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Scientists unlock the mystery behind Roman concrete’s amazing … – Mother Nature Network (blog)

July 10th, 2017 1:40 pm

Bloodlust, bad haircuts and the use of urine as a tooth whitener aside, the Romans did a whole lot of things right.

For starters, Romans connoisseurs of conveyance that they were developed the world's first highways, erected massive bridges and aqueducts and introduced the world to the convenience of sewers. But perhaps most notably, the master builders of the Roman Empire constructed hulking concrete edifices that were really built to last.

Calling Roman concrete "an extraordinarily rich material in terms of scientific possibility," Philip Brune, a research scientist at DuPont Pioneer and expert in ancient Roman construction, goes on to tell the Washington Post that it "is the most durable building material in human history, and I say that as an engineer not prone to hyperbole."

Kudos aside, the exact reason why Roman concrete known as opus caementicium, with ingredients including volcanic ash, calcium oxide or quicklime and hunks of volcanic rock which served as an aggregate is so damned durable has remained a mystery. Why has it withstood the test of time while modern concrete, which uses carbon-intensive Portland cement as a bonding agent, tends to crack and crumble into the sea over a relatively short time when exposed to salt water?

In addition to seawalls and subaquatic structures, the Romans built numerous millennia-spanning monuments such as the Colosseum with concrete made from lime, rock and volcanic ash. (Photo: Maria_Globetrotter/flickr)

According to a new study published in American Mineralogist, the answer has been sitting in front of us all along: Salt water, the same substance that hastens corrosion in modern concrete, is what has enabled some Roman piers and seawalls to stand strong for millennia.

More specifically, researchers have found that Roman concrete's seawater-aided endurance results from a chemical reaction that occurs when salt water seeps into the concrete fabric and comes in contact with the volcanic ash. The reaction creates aluminous tobermorite, a mineral that's difficult to produce in laboratory settings. This rare concrete crystal serves as a naturally occurring reinforcement that's matchless in modern times.

The great Roman author Pliny the Elder was certainly on to something when he wrote circa 79 A.D. in his "Naturalis Historia" that frequent lashings by an angry sea only made Roman harbors and seawalls more resilient "a single stone mass, impregnable to the waves and every day stronger."

"Contrary to the principles of modern cement-based concrete, the Romans created a rock-like concrete that thrives in open chemical exchange with seawater, " Marie Jackson, the study's lead author and a geologist at the University of Utah, tells the BBC. "It's a very rare occurrence in the Earth."

A University of Utah press release goes on to explain the chemical process:

"We're looking at a system that's contrary to everything one would not want in cement-based concrete," Jackson explains. "We're looking at a system that thrives in open chemical exchange with seawater."

Excellent. So does this research mean that some day down the line we'll experience a rebirth of ancient Roman building techniques? Will this antediluvian building material be used to as first line of defense when protecting our cities from rising seas unleashed by a rapidly warming planet?

Perhaps but not so fast.

The author of a new study on the chemical process that makes ancient concrete so durable believes that the seawater-strengthened material is the right fit for a proposed Welsh power plant that harnesses the power of the tides. (Rendering: Tidal Lagoon Power)

With the exact ingredients of Roman concrete having been discovered some time ago, Jackson and her fellow mineral cement sleuths now have a greater understanding of the chemical process behind the remarkable longevity of aquatic structures found across the ancient Roman Empire. Yet the exact method employed by Roman builders when mixing this ultra-durable building material remains a mystery. After all, if we knew exactly how they did it, wouldn't we have started replicating Roman concrete long ago?

"The recipe was completely lost," Jackson says in a press release.

While long-lasting, Roman concrete also lacks the compressive strength of Portland cement-based concrete, limiting its applications. And in a society that demands immediate results, structures that take decades centuries, even to gain optimum strength don't seem likely to gain serious traction anytime soon.

And there's another formidable obstacle: The basic aggregate found in Roman concrete volcanic rock collected by Roman builders from the region around present day Naples isn't easy to come by.

"Romans were fortunate in the type of rock they had to work with," Jackson says. "They observed that volcanic ash grew cements to produce the tuff. We don't have those rocks in a lot of the world, so there would have to be substitutions made."

And substitutions Jackson is making. Determined to find a satisfactory modern-day facsimile to reactive Roman concrete, Jackson has teamed with geological engineer Tom Adams to develop a "replacement recipe" composed of aggregate materials (read: rocks) collected from across the American West mixed with seawater pulled straight from the San Francisco Bay.

As the duo work to develop a potential seawater-aggregate mix that could yield the same crack-healing chemical reaction as the Pliny the Elder-beloved building material of civilizations past, Jackson is already thinking of potential applications for modern-day Roman concrete.

Earlier this year, she identified a proposed seawall in Swansea, Wales, as a structure in which Roman concrete would be a highly preferable choice over modern concrete reinforced with cement and steel. She believes that such a structure could potentially hold strong for upwards of 2,000 years.

"Their technique was based on building very massive structures that are really quite environmentally sustainable and very long-lasting," Jackson told the BBC in January. "I think Roman concrete or a type of it would be a very good choice. That project is going to require 120 years of service life to amortise [pay back] the investment."

Despite promises of longevity and putting an end to the planet-harming cement manufacturing process, there are sizable caveats that come along with the idea of protecting Swansea's tidal lagoon the world's first tidal lagoon power plant with a Roman-style seawall. As the BBC elaborates, local steel manufacturers are banking on the ambitious project being built with cement-based, steel-reinforced concrete. The environmental cost of transporting huge amounts of volcanic ash sourced from who knows where to the Welsh coast is also an issue.

"There's many applications but further work is needed to create those mixes. We've started but there is a lot of fine-tuning that needs to happen," Jackson tells The Guardian. "The challenge is to develop methods that use common volcanic products and that is actually what we are doing right now."

Matt Hickman ( @mattyhick ) writes about design, architecture and the intersection between the natural world and the built environment.

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Immune-matching process improved, reports Human Longevity-led study – The San Diego Union-Tribune

July 10th, 2017 1:40 pm

A team led by researchers at La Jollas Human Longevity reports developing a faster and more accurate method for determining immune type. The method will speed up immune matching for organ transplant and other purposes such as treating infectious and autoimmune diseases, the scientists say.

The method characterizes a region of the genome called human leukocyte antigen, or HLA, that regulates the immune system. Located on Chromosome 6, this region contains a high number of short, repetitive DNA sequences.

Because these repeats are so similar, placing them in the correct order is difficult. So even when people have their genome sequenced, the precise HLA type may not be clear. People can have HLA typing done separately, but that adds time and expense, said J. Craig Venter, one of the studys authors.

The study was published July 3 in the Proceedings of the National Academy of Sciences. Go to j.mp/humanhla for the study. Venter was senior author. The first author was Chao Xie.

The Human Longevity-led team invented an algorithm called xHLA to read these sequences correctly. Results are available within about 3 minutes from a desktop computer, instead of several minutes or even hours, the study stated. Moreover, the method helps identity potential matches that purely DNA-based methods would miss.

Making HLA typing a routine part of sequencing will help doctors advance the practice of precision medicine, the study stated.

For example, autoimmune disorder patients often have chronic problems with no exact diagnosis for many years after repeated doctor visits, the study stated. Knowing patients HLA types could lead to early diagnosis and reduce the burden on both patients and the healthcare system.

Venter said Human Longevity now offers HLA typing as part of its genome sequencing service. And in the future, this technology will be omnipresent and in the hands of patients.

If a family member needs a kidney transplant, you can just look it up on your iPhone and compare the sequences, and everybody will know immediately if theres a match in the family, or other places, Venter said.

Popular sequencing technologies cut up DNA into short pieces for sequencing. These pieces are reassembled by computer like an electronic jigsaw puzzle. But the many repetitive components in HLA can fool the computer programs, like similarly shaped or colored jigsaw puzzle pieces can do to a human.

The xHLA algorithm works with sequencing technology from Illumina to improve accuracy. An important component of the algorithm is that it examines the sequence of amino acids the DNA codes for, the study said. This helps accuracy by accepting DNA variations that happen to code for the same amino acid.

Since immune compatibility is determined at the protein level, using these synonymous variations produces a more accurate result than typing by DNA alone.

The problem with DNA-level alignment is that it cannot distinguish synonymous from nonsynonymous mismatches, the study stated. For example, it will rank five synonymous mismatches as more dissimilar than a single nonsynonymous one.

bradley.fikes@sduniontribune.com

(619) 293-1020

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311’s Nick Hexum On ‘Mosaic,’ Longevity And The Fans : NPR – NPR

July 10th, 2017 1:40 pm

311 (from left: Chad Sexton, Nick Hexum, SA Martinez, Tim Mahoney and P-Nut) released its 12th studio album, Mosaic, earlier this year. Brian Bowen Smith/Courtesy of the artist hide caption

311 (from left: Chad Sexton, Nick Hexum, SA Martinez, Tim Mahoney and P-Nut) released its 12th studio album, Mosaic, earlier this year.

You'd be forgiven if it's been a while since you thought about the band 311; it was the mid-1990s when the Omaha, Neb., quintet's biggest hits, like "Down" and "All Mixed Up," came out. But after 27 years of 311's hard-to-peg sound a meld of rock, reggae, metal, funk, rap and ska hordes of fans are as in love with the band as ever. Billboard recently called 311 "one of the biggest cult bands in America, whether you love or hate them."

That's no exaggeration. 311 has its own Caribbean cruise, where fans can revel in a sea of fellow die-hards. It's got its own cannabis product, a vape pen aptly called the Grassroots Uplifter. And the band even has an unofficial holiday: Legions of devout followers celebrate March 11 (yes, that's 3/11) every two years by making a pilgrimage to a designated site for a special 311 concert that can go on for hours.

The cover art of 311's new album, Mosaic, is made up of almost 10,000 photos of the band's fans. Courtesy of the artist hide caption

The cover art of 311's new album, Mosaic, is made up of almost 10,000 photos of the band's fans.

On 311's 12th studio album, Mosaic, those devoted fans are front-and-center literally. The album's cover art features an image of the band made up of close to 10,000 photos taken with and submitted by fans. Frontman Nick Hexum has said the cover and album title speak to the "collective nature" of 311 and "the bond between the band members and our fans."

