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"content": "\u003cp>\u003cspan class=\"right\">\u003ca href=\"http://ww2.kqed.org/quest/audio/va-doctors-solve-a-medical-mystery\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/11/jay.jpg\" alt=\"\">\u003c/a>\u003cem>Iraq vet Jay Wilkerson outside his home in Pleasanton, CA.\u003c/em>\u003c/span>On the evening of March 28, 2006, a convoy of Humvees was heading from Habbaniyah, Iraq, back to Baghdad. Staff Sergeant Jay Wilkerson says the mistake they made was to come back along the same route they'd come in on. Insurgents knew exactly where to plant a powerful roadside bomb. Wilkerson's Humvee took the hit. \"I remember everything just went black,\" he recalls. \"I was talking, and then all of a sudden, I heard the vehicle exploding. And I heard the people in the truck screaming, at the same time.\"\u003c/p>\n\u003cp>Wilkerson was in a coma for 12 days. He'd severed two fingers and blown open the left side of his face. He couldn’t walk for months. Given the extent of his injuries, it's easy to see why doctors, and even Wilkerson himself, failed to realize that something else was wrong with him. It had to do with the way Jay Wilkerson sees.\u003c/p>\n\u003cp>To demonstrate, Wilkerson holds up his left hand, as if he were taking an oath in a courtroom. \"If it’s right here, I couldn’t see it,\" he says. \"And that’s true today. If it’s right here I can’t see it.\"\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cdiv style=\"border-bottom:1px dotted #cecece;height:20px;margin-bottom:10px\"> \u003c/div>\n\u003cp>[jwplayer config=\"QUEST Audio Player\" skin=\"http://ww2.kqed.org/quest/wp-content/themes/quest/glow.zip\" file=\"http://www.kqed.org/.stream/anon/radio/quest/2010/11/2010-11-08-quest.mp3\" ]\u003cbr>\n\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>Listen to the QUEST radio story \u003cstrong>\u003ca href=\"http://ww2.kqed.org/quest/audio/va-doctors-solve-a-medical-mystery\">VA Doctors Solve a Medical Mystery\u003c/a>\u003c/strong>.\u003c/em>\u003c/p>\n\u003cdiv style=\"border-bottom:1px dotted #cecece;height:20px;margin-bottom:10px\"> \u003c/div>\n\u003cp>This is what’s known as a hemianopsia. It’s a problem not of the eyes, but of the brain. 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And the most common visual tests used didn’t catch it.\"\u003c/p>\n\u003cp>\u003cspan class=\"right\">\u003ca href=\"http://ww2.kqed.org/quest/audio/va-doctors-solve-a-medical-mystery\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/11/greg.jpg\" alt=\"\">\u003c/a>\u003cem>Gregory Goodrich, vision researcher at the VA Palo Alto Medical Center.\u003c/em>\u003c/span>\u003c/p>\n\u003cp>Glenn Cockerham, chief of ophthalmology at the VA Palo Alto, says he and others took to calling these \"occult\" injuries, because of the way they seemed to escape detection.\u003c/p>\n\u003cp>\"If you just ask [these soldiers] how they’re doing,\" he says, \"they’ll say I’m doing fine. But if you ask specific questions, and you compare them to other people, they’re not doing so well.\u003c/p>\n\u003cp>For example, many of the veterans were having problems concentrating. They bumped into things. Goodrich says another red flag was when a soldier would say he or she had lost interest in reading. If asked whether that had been the case before the war, the vets would often say that it had not.\u003c/p>\n\u003cp>What's striking, say the doctors, is that these symptoms -- difficulty concentrating, clumsiness, inability to read well -- are precisely the kinds of problems soldiers might attribute to PTSD, or other combat injuries. Many soldiers assume they are just a fact of life after war.\u003c/p>\n\u003cp>Returning to civilian life, says Goodrich, is \"a tremendous psychological readjustment to go through. And sorting out symptoms that can be subtle, or that you don’t recognize, is a real challenge.\" Cockerham and Goodrich find that hemianopsias and other vision injuries are \u003ca href=\"http://www4.va.gov/OCA/testimony/hvac/soi/080402GG.asp\">far more common \u003c/a>than anyone had expected. Goodrich estimates that at least six thousand vets have suffered visual damage as a result of brain injury. \"Because some of these are very subtle,\" says Goodrich, \"we don’t catch them as often as we would like to.\"\u003c/p>\n\u003cp>One reason that so many vision problems go undiagnosed is that soldiers often don't realize they've been injured at all. For example, just being \u003ci>near\u003c/i> an IED blast can, in some case, be \u003ca href=\"http://www4.va.gov/OCA/testimony/hvac/soi/080402GG.asp\">enough to sustain brain injury\u003c/a>, including vision problems.\u003c/p>\n\u003cp>\"Blasts have this huge pressure wave that comes from them,\" explains Goodrich, \"and the pressure wave does some rather unique things.\"\u003c/p>\n\u003cp>In a human body, that sudden pressure wave is like a powerful punch to the chest and stomach. The impact moves throughout the body, including to the brain where it can stretch or tear actual brain tissue. Brain cells can start to die off. 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"content": "\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.calacademy.org/\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/usascience.jpg\" alt=\"\">\u003c/a>\u003cem>The USA Science and Engineering Festival's mission was to “re-invigorate the interest of our nation’s youth in science, technology, engineering and math (STEM) by producing and presenting the most compelling, exciting, educational and entertaining science gatherings in the United States”.\u003c/em>\u003c/span>\u003c/p>\n\u003cp>This past weekend, I was on the National Mall in Washington, D.C. with a notebook and a very good pair of walking shoes. I spent the weekend exploring the inaugural expo of the \u003ca href=\"http://www.usasciencefestival.org/about/mission\">USA Science and Engineering Festival\u003c/a>. The festival’s mission was to “re-invigorate the interest of our nation’s youth in science, technology, engineering and math (STEM) by producing and presenting the most compelling, exciting, educational and entertaining science gatherings in the United States”. It was a great weekend that re-invigorated my passion for science and presenting it to the public.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>The Expo encompassed booths from groups around the United States, robotic stations sponsored by Lockheed Martin, mobile museums and medical vans and a variety of stage performances in celebration of science, technology, math and engineering. Booths were spread out over the National Mall in front of the capital as well as the Wilson and Freedom Plazas in downtown DC. There was so much variety of interests, issues and fields represented that I learned about a range of subjects from dark matter to biomes.\u003c/p>\n\u003cp>There were a few things that I took away from the experience. First off, low-tech is still a tried and true way to convey science. Kids were crowded around the booths that offered a hands-on approach. One station showed the make up of the universe with marbles and it worked great. Another booth conveyed physics by showing how much weight a boat could withstand and still float. Those booths with TV screens and a media approach just didn’t hold attention if the kids but those that had an experiment to work on were packed. The one exception was the robotic stations. Kids were driving robots in arenas playing soccer and were engrossed in the activity.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Expo also gave me a renewed respect for higher learning institutions. Across the board, some of the best science conveyed was coming out from University science departments and student run science clubs. They did a fantastic job. I was also pleasantly surprised to see so much content directed towards girls and women in the sciences. Overall, I was really inspired by the Expo and more importantly all the kids and family that were engaged throughout the weekend. \u003c/p>\n\u003cp>One of the swag items I got at the Expo was a button that said “I am a Scientific American” which seemed to sum up my experience at the Expo; I felt truly inspired about the huge numbers of groups that came together to share about science. In the Fall of 2011, UCSF will be presenting an inaugural \u003ca href=\"http://www.sciencefestivals.org/component/festival/festival/viewfestival/bay-area-science-festival\">Bay Area Science Festival\u003c/a> in our locale. I can’t wait to see how the festival materializes and conveys the rich science and technology we have right here in the San Francisco Bay Area. I hope there will be a button that reads “I am a Scientific San Franciscan”.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.7699 -122.467174\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Expo also gave me a renewed respect for higher learning institutions. Across the board, some of the best science conveyed was coming out from University science departments and student run science clubs. They did a fantastic job. I was also pleasantly surprised to see so much content directed towards girls and women in the sciences. Overall, I was really inspired by the Expo and more importantly all the kids and family that were engaged throughout the weekend. \u003c/p>\n\u003cp>One of the swag items I got at the Expo was a button that said “I am a Scientific American” which seemed to sum up my experience at the Expo; I felt truly inspired about the huge numbers of groups that came together to share about science. In the Fall of 2011, UCSF will be presenting an inaugural \u003ca href=\"http://www.sciencefestivals.org/component/festival/festival/viewfestival/bay-area-science-festival\">Bay Area Science Festival\u003c/a> in our locale. I can’t wait to see how the festival materializes and conveys the rich science and technology we have right here in the San Francisco Bay Area. I hope there will be a button that reads “I am a Scientific San Franciscan”.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.7699 -122.467174\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cspan class=\"right\">\u003ca href=\"http://www.kqed.org/quest/\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/prunes-kqed.jpg\" alt=\"\">\u003c/a>\u003cem>Prunes have many advantages over other treatments for normal bone loss and osteoporosis, including low cost and high nutrient density.\u003c/em>\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"http://news.ucsf.edu/releases/dried-plum-restores-bone-in-aging-mice-scientists-report/\">New research\u003c/a> from the \u003ca class=\"zem_slink\" title=\"University of California, San Francisco\" rel=\"geolocation\" href=\"http://maps.google.com/maps?ll=37.7633194444,-122.458538889&spn=0.01,0.01&q=37.7633194444,-122.458538889%20(University%20of%20California%2C%20San%20Francisco)&t=h\">UC San Francisco\u003c/a> Veterans Affairs Medical Center shows that eating high doses of dried plums (\u003ca class=\"zem_slink\" title=\"Prune\" rel=\"wikipedia\" href=\"http://en.wikipedia.org/wiki/Prune\">prunes\u003c/a>) increases \u003ca class=\"zem_slink\" title=\"Bone\" rel=\"wikipedia\" href=\"http://en.wikipedia.org/wiki/Bone\">bone\u003c/a> \u003ca class=\"zem_slink\" title=\"Volume\" rel=\"wikinvest\" href=\"http://www.wikinvest.com/metric/Volume\">volume\u003c/a> in adult and \u003ca class=\"zem_slink\" title=\"Old age\" rel=\"wikipedia\" href=\"http://en.wikipedia.org/wiki/Old_age\">elderly\u003c/a> male \u003ca class=\"zem_slink\" title=\"Mouse\" rel=\"wikipedia\" href=\"http://en.wikipedia.org/wiki/Mouse\">mice\u003c/a>. Prunes have many advantages over other treatments for normal \u003ca class=\"zem_slink\" title=\"Osteoporosis\" rel=\"wikipedia\" href=\"http://en.wikipedia.org/wiki/Osteoporosis\">bone loss\u003c/a> and osteoporosis, including low cost and high nutrient density. They could also prove useful in preventing bone loss in younger animals.