Holbrook’s crown jewel in dire need of repairs December 1, 2017 Photo by Toni Gibbons Built in 1898, the Historic Navajo County Courthouse has seen 119 years of history come and go. It is estimated that during the summer months, more than 1,000 visitors stop by weekly. By Toni Gibbons She’s a grand old lady, but sadly, there are patches of daylight showing through her shingles and now the Historic Navajo County Courthouse, located in the center of Holbrook, needs a newSubscribe or log in to read the rest of this content. Bottom Ad
Polltime raids in MP: Kamal Nath aides, 11 Congress candidates including Digvijaya under scanner Advertising Digvijaya Singh, Jyoritaditya Scindia ask Kamal Nath govt to probe firing at tribals in MP Raising the issue through a Zero Hour mention, the Rajya Sabha member, without taking names, said many people who use indecent language on Twitter and other social media sites are “followed by big people”. He then asked the government to bring in a comprehensive law to force social media sites to take down such indecent content so that attempts to spread communal poison can be checked.Observing that the issue is very important, Chairman M Venkaiah Naidu said, “But at the same time, you need to evolve a consensus. Otherwise, the moment you say something like that, then the others will start saying freedom of expression has been curbed…”***AAP MP: Israeli brewery using photos of GandhiAam Aadmi Party MP Sanjay Singh on Tuesday alleged in the Rajya Sabha that an Israeli brewery has put a picture of Mahatma Gandhi on its liquor bottles. Raising the issue during Zero Hour, Singh said the Israeli company has “insulted the Father of the Nation” by printing his picture on liquor bottles. He demanded a ban on the company and removal of the bottles carrying the pictures.As several members supported Singh’s demand, Chairman M Venkaiah Naidu said the matter was serious. Leader of the Opposition Ghulam Nabi Azad asked Naidu to direct the government to take steps to prevent the company from entering the Indian market.Naidu then told External Affairs Minister S Jaishankar, who was present in the House, to “take note” of the issue and “try to take appropriate immediate action”. BJP buying MLAs like goods from market, says Digvijaya Singh Related News Congress leader Digvijaya SinghArguing that fake news and the use of indecent language on social media are creating communal tension, senior Congress leader Digvijaya Singh on Tuesday asked the government to bring in a comprehensive law to force social media sites to remove indecent content. Advertising By Express News Service |New Delhi | Updated: July 3, 2019 2:24:54 am 0 Comment(s)
The Civic body Brihanmumbai Municipal Corporation has time and again faced flak for not covering manholes and drainages properly, which had led to death or accidents in the past. (File photo)A three-year-old boy fell into a stormwater drain at Ambedkar Chowk in Malad East Wednesday night and a search operation is currently underway, a civic official said Thursday. Mumbai Dongri building collapse: Last body recovered after 21 hours, toll 13 Mumbai building collapse: As dust settles, cloud of fear hovers over neighbours, ask where do we go? The incident prompted the NCP and the Congress to hit out at the Shiv Sena-ruled Brihanmumbai Municipal Corporation(BMC)and seek action against the civic officials concerned.”The incident took place around 10 pm on Wednesday. The boy, identified as Divyansh, was strolling outside his house when he fell into the drain near Goregaon-Malad Link road,” the official of the Disaster Management Unit of theBrihanmumbai Municipal Corporation (BMC) said.“When the boy’s mother could not find him, she panicked and raised an alarm. The footage of the CCTV camera installed near the building was checked, in which he was seen falling into the drain,” he said. A search and rescue operation was immediately launched.However, the rescue team has not been able to find the boy so far. Due to the heavy flow of water in the drainage, the boy is feared to have been washed away, the official said. Hitting out at the BMC, NCP chief spokesman Nawab Malik said the incidents were taking place due to the”negligence” of the civic body. He demanded that a case be registered against the guilty concerned under IPC section 304 (culpable homicide not amounting to murder). The crumbling city By PTI |Mumbai | Updated: July 11, 2019 6:28:12 pm “A case should be registered against the guilty officials concerned under section 304 of the IPC…plastic manhole cover used by the BMC get washed away. Such incidents are taking place due to the negligence of the corporation,” Malik said.Another senior NCP leader Ajit Pawar also held the BMC responsible for the incident, while its Maharashtra unit chiefJayant Patil asked the civic body whether the value of human life has reduced to “zero”. Patil also asked why the ruling party (Shiv Sena) doesn’t pay attention to such incidents seriously.The Congress demanded that an offense be registered against the BMC.”Twelve hours have passed, but the civic officials and the fire brigade have not been able to trace the child. Mayor Vishwanath Mahadeshwar was not even aware of the tragic the incident,” Charan Singh Sapra, Mumbai Congress vice president said.The civic body has time and again faced flak for not covering manholes and drainages properly, which had led to deaths or accidents in the past. In August 2017, Dr. Deepak Amarapurkar, a well-, died after falling into an open manhole while walking down a flooded street in south Mumbai during the heavy downpour.The BMC had later claimed that some local residents had removed the lid of the manhole illegally. Advertising Advertising Post Comment(s) Related News
BJP rules out forming govt with JD (S) 11:53 (IST) 12 Jul 2019 D(S) MLAs reach Prestige Golfshire Club in Bengaluru D(S) MLAs reach Prestige Golfshire Club in Bengaluru.#Karnataka: JD(S) MLAs reach Prestige Golfshire Club in Bengaluru. pic.twitter.com/VfSQ5jIKWu— ANI (@ANI) July 12, 2019 12:16 (IST) 12 Jul 2019 facebook twitter whatsapp 12:19 (IST) 12 Jul 2019 Congress MLA Tanveer Sait says Congress-JD(S) coalition has numbers to retain government in Karnataka Karnataka Congress MLA Tanveer Sait says Congress-JD(S) coalition has the numbers to retain the government in Karnataka. According to him, the coordination between the two parties is now even better than before.Karnataka Congress MLA Tanveer Sait says Congress-JD(S) coalition has the numbers to retain the government in Karnataka. According to him, the coordination between the two parties is now even better than before.https://t.co/H4JeiwkYw6 pic.twitter.com/ry4eAGzfpf— The Indian Express (@IndianExpress) July 12, 2019 21:11 (IST) 12 Jul 2019 13:14 (IST) 12 Jul 2019 facebook twitter whatsapp Congress moves its MLAs to Taj Yeshwantpur in Bengaluru Congress moves its MLAs to Taj Yeshwantpur in Bengaluru.#Karnataka: Congress moves its MLAs to Taj Yeshwantpur in Bengaluru.— ANI (@ANI) July 12, 2019 Lone BSP MLA N Mahesh in the Karnataka Assembly chose not to speak to media Lone BSP MLA N Mahesh in the Karnataka Assembly chose not to speak to the media.Lone BSP MLA N Mahesh comes out from Vidhana Soudha after Day-One of the Monsoon session in Karnataka legislative assembly. He chose not to speak to the media on the #KarnatakaPoliticalCrisis @IndianExpress pic.twitter.com/2o2X5Aex7D— Ralph Alex Arakal (@ralpharakal) July 12, 2019 Congress, JDS issue whip to all MLAs All the Congress and JDS MLAs have been issued whips to attend the session. The whip will be in force under the present circumstances, the Speaker clarified. Legislators who do not attend the assembly session will be liable to face disqualification under the anti-defection law. CM Kumaraswamy’s counsel objects to submissions by rebel MLAs Dr Rajeev Dhavan, arguing for Karnataka CM, objects to the submissions of the rebel MLAs that the speaker has acted in a mala-fide manner. 18:25 (IST) 12 Jul 2019 LOAD MORE Congress confident on attendance in assembly session facebook twitter whatsapp facebook twitter whatsapp Breaking | Speaker should not decide on resignation of MLAs till July 16 Supreme Court orders status quo regarding Karnataka MLAs till it hears the matter again on July 16. The court says Speaker should not decide on disqualification or resignation of MLAs till that date. facebook twitter whatsapp facebook twitter whatsapp facebook twitter whatsapp Karnataka Crisis knocks Supreme Court doors Lawyer appearing for many Congress workers today, before the Supreme Court mentioned and sought a hearing in Karnataka political crisis case. CJI, Ranjan Gogoi, heading the three judge-bench, asked him to remain present when the same matter would be taken up for hearing today. 13:14 (IST) 12 Jul 2019 17:22 (IST) 12 Jul 2019 MLAs fallacious, Karnataka Speaker tells Supreme Court Karnataka Assembly Speaker K R Ramesh Kumar Friday told the Supreme Court the allegation by 10 rebel MLAs of the Congress-JD(S) coalition that he had made himself “scarce” and was unavailable on the day of their resignation is “fallacious”.In an affidavit, he said that none of these MLAs submitted the resignation in person or by hand to him. “It is therefore patently false to suggest that the speaker had made himself scarce or was unavailable”.The MLAs moved the apex court alleging that the speaker was not accepting their resignations. Their counsel had told the top court on Thursday that on July 6, when some of the MLAs went to submit their resignations, the speaker left his office through the back door. (PTI) All is set for the start of the tumultuous Karnataka assembly session today. Most MLAs have started arriving. JD (S) MLAs have come on a bus from the Devanahalli resort. Ministers are already in the assembly. Sowmya Reddy, daughter of Ramalinga Reddy is seen entering the Vidhan Soudha. 15:08 (IST) 12 Jul 2019 12:35 (IST) 12 Jul 2019 facebook twitter whatsapp K Eshwarappa demands resignation of Kumaraswamy Senior BJP leader K Eshwarappa demands the resignation of Chief Minister HD Kumaraswamy.Senior BJP leader K Eshwarappa demands resignation of Chief Minister HD Kumaraswamy.https://t.co/Vw0R8Lnyyf pic.twitter.com/743qmd870g— The Indian Express (@IndianExpress) July 12, 2019 facebook twitter whatsapp facebook twitter whatsapp Monsoon Session of Vidhana Soudha concludes JD(S) legislators have left for a resort on the outskirts of Bengaluru after the first day of monsoon session in Vidhana Soudha. They were ferried in a bus different from the one in which they came to the legislative assembly this morning. facebook twitter whatsapp Kumaraswamy made the plea seeking the trust vote in the Assembly Karnataka Chief Minister H D Kumaraswamy Friday said he would seek a trust vote and asked Speaker K R Ramesh Kumar to fix the time for it. The embattled JD(S) leader also said he was ready for everything and that he was not here to cling to power. Kumaraswamy made the plea seeking the trust vote in the Assembly, which met here amid a flurry of political developments that have pushed his already wobbly government on the brink of collapse. 16:22 (IST) 12 Jul 2019 facebook twitter whatsapp 22:43 (IST) 12 Jul 2019 22:24 (IST) 12 Jul 2019 12:05 (IST) 12 Jul 2019 facebook twitter whatsapp Congress legislators seek blessings of Lord Ganesh at Mumbai’s Siddhivinayak Temple Four Karnataka rebel legislators, BC Patil, ST Somashekhar, Byrathi Basavaraj, and Shivram Hebbar, took blessings of Lord Ganesh at Siddhivinayak Temple in Mumbai. 