Hexum joined NPR for a conversation about navigating the challenges of longevity, the experimental attitude the band adopted in creating Mosaic and the positive message it's tried to spread over nearly three decades of making music. Hear the conversation at the audio link and read on for an edited transcript.

Lakshmi Singh: Bands like Pearl Jam and Nirvana, whose music tapped into youth angst, helped define the 1990s but your music seemed to sway in a different direction. Tell me about that.

Nick Hexum: I addressed it on [the] "Blue Album" in a song called "Misdirected Hostility," where I just felt that I didn't really relate with all the anger. I felt it was a time of prosperity, and we didn't have the Soviets getting ready to blow us up like we did in the '80s ... And these were a lot of suburban kids that were pretty angry about something, and so we felt we were gonna be the antidote for that ... We see the glass as more than half full. And that's the seeds of what turned us into a bit of a cult band, because we had our own unique attitude, and people see it as a way of looking at the world, a lifestyle.

How have the five of you in 311 the same members for the better part of three decades managed to stay together all this time?

Well, you have to be ready to not get your way, and know that what the group conscience decides is gonna be the rule. We know that we're better together than we could ever be apart ... It's like a marriage, and you have to be willing to do things you don't exactly wanna do, and keep the egos in check.

We were happy to find out the other day that we are the fourth-longest-running band of original members out today, with U2 being the first, Radiohead being the second, De La Soul being the third, and we're the fourth. So that's really cool company to be in. And I feel like, who knows, we could just be at the halfway point of our band. We always feel that success is measured in longevity and enjoying the process how long can we get to do something we really love instead of basing it on any sort of sales metric.

You've said that there's always a risk of repeating yourself when you get to album 12. What did it take to keep that from happening on Mosaic?

Really, it was just keeping an eye towards [the idea that] anything that was weird is good. Anything that is new, anything that is fresh those are the ideas that we pursued. And also just mixing up the process: Instead of being in our own little bubble, we asked other people into the room with us to record. ... I think that's an exercise in remaining teachable and being humble to realize that you can learn from others. And I think that's the biggest block that an artist of our age can have, is when you don't reach out, you don't keep mixing it up and bringing new people in, because your ego makes you feel like you can't accept help.

Everything you've just told me makes me think of the track "Wildfire," which sounds a little different than the others.

"Wildfire" was the first song written for Mosaic. ... I wanted something that started big and then had this real trip in the middle. And it goes through this sort of cinematic thing where there's even like beach sounds and waves and seagulls and stuff, because it represents what I'm talking about in the song the calmness of knowing that you have people that will be there for you singing about my family, singing about the band. So it's a very emotional song. And then it ends in a big guitar-shredding, almost classic-rock kind of thing, because at some point there's no words that can express, and you just need to express through music. ... I've had some fans on Twitter say, "You don't need to do epics, just keep it simple." But for me, that's where real creativity lies to just let yourself go.

You decided to end Mosaic with a song called "On A Roll." It seems to be an intimate message to fans what are you telling them?

It's about our longevity, it's a nod to the fans of gratitude. ... You know, the fact that we were able to have 10 top-10 albums [with] sporadic radio support, made us just feel really grateful. And this song, "On A Roll," it's kind of about that feeling of, like we don't have to have anxiety because we have this support of the bandmates, of our fans, and you know, we're on a roll.

Still, some fans have wondered if this is sort of a goodbye letter. Is this it for 311?

No, I don't see that at all. I'm saying, on a roll, here we go, we keep going, this feels good, we've got momentum. I've said before that we could be at our halfway point of our career. And some people say, "Well, you don't wanna be rolling out there in wheelchairs," but who knows? We could still be a good band to see in wheelchairs why not? All we know is that we're gonna do our best today, keep it going and take good care of what we've been so fortunate to find.

Radio producer Dustin DeSoto and web editor Rachel Horn contributed to this story.

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311's Nick Hexum On 'Mosaic,' Longevity And The Fans : NPR - NPR

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Study probes Greenland sharks’ secret to long life – NATIONAL – The … – The Hindu

July 9th, 2017 6:43 am

The Hindu
Study probes Greenland sharks' secret to long life - NATIONAL - The ...
The Hindu
Greenland sharks, the longest living vertebrates on Earth, which live for up to 400 years, could hold the secret to long life, geneticists mapping their DNA say.

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Dad set to undergo gruelling chemotherapy to kill his immune system despite not having cancer in bid walk again – Mirror.co.uk

July 9th, 2017 6:42 am

A father of two has taken the decision to undergo chemotherapy, despite not having cancer.

Roy Palmer lost the use of his legs 12 years ago as a result of his multiple sclerosis and has been seeking successful treatment ever since.

But it was while watching Panorama that the 48-year-old realised a combination of stem cell treatment and chemotherapy could be the answer he was looking for, GloucestershireLive reports.

The latter is strongly associated with cancer treatment , but its properties in rendering the body's immune system almost useless are a key part of the stem cell programme Roy hopes will see him up and about again.

He and his wife Helen decided they needed to make some calls and get appointments organised to be able to try and get this pioneering treatment going.

The onset of MS in Roy's case had been swift. In less than a week what began as pins and needles ended with him having no use of his legs.

Even with intense physiotherapy and a combination of steroids and drugs Roy relapsed several times and has been off his feet for 12 years. However when he saw the treatment that is out there, in a Panorama documentary, he and his wife cried.

Roy, 48, said: I just couldnt believe what I was seeing, the stories that I saw on the programme about how well people have been doing and the stem cell treatment actually worked.

I am really pleased that I am going to be able to start the treatment. I lost the use of my legs in 2005. I was encouraged by another woman that has been through it and she was in a wheelchair and now walking.

In the process to have treatment Ive had so many knockbacks being told that I did not fit the criteria but now I am finally getting the treatment.

His treatment will see him travel to the Imperial College Hospital in Hammersmith where a course of drugs will be administered to draw stem cells from Roy's bones into his bloodstream. Over a course of time, those stem cells will then transfer to a pack similar to a blood transfusion bag and be frozen.

It is then that Roy will undergo an intensive course of chemotherapy to render his immune system virtually useless - so much so he will live in isolation for four to six weeks to minimise risk of infection.

The treatment is called HSCT. The MS Society website states that: HSCT aims to 'reset' the immune system to stop it attacking the central nervous system. It uses chemotherapy to remove the harmful immune cells and then rebuild the immune system using a type of stem cell found in your bone marrow.

Roy's wife Helen, 45, said: After the chemo they will reintroduce the stem cells, and because his body will be at zero, it will be rebooted and the MS stopped in its tracks.

Roy has been on lots of different drugs over the years and his body has gradually got used to them and they stop working.

Roy has suffered with his hands not working properly and blurred vision which they call a brain fog. His legs ceasing to work has been a huge set-back for Roy as he used to work as a courier.

Roy said: I want to be able to get out the door without having to use the ramp, it is not a huge deal to anyone else but it is to me.

My goal now is to be able to reach the end point and be able to walk again.

Roy and Helen have two children Jack, 21 and Abigail, 12, and they are fully supportive of their fathers treatment.

Helen said: I am really pleased that we went to see the GP to get this going. Roy was desperate for this treatment.

It is difficult and my father is travelling from Wales to come and look after the children and I am really grateful to that.

The children are really supportive of their dads treatment and look forward to him coming out the other side.

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Personalized vaccines could help the immune system fight cancer – Popular Science

July 9th, 2017 6:42 am

What if curing cancer was as easy as getting an injection? Thats just what a pair of studies published this week in Nature tried to figure out.

The two teams of researchers conducted independent Phase I trials of personalized vaccines designed to prime the patients immune systems against melanomas, a category of skin cancers. In a scientific double whammy, both studies found that their vaccinessometimes in combination with other immunotherapieswere able to prevent recurrence of the cancers in nearly all their subjects.

We can safely and feasibly create a vaccine that is personalized to an individuals tumor, says Catherine Wu, senior author of one of the studies and associate professor at Dana-Farber Cancer Institute in Boston. Its not one-size-fits-allrather, its tailored to the genetic composition of the patients tumor.

Wu carried out her study with colleagues in Boston at Dana-Farber Cancer Institute and the Broad Institute. The other study was conducted in parallel by researchers in Germany, led by study first author Ugur Sahin, the co-founder and CEO of BioNTech, a biotechnology company that focuses on personalized immunotherapy treatments.

Both studies targeted the same type of cancer: melanoma. These skin cancers (best known for their link to UV radiation from tanning) are a good first target, Wu says, because scientists have a good understanding of the mutations that cause them. These mutations are the key, says Mathias Vormehr, a co-author on Sahin's study and a scientist at BioNTech.

"In principle, you can target any tumor that has mutations," Vormehr says. "And mutations are a main feature of tumors."

The goal of a cancer vaccine is to turn the patient's own immune system against the cancer by teaching it to fight the tumor cells. This is similar to other vaccines like the flu vaccine which contains dead or weakened flu viruses that can't actually do harm but can model what the the immune system should be prepared to fight.

Past attempts to create cancer vaccines have used gene-carrying viruses to reprogram immune cells to recognize cancerous cells. Others removed some immune cells from the patient's blood, taught them to recognize the cancer cells outside the body, then re-injected the trained immune cells into the patient to go to work.

The recent studies in Nature used neoantigen vaccines. Antigens are small proteins that decorate the outside of cells, and "neoantigens" refer to ones that are found only on cancer cells. Because they aren't found on any healthy cells, neoantigens make a perfect target for the immune systemafter all, you wouldnt want the immune system to start attacking its own healthy cells. Normally, cancer cells evade the immune system by weakening its effects and by feigning the appearance of normal cells. But, if the immune system learns to recognize the neoantigens delivered by the vaccine as harmful, it could then recognize and fight the cancer cells, too. Delivering mass amounts of neoantigens at once, which is what the vaccine would do, could trigger this recognition and the immune system might see neoantigens as harmful from then on.

Since all tumors are different, the vaccine had to be personalized. To figure out which neoantigens were unique to a patient's tumor, the researchers sequenced the tumor's DNA and each group of researchers developed their own computer algorithm to identify the unique segments of DNA that encoded the instructions to assemble these neoantigens.