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>During normal aging, mice lose approximately 60% of bone volume between 6 weeks and 24 months of age. Bone loss can also occur from disease states such as osteoporosis, and can be caused by hormone deficiencies and particular medications. Previous research has shown dried plums to be effective at limiting bone loss in a mouse model of estrogen deficiency. This is the first study to show that dried plum can actually restore bone that has been lost due to normal aging in males.\u003c/p>\n\u003cp>In the study, mice were started on the experimental diet at either 6 (adult) or 18 (elderly) months of age. All diets had the same number of calories and nitrogen ratio, but were supplemented with either 0, 15%, or 25% dried plums. Bone volume and density were measured directly, as were various markers of \u003ca class=\"zem_slink\" title=\"Bone resorption\" rel=\"wikipedia\" href=\"http://en.wikipedia.org/wiki/Bone_resorption\">bone resorption\u003c/a> and bone formation in blood samples.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>After 6 months both the adult and elderly animals on the diet with 25% prunes had 50% and 40% increases in bone volume, respectively. Bone mineral density was unchanged in any condition. The 15% prune diet increased bone volume in adult animals, but not in elderly animals. Blood markers indicated that both increased bone formation and decreased bone resorption may be responsible for the increase in volume, though these changes occurred primarily in the first 3 months of the experiment. The mechanism of action of prunes on bone volume is still unknown.\u003c/p>\n\u003cp>Though encouraging, the study has several limitations. Work on the value of dried plums in preventing bone loss is still in its early stages, and much more research is needed to determine if prunes are useful in different animal models (including female mice). Furthermore, the study mentions weight loss as one side effect of dietary prunes, but the possibility of other side effects was not examined. Also, the authors do not explore if the bone changes are due to increased prune intake or the large decrease in consumption of traditional mouse chow. Mouse metabolism is not the same as it is in humans, so we cannot extrapolate the effects shown here. Likewise, it is not reasonable for a human diet to be comprised of 25% prunes.\u003c/p>\n\u003cp>It should also be noted that the research was partially funded by the California Dried Plum Board. Though this doesn't imply any flaws in the science, it makes it especially important that the work be replicated by an independent research group before too much is made of the findings.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/20739449\">study\u003c/a> was published in the October issue of the \u003ca class=\"zem_slink\" title=\"Journal of Nutrition\" rel=\"homepage\" href=\"http://jn.nutrition.org\">\u003cem>THe Journal of Nutrition\u003c/em>\u003c/a> (subscription required for full text). \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.784319 -122.439672\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>After 6 months both the adult and elderly animals on the diet with 25% prunes had 50% and 40% increases in bone volume, respectively. Bone mineral density was unchanged in any condition. The 15% prune diet increased bone volume in adult animals, but not in elderly animals. Blood markers indicated that both increased bone formation and decreased bone resorption may be responsible for the increase in volume, though these changes occurred primarily in the first 3 months of the experiment. The mechanism of action of prunes on bone volume is still unknown.\u003c/p>\n\u003cp>Though encouraging, the study has several limitations. Work on the value of dried plums in preventing bone loss is still in its early stages, and much more research is needed to determine if prunes are useful in different animal models (including female mice). Furthermore, the study mentions weight loss as one side effect of dietary prunes, but the possibility of other side effects was not examined. Also, the authors do not explore if the bone changes are due to increased prune intake or the large decrease in consumption of traditional mouse chow. Mouse metabolism is not the same as it is in humans, so we cannot extrapolate the effects shown here. Likewise, it is not reasonable for a human diet to be comprised of 25% prunes.\u003c/p>\n\u003cp>It should also be noted that the research was partially funded by the California Dried Plum Board. Though this doesn't imply any flaws in the science, it makes it especially important that the work be replicated by an independent research group before too much is made of the findings.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/20739449\">study\u003c/a> was published in the October issue of the \u003ca class=\"zem_slink\" title=\"Journal of Nutrition\" rel=\"homepage\" href=\"http://jn.nutrition.org\">\u003cem>THe Journal of Nutrition\u003c/em>\u003c/a> (subscription required for full text). \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.784319 -122.439672\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/when-brains-hit-the-gym\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/brain.jpg\" alt=\"\">\u003c/a>\u003cem>There is one thing that aging experts say can stave off the effects of aging on the brain: exercise. \u003c/em>\u003c/span>\u003c/p>\n\u003cp>Last year, Americans spent $300 million dollars on products intended to improve their short-term memories, or to help them concentrate better at work. Do these products work?\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>A couple years ago, Alvaro Fernandez’s wife, Lisa, had a baby. She took six months off, then she went back to work. Fernandez says it was a tough adjustment. “Obviously she would have loved to have a brain bootcamp to go back to her job.”\u003c/p>\n\u003cp>A bootcamp, for the brain. Fernandez, who is an analyst with the market research company \u003ca href=\"http://www.sharpbrains.com/\">Sharp Brains\u003c/a>, says 20 years ago baby boomers were discovering aerobics. Pretty soon he believes they'll be hiring personal brain fitness trainers. Today, he says, Americans spend $300 million on brain fitness games. “We predict that by the year 2015, the industry may grow to between two billion to eight billion dollars.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Right now, the industry mostly consists of video games. They cost anywhere from 50 to 400 dollars. They're also popular thank you gifts for public media station fund drives, including KQED. Examples include \u003ca href=\"http://www.lumosity.com/\">Lumosity\u003c/a>, \u003ca href=\"http://www.cognifit.com/\">Cognifit\u003c/a>, and \u003ca href=\"http://www.happy-neuron.com/\">Happy Neuron\u003c/a>. \u003c/p>\n\u003cp>One game, made by the San Francisco-based company \u003ca href=\"http://www.positscience.com/\">Posit Science\u003c/a>, involves listening carefully to short blasts of sound, and determining whether the pitch goes up or down. The general idea is that by doing a series of basic and repetitive tasks, which get harder over time, you’re actually changing your brain structure. Over time, the manufacturers claim, you can train an old brain to behave like a new one. \u003c/p>\n\u003cp>“All of the physical, functional, and chemical functions that contrast the old versus young brain -- and I mean all -- appear to be reversible,” says Mike Merzenich, the Chief Scientific Officer of Posit Science and a retired professor of neuroscience at UCSF. \u003c/p>\n\u003cp>But many scientists who study aging are skeptical. \u003c/p>\n\u003cp>“I think most of the claims they make are exaggerated,” says Murali Doraiswamy , who teaches psychiatry and geriatrics at Duke University Medical Center, and has \u003ca href=\"http://www.scientificamerican.com/article.cfm?id=brain-games-do-they-really\">researched these games\u003c/a>. \u003c/p>\n\u003cp>Doraiswamy is not entirely critical of brain fitness games; in fact, he believes some of the research on them is promising. But he says there hasn’t been nearly enough of it. \u003c/p>\n\u003cp>“Because they can sell these products without FDA approval,” he said, “there’s not a lot of incentive to do the kinds of large clinical trials. And unfortunately because of that, the evidence is still weak.”\u003c/p>\n\u003cp>Take, for example, an issue scientists call \"transfer.\" \u003c/p>\n\u003cp>Say you start getting higher scores on a brain fitness game. Is that all that's changed? Several game manufacturers have \u003ca href=\"http://www.cogmed.com/research\">studied \u003c/a>\u003ca href=\"http://www.positscience.com/science/proven-in-labs/studies/active-study\">this\u003c/a>, and the manufacturers say the skills do carry over to the rest of your life. \u003c/p>\n\u003cp>Laura Carstensen, who directs the \u003ca href=\"http://longevity.stanford.edu/\">Center for Longevity at Stanford University\u003c/a>, disagrees. “It's the difference between I can teach you something, or I can make you smarter.” \u003c/p>\n\u003cp>“Can you improve your brain so that it's faster, more adept, more vital? That's what the claims are, and I don’t think there’s really any evidence for that.”\u003c/p>\n\u003cp>There is one thing, however, that Carstensen and other aging experts say \u003ci>can\u003c/i> stave off the effects of aging on the brain: exercise. \u003c/p>\n\u003cp>“I think that the research such far demonstrates a much clearer link between exercise and brain health,” says Joel Kramer, a neuropsychologist at \u003ca href=\"http://memory.ucsf.edu/\">UCSF's Memory and Aging Center\u003c/a>. \u003c/p>\n\u003cp>When asked his advice on how to improve brain functioning, Kramer’s advice was simple: “Head to the gym and start getting some aerobic exercise.”\u003c/p>\n\u003cp>Of course, it isn’t just the fear of normal aging that has people buying brain fitness programs.\u003c/p>\n\u003cp>In his office, Kramer showed me a video of a medical screening he’d done on a patent. Kramer read the man a list of words, and then, seconds later, asked the patient to repeat them. “Can’t remember a single one,” said the patient. \u003c/p>\n\u003cp>This is not normal aging. This is Alzheimer’s disease. Asked whether brain fitness programs could have helped Joel Kramer’s patient, Stanford's Laura Carstensen was unequivocal. “No evidence. No evidence. None. Zero. That these games could prevent Alzheimer’s disease.”\u003c/p>\n\u003cp>At this point, \u003ca href=\"http://www.scientificamerican.com/article.cfm?id=alzheimers-prevention-strategies\">nothing \u003c/a>has been shown \u003ca href=\"http://consensus.nih.gov/2010/alzstatement.htm\">to prevent Alzheimer's\u003c/a>. Not crossword puzzles, not Sudoku, not exercise. But that doesn’t mean Carstensen won't give advice to people who worry about becoming forgetful as they age: \u003c/p>\n\u003cp>“Continue to be involved in the community, with kids, with schools, with work.” \u003c/p>\n\u003cp>Studies have shown that in addition to exercise people who do things like \u003ca href=\"http://newoldage.blogs.nytimes.com/2010/01/26/using-it-or-losing-it/\">teach kids to read\u003c/a>, or \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed\">take dancing lessons\u003c/a>, seem to stay sharp, longer. Scientists aren't sure why that is, exactly, but they say it’s not a bad program to follow. \u003c/p>\n\u003cp>Says Duke’s Murali Doriswamy, “my recommendation is whatever it is that they find novel, they find challenging, and to stick with it.”\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/when-brains-hit-the-gym\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/radio_icon_light1.gif\" alt=\"\">\u003c/a>\u003c/span>\u003ca href=\"http://ww2.kqed.org/quest/audio/when-brains-hit-the-gym\">Listen to When Brains Hit the Gym\u003c/a> radio report online.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.76355 -122.458\u003c/p>\n\n",