19:48 (IST) 12 Jul 2019 BJP will issue whip to MLAs, says Yeddyurappa BS Yeddyurappa, BJP, on Karnataka Assembly session beginning today: We will give a whip to attend the session from today to the end of this month. 12:55 (IST) 12 Jul 2019 facebook twitter whatsapp facebook twitter whatsapp 12:44 (IST) 12 Jul 2019 Resort politics returns as Congress-JDS, BJP herd MLAs in luxury stays Resort politics returned to Karnataka as the three key players — ruling Congress and JDS and opposition BJP herded their MLAs in luxury stays to keep their flock intact amid the continuing tension triggered by the legislators’ resignation saga.The JDS has chosen the serene surroundings of Nandi Hill on the city outskirts while its partner Congress opted for a star hotel here, sources in the parties said. The MLAs of the BJP are staying in the cozy comforts of a resort near Yelahanka here and an ultra luxury hotel. (PTI) 12:42 (IST) 12 Jul 2019 facebook twitter whatsapp Congress to move its MLAs to Clarks Exotica Convention Resorts in Bengaluru after Assembly session Congress to move its MLAs to Clarks Exotica Convention Resorts in Bengaluru after Assembly session.#Karnataka: Congress to move its MLAs to Clarks Exotica Convention Resorts in Bengaluru, after the Assembly proceedings today. pic.twitter.com/7EJOtwWLyi— ANI (@ANI) July 12, 2019 15:04 (IST) 12 Jul 2019 21 Comment(s) 17:42 (IST) 12 Jul 2019 14:03 (IST) 12 Jul 2019 12:58 (IST) 12 Jul 2019 facebook twitter whatsapp 13:22 (IST) 12 Jul 2019 18:08 (IST) 12 Jul 2019 facebook twitter whatsapp Notices are being pasted on the homes of all the rebel MLAs Notices are being pasted on the homes of all the rebel MLAs of the party legislative whip that has been issued for them to attend the monsoon session of the Karnataka assembly. Assembly session to start soon Singhvi making submissions for Speaker It is a constitutional duty to Speaker to ensure that resignations are voluntary and genuine. Cites Article 190(3)(b) provision. Resignation is a ploy to avoid disqualification, Singhvi submits. Congress leader and senior advocate Abhishek Manu Singhvi argue that these MLAs’ intention in giving resignation is something different, and it is to avoid disqualification. BJP MLAs reach Ramada resort from the state Assembly BJP MLAs reach Ramada resort from the state Assembly.Bengaluru: BJP MLAs reach Ramada resort from state assembly. #Karnataka pic.twitter.com/XIVScqqVrz— ANI (@ANI) July 12, 2019 16:20 (IST) 12 Jul 2019 12:48 (IST) 12 Jul 2019 Karnataka Pradesh Congress Committee Working President Eshwar Khandre claims all Congress MLAs will attend the monsoon session. He says strict action will be taken against those who skip the session. facebook twitter whatsapp facebook twitter whatsapp facebook twitter whatsapp 12:07 (IST) 12 Jul 2019 Hearing on plea of 10 rebel Karnataka MLAs underway in SC The Supreme Court is hearing on a plea of 10 rebel Karnataka MLAs seeking acceptance of their resignations by Assembly speaker. The MLAs had met the Speaker on Thursday and eight of them had submitted fresh resignation letters in a correct format. Speaker can be given one or two days to decide on resignations: MLAs Speaker can be given one or two days to decide on resignations. If he does not decide, contempt notice can be issued against him: MLAs to SC 13:04 (IST) 12 Jul 2019 12:32 (IST) 12 Jul 2019 BJP uses money to bring down state governments, saw that in Northeast as well: Rahul Gandhi Congress leader Rahul Gandhi Friday said BJP uses money to bring down state governments. “They have been doing that. We saw that in the Northeast as well,” he added.Rahul Gandhi on political developments in Karnataka: BJP uses money to bring down state Govts, they have been doing that. We saw that in the North east as well. pic.twitter.com/gqEav98XeU— ANI (@ANI) July 12, 2019 facebook twitter whatsapp facebook twitter whatsapp 20:41 (IST) 12 Jul 2019 JD(S) MLAs camping at a resort leave for Vidhana Soudha facebook twitter whatsapp facebook twitter whatsapp facebook twitter whatsapp 17:51 (IST) 12 Jul 2019 MLAs say speaker questioned their move to approach SC Speaker has no immunity with regard to acceptance of resignations, rebel MLAs tell SC. Does the speaker have the power to challenge SC order, CJI Ranjan Gogoi asks the speaker’s counsel. Rebel MLAs say speaker questioned their move to approach SC and said “go to hell” to them in front of media. facebook twitter whatsapp 11:22 (IST) 12 Jul 2019 Chief Minister H D Kumaraswamy announced on Friday that he would seek a trust vote. (Photo: PTI)As the Karnataka government teetered on the brink, Chief Minister H D Kumaraswamy announced on Friday that he would seek a trust vote. He sought time from Assembly Speaker K R Ramesh Kumar who in turn said a slot would be allotted whenever the CM opted for it. Former Karnataka CM and Congress leader Siddaramaiah said the Congress-JD(S) coalition is confident of retaining the numbers in the Assembly and that is why they are moving the vote of confidence motion. However, he said he “did not want to disclose” how (Cong-JDS) will win the vote of confidence in the Karnataka legislative assembly.Meanwhile, the Supreme Court while hearing the bunch of pleas moved by rebel MLAs directed the Speaker to not decide on the resignation or disqualification of legislators till July 16. The apex court will now hear the matter on Tuesday. The political turmoil in the southern state persists even as the 10-day-long Karnataka Monsoon session began with CM HD Kumaraswamy moving a confidence motion.Eight of the 11 rebel MLAs, who met the Speaker at Vidhan Soudha in Bengaluru Thursday on the Supreme Court’s direction, have submitted fresh resignation letters. If the resignations are accepted, the 13-month-old Congress-JD(S) government in Karnataka will lose the majority, paving the way for the BJP to stake claim to form the next government.Live BlogAs the political crisis deepens in Karnataka follow us as we track all developments. Follow Karnataka Crisis LIVE UPDATES Here 12:35 (IST) 12 Jul 2019 Karnataka Speaker K R Ramesh Kumar: The man in the spotlight One of the concerns that Congress leaders have as the Karnataka legislative assembly enters a phase of uncertainty on account of the resignation of 16 MLAs from the ruling Congress-JDS coalition is that the Speaker of the state assembly K R Ramesh Kumar will show no favouritism despite being a Congress leader for many years. Read more… 20:04 (IST) 12 Jul 2019 Karnataka BJP chief BS Yeddyurappa rules out the possibility of forming govt with the support of JD(S), says they have already failed after forming the govt with JD(S) once. The issue was raised following a meeting of Tourism Minister Sa Ra Mahesh with BJP leaders yesterday. Yeddyurappa said it was a mere coincidence, and nothing more should be seen in the incident. CM Kumaraswamy seeks Vote of Confidence as Assembly session begins Karnataka CM H D Kumaraswamy on Friday sought time from the Speaker of the state assembly to seek a vote of confidence in his government Kumaraswamy made the request in the course of condolence messages at the opening of the state assembly session. The numbers of the coalition will fall to 101 in the event of acceptance of the resignations of 16 MLAs by the Speaker. The BJP has 105 MLAs and the support of two Independents at present. 12:15 (IST) 12 Jul 2019 Speaker working in contempt of court: Rohatgi in SC Rohatgi points out that whip has been issued to the rebel MLAs to be present in house and vote on the budget. This is a ploy to cause their disqualification and acceptance of resignation is being purposefully delayed, he says. Speaker is acting in contempt of court by refusing to decide on resignations within the deadline set by SC.#KarnatakaPoliticalCrisis Sr Adv Mukul Rohatgi for MLAs says if Speaker wants more time to decide on resignation of MlAs, it can be given but till then there should be no disqualification. Urges court to issue contempt notice if he doesn’t want to decide at all @IndianExpress— Ananthakrishnan G (@axidentaljourno) July 12, 2019 15:38 (IST) 12 Jul 2019 facebook twitter whatsapp Hearing underway in SC over rebel MLAs plea Senior advocate Rajeev Dhavan, appearing for K’taka CM, tells SC one of the rebel MLAs was involved in Ponzi scheme for which govt is being accused of. Disqualification proceedings have been filed against eight MLAs, Singhvi, counsel for Speaker, tells SC. By Express Web Desk |New Delhi | Updated: July 12, 2019 10:43:43 pm facebook twitter whatsapp 15:32 (IST) 12 Jul 2019 facebook twitter whatsapp Have to wait and see if their (MLAs’) mind changes: Anitha Kumaraswamy JD(S) MLA and Chief Minister HD Kumaraswamy’s wife Anitha Kumaraswamy said the speaker is yet to accept the resignations. “We’ll have to wait and see if their mind changes. Still hopeful,” Anitha said. Slot will be alloted for moving trust motion whenever CM opts for it: Karnataka Speaker In the wake of H D Kumaraswamy deciding to seek a trust vote, Assembly Speaker K R Ramesh Kumar Friday said a slot would be allotted whenever the Karnataka Chief Minister opted for it.”The chief minister has spoken his mind that he would not cling to power amid the confusion. He said he will seek the trust of the House,” the Speaker told reporters here.”Whenever he tells me that he wants to move the trust motion, the very next day I will put it in the business of the day,” he added. (PTI) Plea of MLAs should not have been entertained: CM Kumaraswamy to SC MLAs in plea have levelled corruption allegations and order was passed without hearing me. Plea of MLAs should not have been entertained. Speaker has the responsibility to satisfy himself that resignations were voluntary. Order on resignations was passed by SC without issuing notice to speaker, alleges CM HD Kumaraswamy. facebook twitter whatsapp JD(S) MLAs camping at a private resort in Devanahalli, Bengaluru leave for Vidhana Soudha to attend the monsoon session. facebook twitter whatsapp Three rebel MLAs summoned by Assembly Speaker fail to turn up Three rebel Congress and JDS MLAs failed to appear before Karnataka Assembly Speaker K R Ramesh Kumar Friday as sought by him for a personal hearing over their resignations, official sources said. The Speaker had on July 9 asked the three MLAs to appear before him at his office between 3 pm and 4 pm Friday for a personal hearing. (PTI) facebook twitter whatsapp Seeking trust vote moral responsibility (of any chief minister): Karnataka Urban Development Minister UT Khader Karnataka Urban Development Minister UT Khader said seeking of trust vote is the way to solve the confusion that has arisen between the people of the state and the government. “It is the moral responsibility (of any chief minister) and ethics of politics, and that is why a chief minister is looked up to as a role model,” he said. “If we get the majority, we will continue, otherwise no.” When asked about when the trust vote will be moved, he said only Speaker will decide that.”Whenever such confusion arises between the people of the state and the government, it is the moral responsibility (of any chief minister), ethics of politics,” said Karnataka minister UT Khader while speaking on chief minister’s