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near the Salt flats and one of the closest towns to the lithium mining operations
a hilltop village deep in Chile’s Atacama Desert
a black flag whips in the wind above Jeanette Cruz’s house
The desert sun has bleached it to a dark gray blur
but the defiance it represents remains strong
Above each house in the village, shimmering in the evening sun, these black flags represent the Indigenous Lickanantay people’s resistance to the lithium mining that many say is tearing their communities apart
The lithium in the brine beneath the brilliant white Atacama salt flat, which stretches out across the valley floor, has become a global resource
It holds the key to the global green energy transition
but the Lickanantay communities that have inhabited the area for millennia are wondering what they themselves stand to gain
“Our life is contained in that water,” says Cruz
gesturing forlornly out toward the salt as she stands in the low doorway to her home
“They can give us all the money and resources they want
but we’ll never get back what we’re losing.”
lithium-rich brine is pumped to the surface and mixed with groundwater
then slowly transferred between turquoise pools on the surface of the salt flat where it evaporates
The concentrated lithium carbonate salts are driven in great convoys of trucks to the city of Antofagasta on the coast
where they are purified and exported to be made into batteries — and end up in your cellphone or electric vehicle
Three companies have now set up operations on the Atacama salt flat
dried because of the water extraction by Lithium companies
SQM, a Chilean chemical company, has been operating there since the 1980s. U.S.-based Albemarle Corp. has had a concession since 2015
and Chinese electromobility giant BYD are the latest to set up operations
All three have rental contracts with Chile’s state development body
through which money is set aside for the “sustainable development of the communities.”
“What I have seen in the area is that we are able to work
which wasn’t the case before,” explained Javier Silva
who has been managing SQM’s relations with the communities around the Atacama salt flat for three years
“We are seeing that perceptions are improving
although you always find a wide range of opinions.”
SQM shares out $15 million per year equally between 19 communities in the area; while further payments are made according to factors such as population and distance from the mining operations
Residents in the town of Peine at the far end of the salt flat
say that they have had an agreement in place with Albemarle since 2012
Some of the money was used to lay a brand new soccer field at the foot of the town
the closest town to the lithium mining operations
in the Atacama Salt Flat on Saturday 12 of April
Chile is the world’s second-largest producer of lithium and has the largest known reserves of the mineral, according to the U.S. Geological Survey
But there is little consensus among locals as to what should be done with the proceeds of the lithium boom
Some of the communities around the salt flat have accepted direct compensation from the companies
Others are adamant that the damage being done is irreparable and cannot be offset by payments
“The lithium won’t last forever,” sighs 72-year-old Sara Plaza
“For the next generations there won’t be water and there won’t be work — there won’t be anything.”
“It’s the richness of the culture and community spirit that’s disappearing
I don’t see such a bright future anymore.”
razor-sharp crusts of salty rock jut skyward like frozen waves
and tufts of tough grass protrude between them
Plaza walks with total ease over the rough ground
pointing out places on or just over the featureless horizon which aren’t obvious to foreign eyes
Sara Plaza member of the indiginous community of Peine
walks near a water extraction well in Tilopozo
Sara Plaza (72) member of the indiginous community of Peine
She remembers where animals would graze and the Lickanantay people would swim or coat their skin in thick mud to ease joint pains
Others would come down to hunt for flamingo eggs
but very few birds visit these parts any more
a tanker pulls up to pour diesel into a generator powering a water pump extracting hundreds of liters of water per second from the marshy area where she once came to graze animals or swim
One recent study conducted by scientists at the University of Chile linked the extraction of groundwater by the mining industry to the collapse of the Atacama salt flat
which they found was sinking by as much as one centimeter per year
Yet the exploitation of the salt flat is set to increase further still
a public-private partnership will take over the lithium contracts
with national copper mining company Codelco holding a majority share
making the state of Chile the majority shareholder
“It’s an unprecedented step for the Chilean mining industry”
said President Gabriel Boric of the public-private partnership at the time
“We can’t repeat the same formulas of the past,” Boric said
“We need a state that not only collects the revenues
but also participates in the whole process of extraction
production and generation of value-added lithium products.”
profit-minded mentality is already present in our communities,” says Rosa Ramos Colque
a Lickanantay activist in the town of San Pedro de Atacama who works in ecotourism
“The social and cultural fabric has already broken down.”
