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Low Dose IL-2 Combined with Rapamycin Led to an Expansion of CD4+CD25+FOXP3+ Tregs and Prolonged Human Islet-allograft Survival in Humanized Mice

Islet transplantation is an emerging therapy for type 1 diabetes (T1D) and hypoglycaemic unawareness. However, a key challenge for islet transplantation is cellular rejection and the requirement for long-term immunosuppression. In this study we established a diabetic-humanized NOD-scidIL2Rnull(NSG) mouse model of T cell mediated human islet-allograft rejection and developed a therapeutic regimen of low-dose recombinant human interleukin2(IL-2) combined with low-dose rapamycin to prolong graft survival. NSG-mice that had received renal-subcapsular human islet-allografts and were transfused with 1x107 of human-spleen-mononuclear-cells (hSPMCs), reconstituted human CD45+ cells that were predominantly CD3+ T cells and rejected their grafts with a median survival time of 27 days. IL-2 alone (0.3x106 IU/m2 or 1x106 IU/m2), or rapamycin alone (0.5-1mg/kg) for 3 weeks did not prolong survival. However, the combination of rapamycin with IL-2 for 3 weeks significantly prolonged human islet-allograft survival. Graft survival was associated with expansion of CD4+CD25+FOXP3+ Tregs and enhanced TGF-β production by CD4+ T cells. CD8+ T cells showed reduced IFN- production and reduced expression of perforin-1. The combination of IL-2 and rapamycin has the potential to inhibit human islet-allograft rejection by expanding CD4+FOXP3+ Tregs in vivo and supressing effector cell function, and could be the basis of effective tolerance-based regimens.




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JCDC weighs options amid COVID-19 pause - 230 entries received for Festival Song Competition

By the month of May in any given year, the many and varied events and competitions staged by the Jamaica Cultural Development Commission (JCDC) islandwide would have been in high gear. Each year the JCDC rolls out its much-anticipated menu board...




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Norris McDonald | COVID-19 pandemic … The US must lift Cuban embargo to save lives

“The United States has launched a stunning attack on Cuba’s medical-aid missions, with the Trump administration pressing countries to reject them during the coronavirus pandemic,” Steve Sweeny reported in the Morning Star, March 26, 2020. Given...




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Norris McDonald | Coronavirus, faith-based medicine and quackery

Four companies involved in one of America’s “largest price-fixing cases” are now behind the anti-malaria drug touted by Donald ‘The Great Impeached’ Trump as a snake-oil, cure-all treatment for COVID-19, caused by the novel coronavirus. Several...




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Ronald Jackson leaves CDEMA after seven years

BRIDGETOWN, Barbados, CMC – The Barbados-based the Caribbean Disaster Emergency Management Agency (CDEMA) says its executive director, Ronald Jackson, is leaving the post after seven years “of unwavering and exemplary service to the...




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First-in-Humans Imaging with 89Zr-Df-IAB22M2C Anti-CD8 Minibody in Patients with Solid Malignancies: Preliminary Pharmacokinetics, Biodistribution, and Lesion Targeting

Immunotherapy is becoming the mainstay for treatment of a variety of malignancies, but only a subset of patients responds to treatment. Tumor-infiltrating CD8-positive (CD8+) T lymphocytes play a central role in antitumor immune responses. Noninvasive imaging of CD8+ T cells may provide new insights into the mechanisms of immunotherapy and potentially predict treatment response. We are studying the safety and utility of 89Zr-IAB22M2C, a radiolabeled minibody against CD8+ T cells, for targeted imaging of CD8+ T cells in patients with cancer. Methods: The initial dose escalation phase of this first-in-humans prospective study included 6 patients (melanoma, 1; lung, 4; hepatocellular carcinoma, 1). Patients received approximately 111 MBq (3 mCi) of 89Zr-IAB22M2C (at minibody mass doses of 0.2, 0.5, 1.0, 1.5, 5, or 10 mg) as a single dose, followed by PET/CT scans at approximately 1–2, 6–8, 24, 48, and 96–144 h after injection. Biodistribution in normal organs, lymph nodes, and lesions was evaluated. In addition, serum samples were obtained at approximately 5, 30, and 60 min and later at the times of imaging. Patients were monitored for safety during infusion and up to the last imaging time point. Results: 89Zr-IAB22M2C infusion was well tolerated, with no immediate or delayed side effects observed after injection. Serum clearance was typically biexponential and dependent on the mass of minibody administered. Areas under the serum time–activity curve, normalized to administered activity, ranged from 1.3 h/L for 0.2 mg to 8.9 h/L for 10 mg. Biodistribution was dependent on the minibody mass administered. The highest uptake was always in spleen, followed by bone marrow. Liver uptake was more pronounced with higher minibody masses. Kidney uptake was typically low. Prominent uptake was seen in multiple normal lymph nodes as early as 2 h after injection, peaking by 24–48 h after injection. Uptake in tumor lesions was seen on imaging as early as 2 h after injection, with most 89Zr-IAB22M2C–positive lesions detectable by 24 h. Lesions were visualized early in patients receiving treatment, with SUV ranging from 5.85 to 22.8 in 6 target lesions. Conclusion: 89Zr-IAB22M2C imaging is safe and has favorable kinetics for early imaging. Biodistribution suggests successful targeting of CD8+ T-cell–rich tissues. The observed targeting of tumor lesions suggests this may be informative for CD8+ T-cell accumulation within tumors. Further evaluation is under way.




