PHOTO INFORMATION: State Rep. Michele Hoitenga, of Manton, was joined by Sergio Delgado of the Wexford County Sheriff’s Office on Thursday for a Michigan House session commemorating the Sept. 11, 2001 attacks. The ceremony honors first responders and members of the military from Michigan who died in the line of duty in the past year. Categories: Hoitenga News,News 06Sep Rep. Hoitenga joined by member of Wexford County law enforcement for ceremonial House session
Reviewed by Kate Anderton, B.Sc. (Editor)Mar 29 2019Less than 48 hours after a federal judge struck down Medicaid work requirements, the Centers for Medicare & Medicaid Services on Friday gave Utah permission to use those mandates.CMS Administrator Seema Verma said in her approval letter that requiring Medicaid enrollees to work was allowed because it helps make them healthier.”Therefore we believe an objective of the Medicaid program, in addition to paying for services, is to advance the health and wellness needs of its beneficiaries, and that it is appropriate for the state to structure its demonstration project in a manner that prioritizes meeting those needs,” she wrote.Verma’s stance runs directly counter to U.S. District Court Judge James Boasberg, who in twin rulings Wednesday said work requirements in Arkansas and Kentucky are illegal under the 1965 Medicaid law. Boasberg said several times that promoting health was not the objective of Medicaid, despite that opinion from Verma and Health and Human Services Secretary Alex Azar.In his Kentucky ruling, Boasberg wrote that using health as an objective would be “arbitrary and capricious.”Promoting health, he added, is “far afield of the basic purpose of Medicaid: ‘reimbursing certain costs of medical treatment for needy persons.'”Verma noted that Utah is structuring its program somewhat differently than other states.Sara Rosenbaum, professor of health law and policy at George Washington University in Washington, D.C., said the Trump administration is “doubling down” by allowing a state to add work requirements.”This is such a remarkable example of sticking a finger in the eye of the court,” Rosenbaum said. “We will see what happens. Because when you disrespect a court, it can backfire.”CMS’ approval also allows Utah to cap enrollment if the state runs out of money.Health experts said Utah’s letter clearly shows that the Trump administration plans to appeal Boasberg’s decision.In addition to Kentucky, Arkansas and Utah, CMA has approved Medicaid work requirements in Arizona, Indiana, Michigan, New Hampshire, Ohio and Wisconsin.Verma’s approval was for an application that Utah made in 2018. It will partly expand Medicaid to cover all adults under the poverty level ($12,490 for an individual this year). Enrollees will be asked to make some job searches but they will not be required to report a certain number of hours of work.In November, Utah voters approved a ballot measure calling for the expansion to 138 percent of the federal poverty level (about $17,200) as allowed under the Affordable Care Act.Related StoriesMedicare going in ‘right direction’ on opioid epidemicPodcast: KHN’s ‘What the Health?’ Is ‘Medicare for All’ losing steam?Persistent poverty endangers health in 20% of UK childrenState officials expect about 90,000 people to gain coverage under the expansion approved Friday. About 150,000 people would have been covered under the plan approved by voters.The plan approved Friday will require Utah to pay a bigger portion of the costs for the new enrollees because they will enter Medicaid under the traditional program and the state will get a 70 percent contribution from the federal government to cover their care. If the state had expanded to 138 percent of poverty, the federal government would have paid 90 percent of the costs.November’s vote raised concerns among state officials, who have opposed Medicaid expansion for years. They have opted instead to prepare another request to CMS that seeks the full 90 percent funding for the new enrollees. But to secure that, Utah is offering to accept unprecedented annual limits on federal and state spending.Allison Hoffman, a law professor at the University of Pennsylvania, said getting a federal judge to accept the premise that Medicaid is improving health is vital to getting work requirements through the courts. Federal officials “need a judge to buy that,” Hoffman said. “They are going to fish for a different jurisdiction to push this opinion.”What’s most compelling about the Utah approval, Hoffman said, is how the state legislature ignored the will of voters who approved the referendum. “The legislature is blocking what people voted for … and it appears to be an anti-democratic move.” This article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.