decision of seeking trust vote. pic.twitter.com/F0kyXtT8bR— The Indian Express (@IndianExpress) July 12, 2019 facebook twitter whatsapp 20:25 (IST) 12 Jul 2019 facebook twitter whatsapp facebook twitter whatsapp BJP hardly care about democracy: Karnataka Congress BJP government has come to power just to finish Secularism, Democracy and Opposition. Their only goal is to have one political party, which is against democracy and constitution: Gulam nabi Azad’ @BJP4India hardly care about democracy.BJP government has come to power just to finish Secularism, Democracy and Opposition. Their only goal is to have one political party, which is against democracy and constitution. -@ghulamnazad #BJPKidnapsMLAs #BJPKillingDemocracy— Karnataka Congress (@INCKarnataka) July 12, 2019 MLAs keep arriving at the Vidhan Soudha ahead of assembly session Jayanagar MLA Sowmya Reddy, Congress MLA KJ George and others arrive ahead of the monsoon session in Vidhana Soudha. MLAs have begun arriving at the Vidhan Soudha MLAs arrive at Vidhana Soudha as the Karnataka assembly session begins today.Bengaluru: MLAs arrive at Vidhana Soudha as the state assembly session begins today. #Karnataka pic.twitter.com/yQUEUAInLG— ANI (@ANI) July 12, 2019 12:36 (IST) 12 Jul 2019 facebook twitter whatsapp facebook twitter whatsapp 11:15 (IST) 12 Jul 2019 Moving vote of confidence motion because we are confident: Siddaramaiah Former Karnataka CM and Congress leader Siddaramaiah said the Congress-JD(S) coalition is confident of retaining the numbers in the Assembly and that is why they are moving the vote of confidence motion. However, he said he “did not want to disclose” how (Cong-JDS) will win the vote of confidence in the Karnataka legislative assembly.We are confident that we get the approval of the house for our (vote of confidence) motion, CLP leader @siddaramaiah says. However, he said he “did not want to disclose” how (Cong-JDS) will win the vote of confidence in the Karnataka legislative assembly. @IndianExpress pic.twitter.com/zqawLDrts5— Ralph Alex Arakal (@ralpharakal) July 12, 2019 facebook twitter whatsapp The rebel MLAs had moved the Supreme Court claiming that the Speaker was deliberately withholding their resignations On the apex court orders thereafter, they flew back to Bengaluru on a chartered flight from Mumbai where they were holed up since July 6 to meet the Speaker. While the resignations of two of the 10 MLAs had been declared to be in the proper format on July 9, the Speaker Thursday perused the fresh resignations of eight others and found them in order.“I am looking into their resignations. They will continue to be legislators of their party. The issue of whip is left to the party. All as per our records, whoever belongs to a particular political party and if that party chooses to serve a whip on its members it is binding on them,’’ the Speaker said on the 16 MLAs who have resigned.“They have all given their resignations in the proper format now and I have received them. They asked me to accept them immediately but I said it cannot be done that way. As per Kaul and Shakdher, and as per article 190 of the Constitution, I must be convinced that the resignations are genuine,” he said.“You come here and tell me to accept your resignation but I have to consider through the night whether they are genuine and voluntary. I have to look at the definitions of those words. I cannot stray away from what the rules state even if it benefits some but not others.” facebook twitter whatsapp
By New York Times |Washington | Updated: July 11, 2019 9:04:40 am Top News Advertising Karnataka: SC to rule today, says Speaker’s powers need relook Labor Secretary Alex Acosta speaks to reporters in Washington on Wednesday, July 10, 2019. Acosta was a federal prosecutor in Miami in 2008 when financier Jeffrey Epstein cut a secret deal to avoid federal prosecution after allegations he molested dozens of teenage girls. (NYT)(Written by Katie Rogers, Maggie Haberman and Peter Baker) Advertising NRC deadline approaching, families stranded in Assam floods stay home Labor Secretary Alex Acosta on Wednesday defended his handling of the sex crimes prosecution of financier Jeffrey Epstein in Florida more than a decade ago, bucking a growing chorus of Democratic resignation calls while effectively making the case to President Donald Trump to keep his job.At a televised news conference watched intently in the White House, Acosta offered a clinical explanation of the 2008 plea deal, arguing that he overrode state authorities to ensure Epstein would face jail time and that holding out for a stiffer sentence by going to trial would have been “a roll of the dice.”Explained | The case against Jeffrey Epstein“I wanted to help them,” Acosta, who was the top federal prosecutor in Miami at the time, said of the victims during an hourlong session with reporters at the Labor Department. “That is why we intervened. And that’s what the prosecutors of my office did — they insisted that he go to jail and put the world on notice that he was and is a sexual predator.” In undecided Congress, first open call for Priyanka: She should be party chief The deal has come under renewed scrutiny since Epstein was charged on Monday in New York with running a sex-trafficking operation that lured dozens of girls, some as young as 14, to his Manhattan home and to a mansion in Palm Beach, Florida.While condemning Epstein’s “horrific” crimes, Acosta offered no apologies. Instead, he offered a measured, nuanced defense while suggesting that times had changed in a way that made his compromise a decade ago look different.“Today we know a lot more about how victims’ trauma impacts their testimony,” he said. “Our juries are more accepting of contradictory statements, understand that memories work differently. And today our judges do not allow victim-shaming by defense attorneys.”Read | Jeffrey Epstein was a ‘terrific guy,’ Donald Trump once said. Now he’s ‘not a fan.’For Acosta, the real question was how his defense would go over with the president, who urged him to publicly explain his decisions as a prosecutor. Trump was assured by aides that Acosta did well during his news conference, and the president did not immediately signal disagreement, advisers said. Post Comment(s)
7 yrs to life in jail: UP panel drafts tough law on mob lynching, onus on officers Advertising Surat: Police open fire as clash breaks out with people protesting against mob lynching By Express News Service |Jaipur | Published: July 17, 2019 12:52:46 am Related News Rajasthan CM Ashok Gehlot. (File photo)Rajasthan Chief Minister Ashok Gehlot on Tuesday announced his government will bring a law against mob lynching, along the lines of Uttar Pradesh, as well as a law against “honour killing”. He made this announcement while replying to a debate on the Budget in the state Assembly. Expressing concern over these “disturbing” incidents, Gehlot said his government is “serious” about them, and referred to UP, where the state Law Commission recently framed a draft legislation to combat mob lynching.In UP, the Combating of Mob Lynching Bill (2019) proposes imprisonment (upto 10 years for serious injuries and upto life imprisonment in case of death) and stringent fines for perpetrators, as well as those involved in planning and abetting lynchings. In Madhya Pradesh, existing law is being amended to include provision for punishment for indulging in cow vigilantism.Similarly, Gehlot said his government will bring in a law against “honour killing”, and referred to a case in Sirohi, where a couple was killed and burnt last month. Gehlot said family members may not accept the inter-faith or inter-caste marriages of their children, but “what right do they have to kill?”— With PTI inputs Two days after he was beaten up, Nadia man dies; BJP MP blames ‘TMC goons’ Post Comment(s)
Rob Enderle has been an ECT News Network columnist since 2003. His areas of interest include AI, autonomous driving, drones, personal technology, emerging technology, regulation, litigation, M&E, and technology in politics. He has an MBA in human resources, marketing and computer science. He is also a certified management accountant. Enderle currently is president and principal analyst of the Enderle Group, a consultancy that serves the technology industry. He formerly served as a senior research fellow at Giga Information Group and Forrester. Email Rob. The most popular show on ABC was canceled last week because the star of the show, Roseanne Barr — known for saying and writing stuff that would get most of us fired — did exactly what she was known for doing and got fired. ABC now looks like it is run by idiots because, really, who didn’t see this coming?The network now has to explain to its licensees, which deliver shows to you and me, why they no longer will be able to get the ad revenue that otherwise would have been coming to them.This outcome is one that could have been prevented relatively easily, yet there was no apparent effort made to prevent it, and now a multimillion-dollar, extremely successful show is dead — and a ton of people who did nothing wrong are without jobs. I’m seriously wondering if ABC and by connection Disney are run by idiots.I’ll share my thoughts on how to prevent this kind of problem in the future, in the hope some of these mentally challenged executives get a clue. I’ll close with my product of the week: a new platform from Qualcomm that could open up the mixed-reality market by year end. There are two big problems with augmented and virtual reality at the moment. One is that there still is a lack of truly compelling content, and the other is that good hardware still is too expensive.The Qualcomm XR1 platform is designed to fix the latter problem. It is a specialized part that is designed to create affordable mixed reality (AR and VR) headsets, and it is a performance powerhouse. Qualcomm Snapdragon XR1 Platform There are a lot of people in surprisingly powerful positions who have impulse control issues. Our president comes to mind. The end result is that on social media, they are their own worst enemies and invariably will get themselves or their companies in trouble.In some cases, if they work as comedians, singers or songwriters, they often get away with this behavior on stage and then think they can get away with pretty much anything. That may have been true in the past, but currently the level of sensitivity to some of the topics these people abuse is through the roof, and the ability to boycott advertisers has advanced significantly as well.This means that what once was allowed, or at least ignored, is not anymore — and this suggests that a lot more brands that use these powerful celebrities as stars or advocates should be far more cautious.Part of the contract to employ or use folks with poor impulse control and a history of saying things that are racially, sexually or religiously insensitive (or just flat-out unacceptable) should be that they stay the hell off social media.A physical person working for the firm — not the celebrity — should be placed between the social media service(s) and the individual. It should be established that going around that person would result not only in being fired, but also incurring huge financially penalties — exceeding the value of the contract by some magnitude, if possible. This penalty should be shared