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Maternal Type 1 Diabetes Reduces Autoantigen-Responsive CD4+ T Cells in Offspring

Autoimmunity against pancreatic β-cell autoantigens is a characteristic of childhood type 1 diabetes (T1D). Autoimmunity usually appears in genetically susceptible children with the development of autoantibodies against (pro)insulin in early childhood. The offspring of mothers with T1D are protected from this process. The aim of this study was to determine whether the protection conferred by maternal T1D is associated with improved neonatal tolerance against (pro)insulin. Consistent with improved neonatal tolerance, the offspring of mothers with T1D had reduced cord blood CD4+ T-cell responses to proinsulin and insulin, a reduction in the inflammatory profile of their proinsulin-responsive CD4+ T cells, and improved regulation of CD4+ T cell responses to proinsulin at 9 months of age, as compared with offspring with a father or sibling with T1D. Maternal T1D was also associated with a modest reduction in CpG methylation of the INS gene in cord blood mononuclear cells from offspring with a susceptible INS genotype. Our findings support the concept that a maternal T1D environment improves neonatal immune tolerance against the autoantigen (pro)insulin.




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Another CDU Leadership Race Begins in Merkel’s Shadow

28 February 2020

Quentin Peel

Associate Fellow, Europe Programme
The election of a new leader of the chancellor’s party will be another contest over her legacy.

2020-02-28-Merkel.jpg

German Chancellor Angela Merkel is depicted on a float in the Rosenmontag parade in Mainz on 24 February. Photo: Getty Images.

Perhaps it will be second time lucky. At the end of April, Germany’s Christian Democratic Union (CDU) will elect a new party leader to follow in the footsteps of Angela Merkel. An emergency party congress has been summoned to do that after the surprise resignation of Annegret Kramp-Karrenbauer, Merkel’s chosen successor.

The plan is to leave the decision on who will be the CDU candidate for chancellor at the next election until after Germany’s EU presidency concludes in December. So Merkel will keep her job until 2021, and the new leader will have to learn to live with her.

The three leading candidates are Armin Laschet, Friedrich Merz and Norbert Röttgen, all from the state of North Rhine-Westphalia. Two of the three – Merz and Röttgen – were sacked by Merkel from their former jobs. They have not forgotten. Only Armin Laschet, currently CDU leader in North Rhine-Westphalia and state premier, can be described as a Merkel loyalist, true to her centrist mantra.

He is the man to beat, having teamed up with Jens Spahn, the 39-year-old health minister, who is popular with party conservatives. Spahn will run as his deputy, so the team straddles the left-right divide in the party. But the contest still seems set to be a bitter battle between pro- and anti-Merkel factions that could leave the party badly split.

After nearly 15 years as chancellor, and 18 years as CDU leader, Merkel remains the most popular politician in Germany. In spite of criticism that she lacks vision, her caution and predictability appear to be just what most German voters like.

But her term in office has also seen the steady shrinking of the centre ground in German politics, with the rise of the environmentalist Green party and the far-right Alternative for Germany (AfD) at the expense of the centre-right CDU and the centre-left Social Democratic Party (SPD).

The battle for the soul of the CDU is between those who think Merkel has been too left-wing, and want a more conservative leader to win back AfD voters, and those who believe that the CDU must stay in the centre, and prepare for a future coalition with the Greens. Merz is seen as the former, Laschet and Röttgen the latter.

Unless Laschet emerges as the clear winner in April, the leadership contest is likely to leave Germany sorely distracted by domestic politics just as it takes over the EU presidency in the second half of the year. Instead of Merkel having a triumphant international swansong on the EU stage, she could be battling to protect her inheritance at home.

The one area on which all three leadership candidates seem to agree is foreign policy: they all want Germany to take more leadership and responsibility, and for the European Union to play a bigger role in security, defence and international affairs. They are all Atlanticists, but critical of Donald Trump’s ‘America First’ stance. All are on the record criticizing the chancellor – at least tacitly – for not having a more vigorous foreign policy.

There the similarity ends.

On the right, the 64-year-old Merz is both the most conservative and the most popular with the party grassroots. He fell out with the chancellor when she took over his job as CDU leader in parliament in 2002. He quit politics to become a corporate lawyer (and a millionaire), but never lost his political ambition. He is an economic liberal but socially conservative, a strong critic of Merkel’s migration policy and her lack of clear leadership. Critics say he is a man of the past, and not a team player.

On the EU, he believes Germany is ‘leaving too much to the French’. If France and Germany cannot agree on financial matters, he said at the London School of Economics in February, they should instead forge a stronger EU industrial policy focused on creating more ‘European champions’.