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"excerpt": "The general idea is that by doing a series of basic and repetitive tasks, which get harder over time, you’re actually changing your brain structure. Over time, the manufacturers claim, you can train an old brain to behave like a new one. But many scientists who study aging are skeptical.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/when-brains-hit-the-gym\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/brain.jpg\" alt=\"\">\u003c/a>\u003cem>There is one thing that aging experts say can stave off the effects of aging on the brain: exercise. \u003c/em>\u003c/span>\u003c/p>\n\u003cp>Last year, Americans spent $300 million dollars on products intended to improve their short-term memories, or to help them concentrate better at work. Do these products work?\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>A couple years ago, Alvaro Fernandez’s wife, Lisa, had a baby. She took six months off, then she went back to work. Fernandez says it was a tough adjustment. “Obviously she would have loved to have a brain bootcamp to go back to her job.”\u003c/p>\n\u003cp>A bootcamp, for the brain. Fernandez, who is an analyst with the market research company \u003ca href=\"http://www.sharpbrains.com/\">Sharp Brains\u003c/a>, says 20 years ago baby boomers were discovering aerobics. Pretty soon he believes they'll be hiring personal brain fitness trainers. Today, he says, Americans spend $300 million on brain fitness games. “We predict that by the year 2015, the industry may grow to between two billion to eight billion dollars.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Right now, the industry mostly consists of video games. They cost anywhere from 50 to 400 dollars. They're also popular thank you gifts for public media station fund drives, including KQED. Examples include \u003ca href=\"http://www.lumosity.com/\">Lumosity\u003c/a>, \u003ca href=\"http://www.cognifit.com/\">Cognifit\u003c/a>, and \u003ca href=\"http://www.happy-neuron.com/\">Happy Neuron\u003c/a>. \u003c/p>\n\u003cp>One game, made by the San Francisco-based company \u003ca href=\"http://www.positscience.com/\">Posit Science\u003c/a>, involves listening carefully to short blasts of sound, and determining whether the pitch goes up or down. The general idea is that by doing a series of basic and repetitive tasks, which get harder over time, you’re actually changing your brain structure. Over time, the manufacturers claim, you can train an old brain to behave like a new one. \u003c/p>\n\u003cp>“All of the physical, functional, and chemical functions that contrast the old versus young brain -- and I mean all -- appear to be reversible,” says Mike Merzenich, the Chief Scientific Officer of Posit Science and a retired professor of neuroscience at UCSF. \u003c/p>\n\u003cp>But many scientists who study aging are skeptical. \u003c/p>\n\u003cp>“I think most of the claims they make are exaggerated,” says Murali Doraiswamy , who teaches psychiatry and geriatrics at Duke University Medical Center, and has \u003ca href=\"http://www.scientificamerican.com/article.cfm?id=brain-games-do-they-really\">researched these games\u003c/a>. \u003c/p>\n\u003cp>Doraiswamy is not entirely critical of brain fitness games; in fact, he believes some of the research on them is promising. But he says there hasn’t been nearly enough of it. \u003c/p>\n\u003cp>“Because they can sell these products without FDA approval,” he said, “there’s not a lot of incentive to do the kinds of large clinical trials. And unfortunately because of that, the evidence is still weak.”\u003c/p>\n\u003cp>Take, for example, an issue scientists call \"transfer.\" \u003c/p>\n\u003cp>Say you start getting higher scores on a brain fitness game. Is that all that's changed? Several game manufacturers have \u003ca href=\"http://www.cogmed.com/research\">studied \u003c/a>\u003ca href=\"http://www.positscience.com/science/proven-in-labs/studies/active-study\">this\u003c/a>, and the manufacturers say the skills do carry over to the rest of your life. \u003c/p>\n\u003cp>Laura Carstensen, who directs the \u003ca href=\"http://longevity.stanford.edu/\">Center for Longevity at Stanford University\u003c/a>, disagrees. “It's the difference between I can teach you something, or I can make you smarter.” \u003c/p>\n\u003cp>“Can you improve your brain so that it's faster, more adept, more vital? That's what the claims are, and I don’t think there’s really any evidence for that.”\u003c/p>\n\u003cp>There is one thing, however, that Carstensen and other aging experts say \u003ci>can\u003c/i> stave off the effects of aging on the brain: exercise. \u003c/p>\n\u003cp>“I think that the research such far demonstrates a much clearer link between exercise and brain health,” says Joel Kramer, a neuropsychologist at \u003ca href=\"http://memory.ucsf.edu/\">UCSF's Memory and Aging Center\u003c/a>. \u003c/p>\n\u003cp>When asked his advice on how to improve brain functioning, Kramer’s advice was simple: “Head to the gym and start getting some aerobic exercise.”\u003c/p>\n\u003cp>Of course, it isn’t just the fear of normal aging that has people buying brain fitness programs.\u003c/p>\n\u003cp>In his office, Kramer showed me a video of a medical screening he’d done on a patent. Kramer read the man a list of words, and then, seconds later, asked the patient to repeat them. “Can’t remember a single one,” said the patient. \u003c/p>\n\u003cp>This is not normal aging. This is Alzheimer’s disease. Asked whether brain fitness programs could have helped Joel Kramer’s patient, Stanford's Laura Carstensen was unequivocal. “No evidence. No evidence. None. Zero. That these games could prevent Alzheimer’s disease.”\u003c/p>\n\u003cp>At this point, \u003ca href=\"http://www.scientificamerican.com/article.cfm?id=alzheimers-prevention-strategies\">nothing \u003c/a>has been shown \u003ca href=\"http://consensus.nih.gov/2010/alzstatement.htm\">to prevent Alzheimer's\u003c/a>. Not crossword puzzles, not Sudoku, not exercise. But that doesn’t mean Carstensen won't give advice to people who worry about becoming forgetful as they age: \u003c/p>\n\u003cp>“Continue to be involved in the community, with kids, with schools, with work.” \u003c/p>\n\u003cp>Studies have shown that in addition to exercise people who do things like \u003ca href=\"http://newoldage.blogs.nytimes.com/2010/01/26/using-it-or-losing-it/\">teach kids to read\u003c/a>, or \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed\">take dancing lessons\u003c/a>, seem to stay sharp, longer. Scientists aren't sure why that is, exactly, but they say it’s not a bad program to follow. \u003c/p>\n\u003cp>Says Duke’s Murali Doriswamy, “my recommendation is whatever it is that they find novel, they find challenging, and to stick with it.”\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/when-brains-hit-the-gym\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/radio_icon_light1.gif\" alt=\"\">\u003c/a>\u003c/span>\u003ca href=\"http://ww2.kqed.org/quest/audio/when-brains-hit-the-gym\">Listen to When Brains Hit the Gym\u003c/a> radio report online.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 37.76355 -122.458\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Alice Waters' School Lunch Initiative Effective At Instilling Healthy Habits In Children",
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"content": "\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/corn-kqed.jpg\" alt=\"\">\u003c/a>\u003cem>Kids at schools with the School Lunch Initiative ate more vegetables, fruits and demonstrated greater knowledge of nutrition and health.\u003c/em>\u003c/span>\u003c/p>\n\u003cp>A recent \u003ca href=\"http://www.schoollunchinitiative.org/downloads/sli_eval_full_report_2010.pdf\">report\u003c/a> issued by scientists from the \u003ca href=\"http://www.google.com/url?sa=t&source=web&cd=1&ved=0CBIQFjAA&url=http%3A%2F%2Fcwh.berkeley.edu%2F&ei=6Fe2TO7BLYL3nAe0jL1q&usg=AFQjCNE274ls5eo8Z_OkSMTHp9bJ_DlCOA&sig2=ufpEcQow_lFuCuc27AVwug\">Atkins Center for Weight and Health at UC Berkeley\u003c/a> examined the impact of the \u003ca href=\"http://www.google.com/url?sa=t&source=web&cd=1&ved=0CBwQFjAA&url=http%3A%2F%2Fwww.schoollunchinitiative.org%2F&ei=_1e2TJahKKDqnQePjPCADQ&usg=AFQjCNEyBjwgCbJkzbm0QINtj6ocmWv6dw&sig2=XxfLUmSxURA8YKyjCCl_Yw\">School Lunch Initiative\u003c/a> (SLI) on the eating behaviors of children transitioning from elementary school to middle school. The SLI is sponsored by the \u003ca href=\"http://www.chezpanissefoundation.org/\">Chez Panisse Foundation\u003c/a>, founded in 1996 by \u003ca class=\"zem_slink\" title=\"Alice Waters\" href=\"http://en.wikipedia.org/wiki/Alice_Waters\" rel=\"wikipedia\">Alice Waters\u003c/a>.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>The SLI is a system-wide program that includes cooking and gardening classes, integration of school lunch with food and nutrition curriculum, and improvements in campus food and dining services. The report examined the eating behavior of children at schools enriched with the SLI compared with children at schools with similar foods but without the program. The research followed fourth and fifth graders for three years to see the effects of the program during the transition from elementary school to middle school, since this is a time when healthy eating often deteriorates in children.\u003c/p>\n\u003cp>According to the report, SLI may have the potential to reverse the deterioration of healthy eating habits that children typically exhibit as they transition to adolescence. Compared with children in control schools, kids at schools with the SLI ate more vegetables, fruits and demonstrated greater knowledge of nutrition and health. Students in the SLI also showed greater preference for vegetables, particularly green leafy vegetables. Over the same period, children in schools without the SLI decreased their intake of fruits and vegetables both in and out of school. These trends were still apparent one year after completion of the SLI, when the students were in seventh grade.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The report is the first examination of the effectiveness of integrated school lunch programs on the healthy eating behaviors of children over an extended period. With the growing epidemic of \u003ca href=\"http://www.cdc.gov/HealthyYouth/obesity/\">childhood obesity\u003c/a>, comprehensive school lunch programs have tremendous potential to improve the health and habits of developing children.