at [PERSPECTIVES] Restoration of Rod-Derived Metabolic and Redox Signaling to Prevent Blindness By perspectivesinmedicine.cshlp.org Published On :: 2024-11-01T07:17:20-07:00 Vision is initiated by capturing photons in highly specialized sensory cilia known as the photoreceptor outer segment. Because of its lipid and protein composition, the outer segments are prone to photo-oxidation, requiring photoreceptors to have robust antioxidant defenses and high metabolic synthesis rates to regenerate the outer segments every 10 days. Both processes required high levels of glucose uptake and utilization. Retinitis pigmentosa is a prevalent form of inherited retinal degeneration characterized by initial loss of low-light vision caused by the death of rod photoreceptors. In this disease, rods die as a direct effect of an inherited mutation. Following the loss of rods, cones eventually degenerate, resulting in complete blindness. The progression of vision loss in retinitis pigmentosa suggested that rod photoreceptors were necessary to maintain healthy cones. We identified a protein secreted by rods that functions to promote cone survival, and we named it rod-derived cone viability factor (RdCVF). RdCVF is encoded by an alternative splice product of the nucleoredoxin-like 1 (NXNL1) gene, and RdCVF was found to accelerate the uptake of glucose by cones. Without RdCVF, cones eventually die because of compromised glucose uptake and utilization. The NXNL1 gene also encodes for the thioredoxin RdCVFL, which reduces cysteines in photoreceptor proteins that are oxidized, providing a defense against radical oxygen species. We will review here the main steps of discovering this novel intercellular signaling currently under translation as a broad-spectrum treatment for retinitis pigmentosa. Full Article
at Correction to "Validity of diagnoses of SARS-CoV-2 infection in Canadian administrative health data: a multiprovince, population-based cohort study" By www.cmajopen.ca Published On :: 2024-07-02T06:35:26-07:00 Full Article
at Correction to "Opioid-related emergency department visits and deaths after a harm-reduction intervention: a retrospective observational cohort time series analysis" By www.cmajopen.ca Published On :: 2024-06-18T06:21:04-07:00 Full Article
at Reaction lepreuse de type 1 chez un homme de 50 ans [Pratique] By www.cmaj.ca Published On :: 2024-11-11T21:05:15-08:00 Full Article
at Listeriose durant la grossesse [Pratique] By www.cmaj.ca Published On :: 2024-11-11T21:05:15-08:00 Full Article
at Management of opioid use disorder: 2024 update to the national clinical practice guideline [Guideline] By www.cmaj.ca Published On :: 2024-11-11T21:05:15-08:00 Background In an evolving landscape of practices and policies, reviewing and incorporating the latest scientific evidence is necessary to ensure optimal clinical management for people with opioid use disorder. We provide a synopsis of the 2024 update of the 2018 National Guideline for the Clinical Management of Opioid Use Disorder, from the Canadian Research Initiative in Substance Matters. Methods For this update, we followed the United States Institute of Medicine’s Standards for Developing Trustworthy Clinical Practice Guidelines and used the Appraisal of Guidelines Research and Evaluation—Recommendation Excellence tool to ensure guideline quality. We carried out a comprehensive systematic literature review, capturing the relevant literature from Jan. 1, 2017, to Sept. 14, 2023. We drafted and graded recommendations according to the Grading of Recommendations, Assessments, Development and Evaluation approach. A multidisciplinary external national committee, which included people with living or lived experience of opioid use disorder, provided input that was incorporated into the guideline. Recommendations From the initial 11 recommendations in the 2018 guideline, 3 remained unchanged, and 8 were updated. Specifically, 4 recommendations were consolidated into a single revised recommendation; 1 recommendation was split into 2; another recommendation was moved to become a special consideration; and 2 recommendations were revised. Key changes have arisen from substantial evidence supporting that methadone and buprenorphine are similarly effective, particularly in reducing opioid use and adverse events, and both are now considered preferred first-line treatment options. Slow-release oral morphine is recommended as a second-line option. Psychosocial interventions can be offered as adjunctive treatment but should not be mandatory. The guideline reaffirms the importance of avoiding withdrawal management as a standalone intervention and of incorporating evidence-based harm reduction services along the continuum of care. Interpretation This guideline update presents new recommendations based on the latest literature for standardized management of opioid use disorder. The aim is to establish a robust foundation upon which provincial and territorial bodies can develop guidance for optimal care. Full Article
at "Steroids in severe community-acquired pneumonia". S. Ananth, A.G. Mathioudakis, J. Hansel. Breathe 2024; 20: 240081. By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 Full Article