Laschet, the Merkel loyalist, is four years younger, and from the left of the party. Like Merz, he is a former member of the European parliament. In 2015, he defended Merkel’s open border policy to accept refugees stranded in the Balkans. On Russia, however, he is more critical, calling for a new effort to re-engage with Vladimir Putin. Most recently, at the Munich Security Conference, he called for stronger Franco-German relations, and more support for the eurozone reforms proposed by Emmanuel Macron.

As CDU leader in North Rhine-Westphalia, Laschet has the strongest power base. He earned his political spurs there by winning the last state election in 2017, in contrast to Röttgen, who lost to the SPD and Greens five years earlier.

Röttgen, chairman of the Bundestag foreign affairs committee, is the surprise candidate. Once a Merkel favourite, they fell out when she sacked him as environment minister after he lost the North Rhine-Westphalia election. By throwing his hat in the ring, he has forced it to become an open contest. He is independent-minded and outspoken, but not as bitterly hostile to the chancellor as Merz, so he could be a compromise candidate.

Laschet is clearly the man Merkel would find it easiest to live with. The decision will be taken by a party congress, not a grassroots ballot, which gives him a better chance. But Merz is the most eloquent orator and seen as the best campaigner. The challenge for party members is whether they believe it is better to swing right and squeeze the AfD, or stick to the centre to hold onto voters tempted by the Greens, who have replaced the SPD as the second-most popular party in Germany.

The race is wide open. So is the future of the CDU. The only prediction one can make with much certainty is that as long as Merkel remains chancellor, any successor will struggle to get out of her shadow.




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Member review, comment solicited for changes to CDT Code

The 2021 Code on Dental Procedures and Nomenclature — better known as the CDT Code — could include changes or additions to codes regarding oral/oropharyngeal cancer, caries management by risk assessment, laboratory surface scanning for diagnostic purposes, and counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use.




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CDC to offer coronavirus guidance during webinar Jan. 31

The Centers for Disease Control and Prevention will provide interim guidance to clinicians regarding the coronavirus outbreak during a webinar at 2 p.m. EST Jan. 31.




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CDC reminds clinicians to use standard precautions, recommends isolating patients with coronavirus symptoms

In light of the “emerging, rapidly evolving” outbreak of the novel coronavirus 2019-nCoV, the Centers for Disease Control and Prevention is reminding clinicians to use standard precautions consistently and advising they isolate patients who show signs and symptoms of the virus.




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ADA releases coronavirus handout for dentists based on CDC guidelines

The handout covers strategies for helping prevent the transmission of suspected respiratory disease in the dental health care setting and answers frequently asked questions related to the virus, based on guidelines from the Centers for Disease Control and Prevention.




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ADA urges CDC to provide ‘immediate guidance’ on protecting dental patients, staff from COVID-19 during emergency treatments

The American Dental Association is urging the Centers for Disease Control and Prevention to provide immediate guidance on the best way to protect dental patients and staff from the transmission of COVID-19 during emergency and urgent care situations.




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ADA urges CDC to update guidance for dental personnel

The American Dental Association is urging the Centers for Disease Control and Prevention to “quickly provide guidance” on how to safely reopen dental practices during the deceleration phase of the COVID-19 outbreak.




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ADA tip sheet includes CDC guidance on identifying counterfeit N95 masks

The American Dental Association has created a tip sheet with guidance from the National Institute for Occupational Safety and Health group at the Centers for Disease Control and Prevention to help health care professionals avoid buying or using counterfeit N95 respirators, which are often simply referred to as masks.




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Foodborne illnesses rise 15% in U.S. in 2019, CDC says

Infections caused by contaminated food are up 15 percent across the United States, according to preliminary data from the U.S. Centers for Disease Control and Prevention's Foodborne Diseases Active Surveillance Network.




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CDC: Nearly 5,000 workers at meat processing plants diagnosed with COVID-19

Nearly 5,000 workers in 115 meat processing workers across 19 states have been diagnosed with COVID-19, according to figures released Friday by the U.S. Centers for Disease Control and Prevention.




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CDC: 40% of U.S. teens are sexually active

The CDC estimates that 40 percent of U.S. teens are sexually active -- 42 percent of females and 38 percent of males 15 and 19 years of age -- numbers that have dropped significantly since 1988.




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Measles vaccinations in U.S. children fall up to 60 percent since pandemic, CDC says

Pediatric vaccination against measles has declined by as much as 60 percent nationally since the start of the COVID-19 outbreak, according to new data released Friday by the Centers for Disease Control and Prevention.




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Screening and Treatment Outcomes in Adults and Children With Type 1 Diabetes and Asymptomatic Celiac Disease: The CD-DIET Study

OBJECTIVE

To describe celiac disease (CD) screening rates and glycemic outcomes of a gluten-free diet (GFD) in patients with type 1 diabetes who are asymptomatic for CD.