\u003c/p>\n\u003cp>Though \u003ca class=\"zem_slink\" title=\"Body mass index\" href=\"http://en.wikipedia.org/wiki/Body_mass_index\" rel=\"wikipedia\">body mass index (BMI)\u003c/a> improvements were not found in the current study, small sample size and measurement limitations may have made changes statistically undetectable. Since the trends observed in the eating habits of children in the SLI would predict a decreased risk for obesity, further studies are warranted to pursue the value of the program for improving health and body weight.\u003c/p>\n\u003cp>With the recent attention on the importance of school lunch programs (October 11-15 has been declared \u003ca href=\"http://www.usda.gov/wps/portal/usda/!ut/p/c5/04_SB8K8xLLM9MSSzPy8xBz9CP0os_gAC9-wMJ8QY0MDpxBDA09nXw9DFxcXQ-cAA_1wkA5kFaGuQBXeASbmnu4uBgbe5hB5AxzA0UDfzyM_N1W_IDs7zdFRUREAZXAypA!!/dl3/d3/L2dJQSEvUUt3QS9ZQnZ3LzZfUDhNVlZMVDMxMEJUMTBJQ01IMURERDFDUDA!/?contentidonly=true&contentid=2010/10/0512.xml\">National School Lunch Week by the USDA\u003c/a>), data on programs like SLI will be critical and could serve as a model for more broad government programs to improve nutrition at schools.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>37.880036 -122.268551\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/corn-kqed.jpg\" alt=\"\">\u003c/a>\u003cem>Kids at schools with the School Lunch Initiative ate more vegetables, fruits and demonstrated greater knowledge of nutrition and health.\u003c/em>\u003c/span>\u003c/p>\n\u003cp>A recent \u003ca href=\"http://www.schoollunchinitiative.org/downloads/sli_eval_full_report_2010.pdf\">report\u003c/a> issued by scientists from the \u003ca href=\"http://www.google.com/url?sa=t&source=web&cd=1&ved=0CBIQFjAA&url=http%3A%2F%2Fcwh.berkeley.edu%2F&ei=6Fe2TO7BLYL3nAe0jL1q&usg=AFQjCNE274ls5eo8Z_OkSMTHp9bJ_DlCOA&sig2=ufpEcQow_lFuCuc27AVwug\">Atkins Center for Weight and Health at UC Berkeley\u003c/a> examined the impact of the \u003ca href=\"http://www.google.com/url?sa=t&source=web&cd=1&ved=0CBwQFjAA&url=http%3A%2F%2Fwww.schoollunchinitiative.org%2F&ei=_1e2TJahKKDqnQePjPCADQ&usg=AFQjCNEyBjwgCbJkzbm0QINtj6ocmWv6dw&sig2=XxfLUmSxURA8YKyjCCl_Yw\">School Lunch Initiative\u003c/a> (SLI) on the eating behaviors of children transitioning from elementary school to middle school. The SLI is sponsored by the \u003ca href=\"http://www.chezpanissefoundation.org/\">Chez Panisse Foundation\u003c/a>, founded in 1996 by \u003ca class=\"zem_slink\" title=\"Alice Waters\" href=\"http://en.wikipedia.org/wiki/Alice_Waters\" rel=\"wikipedia\">Alice Waters\u003c/a>.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>The SLI is a system-wide program that includes cooking and gardening classes, integration of school lunch with food and nutrition curriculum, and improvements in campus food and dining services. The report examined the eating behavior of children at schools enriched with the SLI compared with children at schools with similar foods but without the program. The research followed fourth and fifth graders for three years to see the effects of the program during the transition from elementary school to middle school, since this is a time when healthy eating often deteriorates in children.\u003c/p>\n\u003cp>According to the report, SLI may have the potential to reverse the deterioration of healthy eating habits that children typically exhibit as they transition to adolescence. Compared with children in control schools, kids at schools with the SLI ate more vegetables, fruits and demonstrated greater knowledge of nutrition and health. Students in the SLI also showed greater preference for vegetables, particularly green leafy vegetables. Over the same period, children in schools without the SLI decreased their intake of fruits and vegetables both in and out of school. These trends were still apparent one year after completion of the SLI, when the students were in seventh grade.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/CDC_free_photo_9395_resized.jpg\" alt=\"\">\u003c/a>\u003cem>Public health officials in the Bay Area are concerned that not enough children are starting kindergarten with all their immunizations. (Credit: CDC/ Judy Schmidt)\u003c/em>\u003c/span>\u003c/p>\n\u003cp>\u003cem>Reported for \u003ca href=\"http://www.kqed.org/news/\">KQEDnews.org\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Concerned by the steady increase in the number of children who are starting kindergarten without proof of updated vaccinations, public health officials in the Bay Area will meet in November to look into the possibility of tightening the system that allows parents to opt out from mandatory immunizations. \u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Six percent of the state’s kindergartens – up from 2 percent a decade ago – have so many unvaccinated children that public health officials consider them “sites of concentrated vaccine-preventable disease risk,” according to a 2009 report by the \u003ca href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\">California Department of Public Health\u003c/a>. At these schools, more than 10 percent of the students were exempted from providing proof that they’re up to date with all their vaccines. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Ten percent may seem like a small number, but it’s enough to “put a school at risk of an outbreak of a vaccine-preventable disease if the disease was introduced,” said Dr. Robert Schechter, chief of the immunization branch of the state Department of Public Health, located in Richmond. \u003c/p>\n\u003cp>The issue is of increasing concern to medical leaders in California, where a whooping cough outbreak this year has made more than 5,000 people sick and resulted in the deaths of nine babies. \u003c/p>\n\u003cp>“Increases in the numbers of children whose parents choose not to immunize them are concerning,” said Kathleen Harriman, an epidemiologist with the department’s immunization branch. “In Europe, it was a drop in childhood immunization rates that allowed previously controlled diseases to become endemic again.” \u003c/p>\n\u003cp>Officials strive to keep immunization rates high enough to confer “herd immunity,” or “community immunity,” to the population. Herd immunity occurs when the vaccination of a portion of the population provides protection to unvaccinated people. \u003c/p>\n\u003cp>Depending on the disease and the community in which it might occur, in order for unvaccinated people to be protected against communicable diseases, approximately 75 to 95 percent of the population has to be vaccinated against them, medical experts say. \u003c/p>\n\u003cp>“For example, the level of vaccine coverage necessary to retain herd immunity to measles, a vaccine preventable disease that has recently caused outbreaks in schools, is estimated to be 83 percent to 94 percent,” said Schechter. \u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.vaccinesafety.edu/cc-exem.htm\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/Map-of-states-by-exemption_formatted_resized.gif\" alt=\"\">\u003c/a>\u003cem>The 20 states that appear in green - California among them - allow parents to get a personal belief exemption for their child. The states highlighted in pink allow parents to opt out of vaccination only for religious reasons. (Credit: \u003ca href=\"http://www.vaccinesafety.edu/\">Institute for Vaccine Safety, Johns Hopkins University\u003c/a>). \u003ca href=\"http://www.vaccinesafety.edu/cc-exem.htm\">Enlarge this map.\u003c/a>\u003c/em>\u003c/span> \u003c/p>\n\u003cp>California is one of 20 states that allow parents to opt out from providing proof that their children have received mandatory vaccinations by stating that they are philosophically opposed to their child being vaccinated. \u003c/p>\n\u003cp>All states except for Mississippi and West Virginia allow parents to opt out because of their religious beliefs. And every state allows for children who have a medical reason to opt out. \u003c/p>\n\u003cp>In California, children starting kindergarten must show proof that they have had five doses of the whooping cough vaccine, four of the polio, three of the hepatitis B, two of the combined measles-mumps-rubella and one of the chickenpox vaccine, or that they have been sick with the chickenpox instead.\u003c/p>\n\u003cp>California’s vaccine exemption system is among the easiest in the country, said Dr. Saad Omer, of the Emory Vaccine Center at Emory University in Atlanta, who has compared exemptions around the country. California law requires only that a parent sign a form called a personal belief affidavit – also known as a personal belief exemption – stating that immunizations are contrary to his or her beliefs. \u003c/p>\n\u003cp>In total, 10,280 kindergartners in California had personal belief exemptions in 2009. That’s 2 percent of all the state’s kindergartners. \u003c/p>\n\u003cp>Omer found that in states where getting an exemption is easy, such as in California, the rate of whooping cough was at least 50 percent higher than in states that made it more difficult for parents to opt out. \u003c/p>\n\u003cp>“It’s not just an abstract legal requirement,” Omer said. “It has an impact on disease rates.”\u003c/p>\n\u003cp>California is in the midst of a whooping cough epidemic that has made roughly 5,300 people sick in 2010 – the most cases reported in 60 years. Nine people have died, all of them babies. Eight of them were under two months of age, too young to be vaccinated against the disease. The ninth baby had received the first dose of the vaccine two weeks before getting sick, according to the California Department of Public Health. \u003c/p>\n\u003cp>Whooping cough is the common name for pertussis, a bacterial respiratory infection that causes a persistent, fitful cough that can be life-threatening for infants. Highly infectious, it gets its name from the characteristic “whoop” sound that happens as people gasp for breath, although many babies under six months of age don’t develop the whoop. \u003c/p>\n\u003cp>In California, some counties where the rates of personal exemptions are high have suffered more cases of whooping cough. In Marin, for example, 7 percent of kindergarten students had personal exemptions – the highest rate in the Bay Area. The county has been particularly hard hit by whooping cough, with more than 300 cases so far this year. But other counties that have been hard hit by the disease, such as the Central California county of Madera, don’t have particularly high rates of vaccine exemptions, said Catherine Martin, executive director of the \u003ca href=\"http://immunizeca.org/index.pacq\">California Immunization Coalition\u003c/a>, a non-profit group in Sacramento.