by the celebrity’s agent to make sure everyone is on board with the requirement to stay the hell off social media.To make this work, it would be necessary to provide active advocacy for the celebrity in the form of an expert specialist to mount a defense against trolling or other attacks. Otherwise, the temptation to speak out might be too great to ensure compliance with the contract.A lot of celebrity Twitter accounts are managed by professionals. This contract provision would be similar, but resourced at a level that would allow the celebrity to feel well-protected. Eventually, most might favor this kind of protection. Two services I’ve seen are RightNowMarketing and FingerMarketing. Both of these are focused on driving interest in a social media account and don’ t seem to offer the service I’m suggesting. However, I expect that given their experience, either of these firms could, for a price, offer something like it. The value could be far higher, given the level of protection they would provide, than their current services.I’d be tempted to call the service the “Idiocy Protection Service” but “image protection” or “job protection” likely would be far more politically correct. Active Monitoring and General Contract Protection Wrapping Up Boards and media companies need to start taking this crap seriously. When one tweet can destroy a multimillion-dollar property, it is way past time for preventive measures. This isn’t rocket science. If it isn’t handled maturely, social media can be a company and career killer. Just because the president of the United States gets away with this behavior — for now — that isn’t an excuse for failure to guard against it.Separate those who have poor impulse control from Twitter, and remove their need to post by protecting them better than they could protect themselves. For those who have better control, provide a fast, well-staffed service that reviews posts before they’re published.In both cases, provide protection for those who adhere to the terms of their agreements and impose massive penalties on those who do not. This approach should prevent the next multimillion-dollar social media mistake.I’ll bet we have several more catastrophic mistakes before anyone does anything, because these big companies apparently are run by idiots. Seriously folks, a 3-year-old could have seen this coming… Individuals who don’t seem to have this tendency also may act out on occasion and create similar problems with a poorly worded, poorly thought through, or anger-driven post. For key players who are critical to a show, providing what basically would be an editing service interface between them and social media would reduce substantially the probability that a career-killing post would make it to the outside world.This service also could deal with trolls and shield the celebrity from the kind of emotional impact that insensitive remarks typically have on people. It also could help prevent a flame war that could damage the brand of the celebrity, show or product.This would include similar provisions in their employment contract with similar huge penalties for any post that didn’t go through the service, and the understanding that if the post did go through the service the firm would have the celebrity’s back.Think of this as insurance. For a small fraction of the cost of the damage from an unfortunate tweet or other social media post, it would be possible to create a buffer between the celebrity and the social media network, heading off the next show-ending, brand-damaging, career-killing post. For instance, it supports UltraHD 4K at 30 frames a second, which is critical. The first-generation products struggled with 1080 HD, which wasn’t nearly enough resolution.It has specialized technology called “Spectra ISP” that takes the noise out of the solution, cleaning up the picture — especially critical at 4K resolutions, which are really unforgiving because you see everything.It has an integrated display processor that helps keep the cost down while ensuring high performance. It has enhanced vision processing, which helps with movement around the physical and virtual worlds. It has enhanced audio system components, called “Aqstic” and “aptX,” which position the user inside an acoustically accurate 2D audio field.Finally, it has three to six degrees of freedom and a host of sensors that also help maintain and reposition the image in concert with the user’s movements.The end result is that this should enable a new class of mixed reality headsets that are substantially better and cheaper then the last set of high-end mixed reality products. This should help open the market up substantially if there is compelling content to go with the product.Because the Qualcomm XR1 could revolutionize mixed reality, it is my product of the week. Existing Services The opinions expressed in this article are those of the author and do not necessarily reflect the views of ECT News Network. Some People Shouldn’t Be on Twitter
Oct 12 2018Physical activity not only reduces the risk of stroke. Individuals who walk at least 30 minutes a day also have a lower risk of severe stroke, according to a new study in Neurology.”It is remarkable that even light physical activity can have such a clear link to stroke outcomes,” says Katharina Stibrant Sunnerhagen, professor of rehabilitation medicine at Sahlgrenska Academy at the University of Gothenburg, Sweden.The study shows no causal relationship between exercise and protection against severe stroke, but the link is still clear. Walking four hours a week results in half the risk of a stroke becoming severe compared to those who are physically inactive. The percentage of severe strokes for the two groups is three and six percent, respectively.”It’s enough if you walk for a bit more than half an hour every day, or two 15-minute walks a day, to end up in the group with reduced risk of your stroke becoming severe,” says Stibrant Sunnerhagen.Half report having exercisedThe study included 925 patients with first clinical stroke admitted to Sahlgrenska University Hospital in Gothenburg 2014-2016. The average age was 73 years at the time of becoming ill.For the study, the researchers have combined data from two Swedish stroke registers, which indicate stroke severity based on eye, arm and facial movements, awareness level, and speech and communication abilities. Four out of five patients (79.8 percent) in the study had a mild form of stroke.After the stroke occurrence, the patients responded to how physically active they were prior to the stroke in a standardized way. In some cases, relatives helped provide this information. Fifty-two percent indicated they had been physically inactive.Related StoriesNew method improves detection of atrial fibrillation in stroke survivorsUse of statins linked to reduction of mortality risk in dementia patientsInvestment in stroke prevention interventions is good for the future”From a scientific perspective, it is a limitation of the study that subjects self-reported their physical activity. Their memory may have been affected by the stroke, especially in those who suffered severe strokes,” said Stibrant Sunnerhagen.Light exercise is as good as moderate exerciseThe subjects who indicated that they were engaged in light physical activity (walking four hours or more a week) or moderate exercise (running, swimming or similar two to three hours a week) were more likely to have mild strokes rather than severe strokes. In the study, light and moderate physical activity were equally beneficial.Other factors such as age, gender, diabetes, and smoking also play a role. The study shows that when all known factors are considered, physical activity in combination with lower age accounts for approximately seven percent of the association withstroke severity.In 2016, approximately 26,500 people had a stroke in Sweden. Stroke is the most common cause of permanent bodily impairment.”Individuals having a mild stroke may stay up to a week in a hospital and can then continue their rehabilitation at home, with good potential to return to their normal life and work. After a severe stroke, hospitalization is much longer and sometimes followed by care at a nursing home,” says Stibrant Sunnerhagen. Source:https://sahlgrenska.gu.se/english/research/news-events/news-article/?languageId=100001&contentId=1586112&disableRedirect=true&returnUrl=http%3A%2F%2Fsahlgrenska.gu.se%2Fforskning%2Faktuellt%2Fnyhet%2F%2Fminskad-risk-for-allvarlig-stroke-for-den-som-promenerar.cid1586112
Source:http://www.bmc.org/ Reviewed by Alina Shrourou, B.Sc. (Editor)Oct 31 2018Becoming more sensitive to pain, or pain sensitization, is an important risk factor for developing persistent knee pain in osteoarthritis (OA), according to a new study by researchers from the Université de Montréal (UdeM) School of Rehabilitation and Hôpital Maisonneuve Rosemont Research Centre (CRHMR) in collaboration with researchers at Boston University School of Medicine (BUSM). These findings have just been published in the journal Arthritis and Rheumatology.OA is a common cause of pain and altered joint function, affecting 302 million adults worldwide. It can lead to chronic disability frequently in the knee joint. Past research suggests that a number of different factors outside of structural pathology may contribute to pain experienced in patients with OA.Related StoriesAre Chronic Pain Relief Drugs for Children Effective?Arthroscopy more accurate than MRI for chondral defects of the knee, study findsYoung players may need one-year rehab time after knee surgery”Understanding the factors that contribute to the development of persistent pain is critical in improving our ability to prevent its onset and the transition to more persistent pain’, said Lisa Carlesso BSc.PT. PhD, assistant professor School of Rehabilitation UdeM and scientist CRHMR.Researchers analyzed data from a multicenter OA study that followed 852 adults (ages 50-79) with or at risk of knee OA but who were free of persistent knee pain at the beginning of the study. Sociodemographic data, pain sensitization measurements, as well as risk factors traditionally associated with knee pain such as psychological factors, widespread pain and poor sleep were collected on the participants who then were followed for development of persistent knee pain over two years.The researchers used the above risk factors and pain sensitization data to identify four distinct subgroups called pain susceptibility phenotypes (PSPs). The authors found these PSPs were primarily characterized by varying degrees of pain sensitization. The PSP with the highest degree of sensitization had the highest risk of developing persistent knee pain. Female gender, non-Caucasian race and age 65+ were significant sociodemographic predictors of being a member of the PSP with the highest degree of sensitization.The researchers believe identifying these PSPs is an important step in understanding the complex pathology of knee osteoarthritis. “Our findings suggest that therapy aimed at prevention or improvement of pain sensitization may be a novel approach to preventing persistent knee pain,” explained author Tuhina Neogi, MD, PhD, professor of medicine and epidemiology at BUSM and BU School of Public Health. “Preventing pain is crucial to improving quality of life and function in patients who suffer from OA.”