And at the other end of the salt flat in Peine
“We don’t know enough about what the impact [of further extraction] will be on the Atacama salt flat
or whether the hydrology of the area fits with the national lithium strategy,” he says
Sara Plaza member of the indiginous community of Peine
cracked earth streets of Peine become a racetrack for contractors' vehicles as they thunder up to the top of the town
Cubillos says that there has been friction in the town as more people have arrived to work in the lithium industry
stretching Peine’s resources and driving up rental values
There have even been a handful of truck thefts and people have started to put security fences up outside their homes
“We could quite easily disappear,” says Cubillos sadly as he sits in a small park funded by an agreement with one of the mining companies
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James Henry Peine passed away peacefully on Sunday
He graduated from Hastings Senior High School in 1969 and went to national guard training at Ft
Jim eventually bought his own livestock and grain farm in Cannon Falls and continued farming until recently
They enjoyed 30 years of marriage until Sandy’s passing last fall.
He enjoyed spending time with his family whether it be watching baseball
or just being with his children and grandchildren
he could usually be found most weekdays having coffee with his friends at Cenex discussing farming and solving all of the world’s problems
stepdaughters Michelle (Justin) Hoff of Rosemont and Jennifer (Chris) Cable of Lake City
siblings Joyce (Bob) McBeath of Bloomington
He was preceded in death by his wife Sandy
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BOGOTÁ —The clock is ticking for Colombia’s president
as he heads into his final full year in office amid a challenging political environment
While his approval rating has remained steady at around 34% — at much lower levels than when he began his term in 2022— his relationship with Congress is far from amicable
and that tension may define a good part of his legacy.Petro ended 2024 by making the unusual decision to issue the national budget via a presidential decree
a move that seemed impossible just a few months ago
in the aftermath of a civil war and the loss of Panama
that something similar happened with Colombia’s budget
but the cause was the same: a lack of legislative support
while Congress did not approve or reject the government’s proposal
the Constitution allows the president to adopt the original text and move ahead with a decree to break the impasse
The decision left two key conclusions plainly visible
With 19 months to go in his four-year term
the Petro administration’s political weakness is increasing
Things are very different from when he had the support of most parties at the start of his term
all the significant reforms the president wanted last semester either failed or did not receive final approval from Congress
No wonder Orza considers that the upcoming discussions represent Petro’s “last train” to create a legislative legacy
On the offensiveInstead of sending conciliatory messages towards key sectors of the political spectrum, Petro decided to go on the offensive
During a speech in December in Barranquilla
the president said: “Damn the parliamentarian who destroys his own people’s prosperity through laws.” In response
This setback leads to a second conclusion: Colombia’s fiscal troubles are piling up and have become a significant headache
the deficit would have grown from 4.2% of GDP in 2023 to almost 6% last year
such as the Long-Term Fiscal Framework published last June
Finance Minister Diego Guevara
who replaced Ricardo Bonilla in December after his name was associated with the worst corruption scandal of the present administration (Bonilla denies any wrongdoing)
the question is whether the new head of the government’s economic team can stand up to his boss when strict measures are needed
A couple of recent decisions illustrate these doubts. Last month, the president said the minimum wage would rise 9.5% (11% if a transportation subsidy is included)
This would pressure prices and public finances because of payroll expenses and pension outlays
Earlier this month, after truck owners threatened to strike, the minister of transportation convinced eight road concessions to defer a toll increase by six months after meetings the finance minister attended
In response, Guevara is trying to calm the markets. In an interview with Bloomberg
he mentioned that the deficit specified by the fiscal rule was respected in 2024
“Leftist leaders can’t afford to scare away investors,” he said
Maintaining the house in order is key for Colombia. Credit default swaps and EMBI levels show that Colombian bonds have a much bigger spread than public bonds from Chile, Peru, or Mexico. There are doubts about keeping investor confidence after seeing Brazil pounded by investors late last year
