl donors. IMPORTANCE Vibralactone is a lead compound with a novel skeleton structure that shows strong inhibitory activity against pancreatic lipase. Vibralactone is not encoded by the genome directly but rather is synthesized from phenol, followed by prenylation and other enzyme reactions. Here, we used an RNA silencing approach to identify and characterize a prenyltransferase in a basidiomycete species that is responsible for the synthesis of vibralactone. The identified gene, vib-PT, was expressed in Escherichia coli to obtain a soluble and enzymatically active fusion Vib-PT protein. In vitro characterization of the enzyme demonstrated the catalytic mechanism of prenylation and broad substrate range for different aromatic acceptors and prenyl donors. These characteristics highlight the possibility of Vib-PT to generate prenylated derivatives of aromatics and other compounds as improved bioactive agents or potential prodrugs. Full Article
nee Palliative care clinical rotations among undergraduate and postgraduate medical trainees in Canada: a descriptive study By www.cmajopen.ca Published On :: 2020-04-14T05:09:06-07:00 Background: The number of medical undergraduate and postgraduate students completing palliative care clinical rotations in Canadian medical schools is currently unknown. The aim of this study was to assess the proportion of Canadian medical trainees completing clinical rotations in palliative care and to determine whether changes took place between 2008 and 2018. Methods: In this descriptive study, all Canadian medical schools (n = 17) were invited to provide data at the undergraduate and postgraduate levels (2007/08–2015/16 and 2007/08–2017/18, respectively). Information collected included the number, type and length of palliative care clinical rotations offered and the total number of medical trainees or residents enrolled at each school. Results: All 17 Canadian medical schools responded to the request for information. At the undergraduate level, palliative care clinical rotations were not offered in 2 schools, mandatory in 2 and optional in 13. Three schools that offered optional rotations were unable to provide complete data and were therefore excluded from further analyses. In 2015/16, only 29.7% of undergraduate medical students completed palliative care clinical rotations, yet this was a significant improvement compared to 2011/12 (13.6%, p = 0.02). At the postgraduate level, on average, 57.9% of family medicine trainees completed such rotations between 2007/08 and 2016/17. During the same period, palliative care clinical rotations were completed by trainees in specialty or subspecialty programs in anesthesiology (34.2%), geriatric medicine (64.4%), internal medicine (30.9%), neurology (28.2%) and psychiatry (64.5%). Interpretation: Between 2008 and 2018, a large proportion of Canadian medical trainees graduated without the benefit of a clinical rotation in palliative care. Without dedicated clinical exposure to palliative care, many physicians will enter practice without vital palliative care competencies. Full Article
nee CAR Engineering Comes to Macrophages [News in Brief] By cancerdiscovery.aacrjournals.org Published On :: 2020-05-01T00:05:26-07:00 Human macrophages equipped with chimeric antigen receptor constructs infiltrate solid tumors, ingest malignant tissue, and stimulate adaptive immunity in mouse models. Several new biotech companies are racing to bring the technology into clinical trials. Full Article
nee Novel Coronavirus: What Neuroradiologists as Citizens of the World Need to Know [EDITORIALS] By www.ajnr.org Published On :: 2020-04-09T06:30:48-07:00 Full Article
nee Need to rent a big house on A2 street, urban area in Nha Trang city with cheapest price in the area By batdongsan.com.vn Published On :: Sat, 04 Apr 2020 16:28:50 GMT The house is located on A2, beautiful shimmering, suitable for opening a company, Restaurant, spa, showroom ... In Urban Area, Phuoc Hai Industrial Area, Nha Trang City. - With an area of 220m2 per floor, the house has 4 floors, the usable area is up to 900m2 - The ground floor... Full Article
nee Luxury villa need for sale at Villa Riviera, 5 bedrooms, 3 floors with large garden By batdongsan.com.vn Published On :: Mon, 24 Feb 2020 09:28:06 GMT Villa Riviera needs for sale villa in District 2located at An Phu ward, land area of 289m2, built with 1 ground floor, 2 floors, including 1 large living room, 5 bedrooms, 1 working room, 1 main room (with WC), 2 kitchens, 6 bathrooms. Price:45 Billion VND~1,937,000 USD.Hotline: ... Full Article