at Con: indwelling pleural catheters cause harm to patients By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 Indwelling pleural catheters (IPCs) have rapidly grown in popularity since their introduction for the management of recurrent pleural effusions. In malignant pleural effusions especially, there has been a shift away from measuring pleurodesis success and towards more patient-centred outcomes. Multiple randomised controlled trials have shown that despite lower rates of pleurodesis, symptom control and quality of life outcomes are comparable when compared to alternatives such as talc pleurodesis. IPCs have the added benefit of minimising inpatient hospital stays and reducing the need for recurrent pleural interventions, key priorities for patients with palliative disease. As a result, IPC treatment is associated with excellent patient satisfaction coupled with acceptably low complication rates. Furthermore, in patients with a short life expectancy they confer a cost benefit for the healthcare system. Far from causing harm, IPCs are now recommended as first-line treatment by current clinical guidelines. In malignant pleural disease, guidance advocates IPCs should be offered as a first-line option with the focus on patient priorities and preferences. Ultimately IPCs provide a safe, effective, ambulatory option for managing recurrent pleural effusions. Full Article
at Highlights from the Respiratory Failure and Mechanical Ventilation Conference 2024 By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 The Respiratory Intensive Care Assembly of the European Respiratory Society gathered in Berlin to organise the third Respiratory Failure and Mechanical Ventilation Conference in February 2024. The conference covered key points of acute and chronic respiratory failure in adults. During the 3-day conference ventilatory strategies, patient selection, diagnostic approaches, treatment and health-related quality of life topics were addressed by a panel of international experts. In this article, lectures delivered during the event have been summarised by early career members of the Assembly and take-home messages highlighted. Full Article
at Integration of lung function data: turning snapshots into stories By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 Missing or inaccessible lung function measurements, gathered over time, have the potential to stagnate or impair clinical care decisions being made. This jeopardises patient safety and often contributes to excessive resource utilisation. Data integration is fundamental to clinical decision-making and entails amalgamating lung function data from multiple sources in a user-friendly format. Despite this, current systems for recording lung function data are suboptimal, with copious gaps in the clinical picture arising from missing or inaccessible lung function measurements. This article discusses the importance of data integration for lung function, with a call to action for key stakeholders involved in the performance, management and interpretation of such tests. Full Article
at An elderly woman with acute respiratory failure and diffuse pulmonary changes By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 Full Article
at Stage III NSCLC treatment options: too many choices By breathe.ersjournals.com Published On :: 2024-10-01T10:05:24-07:00 Stage III nonsmall cell lung cancer (NSCLC) represents a wide range of tumour (T1 to T4) and nodal (N0 to N3) components, requiring variable management and a multidisciplinary approach. Recent advancements in minimally invasive techniques, molecular biology and novel drug discoveries have accelerated the refinement of stage III NSCLC management. The latest developments in staging include the forthcoming update of the nodal component in the 9th TNM (tumour–node–metastasis) edition, which emphasises the critical role for endobronchial ultrasonography in mediastinal staging. Recent treatment developments include the use of immunotherapy and targeted molecular therapy in both the neoadjuvant and adjuvant setting, either in combination with other modalities or used alone as consolidation. Surgical and radiotherapy advancements have further enhanced patient outcomes. These developments have significantly improved the prognosis for patients with stage III NSCLC. Fast-changing recommendations have also brought about a challenge, with clinicians facing a number of options to choose from. Therefore, a multimodal approach by a multidisciplinary team has become even more crucial in managing stage III NSCLC. Full Article
at The CheckMate 816 trial: a milestone in neoadjuvant chemoimmunotherapy of nonsmall cell lung cancer By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 Advancements in immunotherapy in the perioperative setting have revolutionised the treatment of resectable nonsmall cell lung cancer (NSCLC). Here we present the methodology and results of the clinical trial CheckMate 816 demonstrating the benefit of neoadjuvant therapy with nivolumab plus chemotherapy compared with chemotherapy alone. Furthermore, this article discusses the implications for future practice in resectable NSCLC and the need for future research. Full Article
at Pulmonary complications of bone marrow transplantation By breathe.ersjournals.com Published On :: 2024-10-01T10:05:24-07:00 Bone marrow transplantation, now often known as haematopoietic stem cell transplantation (HSCT), is a complex choreographed procedure used to treat both acquired and inherited disorders of the bone marrow. It has proven invaluable as therapy for haematological and immunological disorders, and more recently in the treatment of metabolic and enzyme disorders. As the number of performed transplants grows annually, and with patients enjoying improved survival, a knowledge of both early and late complications of HSCT is essential for respiratory trainees and physicians in practice. This article highlights the spectrum of respiratory complications, both infectious and non-infectious, the timeline of their likely occurrence, and the approaches used for diagnosis and treatment, keeping in mind that more than one entity may occur simultaneously. As respiratory issues are often a leading cause of short- and long-term morbidity, consideration of a combined haematology/respiratory clinic may prove useful in this patient population. Full Article