People with diabetes have a high risk of developing complications due to extended periods of elevated glucose levels. These complications could include nerve damage, kidney disease, and eye disease. But a rare subset of people who have had insulin-dependent diabetes for more than 50 years have avoided such complications. For 15 years, Joslin researchers have tracked these individuals as part of the Medalist Study. They noted that 35 percent of patients avoided retinopathy, even when they had elevated glucose levels.Dr. King and his team deduced that these patients must have something endogenous-;or created by their own body that are neutralizing the toxic effects of high glucose levels. This new study aimed to build on this observation, to determine which molecules could be responsible for the protection of the eye.They took biosamples from the eyes of Medalists -; both from living patients during surgery and from people who had donated their eyes postmortem. They then characterized the many proteins that were present, to determine if any proteins were elevated more in the protected eyes than in eyes of people who developed retinopathy.They recognized that RBP3, a protein only made in the retina/eye, was elevated. To determine if this was indeed the protective factor they were looking for, they constructed experiments to compare normal versus increased expression of RBP3 in mouse models. Mice with increased RBP3 expression were protected from developing diabetic retinopathy.Next, the researchers injected pure RBP3 into the vitreous of the eyes of mice in the early stages of retinopathy. The infusion of RBP3 reversed the damages done by early eye disease. They also discovered that diabetes seems to reduce the expression of RBP3 in eye in many subjects, which could explain why its protective effects are limited to only some patients.Related StoriesEye research charity funds development of ‘organ-on-a-chip’ to fight glaucomaStudy reveals a revolutionary way to treat eye injuries, prevent blindness’Eye-in-a-dish’ model helps scientists to uncover ‘surprising’ AMD gene variant”If we could find out what’s causing the decrease of RBP3 in the retina in the first place, we could design some kind of treatment to maintain its production, allowing all diabetic patients to have an endogenous protection against eye disease,” says Dr. King.RBP3 is found in all eyes. Normally, it is used to regenerate a certain type of vitamin A in the eye that powers sight-giving rods and cones. But when the eye is exposed to high glucose levels, RBP3 changes its role.”It appears to decrease the toxic effects of high glucose levels that exist in diabetes by reducing the entering of glucose into several important retinal cells by inhibiting the actions of a glucose transporter, GLUT-1.” says Dr. King.Understanding these mechanisms may allow researchers to develop a targeted treatment to fight early-stage retinopathy. Currently, severe retinopathy can be addressed by the Joslin-developed treatments of either laser photocoagulation or VEGF inhibitor injections.”We are interested in how we can treat diabetic eye disease at its earliest stages before it gets to the severe forms,” says Dr. King.One surprising finding from this study showed that RBP3, while it mainly resides in the eye, can also be detected to some degree in the bloodstream. Dr. King and team have planned follow-up studies to determine if RBP3 levels in the bloodstream correlate with severity of diabetic retinopathy. If they do, this circulating RBP3 could become a biomarker that doctors can use to screen for retinopathy during regular lab tests.”That could be a very important screening tool for family or internal medicine doctors who are not experts at examining the eye,” says Dr. King. “Right now, all people with diabetes have to be sent to ophthalmologists to really give us a sense of the status of their eyes with regard to diabetes. So, if this could be a general screen, we may be able to catch more cases of retinopathy earlier in the disease course.”Joslin and its Beetham Eye Institute have a strong history of developing treatments for retinopathy. This discovery brings them a step closer to prevention of the devastating complication.”This has the potential to become equally as important as our previous discovery of VEGF as critical for diabetic proliferative disease or severe diabetic eye disease,” King says. Source:Joslin Diabetes Center Reviewed by James Ives, M.Psych. (Editor)Jul 4 2019Researchers at Joslin Diabetes Center have shown that a protein found in the eye can protect against and potentially treat diabetic eye disease. At high enough levels, Retinol Binding Protein 3 (or RBP3) prevents