nee Service apartment near BIS needs to rent 1 bedroom, discount due to corona epidemic By batdongsan.com.vn Published On :: Fri, 17 Apr 2020 16:40:00 GMT Serviced apartment for rent in district 2. Address: House No. 15, street 4, Thao Dien ward. This serviced apartment on 5.02 floor, area of 40 sqm can be used, including 1 bedroom, 1 bathroom (without bath), fully furnished, modern style and fully convenient. Living room with a lu... Full Article
nee Need for rent Shophouse 170m2 with 3 floors Song Hanh facade in Masteri An Phu By batdongsan.com.vn Published On :: Thu, 07 May 2020 21:11:00 GMT Shophouse for rent Masteri An Phu, frontage Song Hanh Street, District 2, parallel to Hanoi Highway, right at An Phu Metro Station (No. 7), Area: 170.4m2 (5.8110.73m) Shophouse consists of 3 floors, above is the high-class facilities of residents. Rough house Price: 141 millio... Full Article
nee $136 million needed for building border expressway in Lang Son By batdongsan.com.vn Published On :: 17:22 23/10/2019 Authorities of the Northern province Lang Son has requested VND3.16 trillion ($136 million) from the government to build the Chi Lang-Huu Nghi Expressway. Full Article
nee Strict penalties needed to prevent fraudulent real estate businesses By batdongsan.com.vn Published On :: 15:54 24/10/2019 Real estate insiders and experts said it is essential to develop strict penalties to combat those operating fraudulent property businesses to protect the legitimate rights of consumers and legitimate enterprises. Full Article
nee I need to rent a 107m2 townhouse with 3 bedrooms for 9 million/month, No furniture By batdongsan.com.vn Published On :: Tue, 24 Dec 2019 08:40:00 GMT I need to rent a 107m2 townhouse with 3 bedrooms for 9 million/month, No furniture Other options - Basic furniture: 12 million/month - Full Furniture: 15 million/month Please contact me to check the house: 0932608945 Ms Phuong... Full Article
nee After the COVID-19 pandemic, older generations should reflect on the need for climate action By feedproxy.google.com Published On :: Fri, 08 May 2020 19:58:28 +0000 EnvironmentThe COVID-19 pandemic has prompted a cornucopia of reflections about what is to be learned from it. One of the issues around which this has been the case is climate change. There are a few ways in which climate change is linked to reflections on the pandemic. One of these links is seeing the pandemic and where there has been relative success in dealing with it as a good case study in the value of scientific advice over politics. The wish is that as a result science might regain a more secure foothold in the debate around climate change. This is generally coupled with a reflection on the extent to which the pandemic might have been even better prepared for and dealt with had early generic warnings about the likelihood of a pandemic been heeded, and also if warnings about the actual pandemic had been acted on earlier than they were at the beginning of 2020. The hope is that this lesson in the consequences of not heeding warnings will rub off on the climate change debate, if not on the most committed climate change deniers. Another link between the pandemic and climate change is one less reflected on, although I did see at least one article on it, and that is the whole issue of inter-generational ethics that arises. The lock downs associated with COVID-19 tended to be justified on two grounds: One was containing the spread in such a way as to prevent health-care systems from being overwhelmed, and the other had to do with containing the spread of the virus for the sake of the those who were most likely to die from it, namely the elderly, an argument certainly borne out by the statistics even if it is the case that some younger people seem, for reasons yet to be determined, very vulnerable. And so it was that multitudes of young people have had to put their lives and dreams on hold in order to safeguard the lives of many who are much older than them. Young people have mostly willingly and without complaint acceded to the moral imperative and practical wisdom of sacrificing things like their personal, educational, athletic, travel, financial and/or employment hopes for the greater good, specifically for the older generation in their society. Other groups, like frontline health-care workers, and those newly classified as working in essential jobs, like grocery store workers, have also been asked to make a disproportionate sacrifice. But