Reviewed by Alina Shrourou, B.Sc. (Editor)Nov 26 2018Children treated for obesity in primary or outpatient care have a relatively good chance of fending off weight problems over the next few years as well, a study published in Acta Paediatrica shows.”There’s an attitude that obesity is so terribly difficult to get rid of that you have to send the child to a specialist clinic, sometimes many tens of kilometers away. But the skills are often available closer at hand, and then there’s a greater chance of the treatment taking place,” says Staffan Mårild, Associate Professor of Pediatrics at Sahlgrenska Academy, University of Gothenburg, Sweden, and a pediatrician at Sahlgrenska University Hospital.The study comprises 64 children aged 8-13 who received treatment for obesity in primary or outpatient care clinics in their home area following a referral by the school health services. The participating health centers were in Alingsås, Gothenburg, Skövde, and Vänersborg.The program undergone by the children and their legal guardians included one year’s regular advice on diet, physical activity, and sleep. What is now reported is how much the children weighed after going a further three years without treatment.Three in ten changed weight categoryThe follow-up included 56 of the 64 children, which is considered a high proportion. The results show that approximately 3 in 10 children were in a lower weight category than before. Thus, they had gone from severe obesity to obesity, from obesity to overweight, or from obesity or overweight to normal weight.The study lacks a real control group. No such group could be created since, at the time, the children with obesity had been left without treatment for four years. On the other hand, the results were compared with a group of 34 children who were of normal weight when the study began. After four years, five of these children had overweight.Related StoriesNew network for children and youth with special health care needs seeks to improve systems of careGuidelines to help children develop healthy habits early in lifeNew curriculum to improve soft skills in schools boosts children’s health and behavior”It’s not as if the study’s weight results are all that impressive. However, they’re at about the same levels as those achieved by the major research clinics. A big advantage here is that the effects persist after four years,” Mårild says.Simplicity and proximityThe year-long program comprised of traditional lifestyle treatment. On 12 occasions, the children and legal guardians met a nurse, a dietician, and in some cases a physiotherapist. Between meetings, health workers called to ask how things were going.The dietary advice given was detailed, and meal routines were also covered. In parallel, physical activity was encouraged: Walking or cycling to school, physical activity with the family, and organized sports with children of the same age. Good sleep was also an important factor.Mårild emphasizes the advantages of primary care when children with obesity are treated. Its simplicity and proximity to their home mean that more of them are reachable, while also reducing the risk of treatment interruptions.”I think pediatric clinics and general medical centers should venture to take on these cases to a greater extent. Then, if it doesn’t work, the children can be sent elsewhere in a second phase.” Source:https://sahlgrenska.gu.se/english/research/news-events/news-article//good-help-in-primary-care-for-children-with-obesity-.cid1595115
Reviewed by Kate Anderton, B.Sc. (Editor)Dec 21 2018A homeless individual is one who lacks fixed and reliable housing, and approximately 553,000 people fit that description on any given night in the United States. A new retrospective cohort study led by investigators from Beth Israel Deaconess Medical Center (BIDMC) and Brigham and Women’s Hospital examines patterns, causes and outcomes of acute hospitalizations between 2007 and 2013 for homeless individuals and non-homeless control groups in three populous and diverse U.S. states: Florida, California and Massachusetts. Data suggest a rise in acute hospital use among homeless individuals for mental illness and substance use disorder. The results were published in the journal Medical Care.”The homeless population is aging, and the rate of hospitalizations for homeless individuals is increasing,” said lead author Rishi Wadhera, MD, an investigator in the Smith Center for Outcomes Research in Cardiology at BIDMC. “Although there has been a recent push to establish better policy and public health measures to improve the health of homeless adults, few studies have examined the patterns and causes of hospitalizations in this population. We found that hospitalizations among homeless adults tend to be for a very different set of conditions than non-homeless adults, even after accounting for differences in demographics.”To examine these trends, hospital discharge data was acquired from Massachusetts and Florida between 2001 and 2013 and from California between 2007 and 2011. This information came from the State Inpatient Databases (SID) of the Healthcare Cost and Utilization Project, created by the Agency for Healthcare Research and Quality. This dataset includes information such as homeless status, billing, demographics, and diagnoses. Hospitalization costs were determined by applying American Hospital Association cost-to-charge ratios to the total hospital charges provided in the SID.Overall, the researchers analyzed more than 185,000 hospitalizations for homeless individuals and 32 million hospitalizations for non-homeless individuals. Between 2007 and 2013 (2011 for Calif.), acute hospitalizations for homeless individuals increased in all three states. Massachusetts experienced an increase from 294 to 420 per 1,000 homeless individuals, Florida increased from 161 to 240/1,000, and California grew from 133 to 164/1,000. Homeless adults were more often white (62 percent), male (76.1 percent), around 46 years old, and either uninsured (41.9 percent) or insured by Medicaid (31.7 percent).Related StoriesRepurposing a heart drug could increase survival rate of children with ependymomaResearch opens possibility of developing single-dose gene therapy for inherited arrhythmiasHeart disease is still the number 1 killer in Australia, according to latest figuresThe researchers found that reasons for hospitalization among the two groups differed starkly. More than 50 percent of hospitalizations among homeless individuals were related to mental illness and substance use disorder, while these conditions explained less than 20 percent of hospitalizations among demographically comparable non-homeless individuals. Homeless adults also had a longer mean length of stay (6.5 vs. 5.9 days). However, homeless individuals had lower in-hospital mortality rates (0.9 percent vs. 1.2 percent) and lower mean costs per day ($1,535 vs. $1,834) than the comparable non-homeless control group.”Some states, such as Massachusetts, have expanded Medicaid eligibility, which has increased rates of insurance among homeless individuals and improved access to care; this could have led to greater use of hospital services,” said Wadhera, who is also a cardiology fellow in the Cardiovascular Division at Brigham and Women’s Hospital. “The increase in hospitalizations could also reflect more concerning trends. The opioid epidemic has disproportionately impacted homeless population, and a repercussion of this may be an increase in acute hospitalizations. It is also possible that these patterns suggest inadequate outpatient care for homeless individuals, and that we need to do a better job of providing more consistent, reliable outpatient care to this population.””There is an urgent need to reduce financial and nonfinancial barriers to the use of ambulatory care, for behavioral health services in particular, to improve long-term management of physical and mental illness for homeless individuals,” said senior author Karen Joynt Maddox, MD, MPH, of Washington University in St. Louis. “We need better longitudinal data and further studies to understand how Medicaid expansion and other policy initiatives affect the health of this highly vulnerable population.” Source:https://www.bidmc.org/about-bidmc/news/2018/12/study-examines-primary-drivers-of-increased-hospitalizations-of-homeless-individuals
Reviewed by James Ives, M.Psych. (Editor)Feb 7 2019Neuroendocrine tumor (NET) research supported by nonprofit foundationThe Neuroendocrine Tumor Research Foundation (NETRF) continues its aggressive funding of neuroendocrine cancer research with eight new grants totaling $2.5 million. With this newest round of funding, NETRF expands its portfolio to include research into lung neuroendocrine tumors (NETs), which affect about one in four NET patients.NETRF is the leading private funder of neuroendocrine cancer research, funding more than $22 million in NET research since 2005. NETRF looks for innovative and transformational ideas, such as leveraging findings made in other cancer types to accelerate progress in NETs. The eight new projects explore some of the latest advancements in cancer: CAR T-cell therapy combined with antibody-drug conjugates Photodynamic therapy Deciphering the impact of mutations in key genes in NETs Improving outcomes by combining biomarkers and radiomics “Smart” chemotherapy Novel SSTR2 radioligands Alpha-particle emitting agents for the treatment of lung NETs Testing new cancer vaccines on NETs As a less common cancer, NETs lag behind other cancers for research funding. “Neuroendocrine tumor is a neglected tumor type that doesn’t get its due funding from the National Cancer Institute and other organizations,” said George Fisher, MD, PhD, co-chair, NETRF Board of Scientific Advisors.NETs occur in hormone-producing cells, most commonly forming in the lung, pancreas, and gastrointestinal tract. Despite appearing in different sites, tumors forming in this cell type are classified as neuroendocrine and require different tests and treatments.Related StoriesTrends in colonoscopy rates not aligned with increase in early onset colorectal cancerCancer killing capability of lesser-known immune cells identifiedUsing machine learning algorithm to accurately diagnose breast cancer”We are searching out the best science, identifying dedicated investigators, and asking the right questions with the singular goal of trying to identify new treatments, and better ways to manage the disease,” said Dan Chung, MD, co-chair, NETRF Board of Scientific Advisors.Two U.S. cancer centers will receive their first NETRF grant: Roswell Park Comprehensive Cancer Center, Buffalo, NY, and Moffitt Cancer Center, Tampa, FL. Two international organizations will also receive their first NETRF grant: BC Canada, Vancouver, Canada, and Radboud University Medical Center, Nijmegen, Netherlands. Other institutions funded in this grant cycle include the University of Pennsylvania, University of Texas MD Anderson Cancer Center, Stanford University, and the University of California, San Francisco.”We seek out projects to understand the basic biology of NETs, in addition to research that may be translated from the bench to the clinic to make an impact on patient treatment,” said Elyse Gellerman, NETRF chief executive officer.The NETRF grant process is a competitive and structured peer-review process, which starts with an annual call for letters-of-intent in late spring. All applications are evaluated by NETRF’s Board of Scientific Advisors. Final approval is made by the NETRF Board of Directors.As a nonprofit 501(c)(3) organization, NETRF is supported by charitable donations from individuals and foundations. A generous, transformational gift from the Margie and Robert E. Petersen Foundation will fund several of the new projects. Additional philanthropic support has been provided by the Goldhirsh-Yellin Foundation of Los Angeles and the Karpus Family Foundation of New York. Source:https://netrf.org/netrf-announces-2-5-million-in-research-to-advance-the-treatment-of-neuroendocrine-tumors/