This is the point where Wu and Sahins studies diverged. The goal was to get the neoantigens into the patient to prime their immune system. Wus team loaded up the vaccine with the neoantigens themselves, while Sahins vaccines delivered the corresponding RNA a cellular intermediary between DNA and proteinsso that the patient's own cells could create the neoantigen. Sahin's team chose to use RNA because RNA serves a two-in-one role in the vaccine, Vormehr says. Vaccines normally have an added component that boosts the immune response, and RNA can accomplish that on its own.

(Remember that these cancer vaccines arent preventative, like the ones that you take for the flu. They are therapeutic vaccines, designed after the onset of cancer to target each individuals tumor specifically.)

Both studies found that vaccination resulted in suppression of the cancer in many of their subjects. In the cases where the cancer was not successfully eliminated, Wu and Sahin both tried adding another treatment called checkpoint therapy, which keeps the cancerous cells from avoiding detection by the immune system. And two was, in fact, better than one: They found that the combination of the two methods improved vaccine response.

Of the six subjects in Wus study, four had stage III cancer and 25 months after vaccination, there was no sign of tumors. In the other two subjects, who had stage IV melanomas, they saw improvement with additional checkpoint therapy. Likewise, in Sahins study, eight out of 13 initially tumor-free subjects remained tumor-free 23 months later; normally half of them would be expected to relapse, Vormehr says. Of five subjects who relapsed, two responded positively to the vaccine, and a third responded when the vaccine was combined with checkpoint blockade therapy. Looking more closely, both sets of researchers found that their subjects' immune systems were learning to react to the neoantigens.

Using very different delivery systems, we arrived at very similar conclusions, Wu says. It gives more robust grounds for proceeding into future directions.

The purpose of the initial study was just to look for anti-tumor activity, says Matthias Miller, a senior project manager and co-author of the BioNTech study. In both cases, the trials were relatively small and did not have un-vaccinated control subjects. In a Nature News & Views piece that accompanied the two studies, Cornelis Melief, a professor at Leiden University Medical Center in the Netherlands who was not involved in either study, called for further Phase II clinical trials with larger samples and controls to more rigorously demonstrate the effectiveness of these vaccines.

One limitation of the studies was that not all cancer patients have neoantigen mutations that can be used to design these personalized vaccines, says Sasha Stanton, a physician-scientist in the University of Washington's Tumor Vaccine Group who was not involved in the study.

"Neoantigen vaccines are very exciting in metastatic cancer or in locally advanced cancer," Stanton says. "They are less beneficial in prevention and earlier stage cancer."

Additionally, the process is time intensivefor example, in Wu's study, it took three months for the patient to receive the vaccineand not all patients can remain stable for that long, Stanton says. Production of the vaccine will also have to become more streamlined, Wu says, but she believes the timeframe can be brought down to 4-6 weeks. Miller is also optimistic about the accessibility of the BioNTech vaccine.

"It will be affordable," Miller says. "It can definitely reach the broader public upon improvement of the process."

BioNTech is working with Genentech, a pharmaceutical company, to further develop their vaccine, while Wus team is participating in a multi-center combination therapy trial sponsored by Neon Therapeutics, a pharmaceutical company founded by Wu. If future trials are successful, Wu says, there will be many opportunities to apply personalized vaccines to other types of cancer; glioblastoma, a type of brain cancer, is one possible target.

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FOXP3 Gene Mutations May Explain Immune System Excitability in MS and Other Diseases – Multiple Sclerosis News Today

July 9th, 2017 6:42 am

A gene mutation may explain theuncontrolled, inflammatory immune response seenin autoimmune and chronic inflammatory diseaseslikemultiple sclerosis, scientistsat the Research Institute of the McGill University Health Centre (RI-MUHC) report. Its a discovery that, they said, appears tobe a big step in the right direction.

According to the study, published in the journalScience Immunology, alterations in theFOXP3 geneaffect specificimmune cells called regulatory T-cells, or Tregs. Those mutations hamper Tregs in performing a crucial regulatory role, leading to a loss of control over the immune systems response to a perceived threat.

We discovered that this mutation in the FOXP3 gene affects the Treg cells ability to dampen the immune response, which results in the immune system overreacting and causing inflammation, Ciriaco Piccirillo, the studys lead author andan immunologist in the Infectious Diseases and Immunity, Global Health Program, at the RI-MUHC, said in a news release.

Tregs are known to be the immune system playersresponsible for keeping other immune cells under control, preventing them from attacking the hosts own tissues, while maintaining a properimmune response against harmful agents. The normal activity of Treg cells is essential for preventing excessive immune reactions.

TheFOXP3 gene is also well-known, and documented, to be essentialfor proper Treg cell function. However, the mechanisms by whichFOXP3 gene is involved in Treg cell activities are still poorly understood.

In the study, Suppression by human FOXP3+ regulatory T cells requires FOXP3-TIP60 interactions, the research team in collaboration with researchers at University of Pennsylvania, University of Washington School of Medicine, and Teikyo University School of Medicine in Japan evaluated the impact of aFOXP3 gene mutation in autoimmunity response.

Taking advantage of cutting-edge technology, the team studiedsamples from two patients carrying a common FOXP3 gene mutation, which caused a genetic immune disorder called IPEX. Interestingly, the researchers found that this genetic variant did not reduce the number of Treg cells or the levels of FOXP3 protein. Instead, the mutation altered the way Tregs could suppress other immune cells to prevent overactivation.

What was unique about this case of IPEX was that the patients Treg cells were fully functional apart from one crucial element: its ability to shut down the inflammatory response, saidPiccirillo.

Understanding this specific mutation has allowed us to shed light on how many milder forms of chronic inflammatory diseases or autoimmune diseases could be linked to alterations in FOXP3 functions, addedKhalid Bin Dhuban, the studys first author and a postdoctoral fellow in Piccirillos laboratory.

The team developed a compound capable of restoring Treg cells ability to control the immune system in the presence of this specific FOXP3 gene mutation. Tested in animal models of colitis and arthritis, twochronic inflammatory diseases, the compound reduced inflammation and restored normal Treg function.

Researchers now plan to developsimilar drugs that may be of use inother diseaseswhere Treg cells are known to be defective, including multiple sclerosis,type 1 diabetes, and lupus.

Currently, we have to shut down the whole immune system with aggressive suppressive therapies in various autoimmune and inflammatory diseases, said Piccirillo. Our goal is to increase the activity of these Treg cells in certain settings, such as autoimmune diseases, but we want to turn it down in other settings, such as cancer.

This discovery gives us key insights on how Treg cells are born and how they can be regulated, Piccirillo added. With this discovery, we are taking a big step in the right direction.

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Landmark Cancer Drug Spurs Immune System | Sci-Tech Today – Sci-Tech Today

July 9th, 2017 6:42 am

Colon cancer. Uterine cancer. Pancreatic cancer. Whatever the tumor, the more gene mutations lurking inside, the better chance your immune system has to fight back.

That's the premise behind the recent approval of a landmark drug, the first cancer therapy ever cleared based on a tumor's genetics instead of the body part it struck first. Now thousands of patients with worsening cancer despite standard treatment can try this immunotherapy -- as long as genetic testing of the tumor shows they're a candidate.

"It's like having a lottery ticket," said Johns Hopkins oncologist Dr. Dung Le, who helped prove the new use for the immunotherapy Keytruda. "We've got to figure out how to find these patients, because it's such a great opportunity for them."

Today, doctors diagnose tumors by where they originate -- breast cancer in the breast, colon cancer in the colon -- and use therapies specifically tested for that organ. In contrast, the Food and Drug Administration labeled Keytruda the first "tissue-agnostic" treatment, for adults and children.

The reason: Seemingly unrelated cancers occasionally carry a common genetic flaw called a mismatch repair defect. Despite small studies, FDA found the evidence convincing that for a subset of patients, that flaw can make solid tumors susceptible to immunotherapy doctors otherwise wouldn't have tried.

"We thought these would be the hardest tumors to treat. But it's like an Achilles heel," said Hopkins cancer geneticist Bert Vogelstein.

And last month FDA Commissioner Scott Gottlieb told a Senate subcommittee his agency will simplify drug development for diseases that "all have a similar genetic fingerprint even if they have a slightly different clinical expression."

It's too early to know if what's being dubbed precision immunotherapy will have lasting benefits, but here's a look at the science.

Who's a Candidate?

Hopkins estimates about 4 percent of cancers are mismatch repair-deficient, potentially adding up to 60,000 patients a year. Widely available tests that cost $300 to $600 can tell who's eligible. The FDA said the flaw is more common in colon, endometrial and gastrointestinal cancers but occasionally occurs in a list of others.

"Say, 'have I been tested for this?'" is Le's advice for patients.

Mutations and More Mutations

Most tumors bear 50 or so mutations in various genes, Vogelstein said. Melanomas and lung cancers, spurred by sunlight and tobacco smoke, may have twice as many. But tumors with a mismatch repair defect can harbor 1,500 mutations.

Why? When DNA copies itself, sometimes the strands pair up wrong to leave a typo -- a mismatch. Normally the body spell checks and repairs those typos. Without that proofreading, mutations build up, not necessarily the kind that trigger cancer but bystanders in a growing tumor.

The Plot Thickens

Your immune system could be a potent cancer fighter except that too often, tumors shield themselves. Merck's Keytruda and other so-called checkpoint inhibitors can block one of those shields, allowing immune cells to recognize a tumor as a foreign invader and attack. Until now, those immunotherapies were approved only for a few select cancers -- Keytruda hit the market for melanoma in 2014 -- and they work incredibly well for some patients but fail in many others. Learning who's a good candidate is critical for drugs that can cost $150,000 a year and sometimes cause serious side effects.

In 2012, Hopkins doctors testing various immunotherapies found the approach failed in all but one of 20 colon cancer patients. When perplexed oncologists told Vogelstein, "a light bulb went off."

Sure enough, the one patient who fared well had a mismatch repair defect and a "mind-boggling" number of tumor mutations. The more mutations, the greater the chance that at least one produces a foreign-looking protein that is a beacon for immune cells, Vogelstein explained.

It was time to see if other kinds of cancer might respond, too.

What's the Data?

The strongest study, published in the journal Science, tested 86 such patients with a dozen different cancers, including some who had entered hospice. Half had their tumors at least shrink significantly, and 18 saw their cancer become undetectable.

It's not clear why the other half didn't respond. Researchers found a hint, in three patients, that new mutations might form that could resist treatment.

But after two years of Keytruda infusions, 11 of the "complete responders" have stopped the drug and remain cancer-free for a median of eight months and counting.