at Pro: indwelling pleural catheters cause harm to patients By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 Malignant pleural effusions (MPE) tend to recur and require definitive treatment with either chest drain and talc pleurodesis or indwelling pleural catheters (IPCs), which offer similar symptomatic benefits. In recent years, IPCs have become popular due to the presumed convenience of an outpatient procedure followed by home drainage leading to a misconception of IPCs being an ideal treatment for MPE. However, IPCs predispose the patient to multiple complications and have significant physical and psychological implications that are under-recognised. Patients require additional clinical reviews, hospital admissions and treatment for these complications related to IPCs. Additionally, there is a huge psychological impact of living with a home catheter that is a constant reminder of their cancer and this has been shown to affect quality of life negatively. Hence, IPCs should not be considered the "ideal" treatment for MPE management and clinicians should reflect the equipoise of the evidence for the benefits and accurately reflect the adverse effects of IPCs in their discussions with patients to facilitate informed decision making. Full Article
at Type 2 inflammation in COPD: is it just asthma? By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 COPD is a heterogeneous condition, with tobacco smoking being the main environmental risk factor. The presence of type 2 (T2) inflammation is a well-recognised feature of asthma; however, it is now apparent that a subset of COPD patients also displays evidence of T2 inflammation with respect to elevated eosinophil counts and altered gene and protein expression of several T2 inflammatory mediators. T2 inflammatory mediators represent an attractive therapeutic target in both COPD and asthma; however, the efficacy of pharmaceutical interventions varies between diseases. Furthermore, the nature of some shared clinical features also differs. We provide a narrative review of differences in the nature of T2 inflammation between COPD and asthma, which may partly explain phenotypic differences between diseases. We focus on evidence from studies of pulmonary histopathology, sputum and epithelial gene and protein expression, and response to pharmacological interventions targeted at T2 inflammation. Full Article
at Spatial lung imaging in clinical and translational settings By breathe.ersjournals.com Published On :: 2024-10-01T10:05:24-07:00 For many severe lung diseases, non-invasive biomarkers from imaging could improve early detection of lung injury or disease onset, establish a diagnosis, or help follow-up disease progression and treatment strategies. Imaging of the thorax and lung is challenging due to its size, respiration movement, transferred cardiac pulsation, vast density range and gravitation sensitivity. However, there is extensive ongoing research in this fast-evolving field. Recent improvements in spatial imaging have allowed us to study the three-dimensional structure of the lung, providing both spatial architecture and transcriptomic information at single-cell resolution. This fast progression, however, comes with several challenges, including significant image file storage and network capacity issues, increased costs, data processing and analysis, the role of artificial intelligence and machine learning, and mechanisms to combine several modalities. In this review, we provide an overview of advances and current issues in the field of spatial lung imaging. Full Article
at Large-scale education in respiratory medicine: content versus delivery By breathe.ersjournals.com Published On :: 2024-10-01T10:05:24-07:00 The respiratory literature, both written and in online formats, is growing exponentially. Capturing quality content, to meet the learning needs of those working in all fields of respiratory medicine and delivering it in a palatable, accessible format is challenging but paramount. In this article we discuss ways to determine the information content and review different methods of delivering this content to those who need it. Full Article
at Palliative care in lung cancer: tumour- and treatment-related complications in lung cancer and their management By breathe.ersjournals.com Published On :: 2024-11-12T00:25:08-08:00 Palliative care pertains to the holistic multidimensional concept of "patient-centred" care. It is an interprofessional specialty, primarily aiming to improve quality of care for cancer patients and their families, from the time of diagnosis of malignant disease, over the continuum of cancer care, and extending after the patient's death to the period of bereavement to support the patient's family. There are various complex and frequently unmet needs of lung cancer patients and their families/caregivers, not only physical but also psychological, social, spiritual and cultural. Systematic monitoring of patients’ symptoms using validated questionnaires and patient-reported outcomes (PROs), on a regular basis, is highly encouraged and recommended in recent guidelines on the role of PRO measures in the continuum of cancer clinical care. It improves patient–physician communication, physician awareness of symptoms, symptom control, patient satisfaction, health-related quality of life and cost-effectiveness. This implies that all treating physicians should improve their skills in communication with lung cancer patients/relatives and become more familiar with this multidimensional assessment, repeatedly screening patients for palliative care needs. Therefore, they should receive education and training to develop palliative care knowledge, skills and attitudes. This review is dedicated to lung cancer palliative care essentials that should be within the competences of treating physicians, i.e. pneumologists/thoracic oncologists. Full Article