Source:https://www.ntnu.edu/ Reviewed by James Ives, M.Psych. (Editor)Feb 14 2019Task sharing in Sierra Leone — teaching emergency surgery to health officers — can help improve healthcare in a country with few doctorsSierra Leone has one of the highest maternal mortality ratios in the world — for every 100,000 live births, 1360 women will die. In Norway, that number is just 5 women per 100,000 live births; in the US, it’s 14, according to the United Nations Population Fund.Why are so many women dying in Sierra Leone? The answer is simple: childbirth can be complicated and there are simply not enough health care providers to address the needs of this small West African country of 7 million people.Before the 2014-2016 Ebola outbreak, just 10 specialist surgeons were available in public hospitals, with about 150 doctors in total.But there is hope: a new study of more than 1200 women who had C-sections in nine Sierra Leone hospitals shows that community health officers with surgical training are a safe alternative to medical doctors when it comes to outcomes for Caesarean sections. The study was conducted between October 2016 and May 2017, and has just been published in BJS, the British Journal of Surgery.”Some of these hospitals have just one or two doctors for the whole district,” said the study’s first author Alex van Duinen, a Dutch medical doctor and PhD candidate at the Norwegian University of Science and Technology (NTNU). “Human resources are a major problem. Task sharing — teaching community health officers to provide basic lifesaving surgeries — can improve that.”Building acceptance in the medical communityVan Duinen’s research is being conducted as part of his work with a non-profit organization called CapaCare, co-founded in 2011 by Håkon Bolkan, a surgeon at St Olavs Hospital and a postdoc at NTNU.CapaCare offers a two-year training programme for selected community health officers (CHO), with the goal of teaching them to do surgeries such as Caesarean sections, appendectomies and hernia repairs.After the two years of training, graduates also spend a year as an intern at one of the main hospitals in Freetown, after which they are given the position as a surgical assistant community health officer (SACHO). To date, 31 participants have graduated from the programme, with another 33 in training.But CapaCare’s work is not as simple as just producing qualified graduates — Sierra Leone’s medical community, health care officials and the population as a whole have to have confidence that the CapaCare graduates can perform surgeries at least as well as medical doctors.This evidence has to be clear, and provide scientifically documented proof that the training works. So that’s where van Duinen’s research comes in.Prospective study with a home visitOther researchers have looked at the issue of task sharing for emergency obstetric care, mainly in East Africa, but most of these studies have been retrospective, which means that researchers essentially look for patterns in medical data that have already been collected.Nevertheless, all of these studies show that task sharing can work well in places where there are just not enough doctors to go around.On the other hand, a prospective study like that conducted by van Duinen and his colleagues is seen as much stronger support for the findings from the research.Researchers in a prospective study decide which data to include before they collect it, which ensures data quality. The Sierra Leone C-section study also included a home visit 30 days after the birth, which allowed van Duinen and his colleagues to see how mother and child were doing in the period after discharge.CapaCareRelated StoriesTransobturator sling surgery shows promise for stress urinary incontinenceTackling high sugar content in baby foodStudy analyzes high capacity of A. baumannii to persist on various surfaces”We were able to check some of the outcome data,” van Duinen said. “Home visits were one of the distinguishing factors of our study.”For example, one baby that had been recorded as a stillbirth in the hospital and one baby that had been recorded as a death were both found to be alive when the researchers did the home visits.Three of the mothers and 28 of the babies who were alive when they left the hospital also died in the month after birth, which researchers wouldn’t have discovered without this extra follow up, van Duinen said.Not inferior to doctorsWhen all the numbers were tallied, the researchers found 16 postoperative maternal deaths, 15 treated by a doctor and 1 treated by a graduate of the CapaCare programme.These numbers indicate that doctors may have worse outcomes. “Although our data suggest that patients treated by doctors and graduates were mostly similar, doctors may have treated more of the complicated patients,” van Duinen said.The difference in the mortality numbers is also due to the fact that there were 50 doctors in the study compared to 12 graduated clinical officers. These 50 doctors performed 831 C-sections that were included in the study, or two-thirds, compared to 443 performed by the graduates. Of these surgeries, 85 per cent were done as emergency surgeries.However, the mortality numbers and the number of emergency surgeries are “still very high,” van Duinen said, but there are also reasons for that.”There’s a huge disincentive for women in the districts to come into the hospital to give birth,” he said. “That’s why the outcomes are so bad.”Very often, he said, women will wait until the absolute last minute to come in for care, because it may be too costly for them to both travel and get treated at the hospital. They may also be afraid of coming to the hospital because of concern of what they might find there — it was not that long ago, for example, that Ebola ravaged the country’s health care system, during which more than 14000 people were infected and 4000 died.When the researchers analysed the numbers, they found that caesarean sections done by the graduates were not associated with higher maternal mortality 30 days after the surgery than caesarean sections performed by doctors.”The message is that there is a slight difference in the two groups, because the doctors may get the more complicated cases, but overall we see that there is non-inferiority,” van Duinen said.Kismet in the jungleJust by chance, van Duinen has worked with CapaCare since the organization first started its training programme in 2011. That’s because he was working at the time at Masanga Hospital, in Sierra Leone’s Tonkolili province, as hospital director. Masanga Hospital has been the base for CapaCare’s training in Sierra Leone.The first week he was at Masanga, van Duinen met Bolkan with the first CapaCare student who was just beginning his training.The idea of training non-doctor medical personnel to do emergency surgeries — task sharing — was already something he knew about. During his medical training in the Netherlands, he was sent to Malawi for an internship, where the practice is well established.”I saw that task sharing could actually work, and then I met Håkon, and I said, ‘Yes, of course, we have to do this! It works, I have seen it!’,” he said.
Source:https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm635720.htm Reviewed by James Ives, M.Psych. (Editor)Apr 11 2019Today, the U.S. Food and Drug Administration is warning the public not to use medical devices marketed to consumers that claim to help assess, diagnose or manage head injury, including concussion, traumatic brain injury (TBI) or mild TBI. In a new safety communication, the FDA warned that such tools -; such as apps on a smartphone marketed to coaches or parents for use during sporting events -; have not been reviewed by the FDA for safety and efficacy and could result in an incorrect diagnosis, potentially leading to a person with a serious head injury returning to their normal activities instead of getting medical care.To date, there are a limited number of medical devices that have been cleared or approved by the FDA to aid in the diagnosis, treatment, or management of concussion, and all of them require an evaluation by a health care professional.Related StoriesNew therapy shows promise in preventing brain damage after traumatic brain injuryRepurposing a heart drug could increase survival rate of children with ependymomaAn active brain and body associated with reduced risk of dementia”I want to be clear, there are currently no devices to aid in assessing concussion that should be used by consumers on their own. Using such devices can result in an incorrect diagnosis after a head injury that could lead a person with a serious injury to return to their normal activities instead of seeking critical medical care, putting them at greater danger,” said Jeffrey Shuren, M.D., J.D., director of the FDA’s Center for Devices and Radiological Health. “Products being marketed for the assessment, diagnosis, or management of a head injury, including concussion, that have not been approved or cleared by the FDA are in violation of the law. The FDA routinely monitors the medical device market and became aware of violative products being marketed to consumers. The FDA has alerted companies to our concerns and asked them to remove such claims. We will continue to monitor the marketplace for devices making these unsubstantiated claims and are prepared to take further action if necessary.”In the safety communication issued today, the FDA explains that the products of concern include those that claim to assess and diagnose any changes in brain function by having an injured person perform tests on a smartphone or tablet-based app to determine a change in physical or mental (cognitive) status including vision, concentration, memory, balance and speech.The FDA’s recommendations for consumers, parents, caregivers and athletic coaches note that individuals should seek treatment right away from a health care professional if any head injury, including concussion, is suspected.The FDA will continue to monitor promotional materials and claims about uses of these and similar products and contact companies when we see violative practices. If the agency’s concerns are not addressed, the FDA will consider what additional actions, including potential enforcement actions, are appropriate. The FDA will continue to monitor complaints and adverse event reports from patients, caregivers, health care providers and industry.