RESEARCH DESIGN AND METHODS

Asymptomatic patients (8–45 years) were screened for CD. Biopsy-confirmed CD participants were randomized to GFD or gluten-containing diet (GCD) to assess changes in HbA1c and continuous glucose monitoring over 12 months.

RESULTS

Adults had higher CD-seropositivity rates than children (6.8% [95% CI 4.9–8.2%, N = 1,298] vs. 4.7% [95% CI 3.4–5.9%, N = 1,089], P = 0.035) with lower rates of prior CD screening (6.9% vs. 44.2%, P < 0.0001). Fifty-one participants were randomized to a GFD (N = 27) or GCD (N = 24). No HbA1c differences were seen between the groups (+0.14%, 1.5 mmol/mol; 95% CI –0.79 to 1.08; P = 0.76), although greater postprandial glucose increases (4-h +1.5 mmol/L; 95% CI 0.4–2.7; P = 0.014) emerged with a GFD.

CONCLUSIONS

CD is frequently observed in asymptomatic patients with type 1 diabetes, and clinical vigilance is warranted with initiation of a GFD.




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microRNA-21/PDCD4 Proapoptotic Signaling From Circulating CD34+ Cells to Vascular Endothelial Cells: A Potential Contributor to Adverse Cardiovascular Outcomes in Patients With Critical Limb Ischemia

OBJECTIVE

In patients with type 2 diabetes (T2D) and critical limb ischemia (CLI), migration of circulating CD34+ cells predicted cardiovascular mortality at 18 months after revascularization. This study aimed to provide long-term validation and mechanistic understanding of the biomarker.

RESEARCH DESIGN AND METHODS

The association between CD34+ cell migration and cardiovascular mortality was reassessed at 6 years after revascularization. In a new series of T2D-CLI and control subjects, immuno-sorted bone marrow CD34+ cells were profiled for miRNA expression and assessed for apoptosis and angiogenesis activity. The differentially regulated miRNA-21 and its proapoptotic target, PDCD4, were titrated to verify their contribution in transferring damaging signals from CD34+ cells to endothelial cells.

RESULTS

Multivariable regression analysis confirmed that CD34+ cell migration forecasts long-term cardiovascular mortality. CD34+ cells from T2D-CLI patients were more apoptotic and less proangiogenic than control subjects and featured miRNA-21 downregulation, modulation of several long noncoding RNAs acting as miRNA-21 sponges, and upregulation of the miRNA-21 proapoptotic target PDCD4. Silencing miR-21 in control subject CD34+ cells phenocopied the T2D-CLI cell behavior. In coculture, T2D-CLI CD34+ cells imprinted naïve endothelial cells, increasing apoptosis, reducing network formation, and modulating the TUG1 sponge/miRNA-21/PDCD4 axis. Silencing PDCD4 or scavenging reactive oxygen species protected endothelial cells from the negative influence of T2D-CLI CD34+ cells.

CONCLUSIONS

Migration of CD34+ cells predicts long-term cardiovascular mortality in T2D-CLI patients. An altered paracrine signaling conveys antiangiogenic and proapoptotic features from CD34+ cells to the endothelium. This damaging interaction may increase the risk for life-threatening complications.




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Australian government response to the Senate Finance and Public Administration References Committee inquiry report : the appropriateness and effectiveness of the objectives, design, implementation and evaluation of the Community Development Program (CDP)




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Utilisation of carp biomass : final report / Dr Janet Howieson, Andrew Tilley, Ewan Colquhoun, Elise O'Keefe, Steven Nash, Declan McDonald, Tony Evans, Gerry Gillespie, David Hardwick, Dr Sarah Beavis, Charles Francina, Daniel McCorey, Luke Wheat.




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Die ältesten Schriftsteller über die Lustseuche in Deutschland von 1495 bis 1510, nebst mehreren Anecdotis späterer Zeit, gesammelt und mit literarhistorischen Notizen und einer kurzen Darstellung der epidemischen Syphilis in Deutschland /

Gottingen : Dieterich, 1843.




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'Reconnecting McDowell' Buys Property for Teacher Housing

A private-public partnership is moving forward with efforts to recruit and retain teachers by building housing for educators in rural West Virginia.




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After Four Years, Progress Reported by 'Reconnecting McDowell'

Academic and health offerings have increased in McDowell County, W.Va., due to a private-public partnership.




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Aari McDonald on returning for her senior year at Arizona: 'We're ready to set the bar higher'

Arizona's Aari McDonald and Pac-12 Networks' Ashley Adamson discuss the guard's decision to return for her senior season in Tucson and how she now has the opportunity to be the face of the league. McDonald, the Pac-12 Defensive Player of the Year, was one of the nation's top scorers in 2019-20, averaging 20.6 points per game.




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From Wends we came : the story of Johann and Maria Huppatz & their descendants / compiled by Frank Huppatz and Rone McDonnell.

Huppatz (Family).