at Lung imaging methods: indications, strengths and limitations By breathe.ersjournals.com Published On :: 2024-10-01T10:05:24-07:00 Imaging methods are fundamental tools to detect and diagnose lung diseases, monitor their treatment and detect possible complications. Each modality, starting from classical chest radiographs and computed tomography, as well as the ever more popular and easily available thoracic ultrasound, magnetic resonance imaging and nuclear medicine methods, and new techniques such as photon counting computed tomography, radiomics and application of artificial intelligence, has its strong and weak points, which we should be familiar with to properly choose between the methods and interpret their results. In this review, we present the indications, strengths and main limitations of methods for chest imaging. Full Article
at First-of-Its-Kind Glowing Sea Creature Discovered in Ocean’s ‘Midnight Zone’ By gizmodo.com Published On :: Tue, 12 Nov 2024 17:00:20 +0000 A nudibranch from the midnight zone has fingers on its tail, collects food with a hood, and glows. Full Article Biology Animals DEEP SEA oceans slugs
at The Team Behind Heretic Talks That Ending, The Book of Mormon, and Monopoly By gizmodo.com Published On :: Tue, 12 Nov 2024 17:00:26 +0000 Writer-director partners Scott Beck and Bryan Woods dive into the biggest spoilers of their new Hugh Grant thriller. Full Article Movies Bryan Woods Heretic Scott Beck
at Nosferatu‘s Take on Count Orlok Sounds Fascinatingly Disgusting By gizmodo.com Published On :: Tue, 12 Nov 2024 19:01:22 +0000 Robert Eggers' re-imagining of the legendary vampire has his fangs out for prey in a very unusual manner. Full Article Movies Nosferatu
at What We Do in the Shadows Champions Found Families, No Matter How Dysfunctional By gizmodo.com Published On :: Tue, 12 Nov 2024 19:50:22 +0000 Season six's latest episode introduced Laszlo's father—and chaos inevitably followed. Full Article Television FX What We Do in the Shadows
at Secret Level‘s Creator Hopes Concord Episode Showcases Its Lost Potential By gizmodo.com Published On :: Tue, 12 Nov 2024 20:40:31 +0000 Tim Miller hopes Amazon's anthology series will help viewers appreciate the "blood, sweat, and tears" Firewalk Studios put into the scrapped game. Full Article Television Amazon concord PlayStation Secret Level
at Even Exxon’s CEO Doesn’t Want Trump to Pull Out of the Paris Climate Agreement By gizmodo.com Published On :: Tue, 12 Nov 2024 21:20:18 +0000 The head of one of the world's largest oil companies has had it with government flip-flopping. Full Article Climate Change Climate change Donald Trump ExxonMobil
at I Miss What The Mandalorian Was By gizmodo.com Published On :: Tue, 12 Nov 2024 23:30:11 +0000 Five years on from its incredible debut, The Mandalorian has come to embody a lot of the issues facing Star Wars in its uncertain current moment. Full Article Television LUCASFILM Star Wars The Mandalorian
at Artificial Intelligence can cause fake education By rabble.ca Published On :: Fri, 03 Nov 2023 14:00:08 +0000 A new report by the global union Education International shows that AI can degrade the quality of education, worsen working conditions for teachers and provide inferior schooling for students. The post Artificial Intelligence can cause fake education appeared first on rabble.ca. Full Article Education Labour ai
at Edmonton activist protests climate crisis with demonstration in AB legislature By rabble.ca Published On :: Fri, 03 Nov 2023 18:57:32 +0000 There has been fallout. Speaker Nathan Cooper is said to have decreed guests will never again be seated inside the legislative chamber. The post Edmonton activist protests climate crisis with demonstration in AB legislature appeared first on rabble.ca. Full Article Canadian Politics Environment Alberta politics
at Dual boss battle: video game workers face-off multiple employers at once By rabble.ca Published On :: Mon, 06 Nov 2023 16:39:06 +0000 Video game workers face challenges from employers in their efforts to unionize in Canada. The post Dual boss battle: video game workers face-off multiple employers at once appeared first on rabble.ca. Full Article Labour video games
at City of Vancouver to lowest paid workers: Let them eat cuts! By rabble.ca Published On :: Tue, 07 Nov 2023 16:50:27 +0000 The City of Vancouver council has reneged on a previous commitment to a living wage for its employees. The post City of Vancouver to lowest paid workers: Let them eat cuts! appeared first on rabble.ca. Full Article Canadian Politics Economy
