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"content": "\u003cp>The Rise of the E-Scooter has been well chronicled: In the Bay Area and beyond, scads of electric rental scooters appeared early in 2018 and became simultaneously a sidewalk-blocking nuisance and a popular way of negotiating traffic-choked streets.\u003c/p>\n\u003cp>But \u003ca href=\"https://jamanetwork.com/journals/jamasurgery/article-abstract/2758159\" target=\"_blank\" rel=\"noopener noreferrer\">a new study\u003c/a> from researchers at UCSF shows that the surge in e-scooter popularity has come with a cost: a dramatic increase in the number of injuries attributed to riding the mini-vehicles.\u003c/p>\n\u003cp>The researchers found that from 2017 to 2018 the number of scooter-related injuries nationwide rose from an estimated 8,016 to 14,651, an increase of 82%. The UCSF team’s estimate showed a 152% spike in that same period among injury victims aged 18 through 34 years old.\u003c/p>\n\u003cp>The analysis showed that the nationwide incidence of scooter operator injuries skyrocketed from 6 per 100,000 people in the general population in 2014 to 19 per 100,000 in 2018.\u003c/p>\n\u003cp>The UCSF study team derived its estimates by looking at five years of statistics on scooter-related accidents from \u003ca href=\"https://www.cpsc.gov/Research--Statistics/NEISS-Injury-Data\" target=\"_blank\" rel=\"noopener noreferrer\">a national database\u003c/a> that collects reports from about 100 representative hospital emergency departments.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Beyond the sudden spike in the overall number of riders hurt in scooter mishaps, the study published Wednesday in the January edition of JAMA Surgery noted that 32% of the cases in 2018 involved head injuries. That’s double the rate at which cyclists suffer head injuries in crashes.\u003c/p>\n\u003cp>Dr. Benjamin Breyer, a UCSF urologist and a study co-author, said the rate of head injuries is especially concerning. He and his fellow researchers said in their analysis that e-scooter firms “should facilitate and encourage helmet use by increasing helmet access.”\u003c/p>\n\u003cp>The UCSF statistics align roughly with earlier research that has shown high rates of head injuries and very low helmet use among scooter riders.\u003c/p>\n\u003cp>The analysis notes, in passing, two prior studies — \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2722574?guestAccessKey=c8d43986-1131-4af7-b3bc-a9f9415cd3b3\" target=\"_blank\" rel=\"noopener noreferrer\">the first\u003c/a> from Southern California, \u003ca href=\"https://tsaco.bmj.com/content/4/1/e000337\" target=\"_blank\" rel=\"noopener noreferrer\">a second\u003c/a> using data from three unidentified trauma centers — that estimated just 2% to 4% of injured scooter riders were wearing helmets when they were hurt.\u003c/p>\n\u003cp>[aside postID=\"news_11794889,news_11778738,news_11752068\" label=\"Related coverage\"]\u003c/p>\n\u003cp>A \u003ca href=\"https://www.austintexas.gov/sites/default/files/files/Health/Epidemiology/APH_Dockless_Electric_Scooter_Study_5-2-19.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">third study\u003c/a> not referenced in the UCSF report reviewed the cases of 190 scooter riders injured in Austin, Texas, during a three-month period in 2018. It found just one of the riders was using a helmet.\u003c/p>\n\u003cp>“There’s a lot of positives about the scooters,” Breyer said in an interview Tuesday. “It promotes active commuting, which is good for your health. It’s good for the environment. It’s good for traffic congestion. But I think helmet distribution and helmet usage needs to be made more convenient. People just need to understand that when trauma happens with scooters, very frequently head trauma is involved, and that can lead to very serious long-term consequences.”\u003c/p>\n\u003cp>The Micromobility Coalition, a trade group founded by Lime and Uber, said in a statement that UCSF’s analysis “is an appreciated addition to the information available.” The statement added that e-scooter firms are “promoting helmet use through their apps, online channels, demonstration events, and helmet distribution.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In a separate statement, Lime noted that it has given away 250,000 helmets and is partnering with helmet makers to offer half-priced safety headgear.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Rise of the E-Scooter has been well chronicled: In the Bay Area and beyond, scads of electric rental scooters appeared early in 2018 and became simultaneously a sidewalk-blocking nuisance and a popular way of negotiating traffic-choked streets.\u003c/p>\n\u003cp>But \u003ca href=\"https://jamanetwork.com/journals/jamasurgery/article-abstract/2758159\" target=\"_blank\" rel=\"noopener noreferrer\">a new study\u003c/a> from researchers at UCSF shows that the surge in e-scooter popularity has come with a cost: a dramatic increase in the number of injuries attributed to riding the mini-vehicles.\u003c/p>\n\u003cp>The researchers found that from 2017 to 2018 the number of scooter-related injuries nationwide rose from an estimated 8,016 to 14,651, an increase of 82%. The UCSF team’s estimate showed a 152% spike in that same period among injury victims aged 18 through 34 years old.\u003c/p>\n\u003cp>The analysis showed that the nationwide incidence of scooter operator injuries skyrocketed from 6 per 100,000 people in the general population in 2014 to 19 per 100,000 in 2018.\u003c/p>\n\u003cp>The UCSF study team derived its estimates by looking at five years of statistics on scooter-related accidents from \u003ca href=\"https://www.cpsc.gov/Research--Statistics/NEISS-Injury-Data\" target=\"_blank\" rel=\"noopener noreferrer\">a national database\u003c/a> that collects reports from about 100 representative hospital emergency departments.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Beyond the sudden spike in the overall number of riders hurt in scooter mishaps, the study published Wednesday in the January edition of JAMA Surgery noted that 32% of the cases in 2018 involved head injuries. That’s double the rate at which cyclists suffer head injuries in crashes.\u003c/p>\n\u003cp>Dr. Benjamin Breyer, a UCSF urologist and a study co-author, said the rate of head injuries is especially concerning. He and his fellow researchers said in their analysis that e-scooter firms “should facilitate and encourage helmet use by increasing helmet access.”\u003c/p>\n\u003cp>The UCSF statistics align roughly with earlier research that has shown high rates of head injuries and very low helmet use among scooter riders.\u003c/p>\n\u003cp>The analysis notes, in passing, two prior studies — \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2722574?guestAccessKey=c8d43986-1131-4af7-b3bc-a9f9415cd3b3\" target=\"_blank\" rel=\"noopener noreferrer\">the first\u003c/a> from Southern California, \u003ca href=\"https://tsaco.bmj.com/content/4/1/e000337\" target=\"_blank\" rel=\"noopener noreferrer\">a second\u003c/a> using data from three unidentified trauma centers — that estimated just 2% to 4% of injured scooter riders were wearing helmets when they were hurt.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A \u003ca href=\"https://www.austintexas.gov/sites/default/files/files/Health/Epidemiology/APH_Dockless_Electric_Scooter_Study_5-2-19.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">third study\u003c/a> not referenced in the UCSF report reviewed the cases of 190 scooter riders injured in Austin, Texas, during a three-month period in 2018. It found just one of the riders was using a helmet.\u003c/p>\n\u003cp>“There’s a lot of positives about the scooters,” Breyer said in an interview Tuesday. “It promotes active commuting, which is good for your health. It’s good for the environment. It’s good for traffic congestion. But I think helmet distribution and helmet usage needs to be made more convenient. People just need to understand that when trauma happens with scooters, very frequently head trauma is involved, and that can lead to very serious long-term consequences.”\u003c/p>\n\u003cp>The Micromobility Coalition, a trade group founded by Lime and Uber, said in a statement that UCSF’s analysis “is an appreciated addition to the information available.” The statement added that e-scooter firms are “promoting helmet use through their apps, online channels, demonstration events, and helmet distribution.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In a separate statement, Lime noted that it has given away 250,000 helmets and is partnering with helmet makers to offer half-priced safety headgear.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>When BJ Miller was a sophomore at Princeton University, he climbed atop a commuter train that had been parked for the night. What began as a lark took a tragic turn when 11,000 volts of electricity suddenly surged through his body.\u003c/p>\n\u003cp>“There was a big explosion, a big flash of light, and I was thrown … quite some distance,” Miller says. “My body was literally smoking.”\u003c/p>\n\u003cp>Miller survived that 1990 accident but lost both legs below the knee and half of one arm. Coming close to death and dealing with pain and disability inspired him to go into medicine and the field of \u003ca href=\"https://www.npr.org/tags/499181710/disability-rights\">disability rights\u003c/a>.\u003c/p>\n\u003cp>As a \u003ca href=\"https://www.npr.org/tags/134950354/palliative-care/archive?date=12-31-2013\">palliative care\u003c/a> physician at UCSF’s Cancer Center, \u003ca href=\"https://www.sfchronicle.com/news/article/BJ-Miller-pain-doctor-at-the-Zen-Hospice-Project-2369267.php\">Miller draws on his own experiences\u003c/a> to help people with their physical, emotional and spiritual pain at the end of their lives. His new book, with co-author Shoshana Berger, is \u003cem>A Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death.\u003c/em>\u003c/p>\n\u003cp>Miller says it’s hard for him to regret the accident that changed his life.\u003c/p>\n\u003cp>“So much has flowed from it,” he says. “If I’m honest, there’s a little bit of pride. … [What] I’m a little proud of is the decision to work with this experience over time, to dig into it, to mine it, to find a creative energy in it.”\u003c/p>\n\u003chr>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>Interview highlights\u003c/strong>\u003c/h3>\n\u003cp>\u003cstrong>On how growing up with his mother, who had polio, influenced him\u003c/strong>\u003c/p>\n\u003cp>To grow up around disability from a young age, to have that carved into your worldview was, you can imagine, hugely helpful for me as a 19-year-old kid with ostensibly everything going for him. … To know in your bones that you’re on borrowed time with being “able-bodied” — I knew that. I didn’t have to learn that, and that was a huge advantage. …\u003c/p>\n\u003cp>In my early childhood, she used crutches and a brace and was extremely physically capable. And then, over time, from the early ’80s on, it’s just been a very slow decline to the point now where she really requires an electric wheelchair, has a little bit of ability to stand, but not for very long, etc. …\u003c/p>\n\u003cp>People think you’re Jesus because you’ve gone through something special. They treat you like you’ve got special knowledge, or they treat you a little bit like Frankenstein. Of course, those two responses are related. Neither of them is accurate. But that’s the kind of vibe you can get — a lot of us who have disabilities know very well. And I had seen that. I knew how to read that, thanks to my mother.\u003c/p>\n\u003cp>\u003cstrong>On deciding to pursue palliative medicine \u003c/strong>\u003c/p>\n\u003cp>I started doing a little work [in] arts advocacy and disability rights. But basically … thanks to the disability rights movement, I realized that disability is not something to be ashamed of. It’s not something to overcome, to put behind you — it’s something to work with. It doesn’t go away. I can’t overcome this; it’s my daily experience. So instead the compulsion was to work with it — in a professional way that I could make a living. And medicine lit up, theoretically, as a way where I could use these experiences and pay them forward in some way or draw from them — not overcome them and put them behind me.\u003c/p>\n\u003cp>[aside label=\"Related Coverage\" postID=news_11784435,futureofyou_443966,stateofhealth_364223]\u003c/p>\n\u003cp>\u003cstrong>On palliative care and the treatment of suffering \u003c/strong>\u003c/p>\n\u003cp>That’s why I think hospice and palliative medicine is so interesting. You don’t just treat pain. You treat suffering. Suffering is a multiheaded beast. … Basically palliative care is the treatment of suffering, versus the rest of medicine as the treatment of disease. …\u003c/p>\n\u003cp>So what is suffering? Well, suffering, there’s a lot of different ways to define it. \u003ca href=\"https://www.bmj.com/content/suppl/2005/07/18/331.7509.DC1\">Cicely Saunders\u003c/a>, the grandmother of hospice work, she called it “total pain.” That [it has] a physical component, a psychological and emotional component, a spiritual component. It’s a multiheaded entity. One might say it affects how you see yourself. It affects your identity. I’ve come to understand suffering as a wedge — a gap that opens up in you. The gap between the world you have and the world you want. So, it gets at your desire, it gets at your longing, it gets at what you’re lacking.\u003c/p>\n\u003cp>\u003cstrong>On finding the balance between life and death, and joy and sorrow\u003c/strong>\u003c/p>\n\u003cp>Coming out of the back side of the experience of my own injuries, my own brush with death, etc., I came out of there eventually holding life much more loosely. So it didn’t teach me to cling to life with my fingernails, that that was the way through. It taught me some adult trick of simultaneously holding on to opposing emotions. …\u003c/p>\n\u003cp>Grief does this. But anyone who’s dealt with pain — chronic pain — when the clouds part even for a moment and you have the absence of pain, it’s a stunning feeling. I remember feeling that I really wanted to stay close to that interface between joy and sorrow, between pain and pleasure, between life and death. It felt like such a rich, rich place that I had been forced into. I had to hang out there for a while, but I became a little enamored of it, because from there I could just as easily get to sorrow as I could get to joy. And that to me has felt like a kind of a dexterity or an agility, something very good. … So death is close by, pain is close by — so is the rest of life. So is the good stuff. That zone, it helps me imagine what my patients are going through, being close to death.