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Nestin Selectively Facilitates the Phosphorylation of the Lissencephaly-Linked Protein Doublecortin (DCX) by cdk5/p35 to Regulate Growth Cone Morphology and Sema3a Sensitivity in Developing Neurons

Nestin, an intermediate filament protein widely used as a marker of neural progenitors, was recently found to be expressed transiently in developing cortical neurons in culture and in developing mouse cortex. In young cortical cultures, nestin regulates axonal growth cone morphology. In addition, nestin, which is known to bind the neuronal cdk5/p35 kinase, affects responses to axon guidance cues upstream of cdk5, specifically, to Sema3a. Changes in growth cone morphology require rearrangements of cytoskeletal networks, and changes in microtubules and actin filaments are well studied. In contrast, the roles of intermediate filament proteins in this process are poorly understood, even in cultured neurons. Here, we investigate the molecular mechanism by which nestin affects growth cone morphology and Sema3a sensitivity. We find that nestin selectively facilitates the phosphorylation of the lissencephaly-linked protein doublecortin (DCX) by cdk5/p35, but the phosphorylation of other cdk5 substrates is not affected by nestin. We uncover that this substrate selectivity is based on the ability of nestin to interact with DCX, but not with other cdk5 substrates. Nestin thus creates a selective scaffold for DCX with activated cdk5/p35. Last, we use cortical cultures derived from Dcx KO mice to show that the effects of nestin on growth cone morphology and on Sema3a sensitivity are DCX-dependent, thus suggesting a functional role for the DCX-nestin complex in neurons. We propose that nestin changes growth cone behavior by regulating the intracellular kinase signaling environment in developing neurons. The sex of animal subjects is unknown.

SIGNIFICANCE STATEMENT Nestin, an intermediate filament protein highly expressed in neural progenitors, was recently identified in developing neurons where it regulates growth cone morphology and responsiveness to the guidance cue Sema3a. Changes in growth cone morphology require rearrangements of cytoskeletal networks, but the roles of intermediate filaments in this process are poorly understood. We now report that nestin selectively facilitates phosphorylation of the lissencephaly-linked doublecortin (DCX) by cdk5/p35, but the phosphorylation of other cdk5 substrates is not affected. This substrate selectivity is based on preferential scaffolding of DCX, cdk5, and p35 by nestin. Additionally, we demonstrate a functional role for the DCX-nestin complex in neurons. We propose that nestin changes growth cone behavior by regulating intracellular kinase signaling in developing neurons.




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Top White House officials buried CDC coronavirus report: AP

The decision to shelve detailed advice from the nation's top disease control experts for reopening communities during the coronavirus pandemic came from the highest levels of the White House, according to internal government emails obtained by The Associated Press.




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McDonald’s Workers in Denmark Pity Us

Danes haven’t built a “socialist” country. Just one that works.




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Illinois churches may not fully reopen for a year as White House shelves CDC plan

Washington, D.C. Newsroom, May 7, 2020 / 02:40 pm (CNA).- The governor of Illinois has said he will continue to ban public gatherings of more than 50 people—including religious services—until a vaccine or treatment for coronavirus is available.

The announcement comes as the White House is reported to have shelved guidance from the Centers for Disease Control on gradually reopening sections of the American economy and society.

Illinois governor J.B. Pritzker announced Wednesday that gatherings of more than 50 people in the state would not be allowed until a coronavirus vaccine “or highly effective treatment” is “widely available.”

Public health officials, including Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, have cautioned that a COVID-19 vaccine is at least 12 to 18 months from being developed and made available.

According to Pritzker’s five-part plan for reopening the state, gatherings of ten or fewer people are not even allowed until phase 3, the “recovery” phase that can begin, at earliest, May 29. However, following a lawsuit last week, the governor has allowed citizens to leave their homes for religious services as long as ten or fewer people are gathered for worship.

Previously, religious services of any kind in the state—including drive-in and in-person services—were curtailed during the pandemic, and even other forms of sacramental practice such as drive-in confessions were not allowed.

The Archdiocese of Chicago announced on May 1 that public Masses with 10 or fewer people would resume.

Other dioceses across the United States have already begun rolling back total suspensions on the public celebration of Mass. 

Last week, CNA reported that the White House Domestic Policy Council held a series of conference calls with bishops who had begun the process of reopening churches in line with local public health orders.

During the calls, administration officials expressed their hope to be able to support faith communities with “sensitive and respectful guidance” to help restore public worship “as soon as it is feasible.”

The bishops were told that the Centers for Disease Control hoped that issuing guidance could help inform state and local leaders about the “essential” nature of religious practice, while still allowing for localized responses to the coronavirus and provide “helpful parameters” for state and local governments who are trying to safeguard public health. But, on Thursday, AP reported that the Trump administration had shelved a 17-page report titled “Guidance for Implementing the Opening Up America Again Framework.”

That document included a section on “Interim Guidance for Communities of Faith.”

According to AP, CDC officials expected the guidance to be released at the end of last week but were instead told it “would never see the light of day.” 

Peter Breen, executive director of the Thomas More Society,  told CNA that “policymakers that are making plans based on the development of a vaccine or other cure to this coronavirus are engaging in magical thinking.”