Catherine "Katie" Rosenbaum, 67, is one of those successes. The retired teacher had her uterus removed when endometrial cancer first struck, but five years later tumors returned, scattered through her pelvis and colon. She tried treatment after treatment until in 2014, her doctor urged the Hopkins study.

Rosenbaum took a train from Richmond, Virginia, to Baltimore for infusions every two weeks and then, after some fatigue and diarrhea side effects, once a month. Then the side effects eased and her tumors started disappearing. A year into the study she was well enough to swim a mile for a Swim Across America cancer fundraiser.

"Nothing else had worked, so I guess we could say it was a last hope," said Rosenbaum, who now wants other patients to know about the option.

2017 Associated Press under contract with NewsEdge/Acquire Media. All rights reserved.

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Nasty parental divorce may leave a mark on adult immune system … – Reuters

July 9th, 2017 6:42 am

(Reuters Health) - Children whose parents separate and are not on speaking terms may be more vulnerable to catching colds as adults than kids whose parents stay together or go through an amicable breakup, a recent study suggests.

"There is evidence that children whose parents divorce are at increased risk for illness both during their childhood and as adults," said lead study author Michael Murphy, a psychology researcher at Carnegie Mellon University in Pittsburgh.

"However, our study indicates that parental separation itself may not account for this increased risk," Murphy said by email. "This is important because parental divorce is a common experience, affecting more than a million children annually in the United States alone."

For the study, researchers quarantined 201 healthy adults, exposed them to a virus that causes a common cold and monitored them for five days to see how their immune systems reacted and if they developed a respiratory illness.

Adults whose parents lived apart and never spoke during their childhood were more than three times as likely to develop a cold as participants who grew up in two-parent households, the study found. However, adults whose parents separated but communicated with each other were no more likely to catch a cold than people who came from intact families.

People whose parents separated and stopped speaking were 3.3 times more likely to develop a cold than people whose parents remained together during their childhood, the study found. These people also had higher levels of a marker of inflammation, which might help explain why they were more susceptible to catching a cold, the researchers speculate.

Participants in the study were about 30 years old on average, and 92 of them, or 46 percent, reported that their parents had divorced or separated during their childhood. Among the people with separated parents, 51 said their parents weren't on speaking terms.

All of them were given nasal drops containing rhinovirus 39 (RV39), a virus that causes the common cold.

Then, for the next five days, researchers collected nasal secretions to check for evidence of the virus and inflammation as well as to assess how much mucus people produced and how congested they were.

Overall, 149 participants, or 74 percent, developed an infection with RV39 and 60 people met the criteria for a cold based on having both an infection and objective symptoms, researchers report in the Proceedings of the National Academy of Sciences.

Limitations of the study include its reliance on participants to accurately recall and report on whether their parents communicated after a separation, the authors note. Even though researchers accounted for a number of factors that can influence the odds of catching a cold such as medical and psychiatric history and prescription use, it's still possible something other than divorce or parents' communication influenced the results.

"Although it's natural to suggest there's a causal process in play here from early parental divorce to later health, it's just as likely that the children of adults who never spoke with each other after their separation share many of the same personality dispositions as their parents - perhaps hostility, addiction or depression - and it is these variables that actually place the young adults at greater risk for colds," David Sbarra, a psychology researcher at the University of Arizona who wasn't involved in the study, said by email.

Even so, the findings add to growing evidence linking divorce-related stress to an increased risk of physical health problems, said Sharlene Wolchik, a psychology researcher at Arizona State University who also wasn't involved in the study.

"The good news is that we know a fair amount about the protective factors that reduce this risk," Wolchik said by email. "When divorce is followed by a new family structure in which parents have high quality relationships with their children, children spend sufficient time with each parent so their relationships can be meaningful and children are not directly or indirectly exposed to conflict between the parents, children can be resilient and thrive despite the stress of divorce."

SOURCE: bit.ly/2u2zLwn Proceedings of the National Academy of Sciences, online June 5, 2017.

(The story refiles to correct journal name in paragraph 10)

The Trump administration on Friday named Georgia public health Commissioner Dr Brenda Fitzgerald to lead the U.S. Centers for Disease Control and Prevention in Atlanta.

Eli Lilly and Co won a years-long patent dispute with Actavis on Friday after the UK Supreme Court ruled that the generic drugmaker's versions of Lilly's top-selling cancer drug Alimta directly infringe on certain Lilly patents in Britain, France, Italy and Spain.

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How this common virus evades the immune system – Futurity – Futurity: Research News

July 9th, 2017 6:42 am

Scientists now know how respiratory syncytial virus evades the immune system, a discovery that could potentially lead to a vaccine or treatment.

By age two, most children have been infected with respiratory syncytial virus (RSV), which usually causes only mild cold symptoms. But people with weakened immune systems, including infants and the elderly, can face serious complications, including pneumonia andin some casesdeath.

We solved the structure of a protein that has eluded the field for quite some time, says Daisy Leung, assistant professor of pathology and immunology, and of biochemistry and molecular biophysics at Washington University School of Medicine in St. Louis, co-senior author of the study in Nature Microbiology.

Now that we have the structure, were able to see what the protein looks like, which will help us define what it does and how it does it. And that could lead, down the road, to new targets for vaccine or drug development.

Each year in the United States, more than 57,000 children younger under 5 stay in the hospitaldue to RSV infection, and about 14,000 adults older than 65 die from it.

There is no approved vaccine for RSV and treatment is limitedthe antiviral drug ribavirin is used only in the most severe cases because it is expensive and not very effectiveso most people with RSV receive supportive care to make them more comfortable while their bodies fight off the virus.

For people with weakened immune systems, though, fighting RSV can be tough because the virus can fight back. Scientists have long known that a non-structural RSV protein is key to the viruss ability to evade the immune response. However, the structure of that protein, known as NS1, was unknown. Without seeing what the protein looked like, scientists were unable to determine exactly how NS1 interfered with the immune system.

Its an enigmatic protein. Everybody thinks it does many different things, but weve never had a framework to study how and why the protein does what it does, says co-senior author Gaya Amarasinghe, an associate professor of pathology and immunology.

The researchers used X-ray crystallographya technique that involves crystallizing the protein, bouncing X-rays off it, and analyzing the resulting patternsto determine the 3D structure of NS1. Then, in a detailed analysis of the structure, they identified a piece of the protein, known as the alpha 3 helix, which might be critical for suppressing the immune response.

To test their hypothesis, they created different versions of the NS1 protein, some with the alpha 3 helix region intact, and some with it mutated and then tested the functional impact of helix 3 and created a set of viruses containing the original or the mutant NS1 genes, and measured the effect on the immune response when they infected cells with these viruses.

The viruses with the mutated helix region did not suppress the immune response while the ones with the intact helix region did.

One of the surprising things we found was that this protein does not target just one set of genes related to the immune response, but it globally modulates the immune response, says Amarasinghe, also an associate professor of molecular microbiology, and of biochemistry and molecular biophysics.

The findings show that the alpha 3 helix region is necessary for the virus to dial the bodys immune response down. By suppressing the immune response, the virus gives itself a better chance of surviving and multiplying, or in other words, of causing disease.

RSV usually can only cause disease in people whose immune systems are already weak, so a vaccine or treatment that targets the alpha 3 helix to prevent immune suppression may be just what people need to be able to successfully fight off the virus.

Other researchers from Washington University in St. Louis and Georgia State University are coauthors of the study.

Support for the work came from the National Institutes of Health; the Defense Threat Reduction Agency of the Department of Defense; the National Science Foundation; the Childrens Discovery Institute; and the American Heart Association.

Source: Washington University in St. Louis

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Stem Cell Therapy: You can be sexually active again – Vanguard … – Vanguard

July 9th, 2017 6:42 am

By David Ikudayisi

Stem Cell Therapy comes in different types. Embryonic Stem Cell Therapy involves the use of embryonic stem cells derived from the inner cell mass of a blastocyst, an early-stage pre-implantation embryo at 4 days old to around 12 days old, leading to the destruction of the blastocyst which raises ethical and religious issues. Therefore, this type of Stem Cell Therapy is not the focus of this piece. The focus is Adult Stem Cells (ADSCs) and Induced Pluripotent Stem Cells (iPSCs). iPSCs are produced in the laboratories by reprogramming adult cells to express embryonic stem cells characteristics whereas ADSCs are cells obtained from an adult patient who will also be the recipient of the same stem cells.

In the United States, we must transplant the cells back to the same patient on the same day, while in some countries, the stem cells can be cultured to increase the quantity of stem cells before transplanting them back to the same patient who donated them.

Stem Cell Transplantation is a complex process that needs the care of experts in Regenerative Medicine, a new speciality of medicine . In order to ensure that science remains as the vehicle for hope and not harm, the controversies associated with the legal, social and legal issues of certain areas of stem cells research and stem cells potential clinical applications must be carefully examined. Advancing treatment and care for patients to save a life is and must be the ultimate goal.

Regenerative Medicine helps people to naturally regenerate and rejuvenate their bodies from the different conditions they may be suffering from without using chemicals or the orthodox medicine we are used to, but Adult Stem Cells Platelet Rich Plasma (PRP), that is, blood plasma that has been enriched with platelets, and contains growth factors which may elicit the gathering of stem cells around the damaged region stimulating cellular proliferation and tissue regeneration. PRP can be used to promote healing of injured tendons, ligaments, muscles, joints and can be applied to various musculoskeletal problems. The process allows your own (autologous) stem cells to be re-introduced into/around areas of damage or chronic disease. As mentioned earlier, the extraction and transplantation of the stem cells are done on the same day in the United States. Bone marrow transplant has been the most widely used Stem Cell Therapy till date, but Adult Adipose-Derived (fat) Stem Cell Therapy is fast gaining popularity as fat harvesting is less invasive than bone marrow harvesting. You get more stem cells from fat than bone marrow, and fat stem cells are not age-dependent. Adult Stem Cell Therapy may hold answers to many questions and problems that we doctors believed had no solutions, especially neurological disorders. The therapy, with or without PRP, revitalizes and regenerates the body organs and systems; it also reverses and repairs many pending subclinical medical problems before they become apparent, including the diseases that are age-related. Generally, Adult Stem Cell Therapy is safe as shown by many published research reports and clinical trials. However, this does not guarantee that adverse effects cant occur if the treatment is done by physicians that are not properly trained.