\u003c/p>\n\u003cp>\u003cstrong>On how he helps his patients with both their fear of dying and their fear of being dead \u003c/strong>\u003c/p>\n\u003cp>Fear helps point to the things that you care about, the things you love, the things you’re afraid to lose. Fear is a big important subject and really requires and demands looking at. The sooner we do, the better, because oftentimes it’s not so darn scary. … It’s helpful when patients will confess some fear to me. … People say, “Actually I’m afraid of the pain I imagine is going to happen during the dying process.” So the fear of dying, the fear of the dying process. That’s an important distinction, because any hospice and palliative medicine team can do a lot to quell the pain and the sorrow that happens during the dying process. We have medications. We have ways of being with each other. We have ways of positioning your body. There’s all sorts of things to do, so suffering is not necessarily part of the dying process. And there’s a lot of reassurance. … We understand that process pretty well, and there’s a lot we can do. So that’s an important distinction. That’s pretty concrete. That’s knowable.\u003c/p>\n\u003cp>Now, some of my patients will say, “That’s one thing. But I’m actually afraid of being dead. I’m afraid of being in the ground. I’m afraid of what comes next or whatever else.” Then my response, of course, is, “Well, gosh, I don’t know what that’s like either. But let’s think about it. Let’s talk about it.” And when we push on that one, I think most of us can get to a place where we realize that we’re not just our bodies — and our bodies, once they’re dead, aren’t likely to be feeling anything.\u003c/p>\n\u003cp>But when you push on that one, you can open up [about] what is known as [the] modern acronym of FOMO — fear of missing out. That’s very often at the heart of people’s fear of being dead — like all that they’re going to miss. And this idea that the world is going to continue on without them, all the things they’re not going to get to see, etc. But if you go there, then what has that done? That has pointed us very squarely to all the things we love and care about. And then that becomes a nice compass for our way forward, how we’re going to live until we die. The fear there, the things we are afraid to miss, are the things we really should uptick in terms of our attention now.\u003c/p>\n\u003cp>\u003cem>Sam Briger and Joel Wolfram produced and edited this interview for broadcast. Bridget Bentz, Molly Seavy-Nesper and Deborah Franklin adapted it for the Web.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Fresh Air. To see more, visit \u003ca href=\"http://www.npr.org/programs/fresh-air/\">Fresh Air\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+A+Freak+Accident%2C+A+Doctor+Finds+Insight+Into+%27Living+Life+And+Facing+Death%27&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When BJ Miller was a sophomore at Princeton University, he climbed atop a commuter train that had been parked for the night. What began as a lark took a tragic turn when 11,000 volts of electricity suddenly surged through his body.\u003c/p>\n\u003cp>“There was a big explosion, a big flash of light, and I was thrown … quite some distance,” Miller says. “My body was literally smoking.”\u003c/p>\n\u003cp>Miller survived that 1990 accident but lost both legs below the knee and half of one arm. Coming close to death and dealing with pain and disability inspired him to go into medicine and the field of \u003ca href=\"https://www.npr.org/tags/499181710/disability-rights\">disability rights\u003c/a>.\u003c/p>\n\u003cp>As a \u003ca href=\"https://www.npr.org/tags/134950354/palliative-care/archive?date=12-31-2013\">palliative care\u003c/a> physician at UCSF’s Cancer Center, \u003ca href=\"https://www.sfchronicle.com/news/article/BJ-Miller-pain-doctor-at-the-Zen-Hospice-Project-2369267.php\">Miller draws on his own experiences\u003c/a> to help people with their physical, emotional and spiritual pain at the end of their lives. His new book, with co-author Shoshana Berger, is \u003cem>A Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death.\u003c/em>\u003c/p>\n\u003cp>Miller says it’s hard for him to regret the accident that changed his life.\u003c/p>\n\u003cp>“So much has flowed from it,” he says. “If I’m honest, there’s a little bit of pride. … [What] I’m a little proud of is the decision to work with this experience over time, to dig into it, to mine it, to find a creative energy in it.”\u003c/p>\n\u003chr>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>Interview highlights\u003c/strong>\u003c/h3>\n\u003cp>\u003cstrong>On how growing up with his mother, who had polio, influenced him\u003c/strong>\u003c/p>\n\u003cp>To grow up around disability from a young age, to have that carved into your worldview was, you can imagine, hugely helpful for me as a 19-year-old kid with ostensibly everything going for him. … To know in your bones that you’re on borrowed time with being “able-bodied” — I knew that. I didn’t have to learn that, and that was a huge advantage. …\u003c/p>\n\u003cp>In my early childhood, she used crutches and a brace and was extremely physically capable. And then, over time, from the early ’80s on, it’s just been a very slow decline to the point now where she really requires an electric wheelchair, has a little bit of ability to stand, but not for very long, etc. …\u003c/p>\n\u003cp>People think you’re Jesus because you’ve gone through something special. They treat you like you’ve got special knowledge, or they treat you a little bit like Frankenstein. Of course, those two responses are related. Neither of them is accurate. But that’s the kind of vibe you can get — a lot of us who have disabilities know very well. And I had seen that. I knew how to read that, thanks to my mother.\u003c/p>\n\u003cp>\u003cstrong>On deciding to pursue palliative medicine \u003c/strong>\u003c/p>\n\u003cp>I started doing a little work [in] arts advocacy and disability rights. But basically … thanks to the disability rights movement, I realized that disability is not something to be ashamed of. It’s not something to overcome, to put behind you — it’s something to work with. It doesn’t go away. I can’t overcome this; it’s my daily experience. So instead the compulsion was to work with it — in a professional way that I could make a living. And medicine lit up, theoretically, as a way where I could use these experiences and pay them forward in some way or draw from them — not overcome them and put them behind me.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>On palliative care and the treatment of suffering \u003c/strong>\u003c/p>\n\u003cp>That’s why I think hospice and palliative medicine is so interesting. You don’t just treat pain. You treat suffering. Suffering is a multiheaded beast. … Basically palliative care is the treatment of suffering, versus the rest of medicine as the treatment of disease. …\u003c/p>\n\u003cp>So what is suffering? Well, suffering, there’s a lot of different ways to define it. \u003ca href=\"https://www.bmj.com/content/suppl/2005/07/18/331.7509.DC1\">Cicely Saunders\u003c/a>, the grandmother of hospice work, she called it “total pain.” That [it has] a physical component, a psychological and emotional component, a spiritual component. It’s a multiheaded entity. One might say it affects how you see yourself. It affects your identity. I’ve come to understand suffering as a wedge — a gap that opens up in you. The gap between the world you have and the world you want. So, it gets at your desire, it gets at your longing, it gets at what you’re lacking.\u003c/p>\n\u003cp>\u003cstrong>On finding the balance between life and death, and joy and sorrow\u003c/strong>\u003c/p>\n\u003cp>Coming out of the back side of the experience of my own injuries, my own brush with death, etc., I came out of there eventually holding life much more loosely. So it didn’t teach me to cling to life with my fingernails, that that was the way through. It taught me some adult trick of simultaneously holding on to opposing emotions. …\u003c/p>\n\u003cp>Grief does this. But anyone who’s dealt with pain — chronic pain — when the clouds part even for a moment and you have the absence of pain, it’s a stunning feeling. I remember feeling that I really wanted to stay close to that interface between joy and sorrow, between pain and pleasure, between life and death. It felt like such a rich, rich place that I had been forced into. I had to hang out there for a while, but I became a little enamored of it, because from there I could just as easily get to sorrow as I could get to joy. And that to me has felt like a kind of a dexterity or an agility, something very good. … So death is close by, pain is close by — so is the rest of life. So is the good stuff. That zone, it helps me imagine what my patients are going through, being close to death.\u003c/p>\n\u003cp>\u003cstrong>On how he helps his patients with both their fear of dying and their fear of being dead \u003c/strong>\u003c/p>\n\u003cp>Fear helps point to the things that you care about, the things you love, the things you’re afraid to lose. Fear is a big important subject and really requires and demands looking at. The sooner we do, the better, because oftentimes it’s not so darn scary. … It’s helpful when patients will confess some fear to me. … People say, “Actually I’m afraid of the pain I imagine is going to happen during the dying process.” So the fear of dying, the fear of the dying process. That’s an important distinction, because any hospice and palliative medicine team can do a lot to quell the pain and the sorrow that happens during the dying process. We have medications. We have ways of being with each other. We have ways of positioning your body. There’s all sorts of things to do, so suffering is not necessarily part of the dying process. And there’s a lot of reassurance. … We understand that process pretty well, and there’s a lot we can do. So that’s an important distinction. That’s pretty concrete. That’s knowable.\u003c/p>\n\u003cp>Now, some of my patients will say, “That’s one thing. But I’m actually afraid of being dead. I’m afraid of being in the ground. I’m afraid of what comes next or whatever else.” Then my response, of course, is, “Well, gosh, I don’t know what that’s like either. But let’s think about it. Let’s talk about it.” And when we push on that one, I think most of us can get to a place where we realize that we’re not just our bodies — and our bodies, once they’re dead, aren’t likely to be feeling anything.\u003c/p>\n\u003cp>But when you push on that one, you can open up [about] what is known as [the] modern acronym of FOMO — fear of missing out. That’s very often at the heart of people’s fear of being dead — like all that they’re going to miss. And this idea that the world is going to continue on without them, all the things they’re not going to get to see, etc. But if you go there, then what has that done? That has pointed us very squarely to all the things we love and care about. And then that becomes a nice compass for our way forward, how we’re going to live until we die. The fear there, the things we are afraid to miss, are the things we really should uptick in terms of our attention now.\u003c/p>\n\u003cp>\u003cem>Sam Briger and Joel Wolfram produced and edited this interview for broadcast. Bridget Bentz, Molly Seavy-Nesper and Deborah Franklin adapted it for the Web.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Fresh Air. To see more, visit \u003ca href=\"http://www.npr.org/programs/fresh-air/\">Fresh Air\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+A+Freak+Accident%2C+A+Doctor+Finds+Insight+Into+%27Living+Life+And+Facing+Death%27&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Concerns for LGBTQ Care, Reproductive Services, Lead UCSF to Nix Closer Ties With Dignity Health",