“While there is always a possibility that some miracle cure may emerge, that is entirely uncertain and should not be the basis for setting policy, especially policy in relation to our communities of faith,” Breen stated.

On April 30, the Thomas More Society filed a lawsuit on behalf of The Beloved Church in Lena, Illinois, and by that night, attorney Peter Breen told CNA, a paragraph had been added to an executive order of Pritzker’s allowing for people to leave their home for religious services.

“He [Pritzker] has at least brought churches out of the abyss of ‘non-essential,’ but he has not fully elevated them to the heights of being an ‘essential’ business or operation,” Breen told CNA on Wednesday, noting that businesses deemed “essential” to remain open were not subject to the 10-person rule.




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Belgian Brothers of Charity fight for their name after CDF decision

Rome Newsroom, May 8, 2020 / 02:00 pm (CNA).- After the Congregation for the Doctrine of the Faith ruled that the hospitals of the Brothers of Charity in Belgium can no longer be considered as Catholic, the religious order is seeking to prevent the hospital network from using its name, their general superior told CNA. 

Br. René Stockman, general superior of the Congregation of the Brothers of Charity, said he fought to keep the Catholic identity and mission of the hospitals intact. But when the Brothers of Charity Organization, the non-profit group which manages the hospitals, approved pro-euthanasia guidelines 2017, he immediately referred the matter to the Congregation for the Doctrine of the Faith, which issued its decision at the end of March.

The CDF decision was communicated in a letter dated March 30, stating that "with deep sadness" the "psychiatric hospitals managed by the Provincialate of the Brothers of Charity association in Belgium will no longer be able to consider themselves Catholic institutions."

Stockman said he was now working to stop the 15-hospital network run by the Brothers of Charity Organization, the non-profit which brought in the pro-euthanasia policy, from continuing to use the order’s name.

“As a congregation,” Br. Stockman said, “we will clearly ask them not to use the name Brothers of Charity anymore for the psychiatric hospitals,” adding that ”we will do everything to come to clear arrangements without going to legal fight.” 

“We hope that we can make it [work] in that way,” he said, but the non-profit’s board have signalled resistance. 

Raf De Rycke, president of the Brothers of Charity Organization, said on May 5 that he intends to continue using the order’s name, and claimed the hospitals fulfil the same mission, and the same vision as ever, despite bringing in euthanasia.

The Stockman said the order was always adamant that they would never accept the possibility of euthanasia in their hospitals, but only a few brothers remain working in the hospitals, mostly in management roles. The order has asked them to leave their positions, now that they can no longer be considered Catholic. 

But, he said, “there are many doctors who don’t agree with the situation and they made their objection of conscience, but it becomes more difficult for them in an environment where the management is developing clear guidelines on how to perform the process and moving towards euthanasia when a psychiatric patient is asking for it.”

Belgium has ushered in ever-expanding access to euthanasia in recent years, including for mental health patients, even minors, suffering from conditions like depression. Belgian law prohibits contractual clauses or other provisions prohibiting doctors working in institutions to euthanize patients. A doctor or nurse still has the individual freedom of conscience to refuse to euthanize or participate to euthanasia, but the same freedom is no longer afforded to insitutions. 

Stockman said there was no question of not complying with Rome’s decision, and he hoped it would inspire others to reconsider the gravity of the spread of euthanasia.

“We hope that also others will reflect on it, especially in the field of mental health care. It is the first time that the Holy See through the CDF has given a clear answer on the growing practice of euthanasia in the field of mental health care,” he told CNA.  

Belgium has ushered in ever-expanding access to euthanasia in recent years, including for mental health patients, even minors, suffering from conditions like depression.

In an official statement published on their website, the Brothers of Charity Organization has accused Stockman of using the issue of euthanasia "within a broader and longer-lasting conflict” between the order and the non-profit on the use of assets. 

The non-profit suggested that Stockman has long wanted to devote more resources to the Brothers’ missions in Africa and Asian, as vocations have dried up in Belgium, where most of the order’s members are over eighty. Meanwhile, in the developing world, the congregation is growing; last year Br. Stockman welcomed 27 new novices in Nairobi.

The Brothers of Charity Organization frames the dispute as one of control over assets, and its statement said they "do not see the need to adapt our operations after this [CDF] letter because we are convinced that we are acting correctly."

The situation is being monitored closely by other Catholic organizations in the country who see it as a possible test case. So far, the bishops have remained circumspect.

In a May 6 statement, the Belgian Episcopal Conference said that "the bishops experience this as an excruciating and complex affair, in which different types of topics and different lines of responsibility meet." 

The conference called for "a prolonged dialogue between all those involved,” while stressing their "utmost appreciation for the commitment of the Brothers of Charity in Belgium and all their employees to the benefit of mentally disabled, sick or injured people."

Calls for dialogue, however, may prove wishful thinking. As part of its review of the situation, the CDF sent Bishop Jan Hendriks, auxiliary of Amsterdam, as an apostolic visitor to try to resolve the situation, but, the Congregation said, he was unable to find "a viable solution that avoids any form of responsibility of the institution for euthanasia."