The therapy has helped a lot of people all over the world to regain their lives from debilitating ailments and Nigerians are not left behind. There are people in Nigeria that were either wheelchair bound and walking with occasional use of a cane before but now walking without one; diabetes patients are able to have restoration of vision in their eyes, and some feel and look younger. It has helped chronic kidney disease patients in Nigeria that are on hemodialysis to either reduce the frequency of hemodialysis per week or like a patient that was recommended to have kidney transplant a year ago but who is now off hemodialysis and off diabetic medications, and remains stable for the past months. Men with Erectile Dysfunction are now feeling like young men again. I cannot but mention that the type of treatment protocol and dosage of stem cells used also play a role in the efficacy of the treatment, and not everyone will respond in the same manner. Most of the patients, in studies, showed improvements after the first treatment, and the few that needed second treatment went on to see great results after more treatments were done; needless to say that they were elated with the results. The only group of patients that will always need more than a couple of transplantation sessions are patients with neurological disorders. Latest researches and evidence-based studies showed the number of treatment sessions needed to get significant clinical results can decrease by adding Exosomes to the treatment sessions.

In a recently publication in Germany, the new concept, developed around 2010 of how stem cells works, was reinforced where it stated that most of the effects of stem cells are through the Paracrine effects, delivered by the Exosomes. Exosomes are extracellular cell-derived vesicles that are present in almost all biological fluids. When secreted by stem cells, Exosomes are those tiny communication vesicles that interact with surrounding cells, thereby creating therapeutic activity. This is called the Paracrine effect. The Paracrine soluble factors (communication vesicles) have specialized functions and play a key role in intercellular signaling and in the following properties immune modulatory, neuroprotective, anti-inflammatory, neurotrophic, angiotrophic, anti-apoptotic and anti-oxidatory. Stem cells also secrete other important proteins and cytokines that have healing properties.

There are some diseases that conventional treatments have no cure for, but Adult Stem Cell Therapy can reverse the symptoms of those diseases, repair and regenerate the damaged tissues or organs affected. In some cases, it significantly slows down the progression of the disorder. For example, it can regenerate the bony joints in arthritis, repair and strengthen partial rotator cuff tears and avascular necrosis of the hip without surgery, revitalize the sexual organs in men and women, regenerate renal cells in kidney diseases, modulate immune system without use of medications that have very serious side effects in conditions like Rheumatoid Arthritis, Lupus, Scleroderma, Crohns disease, etc. Another advantage is its application in neurological disorders like ALS and spinal cord injury.

Adult Stem Cell Therapy can gradually lower diabetic medications dosage and eventually may get the patients off diabetic medications. This is evidenced by stem cells in a hyperglycemic medium differentiating into pancreatic cells; therefore leading to increased development of new blood vessels, secretion of various products of the immune system, and upregulation of pancreatic transcription factors and vascular growth factor. This aids the pancreas to regenerate and boost its ability to produce insulin. In stroke patients, stem cells activate cells around the suffering brain tissue to catalyze rapid healing and to improve brain function, thereby restoring motor function. Until recently, it was believed that damage to the brain tissue was permanent. This is being challenged by the evidences of re-growth of brain cells and improvements of neurological function documented with the use of Adult Stem Cells.

A procedure called P-Shot for Men uses the PRP Therapy to resolve challenges relating to Erectile Dysfunction by regenerating the damaged tissues. It gives treated men the possibility of saving their relationships by increasing stamina, enjoying bigger and harder genitals, and eventually increasing the length and girth. Orgasm-Shot for Women, the regenerative medicine procedure for womens sexual function, leads to increased ability to have orgasm, better arousal from clitoris stimulation, decreased pain during intercourse, tighter vaginal opening, increased sexual desire and natural lubrication, and increased arousal from G-spot stimulation. In addition, because of the O-Shot rejuvenation capabilities, there is help available for women suffering from urinary stress incontinence without the need for invasive surgery.

Since the stem cells used are autologous, there is no risk of rejection of the stem cell transplant. Nevertheless, as with any procedure, there is a risk of infection which can be very minimal or non-existent if done under the right conditions. Adult Stem Cells Transplantation can also be considered by people looking for alternative treatments especially in the areas of diabetes, hypertension, kidney disease, female and male sexual dysfunction, joint pain, neurological disorder and autoimmune disease. The cost of treatment varies, and it is not for everyone. However, you cant place a price tag on life just as the saying goes that health is wealth.

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Bedford inmate’s family criticizes jail staff – Altoona Mirror

July 9th, 2017 6:42 am

When state police apprehended 49-year-old Jeffrey McCracken June 25 for a suicide attempt, authorities set a date for his court hearing about a week later: July 3.

Instead, McCrackens loved ones spent July 3 at his funeral.

McCracken hanged himself at the Bedford County Correctional Facility sometime in the night between June 26 and 27, barely 48 hours after the near-miss attempt that had sent him there.

He wasnt under observation, officials said, because a screening had not shown any evidence he had any serious psychological issues.

I dont know how, within less than 14 hours of somebody attempting suicide with a gun, that you determine they are not a threat to themselves, McCrackens fiancee, Keri Moore of Burnt Cabins, said. I believe they failed him. The procedures are wrong. He should have been in a psych ward or some kind of medical place where he could be watched. There should have been something to help him along the way.

Moore has been in contact with a lawyer and is considering her legal options, she said this week.

Bedford County jail Warden Troy Nelson said a standard psychological screening, carried out by contracted medical staff, revealed little to indicate McCracken was a threat to himself. If it had, Nelson said, jail staff would have kept him in isolation and checked him regularly.

My investigation into Mr. McCrackens untimely death revealed that all facility protocol was handled accordingly and was simply an unfortunate occurrence beyond the control of my staff, Nelson said Friday in an email.

The events that led to McCrackens death began in the predawn hours of June 25 in a rural home along Great Cove Road in Fulton County.

McCracken and Moore had argued the prior evening, state police wrote in an affidavit. Between midnight and 1 a.m., McCracken called Moore to the kitchen, where he was armed with a long gun a rifle according to Moore, a shotgun according to state police.

McCracken pointed the gun at his own head. Moore lunged toward him and grabbed the barrel; McCracken pulled the trigger and a shot blasted into the ceiling.

Moore and her sister tried to wrestle the gun away, police wrote, but McCracken kept it and fled outside. The sisters called the police, who staged a manhunt in the woods and fields around the house.

Ive never ever felt that my life was in danger. Maybe thats why I felt so comfortable going after his weapon, Moore said last week.

McCracken had shown signs of depression, she said. The outdoorsman who once loved long solo trips in the woods a member of a national cave-exploration group and the Potomac Appalachian Trail Club had confided in her that he now feared being alone.

He was kind of hippie-like, Moore said. He loved animals, plants. He was a very passive person. No type of aggression out of him.

Now he was hiding from armed police. Moore said troopers reached him by cellphone and asked him to reveal himself: Come out; we just want to get you help.

Hours later, after sunrise, troopers found McCracken inside the house, Moore said. He was charged with three crimes: discharging a firearm into an occupied building (a felony) and simple assault and recklessly endangering another person, both misdemeanors.

Fulton County doesnt have a full-size jail, and officials in neighboring Franklin County threatened this year to eject their 20 Fulton County inmates as overcrowding worsens there. Instead, McCracken was sent directly to the Bedford County jail.

At Bedford, McCracken underwent a face-to-face psychiatric discussion with a contracted medical professional, Nelson said. A 2014 state inspection confirmed all inmates receive an initial health risk assessment within 24 hours of booking.

When Mr. McCracken arrived at the facility an Intake Screening was conducted per policy, whereby no signs of anger, depression or other related emotional abnormalities appeared to exist, Nelson said in an email. This particular screening includes a number of questions relating specifically to the inmates psychological state.

Inmates found to have emotional or psychological problems are held in an isolation cell, watched by guards and personally checked every 15 to 30 minutes, Nelson said.

Instead, McCracken was sent to a gymnasium with an attached restroom an area used as overflow when other blocks are full or undergoing maintenance, Nelson said. He could get out if his loved ones could secure $125,000 bond, court documents show.

After his booking, McCracken spoke with Moore twice by phone. He only vaguely recalled the night of the suicide attempt, she said.

He paused for a little while and said, Im sorry,' Moore said. I dont know how to put it. He didnt sound like himself.

He asked Moore to visit him the next day. She said she would.

Moores understanding of the events that followed stem largely from police who visited her afterward. Multiple attempts by the Mirror to reach Bedford County Coroner Rusty Styer were unsuccessful.

Sometime in the night of June 26 or the morning of June 27, McCracken walked to the attached bathroom, closed the door and hanged himself with a bedsheet, Moore said. It is unclear precisely how long it took for staff to find him, but Moore claims it took an hour.

County 911 dispatchers later said Styer was called to the scene at 6:07 a.m.

Officials then called Moores sister and told her police were on the way to explain what happened. Moore said she demanded answers: How could they have determined he wasnt a threat to himself? Why didnt he get treatment before he was sent to jail?

Since that day amid funeral planning and legal responsibilities Moore and others have sought legal help as they investigate what happened. Nick Hoffman, a Moore family friend with experience in law enforcement, said he has looked at case law on similar situations.

I think, if the guy would have got some proper treatment, he still wouldve been here today, Hoffman said.

Suicide is the leading cause of death in local and county jails, accounting for 35 percent of all deaths in 2014, according to the U.S. Department of Justice. Rates keep rising, with suicides jumping 13 percent from 2013-14, the latest year for which the department has released data.

Some jail deaths are unavoidable, and others have spurred policy changes. In 2014, after a Bedford County jail inmate died of a health condition, the county commissioners voted to pay for an additional medical shift, although they did not explicitly attribute the change to the death.

Hoffman remains confident, however, that McCrackens suicide could have been prevented.

They should have known better, Hoffman said. The main thing here is to set an example. You dont do this stuff.

Mirror Staff Writer Ryan Brown is at 946-7457.

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FAQ | Integrative Medicine of New Jersey

July 8th, 2017 3:44 am

New Patient FAQs Is the doctor a primary care physician?

Dr. Rimma Sherman is trained as a primary care physician and would be happy to provide acute care services. She will work with you closely as a consultant and coach in preventive, nutritional and integrative medicine to help you address the roots of chronic health problems.