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"content": "\u003cp>UCSF Medical Center officials said Tuesday they no longer would pursue a \u003ca href=\"https://khn.org/news/will-ties-to-a-catholic-hospital-system-tie-doctors-hands/\" target=\"_blank\" rel=\"noopener\">formal affiliation\u003c/a> with Dignity Health, a large Catholic health care system that restricts care on the basis of religious doctrine.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr. Daniel Grossman, a professor of obstetrics and gynecology']‘Particularly in this moment when the rights of women and LGBT folks are under attack, this [affiliation] was just not the right decision, and I’m glad they recognized that.’[/pullquote]The decision follows months of heated protest from hundreds of UCSF faculty and staffers who argued that such an arrangement would compromise patient care and threaten the famously progressive health system’s reputation as a provider of unbiased and evidence‐based care.\u003c/p>\n\u003cp>In a \u003ca href=\"https://khn.org/wp-content/uploads/sites/2/2019/05/Statement_DH_5.28.193.pdf\" target=\"_blank\" rel=\"noopener\">letter to staff\u003c/a> announcing the decision to end negotiations, UCSF Chancellor Sam Hawgood and UCSF Health President and CEO Mark Laret cited “strong concerns about a significantly expanded UCSF relationship with a health care system that has certain limits on women’s reproductive services, LGBTQ care, and end‐of‐life options.”\u003c/p>\n\u003cp>Among other prohibitions, Dignity hospitals ban in vitro fertilization, physician‐assisted death and abortions (unless the mother’s life is at risk).\u003c/p>\n\u003cp>Twenty‐four of Dignity’s 39 hospitals prohibit contraception services and gender‐affirming care for transgender people, such as hormone therapy and surgical procedures.\u003c/p>\n\u003cp>The proposal sharply split faculty and the medical staff at UCSF, who aired their differences in heated public forums. Supporters of a closer alliance with Dignity said it would add capacity to a public health care system that is strapped for bed space and turns away more than 800 patients a year. They also noted that Dignity is California’s largest private provider for patients with Medi‐Cal, the state‐federal insurance program for the poor.\u003c/p>\n\u003cp>Dignity hospitals are bound by ethical and religious directives from the United States Conference of Catholic Bishops.\u003c/p>\n\u003cp>Under the proposed affiliation, UCSF would have remained independent and continued to provide such services, but UCSF physicians would have had to abide by Dignity’s care restrictions while practicing at Dignity hospitals. Dignity, meanwhile, would have benefited from operating under capacity.\u003c/p>\n\u003cp>The two systems already have a relationship among several departments, including neurology, adolescent psychology and pediatric burn care. The new proposal would have deepened the affiliation at Dignity’s four Bay Area hospitals.\u003c/p>\n\u003cp>[pullquote]“In a written statement, a Dignity Health spokesperson said system officials understand the concerns raised by UCSF faculty and others and ‘agree that we cannot move forward.’ “[/pullquote]UCSF said the decision to end negotiations was made over the past several days, following internal meetings with Dignity officials and members of the UC Board of Regents, whose approval was required. In a written statement, a Dignity Health spokesperson said system officials understand the concerns raised by UCSF faculty and others, and “agree that we cannot move forward.”\u003c/p>\n\u003cp>In April, Laret told a meeting of the UC Regents that UCSF had no “good Plan B” for adding capacity and that disengaging from the partnership would be “catastrophic for the health care delivery system in San Francisco.” On Tuesday, UCSF released an \u003ca href=\"https://khn.org/wp-content/uploads/sites/2/2019/05/UCSF-Dignity-Health-FAQ-5.28.20192.pdf\" target=\"_blank\" rel=\"noopener\">FAQ\u003c/a> saying the medical center would continue to look for new ways to work with Dignity, including in the areas of adolescent and adult psychiatry, surgical services, primary care and cancer care.\u003c/p>\n\u003cp>[aside tag='ucsf' label='More Coverage of UCSF']The proposal for formal affiliation had drawn vocal opposition from California’s lieutenant governor, some major UCSF donors and dozens of organizations advocating for reproductive rights and the gay and transgender communities.\u003c/p>\n\u003cp>“I’m really happy they made this decision,” said Dr. Daniel Grossman, a professor of obstetrics and gynecology who helped write a letter of \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2019/04/UCSF-Collaboration-with-Dignity-CHI-4.2.19.pdf\" target=\"_blank\" rel=\"noopener\">opposition\u003c/a> that was signed by more than 1,500 faculty members, residents, students and alumni. “Particularly in this moment when the rights of women and LGBT folks are under attack, this [affiliation] was just not the right decision, and I’m glad they recognized that. It’s important that California remain a haven state for these services.”\u003c/p>\n\u003cp>But Grossman said he remains concerned about UCSF’s ongoing collaboration with Dignity, and the possibility it still could expand.\u003c/p>\n\u003cp>“We need to be vigilant and really hold them accountable moving forward,” he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The proposal for formal affiliation had drawn vocal opposition from California’s lieutenant governor, some major UCSF donors and dozens of organizations advocating for reproductive rights and the gay and transgender communities.\u003c/p>\n\u003cp>“I’m really happy they made this decision,” said Dr. Daniel Grossman, a professor of obstetrics and gynecology who helped write a letter of \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2019/04/UCSF-Collaboration-with-Dignity-CHI-4.2.19.pdf\" target=\"_blank\" rel=\"noopener\">opposition\u003c/a> that was signed by more than 1,500 faculty members, residents, students and alumni. “Particularly in this moment when the rights of women and LGBT folks are under attack, this [affiliation] was just not the right decision, and I’m glad they recognized that. It’s important that California remain a haven state for these services.”\u003c/p>\n\u003cp>But Grossman said he remains concerned about UCSF’s ongoing collaboration with Dignity, and the possibility it still could expand.\u003c/p>\n\u003cp>“We need to be vigilant and really hold them accountable moving forward,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Gold Standard Asthma Treatment May Not Be Effective for Most Patients With Mild Asthma",
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"content": "\u003cp>Steroid inhalers commonly used by asthma patients to prevent and reduce asthma attacks may not work any better than placebo, according to a new study published Sunday in the New England Journal of Medicine.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Dr. Stephen Lazarus, UCSF']'We may be giving people steroids, subjecting them to potential adverse effects and the increased costs without a significant clinical benefit.'[/pullquote]Synthetic corticosteroids mimic the steroid hormone cortisol, reducing inflammation in the airways. But the drug targets a type of inflammation that may be found in far fewer patients than previously thought. Among those patients, more than half did just as well or better on placebo as they did on the steroid inhaler, the research found.\u003c/p>\n\u003cp>“We’re suggesting that it’s time to re-evaluate what the standard recommended form of treatment is for these milder patients,” said Dr. Stephen Lazarus, a pulmonologist at the University of California, San Francisco, and the study's lead author.\u003c/p>\n\u003cfigure id=\"attachment_11748154\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11748154\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/IMG_4151-800x600.jpg\" alt=\"Dr. Stephen Lazarus, of UCSF, and his team studied 300 patients with mild asthma. \" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Dr. Stephen Lazarus, of UCSF, and his team studied 300 patients with mild asthma. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since the early 1990s, international guidelines for treating patients with mild, persistent asthma has been to use a low-dose steroid inhaler twice a day. The recommendations were based mainly on studies of people with severe asthma, but the thinking was, if people with mild symptoms used the steroid inhaler early on, it would prevent damage to their airways later.\u003c/p>\n\u003cp>But when the medications didn’t seem to reduce asthma attacks, doctors blamed the patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“For many years, I think we’ve attributed their poor asthma control to the fact that they weren’t taking their medicines, and it may be that many of them were taking their medicines, they just weren’t working,” Lazarus said.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Suzanne Leigh, asthma patient']'I don’t know where I go from here. Do I continue with the medication or do I stop and end up in the emergency department?'[/pullquote]Lazarus and his team studied 300 patients with mild asthma. The vast majority, 73%, did not have type two inflammation — an inflammation characterized by a high level of eosinophilic white blood cells, which are believed to be much more prevalent among asthma patients.\u003c/p>\n\u003cp>Of those patients, 66% did just as well, or better, on placebo as the steroid inhaler, mometasone, in terms of urgent care visits, days when they had trouble breathing or woke up in the middle of the night unable to breathe.\u003c/p>\n\u003cp>Merck, the drug company that makes mometasone, declined to comment on the study.\u003c/p>\n\u003cp>“We may be giving people steroids, subjecting them to potential adverse effects and the increased costs without a significant clinical benefit,” Lazarus said.\u003c/p>\n\u003cfigure id=\"attachment_11748152\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11748152 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/IMG_4147-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Dr. Stephen Lazarus, of UCSF, said said, a bigger, longer study is needed before any major clinical changes are made to treatments for mild asthma. April Dembosky/KQED\u003c/figcaption>\u003c/figure>\n\u003cp>While inhaled steroids are generally safe, there is some risk for bone loss, cataracts, glaucoma and thinning of the skin.\u003c/p>\n\u003cp>Bone loss has long been a concern for asthma patient Suzanne Leigh.\u003c/p>\n\u003cp>“I’m a low-BMI, white woman with a history of auto-immune disease, which puts me at high risk for osteoporosis,” she said.\u003c/p>\n\u003cp>[pullquote]'While inhaled steroids are generally safe, there is some risk for bone loss, cataracts, glaucoma and thinning of the skin.'[/pullquote]Leigh works in UCSF’s media department and when she read the study, she was frustrated. She uses an asthma inhaler that costs $500 and puts her at risk of breaking a hip in a few years. And it may not even work?\u003c/p>\n\u003cp>“I don’t know where I go from here,” she said. “Do I continue with the medication or do I stop and end up in the emergency department?”\u003c/p>\n\u003cp>While the study certainly suggests the paradigm on treatments for mild asthma may shift, Dr. Lazarus said, a bigger, longer study is needed before any major clinical changes are made.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If someone has evidence of episodic, periodic asthma and asthma exacerbations that lead to emergency department visits and they respond when treated with inhaled steroids, then it kind of doesn’t matter what the lab test shows,” he said. “If they have a clinical response that is genuine, that probably is an appropriate treatment regimen.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Steroid inhalers commonly used by asthma patients to prevent and reduce asthma attacks may not work any better than placebo, according to a new study published Sunday in the New England Journal of Medicine.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Synthetic corticosteroids mimic the steroid hormone cortisol, reducing inflammation in the airways. But the drug targets a type of inflammation that may be found in far fewer patients than previously thought. Among those patients, more than half did just as well or better on placebo as they did on the steroid inhaler, the research found.\u003c/p>\n\u003cp>“We’re suggesting that it’s time to re-evaluate what the standard recommended form of treatment is for these milder patients,” said Dr. Stephen Lazarus, a pulmonologist at the University of California, San Francisco, and the study's lead author.\u003c/p>\n\u003cfigure id=\"attachment_11748154\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11748154\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/IMG_4151-800x600.jpg\" alt=\"Dr. Stephen Lazarus, of UCSF, and his team studied 300 patients with mild asthma. \" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Dr. Stephen Lazarus, of UCSF, and his team studied 300 patients with mild asthma. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since the early 1990s, international guidelines for treating patients with mild, persistent asthma has been to use a low-dose steroid inhaler twice a day. The recommendations were based mainly on studies of people with severe asthma, but the thinking was, if people with mild symptoms used the steroid inhaler early on, it would prevent damage to their airways later.\u003c/p>\n\u003cp>But when the medications didn’t seem to reduce asthma attacks, doctors blamed the patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“For many years, I think we’ve attributed their poor asthma control to the fact that they weren’t taking their medicines, and it may be that many of them were taking their medicines, they just weren’t working,” Lazarus said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Lazarus and his team studied 300 patients with mild asthma. The vast majority, 73%, did not have type two inflammation — an inflammation characterized by a high level of eosinophilic white blood cells, which are believed to be much more prevalent among asthma patients.\u003c/p>\n\u003cp>Of those patients, 66% did just as well, or better, on placebo as the steroid inhaler, mometasone, in terms of urgent care visits, days when they had trouble breathing or woke up in the middle of the night unable to breathe.\u003c/p>\n\u003cp>Merck, the drug company that makes mometasone, declined to comment on the study.\u003c/p>\n\u003cp>“We may be giving people steroids, subjecting them to potential adverse effects and the increased costs without a significant clinical benefit,” Lazarus said.\u003c/p>\n\u003cfigure id=\"attachment_11748152\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11748152 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/IMG_4147-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Dr. Stephen Lazarus, of UCSF, said said, a bigger, longer study is needed before any major clinical changes are made to treatments for mild asthma. April Dembosky/KQED\u003c/figcaption>\u003c/figure>\n\u003cp>While inhaled steroids are generally safe, there is some risk for bone loss, cataracts, glaucoma and thinning of the skin.\u003c/p>\n\u003cp>Bone loss has long been a concern for asthma patient Suzanne Leigh.\u003c/p>\n\u003cp>“I’m a low-BMI, white woman with a history of auto-immune disease, which puts me at high risk for osteoporosis,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Leigh works in UCSF’s media department and when she read the study, she was frustrated. She uses an asthma inhaler that costs $500 and puts her at risk of breaking a hip in a few years. And it may not even work?\u003c/p>\n\u003cp>“I don’t know where I go from here,” she said. “Do I continue with the medication or do I stop and end up in the emergency department?”