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Leaner Herrera more mature after tough 2018

Odubel Herrera smiled and patted his stomach. The paunch that he carried into Spring Training 2018 is no longer there. Herrera has reported to camp leaner and, as he said Friday morning at Spectrum Field, motivated to bounce back from the worst season of his four-year career.




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Low molecular weight heparin does not prevent VTE after knee arthroscopy, studies show




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South Africa After the Elections: Balancing Domestic and International Policy Priorities

South Africa After the Elections: Balancing Domestic and International Policy Priorities 16 May 2019 — 1:30PM TO 2:30PM Anonymous (not verified) 9 May 2019 Chatham House | 10 St James's Square | London | SW1Y 4LE

The government that emerges from the 8 May election in South Africa faces immediate domestic and international foreign policy demands. Attracting Foreign Direct Investment to stimulate job growth, accelerating anti-corruption and good governance efforts are at the forefront of the new government’s agenda.

International ambitions will be upgraded such as UN security council reform, maximizing South Africa’s G20, BRICS and IBSA membership and preparing for South Africa’s chairmanship of the African Union (AU) in 2020.

At this meeting, the speakers – Moeletsi Mbeki, deputy chairman of SAIIA and author with Nobantu Mbeki of A Manifesto for Social Change: How to Save South Africa, and Elizabeth Sidiropoulos, chief executive of SAIIA and currently co-editing a volume on A South African Foreign Policy for the 2020s which will be published in 2019 – will reflect on the election and discuss the new government’s domestic and international policy agenda. The meeting will be chaired by Ann Grant, former British High Commissioner to South Africa (2000-05) with past experience working for Oxfam, Standard Chartered Bank and Tullow Oil.




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Zimbabwe After Mugabe

Zimbabwe After Mugabe Expert comment sysadmin 12 September 2019

He was the founding father of modern Zimbabwe, but he leaves behind a contested legacy and a country at a crossroads.

Children stand beside a mural of former Zimbabwe president Robert Mugabe in Harare. Photo: Getty Images.

Robert Mugabe’s death at age 95, after nearly 60 years at the helm of Zimbabwe’s liberation and post-independence politics, is a momentous occasion. Mugabe was the founding father of modern Zimbabwe, with all its stunning successes and grievous failures. As he moves into national legend, contestations over his legacy demonstrate that, in death as in life, the man known as Gushungo (from his family lineage) still continues to polarize opinion.

His failings are well known, including the mass murders of more than 30,000 civilians in Matabeleland during the 1980s Gukurahundi campaigns, and the killings and torture of opposition activists in the 2000s and 2010s.

The land reform process, although necessary, was handled in a haphazard way, contributing to the economic crash and 2008’s ‘year zero’, when Zimbabwe was plagued with a worthless currency, no food in the shops, unsafe drinking water and the spread of cholera and typhoid.

Nevertheless, Mugabe is genuinely mourned by millions in Zimbabwe and beyond. Partly this is for what he achieved in building Zimbabwe’s education, health and economy, and for giving land – however haphazardly – to millions of Zimbabweans.

But it was his assertion of black and African identity and pride which made Mugabe connect with millions. I grew up in Ian Smith’s Rhodesia, where being a black African was, by law, a cardinal sin and, at times, a capital offence. Mugabe helped to make being black not just acceptable but also a cause for celebration.

What now for the country?

Mugabe continues to shape Zimbabwe’s politics. Emmerson Mnangagwa’s government has tried to differentiate itself from Mugabe’s administrations, avoiding his radical and ideologically driven language and policies. But Zimbabwe’s military, which played a critical role in Mugabe’s 2017 removal, remains influential over government policy.

Mnangagwa wants to be seen as a moderate, accessible for regular meetings with private sector and international investors through the Presidential Advisory Commission, the Tripartite Negotiating Forum, investment meetings and other forums.

Politically, Zimbabwe’s bipartisan Parliamentary Portfolio Committees have emerged over the past year as key institutions able to effectively hold the government and other institutions to account. Contentious Mugabe-era legislation such as the Public Order and Security Act has been revised in line with Zimbabwe’s constitution. And the ongoing multiparty dialogue is a useful start towards a much-needed national political dialogue.

Through its Transitional Stabilization Programme, the Mnangagwa administration has outlined an ambitious economic reform agenda. There has been some progress; in January, the government reported a $113 million budget surplus, and publicly available audits of state-owned enterprises by Public Auditor Mildred Chiri have exposed the rot at the heart of institutions such as the National Social Security Authority.