at Don’t buy-in to climate science denialism By rabble.ca Published On :: Wed, 08 Nov 2023 21:42:00 +0000 That anyone could witness or directly experience the increasingly frequent and intense heat domes, droughts, floods and record high temperatures and claim we don’t have a problem is insanity! The post Don’t buy-in to climate science denialism appeared first on rabble.ca. Full Article Environment Politics Climate Change climate science
at U.S., Japan agree to maximize diplomatic pressure on North Korea By www.pbs.org Published On :: Tue, 17 Oct 2017 13:01:05 +0000 Monitor in Tokyo shows news of North Korea firing a ballistic missile on July 4. File photo by Toru Hanai/Reuters TOKYO — U.S. and Japanese diplomats agreed Tuesday to maximize pressure on North Korea to resolve tensions over its nuclear program, while citing the need to be prepared for the worst if diplomacy fails. U.S. Deputy Secretary of State John Sullivan, after meeting his Japanese counterpart, Shinsuke Sugiyama, told reporters that the focus at the State Department is still on diplomacy to solve the problem and eventually denuclearize the Korean Peninsula. “We must, however, with our allies in Japan and South Korea and elsewhere, be prepared for the worst should diplomacy fail,” he said. The U.S. must be prepared to defend itself and its allies, he said. Sugiyama, briefing reporters separately, reiterated Japan’s support for President Donald Trump’s policy of keeping all options open, but stressed the need for a diplomatic solution by bolstering cooperation among Japan, U.S. and South Korea, as well as via cooperation with China and Russia. The two diplomats will join their South Korean counterpart in Seoul for further talks Wednesday on North Korea. READ MORE: Rex Tillerson says continue diplomacy with North Korea ‘until first bomb drops’ The talks come as the U.S. and South Korea hold joint naval drills this week. They regularly conduct joint exercises, though North Korea condemns them as an invasion rehearsal. North Korea’s deputy U.N. ambassador warned on Monday that the situation on the peninsula “has reached the touch-and-go point and a nuclear war may break out any moment.” Kim In Ryong told the U.N. General Assembly’s disarmament committee that North Korea has been subjected to a direct nuclear threat from the United States and has the right to possess nuclear weapons in self-defense. He pointed to military exercises and what he called a U.S. plan to stage a “secret operation aimed at the removal of our supreme leadership.” Kim’s speech follows increasingly tough U.N. sanctions. Russian President Vladimir Putin said his country is curtailing economic, scientific and other ties with North Korea in line with U.N. sanctions, and the European Union announced new sanctions as well. The post U.S., Japan agree to maximize diplomatic pressure on North Korea appeared first on PBS NewsHour. Full Article japan North Korea north korea nuclear program
at WATCH: Trump and Greek prime minister hold joint news conference By www.pbs.org Published On :: Tue, 17 Oct 2017 16:28:24 +0000 Watch President Donald Trump and the Greek prime minister’s joint news conference in the player above. WASHINGTON — President Donald Trump says the U.S. stands with Greece as they recover from their economic crisis. He is speaking with Prime Minister Alexis Tsipras at the White House in a joint news conference. The U.S. president says the two leaders have discussed defense, energy, commerce and trade. Trump is praising Greece for its defense spending under NATO and is noting a potential sale to Greece to upgrade its F-16 aircraft, which he says would be worth up to $2.4 billion and generate thousands of U.S. jobs. Tsipras says his country has made economic strides and is “leaving behind the economic model that led to the crisis.” He says Greece’s relationship with the U.S. is “more important than ever.” The post WATCH: Trump and Greek prime minister hold joint news conference appeared first on PBS NewsHour. Full Article Alexis Tsipras Donald Trump Greece
at U.S.-backed Syrian forces recapture Raqqa from Islamic State group By www.pbs.org Published On :: Tue, 17 Oct 2017 16:57:20 +0000 Fighters of Syrian Democratic Forces celebrate after Raqqa in Syria was liberated from Islamic State militants on Oct. 17. Photo by Erik De Castro/Reuters U.S.-backed Syrian Democratic Forces announced Tuesday that they had captured the city of Raqqa from Islamic State militants. “Everything is finished in Raqqa, our forces have taken full control of Raqqa,” SDF spokesman Talal Sello told AFP. A formal declaration would be announced after operations to clear any remaining sleeper cells and to remove landmines in the city were completed, Sello added. The move is a major setback for the Islamic State which considered Raqqa the de-facto capital of its self-declared caliphate. It comes on the third anniversary of the global effort to defeat ISIS. Raqqa was the first provincial capital to fall from government control in March 2013 after it was captured by a rebel army. The army included both Syrian opposition groups and more hard line parties including al-Nusra and the Islamic State. A civilian government that was established in the city divided two months later, and less than a year later ISIS recaptured Raqqa and named the the capital of their caliphate. About 900 civilians have been killed since the the start of the five-month operation, including 570 people in coalition air raids, according to the Syrian Network for Human Rights. The Britain-based Syrian Observatory for Human Rights put the civilian death toll at 1,130 people. American journalist James Foley was beheaded in the mountains south of the city. SDF fighters pulled down the Islamic State’s black flag from the city’s National Hospital near the city’s stadium, according to a Reuters report. Special presidential envoy for the Global Coalition to Defeat ISIS Brett McGurk said in August that the U.S. would attempt to perform a “stabilization” in Raqqa — including demining, removing rubble from major pathways to allow trucks and equipment through, and “basic electricity, sewage, water, the basic essentials to allow populations to come back to their home.” It is not clear when the 300,000 civilians who have fled Raqqa since April during the operation will be able to return. The post U.S.-backed Syrian forces recapture Raqqa from Islamic State group appeared first on PBS NewsHour. Full Article islamic state group raqqa Syria