\u003c/p>\n\u003cp>While the study certainly suggests the paradigm on treatments for mild asthma may shift, Dr. Lazarus said, a bigger, longer study is needed before any major clinical changes are made.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If someone has evidence of episodic, periodic asthma and asthma exacerbations that lead to emergency department visits and they respond when treated with inhaled steroids, then it kind of doesn’t matter what the lab test shows,” he said. “If they have a clinical response that is genuine, that probably is an appropriate treatment regimen.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>When it comes to treating opioid addiction, most health care experts say nurses have a critical role to play in prescribing the lifesaving medication buprenorphine.\u003c/p>\n\u003cp>Buprenorphine can be prescribed by both doctors and nurses who have taken specific training and received a license from the Drug Enforcement Administration.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr.David Aizuss, California Medical Association']‘What we don’t support is sending nurse practitioners out into individual communities, opening up storefronts to practice essentially independent medicine, when they’re not trained for that.’[/pullquote]\u003c/p>\n\u003cp>In California, however, the role of nurses is limited: They can prescribe the medicine, but only under the oversight of a doctor. That requirement is controversial. Some say it is an extra hurdle that restricts access to medications, while others say it is an appropriate limit of a nurse’s scope of care.\u003c/p>\n\u003cp>A\u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2730102?resultClick=1\" target=\"_blank\" rel=\"noopener\"> study\u003c/a> published in the medical journal JAMA in April found that states without a physician-oversight requirement to prescribe buprenorphine have more nurses getting licensed to distribute the medication — 75% more than nurse practitioners in states with the restriction.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“An important part of addressing the opioid crisis is helping people access treatment when they need it,” said \u003ca href=\"https://healthforce.ucsf.edu/about-us/joanne-spetz\" target=\"_blank\" rel=\"noopener\">Joanne Spetz,\u003c/a> associate director of research at UCSF’s Healthforce Center, who co-authored the study.\u003c/p>\n\u003cp>And nurses play a big role in that.\u003c/p>\n\u003cp>“There are numerous studies that show that the quality of nurse practitioner care for primary care and for the areas in which they are trained and prepared is as good as a physician,” Spetz said.\u003c/p>\n\u003cp>[aside tag='opioids' label='More Coverage of the Opioid Crisis']\u003c/p>\n\u003cp>More than 47,000 people died from an opioid overdose nationwide in 2017, according to \u003ca href=\"https://www.cdc.gov/drugoverdose/data/index.html\" target=\"_blank\" rel=\"noopener\">the most recent data\u003c/a>. The gold standard for treating this addiction is medication and counseling. Yet the majority of the roughly 2 million people with opioid addiction \u003ca href=\"https://www.nap.edu/resource/25310/032019_OUDhighlights.pdf\" target=\"_blank\" rel=\"noopener\">cannot access these medications\u003c/a>, like buprenorphine.\u003c/p>\n\u003cp>California is the only Western state with this doctor supervision requirement as it applies to buprenorphine.\u003c/p>\n\u003cp>\u003ca href=\"https://a02.asmdc.org/\" target=\"_blank\" rel=\"noopener\">Assemblyman Jim Wood\u003c/a> authored \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB890\" target=\"_blank\" rel=\"noopener\">a bill\u003c/a> that would authorize a nationally certified nurse practitioner to provide specific medical services without physician oversight, including prescribing buprenorphine.\u003c/p>\n\u003cp>Wood represents counties in the northwest part of the state, where opioid overdose death rates are \u003ca href=\"https://discovery.cdph.ca.gov/CDIC/ODdash/\" target=\"_blank\" rel=\"noopener\">higher than the national average\u003c/a>.\u003c/p>\n\u003cp>Some of the rural counties Wood represents have a dearth of health care providers.\u003c/p>\n\u003cp>“We’ve had primary care shortages, and over the last seven or eight years it’s actually gotten worse,” Wood said.\u003c/p>\n\u003cp>He sees nurse practitioners as an important way to fill that gap: “We need that workforce.”\u003c/p>\n\u003cp>Wood’s bill follows recommendations made by the \u003ca href=\"https://futurehealthworkforce.org/\" target=\"_blank\" rel=\"noopener\">California Future Health Workforce Commission\u003c/a>, a group of experts in the fields of health, labor and education. The coalition released \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/ExecutiveSummaryFinalReportCFHWC.pdf\" target=\"_blank\" rel=\"noopener\">a report\u003c/a> in February highlighting a mismatch between the state’s health care needs, and both the supply and type of health care workers available.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Joanne Spetz, UCSF’s Healthforce Center']‘An important part of addressing the opioid crisis is helping people access treatment when they need it.’[/pullquote]\u003c/p>\n\u003cp>The report predicts California will be short more than 4,000 doctors in the next decade. One of the group’s suggestions to address the deficiency in primary care? Expand the authority of nurse practitioners.\u003c/p>\n\u003cp>But Dr. David Aizuss, president of the California Medical Association, said the legislation was not the way to plug that gap.\u003c/p>\n\u003cp>“There’s no doubt in my mind that nurse practitioners have a role as part of team-based medical care for providing care for patients,” he said. “What we don’t support is sending nurse practitioners out into individual communities, opening up storefronts to practice essentially independent medicine, when they’re not trained for that.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Aizuss said his group has worked on other solutions to the rural health care shortage, like creating more positions for primary care residents in California, and loan forgiveness programs for doctors who work with high numbers of low-income patients who rely on Medi-Cal.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than 47,000 people died from an opioid overdose nationwide in 2017, according to \u003ca href=\"https://www.cdc.gov/drugoverdose/data/index.html\" target=\"_blank\" rel=\"noopener\">the most recent data\u003c/a>. The gold standard for treating this addiction is medication and counseling. Yet the majority of the roughly 2 million people with opioid addiction \u003ca href=\"https://www.nap.edu/resource/25310/032019_OUDhighlights.pdf\" target=\"_blank\" rel=\"noopener\">cannot access these medications\u003c/a>, like buprenorphine.\u003c/p>\n\u003cp>California is the only Western state with this doctor supervision requirement as it applies to buprenorphine.\u003c/p>\n\u003cp>\u003ca href=\"https://a02.asmdc.org/\" target=\"_blank\" rel=\"noopener\">Assemblyman Jim Wood\u003c/a> authored \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB890\" target=\"_blank\" rel=\"noopener\">a bill\u003c/a> that would authorize a nationally certified nurse practitioner to provide specific medical services without physician oversight, including prescribing buprenorphine.\u003c/p>\n\u003cp>Wood represents counties in the northwest part of the state, where opioid overdose death rates are \u003ca href=\"https://discovery.cdph.ca.gov/CDIC/ODdash/\" target=\"_blank\" rel=\"noopener\">higher than the national average\u003c/a>.\u003c/p>\n\u003cp>Some of the rural counties Wood represents have a dearth of health care providers.\u003c/p>\n\u003cp>“We’ve had primary care shortages, and over the last seven or eight years it’s actually gotten worse,” Wood said.\u003c/p>\n\u003cp>He sees nurse practitioners as an important way to fill that gap: “We need that workforce.”\u003c/p>\n\u003cp>Wood’s bill follows recommendations made by the \u003ca href=\"https://futurehealthworkforce.org/\" target=\"_blank\" rel=\"noopener\">California Future Health Workforce Commission\u003c/a>, a group of experts in the fields of health, labor and education. The coalition released \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/ExecutiveSummaryFinalReportCFHWC.pdf\" target=\"_blank\" rel=\"noopener\">a report\u003c/a> in February highlighting a mismatch between the state’s health care needs, and both the supply and type of health care workers available.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Trump administration is pushing back on a \u003ca href=\"https://www.washingtonpost.com/national/health-science/trump-administration-threatens-future-of-hiv-research-hub/2018/12/04/f2e8e0ec-f7dd-11e8-863c-9e2f864d47e7_story.html?utm_term=.cfbea3c76cb7\">Washington Post story\u003c/a> that the federal government is moving to eliminate funding for a major UCSF research lab that tests new HIV treatments using fetal tissue.\u003c/p>\n\u003cp>The Post, citing anonymous sources outside the federal government, reported that the administration was ending the seven-year contract and that the decision was coming from the “highest levels.” That information reportedly came from an official with the National Institutes of Health.\u003c/p>\n\u003cp>“Unfortunately, the Washington Post chose to report assertions that are completely false,” said Caitlin Oakley, spokeswoman for the Department of Health and Human Services.\u003c/p>\n\u003cp>The HHS statement says no decision has been made about whether to extend or cancel the lab’s $2 million NIH contract. It said the story is based on “anonymous sources providing inaccurate information.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/444953/big-data-gives-a-boost-to-immunology-research-and-potentially-treatments\">Big Data Gives a Boost to Immunology Research and Potentially, Treatments\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/444953/big-data-gives-a-boost-to-immunology-research-and-potentially-treatments\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/10/iStock-824219476-1180x787.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>However, the statement does confirm the UCSF contract is being audited for its compliance with regulations governing fetal tissue, which is mostly obtained from abortions.\u003c/p>\n\u003cp>The contract is set to expire today, and according to the Post, the NIH now says the contract would continue for 90 days while the review is underway.\u003c/p>\n\u003cp>The bottom line is that the laboratory’s future is “very much in limbo,” according to Amy Goldstein, the Post’s national health care policy writer. She describes the lab as being central to nearly all early testing of HIV therapies approved by the Food and Drug Administration since the 1990s.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In September, \u003ca href=\"https://www.hhs.gov/about/news/2018/09/24/statement-from-the-department-of-health-and-human-services.html\">HHS announced a broad audit\u003c/a> of all acquisitions involving fetal tissue to ensure all laws and regulations are being followed.\u003c/p>\n\u003cp>This comes amid stepped-up efforts by social conservatives to get the administration to end government support of fetal tissue research.\u003c/p>\n\u003cp>Goldstein describes the UCSF lab as a “central testing platform for assessing in animals the effectiveness and safety of chemical compounds” that seem promising for HIV treatments.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/science/1934940/fda-says-it-will-overhaul-long-criticized-system-for-approving-medical-devices\">FDA Says It Will Overhaul Long-Criticized System for Approving Medical Devices\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/science/1934940/fda-says-it-will-overhaul-long-criticized-system-for-approving-medical-devices\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2018/11/iStock-700219242-1180x787.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>The mice are implanted with small amounts of fetal tissue from the thymus glands. The thymus is critical because it produce T-cells — which become depleted in people and mice infected with HIV.\u003c/p>\n\u003cp>Eventually, the mice grow the equivalent of a human thymus, which researchers can use to test drugs to see which are effective and safe. Goldstein reports that this is the only lab doing this work under an NIH grant — and this grant is the sole source of funding for the lab.\u003c/p>\n\u003cp>In a statement, UCSF would not comment on the Post’s story, but the UC Office of the President called fetal tissue “vital to finding treatment and cures for a wide variety of adult and childhood diseases and medical conditions.”\u003c/p>\n\u003cp>Fetal tissue research has long been controversial. Federal funding of this type of research was banned in the 1980s.\u003c/p>\n\u003cp>The tissue comes from women who have had elective abortions. Opponents of this research argue the use of fetal tissue increases the rate of abortions in the country. Researchers counter that there is no evidence to back up that claim, according to Goldstein.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Trump administration is pushing back on a \u003ca href=\"https://www.washingtonpost.com/national/health-science/trump-administration-threatens-future-of-hiv-research-hub/2018/12/04/f2e8e0ec-f7dd-11e8-863c-9e2f864d47e7_story.html?utm_term=.cfbea3c76cb7\">Washington Post story\u003c/a> that the federal government is moving to eliminate funding for a major UCSF research lab that tests new HIV treatments using fetal tissue.\u003c/p>\n\u003cp>The Post, citing anonymous sources outside the federal government, reported that the administration was ending the seven-year contract and that the decision was coming from the “highest levels.” That information reportedly came from an official with the National Institutes of Health.\u003c/p>\n\u003cp>“Unfortunately, the Washington Post chose to report assertions that are completely false,” said Caitlin Oakley, spokeswoman for the Department of Health and Human Services.