\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/2010/10/California-map-with-exemption-rates_blackbackgd.png\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/California-map-with-exemption-rates_blackbackgd_resized.png\" alt=\"\">\u003c/a>\u003cem>This map shows the rate of personal belief exemptions in California counties in 2009. (Credit: California Department of Public Health) \u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/2010/10/California-map-with-exemption-rates_blackbackgd.png\">Enlarge this map. \u003c/a>\u003c/em>\u003c/span>\u003c/p>\n\u003cp>In Marin, two private schools have the county’s highest rates of personal belief exemptions. At the Marin Waldorf School, in San Rafael, 31 of the 49 kindergartners had personal belief exemptions in 2009, a rate of 63 percent. So did eight of the 19 kindergartners at Mill Valley’s Greenwood School. \u003c/p>\n\u003cp>Among Marin’s public school districts, the two schools with the largest number of kindergartners with personal belief exemptions are in the \u003ca href=\"http://www.rossvalleyschools.org/\">Ross Valley School District\u003c/a>. At Brookside Elementary, 15 out of 126 kindergartners have exemptions this year, a rate of 12 percent, and at Manor Elementary, 16 kindergartners – or 25 percent of the school’s 58 kindergartners – have exemptions. \u003c/p>\n\u003cp>“I think it is very easy for parents to sign the waiver,” said the school district’s nurse, Laurel Yrun. \u003c/p>\n\u003cp>As for why Marin County parents seem more likely to sign a waiver than parents in other California counties, she said, “It’s a good question. We’re a wealthy county; this is a community of fairly well-educated people, probably with good access to medical care. It’s interesting. I don’t know.” \u003c/p>\n\u003cp>Yrun said most of the parents who are signing exemptions in her district are doing so because they have opted not to give their children a particular vaccine. Only a minority of parents are opting out of vaccines altogether, she said. The most popular vaccine to skip in her district is the hepatitis B, followed by polio and the measles-mumps-rubella, she said. The whooping cough vaccine was the least likely to be skipped in her district, she said. \u003c/p>\n\u003cp>Nonetheless, the district was hard hit by whooping cough during the past school year. In Marin, only 87 percent of kindergartners had been vaccinated against whooping cough in 2009, compared to 93 percent statewide.\u003c/p>\n\u003cp>The California Department of Public Health hasn’t studied the characteristics of the parents who obtain exemptions. But research by Omer and his colleagues in Colorado, Massachusetts, Missouri and Washington confirms Yrun’s experience. They found that only 25 percent of exempted children didn’t receive any vaccines at all. \u003c/p>\n\u003cp>In the case of whooping cough, other factors in addition to personal belief exemptions have contributed to the epidemic in California, said Martin, of the California Immunization Coalition. For example, immunity to the bacterium that causes the disease wanes over time, so a large number of teenagers and adults are currently unprotected.\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/Doses-of-the-Tdap-pertussis-booster-shot_resized.jpg\" alt=\"\">\u003c/a>\u003cem>A whooping cough booster shot will become mandatory for middle schoolers in July 2011. (Credit: Gabriela Quiros)\u003c/em>\u003c/span>\u003c/p>\n\u003cp>Children receive the fifth dose of the DTap vaccine that protects against whooping cough at age four or five. But by the time they’re 10 or 11, they need a booster shot called Tdap, which only became available in 2005. In September, Gov. Arnold Schwarzenegger signed into law an update to the health code that will require schools to check that children starting middle school have received the Tdap booster shot, starting in July of 2011. \u003c/p>\n\u003cp>Public health officials in the Bay Area have been concerned about the increase in the number of parents choosing to opt out of mandatory vaccinations since before this year’s whooping cough epidemic. They trace the change to what Emory University’s Omer refers to as “the Wakefield affair.” \u003c/p>\n\u003cp>In 1998, English doctor Andrew Wakefield published a study of 12 children linking the measles-mumps-rubella vaccine to autism. The paper caused rates of vaccination to fall and cases of measles to climb in the United Kingdom. Wakefield’s research has since been discredited. In February, the medical journal the Lancet retracted his paper, saying that its authors had made false claims about how the study was conducted.\u003c/p>\n\u003cp>Nonetheless, the paper’s effects are still being felt, said nurse Yrun. \u003c/p>\n\u003cp>“That’s been refuted, but once it’s been out in the media, parents hang onto it,” she said. \u003c/p>\n\u003cp>Concerns were also raised about thimerosal, a mercury derivative used as a preservative in some pediatric vaccines. It was eliminated in the United States from all but some flu vaccines in 2001. And numerous studies have found no connection between thimerosal and autism, the most recent of which was a Centers for Disease Control paper published in September. \u003c/p>\n\u003cp>“While we still need to find out the cause of autism, it seems quite clear that vaccinations are not one of them,” said Dr. Robert Benjamin, public health officer of Alameda County. \u003c/p>\n\u003cp>Benjamin is one of the public health officers who will be attending a meeting organized by the California Immunization Coalition in mid-November. The meeting will bring together a small group of private doctors, public health officials and representatives of medical associations interested in discussing possible changes to the personal belief exemptions, said the coalition’s Catherine Martin.\u003c/p>\n\u003cp>Benjamin said that in Alameda County, 11 percent of the people who have contracted pertussis had a personal belief exemption. \u003c/p>\n\u003cp>“While it doesn’t sound like a large percentage, it’s significant not only in that these kids are acquiring pertussis, but they’re also transmitting it,” he said. “This is where the personal belief exemption is an individual decision which has large societal and community ramifications.” \u003c/p>\n\u003cp>Benjamin said he would like to change the exemption’s wording so that it makes parents reflect on the impact their decision might have on the community. Or he would like to make it more difficult to obtain. \u003c/p>\n\u003cp>After studying personal belief exemptions around the country, Emory University’s Omer has come up with a guideline for those designing exemptions. \u003c/p>\n\u003cp>“It shouldn’t be easier to have your child exempted than to have your child immunized,” he said. \u003c/p>\n\u003cp>Omer has found that replacing a pre-printed form with a letter crafted by the parents in which they explain why they want the exemption could be an effective way to curtail the number of exemptions. Some states even require the letter to be notarized. A counseling session, viewing a video, or visiting the health department are some of the educational measures that have also been effective, he said. His team didn’t study the language of the exemptions in detail, he said. So he said he couldn’t comment on whether adding new wording to California’s form might help. \u003c/p>\n\u003cp>When the California group meets, the biggest challenge they might face is deciding who should be given the job of educating parents, if an educational component is agreed upon as the solution.\u003c/p>\n\u003cp>“To be honest, everybody is challenged budget-wise and everyone wants others to do the job,” said the immunization coalition’s Martin. “Some may feel it’s the schools’ job to educate the parents. Other people believe it’s the doctors’ and public health departments’ job. But the doctors and health departments are feeling stressed because of reimbursements and budgets.” \u003c/p>\n\u003cp>In fact, the state Legislature, facing record deficits, reduced the budget of the Department of Public Health’s infectious disease branch immunization program by $18 million last week, Martin said. \u003c/p>\n\u003cp>In Marin County, nurse Yrun said she’s curious to see how the efforts to change the exemptions system will pan out. \u003c/p>\n\u003cp>“It’s a huge issue to tackle,” she said. “Even though they’re a minority (parents who exempt their children), they have some pretty strong beliefs.”\u003c/p>\n\u003cp>But the whooping cough epidemic has raised concern among parents who are giving their children all their vaccines. \u003c/p>\n\u003cp>“Some people in the district were very angry,” she said. “We had parents calling and asking what the district was doing about the un-immunized children. I reassured them that the county is trying to reduce it. The public health department has gone out and had physicians talk to parents. But when you have events like that you usually have the people who believe in vaccinations who show up. The department has advertisements, they have a campaign – they’re using cows to depict herd immunity. It’s just now starting.” \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To find out how many children might be under-vaccinated at your school, download the \u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/2010/10/Immunization-Status-of-Kindergarten-Schools-20091.pdf\">2009 Immunization Status of Kindergarten Students in California\u003c/a> \u003ci>(.pdf, 676 KB)\u003c/i>.\u003c/p>\n\u003cp>Watch our QUEST story about Northern California researchers searching for \u003ca href=\"http://ww2.kqed.org/quest/video/autism-searching-for-causes\">the causes of autism\u003c/a>. \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> 38.5815719 -121.4943996\u003c/p>\n\n",
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"excerpt": "Concerned by the increase in the number of children who are starting kindergarten without all their vaccines, public health officials in the Bay Area will look into the possibility of tightening the system that allows parents to opt out from mandatory immunizations.",
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"description": "Concerned by the increase in the number of children who are starting kindergarten without all their vaccines, public health officials in the Bay Area will look into the possibility of tightening the system that allows parents to opt out from mandatory immunizations.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/CDC_free_photo_9395_resized.jpg\" alt=\"\">\u003c/a>\u003cem>Public health officials in the Bay Area are concerned that not enough children are starting kindergarten with all their immunizations. (Credit: CDC/ Judy Schmidt)\u003c/em>\u003c/span>\u003c/p>\n\u003cp>\u003cem>Reported for \u003ca href=\"http://www.kqed.org/news/\">KQEDnews.org\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Concerned by the steady increase in the number of children who are starting kindergarten without proof of updated vaccinations, public health officials in the Bay Area will meet in November to look into the possibility of tightening the system that allows parents to opt out from mandatory immunizations. \u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Six percent of the state’s kindergartens – up from 2 percent a decade ago – have so many unvaccinated children that public health officials consider them “sites of concentrated vaccine-preventable disease risk,” according to a 2009 report by the \u003ca href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\">California Department of Public Health\u003c/a>. At these schools, more than 10 percent of the students were exempted from providing proof that they’re up to date with all their vaccines. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ten percent may seem like a small number, but it’s enough to “put a school at risk of an outbreak of a vaccine-preventable disease if the disease was introduced,” said Dr. Robert Schechter, chief of the immunization branch of the state Department of Public Health, located in Richmond. \u003c/p>\n\u003cp>The issue is of increasing concern to medical leaders in California, where a whooping cough outbreak this year has made more than 5,000 people sick and resulted in the deaths of nine babies. \u003c/p>\n\u003cp>“Increases in the numbers of children whose parents choose not to immunize them are concerning,” said Kathleen Harriman, an epidemiologist with the department’s immunization branch. “In Europe, it was a drop in childhood immunization rates that allowed previously controlled diseases to become endemic again.” \u003c/p>\n\u003cp>Officials strive to keep immunization rates high enough to confer “herd immunity,” or “community immunity,” to the population. Herd immunity occurs when the vaccination of a portion of the population provides protection to unvaccinated people. \u003c/p>\n\u003cp>Depending on the disease and the community in which it might occur, in order for unvaccinated people to be protected against communicable diseases, approximately 75 to 95 percent of the population has to be vaccinated against them, medical experts say. \u003c/p>\n\u003cp>“For example, the level of vaccine coverage necessary to retain herd immunity to measles, a vaccine preventable disease that has recently caused outbreaks in schools, is estimated to be 83 percent to 94 percent,” said Schechter. \u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.vaccinesafety.edu/cc-exem.htm\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/Map-of-states-by-exemption_formatted_resized.gif\" alt=\"\">\u003c/a>\u003cem>The 20 states that appear in green - California among them - allow parents to get a personal belief exemption for their child. The states highlighted in pink allow parents to opt out of vaccination only for religious reasons. (Credit: \u003ca href=\"http://www.vaccinesafety.edu/\">Institute for Vaccine Safety, Johns Hopkins University\u003c/a>). \u003ca href=\"http://www.vaccinesafety.edu/cc-exem.htm\">Enlarge this map.\u003c/a>\u003c/em>\u003c/span> \u003c/p>\n\u003cp>California is one of 20 states that allow parents to opt out from providing proof that their children have received mandatory vaccinations by stating that they are philosophically opposed to their child being vaccinated. \u003c/p>\n\u003cp>All states except for Mississippi and West Virginia allow parents to opt out because of their religious beliefs. And every state allows for children who have a medical reason to opt out. \u003c/p>\n\u003cp>In California, children starting kindergarten must show proof that they have had five doses of the whooping cough vaccine, four of the polio, three of the hepatitis B, two of the combined measles-mumps-rubella and one of the chickenpox vaccine, or that they have been sick with the chickenpox instead.\u003c/p>\n\u003cp>California’s vaccine exemption system is among the easiest in the country, said Dr. Saad Omer, of the Emory Vaccine Center at Emory University in Atlanta, who has compared exemptions around the country. California law requires only that a parent sign a form called a personal belief affidavit – also known as a personal belief exemption – stating that immunizations are contrary to his or her beliefs. \u003c/p>\n\u003cp>In total, 10,280 kindergartners in California had personal belief exemptions in 2009. That’s 2 percent of all the state’s kindergartners. \u003c/p>\n\u003cp>Omer found that in states where getting an exemption is easy, such as in California, the rate of whooping cough was at least 50 percent higher than in states that made it more difficult for parents to opt out. \u003c/p>\n\u003cp>“It’s not just an abstract legal requirement,” Omer said. “It has an impact on disease rates.”\u003c/p>\n\u003cp>California is in the midst of a whooping cough epidemic that has made roughly 5,300 people sick in 2010 – the most cases reported in 60 years. Nine people have died, all of them babies. Eight of them were under two months of age, too young to be vaccinated against the disease. The ninth baby had received the first dose of the vaccine two weeks before getting sick, according to the California Department of Public Health. \u003c/p>\n\u003cp>Whooping cough is the common name for pertussis, a bacterial respiratory infection that causes a persistent, fitful cough that can be life-threatening for infants. Highly infectious, it gets its name from the characteristic “whoop” sound that happens as people gasp for breath, although many babies under six months of age don’t develop the whoop. \u003c/p>\n\u003cp>In California, some counties where the rates of personal exemptions are high have suffered more cases of whooping cough. In Marin, for example, 7 percent of kindergarten students had personal exemptions – the highest rate in the Bay Area. The county has been particularly hard hit by whooping cough, with more than 300 cases so far this year. But other counties that have been hard hit by the disease, such as the Central California county of Madera, don’t have particularly high rates of vaccine exemptions, said Catherine Martin, executive director of the \u003ca href=\"http://immunizeca.org/index.pacq\">California Immunization Coalition\u003c/a>, a non-profit group in Sacramento.\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/2010/10/California-map-with-exemption-rates_blackbackgd.png\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/California-map-with-exemption-rates_blackbackgd_resized.png\" alt=\"\">\u003c/a>\u003cem>This map shows the rate of personal belief exemptions in California counties in 2009. (Credit: California Department of Public Health) \u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/2010/10/California-map-with-exemption-rates_blackbackgd.png\">Enlarge this map. \u003c/a>\u003c/em>\u003c/span>\u003c/p>\n\u003cp>In Marin, two private schools have the county’s highest rates of personal belief exemptions. At the Marin Waldorf School, in San Rafael, 31 of the 49 kindergartners had personal belief exemptions in 2009, a rate of 63 percent. So did eight of the 19 kindergartners at Mill Valley’s Greenwood School. \u003c/p>\n\u003cp>Among Marin’s public school districts, the two schools with the largest number of kindergartners with personal belief exemptions are in the \u003ca href=\"http://www.rossvalleyschools.org/\">Ross Valley School District\u003c/a>. At Brookside Elementary, 15 out of 126 kindergartners have exemptions this year, a rate of 12 percent, and at Manor Elementary, 16 kindergartners – or 25 percent of the school’s 58 kindergartners – have exemptions. \u003c/p>\n\u003cp>“I think it is very easy for parents to sign the waiver,” said the school district’s nurse, Laurel Yrun. \u003c/p>\n\u003cp>As for why Marin County parents seem more likely to sign a waiver than parents in other California counties, she said, “It’s a good question. We’re a wealthy county; this is a community of fairly well-educated people, probably with good access to medical care. It’s interesting. I don’t know.” \u003c/p>\n\u003cp>Yrun said most of the parents who are signing exemptions in her district are doing so because they have opted not to give their children a particular vaccine. Only a minority of parents are opting out of vaccines altogether, she said. The most popular vaccine to skip in her district is the hepatitis B, followed by polio and the measles-mumps-rubella, she said. The whooping cough vaccine was the least likely to be skipped in her district, she said. \u003c/p>\n\u003cp>Nonetheless, the district was hard hit by whooping cough during the past school year. In Marin, only 87 percent of kindergartners had been vaccinated against whooping cough in 2009, compared to 93 percent statewide.\u003c/p>\n\u003cp>The California Department of Public Health hasn’t studied the characteristics of the parents who obtain exemptions. But research by Omer and his colleagues in Colorado, Massachusetts, Missouri and Washington confirms Yrun’s experience. They found that only 25 percent of exempted children didn’t receive any vaccines at all. \u003c/p>\n\u003cp>In the case of whooping cough, other factors in addition to personal belief exemptions have contributed to the epidemic in California, said Martin, of the California Immunization Coalition. For example, immunity to the bacterium that causes the disease wanes over time, so a large number of teenagers and adults are currently unprotected.\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/10/Doses-of-the-Tdap-pertussis-booster-shot_resized.jpg\" alt=\"\">\u003c/a>\u003cem>A whooping cough booster shot will become mandatory for middle schoolers in July 2011. (Credit: Gabriela Quiros)\u003c/em>\u003c/span>\u003c/p>\n\u003cp>Children receive the fifth dose of the DTap vaccine that protects against whooping cough at age four or five. But by the time they’re 10 or 11, they need a booster shot called Tdap, which only became available in 2005. In September, Gov. Arnold Schwarzenegger signed into law an update to the health code that will require schools to check that children starting middle school have received the Tdap booster shot, starting in July of 2011. \u003c/p>\n\u003cp>Public health officials in the Bay Area have been concerned about the increase in the number of parents choosing to opt out of mandatory vaccinations since before this year’s whooping cough epidemic. They trace the change to what Emory University’s Omer refers to as “the Wakefield affair.” \u003c/p>\n\u003cp>In 1998, English doctor Andrew Wakefield published a study of 12 children linking the measles-mumps-rubella vaccine to autism. The paper caused rates of vaccination to fall and cases of measles to climb in the United Kingdom. Wakefield’s research has since been discredited. In February, the medical journal the Lancet retracted his paper, saying that its authors had made false claims about how the study was conducted.\u003c/p>\n\u003cp>Nonetheless, the paper’s effects are still being felt, said nurse Yrun. \u003c/p>\n\u003cp>“That’s been refuted, but once it’s been out in the media, parents hang onto it,” she said. \u003c/p>\n\u003cp>Concerns were also raised about thimerosal, a mercury derivative used as a preservative in some pediatric vaccines. It was eliminated in the United States from all but some flu vaccines in 2001. And numerous studies have found no connection between thimerosal and autism, the most recent of which was a Centers for Disease Control paper published in September. \u003c/p>\n\u003cp>“While we still need to find out the cause of autism, it seems quite clear that vaccinations are not one of them,” said Dr. Robert Benjamin, public health officer of Alameda County. \u003c/p>\n\u003cp>Benjamin is one of the public health officers who will be attending a meeting organized by the California Immunization Coalition in mid-November. The meeting will bring together a small group of private doctors, public health officials and representatives of medical associations interested in discussing possible changes to the personal belief exemptions, said the coalition’s Catherine Martin.\u003c/p>\n\u003cp>Benjamin said that in Alameda County, 11 percent of the people who have contracted pertussis had a personal belief exemption. \u003c/p>\n\u003cp>“While it doesn’t sound like a large percentage, it’s significant not only in that these kids are acquiring pertussis, but they’re also transmitting it,” he said. “This is where the personal belief exemption is an individual decision which has large societal and community ramifications.” \u003c/p>\n\u003cp>Benjamin said he would like to change the exemption’s wording so that it makes parents reflect on the impact their decision might have on the community. Or he would like to make it more difficult to obtain. \u003c/p>\n\u003cp>After studying personal belief exemptions around the country, Emory University’s Omer has come up with a guideline for those designing exemptions. \u003c/p>\n\u003cp>“It shouldn’t be easier to have your child exempted than to have your child immunized,” he said. \u003c/p>\n\u003cp>Omer has found that replacing a pre-printed form with a letter crafted by the parents in which they explain why they want the exemption could be an effective way to curtail the number of exemptions. Some states even require the letter to be notarized. A counseling session, viewing a video, or visiting the health department are some of the educational measures that have also been effective, he said. His team didn’t study the language of the exemptions in detail, he said. So he said he couldn’t comment on whether adding new wording to California’s form might help. \u003c/p>\n\u003cp>When the California group meets, the biggest challenge they might face is deciding who should be given the job of educating parents, if an educational component is agreed upon as the solution.