The conference also said that "based on their pastoral responsibility, the bishops will continue to work for unity and solidarity in the ecclesial community. They maintain their trust and will continue to cooperate with all the health institutions of Christian civil society."

Stockman did not comment on the bishops’ conference statement.

“Of course,” he said, “we feel, as a congregation, alone [in this fight], but [we are proceeding] in line with the doctrine of the Church, with the clear statement made by our general chapter in 2018 and with our charism of charity.” 




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Belgian Brothers of Charity fight for their name after CDF decision

Rome Newsroom, May 8, 2020 / 02:00 pm (CNA).- After the Congregation for the Doctrine of the Faith ruled that the hospitals of the Brothers of Charity in Belgium can no longer be considered as Catholic, the religious order is seeking to prevent the hospital network from using its name, their general superior told CNA. 

Br. René Stockman, general superior of the Congregation of the Brothers of Charity, said he fought to keep the Catholic identity and mission of the hospitals intact. But when the Brothers of Charity Organization, the non-profit group which manages the hospitals, approved pro-euthanasia guidelines 2017, he immediately referred the matter to the Congregation for the Doctrine of the Faith, which issued its decision at the end of March.

The CDF decision was communicated in a letter dated March 30, stating that "with deep sadness" the "psychiatric hospitals managed by the Provincialate of the Brothers of Charity association in Belgium will no longer be able to consider themselves Catholic institutions."

Stockman said he was now working to stop the 15-hospital network run by the Brothers of Charity Organization, the non-profit which brought in the pro-euthanasia policy, from continuing to use the order’s name.

“As a congregation,” Br. Stockman said, “we will clearly ask them not to use the name Brothers of Charity anymore for the psychiatric hospitals,” adding that ”we will do everything to come to clear arrangements without going to legal fight.” 

“We hope that we can make it [work] in that way,” he said, but the non-profit’s board have signalled resistance. 

Raf De Rycke, president of the Brothers of Charity Organization, said on May 5 that he intends to continue using the order’s name, and claimed the hospitals fulfil the same mission, and the same vision as ever, despite bringing in euthanasia.

The Stockman said the order was always adamant that they would never accept the possibility of euthanasia in their hospitals, but only a few brothers remain working in the hospitals, mostly in management roles. The order has asked them to leave their positions, now that they can no longer be considered Catholic. 

But, he said, “there are many doctors who don’t agree with the situation and they made their objection of conscience, but it becomes more difficult for them in an environment where the management is developing clear guidelines on how to perform the process and moving towards euthanasia when a psychiatric patient is asking for it.”

Belgium has ushered in ever-expanding access to euthanasia in recent years, including for mental health patients, even minors, suffering from conditions like depression. Belgian law prohibits contractual clauses or other provisions prohibiting doctors working in institutions to euthanize patients. A doctor or nurse still has the individual freedom of conscience to refuse to euthanize or participate to euthanasia, but the same freedom is no longer afforded to insitutions. 

Stockman said there was no question of not complying with Rome’s decision, and he hoped it would inspire others to reconsider the gravity of the spread of euthanasia.

“We hope that also others will reflect on it, especially in the field of mental health care. It is the first time that the Holy See through the CDF has given a clear answer on the growing practice of euthanasia in the field of mental health care,” he told CNA.  

Belgium has ushered in ever-expanding access to euthanasia in recent years, including for mental health patients, even minors, suffering from conditions like depression.

In an official statement published on their website, the Brothers of Charity Organization has accused Stockman of using the issue of euthanasia "within a broader and longer-lasting conflict” between the order and the non-profit on the use of assets. 

The non-profit suggested that Stockman has long wanted to devote more resources to the Brothers’ missions in Africa and Asian, as vocations have dried up in Belgium, where most of the order’s members are over eighty. Meanwhile, in the developing world, the congregation is growing; last year Br. Stockman welcomed 27 new novices in Nairobi.

The Brothers of Charity Organization frames the dispute as one of control over assets, and its statement said they "do not see the need to adapt our operations after this [CDF] letter because we are convinced that we are acting correctly."

The situation is being monitored closely by other Catholic organizations in the country who see it as a possible test case. So far, the bishops have remained circumspect.

In a May 6 statement, the Belgian Episcopal Conference said that "the bishops experience this as an excruciating and complex affair, in which different types of topics and different lines of responsibility meet." 

The conference called for "a prolonged dialogue between all those involved,” while stressing their "utmost appreciation for the commitment of the Brothers of Charity in Belgium and all their employees to the benefit of mentally disabled, sick or injured people."

Calls for dialogue, however, may prove wishful thinking. As part of its review of the situation, the CDF sent Bishop Jan Hendriks, auxiliary of Amsterdam, as an apostolic visitor to try to resolve the situation, but, the Congregation said, he was unable to find "a viable solution that avoids any form of responsibility of the institution for euthanasia."

The conference also said that "based on their pastoral responsibility, the bishops will continue to work for unity and solidarity in the ecclesial community. They maintain their trust and will continue to cooperate with all the health institutions of Christian civil society."