at The battle for Mosul is over, but this hidden ISIS danger could lurk for years By www.pbs.org Published On :: Wed, 18 Oct 2017 22:20:26 +0000 Watch Video | Listen to the AudioHARI SREENIVASAN: But first: The de facto capital of the Islamic State, Raqqa, in Syria fell yesterday to U.S.-backed forces. However, the largest city the militants once held was Mosul in Iraq. They were ousted from it in July after a brutal 10-month-long fight that killed thousands. Now a new major task: finding and destroying the ISIS mines, booby-traps and bombs that litter the city. Special correspondent Marcia Biggs reports from Iraq. MARCIA BIGGS, Special Correspondent: It was once a center of learning for over 6,000 students of technology, agriculture, and medicine. Today, Mosul Technical Institute’s classrooms are burnt to the ground, laboratories reduced to rubble, and books charred and shredded. It’s one of the city’s five universities ravaged by the Islamic State and the battle to oust it. Now that the battle is over, a new danger looms, the trail of land mines and booby-traps left by ISIS. So this is the wire, and this is where it was buried. CHRISTIAN, Team Leader, Janus Global Operations: Yes, they would cut the asphalt, and then they lay the wire in and put the main charge here. MARCIA BIGGS: We spent the day with Christian, a team leader from Janus Global, a security and risk management firm hired by the U.S. government to sweep and clear major areas of unexploded ordnance and mines. He’s not allowed to show his face or use his last name, for security reasons. CHRISTIAN: There’s actually two more on that road before we get to the target building that have to be excavated and/or rendered safe. MARCIA BIGGS: So, the first building you have to clear, you have got to get rid of the IEDs on the road to that building? CHRISTIAN: Yes. MARCIA BIGGS: It’s a long process. CHRISTIAN: It is, but that’s what makes it interesting. MARCIA BIGGS: The United States has sunk $30 million this year into clearing former ISIS territories all over Northern Iraq. Under this program, Janus has already cleared 727 buildings, removing 3,000 IEDs, which they say ISIS was producing on assembly lines at an industrial scale. But State Department officials and experts say the number of unexploded ordnance in Mosul itself is unprecedented. What’s your first line of attack, in terms of trying to clear Mosul? CHRISTIAN: Our priority is more the community, rather than the individual, you know, infrastructure. You have got schools, power, sewer, water, so that the area can accept people back into it. And then, once this stabilization phase is over, we can move into the individual homes, so that they can be safer. MARCIA BIGGS: Clearing Mosul is a process that they say could take years, even decades. So Janus is training local Iraqis to do the job, sending them out as a front-line search team, then investigating and removing any suspicious items themselves. CHRISTIAN: We’re not going to be here the whole time, so when we — it’s our time to leave, they will have the capacity built from us, and the mentoring we have done, so that they can do it on their own. MARCIA BIGGS: How are they doing? CHRISTIAN: They’re — a lot of them are very apt to learn. They’re quick. They’re smart. MARCIA BIGGS: Fawzi al Nabdi is the team leader for the Iraqi local partner. He’s cleared mines all over Iraq for the last six years. CHRISTIAN: What you got? FAWZI AL NABDI, Team Leader, Al Fahad Company (through interpreter): We are ready for this, because it’s my job and I love it. The Americans are here to complete our work and to help us. They have greater experience than we do. If we find any mines, we have to stop and they will investigate it and make a plan to remove it. MARCIA BIGGS: But he says Mosul is the biggest project he has ever seen, and we’re told it could take at least a month to just get the campus cleared of mines. Only then can they start cleaning it up, so that students can resume classes, this itself a huge task. ISIS fighters closed the university back in 2014, and used it as a military base. As coalition forces pounded ISIS targets, this seat of higher learning became a battleground. Ghassan Alubaidy is the institute’s dean. GHASSAN ALUBAIDY, Dean, Mosul Technical Institute (through interpreter): ISIS used our university to manufacture mines and bombs. For this reason, it was the target of airstrikes in the beginning. They struck the institute nine times, and they struck our workshops, too. Now we can’t use them. MARCIA BIGGS: The former commander of coalition forces in Iraq, Lieutenant General Stephen Townsend, recently listed 81 locations where bombs were dropped, but had not yet exploded. Facilities used to make weapons were often on the list of high-value