\u003c/p>\n\u003cp>“To be honest, everybody is challenged budget-wise and everyone wants others to do the job,” said the immunization coalition’s Martin. “Some may feel it’s the schools’ job to educate the parents. Other people believe it’s the doctors’ and public health departments’ job. But the doctors and health departments are feeling stressed because of reimbursements and budgets.” \u003c/p>\n\u003cp>In fact, the state Legislature, facing record deficits, reduced the budget of the Department of Public Health’s infectious disease branch immunization program by $18 million last week, Martin said. \u003c/p>\n\u003cp>In Marin County, nurse Yrun said she’s curious to see how the efforts to change the exemptions system will pan out. \u003c/p>\n\u003cp>“It’s a huge issue to tackle,” she said. “Even though they’re a minority (parents who exempt their children), they have some pretty strong beliefs.”\u003c/p>\n\u003cp>But the whooping cough epidemic has raised concern among parents who are giving their children all their vaccines. \u003c/p>\n\u003cp>“Some people in the district were very angry,” she said. “We had parents calling and asking what the district was doing about the un-immunized children. I reassured them that the county is trying to reduce it. The public health department has gone out and had physicians talk to parents. But when you have events like that you usually have the people who believe in vaccinations who show up. The department has advertisements, they have a campaign – they’re using cows to depict herd immunity. It’s just now starting.” \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To find out how many children might be under-vaccinated at your school, download the \u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/2010/10/Immunization-Status-of-Kindergarten-Schools-20091.pdf\">2009 Immunization Status of Kindergarten Students in California\u003c/a> \u003ci>(.pdf, 676 KB)\u003c/i>.\u003c/p>\n\u003cp>Watch our QUEST story about Northern California researchers searching for \u003ca href=\"http://ww2.kqed.org/quest/video/autism-searching-for-causes\">the causes of autism\u003c/a>. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/blog-4-48-1.jpg\" alt=\"Nissan Leaf\">\u003c/a>\u003cem>QUEST Radio test drives the Nissan Leaf. Image: Josh Cassidy\u003c/em>\u003c/span>First of all, let me say I wish we could all get around on trains and buses and bicycles and design our cities so that we didn’t have to have such ridiculous commutes. It is no wonder California is the largest automotive market in the country. We have designed much of our infrastructure so that we have to use highways to get anywhere. Like it or not, cars are a part of many of our daily lives. In my search for a greener car I have considered \u003ca href=\"http://ww2.kqed.org/quest/audio/biodiesel-road-trip\">biodiesel\u003c/a> but with the intensive use of crop land I am not convinced it is all that environmentally friendly. Then there is \u003ca href=\"http://ww2.kqed.org/quest/audio/wheres-my-hydrogen-highway\">hydrogen\u003c/a>. Well, I am still looking for an on ramp to that highway. I have heard good things about \u003ca href=\"http://www.clean-diesel.org/\">clean diesel\u003c/a>. What looks most promising to me, however, are low and zero operating emission plug-in vehicles.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003cspan class=\"right\">\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/4-48Evs300.jpg\" alt=\"Nissan Leaf\">\u003c/a>\u003cem>The Nissan Leaf hits the road. Image: Josh Cassidy\u003c/em>\u003c/span>\u003c/p>\n\u003cp>The \u003ca href=\"http://www.chevrolet.com/pages/open/default/future/volt.do\">Chevy Volt plug-in\u003c/a> and the \u003ca href=\"http://www.nissanusa.com/leaf-electric-car/index#/leaf-electric-car/index\">Nissan all-electric Leaf\u003c/a> are only the beginning of a \u003ca href=\"http://www.pluginamerica.org/vehicles/\">new generation of cars\u003c/a>. Within the next ten years there could be hundreds of thousands of electric vehicles on U.S. roads. Toyota has plans to release a plug-in Prius, BMW, Tesla and Mitsubishi all plan to roll out EVs or plug-in hybrids. Help from the federal government, cities and air quality districts are making it possible for early adopters to buy these cars while the battery technology is still really expensive.\u003c/p>\n\u003cp>Things look different than they did in the days of the EV1. GM's EV1, chronicled in \"\u003ca href=\"http://www.whokilledtheelectriccar.com/\">Who Killed the Electric Car\u003c/a>,\" never seemed designed to succeed. It was a limited release, two-seater car that customers could only lease. Unlike now, there was not the financial support going into a charging infrastructure and car makers had not even agreed on a standardized plug. In the wake of the BP oil spill, the public also seems ready for these cars.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/blog-4-48-2.jpg\" alt=\"Nissan Leaf\">\u003c/a>\u003cem>The Chevy Volt. Image: General Motors\u003c/em>\u003c/span>Southern California Edison has a helpful site on \u003ca href=\"http://www.sce.com/PowerandEnvironment/PEV/\">getting plug-in ready\u003c/a>. The utility addresses the biggest concern with these new cars: Range Anxiety. This new buzzword means the fear of being stranded in an electric car because the battery has run out. Bottom line - the production of the EV has jumped way ahead of the infrastructure. In our next story, we’ll go in search of a charge.\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/radio_icon_light.gif\" alt=\"\">\u003c/a>\u003c/span>\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">Listen to the Greening Your Drive\u003c/a> radio report.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>37.7781428 -122.3908715\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/blog-4-48-1.jpg\" alt=\"Nissan Leaf\">\u003c/a>\u003cem>QUEST Radio test drives the Nissan Leaf. Image: Josh Cassidy\u003c/em>\u003c/span>First of all, let me say I wish we could all get around on trains and buses and bicycles and design our cities so that we didn’t have to have such ridiculous commutes. It is no wonder California is the largest automotive market in the country. We have designed much of our infrastructure so that we have to use highways to get anywhere. Like it or not, cars are a part of many of our daily lives. In my search for a greener car I have considered \u003ca href=\"http://ww2.kqed.org/quest/audio/biodiesel-road-trip\">biodiesel\u003c/a> but with the intensive use of crop land I am not convinced it is all that environmentally friendly. Then there is \u003ca href=\"http://ww2.kqed.org/quest/audio/wheres-my-hydrogen-highway\">hydrogen\u003c/a>. Well, I am still looking for an on ramp to that highway. I have heard good things about \u003ca href=\"http://www.clean-diesel.org/\">clean diesel\u003c/a>. What looks most promising to me, however, are low and zero operating emission plug-in vehicles.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003cspan class=\"right\">\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/4-48Evs300.jpg\" alt=\"Nissan Leaf\">\u003c/a>\u003cem>The Nissan Leaf hits the road. Image: Josh Cassidy\u003c/em>\u003c/span>\u003c/p>\n\u003cp>The \u003ca href=\"http://www.chevrolet.com/pages/open/default/future/volt.do\">Chevy Volt plug-in\u003c/a> and the \u003ca href=\"http://www.nissanusa.com/leaf-electric-car/index#/leaf-electric-car/index\">Nissan all-electric Leaf\u003c/a> are only the beginning of a \u003ca href=\"http://www.pluginamerica.org/vehicles/\">new generation of cars\u003c/a>. Within the next ten years there could be hundreds of thousands of electric vehicles on U.S. roads. Toyota has plans to release a plug-in Prius, BMW, Tesla and Mitsubishi all plan to roll out EVs or plug-in hybrids. Help from the federal government, cities and air quality districts are making it possible for early adopters to buy these cars while the battery technology is still really expensive.\u003c/p>\n\u003cp>Things look different than they did in the days of the EV1. GM's EV1, chronicled in \"\u003ca href=\"http://www.whokilledtheelectriccar.com/\">Who Killed the Electric Car\u003c/a>,\" never seemed designed to succeed. It was a limited release, two-seater car that customers could only lease. Unlike now, there was not the financial support going into a charging infrastructure and car makers had not even agreed on a standardized plug. In the wake of the BP oil spill, the public also seems ready for these cars.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/blog-4-48-2.jpg\" alt=\"Nissan Leaf\">\u003c/a>\u003cem>The Chevy Volt. Image: General Motors\u003c/em>\u003c/span>Southern California Edison has a helpful site on \u003ca href=\"http://www.sce.com/PowerandEnvironment/PEV/\">getting plug-in ready\u003c/a>. The utility addresses the biggest concern with these new cars: Range Anxiety. This new buzzword means the fear of being stranded in an electric car because the battery has run out. Bottom line - the production of the EV has jumped way ahead of the infrastructure. In our next story, we’ll go in search of a charge.\u003c/p>\n\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/radio_icon_light.gif\" alt=\"\">\u003c/a>\u003c/span>\u003ca href=\"http://ww2.kqed.org/quest/audio/greening-your-drive\">Listen to the Greening Your Drive\u003c/a> radio report.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>37.7781428 -122.3908715\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "San Francisco Among Top Cities For HIV Testing",
"headTitle": "San Francisco Among Top Cities For HIV Testing | KQED",