We’re designing a clinical trial with drugs that have been approved for human use and are known to induce this immune mechanism.The goal is to improve the survival rate for infants with sepsis.”Fernando de Queiroz Cunha, CRID’s principal investigator Reviewed by James Ives, M.Psych. (Editor)Jul 4 2019An immune mechanism that makes babies more likely than adults to die from sepsis has been identified by scientists affiliated with the Center for Research on Inflammatory Diseases (CRID) in Ribeirão Preto, São Paulo State (Brazil). The study is published in Critical Care.The scientists are planning to test new therapeutic approaches based on the discovery. CRID is one of the Research, Innovation and Dissemination Centers (RIDCs funded by São Paulo Research Foundation – FAPESP.Sepsis (sometimes referred to as blood poisoning) is systemic inflammation usually triggered by a localized bacterial infection that spins out of control. The body’s immune response to combat the pathogen ends up damaging multiple organs and tissues.Symptoms include fever or low temperature, difficulty breathing, low blood pressure, a fast heart rate, and an abnormally high or low white blood cell count. The condition may remain active even after the initial threat has been eliminated. Its most severe form can lead to lesions that impair the function of vital organs, septic shock and death.”In any experimental animal model of sepsis, all the parameters used to measure the severity of the condition are higher in infants. There’s more systemic inflammatory response, more organ impairment, and higher mortality,” said Cunha, who is a Full Professor in the Department of Pharmacology at the University of São Paulo’s Ribeirão Preto Medical School (FMRP-USP).In humans, it is more difficult to compare infant and adult mortality rates, he explained, because, before contracting sepsis, the adult patient may have been weakened by diseases such as diabetes, cancer, heart failure or hypertension (high blood pressure). “Most adults who die as a result of septic shock already had serious health problems,” Cunha told.Given their knowledge that organ injury is more severe in young individuals, both human and murine, the group decided to determine exactly what substances are produced by the immune system during sepsis. Their hypothesis was that defense cells in infants must produce more oxidizing substances, such as oxygen and nitrogen free radicals. What they found, however, was the opposite.”We took a long time to understand why infants have more tissue injury if they produce smaller amounts of free radicals. Finally, we decided to investigate NETs [neutrophil extracellular traps],” Cunha said.Neutrophils are white blood cells that form the front line of the immune system, phagocytosing (killing) bacteria, fungi and viruses. NETs are structures composed of DNA and granular proteins that rapidly trap and kill pathogens.”This immune mechanism was first described about ten years ago. In some situations, for poorly understood reasons, the immune system activates an enzyme called PAD-4, which increases the permeability of the neutrophil nucleus. When this happens, the genetic material in the nucleus decondenses and forms networks, which are released by the cell into the extracellular medium to trap and kill bacteria,” Cunha said.Related StoriesResearchers discover biochemical agent responsible for blood pressure drop in sepsisSepsis Alliance launches Maternal Sepsis Day to raise awareness and save livesDoctors urge hospitals to reconsider the type of fluids used to treat children with sepsisNETs are typically activated by bacterial infections, he added, as well as some viruses, including chikungunya, the arbovirus that causes the most tissue injury. The mechanism also occurs in some autoimmune disorders. “The main problem is that NETs aren’t just toxic for pathogens: they also damage human cells. In fact, they do more damage than oxygen and nitrogen free radicals.”Tests involving pediatric patients were conducted in collaboration with a research group led by Professor Ana Paula Carlotti, attached to the ICU at FMRP-USP’s teaching and general hospital (Hospital das Clínicas). Laboratory analysis showed that neutrophils from infants produced 40% more NETs than those taken from adults, in the case of humans. The difference was 60% in mice. The group then set out to use experimental models to understand how this immune mechanism works in sepsis.Traps deactivatedThe experiments with mice involved a group of two-week-old infants and a group of healthy young adults. Both received an intraperitoneal injection of intestinal bacteria and developed sepsis.”A dose of bacteria sufficient to kill 100% of infants killed only 50% of the adults. That’s a significant difference. Moreover, in the days following the injection, the infant mice displayed higher levels of bacteremia [bacteria in the bloodstream] and of biochemical markers indicating organ injury,” Cunha said.When NETs were broken down with recombinant human DNase (a drug used to treat cystic fibrosis), the survival rate jumped from 0 to 50% in the infant group. In the adult group, the proportion of mice that survived sepsis rose from 50% to 60%.”The difference between the groups when treated with DNase was small, clearly showing that greater infant susceptibility is associated with higher levels of NETs,” Cunha said.In another experiment, the group replaced DNase with a compound designed to inhibit PAD-4, the enzyme that triggers the activation of NETs. In this case, the survival rate for the infant group was 40%.”It was somewhat less effective than DNase because it’s not actually a specific PAD-4 inhibitor. One of our goals for future research is the development of a specific drug to inhibit PAD-4,” Cunha said.The group analyzed the expression of the PAD-4 gene, which encodes the PAD-4 enzyme, in neutrophils from patients and from mice. In both cases, PAD-4 expression was higher in infants with sepsis than in adults with the same condition. The reasons are unknown and are currently being sought by David Fernando Colón Morelo, the first author of the article. Cunha is Morelo’s PhD supervisor.Morelo has a doctoral scholarship from FAPESP and is now doing a research internship at Bonn University in Germany.”We’re also studying the role of NETs in other diseases involving organ injury, such as rheumatoid arthritis and lupus,” Cunha said. Source:Fundação de Amparo à Pesquisa do Estado de São PauloJournal reference:Cunha, F.R. et al. (2019) Neutrophil extracellular traps (NETs) exacerbate severity of infant sepsis. Critical Care. doi.org/10.1186/s13054-019-2407-8.
In the context of neurodegenerative diseases such as Alzheimer’s, activating LANDO in microglial cells could prove to be therapeutically beneficial through increased clearance of β-amyloid and mitigation of neuroinflammation.”Corresponding author Douglas Green, Ph.D., chair of the St. Jude Department of Immunology Reviewed by James Ives, M.Psych. (Editor)Jun 28 2019St. Jude Children’s Research Hospital scientists have discovered a pathway that functions like a car wash to prevent the buildup of a toxic protein associated with Alzheimer’s disease. The report appeared online today in the journal Cell.The findings in a mouse model of Alzheimer’s offer a possible new approach to treatment of the chronic neurodegenerative disorder, which is the sixth leading cause of death in the U.S. The newly identified pathway also helps regulate inflammation, so the discovery could yield strategies for unleashing the immune response against malignant brain tumors.Researchers called the pathway LC3-associated endocytosis or LANDO. They found the pathway in microglial cells, the primary immune cells of the brain and central nervous system. However, preliminary evidence suggests LANDO is a fundamental process that functions in cells throughout the body.Investigators showed that LANDO protected against deposits of neurotoxic β-amyloid protein in mice. Activation of the pathway also guarded against toxic neuroinflammation and neurodegeneration, including memory problems. While activation of LANDO appears to protect against neurodegenerative disease, first author Bradlee Heckmann, Ph.D., a postdoctoral fellow in Green’s laboratory, said inhibiting the pathway might boost the effectiveness of cancer immunotherapy. “Although in its infancy, preliminary data using a primary brain tumor model suggests that inhibition of LANDO might provide a mechanism to activate inflammation within the tumor microenvironment to generate an anti-tumor response,” Heckmann said.Car washRelated StoriesRNA-binding protein SRSF3 appears to be key factor for proper heart contraction, survivalVirus killing protein could be the real antiviral hero finds studyHinge-like protein may unlock new pathways for cystic fibrosis treatmentβ-amyloid protein accumulation in neurons is a hallmark of Alzheimer’s. Scientists knew microglial cells take up β-amyloid proteins. Discovery of the LANDO pathway answers questions about what comes next.Heckmann compared LANDO to the operator of an automatic carwash. In this case, the cars are the receptors on the microglial cells that bind to neurotoxic β-amyloid proteins and bring the protein into the car wash. And, just as cars return to the streets after the dirt is gone, when the β-amyloid is disposed of, the receptor returns to the microglial surface where it can pick up additional β-amyloid.An automatic car wash depends on hardware to attach the car to a track that moves it through the machine. Similarly, several proteins are required for LANDO functioning. The proteins–Rubicon, Beclin 1, ATG5 and ATG7–are better known for their roles in a related cell pathway used to recycle unneeded and unwanted cell components. These proteins decline with age as their expression decreases.Follow the data”You never know where science will lead,” Green said. “This project started because we were studying immune responses against cancer. Brad recognized the findings had relevance to a disease not of children but of older people.”That’s how science works. When you follow the data, you never know where it will lead.” Source:St. Jude Children’s Research HospitalJournal reference:Green, D.R. et al. (2019) LC3-Associated Endocytosis Facilitates β-Amyloid Clearance and Mitigates Neurodegeneration in Murine Alzheimer’s Disease. Cell. doi.org/10.1016/j.cell.2019.05.056.