targets for the coalition. So now those places are twice as likely to contain dangerous items. So, this was once a workshop for electrical engineering students. You can still see the lab tables here. It was hit by an airstrike in 2015. Afterwards, members of the university staff found bomb-making instructions among the rubble. This was likely an ISIS bomb-making factory, and judging by the crater, a high-value target. Despite the damage, Dean Alubaidy says he will hold classes this fall in alternate buildings, until the campus is ready. He’s expecting registration to be in the thousands, students who lost three years of education during the fighting and don’t want to lose another one. GHASSAN ALUBAIDY (through interpreter): On our Facebook pages, we found a great number of students posting that they were full of encouragement to come back. For us, it was unbelievable. We couldn’t imagine it, to see how many students wanted to start again, how they were dreaming of the first day of classes, when they could sit in front of teachers again and start to live their lives again. MARCIA BIGGS: Next door, Mosul University has already started classes. Students even volunteered to help in the cleanup. But across the river, West Mosul was the site of ISIS’ last stand and bore the brunt of the battle. It’s densely packed Old City, with its flattened buildings, is a challenge for mine-sweeping. FAWZI AL-NABDI (through interpreter): Most of the homes here were full of mines. And just here in front of us, a man with two kids came back to his home, and when he opened the door, the bomb killed him and his kids. MARCIA BIGGS: Ahmed Younes fled back in early July with only the clothes on his back. Residents have been virtually banned from returning to his neighborhood on the outskirts of the Old City, but Ahmed said he got special permission, in order to retrieve some personal items. AHMED YOUNES, Local Resident (through interpreter): We came on our own. We got permission to come, but they are not responsible if anything happens to us. MARCIA BIGGS: Right now, there is no plan to begin clearing the Old City or even to determine how many mines there are. It is still out of bounds to anyone but the Iraqi security forces. So the Janus team is focusing on progress in the rest of the city, building by building, bomb by bomb. CHRISTIAN: Whoever made this device had a set goal. And to allow him to win, people get hurt. So you kind of compete against him to be better than him to take it out before it can do any harm. MARCIA BIGGS: So, you feel like you’re winning the battle against ISIS? CHRISTIAN: Yes, one IED at a time. MARCIA BIGGS: For the PBS NewsHour, I’m Marcia Biggs in Mosul, Iraq. HARI SREENIVASAN: Tune in later. Frontline’s latest film, “Mosul,” was on the ground filming the fight as it unfolded street by street and house by house. That’s tonight on PBS. The post The battle for Mosul is over, but this hidden ISIS danger could lurk for years appeared first on PBS NewsHour. Full Article iraq islamic state land mines Mosul
at Xi Jinping celebrates China’s rising power — and his own By www.pbs.org Published On :: Wed, 18 Oct 2017 22:35:21 +0000 Watch Video | Listen to the AudioHARI SREENIVASAN: President Xi Jinping opened China’s twice-per-decade Communist Party Congress today with a lengthy list of his achievements during his first five-year term, and his vision of where he hopes to take his nation. But beyond the words, Xi is asserting power like no Chinese leader in decades. William Brangham reports. WILLIAM BRANGHAM: The applause, the music, it was a reception befitting the commanding role that Xi Jinping has taken since being named party leader five years ago. He opened today’s proceedings by hailing reforms he’s put in place, and proclaiming a — quote — “new era for China.” PRESIDENT XI JINPING, China (through interpreter): The Chinese nation has realized a great leap, from declining in modern history to twisting its fate fundamentally and continuously moving to prosperity. WILLIAM BRANGHAM: Over 3.5 hours, Xi laid out his vision to shape the nation of 1.4 billion people into what he called a — quote — “great modern socialist country” over the next three decades. PRESIDENT XI JINPING (through interpreter): Achieving the great rejuvenation of the Chinese nation will be no walk in the park, and it will take more than drumbeating and gong-clanging to get there. The whole party must be prepared to make more arduous, strenuous efforts. WILLIAM BRANGHAM: Susan Shirk is chair of the 21st Century China Center at the University of California, San Diego. SUSAN SHIRK, University of California, San Diego: Xi Jinping has a vision of China’s role in the world that is much more ambitious than anything we have seen before, talking about China kind of moving toward the center of the world and having a lot more influence than it did before. WILLIAM BRANGHAM: In his address, Xi largely ignored the question of political reforms in China, and he didn’t mention President Trump or North Korea’s nuclear weapons program. But in a rare move, he did acknowledge that with global demand weakening, there were challenges facing China’s export-driven economy. PRESIDENT XI JINPING (through interpreter): While China’s overall productive forces have significantly improved and in many areas our production capacity leads the world, the more prominent problem is that our development is unbalanced and inadequate. WILLIAM BRANGHAM: Xi was one of the first foreign leaders to meet with President Trump. PRESIDENT DONALD TRUMP: The relationship developed by President Xi and myself, I think, is outstanding. WILLIAM BRANGHAM: That was decidedly warmer than Mr. Trump’s past criticism of China and its economic and trade policies. But other U.S. officials are more critical of Beijing’s actions. REX TILLERSON, Secretary of State: China, while rising alongside India, has done so less responsibly. WILLIAM BRANGHAM: Secretary of State Rex Tillerson today criticized China’s aggressive displays of economic and military power, particularly its expansion on man-made islands in the South China Sea. REX TILLERSON: We will not shrink from China’s challenges to the rules-based order, and where China subverts the sovereignty of neighboring countries and disadvantages the U.S. and our friends. SUSAN SHIRK: I think there are things to worry about in Chinese foreign policy that are mostly related to these maritime sovereignty issues and to a kind of bullying in Asia, but the global ambition could turn out to be positive. WILLIAM BRANGHAM: Susan Shirk says China has filled a vacuum left by the United States’ withdrawal from global agreements like the Trans-Pacific Partnership and the Paris climate accords. Perhaps the most important thing to watch for in the next few days is who Xi establishes as his likely successor. SUSAN SHIRK: That is why there is a lot of speculation now that he may be trying, much like Putin, to stay on beyond his normal term or to rule behind the scenes even after he retires. WILLIAM BRANGHAM: President Trump will be traveling to Beijing to meet Xi next month. For the PBS NewsHour, I’m William Brangham. The post Xi Jinping celebrates China’s rising power — and his own appeared first on PBS NewsHour. Full Article china Communist Party of China Xi Jinping
at Beaten beasts to unleash: Tatafu By www.theaustralian.com.au Published On :: Tue, 14 Jun 2016 14:00:00 GMT The beast was awakened. Indeed, it might have just stirred from a slumber but it was instantly on the alert. Full Article
at Boomers hold breath on Bogut By www.theaustralian.com.au Published On :: Tue, 14 Jun 2016 14:00:00 GMT Andrey Bogut’s knee injury has potentially sidelined him for the NBA playoffs and casts doubt on his role for the Boomers. Full Article
at Rioli wins place among greats By www.theaustralian.com.au Published On :: Tue, 14 Jun 2016 14:00:00 GMT Legendary Tiger Maurice Rioli was posthumously inducted into the Australian Football Hall of Fame last night. Full Article
at Shorten: ‘Don’t underestimate Labor’ By www.dailytelegraph.com.au Published On :: Sat, 25 Jun 2016 14:00:00 GMT BILL Shorten believes Labor can still win next Saturday’s election despite new opinion polling predicting his party will struggle. Full Article
at Shorten blasted for ‘treaty bomb’ By www.dailytelegraph.com.au Published On :: Mon, 27 Jun 2016 20:23:00 GMT LEADING Aboriginal academic Marcia Langton has blasted Bill Shorten over his claim Labor could sign a treaty with Indigenous Australians. Full Article
at 'Systematic racism' in social work in Scotland to be addressed in review after report By www.heraldscotland.com Published On :: Mon, 11 Nov 2024 15:23:47 +0000 A national review of social work in Scotland has been launched in a bid to address ‘systemic racism’ within the sector. Full Article
at SNP ministers urged to 'mitigate' UK Government's ‘chilling’ anti-terror strategy By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 05:00:00 +0000 Human rights campaigners are calling on SNP ministers to do all they can to “mitigate” Prevent, the UK Government's controversial anti-terror strategy. Full Article
at SNP MSP welcomes contest with Flynn as she declares bid to restand for seat By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 10:16:08 +0000 "I look forward to any contest, where of course it will be for branch members to select those they wish to represent them in Holyrood in the 2026 Scottish Parliament elections.” Full Article
at Analysis: The long battle to succeed John Swinney as SNP leader has now begun By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 11:42:18 +0000 "Kate Forbes still has her own leadership ambitions, setting them aside this Spring in the interest of party unity to accept Mr Swinney's offer to become Deputy First Minister." Full Article
at 'No one can work out what the job is': Sue Gray no longer Starmer envoy to nations By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 14:07:45 +0000 Sir Keir Starmer's beleaguered former chief of staff will no longer take up the position of “envoy to the nations and regions.” Full Article
at Sarwar: Scottish Government must follow Chancellor and extend rates relief By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 17:43:29 +0000 Ministers must follow the UK Government and extend rates relief for businesses in Scotland, Anas Sarwar has said. Full Article
at 'We had to come and help, to do what we can'- Valencia flood volunteers fear and hope By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 19:11:00 +0000 As parts of Spain are on alert for new flood warnings, Dominic Hinde meets the volunteers still involved in the aftermath and recovery following the initial disaster Full Article
at Treasury stake in NatWest falls to 11.4% on £1bn shares buyback By www.heraldscotland.com Published On :: Tue, 12 Nov 2024 04:31:00 +0000 NATWEST has moved to reduce the UK Government’s stake in the bank after buying back a significant tranche of shares from the Treasury in what it described as a “another important milestone”, it was announced this morning. Full Article