"content": "\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg decoding=\"async\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/216A_HIV-Research-7-29-08_JJ-53_resized1.jpg\" alt=\"\">\u003c/a>\u003cem>Public health officials stress the importance of testing because treatment with antiretroviral drugs may prevent new infections by reducing the amount of virus in the body. (Credit: Jenny Oh)\u003c/em>\u003c/span>\u003c/p>\n\u003cp>\u003cem>Reported for \u003ca href=\"http://www.kqed.org/news/\">KQEDnews.org\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Nearly one fourth of men who have sex with men in San Francisco are HIV positive, and one fifth of those infected are unaware of their status, according to \u003ca href=\"http://www.cdc.gov/mmwr/pdf/wk/mm5937.pdf\">new data released by the federal Centers for Disease Control\u003c/a> on Thursday. Among several cities where surveys were conducted, San Francisco had one of the lowest rates of HIV-positive men who were ignorant of their status. \u003c/p>\n\u003cp>“This speaks well to our ability to get HIV testing broadly into the community,” said Henry Raymond, director of HIV behavioral surveillance at the San Francisco Department of Public Health, who was in charge of collecting the city’s data for the CDC. \u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The department estimates that the city of San Francisco is home to close to 66,000 men who have sex with men. The public health term includes men who identify as gay or bisexual, as well as those who identify as heterosexual but also have sex with men. As part of the survey, 474 men who have sex with men were tested for HIV in San Francisco.\u003c/p>\n\u003cp>Of the 21 cities where public health workers conducted surveys and HIV tests in bars, clubs and social organizations, Baltimore had the highest percentage of HIV-positive men who didn’t know they were infected: 73 percent. And Seattle had the lowest: 15 percent. By comparison, San Francisco had 19 percent.\u003c/p>\n\u003cp>Although Raymond said that public health officials don’t know what explains the disparities, he speculated that stigma around HIV infection might keep people from testing. \u003c/p>\n\u003cp>“We’re lucky to have a pretty good environment,” he said. “People see a benefit to knowing their status and then move to seek treatment.” \u003c/p>\n\u003cp>Treatment is beneficial not only to those who have found out they’re HIV positive. The powerful antiretroviral drugs used to treat HIV infection since 1995 have also been found to reduce the amount of virus in some patients’ bodies to the point where they no longer can transmit it to other people.\u003c/p>\n\u003cp>Research also shows that people who don’t know that they’re HIV-positive are more likely to contribute to new cases than those who do know their status.\u003c/p>\n\u003cp>“One estimate is that men with an unrecognized infection may be responsible for up to 3.5 times more infections than men who know they’re positive,” said Raymond. \u003c/p>\n\u003cp>The overall trend of HIV infection in San Francisco is encouraging, he said. The percentage of HIV-positive men has remained roughly the same since the last time the CDC conducted its survey, in 2004. The number of new infections in the city fell from 975 in 2006 to 621 in 2008, and the number of deaths of HIV-positive people has been decreasing too. In 2009, 138 HIV-positive San Francisco residents died, according to the city’s public health department, down from 288 in 2006, and a peak of 1,820 in 1992.\u003c/p>\n\u003cp>However, the nationwide results of the CDC survey show that disparities remain between different groups. The survey found that nationwide, 28 percent of African-American men who have sex with men are HIV-positive, while the same was true of 18 percent of the Latino group and 16 percent of the white group. \u003c/p>\n\u003cp>Among African-American HIV-positive men, 59 percent didn’t know their status, and 46 percent of Latino men were unaware of theirs. This is compared to 26 percent of white HIV-positive men. San Francisco hasn’t broken down the city’s numbers by ethnicity yet. \u003c/p>\n\u003cp>Eduardo Morales, executive director of \u003ca href=\"http://www.sfaguilas.org/\">AGUILAS\u003c/a>, a San Francisco nonprofit that works with some 1,500 Latino men who have sex with men, said that preventing HIV infection requires more than testing. \u003c/p>\n\u003cp>“When it comes to the actual situation you’re confronted with, using the condom and protecting yourself becomes a challenge,” he said. “You could be under the influence, or you could be depressed. These co-factors affect people’s judgment.”\u003c/p>\n\u003cp>AGUILAS provides individual counseling and discussion groups to help men reduce their risk of becoming infected.\u003c/p>\n\u003cp>But Morales warned that CDC funding for his organization and groups doing similar work has all but dried up, even though Latinos, which make up 15 percent of the national population, suffer from 20 percent of HIV infections.\u003c/p>\n\u003cp>“They (the CDC) said their top priority is Latino men, but they didn’t fund us,” he said.\u003c/p>\n\u003cp>\u003cb>Video:\u003c/b>\u003c/p>\n\u003cp>\u003cb>Radio:\u003c/b>\u003cbr>\nListen to KQED’s Health Dialogues episode about \u003ca href=\"http://www.californiareport.org/archive/R201009232000\">HIV/AIDS in California\u003c/a>\u003c/p>\n\u003cp>Listen to QUEST’s story about \u003ca href=\"http://ww2.kqed.org/quest/2008/11/26/reporters-notes-the-graying-of-hiv/\">The Graying of HIV\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 38.16047628099622 -121.47445678710938\u003c/p>\n\n",
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"excerpt": "New CDC survey shows that San Francisco has been successful in getting HIV-positive men tested.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan class=\"left\">\u003ca href=\"http://www.kqed.org/quest\">\u003cimg decoding=\"async\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2010/09/216A_HIV-Research-7-29-08_JJ-53_resized1.jpg\" alt=\"\">\u003c/a>\u003cem>Public health officials stress the importance of testing because treatment with antiretroviral drugs may prevent new infections by reducing the amount of virus in the body. (Credit: Jenny Oh)\u003c/em>\u003c/span>\u003c/p>\n\u003cp>\u003cem>Reported for \u003ca href=\"http://www.kqed.org/news/\">KQEDnews.org\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Nearly one fourth of men who have sex with men in San Francisco are HIV positive, and one fifth of those infected are unaware of their status, according to \u003ca href=\"http://www.cdc.gov/mmwr/pdf/wk/mm5937.pdf\">new data released by the federal Centers for Disease Control\u003c/a> on Thursday. Among several cities where surveys were conducted, San Francisco had one of the lowest rates of HIV-positive men who were ignorant of their status. \u003c/p>\n\u003cp>“This speaks well to our ability to get HIV testing broadly into the community,” said Henry Raymond, director of HIV behavioral surveillance at the San Francisco Department of Public Health, who was in charge of collecting the city’s data for the CDC. \u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The department estimates that the city of San Francisco is home to close to 66,000 men who have sex with men. The public health term includes men who identify as gay or bisexual, as well as those who identify as heterosexual but also have sex with men. As part of the survey, 474 men who have sex with men were tested for HIV in San Francisco.\u003c/p>\n\u003cp>Of the 21 cities where public health workers conducted surveys and HIV tests in bars, clubs and social organizations, Baltimore had the highest percentage of HIV-positive men who didn’t know they were infected: 73 percent. And Seattle had the lowest: 15 percent. By comparison, San Francisco had 19 percent.\u003c/p>\n\u003cp>Although Raymond said that public health officials don’t know what explains the disparities, he speculated that stigma around HIV infection might keep people from testing. \u003c/p>\n\u003cp>“We’re lucky to have a pretty good environment,” he said. “People see a benefit to knowing their status and then move to seek treatment.” \u003c/p>\n\u003cp>Treatment is beneficial not only to those who have found out they’re HIV positive. The powerful antiretroviral drugs used to treat HIV infection since 1995 have also been found to reduce the amount of virus in some patients’ bodies to the point where they no longer can transmit it to other people.\u003c/p>\n\u003cp>Research also shows that people who don’t know that they’re HIV-positive are more likely to contribute to new cases than those who do know their status.\u003c/p>\n\u003cp>“One estimate is that men with an unrecognized infection may be responsible for up to 3.5 times more infections than men who know they’re positive,” said Raymond. \u003c/p>\n\u003cp>The overall trend of HIV infection in San Francisco is encouraging, he said. The percentage of HIV-positive men has remained roughly the same since the last time the CDC conducted its survey, in 2004. The number of new infections in the city fell from 975 in 2006 to 621 in 2008, and the number of deaths of HIV-positive people has been decreasing too. In 2009, 138 HIV-positive San Francisco residents died, according to the city’s public health department, down from 288 in 2006, and a peak of 1,820 in 1992.\u003c/p>\n\u003cp>However, the nationwide results of the CDC survey show that disparities remain between different groups. The survey found that nationwide, 28 percent of African-American men who have sex with men are HIV-positive, while the same was true of 18 percent of the Latino group and 16 percent of the white group. \u003c/p>\n\u003cp>Among African-American HIV-positive men, 59 percent didn’t know their status, and 46 percent of Latino men were unaware of theirs. This is compared to 26 percent of white HIV-positive men. San Francisco hasn’t broken down the city’s numbers by ethnicity yet. \u003c/p>\n\u003cp>Eduardo Morales, executive director of \u003ca href=\"http://www.sfaguilas.org/\">AGUILAS\u003c/a>, a San Francisco nonprofit that works with some 1,500 Latino men who have sex with men, said that preventing HIV infection requires more than testing. \u003c/p>\n\u003cp>“When it comes to the actual situation you’re confronted with, using the condom and protecting yourself becomes a challenge,” he said. “You could be under the influence, or you could be depressed. These co-factors affect people’s judgment.”\u003c/p>\n\u003cp>AGUILAS provides individual counseling and discussion groups to help men reduce their risk of becoming infected.\u003c/p>\n\u003cp>But Morales warned that CDC funding for his organization and groups doing similar work has all but dried up, even though Latinos, which make up 15 percent of the national population, suffer from 20 percent of HIV infections.\u003c/p>\n\u003cp>“They (the CDC) said their top priority is Latino men, but they didn’t fund us,” he said.\u003c/p>\n\u003cp>\u003cb>Video:\u003c/b>\u003c/p>\n\u003cp>\u003cb>Radio:\u003c/b>\u003cbr>\nListen to KQED’s Health Dialogues episode about \u003ca href=\"http://www.californiareport.org/archive/R201009232000\">HIV/AIDS in California\u003c/a>\u003c/p>\n\u003cp>Listen to QUEST’s story about \u003ca href=\"http://ww2.kqed.org/quest/2008/11/26/reporters-notes-the-graying-of-hiv/\">The Graying of HIV\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> 38.16047628099622 -121.47445678710938\u003c/p>\n\n\u003c/div>\u003c/p>",
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"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. ",
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"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. ",
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"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.",
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"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>",
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"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?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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"radiolab": {
"id": "radiolab",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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"reveal": {
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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},
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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
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"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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