\u003c/p>\n\u003cp>The HHS statement says no decision has been made about whether to extend or cancel the lab’s $2 million NIH contract. It said the story is based on “anonymous sources providing inaccurate information.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/444953/big-data-gives-a-boost-to-immunology-research-and-potentially-treatments\">Big Data Gives a Boost to Immunology Research and Potentially, Treatments\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/444953/big-data-gives-a-boost-to-immunology-research-and-potentially-treatments\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/10/iStock-824219476-1180x787.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>However, the statement does confirm the UCSF contract is being audited for its compliance with regulations governing fetal tissue, which is mostly obtained from abortions.\u003c/p>\n\u003cp>The contract is set to expire today, and according to the Post, the NIH now says the contract would continue for 90 days while the review is underway.\u003c/p>\n\u003cp>The bottom line is that the laboratory’s future is “very much in limbo,” according to Amy Goldstein, the Post’s national health care policy writer. She describes the lab as being central to nearly all early testing of HIV therapies approved by the Food and Drug Administration since the 1990s.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In September, \u003ca href=\"https://www.hhs.gov/about/news/2018/09/24/statement-from-the-department-of-health-and-human-services.html\">HHS announced a broad audit\u003c/a> of all acquisitions involving fetal tissue to ensure all laws and regulations are being followed.\u003c/p>\n\u003cp>This comes amid stepped-up efforts by social conservatives to get the administration to end government support of fetal tissue research.\u003c/p>\n\u003cp>Goldstein describes the UCSF lab as a “central testing platform for assessing in animals the effectiveness and safety of chemical compounds” that seem promising for HIV treatments.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/science/1934940/fda-says-it-will-overhaul-long-criticized-system-for-approving-medical-devices\">FDA Says It Will Overhaul Long-Criticized System for Approving Medical Devices\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/science/1934940/fda-says-it-will-overhaul-long-criticized-system-for-approving-medical-devices\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2018/11/iStock-700219242-1180x787.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>The mice are implanted with small amounts of fetal tissue from the thymus glands. The thymus is critical because it produce T-cells — which become depleted in people and mice infected with HIV.\u003c/p>\n\u003cp>Eventually, the mice grow the equivalent of a human thymus, which researchers can use to test drugs to see which are effective and safe. Goldstein reports that this is the only lab doing this work under an NIH grant — and this grant is the sole source of funding for the lab.\u003c/p>\n\u003cp>In a statement, UCSF would not comment on the Post’s story, but the UC Office of the President called fetal tissue “vital to finding treatment and cures for a wide variety of adult and childhood diseases and medical conditions.”\u003c/p>\n\u003cp>Fetal tissue research has long been controversial. Federal funding of this type of research was banned in the 1980s.\u003c/p>\n\u003cp>The tissue comes from women who have had elective abortions. Opponents of this research argue the use of fetal tissue increases the rate of abortions in the country. Researchers counter that there is no evidence to back up that claim, according to Goldstein.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Researchers at UC San Francisco have unveiled the largest \u003ca href=\"http://10kimmunomes.org/\" target=\"_blank\" rel=\"noopener\">searchable database\u003c/a> of immunology data, gathered from 10,000 people of various ages, ethnicity, and backgrounds. It could lead to more effective treatments for a wide range of immune disorders.[contextly_sidebar id=”lms9rSPdk5pG72xqgRdVMiGv0hv7IpdH”]\u003c/p>\n\u003cp>The new data pool represents the \u003ca href=\"https://www.cell.com/cell-reports/fulltext/S2211-1247(18)31451-7\" target=\"_blank\" rel=\"noopener\">largest control group\u003c/a> ever compiled on the human immune system, according to the study published on Tuesday in the journal, \u003cem>Cell Reports\u003c/em>.\u003c/p>\n\u003cp>Called the \u003ca href=\"http://10kimmunomes.org/\" target=\"_blank\" rel=\"noopener\">10,000 Immunomes Project\u003c/a> (10KIP), it’s the culmination of four years of work and provides an instant comparison group for researchers studying the immune system and immune dysfunction.\u003c/p>\n\u003cp>UCSF researchers created the tool using immunology data from 83 studies representing 10,000 healthy subjects, according to senior author Atul Butte, director of the \u003ca href=\"http://bakarinstitute.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">Bakar Computational Health Sciences Institute\u003c/a> at UCSF.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘If the field of genetics is able to compile large collections consisting of millions of people, why does immunology lag behind?’\u003ccite>Atul Butte, UCSF\u003c/cite>\u003c/aside>\n\u003cp>The data comes from studies on organ transplants, autoimmune disease trials, vaccine studies and other research funded by the National Institute of Allergy and Infectious Diseases (NIAID).\u003c/p>\n\u003cdiv>\n\u003cp>“We have sub-populations in the U.S. that don’t really participate in studies so why not just gather all this massive data on the immune system in one central place,” says Butte. “We can turn to this data to see what is going on in a healthy immune system spanning different populations in the U.S.”\u003c/p>\n\u003cp>Butte says the ability to manipulate immune system activity will benefit a wide range of patients, including transplant recipients, cancer and AIDS patients, and those suffering from some form of immune dysfunction.\u003c/p>\n\u003cp>Autoimmune Disease (AD) in particular, an historically underfunded field, could benefit greatly from the availability of a large and diverse control group, according to Butte.\u003c/p>\n\u003cp>\u003cstrong>Rise of Autoimmine Disease\u003c/strong>\u003c/p>\n\u003cp>AD is one of the fastest growing illnesses in the U.S., with 20 percent of the population or one in five people, suffering from the disorder.[contextly_sidebar id=”KPqEb6LD9ky4mDsIDJAEnoEvgzkEna45″]\u003c/p>\n\u003cp>Despite AD being \u003ca href=\"https://www.aarda.org/who-we-are/our-mission/\" target=\"_blank\" rel=\"noopener\">one of the top 10 leading causes\u003c/a> of death in females up to 64 years of age, research has continued to lag behind, according to Butte.\u003c/p>\n\u003cp>The National Institutes of Health\u003ca href=\"https://ww2.kqed.org/science/2018/10/09/voting-on-daylight-saving-time-animal-confinement-and-water-propositions-3-7-and-12-explained/\" target=\"_blank\" rel=\"noopener\"> has spent\u003c/a> $591 million dollars on AD research compared to the $6.1 billion spent on cancer. Current treatments consist of risky immunosuppressants that can lead to devastating long-term side effects.[contextly_sidebar id=”ZbtYikLAiggPmeNWkxr4kKECzkkjZf4Z”]\u003c/p>\n\u003cp>UCSF researchers developed the new searchable database in part to boost AD research. Typically, studies done on immune systems are smaller and it’s rare to get 10,000 participants, according to Butte.\u003c/p>\n\u003cp>Plus, the human immune system is a moving target.\u003c/p>\n\u003cp>“It’s a difficult field to study because unlike DNA for example, your immune system changes from morning to night. So which aspect of the immune system scientists focus on, and \u003cem>when\u003c/em> they study it, these are all problems we are getting better at. We just need more studies.”\u003c/p>\n\u003cp>To test their new tool, researchers created a custom control group comprised of women between 18 and 40 years of age and compared it to 56 pregnant women who participated in a prior study tracking immune changes during pregnancy.\u003c/p>\n\u003cp>Using this control group, researchers were able to detect how various immune cells and cell signaling proteins, called cytokines, changed from pre-pregnancy levels— measurements that the original study failed to pick up.\u003c/p>\n\u003cp>Researchers also used the new tool to compare immunity in people from different racial and ethnic backgrounds. The findings showed both known differences as well as new information that could only be seen by combining data from dozens of different studies.\u003c/p>\n\u003cp>For instance, researchers found that regulatory T cells, which suppress the immune response, are present at higher levels in African Americans, compared to all other groups.\u003c/p>\n\u003cp>\u003cstrong>Shareable Science\u003c/strong>\u003c/p>\n\u003cp>Butte sees the searchable database as part of a broader trend in science, promoting open access where more scientists are willing to share their raw data with others.\u003c/p>\n\u003cp>“It’s really hundreds of people who have essentially contributed to this work,” he notes.\u003c/p>\n\u003cp>Butte says he hopes his work will bring immunology to the forefront and inspire others to rethink their approach to the field.\u003c/p>\n\u003cp>“If the field of genetics is able to compile large collections consisting of millions of people,” he wonders, “why does immunology lag behind? I want to get people in the field thinking about larger collections of samples that cut across race, age and gender.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Researchers at UC San Francisco have unveiled the largest \u003ca href=\"http://10kimmunomes.org/\" target=\"_blank\" rel=\"noopener\">searchable database\u003c/a> of immunology data, gathered from 10,000 people of various ages, ethnicity, and backgrounds. It could lead to more effective treatments for a wide range of immune disorders.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The new data pool represents the \u003ca href=\"https://www.cell.com/cell-reports/fulltext/S2211-1247(18)31451-7\" target=\"_blank\" rel=\"noopener\">largest control group\u003c/a> ever compiled on the human immune system, according to the study published on Tuesday in the journal, \u003cem>Cell Reports\u003c/em>.\u003c/p>\n\u003cp>Called the \u003ca href=\"http://10kimmunomes.org/\" target=\"_blank\" rel=\"noopener\">10,000 Immunomes Project\u003c/a> (10KIP), it’s the culmination of four years of work and provides an instant comparison group for researchers studying the immune system and immune dysfunction.\u003c/p>\n\u003cp>UCSF researchers created the tool using immunology data from 83 studies representing 10,000 healthy subjects, according to senior author Atul Butte, director of the \u003ca href=\"http://bakarinstitute.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">Bakar Computational Health Sciences Institute\u003c/a> at UCSF.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘If the field of genetics is able to compile large collections consisting of millions of people, why does immunology lag behind?’\u003ccite>Atul Butte, UCSF\u003c/cite>\u003c/aside>\n\u003cp>The data comes from studies on organ transplants, autoimmune disease trials, vaccine studies and other research funded by the National Institute of Allergy and Infectious Diseases (NIAID).\u003c/p>\n\u003cdiv>\n\u003cp>“We have sub-populations in the U.S. that don’t really participate in studies so why not just gather all this massive data on the immune system in one central place,” says Butte. “We can turn to this data to see what is going on in a healthy immune system spanning different populations in the U.S.”\u003c/p>\n\u003cp>Butte says the ability to manipulate immune system activity will benefit a wide range of patients, including transplant recipients, cancer and AIDS patients, and those suffering from some form of immune dysfunction.\u003c/p>\n\u003cp>Autoimmune Disease (AD) in particular, an historically underfunded field, could benefit greatly from the availability of a large and diverse control group, according to Butte.\u003c/p>\n\u003cp>\u003cstrong>Rise of Autoimmine Disease\u003c/strong>\u003c/p>\n\u003cp>AD is one of the fastest growing illnesses in the U.S., with 20 percent of the population or one in five people, suffering from the disorder.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Despite AD being \u003ca href=\"https://www.aarda.org/who-we-are/our-mission/\" target=\"_blank\" rel=\"noopener\">one of the top 10 leading causes\u003c/a> of death in females up to 64 years of age, research has continued to lag behind, according to Butte.\u003c/p>\n\u003cp>The National Institutes of Health\u003ca href=\"https://ww2.kqed.org/science/2018/10/09/voting-on-daylight-saving-time-animal-confinement-and-water-propositions-3-7-and-12-explained/\" target=\"_blank\" rel=\"noopener\"> has spent\u003c/a> $591 million dollars on AD research compared to the $6.1 billion spent on cancer. Current treatments consist of risky immunosuppressants that can lead to devastating long-term side effects.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>UCSF researchers developed the new searchable database in part to boost AD research. Typically, studies done on immune systems are smaller and it’s rare to get 10,000 participants, according to Butte.\u003c/p>\n\u003cp>Plus, the human immune system is a moving target.\u003c/p>\n\u003cp>“It’s a difficult field to study because unlike DNA for example, your immune system changes from morning to night. So which aspect of the immune system scientists focus on, and \u003cem>when\u003c/em> they study it, these are all problems we are getting better at. We just need more studies.”\u003c/p>\n\u003cp>To test their new tool, researchers created a custom control group comprised of women between 18 and 40 years of age and compared it to 56 pregnant women who participated in a prior study tracking immune changes during pregnancy.\u003c/p>\n\u003cp>Using this control group, researchers were able to detect how various immune cells and cell signaling proteins, called cytokines, changed from pre-pregnancy levels— measurements that the original study failed to pick up.