the development of diabetic retinopathy. If introduced early enough in the development of the disease, RBP3 was shown to reverse the effects of the complication in rodent models of diabetes. These results are reported today in Science Translational Medicine. The level of RBP3 in the eye’s vitreous and retina are higher in people who don’t progress to diabetic eye disease than in those who do. Building on that observation, we saw that if you overexpress RBP3 by molecular methods [in animal models], you can prevent the onset of diabetic eye disease. And when we injected RBP3 itself into the vitreous of diabetic rats, we reversed some of the early changes of diabetic eye disease.”George King, Chief Scientific Officer at Joslin Diabetes Center and senior author on the paper
Desperate & duped? GoFundMe means big bucks for dubious care Jeremiah Jon Smith, 38, pleaded guilty Oct. 17 in Rice County District Court to theft by swindle, a felony. He admitted spending more than $23,000 raised for his medical bills through GoFundMe, an online fundraising platform, and benefit events.Swindles like the one Smith pulled raise the question of whether online fundraising is safe, consumer advocates said.”I don’t think anyone’s got their arms around it,” said Ira Rheingold, executive director of the National Association of Consumer Advocates in Washington. “And the GoFundMes of the world pooh-pooh it.”GoFundMe claims to have raised more than $5 billion since 2010 and says fraud on its website is minuscule. The company warns potential donors to give only to people they know.”GoFundMe is dedicated to empowering people to help people, and an overwhelming majority of campaigns on our platform are safe and legitimate,” the company said in a statement. “Fraudulent campaigns make up less than one-tenth of 1 percent of all campaigns.”In the rare instances where people create campaigns with the intention of taking advantage of others’ generosity, GoFundMe takes swift action to resolve the issue.”A GoFundMe spokeswoman said the company will refund donations if a campaign organizer or beneficiary is charged with a crime. The company also may refund donations of up to $1,000 if its own investigation finds “misuses” of donations.Scams have always been with us, said Christina Tetreault a staff attorney with Consumers Union, a nonprofit based in Yonkers, N.Y.”I would say that the mode is new, but the scams are old,” Tetreault said during a panel discussion on peer-to-peer payments sponsored by the Federal Trade Commission.But the fact that fraud is taking place on the internet doesn’t make it any less prosecutable, said Prentiss Cox, an associate professor at the University of Minnesota Law School and the former head of consumer protection with the Minnesota attorney general’s office.”There are three kinds of consumer protection cases: scum, scam and skim. And this is scum,” Cox said of the cancer swindle. “If someone lies about cancer to take money from people, that’s just scum.”And the most effective way to stop it is to make sure people know that if they’re going to do this, they’re going to jail.”That apparently won’t happen in Smith’s cases. He’s scheduled to be sentenced Jan. 9 in Rice County District Court. His plea agreement calls for no jail time, 10 years of probation, full restitution to identifiable victims and 480 hours of community service.Rheingold said GoFundMe and other fundraising platforms have a duty to ensure their campaigns are legitimate, because the platforms make money from them.”What level of duty do they have to the consumers who use it?” he said. “I would argue pretty strenuously that if somebody is using their platform and committing fraud, they need to demonstrate that they have engaged in some level of due diligence.”Adrienne Gonzalez runs a site called GoFraudMe that tracks GoFundMe scams. Gonzalez, of Richmond, Va., said she’s uncovered more than 220 scams in just over three years. GoFundMe has been better at taking down fraudulent campaigns, she said, but the site still relies on users to report suspected fraud.”GoFundMe says they’re the safest fundraising platform,” Gonzalez said. “I’m just over here on the other side, saying, ‘Look, these things happen.’?” ©2018 Star Tribune (Minneapolis) Distributed by Tribune Content Agency, LLC. Citation: GoFundMe scams: ‘I don’t think anyone’s got their arms around it’ (2018, October 30) retrieved 17 July 2019 from https://phys.org/news/2018-10-gofundme-scams-dont-arms.html 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. Explore further A Faribault, Minn., man has admitted faking cancer and spending the money raised for medical bills on marijuana, liquor, video games and dart tournaments.