that is for another article on how their real value has been revealed -- and how that value should be recognized in the post-pandemic world (better wages for one thing). Unfortunately, the link between the demands on the young in the pandemic containment strategy and the debate on climate change manifests itself in observing, so far, the unwillingness of populations, and their governments, to demand a reverse moral imperative from older citizens when it comes to sacrifices they might make for the sake of younger and future generations. What are older citizens prepared to sacrifice to safeguard the quality of the lives younger citizens will lead in the coming decades, by substantially reducing our carbon footprint, and seriously dealing with other environmental challenges? One could argue that, in the case of Canadians, the population has done its part by electing a majority of MPs committed to action on climate change, only to be let down by a government that wants to have its cake and eat it too on climate change by imposing a carbon tax and buying a pipeline. Nevertheless, as we emerge on the other side of the pandemic, hopefully sooner rather than later, it seems to me that there will be a new opportunity for moral reflection on what the generations owe each other. Of course right-wing politicians are always claiming to be worried about passing on fiscal debt to the next generation. But passing on an environmental deficit is a much more real and serious issue. Part of the moral logic of pandemic containment has been asking one generation to sacrifice for another. It seems only fair then that the political debate about climate change should at some point soon become much more focused on what the older generation can do for the younger generation. Demanding real action from their political leaders, even if it means locking down or at the very least winding down lifestyles that have become ingrained would be a good start. And for those who can afford it, showing a willingness to pay higher taxes to build the infrastructure of a sustainable and livable future would also be in order. Bill Blaikie, former MP and MLA, writes on Canadian politics, political parties and Parliament. Image: John Englart/Flickr COVID-19Climate Hope 2020Bill BlaikieMay 8, 2020Will there be a silver lining to this pandemic?During this pandemic, the planet is getting a deserved rest. But once lockdowns are lifted, we must restore biodiversity, reduce emissions and shift from an economy that promotes endless growth.Bailing out on the old normalWith grim economic prospects forecast as a result of the COVID-19 pandemic, campaigns have launched to rebuild the economy differently.After this Earth Day, let's never go back to normalWith the same solidarity and collective action that we used to fight this virus, we can build a better future for everyone, and for the planet on which we all depend. Full Article
nee It's too late to ban face recognition – here's what we need instead By www.newscientist.com Published On :: Thu, 23 Jan 2020 10:32:22 +0000 Plans to ban face recognition in public places would only halt a tiny fraction of its use. Instead we need to regulate the technology – and fast, says Donna Lu Full Article
nee Election cyberattacks? It’s incompetence we need to worry about By www.newscientist.com Published On :: Wed, 12 Feb 2020 18:00:00 +0000 Concerns about adversaries hacking democracy abound, but it’s sheer incompetence we should really be worried about, writes Annalee Newitz Full Article
nee Cyborg grasshoppers have been engineered to sniff out explosives By www.newscientist.com Published On :: Mon, 17 Feb 2020 10:41:19 +0000 The super-sensitive smelling ability of American grasshoppers has been used to create biological bomb sniffers, which could prove useful for security purposes Full Article
nee To make smartphones sustainable, we need to rethink thermodynamics By www.newscientist.com Published On :: Wed, 11 Mar 2020 18:00:00 +0000 The data centres servicing our beloved digital devices gobble huge amounts of electricity. A new way to think about heat and energy could help us meet growing demand without burning through the world's resources Full Article
nee Everything You Need to Start Your Own Podcast on the Cheap By feedproxy.google.com Published On :: Sat, 09 May 2020 11:00:05 +0000 If you think you’ve got something of value to share with the world – or maybe you just want a project to tackle to fill the hours – then we’ll take you through what you need to know. Full Article