The government has streamlined bureaucracy and legislation to improve Zimbabwe’s business climate; and the newly empowered Zimbabwe Anti-Corruption Commission has begun probing some high-profile fraud cases.

Zimbabwe’s global re-engagement with international financial institutions, a process which had stalled in Mugabe’s later years, is now making some progress, with Zimbabwe joining the Staff Monitored Programme with the IMF in mid-2019. The introduction of a new currency in February was designed to end the chaos of multiple US-dollar exchange rates and the dominance of the black market, but has had limited results.

Hardship

But the Mnangagwa administration’s attempts to stabilize the Zimbabwean economy have also included deep cuts in government spending, and the resulting austerity has brought severe hardship for ordinary Zimbabweans. Massive fuel, power and water shortages and the sky-rocketing cost of living are all reminiscent of the Mugabe era, damaging the credibility of the government’s promise of an economic dividend.

Shortages have also hit tourism, which had rebounded in recent years, and the new national currency initiative has pushed inflation to an official 180%. Violent urban protests took place in 2018 and 2019.

While government is right to commit to reforms, and has taken steps, such as cost-of-living allowances, to help mitigate the worst impacts, many Zimbabweans view the official ‘austerity for prosperity’ message with deep scepticism, and the current state of the economy has encouraged more young Zimbabweans to leave the country. Government and the business community need to prioritize people over statistics, and put social protection, anti-poverty programmes and economic democracy at the forefront of economic reform.

Getting public services working again will also require a broad national economic consensus and could look to capitalize on diaspora-led initiatives in education, agriculture, health and other sectors.

But this will require the opposition Movement for Democratic Change to recognize Mnangagwa’s legitimacy in return for substantive talks between government and the opposition and strengthened outreach to Zimbabwe’s nearly 5-million strong global diaspora, many in the United Kingdom, unsure of what tomorrow will bring, and an increasingly troubled South Africa.

The future

Robert Mugabe’s funeral will bring together the great and the good, not just from Zimbabwe but from all over the world. Robert Mugabe was always a voice and never an echo, and his passing, as with those of other Zimbabwean change-makers of all races and backgrounds, is an opportunity to reflect on the legacy of the liberation era.

But more importantly, it is also an opportunity to think about what lies ahead. Zimbabweans have proved to be resilient and innovative; but it will require a collective effort and a national re-engagement to ensure that Zimbabwe’s future is not its past. And with Mugabe now gone, the Zimbabwe government must prove that it can and will do better.




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Design, Synthesis, and Preclinical Evaluation of a High-Affinity 18F-Labeled Radioligand for Myocardial Growth Hormone Secretagogue Receptor Before and After Myocardial Infarction

The peptide hormone ghrelin is produced in cardiomyocytes and acts through the myocardial growth hormone secretagogue receptor (GHSR) to promote cardiomyocyte survival. Administration of ghrelin may have therapeutic effects on post–myocardial infarction (MI) outcomes. Therefore, there is a need to develop molecular imaging probes that can track the dynamics of GHSR in health and disease to better predict the effectiveness of ghrelin-based therapeutics. We designed a high-affinity GHSR ligand labeled with 18F for imaging by PET and characterized its in vivo properties in a canine model of MI. Methods: We rationally designed and radiolabeled with 18F a quinazolinone derivative ([18F]LCE470) with subnanomolar binding affinity to GHSR. We determined the sensitivity and in vivo and ex vivo specificity of [18F]LCE470 in a canine model of surgically induced MI using PET/MRI, which allowed for anatomic localization of tracer uptake and simultaneous determination of global cardiac function. Uptake of [18F]LCE470 was determined by time–activity curve and SUV analysis in 3 regions of the left ventricle—area of infarct, territory served by the left circumflex coronary artery, and remote myocardium—over a period of 1.5 y. Changes in cardiac perfusion were tracked by [13N]NH3 PET. Results: The receptor binding affinity of LCE470 was measured at 0.33 nM, the highest known receptor binding affinity for a radiolabeled GHSR ligand. In vivo blocking studies in healthy hounds and ex vivo blocking studies in myocardial tissue showed the specificity of [18F]LCE470, and sensitivity was demonstrated by a positive correlation between tracer uptake and GHSR abundance. Post-MI changes in [18F]LCE470 uptake occurred independently of perfusion tracer distributions and changes in global cardiac function. We found that the regional distribution of [18F]LCE470 within the left ventricle diverged significantly within 1 d after MI and remained that way throughout the 1.5-y duration of the study. Conclusion: [18F]LCE470 is a high-affinity PET tracer that can detect changes in the regional distribution of myocardial GHSR after MI. In vivo PET molecular imaging of the global dynamics of GHSR may lead to improved GHSR-based therapeutics in the treatment of post-MI remodeling.