MOST OF THE TESTING can be performed at the Integrative Medicine of New Jersey. Some testing can be done through conventional laboratories and others are only available through specialty laboratories. During your medical consultation, Dr. Sherman will determine which tests are needed and then our nurses will review testing recommendations, instructions (for instance, fasting or non-fasting, etc.) and costs.

Your financial resources, and how much testing you want to do, are taken into account and the plan for testing is reviewed with you. Testing is frequently done to assess nutritional status including amino acids, fatty acids, oxidative stress, vitamin levels, mitochondrial function, food allergies, and heavy metals. Many other tests are available, including genetic testing for a variety of conditions, hormone evaluations, bone health, gastrointestinal health, adrenal function, neurotransmitters and many others.

Some testing can be performed at home with test kits to collect urine, saliva or stool. Others may require you to go to a local laboratory to draw the blood. We also have an on-site phlebotomist for your convenience. In all cases, we will assist you in coordinating initial and follow-up testing.

While the testing gives a more complete picture of your status, effective care can be implemented without it, or testing can be done over time. You should not let this prevent you from seeing Dr. Rimma Sherman.

YES, DR. RIMMA SHERMANS MEDICAL license requires that she meet with a patient in order to provide an initial medical consultation, and there is no substitute for that initial doctor-patient connection. Follow-up appointments can be arranged by phone or in the office.

Dr. Rimma Sherman can, and does, prescribe medications whenever necessary. She is fully licensed and Board-certified.

Integrative Medicine of New Jersey works exclusively as an out-of-network provider for commercial plans. We charge a pre-paid amount based on the type of service, and will submit a claim on your behalf to your insurance company. We cannot assure you that services (office visits, phone consultations or lab tests) will be reimbursed. If insurance reimburses us, we will forward that on to you within 30 days. Some insurance carriers may cover medical services and laboratory tests performed by Dr. Sherman. Payment in full by check, cash or credit card is due at the time services are provided.

In an effort to help patients obtain and maintain life-long health and wellness, Dr. Rimma Sherman addresses the root cause of symptoms and corrects health ailments naturally rather than merely masking symptoms with drugs.

Dr. Sherman uses an innovative systems approach to assessing and treating your health care concerns. Perhaps you have experienced being examined by your doctor, having blood tests done, x-rays or other diagnostic tests taken, only for your doctor to report back that all your tests are normal. Yet, both you and your doctor know that you are sick. Unfortunately, this experience is all too common.

Most physicians were trained to look only in specific places for the answers, using the same familiar labs or diagnostic tests. Yet, many causes of illness cannot be found in these places. The usual tests do not look for food allergies, hidden infections, environmental toxins, mold exposures, nutritional deficiencies and metabolic imbalances. New gene testing can uncover underlying genetic predispositions that can be modified through diet, lifestyle, supplements or medications.

Dr. Rimma Sherman uses such testing to help her patients prevent illness and recover from many chronic and difficult to treat conditions. She is highly skilled in evaluating, assessing and treating chronic problems such as fibromyalgia, fatigue syndromes, autoimmune diseases, inflammatory disorders, mood and behavior disorders, memory problems, Parkinsons disease and other chronic, complex conditions. She also focus on the prevention and treatment of heart disease, diabetes, dementia, hormonal imbalances and digestive disorders.

THE INITIAL VISIT will include a 60-minute medical consultation with Dr. Rimma Sherman. Initial 60-minute MD consultation: $400.00 MD Office Visit or Phone Follow-up 60-Minutes: $400 MD Office Visit or Phone Follow-up 30-Minutes: $250 Nutritionist Office Visit or Phone Follow-up 60-Minutes: $180 Nutritionist Office Visit or Phone Follow-up 30-Minutes: $100 For more information about our fees, see our Practice Policies.

YES, WE DO RECOMMEND that all our patients see our nutritionist. It is very important to review the food allergies with our nutritionist once they become available, because the situation can be very complicated and hard to manage without assistance. Nutritionists have different points of view reflecting different standards. The Nutritionist at Integrative Medicine of New Jersey works in collaboration with Dr. Sherman and makes recommendations based on Dr. Shermans opinions.

WE ACCEPT THE following credit cards:

MasterCard Visa It is important to maintain an active credit card on file with our office for billing of follow-up consultations, laboratory testing, and other services. Payment is expected at time of service.

YOU SHOULD BRING all your vitamins and medicines in their original containers if possible. Old medical records are also very helpful, but if possible, these should be sent prior to the appointment.

Integrative Medicine of New Jersey is located in Livingston, New Jersey, across from Saint Barnabas Medical Center. Newark Liberty International Airport (Newark, NJ) is approximately 25 minutes and John F. Kennedy International Airport (New York, NY) is approximately 60 minutes from our office. For your convenience, we have selected various local hotels and inns. They are all included in the New Patient Packet, along with directions to our office that you will be receiving.

OUR PHONE NUMBER at Integrative Medicine of New Jersey is: (973) 736-5300. Our email address for general inquiries is Inquiries@IntegrativeMedicineofNJ.com. All questions and concerns can be communicated via email to: Inquiries: (Inquiries@IntegrativeMedicineofNJ.com) Supplements: (Supplements@IntegrativeMedicineofNJ.com) Nutritionist: (Nutritionist@IntegrativeMedicineofNJ.com)

Nutritional therapy is a vital component of your treatment plan. Following your initial medical consultation, you will meet with our nutritionist. She will provide recommendations based on your health concerns and tailor your diet based on medical evaluation and test results. You will follow-up with a nutritionist in person, by phone or email consultations.

You only need to come to the office for the first visit. After that you can do your follow up appointments by phone.

Chance favors the prepared mind. ~Louis Pasteur

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Treating the whole person – Southside Times

July 8th, 2017 3:44 am

Dr. Brian Barber opens direct primary care practice, Amazing Grace Family Medicine, in Perry Township

When Dr. Brian Barber opened Amazing Grace Family Medicine in Perry Township in February, the vision for what he wanted his practice to stand for was clear.

Amazing Grace Family Medicine is a different kind of medical practice, he said. We are a faith-based, Christian medical office dedicated to treating the whole person, from the physical, emotional and spiritual standpoint. Traditional and alternative medical care is provided in our comfortable office using an integrative approach to your health. We provide cost-effective, personalized services that are simply not available at other primary care medical offices.

Having worked for a large hospital network in the past, Barber said he felt there had to be a better model.

If youre seeing 30 patients a day and you have 10, 15 minutes with each patient, he said, its hard to go into I see youre blood pressure is out of control, lets talk about what you eat. How much exercise do you do? Have you seen a personal trainer? Lets talk about your daily routine. Lets make sure youre potassium and sodium is fine. You cant treat a whole person in 10 minutes because you cant get to know a whole person in 10 minutes.

Barber spends an hour with new patients, and typically half an hour for follow-ups. Clients pay $100 a month and receive unlimited visits with labs included.

I like to explain it to patients that its like a health club, he said. You pay $100 a month. You come in when you want to. You have services available to you a la carte. We can get you a chiropractor. We do dry needle acupuncture. We have a weight loss program called Control, where you pay for 16 weeks and at the end of the period if youre the person who lost the most, you get cash I dont bill your insurance. Were not a rich mans healthcare system. Were geared toward that $50 70,000 household income range, towards those middle income families that have high deductible healthcare plans and an HSA card.

Barber said direct primary care is a growing trade, with a 25 percent increase in these businesses opening in the past year.

The message we want to get across is its affordable, he said. The holistic approach to healthcare, integrated medicine, the affordability and extended time period with the doctor is all part of the philosophy.

Why did you open this business?

I wanted to provide a faith-based alternative to the insurance-driven, 10-minute visit rat race that has become healthcare.

What did you do to prepare for opening your business?

I did research to determine the demographics of patients I would be serving, I read marketing studies that looked at how many physicians were available to the population, and I looked for a practice in close proximity to our church.

Who is your ideal customer/client?

A family with a high-deductible health plan who values their faith, or someone who wants to be treated as a whole person and not just receive the 10-minute and out the door.

How do you plan to be successful?

By reaching out to individuals and employers to offer low-cost, quality healthcare and use social media and word-of-mouth to spread the word.

What would we be surprised to learn about you or your company?

We offer alternative treatments such as acupuncture/dry needling, personal training, and Christian counseling to help treat the whole person.

Amazing Grace Family Medicine

R. Brian Barber, M.D.

6349 S. East St.

Indianapolis IN 46227

(317) 735-1727

drbarber@agfm1.com

amazinggracemd.com

Haunts & Jaunts: Just a good scary story?

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People on the Move – Utah Business

July 8th, 2017 3:44 am

Park CityBackcountry is pleased to announce that Pete LaBore, Chief Operating Officer of Backcountry, is joining Ski Utahs 2017 Board of Directors, effective July 1, 2017. He will serve a three-year term expiring June 30, 2020. As COO, LaBore manages Backcountrys domestic and international Operations, Customer Service, Marketing and Merchandising teams. LaBore earned his B.A. in Mechanical Engineering from Iowa State University and his MBA in Strategy & Marketing from the University of Chicagos Booth School of Business.

Salt Lake CityWesTech Engineering, Inc. announced that the Board of Directors has appointed Ralph Cutler, PE, MBA, as president. Cutler, who currently serves as WesTechs Vice President of Industrial Products and Sales, will take on the new role effective July 1. Rex Plaizier, who has been serving as both chief executive officer and president, will continue in his role as CEO. Cutler, who holds civil engineering and MBA degrees from the University of Utah, joined WesTech in 1982. He worked to design, manage, and implement municipal and industrial water solutions for clients globally. Later, he supervised both industrial sedimentation and filtration groups before rising to the rank of Vice President of Industrial Products and Sales. Cutler is a member of the American Society of Civil Engineers.

Salt Lake CityThe University of Utah announced that Elaine Clark, professor of educational psychology at the U, has accepted the appointment as the new dean of the College of Education. For a seamless transition, Clark will begin July 1 as the current dean, Mara Frnquiz, moves to her new position as deputy chief academic officer for Faculty Development and Innovation. Clark has been a member of the faculty in the Department of Educational Psychology since 1983. She served as the director of the school psychology program for 21 years and department chair for six. She has dedicated her career to the development of applied research and the preparation of school psychologists to provide effective services to individuals who have significant social, emotional and learning challenges, in particular, those with an autism spectrum disorder. Clark has served as the president of the Society for the Study of School Psychology and is a member of the American Psychological Association Board of Professional Affairs. She has also served in offices within the state, including the Utah Association of School Psychologists and Utah Psychological Association.