\u003c/p>\n\u003cp>Researchers also used the new tool to compare immunity in people from different racial and ethnic backgrounds. The findings showed both known differences as well as new information that could only be seen by combining data from dozens of different studies.\u003c/p>\n\u003cp>For instance, researchers found that regulatory T cells, which suppress the immune response, are present at higher levels in African Americans, compared to all other groups.\u003c/p>\n\u003cp>\u003cstrong>Shareable Science\u003c/strong>\u003c/p>\n\u003cp>Butte sees the searchable database as part of a broader trend in science, promoting open access where more scientists are willing to share their raw data with others.\u003c/p>\n\u003cp>“It’s really hundreds of people who have essentially contributed to this work,” he notes.\u003c/p>\n\u003cp>Butte says he hopes his work will bring immunology to the forefront and inspire others to rethink their approach to the field.\u003c/p>\n\u003cp>“If the field of genetics is able to compile large collections consisting of millions of people,” he wonders, “why does immunology lag behind? I want to get people in the field thinking about larger collections of samples that cut across race, age and gender.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Two new blood tests promise pregnant women an easier, more affordable way of predicting their risk for an premature delivery. The blood tests, developed by\u003ca href=\"http://med.stanford.edu/\" target=\"_blank\" rel=\"noopener\"> Stanford University School of Medicine\u003c/a> and \u003ca href=\"https://www.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">UC San Francisco\u003c/a>, look for specific biomarkers in the mother's bloodstream.[contextly_sidebar id=\"A9EcAExSSebnSiay0So2km8e4YnmN7OM\"]\u003c/p>\n\u003cp>Preterm delivery, which occurs when a baby is born before the 37th week of pregnancy, is the leading cause of death for children under 5 in the United States.\u003c/p>\n\u003cp>The \u003ca href=\"http://science.sciencemag.org/content/360/6393/1133\" target=\"_blank\" rel=\"noopener\">Stanford-led study\u003c/a>, predicts the risk of preterm birth using fetal RNA found in the mother's blood, while the \u003ca href=\"https://www.nature.com/articles/s41372-018-0112-0\" target=\"_blank\" rel=\"noopener\">UCSF study\u003c/a> focuses on inflammation markers.\u003c/p>\n\u003cp>There is currently one blood test on the market that screens for preterm risk, but it comes with serious limitations, according to \u003ca href=\"https://profiles.ucsf.edu/laura.jelliffe-pawlowski\" target=\"_blank\" rel=\"noopener\">Laura Jelliffe-Pawlowski\u003c/a>, co-author of the UCSF study and director of the \u003ca href=\"https://pretermbirth.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">UCSF California Preterm Birth Initiative\u003c/a>. The costly test screens only for spontaneous preterm births. About three quarters of preterm births occur spontaneously while 25 percent are induced due to medical complications.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We want to make sure that we're developing something that has the potential to help all women, including those most in need.’\u003ccite>Laura Jelliffe-Pawlowski, UCSF \u003c/cite>\u003c/aside>\n\u003cp>But for practitioners like \u003ca href=\"https://www.ucsfhealth.org/juan.gonzalez-velez\" target=\"_blank\" rel=\"noopener\">Dr. Juan Gonzalez\u003c/a>, a perinatologist at UCSF Medical Center, knowing whether a pregnancy is high-risk is not all that helpful without being able to adequately treat the problem.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"A patient can have a positive result but we need to know which intervention is the right intervention. This is a great finding but now we need those next steps, which are studies that focus on interventions. That's the part we don’t really know.\"\u003c/p>\n\u003cp>\u003ca href=\"https://www.mayoclinic.org/biographies/butler-tobah-yvonne-s-m-d/bio-20113896\" target=\"_blank\" rel=\"noopener\">Dr. Yvonne Butler Tobah\u003c/a>, a Mayo obstetrician, called the developments \"groundbreaking\" but warned that further research is required before it can be instituted clinically.\u003c/p>\n\u003cp>\u003cstrong>Causes of Preterm Birth\u003c/strong>\u003c/p>\n\u003cp>The causes of pre-term birth are not well understood, but doctors look for certain traits associated with the risk, according to\u003c/p>\n\u003cp>\"So we know things like hypertension and diabetes are associated with preterm birth,\" says Jelliffe-Pawlowski. \"And also the kinds of things that the test picks up, like inflammation, is associated with preterm birth.\"[contextly_sidebar id=\"CpQ3Oc4MfPMthrebKJEmSP9wVqLfobiI\"]\u003c/p>\n\u003cp>The UCSF study also looked at income and age of the pregnant women, two factors that exert an independent influence on bodily inflammation and placenta function, according to Jelliffe-Pawlowski. Mothers over the age of 34 are found to be at higher risk of inflammation levels.\u003c/p>\n\u003cp>An underlying infection, exposure to environmental toxins, stress, or chronic ailments like diabetes, can all trigger an inflammatory response in pregnant women, a condition that has potential to induce an early pregnancy.\u003c/p>\n\u003cp>A subset of women who test positive for preterm risk have a severe pregnancy complication called preeclampsia. The potentially fatal condition is characterized by high blood pressure and organ failure in the mother.\u003c/p>\n\u003cp>\u003cb>Treatments are Limited\u003c/b>\u003c/p>\n\u003cp>Current medical treatments are typically limited to cases of preeclampsia, and involve taking aspirin, which Jelliffe-Pawlowski says reduces the occurrence of preeclampsia by up to 30 percent.\u003c/p>\n\u003cp>For women with a prior history of preterm delivery, there is a progesterone supplement that is currently offered to decrease the risk, according to Tobah.\u003c/p>\n\u003cp>\"Prior preterm birth confers about a two fold increased risk,\" she said.\u003c/p>\n\u003cp>But outside of this limited category of high-risk pregnancies, there isn't much doctors can recommend in the way of decreasing preterm risk -- outside of bed rest, according to Gonzalez.\u003c/p>\n\u003cp>And preeclampsia comprises just 15 percent of all preterm births, making preventative care for the great majority of preterm cases all the more urgent, says Gonzalez.\u003c/p>\n\u003cp>\"Before doctors start running these tests, we really need to know what are we going to tell these women besides, 'You’re at risk,'\" he says.[contextly_sidebar id=\"FTcRs64SRm7xpizZAGK2uc0iQv1HNynr\"]\u003c/p>\n\u003cp>But for the researchers involved in both studies, affordability and accessibility played an important role in the tests' development.\u003c/p>\n\u003cp>\"While the current available treatments are not great, I do think they have some effect,\" says co-author \u003ca href=\"https://profiles.stanford.edu/mads-melbye\" target=\"_blank\" rel=\"noopener\">Mads Melbye\u003c/a>, a professor in medical epidemiology at the University of Copenhagen, Denmark. \"For instance, if you know a woman is likely to deliver a preterm baby, you would likely refer her to a specialized hospital. And certainly the knowledge alone is important.\"\u003c/p>\n\u003cp>For Jelliffe-Pawlowski, helping pregnant women in disadvantaged communities was a huge motivator for developing the test.\u003c/p>\n\u003cp>\"What we hear from women in the community, particularly black and Latina women, is what's really important to them, is knowing their risk,\" says Jelliffe-Pawlowski. \"It's not necessary that we fix it, but there's an opportunity to communicate risk with women so they can be taken care of appropriately.\"\u003c/p>\n\u003cp>And Melbye says accurate tests are important, since inaccurate estimates can lead to unnecessary treatments such as the induction of labor or Cesarean sections.\u003c/p>\n\u003cp>\u003cstrong>Measuring Risk Through RNA\u003c/strong>\u003c/p>\n\u003cp>The Stanford-led study, published last week in the journal Science, measured cell-free fetal RNA in the mothers' bloodstream to determine the due date and preterm risk.\u003c/p>\n\u003cp>The researchers compared the blood results of women who had healthy pregnancies with those found to be at high risk for preterm delivery. They accurately predicted six of eight preterm cases and wrongly classified only one of 26 full-term cases.\u003c/p>\n\u003cp>But the Stanford test is a pilot study based on a limited number of women.[contextly_sidebar id=\"RsEfYdBoZW1b667qNhE5ZxykfR7kWICL\"]\u003c/p>\n\u003cp>\"The next step will be to apply the findings to large clinical trials,\" says Melbye. \"The study is just the first in a series of studies that allows us to look at the different outcomes of pregnancy. The hope is that it will lead to healthier and safer pregnancies.\"\u003c/p>\n\u003cp>\u003cstrong>Measuring Risk Through Inflammation\u003c/strong>\u003c/p>\n\u003cp>The UCSF test focused on 63 biomarkers in the mother's bloodstream related to inflammation and placenta function. From there, researchers narrowed the test down to 25 biomarkers that together help to predict the chances of an early pregnancy.\u003c/p>\n\u003cp>The study, published in the May issue of \u003ca href=\"https://www.nature.com/articles/s41372-018-0112-0\">\u003ci>Journal of Perinatology\u003c/i>\u003c/a>, is more than 80 percent accurate in predicting preterm births in women who are between 15 and 20 weeks pregnant.\u003c/p>\n\u003cp>In cases of high risk pregnancies, the test was nearly 90 percent accurate.[contextly_sidebar id=\"7E5bGDPvRlmxjV4ypvKH5ngagVo4ise4\"]\u003c/p>\n\u003cp>The UCSF test, which took five years to develop, is based on ten years of research by Jelliffe-Pawlowski's team. Researchers took blood samples from 400 women during their second trimester.\u003c/p>\n\u003cp>Researchers hope their blood tests will lead to better preventative treatments for women found to be at high risk of preterm birth.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"We want to make sure that we're developing something that has the potential to help all women, including those most in need,\" says Jelliffe-Pawlowski.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Two new blood tests promise pregnant women an easier, more affordable way of predicting their risk for an premature delivery. The blood tests, developed by\u003ca href=\"http://med.stanford.edu/\" target=\"_blank\" rel=\"noopener\"> Stanford University School of Medicine\u003c/a> and \u003ca href=\"https://www.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">UC San Francisco\u003c/a>, look for specific biomarkers in the mother's bloodstream.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Preterm delivery, which occurs when a baby is born before the 37th week of pregnancy, is the leading cause of death for children under 5 in the United States.\u003c/p>\n\u003cp>The \u003ca href=\"http://science.sciencemag.org/content/360/6393/1133\" target=\"_blank\" rel=\"noopener\">Stanford-led study\u003c/a>, predicts the risk of preterm birth using fetal RNA found in the mother's blood, while the \u003ca href=\"https://www.nature.com/articles/s41372-018-0112-0\" target=\"_blank\" rel=\"noopener\">UCSF study\u003c/a> focuses on inflammation markers.\u003c/p>\n\u003cp>There is currently one blood test on the market that screens for preterm risk, but it comes with serious limitations, according to \u003ca href=\"https://profiles.ucsf.edu/laura.jelliffe-pawlowski\" target=\"_blank\" rel=\"noopener\">Laura Jelliffe-Pawlowski\u003c/a>, co-author of the UCSF study and director of the \u003ca href=\"https://pretermbirth.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">UCSF California Preterm Birth Initiative\u003c/a>. The costly test screens only for spontaneous preterm births. About three quarters of preterm births occur spontaneously while 25 percent are induced due to medical complications.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We want to make sure that we're developing something that has the potential to help all women, including those most in need.’\u003ccite>Laura Jelliffe-Pawlowski, UCSF \u003c/cite>\u003c/aside>\n\u003cp>But for practitioners like \u003ca href=\"https://www.ucsfhealth.org/juan.gonzalez-velez\" target=\"_blank\" rel=\"noopener\">Dr. Juan Gonzalez\u003c/a>, a perinatologist at UCSF Medical Center, knowing whether a pregnancy is high-risk is not all that helpful without being able to adequately treat the problem.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"A patient can have a positive result but we need to know which intervention is the right intervention. This is a great finding but now we need those next steps, which are studies that focus on interventions. That's the part we don’t really know.\"\u003c/p>\n\u003cp>\u003ca href=\"https://www.mayoclinic.org/biographies/butler-tobah-yvonne-s-m-d/bio-20113896\" target=\"_blank\" rel=\"noopener\">Dr. Yvonne Butler Tobah\u003c/a>, a Mayo obstetrician, called the developments \"groundbreaking\" but warned that further research is required before it can be instituted clinically.\u003c/p>\n\u003cp>\u003cstrong>Causes of Preterm Birth\u003c/strong>\u003c/p>\n\u003cp>The causes of pre-term birth are not well understood, but doctors look for certain traits associated with the risk, according to\u003c/p>\n\u003cp>\"So we know things like hypertension and diabetes are associated with preterm birth,\" says Jelliffe-Pawlowski. \"And also the kinds of things that the test picks up, like inflammation, is associated with preterm birth.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The UCSF study also looked at income and age of the pregnant women, two factors that exert an independent influence on bodily inflammation and placenta function, according to Jelliffe-Pawlowski. Mothers over the age of 34 are found to be at higher risk of inflammation levels.\u003c/p>\n\u003cp>An underlying infection, exposure to environmental toxins, stress, or chronic ailments like diabetes, can all trigger an inflammatory response in pregnant women, a condition that has potential to induce an early pregnancy.