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Clinical Factors That Influence Repeat 68Ga-PSMA-11 PET/CT Scan Positivity in Patients with Recurrent Prostate Cancer Under Observation After a Negative 68Ga-PSMA-11 PET/CT Scan: A Single-Center Retrospective Study

This analysis aimed to identify clinical factors associated with positivity on repeat 68Ga-PSMA-11 PET/CT after a negative scan in patients with recurrent prostate cancer (PCa) under observation. Methods: This single-center, retrospective analysis included patients who underwent at least 2 68Ga-PSMA-11 PET/CT scans (PET1 and PET2) at UCLA between October 2016 and June 2021 for recurrent PCa with negative PET1 and no PCa-related treatments between the 2 scans. Using Prostate Cancer Molecular Imaging Standardized Evaluation criteria to define negative and positive scans, the final cohort was divided into PET2-negative (PET2-Neg) and PET2-positive (PET2-Pos). The same PET1 was used twice in the more than 2 PET cases with inclusion criteria fulfilled. Patient characteristics and clinical parameters were compared between the 2 cohorts using Mann–Whitney U test and Fisher exact test. Areas under the curve (AUCs) of the receiver operating characteristic and the Youden index were computed to determine the discrimination ability of statistically significant factors and specific cut points that maximized sensitivity and specificity, respectively. Results: The final analysis included 83 sets of 2 PET/CT scans from 70 patients. Thirty-nine of 83 (47%) sets were PET2-Neg, and 44 of 83 (53%) sets were PET2-Pos. Prostate-specific antigen (PSA) increased from PET1 to PET2 for all 83 (100%) sets of scans. Median PSA at PET1 was 0.4 ng/mL (interquartile range, 0.2–1.0) and at PET2 was 1.6 ng/mL (interquartile range, 0.9–3.8). We found higher serum PSA at PET2 (median, 1.8 vs. 1.1 ng/mL; P = 0.015), absolute PSA difference (median, 1.4 vs. 0.7 ng/mL; P = 0.006), percentage of PSA change (median, +270.4% vs. +150.0%: P = 0.031), and median PSA velocity (0.044 vs. 0.017 ng/mL/wk, P = 0.002) and shorter PSA doubling time (DT; median, 5.1 vs. 8.3 mo; P = 0.006) in the PET2-Pos cohort than in the PET2-Neg cohort. Receiver operating characteristic curves showed cutoffs for PSA at PET2 of 4.80 ng/mL (sensitivity, 34%; specificity, 92%; AUC, 0.66), absolute PSA difference of 0.95 ng/mL (sensitivity, 62%; specificity, 71%; AUC, 0.68), percentage of PSA change of a positive 289.50% (sensitivity, 48%; specificity, 82%; AUC, 0.64), PSA velocity of 0.033 ng/mL/wk (sensitivity, 57%; specificity, 80%; AUC, 0.70), and PSA DT of 7.91 mo (sensitivity, 71%; specificity, 62%; AUC, 0.67). Conclusion: Patients with recurrent PCa under observation after a negative 68Ga-PSMA-11 PET/CT scan with markedly elevated serum PSA levels and shorter PSA DT are more likely to have positive findings on repeat 68Ga-PSMA-11 PET/CT.




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11 hospitalized after explosion at Louisville food-coloring factory

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Feds Extend Meal Waivers for Students After Pressure From Schools, Lawmakers

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Parents Awarded $900K After Hidden Cameras Capture Student Restraint

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New Jersey Postpones PARCC Exam After Technical Problems

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Coronavirus Upends After-School World

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After Protracted Political Spat, Missouri Rehires Fired State Schools Chief

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Ferguson-Florissant Schools Open After Two-Week Delay

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Minnesota Governor-Elect Names AFT National VP to Be State Education Chief

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Maple Leafs Prospect Deserves A Solid Shot In The NHL After Emergency Call-Up

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