Salt Lake CityProject Control, Inc. announces the addition of Chad Jones as the leader of their Public-Sector Construction Management division. Jones has 20 years of experience and has successfully managed more than $1 billion worth of complex design and construction projects for building owners and public municipalities across the country. Having worked as both an architect and a contractor, he knows how to best assist our clients in delivering successful construction projects.

Silicon SlopesTeem, a developer of cloud-based meeting tools and workplace analytics that aid in helping companies collaborate more effectively, announced that Derek Newbold has joined the company as its new Chief Technology Officer. Newbold brings over 20 years of enterprise software management, architecture and development experience to Teem. Newbold will be responsible for managing Teems product infrastructure and will add input to the companys overall vision and day-to-day operations. Prior to joining Teem, Newbold held the same title at InMoment, where he recently led the product and development team in building a product suite that earned the company the top rank for strategy in the 2017 Forrester WaveTM Customer Feedback Management Report. In addition, he helped the company earn Stevie Awards three years in a row, most recently for Best Product of the Year. He also received a BA in Computer Science and Software Development at the University of Utah. Teems addition of Newbold is just the latest in a string of significant wins for the company.

Salt Lake CityThe Gateway Aesthetic Institute and Laser Center is the worlds largest dedicated cosmetic laser center specializing in a full spectrum of cosmetic and laser skin treatments. Margaret (Maggie) Jahries, APRN, who has had a wellness and integrative medicine practice in Park City, has moved her practice to the Gateway Emerging Technologies Medical Clinic. She specializes in physical and emotional wellness, particularly at a cellular level. Jahries has extensive certifications and experience in comprehensive lab evaluations, bioidentical hormone optimization, and IV nutritional and stem cell therapies.

Salt Lake CityColdwell Banker Commercial Advisors (CBC Advisors) is pleased to announce that Camron Wright has joined the firms office division as Vice President. Wright has built his career finding innovative, dynamic opportunities in the technology and entrepreneurial sectors for more than 20 years. He has been involved in and advised various businesses and startups on investment strategy through building growth plans, efficiency improvement, organizational management and optimizing company culture. Prior to joining CBC Advisors, Wright served as CEO of OnlineImage and President of PC Innovation Computers.

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Avita Integrative Care: On the Forefront of Comprehensive Mental Health Practice – Jewish Link of New Jersey

July 8th, 2017 3:44 am

Avita Integrative Care (On the forefront of comprehensive mental health practice) recently announced the opening of its second office, conveniently located in Fort Lee. A quietly warm and comforting environment welcomes you, and Avita offers a great deal more than your typical psychology practice. If you are looking for a wider range of psychological services, Avita has combined some powerful and specialized counseling and allied counseling services under a canopy of care to serve and benefit both individuals and families.

The dynamic, compassionate and pro-active team is led by Kaman Khodik, Psy.D., whose vision for comprehensive mental health care seems to know no limits. He integrates what each person expresses with what they truly need, then gently yet firmly creates a flow of information and skills that converge to transform problems into healthy, life-altering solutions and pathways. Khodik spent many years in facilitating positive change and organizational optimization at some of the most prominent global corporations, such as McKinsey & Company, the World Bank and the Credit Suisse Group. Dr. Khodik currently serves as the director of psychological and psychophysiological services at Avita Integrative Care, LLC, a practice dedicated to providing an integrative and comprehensive approach to various disorders related to anxiety, emotional dysregulation and poor stress resilience.

With formal training in several theoretical orientations including long-term and brief psychodynamic psychotherapy, cognitive-behavioral techniques, biofeedback and evidence-based drug and alcohol counseling, Dr. Khodik integrates treatment strategies to best fit each patients unique needs. He can also integrate spirituality into his professional work through his own spiritual journey and current practice. So he is uniquely positioned to help patients explore openly their relationships with the sacred and overcome their spiritual struggles, and guide them to reaching an integrated sense of self. Khodik speaks fluent Russian and has international, multicultural exposure; so he is also skilled in providing a culturally sensitive approach. This allows patients to freely express themselves and explore their conflicts, while creating real and sustainable change. His keen abilities to identify and address the operative factors in a persons internal battleground provide the gentle yet firm guidance towards understanding and resolving the issues that have become an obstacle to living their optimum life.

A ZocDoc rating states: My appointment with Dr. Khodik went great. Dr. Khodik made me feel comfortable and safe. At the end of our session, which was very pleasant, he outlined the course of treatment we should take. I have been to other therapists, but I would rate Dr. Khodik as the top one for making me feel safe and comfortable to share my thoughts and feelings. I genuinely felt better after the session. I cant wait to come back.

Khodiks vision of care advances the important perspective of a diversified approach to certain types of issues. To this purpose, he has assembled a team of specialists that will promote each clients personal needs to the best and highest good. Since so many people are challenged by multiple issuessome psychological, some situational, some spiritual, and others medical or health-relatedwe know that multiple issues can affect each other, adding to the severity of any of them.

To accommodate this frequent scenario, Avita Integrative Care has engaged the compassionate and highly effective expertise of Ellie Wolf, MS, BCB, Fellow BCIA, a seasoned biofeedback practitioner. Ellies reputation is well established in some of the most highly respected health care institutions in the country. Formerly senior biofeedback provider at the Pain Management Center of RIC (the Rehabilitation Institute of Chicago, rated as the top rehab hospital in the country for almost 30 years in a row), and later at the Raby Institute for Integrative Medicine of Northwestern University Medical Center in Chicago, she brings a portfolio of success and skills in biofeedback treatment to the Avita family of practitioners. She has also worked with NFL and MLB professionals; Olympic, collegiate and elite athletes; and professional dancers and musicians. Endorsed strongly by her former colleagues and patients, here is what people are saying:

I have had the tremendous opportunity to learn from Ellie how to employ the powerful impact of biofeedback as an adjunct in controlling procedure-related pain. Many of my patients require bone marrow aspiration and biopsy, which can be a very painful experience. Biofeedback provides patients a way to focus their attention towards achieving a state of calm self-management, both physically and mentally. The patient feels more in control, reporting less discomfort. This also renders the procedure much easier for me, as the doctor, to perform.Dr. Marlon Kleinman, MD, medical hematologist/oncologist, 2016

Thank you for all of the positive support and biofeedback for my back pain resulting from multiple myeloma. My average pain dropped from 8 out of 10 to an easily manageable average of 0-3. I no longer need to wear a back brace or walk with a cane, and am finally off of the addictive narcotic pain meds that were running my life for five years! I am indebted to you for empowering me to get back into the pilot seat of my life.Mike F., 2016

I work in a fast-paced and stressful environment [the NFL]. The biofeedback work with Ellie Wolf helped me to control my reaction to the stress and be more productive. And it has certainly helped me to enjoy the work so much more!Bob L. Sept. 2016

Biofeedback involves the use of non-invasive, externally applied physiological monitoring technology that identifies a persons stress markers. Most biofeedback technology has been around for 50 or more years, so we have a huge body of normative data that tells us whether a person is within or outside the normal ranges. Stress markers can tell us whether a persons body is expressing inordinate or prolonged levels of stress that have been highly correlated to compromised health and reduced immune system function. High stress is also linked to compromised cognitive ability and poor or limited work and academic performance.

Emerging areas of great success using biofeedback involve the spheres of occupational performance, test-taking anxiety, post-concussion recovery, fibromyalgia, addictive behaviors (like eating, drug abuse and smoking), chemical addictions and autoimmune disorders (POTS and the spectrum of dysautonomiaincluding Lyme disease, and various GI disorders). Biofeedback has shown amazing promise in these areas and new studies appear regularly.

Avita offers a discounted mini-session for those who would like to try before you buy. Contact Avita to set up your 30-minute mini-session. No prescription or referral required. Come and experience how this amazing science can change your life forever, relieve and resolve many symptoms of headaches, pain and compromised health, and bolster your school, work or athletic performance.

Avita Integrative Care has also stepped up as a trailblazer to meet a vastly distinctive and almost universally challenging life event: the break-up of a marriage. Especially when children are involved, divorce can be one of lifes most difficult and disheartening crossings. Avita Integrative Care understands this reality, and has engaged the highly specialized divorce counseling and mediation expertise of Maryana Kanda, LSW, APM (Accredited Professional Mediator).

Since divorce is one of the top five stressful events in ones life; it is also a time when people make some of the most difficult and important decisions (for themselves, and their children, if applicable). Each year thousands of lives are disrupted and destroyed by the negative and sometimes devastating effects of a litigated divorce. To Avita Integrative Care, you are caring individuals who have come for support and guidance at a time when your high stress level and flaring emotions could impact your ability to make the right choices for yourself and your family. Kanda facilitates the divorce process with sensibility and sensitivityuntethered from partialityto help you see that there really is light at the end of the tunnel.

Here is a testimonial from a respected attorney: I have worked with Maryana on a number of mediations, and as post-mediation counsel for one of the parties. I have found her work to be thoughtful, sensitive and thorough. Maryana takes the time to understand peoples needs and wants, and helps them understand the difference. She is family-centered and helps each party leave the mediation with their dignity and self-respect intact.

Kanda cites a time-honored quote from one of Americas foremost attorneys as a banner for her practice: Discourage litigation. Persuade your neighbors to compromise whenever you can. Point out to them how the nominal winner is often a real loserin fees, expenses and waste of time.Abraham Lincoln, 1850.

Here is Kandas special offer to Jewish Link readers: Take advantage of our Grand Opening invitation: free 30-minute consultation to learn how Kanda can serve the best interests of your family or a friend you refer. Just mention the Jewish Link.

You can reach Dr. Khodik, Ellie Wolf or Maryana Kanda via email at [emailprotected] or by calling 888-242-2732.

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Texas horse gets Southern hospitality at UT College of Veterinary Medicine – WATE 6 On Your Side

July 8th, 2017 3:44 am

Related Coverage

KNOXVILLE (WATE) A young horse from Texas, going by the name of Barbara, managed to capture the hearts of many and has made the journey to East Tennessee for a rare surgery at the University of Tennessee College of Veterinary Medicine.