\u003c/p>\n\u003cp>A subset of women who test positive for preterm risk have a severe pregnancy complication called preeclampsia. The potentially fatal condition is characterized by high blood pressure and organ failure in the mother.\u003c/p>\n\u003cp>\u003cb>Treatments are Limited\u003c/b>\u003c/p>\n\u003cp>Current medical treatments are typically limited to cases of preeclampsia, and involve taking aspirin, which Jelliffe-Pawlowski says reduces the occurrence of preeclampsia by up to 30 percent.\u003c/p>\n\u003cp>For women with a prior history of preterm delivery, there is a progesterone supplement that is currently offered to decrease the risk, according to Tobah.\u003c/p>\n\u003cp>\"Prior preterm birth confers about a two fold increased risk,\" she said.\u003c/p>\n\u003cp>But outside of this limited category of high-risk pregnancies, there isn't much doctors can recommend in the way of decreasing preterm risk -- outside of bed rest, according to Gonzalez.\u003c/p>\n\u003cp>And preeclampsia comprises just 15 percent of all preterm births, making preventative care for the great majority of preterm cases all the more urgent, says Gonzalez.\u003c/p>\n\u003cp>\"Before doctors start running these tests, we really need to know what are we going to tell these women besides, 'You’re at risk,'\" he says.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>But for the researchers involved in both studies, affordability and accessibility played an important role in the tests' development.\u003c/p>\n\u003cp>\"While the current available treatments are not great, I do think they have some effect,\" says co-author \u003ca href=\"https://profiles.stanford.edu/mads-melbye\" target=\"_blank\" rel=\"noopener\">Mads Melbye\u003c/a>, a professor in medical epidemiology at the University of Copenhagen, Denmark. \"For instance, if you know a woman is likely to deliver a preterm baby, you would likely refer her to a specialized hospital. And certainly the knowledge alone is important.\"\u003c/p>\n\u003cp>For Jelliffe-Pawlowski, helping pregnant women in disadvantaged communities was a huge motivator for developing the test.\u003c/p>\n\u003cp>\"What we hear from women in the community, particularly black and Latina women, is what's really important to them, is knowing their risk,\" says Jelliffe-Pawlowski. \"It's not necessary that we fix it, but there's an opportunity to communicate risk with women so they can be taken care of appropriately.\"\u003c/p>\n\u003cp>And Melbye says accurate tests are important, since inaccurate estimates can lead to unnecessary treatments such as the induction of labor or Cesarean sections.\u003c/p>\n\u003cp>\u003cstrong>Measuring Risk Through RNA\u003c/strong>\u003c/p>\n\u003cp>The Stanford-led study, published last week in the journal Science, measured cell-free fetal RNA in the mothers' bloodstream to determine the due date and preterm risk.\u003c/p>\n\u003cp>The researchers compared the blood results of women who had healthy pregnancies with those found to be at high risk for preterm delivery. They accurately predicted six of eight preterm cases and wrongly classified only one of 26 full-term cases.\u003c/p>\n\u003cp>But the Stanford test is a pilot study based on a limited number of women.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"The next step will be to apply the findings to large clinical trials,\" says Melbye. \"The study is just the first in a series of studies that allows us to look at the different outcomes of pregnancy. The hope is that it will lead to healthier and safer pregnancies.\"\u003c/p>\n\u003cp>\u003cstrong>Measuring Risk Through Inflammation\u003c/strong>\u003c/p>\n\u003cp>The UCSF test focused on 63 biomarkers in the mother's bloodstream related to inflammation and placenta function. From there, researchers narrowed the test down to 25 biomarkers that together help to predict the chances of an early pregnancy.\u003c/p>\n\u003cp>The study, published in the May issue of \u003ca href=\"https://www.nature.com/articles/s41372-018-0112-0\">\u003ci>Journal of Perinatology\u003c/i>\u003c/a>, is more than 80 percent accurate in predicting preterm births in women who are between 15 and 20 weeks pregnant.\u003c/p>\n\u003cp>In cases of high risk pregnancies, the test was nearly 90 percent accurate.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The UCSF test, which took five years to develop, is based on ten years of research by Jelliffe-Pawlowski's team. Researchers took blood samples from 400 women during their second trimester.\u003c/p>\n\u003cp>Researchers hope their blood tests will lead to better preventative treatments for women found to be at high risk of preterm birth.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Striking University of California service workers got reinforcements Tuesday, as nurses and technical staffers joined them on the picket lines outside medical centers around the state.\u003c/p>\n\u003cp>Outside UCSF’s Parnassus campus in San Francisco, union members beat drums, shouted through megaphones and chanted throughout the day.\u003c/p>\n\u003cp>Negotiations between the university system and American Federation of State, County and Municipal Employees (AFSCME) Local 3299 broke down after more than a year of bargaining.\u003c/p>\n\u003cp>The two parties failed to agree on wage increases, outsourcing jobs to non-union contractors and the minimum retirement age.\u003c/p>\n\u003cp>Maricruz Manzanarez, an AFSCME member who cleans dorms at UC Berkeley, says workers like her struggle to support their families due to the high cost of living in the Bay Area.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“For us it’s the fight of our lives. If the university was doing the right thing from the get-go, we don’t have to go through this,” Manzanarez said.\u003c/p>\n\u003cp>About 25,000 AFSCME workers -- mostly custodians, cafeteria workers and gardeners -- \u003ca href=\"https://www.kqed.org/news/11666919/university-of-california-workers-start-3-day-strike-over-pay\" target=\"_blank\" rel=\"noopener\">walked off the job Monday\u003c/a>.\u003c/p>\n\u003cp>The California Nurses’ Association and the University Professional and Technical Employees, which are also in contract negotiations with UC, called a sympathy strike for Tuesday and Wednesday.\u003c/p>\n\u003cp>“Our hearts are torn. We want to be inside taking care of patients but we know that we need to be outside supporting our brothers and sisters from AFSCME,” said UCSF recovery nurse Erin Carrera.\u003c/p>\n\u003cp>UCSF’s Chief Operating Officer Sheila Antrum said the hospital hired about 350 temporary registered nurses to staff its facilities around the San Francisco Bay Area.\u003c/p>\n\u003cp>Antrum said UCSF will deliver essential patient care services, but hundreds of surgeries and thousands of appointments have been rescheduled.\u003c/p>\n\u003cp>The union wants annual pay increases of 6 percent, a freeze on health care premiums and an end to outsourcing jobs to low-paid, non-union contractors. AFSCME rejected the university's latest offer of 3 percent.\u003c/p>\n\u003cp>University officials have said service workers are already earning market-rate wages, and that it cannot afford the raises the unions are demanding.\u003c/p>\n\u003cp>The average striking worker earns $40,000 a year and can't keep up with the high cost of living in the Bay Area, said union spokesman Todd Stenhouse.\u003c/p>\n\u003cp>The labor action comes during finals week at UC Berkeley.\u003c/p>\n\u003cp>Sen. Kamala Harris announced Monday that she would not deliver the keynote speech at Berkeley’s commencement ceremony on Saturday as planned. Instead, UC Berkeley Chancellor Carol Christ will deliver the keynote address.\u003c/p>\n\u003cp>AFSCME has called on speakers to boycott UC campuses.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The UC system, which includes five medical centers and three national laboratories, has 190,000 faculty and staff and 238,000 students.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Striking University of California service workers got reinforcements Tuesday, as nurses and technical staffers joined them on the picket lines outside medical centers around the state.\u003c/p>\n\u003cp>Outside UCSF’s Parnassus campus in San Francisco, union members beat drums, shouted through megaphones and chanted throughout the day.\u003c/p>\n\u003cp>Negotiations between the university system and American Federation of State, County and Municipal Employees (AFSCME) Local 3299 broke down after more than a year of bargaining.\u003c/p>\n\u003cp>The two parties failed to agree on wage increases, outsourcing jobs to non-union contractors and the minimum retirement age.\u003c/p>\n\u003cp>Maricruz Manzanarez, an AFSCME member who cleans dorms at UC Berkeley, says workers like her struggle to support their families due to the high cost of living in the Bay Area.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“For us it’s the fight of our lives. If the university was doing the right thing from the get-go, we don’t have to go through this,” Manzanarez said.\u003c/p>\n\u003cp>About 25,000 AFSCME workers -- mostly custodians, cafeteria workers and gardeners -- \u003ca href=\"https://www.kqed.org/news/11666919/university-of-california-workers-start-3-day-strike-over-pay\" target=\"_blank\" rel=\"noopener\">walked off the job Monday\u003c/a>.\u003c/p>\n\u003cp>The California Nurses’ Association and the University Professional and Technical Employees, which are also in contract negotiations with UC, called a sympathy strike for Tuesday and Wednesday.\u003c/p>\n\u003cp>“Our hearts are torn. We want to be inside taking care of patients but we know that we need to be outside supporting our brothers and sisters from AFSCME,” said UCSF recovery nurse Erin Carrera.\u003c/p>\n\u003cp>UCSF’s Chief Operating Officer Sheila Antrum said the hospital hired about 350 temporary registered nurses to staff its facilities around the San Francisco Bay Area.\u003c/p>\n\u003cp>Antrum said UCSF will deliver essential patient care services, but hundreds of surgeries and thousands of appointments have been rescheduled.\u003c/p>\n\u003cp>The union wants annual pay increases of 6 percent, a freeze on health care premiums and an end to outsourcing jobs to low-paid, non-union contractors. AFSCME rejected the university's latest offer of 3 percent.\u003c/p>\n\u003cp>University officials have said service workers are already earning market-rate wages, and that it cannot afford the raises the unions are demanding.\u003c/p>\n\u003cp>The average striking worker earns $40,000 a year and can't keep up with the high cost of living in the Bay Area, said union spokesman Todd Stenhouse.\u003c/p>\n\u003cp>The labor action comes during finals week at UC Berkeley.\u003c/p>\n\u003cp>Sen. Kamala Harris announced Monday that she would not deliver the keynote speech at Berkeley’s commencement ceremony on Saturday as planned. Instead, UC Berkeley Chancellor Carol Christ will deliver the keynote address.\u003c/p>\n\u003cp>AFSCME has called on speakers to boycott UC campuses.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The UC system, which includes five medical centers and three national laboratories, has 190,000 faculty and staff and 238,000 students.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Abnormal Heartbeat? There's an App for That -- And it Could Be 97 Percent Accurate",
"title": "Abnormal Heartbeat? There's an App for That -- And it Could Be 97 Percent Accurate",
"headTitle": "Heart health | Future of You | KQED Future of You | KQED Science",
"content": "\u003cp>A mobile app was able to detect irregular heart rhythms with 97 percent accuracy, a finding by UC San Francisco researchers that could lead to life-saving \u003ca href=\"https://www.kqed.org/futureofyou/266349/how-reliable-are-smartphones-and-wearables-for-monitoring-your-heart\" target=\"_blank\" rel=\"noopener\">preventative screenings.\u003c/a>\u003c/p>\n\u003cp>One in four adults over the age of 40 is at risk for a heart condition known as \u003ca href=\"https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624\" target=\"_blank\" rel=\"noopener\">atrial fibrillation\u003c/a> (AF). It's one of the leading causes of stroke and often goes undetected until it's too late.\u003c/p>\n\u003cp>The study, which relied on an app specifically designed for the Apple Watch, is reportedly the first to use a smartwatch to detect abnormal heart rhythms.\u003c/p>\n\u003cp>“By identifying candidates for appropriate anti-coagulation treatment, we might ultimately leverage common wearable devices to reduce ... complications, even death,\" said Gregory Marcus, director of clinical research in the UCSF Division of Cardiology and lead author of the study.\u003c/p>\n\u003cp>AF occurs when electrical impulses in the the upper chambers of the heart become erratic, causing the atrium's walls to quiver as blood passes through, potentially triggering blood clots.[contextly_sidebar id=\"sQ9MJSaMtUHbSJHSKfj37aKsbqwOOxmZ\"]\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Researchers say the findings, published in \u003ca href=\"https://jamanetwork.com/journals/jamacardiology/article-abstract/2675364?redirect=true\" target=\"_blank\" rel=\"noopener\">JAMA Cardiology\u003c/a>, could lead to the development of more effective screenings. And with nearly 6 million people in the U.S. estimated to develop AF by 2050, the app could prevent large numbers of strokes and death.\u003c/p>\n\u003cp>With a 97 percent accuracy rate, the app performed better than a competing \u003ca href=\"http://www.abstractsonline.com/pp8/#!/4496/presentation/41378\" target=\"_blank\" rel=\"noopener\">FDA-approved product sold as Kardia Band.\u003c/a>\u003c/p>\n\u003cp>The UCSF-tested app, designed by Cardiogram, relies on deep neural networks, a type of sophisticated machine-learning algorithm that provides a continuous stream of data. More than 139 million measurements of heart rates and step counts were collected from 9,750 participants. [contextly_sidebar id=\"C27bFTVwLpXMdavOJy6PlXm3e5jXCR7Q\"]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Researchers cited certain limitations to their study, including a number of participants who failed to link their Cardiogram accounts. In addition, researchers focused on those with known AF and did not look into the app's ability to identify undiagnosed conditions.