Citation: Researcher sees potential in generating energy from vibrations (2019, March 8) retrieved 17 July 2019 from https://phys.org/news/2019-03-potential-energy-vibrations.html As an aerospace engineer who specializes in designing structures to avoid destructive vibrations, it was only natural for Levin to approach the quest for sustainable energy by applying what he knows about flutter and limit cycle oscillations, or LCO. Because of its potential to cause structural failure, flutter is nearly always engineered out of structures. “Usually flutter is not desirable,” said Levin. “But sometimes violent flutter can turn into moderate LCO, which will cause no failure, and this can be useful.” Levin wanted to explore the potential of harnessing the energy generated by flutter, and he took a six-month detour from his dissertation work, with the support of his advisor.Levin set up an experiment in the aeroelasticity lab’s wind tunnel, using a thin aluminum plate and piezoelectric elements, which generate voltage in response to mechanical stressors like flutter. He found that by increasing the vibrations’ frequency and amplitude, creating more curvature in the vibrational motion, using efficient piezoelectric elements and reducing air speed, he could squeeze the most power from the motion of the plate—sometimes increasing efficiency by more than 200 percent. Are large-scale flutter farms in our future? Probably not, said Levin. “My vision for this is, maybe you go on a long hike, on a cloudy day. You don’t have any solar power to charge your phone. But you do have a folded generator in your bag that you can take out, let it catch the breeze as you hike, and it can charge your phone. You can go even further and combine solar and wind. It’s scalable and useful. And,” he added jokingly, “it doesn’t involve scary mathematics. We’re using something that is so simple and so basic—at least for an aerospace engineer.”Levin will present his project, titled “Improving Piezoelectric Energy Harvesting from an Aeroelastic System,” at the International Forum on Aeroelasticity and Structural Dynamics in Savannah, Georgia in June of 2019. Provided by Duke University 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. Credit: Duke University “Everyone is trying to get free energy—from the wind, from the waves, from the sun,” said Dani Levin, a Duke MEMS Ph.D. student in the lab of Professor Earl Dowell. Scientists harvest energy from beam’s self-induced, self-sustaining vibrations in airflow Explore further
SHARE SHARE EMAIL COMMENT Published on Andhra Pradesh gets a separate High Court from the New Year’s Day and the court will be temporarily housed in the Chief Minister’s camp office here.Chief Justice Pravin Kumar, along with other judges of AP High Court, will be administered the Oath of Office at the Indira Gandhi municipal stadium on Tuesday morning.The AP High Court staff arrived at Amaravati on Tuesday from Hyderabad in three private buses.According to Municipal Administration Minister P. Narayana, the construction of the city civil courts building is currently underway at Nelapadu and it would be completed by the end of the month after which the High Court would shift there. He said sixteen court halls, 12 on the first floor, would be ready by the end of the month. He said the temporary court complex would have 2.70 lakh sq. ft built-up area and it was being built at a cost of ₹150 crores.He complained that the Union Government had issued the order notifying the shifting of the High Court without giving the State Government due notice. Nevertheless, all attempts were being made to expedite the works and provide the facilities to the judges and other staff, he said. SHARE January 01, 2019 COMMENTS
India Today Web Desk New DelhiJuly 12, 2019UPDATED: July 12, 2019 18:45 IST BC Patil (seen in centre in black shirt) was among four MLAs who left the hotel on Friday afternoon (ANI photo | File)Moments after Karnataka Chief Minister HD Kumaraswamy sought to move trust vote in the assembly, four out of 10 MLAs staying at the Renaissance hotel in Mumbai left the premises. BC Patil was among the MLAs who left the hotel.They were spotted leaving the hotel in a car towards Siddhivinayak temple. However, their destination could not be confirmed.Congress and JD (S) have issued a whip to their MLAs asking them to attend the ongoing budget session in the assembly or face action. However, the MLAs have said that the whip is not applicable as they have already resigned as legislators.But, Supreme Court has directed Speaker Ramesh Kumar to maintain status quo on the resignations tendered by 10 rebel MLAs, who had moved the court against him. The court asked the speaker not take any decision on resignation or disqualification until the court has had time to go through all the facts in the matter.Read | Why is Karnataka government always in jeopardy?Read | Karnataka crisis: CM Kumaraswamy seeks floor test, says he is ready for anythingRead | Karnataka crisis: No decision on rebel MLAs till July 16, SC tells SpeakerWatch | Karnataka crisis: Rebel MLAs return to MumbaiFor the latest World Cup news, live scores and fixtures for World Cup 2019, log on to indiatoday.in/sports. Like us on Facebook or follow us on Twitter for World Cup news, scores and updates.Get real-time alerts and all the news on your phone with the all-new India Today app. Download from Post your comment Do You Like This Story? Awesome! Now share the story Too bad. Tell us what you didn’t like in the comments Posted byArshi Aggarwal Next Karnataka crisis: 4 MLAs leave Renaissance hotel in MumbaiFour MLAs, including BC Patil, were spotted leaving the hotel in a car towards Siddhivinayak temple. However, their destination could not be confirmed.advertisement