Uber claimed Monday to have mended its ways as the ride-hailing app started its appeal against being stripped of its licence to operate in London. Uber argues it should remain in business in London Explore further Uber agreed that the city’s transport authority was right to block its renewal last September—but said it had since undergone “wholesale change” in response, and the decision should therefore be overturned © 2018 AFP This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. Uber agreed that the city’s transport authority was right to block its renewal last September—but said it had since undergone “wholesale change” in response, and the decision should therefore be overturned.Transport for London (TfL) had decided against approving the US taxi-hailing app’s licence citing several safety concerns.Uber’s appeal is being heard at Westminster Magistrates Court in London, and a decision could come as early as Tuesday.”We accept TfL’s decision in September was the right decision on the evidence at the time,” Uber’s lawyer Tom de la Mare told the court.”That acceptance has led to wholesale change in the way we conduct our business.”The company has about 40,000 drivers and 3.5 million customers in the British capital.TfL’s concerns included how Uber obtained drivers’ medical certificates and how criminal record checks were carried out.Uber has said it has made significant reforms such as proactively reporting serious incidents to the police and insuring that all drivers are licensed by TfL.Battle could roll onJudge Emma Arbuthnot, England’s chief magistrate, will rule on whether Uber is now eligible for a licence, without basing her judgement on the merits of TfL’s decision in September.Uber can continue to operate in London during the appeals process, which could continue in higher courts if either party is unhappy with Arbuthnot’s verdict.She said that were she to renew Uber’s licence, “18 months would be rather too long”.Tom Elvidge, Uber’s general manager in Britain, said Uber was “undergoing a period of significant change and, in light of what was available to TfL given the mistakes that ULL made, I absolutely accept that decision in September”.He said the move “certainly accelerated” changes, which include telling the regulator when drivers get convictions or are removed from the app for other reasons.Online eye tests relying on the honesty of would-be drivers were “not a good idea”, he admitted.”The changes we are making are fundamentally different,” he said, adding that the company’s culture had “changed enormously”.TfL’s lawyer Martin Chamberlain accused Uber of lacking transparency and of “drip-feeding incriminating information to its regulator only when it’s squeezed out”.Elvidge conceded that was “certainly one of the interpretations”.Uber’s other woesIn a separate case, Uber is also appealing against an employment court ruling that would give its drivers the right to paid holidays and the national minimum wage.The app has already capped the number of hours its drivers can work in Britain in a bid to increase safety after heavy criticism of its business practices, and will set up a 24/7 telephone helpline for riders and drivers.The London licence is one of a number of headaches for Uber and its new chief executive Dara Khosrowshahi, who took over last August after founder Travis Kalanick was ousted following a series of scandals.Its self-driving car programme in the United States suffered a blow with a deadly accident in March.Uber also faces being banned in Turkey after President Recep Tayyip Erdogan said earlier this month that the app was “finished”, following an intense lobbying campaign from Istanbul taxi drivers. Citation: Uber claims U-turn in bid to restore London licence (2018, June 25) retrieved 18 July 2019 from https://phys.org/news/2018-06-uber-u-turn-london-licence.html
Study examines websites’ password practices This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. More than a decade after first examining the issue, research by the University of Plymouth has shown most of the top 10 English-speaking websites offer little or no advice guidance on creating passwords that are less likely to be hacked.Some still allow people to use the word ‘password’, while others will allow single-character passwords and basic words including a person’s surname or a repeat of their user identity.Professor of Information Security Steve Furnell conducted the research, having carried out similar assessments in 2007, 2011 and 2014.He said it was concerning that more than a decade after the issue was first highlighted companies were not doing more to aid consumers amid the increased threat of global cyber-attacks.”We keep hearing that passwords are a thing of the past,” said Professor Furnell, Director of the University’s Centre for Security, Communications and Network Research (CSCAN). “But despite the prospect of new technologies coming into force, they are still the predominant protection people can use when setting up online accounts. With personal data now being guarded more closely than ever, providing clear and upfront guidance would seem a basic means through which to ensure users can be confident that the information they are providing is both safe and secure.”The study, published in Computer Fraud and Security, examined the password practices of Google, Facebook, Wikipedia, Reddit, Yahoo, Amazon, Twitter, Instagram, Microsoft Live and Netflix.It looked at whether users were provided with guidance when creating an account, changing their password or resetting a password, and how rigorously any guidelines were enforced.The best provisions, taking into account permitted password length and other restrictions, were offered by Google, Microsoft Live and Yahoo were also the top three sites when the last assessment was carried out in 2014.The three least favourable sets of results were from Amazon, Reddit and Wikipedia, with Amazon’s password requirements remaining the most liberal, in line with the previous assessments.In fact, the one area where there has been a notable improvement over the whole 11 years is the proportion of sites that prevent the word ‘password’ being used, but even now several still allow it.The only other improvement has been in the number of sites offering some form of additional authentication (from three in 2011 to eight in 2018), but it is not something any of the websites assessed flag during the account sign-up process.Professor Furnell added: “With over ten years between the studies, it is somewhat disappointing to find that the overall story in 2018 remains largely similar to that of 2007. In the intervening years, much has continued to be written about the failings of passwords and the ways in which we use them, but little is being done to encourage or oblige us to follow the right path. The increased availability of two-step verification and two-factor authentication options is positive. But users arguably require more encouragement or obligation to use them otherwise, like passwords themselves, they will offer the potential for protection while falling short of doing so in practice.” Citation: Decade of research shows little improvement in websites’ password guidance (2018, July 17) retrieved 18 July 2019 from https://phys.org/news/2018-07-decade-websites-password-guidance.html Credit: CC0 Public Domain Journal information: Computer Fraud and Security Explore further Provided by University of Plymouth Leading internet brands including Amazon and Wikipedia are failing to support users with advice on how to securely protect their data, a study shows.
Provided by University of Kansas Most drivers could go electric within 10 years Citation: Study identifies distinct groups interested in types of electric vehicles (2018, August 29) retrieved 18 July 2019 from https://phys.org/news/2018-08-distinct-groups-electric-vehicles.html Drivers considering plug-in hybrid vehicles with a gasoline backup are most interested in economic benefits while those gravitating toward battery-electric vehicles have stronger environmental concerns, according to a study led by a University of Kansas transportation policy scholar. The research has identified distinct profiles of people considering newer electric vehicle technologies showing the two types of vehicles—one that offers gasoline as a safety net and another that relies solely on battery charging—are very different in the eyes of consumers.”Our findings inform the misconception and show that electric vehicles are not a homogeneous entity,” said the study’s lead author Bradley Lane, associate professor in the KU School of Public Affairs & Administration. “There are distinctive profiles of potential users for whom a plug-in hybrid is attractive and another for whom a battery electric is attractive. And these are two very distinct groups, similar to how there is a group of users who are attracted to a sport-utility vehicle and a separate group attracted to an economy car. We have shed more light on what factors influence how people make these decisions.”The journal Transportation Research Part D recently published the group’s findings. Lane’s co-authors are Jerome Dumortier of the School of Public and Environmental Affairs at Indiana University-Purdue University Indianapolis; Sanya Carley and John Graham, both of the School of Public and Environmental Affairs at Indiana University; Saba Siddiki of the Maxwell School of Citizenship and Public Affairs at Syracuse University and Kyle Clark-Sutton of RTI International of Research Triangle Park in North Carolina.The findings could be important as automakers seek to market more electric vehicles and for national, state and local policymakers as they consider changes and any potential incentives for the production and use of the different types of electric vehicles. Much of the recent incentives date back to the 2009 American Recovery and Reinvestment Act that Congress passed in the Obama administration’s early days.”After about 10 years into significant policy and investment, there are still a lot of unknowns about these vehicles from the viewpoints of the consumers,” he said.But the advancement of electric vehicle technologies still represents one of the most notable developments of surface transportation in recent decades. With much of the petroleum-based resources being finite and located in politically unstable regions, there likely will continue to be a push for alternative fuels for internal combustion engines, Lane said. Plug-in hybrid vehicles charging in San Francisco in 2009. Credit: Felix Kramer via Creative Commons on Flickr This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. More information: Bradley W. Lane et al. All plug-in electric vehicles are not the same: Predictors of preference for a plug-in hybrid versus a battery-electric vehicle, Transportation Research Part D: Transport and Environment (2018). DOI: 10.1016/j.trd.2018.07.019 Explore further The global stock of plug-in electric vehicles has grown from virtually zero in 2010 to more than 2 million in 2016, and in 2017, about 200,000 new plug-in electric vehicles were sold in the United States, which was a 26 percent increase over 2016 and a 72 percent increase over 2015. The growth is rapid, but they still account for a small share of total new vehicle sales, Lane said.”This research helps tell us how the technology has to advance in order for more of these vehicles to contribute to short-range policy goals and making them more financially viable for companies understanding how to market and sell them,” Lane said. “The long-term goal is for getting away from petroleum as a dominant source of fuel and have a positive impact on the environment.”To gain insight into the opinions of those interested in buying plug-in electric vehicles across the country, the researchers gathered data through a 15-minute online survey administered in late 2013 among a random sample of roughly 100 adult drivers from each of the nation’s 32 largest metropolitan areas. They focused on 1,080 respondents who expressed the intention to purchase or lease a new vehicle in the two years following the survey.In addition to the distinct profiles of people who prefer either plug-in hybrid vehicles and battery electric vehicles, the findings also pointed to drivers’ considering what is known as “range anxiety” as a factor in their choice of vehicle, Lane said.Drivers who preferred the plug-in hybrid vehicles with a gasoline backup prefer the familiarity and convenience of being able to quickly refuel at a gasoline pump station at will rather than being dependent on finding an electric charging station.”The data indicate that this group of people tends to view plug-in hybrid vehicles from a much more economically rational viewpoint,” Lane said. “They register as having high household gasoline expenditures, or take longer trips, and they are reliant on their vehicles. So their interest in plug-in hybrids comes from their potential to reduce household travel expenditures with their next vehicle.”Also, this group of drivers is more concerned about potential unpredictable trips and use of the vehicle, and they seem to be more comfortable with having a vehicle with a gasoline engine as a backup, Lane said. This contrasts strongly with those who express interest in a battery electric vehicle, who are more interested in the environmental impact and image of owning such a vehicle.This could provide implications for policymakers in cities who consider placement and availability of public electric charging stations. However, the researchers also found evidence that these perceptions might be deeply ingrained among these two distinct groups of drivers, he said.”Prior experience with an alternative fueled vehicle—usually a conventional hybrid that you don’t plug in – was one of the strongest predictors,” Lane said. “The more familiarity and experience you have with any kind of alternative fueled vehicle, the more favorable you view any kind of electric vehicle.”