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A mobile app was able to detect irregular heart rhythms with 97 percent accuracy, a finding by UC San Francisco researchers that could lead to life-saving \u003ca href=\"https://www.kqed.org/futureofyou/266349/how-reliable-are-smartphones-and-wearables-for-monitoring-your-heart\" target=\"_blank\" rel=\"noopener\">preventative screenings.\u003c/a>\u003c/p>\n\u003cp>One in four adults over the age of 40 is at risk for a heart condition known as \u003ca href=\"https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624\" target=\"_blank\" rel=\"noopener\">atrial fibrillation\u003c/a> (AF). It's one of the leading causes of stroke and often goes undetected until it's too late.\u003c/p>\n\u003cp>The study, which relied on an app specifically designed for the Apple Watch, is reportedly the first to use a smartwatch to detect abnormal heart rhythms.\u003c/p>\n\u003cp>“By identifying candidates for appropriate anti-coagulation treatment, we might ultimately leverage common wearable devices to reduce ... complications, even death,\" said Gregory Marcus, director of clinical research in the UCSF Division of Cardiology and lead author of the study.\u003c/p>\n\u003cp>AF occurs when electrical impulses in the the upper chambers of the heart become erratic, causing the atrium's walls to quiver as blood passes through, potentially triggering blood clots.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Researchers say the findings, published in \u003ca href=\"https://jamanetwork.com/journals/jamacardiology/article-abstract/2675364?redirect=true\" target=\"_blank\" rel=\"noopener\">JAMA Cardiology\u003c/a>, could lead to the development of more effective screenings. And with nearly 6 million people in the U.S. estimated to develop AF by 2050, the app could prevent large numbers of strokes and death.\u003c/p>\n\u003cp>With a 97 percent accuracy rate, the app performed better than a competing \u003ca href=\"http://www.abstractsonline.com/pp8/#!/4496/presentation/41378\" target=\"_blank\" rel=\"noopener\">FDA-approved product sold as Kardia Band.\u003c/a>\u003c/p>\n\u003cp>The UCSF-tested app, designed by Cardiogram, relies on deep neural networks, a type of sophisticated machine-learning algorithm that provides a continuous stream of data. More than 139 million measurements of heart rates and step counts were collected from 9,750 participants. \u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Researchers cited certain limitations to their study, including a number of participants who failed to link their Cardiogram accounts. In addition, researchers focused on those with known AF and did not look into the app's ability to identify undiagnosed conditions.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "UCSF Receives Historic Half-Billion-Dollar Donation",
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"content": "\u003cp>One of the largest educational gifts in U.S. history — $500 million — went to a California university today.\u003c/p>\n\u003cp>When \u003ca href=\"https://www.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">UCSF\u003c/a> chancellor Sam Hawgood heard about the donation, he was grateful, of course — and shocked.\u003c/p>\n\u003cp>“I have to pinch myself every time I think about it,” says Hawgood.\u003c/p>\n\u003caside class=\"pullquote alignright\">The money could help fund some of the university’s current biomedical work including \u003ca href=\"https://ww2.kqed.org/futureofyou/2015/11/30/a-cure-for-aids-scientists-say-its-on-the-horizon/\" target=\"_blank\" rel=\"noopener\">finding a cure for AIDS\u003c/a>.\u003c/aside>\n\u003cp>As large donations to American universities go, the UCSF gift is matched only by \u003ca href=\"https://www.philanthropy.com/factfile/gifts_detail?GiftDonorJoin_a_DonorID=PGDON1706\" target=\"_blank\" rel=\"noopener\">$500 million gifts\u003c/a> to two Oregon universities from Nike co-founder Phil Knight.\u003c/p>\n\u003cp>The UCSF windfall comes from the \u003ca href=\"http://dillerteenfellows.org/en/about/helen-diller-family-foundation\" target=\"_blank\" rel=\"noopener\">Helen Diller Foundation\u003c/a>. Diller, who died in 2015, was a San Francisco native and public education advocate. Her foundation had already given $150 million to UCSF before Wednesday’s announcement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Diller, whose family fortune rose from real estate development, knew about the planned donation before her death. Her daughter Jackie Safier, who’s president of the foundation, says her mother, “r\u003cspan style=\"font-weight: 400\">eally believed [UCSF] could have an incredible impact on healthcare worldwide if they had the necessary resources.”\u003c/span>\u003c/p>\n\u003cp>UCSF is known for its health care schools, including Medicine, Nursing, Pharmacy and Dentistry and its medical centers, the newest of which, at \u003ca href=\"https://www.ucsfhealth.org/\" target=\"_blank\" rel=\"noopener\">Mission Bay\u003c/a> in San Francisco, opened in 2015.\u003c/p>\n\u003cp>Its \u003ca href=\"https://www.ucsf.edu/about/achievements\" target=\"_blank\" rel=\"noopener\">scientific breakthroughs\u003c/a> include: discovering vitamin E, isolating the gene for insulin, co-discovering the AIDS virus and being the first to link obesity to Type 2 diabetes.\u003c/p>\n\u003cp>What’s unusual about the Diller donation is that it’s “relatively unrestricted.” That means the funds don’t have to be used for a narrow purpose. Those types of university contributions, though desperately sought, are uncommon, according to Hawgood.\u003c/p>\n\u003cp>Last year, less than one percent of UCSF’s financial gifts were “discretionary,” the term used for unrestricted funds.\u003c/p>\n\u003cp>“\u003cspan style=\"font-weight: 400\">So it’s extraordinarily remarkable, rare and frankly, exciting,” says Hawgood.\u003c/span>\u003c/p>\n\u003cp>He says the money will go toward attracting “the best of the best” faculty and will support students who couldn’t otherwise afford higher education.\u003c/p>\n\u003cp>“We are really committed to a very diverse student body,” says Hawgood. “This kind of funding for students allows us to put that on steroids.”\u003c/p>\n\u003cp>Four hundred million will go toward UCSF’s endowment and $100 million will support an innovation fund.\u003c/p>\n\u003cp>Of the $400 million, half will go toward supporting current faculty and attracting new talent. The other $200 million will support students at UCSF’s four professional schools, some of it, in the form of scholarships.\u003c/p>\n\u003cp>That financial aid is definitely needed, says Hawgood. The majority of UCSF’s professional students receive financial aid but less than 10 percent get enough to cover all their costs.\u003c/p>\n\u003cp>The final $100 million is part of an innovation fund to be used at the chancellor’s discretion.\u003c/p>\n\u003cp>It could help fund some of the university’s current biomedical work including \u003ca href=\"https://www.ucsf.edu/news/2016/11/404936/science-focus-how-do-white-blood-cells-move-so-fast\" target=\"_blank\" rel=\"noopener\">advanced microscopy techniques\u003c/a>, \u003ca href=\"http://www.genengnews.com/gen-news-highlights/perturb-seq-combines-crispr-and-single-cell-rna-seq/81253575\" target=\"_blank\" rel=\"noopener\">cell engineering\u003c/a> using gene-splicing tools such as \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/04/29/how-a-new-crisprcas9-technique-may-get-us-closer-to-curing-genetic-diseases/\" target=\"_blank\" rel=\"noopener\">CRISPR,\u003c/a> and \u003ca href=\"https://ww2.kqed.org/futureofyou/2015/11/30/a-cure-for-aids-scientists-say-its-on-the-horizon/\" target=\"_blank\" rel=\"noopener\">finding a cure for AIDS\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>UCSF hasn’t disclosed when the funding will become available. When it does, students will be able to discover scholarship opportunities on the university’s \u003ca href=\"https://www.ucsf.edu/education/admissions\" target=\"_blank\" rel=\"noopener\">admissions website\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One of the largest educational gifts in U.S. history — $500 million — went to a California university today.\u003c/p>\n\u003cp>When \u003ca href=\"https://www.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">UCSF\u003c/a> chancellor Sam Hawgood heard about the donation, he was grateful, of course — and shocked.\u003c/p>\n\u003cp>“I have to pinch myself every time I think about it,” says Hawgood.\u003c/p>\n\u003caside class=\"pullquote alignright\">The money could help fund some of the university’s current biomedical work including \u003ca href=\"https://ww2.kqed.org/futureofyou/2015/11/30/a-cure-for-aids-scientists-say-its-on-the-horizon/\" target=\"_blank\" rel=\"noopener\">finding a cure for AIDS\u003c/a>.\u003c/aside>\n\u003cp>As large donations to American universities go, the UCSF gift is matched only by \u003ca href=\"https://www.philanthropy.com/factfile/gifts_detail?GiftDonorJoin_a_DonorID=PGDON1706\" target=\"_blank\" rel=\"noopener\">$500 million gifts\u003c/a> to two Oregon universities from Nike co-founder Phil Knight.\u003c/p>\n\u003cp>The UCSF windfall comes from the \u003ca href=\"http://dillerteenfellows.org/en/about/helen-diller-family-foundation\" target=\"_blank\" rel=\"noopener\">Helen Diller Foundation\u003c/a>. Diller, who died in 2015, was a San Francisco native and public education advocate. Her foundation had already given $150 million to UCSF before Wednesday’s announcement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Diller, whose family fortune rose from real estate development, knew about the planned donation before her death. Her daughter Jackie Safier, who’s president of the foundation, says her mother, “r\u003cspan style=\"font-weight: 400\">eally believed [UCSF] could have an incredible impact on healthcare worldwide if they had the necessary resources.”\u003c/span>\u003c/p>\n\u003cp>UCSF is known for its health care schools, including Medicine, Nursing, Pharmacy and Dentistry and its medical centers, the newest of which, at \u003ca href=\"https://www.ucsfhealth.org/\" target=\"_blank\" rel=\"noopener\">Mission Bay\u003c/a> in San Francisco, opened in 2015.\u003c/p>\n\u003cp>Its \u003ca href=\"https://www.ucsf.edu/about/achievements\" target=\"_blank\" rel=\"noopener\">scientific breakthroughs\u003c/a> include: discovering vitamin E, isolating the gene for insulin, co-discovering the AIDS virus and being the first to link obesity to Type 2 diabetes.\u003c/p>\n\u003cp>What’s unusual about the Diller donation is that it’s “relatively unrestricted.” That means the funds don’t have to be used for a narrow purpose. Those types of university contributions, though desperately sought, are uncommon, according to Hawgood.\u003c/p>\n\u003cp>Last year, less than one percent of UCSF’s financial gifts were “discretionary,” the term used for unrestricted funds.\u003c/p>\n\u003cp>“\u003cspan style=\"font-weight: 400\">So it’s extraordinarily remarkable, rare and frankly, exciting,” says Hawgood.\u003c/span>\u003c/p>\n\u003cp>He says the money will go toward attracting “the best of the best” faculty and will support students who couldn’t otherwise afford higher education.\u003c/p>\n\u003cp>“We are really committed to a very diverse student body,” says Hawgood. “This kind of funding for students allows us to put that on steroids.”\u003c/p>\n\u003cp>Four hundred million will go toward UCSF’s endowment and $100 million will support an innovation fund.\u003c/p>\n\u003cp>Of the $400 million, half will go toward supporting current faculty and attracting new talent. The other $200 million will support students at UCSF’s four professional schools, some of it, in the form of scholarships.\u003c/p>\n\u003cp>That financial aid is definitely needed, says Hawgood. The majority of UCSF’s professional students receive financial aid but less than 10 percent get enough to cover all their costs.\u003c/p>\n\u003cp>The final $100 million is part of an innovation fund to be used at the chancellor’s discretion.\u003c/p>\n\u003cp>It could help fund some of the university’s current biomedical work including \u003ca href=\"https://www.ucsf.edu/news/2016/11/404936/science-focus-how-do-white-blood-cells-move-so-fast\" target=\"_blank\" rel=\"noopener\">advanced microscopy techniques\u003c/a>, \u003ca href=\"http://www.genengnews.com/gen-news-highlights/perturb-seq-combines-crispr-and-single-cell-rna-seq/81253575\" target=\"_blank\" rel=\"noopener\">cell engineering\u003c/a> using gene-splicing tools such as \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/04/29/how-a-new-crisprcas9-technique-may-get-us-closer-to-curing-genetic-diseases/\" target=\"_blank\" rel=\"noopener\">CRISPR,\u003c/a> and \u003ca href=\"https://ww2.kqed.org/futureofyou/2015/11/30/a-cure-for-aids-scientists-say-its-on-the-horizon/\" target=\"_blank\" rel=\"noopener\">finding a cure for AIDS\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>UCSF hasn’t disclosed when the funding will become available. When it does, students will be able to discover scholarship opportunities on the university’s \u003ca href=\"https://www.ucsf.edu/education/admissions\" target=\"_blank\" rel=\"noopener\">admissions website\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"id": "closealltabs",
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"order": 1
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"id": "freakonomics-radio",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
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"airtime": "SUN 7:30pm-8pm",
"meta": {
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"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
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"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
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"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
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