nee Chinese Chang’e 4 engineer explains how to garden on the moon By www.newscientist.com Published On :: Fri, 17 Jan 2020 12:43:13 +0000 The brains behind the first plant ever to germinate on the moon explains how the Chinese mission succeeded Full Article
nee NASA Hiring Engineers to Develop “Next Generation Humanoid Robot” By feedproxy.google.com Published On :: Mon, 30 Sep 2019 17:59:00 GMT Job postings from a NASA contractor suggest that a new humanoid robot is under development Full Article robotics robotics/space-robots
nee ‘ALP’s NBN needs extra $10bn’ By feedproxy.google.com Published On :: Tue, 14 Jun 2016 14:00:00 GMT Labor’s NBN policy could require a further $10 billion in taxpayer funding, says a telecommunications analyst. Full Article
nee RPGCast – Episode 254: “Who Needs Kickstarter?” By feedproxy.google.com Published On :: Sun, 10 Feb 2013 01:43:54 +0000 Class of Heroes decides to do a physical version after all. The Big Huge Games folks get more bad news. Quin teaches us about fictional... Full Article News Podcasts RPG Cast
nee RPGCast – Episode 293: “You Need A Fake ID?” By feedproxy.google.com Published On :: Sat, 25 Jan 2014 19:31:50 +0000 Nintendo announces some new consoles. Conan is the best source for reviews on the net. Microsoft’s business practices are best business practices. And if you... Full Article News Podcasts RPG Cast
nee RPGCast – Episode 315: “Manny Needs Friends” By feedproxy.google.com Published On :: Sat, 02 Aug 2014 23:31:11 +0000 Manny gives fashion advice. Chris learns that he doesn’t know how to Kindle. And Anna Marie orders avatar tuna. Is it a slow news week? Full Article News Podcasts RPG Cast
nee RPGCast – Episode 413: “We Need A Bouncer” By feedproxy.google.com Published On :: Sat, 11 Feb 2017 20:16:03 +0000 Anna Marie get some counseling for her two star woes. Alice and Chris make it clear they don’t know how to deal with large tortoises.... Full Article News Podcasts RPG Cast
nee RPGCast – Episode 496: “Painful Sneeze Out Of Ten” By feedproxy.google.com Published On :: Sat, 16 Mar 2019 20:36:22 +0000 We’re joined by a new staffer (Peter) this week for a HUGE cast! We set off a KEMCO alert with massively overpriced DLC, we’re accidentally... Full Article News Podcasts RPG Cast
nee RPGCast – Episode 508: “I Need Waifus” By feedproxy.google.com Published On :: Sat, 27 Jul 2019 19:25:44 +0000 Fire Emblem Three Houses released this week and we're (almost) all playing it - but there's a bit of controversy afoot. Pascal talks about poor choices he's made in other games. And the news section is all twisty, tumbly, and turvy. Now back to our respective waifus, husbandos, and depressing games...sos. Full Article News Podcasts RPG Cast Atelier Lulua Dandy Dungeon Dragon Quest Builders 2 Fell Seal: Arbiter's Mark Final Fantasy XIV: Shadowbringers Fire Emblem: Three Houses Judge Eyes / Judgment Ni no Kuni II Persona Q2 Trials of Mana
nee RPGCast – Episode 509: “I Need A Guide” By feedproxy.google.com Published On :: Sat, 03 Aug 2019 19:21:26 +0000 Johnathan, Nathan, and Chris try to figure out the code running behind Fire Emblem: Three Houses. Yokai Watch is coming out again. China has a bunch of cool RPGs. And Persona 5 Royal leaks some more details! Full Article News Podcasts RPG Cast Doom Fire Emblem: Three Houses Rebel Galaxy
nee If we want better conditions for Amazon staff we need to be patient… By www.theguardian.com Published On :: 2020-05-09T15:00:03Z The tech giant has often been accused of mistreating workers, but our desire for instant gratification is part of the problemTim Bray resigned as an Amazon vice-president last week. “Who he?” I hear you say. And why is this news significant? Answers: first, Bray is an ubergeek who’s an alumnus of many of the outfits in tech’s hall of fame (including DEC, Sun Microsystems, the OED project at the University of Waterloo, Google’s Android team and, eventually, Amazon Web Services); and second, he resigned on an issue of principle – something as rare as hen’s teeth in the tech industry.In his blog, he wrote: “I quit in dismay at Amazon firing whistleblowers who were making noise about warehouse employees frightened of Covid-19.” It was an expensive decision. Bray said the decision to resign would probably cost him more than a million dollars in salary and shares, and that he regretted leaving a job he enjoyed, working with good colleagues. “So I’m pretty blue.” Continue reading... Full Article Amazon Trade unions US unions E-commerce Internet Technology US news