Stockman did not comment on the bishops’ conference statement.

“Of course,” he said, “we feel, as a congregation, alone [in this fight], but [we are proceeding] in line with the doctrine of the Church, with the clear statement made by our general chapter in 2018 and with our charism of charity.” 




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CDF: Belgian Brothers of Charity hospitals must drop Catholic identity over euthanasia

CNA Staff, May 4, 2020 / 12:01 pm (CNA).- The Congregation for the Doctrine of the Faith has ordered 15 psychiatric hospitals in Belgium which belong to the Brothers of Charity to cease identifying as Catholic institutions after they allowed the euthanization of patients in 2017.

The hospitals are managed by a civil non-profit corporation with the same name as the Brothers of Charity religious congregation which owns them.

The CDF decision was communicated in a letter dated March 30, stating that "with deep sadness" the "psychiatric hospitals managed by the Provincialate of the Brothers of Charity association in Belgium will no longer be able to consider themselves Catholic institutions."

In a statement responding to the CDF's decision, the superior general of the Brothers of Charity, Br. René Stockman, said that "with a heavy heart" the religious congregation "must let go of its psychiatric centers in Belgium."

Br. Stockman pointed out that it is "painful" that the psychiatric centers of the Brothers of Charity in Belgium have lost their Catholic status, considering also that the brothers "were among the pioneers in the field of mental health care in Belgium."

At the same time, Stockman said he recognizes that "the congregation [the Brothers of Charity] has no choice but to remain faithful to the charism of charity, which cannot be reconciled with the practice of euthanasia on psychiatric patients."

The decision by the Vatican's doctrinal office ends three years of disputes between the Brothers of Charity and the corporation which manages their hospitals in Belgium.

In 2017, the board decided to allow euthanasia to be carried out in its hospitals in Belgium, where the euthanasia law is among the most broad.

At the time of the decision, the board of the corporation was composed of 15 members, with only three of them religious brothers of the congregation. 

Two of the three religious brothers among the board members, Luc Lemmens, 61, and Veron Raes, 57, supported the euthanasia decision. Their terms on the board ended at the end of September 2018 and were not renewed.

The religious congregation, especially Stockman, protested the decision, reiterating the Brothers of Charity's rejection of euthanasia in their hospitals.

The brothers appealed to the Vatican, which asked the psychiatric hospitals to change their protocol allowing euthanasia as “a medical act” under certain conditions.

The hospital management responded with a long statement in September 2017, in which it contested a lack of dialogue and maintained the hospital was "perfectly consistent" with Christian doctrine.

The CDF's direction that the hospitals must no longer identify as Catholic was communicated in a letter signed by CDF prefect Cardinal Luis Francisco Ladaria Ferrer and secretary Archbishop Giacomo Morandi.

The letter retraced the developments of the story, recalling that the document allowing euthanasia in the brothers' hospitals "refers neither to God, nor to Holy Scripture, nor to the Christian vision of Man."

According to the letter, the CDF had spoken with the Brothers of Charity and had also informed Pope Francis of the gravity of the situation.

Other audiences had also taken place beginning June 2017, including with the Congregation for Institutes of Consecrated Life and Societies of Apostolic Life, the Secretariat of State, the representatives of the Brothers of Charity and the managing corporation, as well as representatives of the Belgian bishops' conference.

The Holy See also sent Bishop Jan Hendriks, auxiliary of Amsterdam, as an apostolic visitor, but he did not register any steps forward nor a desire to find "a viable solution that avoids any form of responsibility of the institution for euthanasia."

The request of the CDF to the Brothers of Charity and to the managing corporation was clear: “affirm in writing and in an unequivocal way their adherence to the principles of the sacredness of human life and the unacceptability of euthanasia, and, as a consequence, the absolute refusal to carry it out in the institutions they depend on."

The corporation "did not give assurance on these points."

The CDF therefore reiterated that "euthanasia remains an inadmissible act, even in extreme cases," and strengthened the statement by citing St. John Paul II's 1995 encyclical Evangelium vitae, and a Jan. 30 speech by Pope Francis to the CDF.

The CDF stressed that "Catholic teaching affirms the sacred value of human life," the "importance of caring for and accompanying the sick and disabled," as well as "the Christian value of suffering, the moral unacceptability of euthanasia" and "the impossibility of introducing this practice in Catholic hospitals, not even in extreme cases, as well as of collaborating in this regard with civil institutions."

The Brothers of Charity is a religious congregation of lay brothers founded in 1807 in Belgium, whose specialization is care for the sick and those with psychiatric diseases.

At the congregation's July 2018 general chapter the group stressed that the Brothers of Charity "believes in sacredness and absolute respect for every human life, from conception to natural death. The general chapter requires that each brother, associate member and others associated with the mission of the congregation adhere to the doctrine of the Catholic Church on ethical issues."




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ABCD becomes KLMQ / Launch of BER leads to a renaming of terminal sections at Schönefeld Airport

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ABCD becomes KLMQ

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