Barbara was born in January with a wry nose deformity that pulls her nose to one side, making it increasingly difficult to breathe and even eat sometimes.

Many owners would put the animal down simply for the cost of corrective surgery. Barbaras owner, Martha Carroll-Talley, learned there could be a second option, but that meant coming to Tennessee and leaving with a nearly $30,000 hospital bill.

Previous story: Texas horse with rare defect readies for trip to Knoxville for needed surgery

What lesson does it teach our children if we just dispose of things because theyre a little different? says Carroll-Talley.

It was a pretty complex surgery and it was composed of a lot of smaller surgeries so we had to cut the hole in her neck to allow for air, says UTCVM surgery resident Tanner Snowden.

Thankfully the surgery was a success with no complications and Barbara is now on the road to recovery with her second chance at life.

Its great to see her stand up. I saw her before surgery with the nose but it wasnt until she stood up that we saw the finished product, said Snowden.

Breathing is temporarily a bit different post-op because of a tracheotomy tube in Barbaras throat but that is expected to come out soon. The surgeons had to take out one of Barbaras ribs on her right side for a bone graft on her jaw. If all goes well, Barbara will be back home to Texas in six weeks.

If you would like to donate to Barbaras GoFundMe page, click here.

View as list View as gallery Open Gallery

Surgeon going over her case during rounds (source: UTCVM)

Barbara being prepped for surgery (source: UTCVM)

Barbara during surgery (source: UTCVM)

Barbara in surgery (source: UTCVM)

Barbara post-surgery (source: UTCVM)

Barbara post-surgery (source: UTCVM)

Barbara post-surgery (source: UTCVM)

Barbara post-surgery (source: UTCVM)

Barbara before surgery (source: UTCVM)

Barbara before surgery - close up (source: UTCVM)

Surgeon going over her case during rounds (source: UTCVM)

Barbara being taken to surgical suite (source: UTCVM)

Barbara being prepped for surgery (source: UTCVM)

Barbara during surgery (source: UTCVM)

Barbara in surgery (source: UTCVM)

Barbara walking to ICU after surgery (source: UTCVM)

Barbara post-surgery (source: UTCVM)

Barbara post-surgery (source: UTCVM)

Barbara post-surgery (source: UTCVM)

Barbara post-surgery (source: UTCVM)

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That ‘out of control’ feeling in veterinary medicine – dvm360

July 8th, 2017 3:44 am

Do you pull the strings in your life and career? Or do you think luck, fate and other people are the deciding factor in your happiness and success?

Some people, even in bad circumstances, feel they have control over their lives. Psychologist Julian Rotter calls that an "internal" locus of control. Compare that to people who feel they don't have power over their lives, their actions, their families or their jobspeople with an "external locus of control."

Some researchers say happier people have an internal locus of control.

So, what about you?

Take this quiz, then come back here to learn more.

Are you convinced you're doomedGroundhog Day styleto face clients day after day who won't take your recommendations? External locus of controlthe pet owners govern your fate! Or do you work to soothe your frustration about that or adjust the way you communicate with pet owners? Internal locus of controlthere's something you can do, even if it's to let go of bad feelings from the workday.

Do you feel trapped in your job with coworkers you hate with no way out? That's external locus of controlyou have no power over your job, your bosses, your coworkers or your daily responsibilities. Or are you considering that you're choosing to stay because of the location or the clients or the money, or even better, maybe you're brushing up that resume and learning new skills? That's internal locus of controlyou're recognizing that you have a choice, even if you choose not to leave.

Choosing change isn't always easy (Dr. Dean Scott gives the "Negative Ned" side to this here), but the more you tell yourself you're fated to misery and unhappiness and the world is conspiring against you, maybejust maybethe more miserable and unhappy you feel.

But don't take our word for it. Let's dive in ...

Quiz: Are you getting squeezed by life?

When life in veterinary medicine gives you lemons, do you make lemonade ... or get squished? Find out more about how you see the world with this quick quiz.

Go inward: How locus of control can save you

Believing you have some control over the events in your life is crucial to happiness and could make a huge difference in your personal life and veterinary career.

Veterinary confessionals: In control ... or out?

We selected confessions from the Vet Confessionals Project that reflect the feelings of control (or lack thereof) that plague the profession.

The positive power of negativity

People with an internal "locus of control"who believe that they have control over their destinies and that their actions mattermay be happier and healthier. But making changes in your life isn't as easy for everybody, and we need to acknowledge that more than we do.

Game of Thrones: Are veterinary leaders born or made?

Deb Stone, PhD, studied "locus of control" and its potential impact on veterinary leadership. Dr. Hilal Dogan went one step further with the ideas: What does the hit HBO show have to teach us about leading in veterinary medicine? Are you Stark, Lannister, a Direwolf or one or those misfit leaders?

Like Ted Talks? Us too ...

Here are a few on the topic of choice, decision-making and locus of control. Are they inspired, aggravating or eye-rollingly cringy? Let us know at [emailprotected].

Are we in control of our own decisions?

Behavioral economist Dan Ariely, PhD, uses classic visual illusions and his own seemingly counterintuitive research to prove that we're not as rational as we think when making decisions.

The art of choosing

Sheena Iyengar, PhD, a psycho-economist, studies how we make choices and shares her research full of surprises about our attitudes toward decisions.

Getting stuck in the negatives (and how to get unstuck)

Social psychologist Alison Ledgerwood, PhD, wants to understand how people think and how they can think better. Her research investigates how certain ways of thinking about an issue tend to stick in people's heads.

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Your Town: Cornell College of Veterinary Medicine one of top schools in the world – CNYcentral.com

July 8th, 2017 3:44 am

Your Town: Cornell College of Veterinary Medicine one of top schools in the world

An adorable little baby Baltimore Oriole simply left its nest far too soon. A screech owl has a problem with its eye and a fisher is undergoing a physical exam to see where and if she's injured after being hit by a car.

All of these wild animals are taken care of at the Wildlife Health Center at Cornell University. It's the only academic wildlife center place in all of Upstate New York and takes care of one thousand wild animals every year, with the constant goal of releasing all of them back to the wild. It also regularly reminds people how they can also help before animals come here in the first place.

"We see a lot of severe trauma, mostly from cars. A lot of predator attacks, which are mostly domestic pets," says Dr. Sara Childs-Sanford.

The College of Veterinary Medicine at Cornell University is consistently ranked as one of the best vet schools in the world.

In addition to its wildlife center, there are three top notch hospitals that you could easily assume are for humans, but are instead dedicated solely to animals.

One is the Companion Animal Hospital where people can bring there four legged friends. It offers rare services such dermatology, oncology and dentistry.

"If an animal needs a route canal or even braces, they can offer those sort of services," says Dr. James Flanders.

Lillie Goodrich was recently the companion animal hospital's most regular patient for an entire year.

"I'd rather come where the best care can be with the most up to date thinking so we can get the good results that we need," says Goodrich.

She runs the Glen Highland border collie rescue and comes all the way to Ithaca from out near Cooperstown to get her dogs looked at so they can get ready to go up for adoption.

"This is also our emergency care for completaced cases so we're driving two hours as fast as we can sometimes to have the best care at our fingertips with really really difficult situations. You just can't get that ind of care locally, you just can't."

Cornell is widely known for its work with horses. These horses are owned by the university and allow students to work on medical issues and even help deliver newborn colts and fillys, before working on privately owned animals. Cornell is so respected for it's work with horses, not only will it treat professional race horses on site, but experts with the school will also travel to races like the Belmont Stakes to perform tests for illegal drugs.

This is just one of the many areas the veterinary school shines in to provide the next generation of physicians.

"We have more specialists then any practice, certainly in New York," says Dr. Flanders.

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Dog park closes temporarily due to dog flu concerns – Ocala

July 8th, 2017 3:44 am

Letty Towles Dog Park, 2299 SE 32nd Ave., Ocala, is expected to remain closed for the next four to six weeks.

The Letty Towles Dog Park in Southeast Ocala is temporarily closed due to concerns about H3N2 Canine Influenza Virus cases in north and central Florida.

The popular park at 2299 SE 32nd Ave. closed Monday and is expected to remain closed for the next four to six weeks, according a news release issued Friday by the city of Ocala. Dr. Kevin Stoothoff, president of the Marion County Veterinary Medical Association, advised the city to close the park temporarily.

I have been advised that the H3N2 virus is very contagious, and any type of exposure will likely cause infection, noted Julie Johnson, an assistant director with the city's Recreation and Parks Department. Dogs at risk to being infected are those with a social, active lifestyle that often participate in group settings. Humans cannot contract the virus, but can transmit the virus on their clothing or hands for up to 24 hours after contact with an infected dog.

Veterinarians with the University of Florida have confirmed that "21 dogs in its care have tested positive for the dog flu," according to a June 16 statement on the College of Veterinary Medicine's website. "These cases have originated in north and central Florida. As many independent veterinarians across the state also are able to provide diagnostic testing for H3N2 CIV, college officials are unable to confirm outside cases."

County-by-county breakdowns were not available "because canine influenza is not among the reportable diseases per state law," according the website.

UF's College of Veterinary Medicine also reported that Merck Animal Health and Zoetis, makers of the canine influenza vaccine, are increasing vaccine supplies. There have not been any dog flu deaths at the UF Veterinary Hospitals, according to the site.

Canine influenza viruses cause respiratory infections in dogs.

"CIV H3N2 just recently emerged in the Chicago outbreak of 2015," according to http://www.doginfluenza.com. "Most dogs that develop CIV infection have a mild illness, but some dogs become very sick and require treatment."

The virus, which had a presence in about 30 other states before making its way to Florida, was introduced to the United States in 2015, said Dr. Cynda Crawford, an assistant professor of shelter medicine at UF's College of Veterinary Medicine.

This is a highly contagious virus to dogs, just like influenza virus is to people, Crawford said last month during apress conference at UF Health Shands Hospital in Gainesville. There is an eminent threat for dogs to be exposed to this virus in this state now.

It is very important for both veterinarians and dog owners in the state of Florida to have a very heightened awareness of the presence of this virus.

For UF College of Veterinary Medicine updates on the cases in north and central Florida, go to http://hospitals.vetmed.ufl.edu/canine-influenza. The city also advises talking to your veterinarian about vaccinations for this virus.

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