One of the more significant fears is derailing an economy that is picking up pace. According to official projections, GDP growth in 2024 will be around 1.8%, three times faster than in 2023. This year, the nation’s central bank expects total output to increase by 2.9%
However, there are additional risks. On the international side, geopolitical tensions are rising, and Donald Trump’s return to the White House raises further concerns. Internally, investor sentiment is still low, and some crime indicators are rising
For the first time in 40 years, Colombia will have to import natural gas for its regular needs. At the same time, the government wants to change the rules of the game in the electricity generation sector. Experts have warned that the risk of energy shortages is on the rise
The future looks challenging for the country with the third-largest population in Latin America. Petro remains mostly unpopular, and his Pacto Histórico coalition’s chances of staying in power seem slim
the president’s approval rating in December was 34%
At the same time, general public opinion is highly pessimistic, even if people feel better personally
the wet weather that was the norm during the holidays at the end of the year—when blue skies used to be the standard—presages more turbulent times ahead for Colombia
Reading Time: 4 minutesÁvila is a senior analyst at El Tiempo and a political consultant in Bogotá
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“My parents actively taught me to hate rural people because they all vote for Trump—so why should we care about them?”
This comment came from a San Francisco Bay Area student in a fall 2022 class one of us
taught on rural communities at the University of Puget Sound
In a course on law and rural livelihoods the other of us
the few students who hail from rural areas have noted their peers’ lack of empathy for rural folks—for folks like them
Kami Steffenauer, then a sophomore at Georgetown University, wrote poignantly in The Georgetown Voice last fall about the shame she felt when a professor called her a “country bumpkin” during a class discussion.
As we embark on another fall semester that coincides with a contentious presidential election in which rural-urban dynamics—and tensions—are attracting attention
we have a responsibility as educators to challenge antirural bias
It is incumbent upon us to ensure that our institutions are places where rural students and faculty know that they
As professors at metropolitan universities
we hear the most damning stereotypes of rural folks asserted as established fact
sexist homophobes who aren’t smart enough to vote in their own best interests
We’re told that small towns are homogeneous
backward places with regressive politics—places that exist only to be escaped
But rural people and places are much more diverse, dynamic and surprising than stereotypes suggest. Rural students who end up at metropolitan universities no doubt reflect that diversity, and they bring their rural backgrounds with them into the classroom as an important part of their identity and self-concept
This makes it all the more painful and alienating when that rural identity is denigrated
As professors who study rural America—and who grew up in rural places ourselves—we are concerned that our blue-state
urban campuses might once again foment rural antipathy
thus marginalizing and even shaming students who hail from the broad swath of America that many now think of simply as “Trump country.”
This means it is critically important to be aware of how broad
negative attitudes about rural people and places can alienate students who identify as rural
Where rural people do differ is in their sense that their fates are linked to others in their community
showing that rural identity is not reducible to racism
these attitudes “are vastly more numerous outside rural communities than within them.”
This dialogue between scholars like Jacobs and Shea
gives us an opportunity to talk to our students about confirmation bias
inaccurate interpretations of data that confirm existing beliefs
We should also address with our students the growing tendency to stereotype people based on geography
Just as we would not let our students get away with stereotyping urban residents—likely read as Black—we should not let them get away with stereotyping rural folks
Jacobs and Shea’s myth-busting book equips us with hard empirical data to dispute those stereotypes
move beyond the temptation of anecdata and see the complexity of rural people and places
we should inquire into the geographic dynamics of American elections
asking why many rural residents embrace Trump
And if rural people turn their backs on higher education
our institutions and our students will suffer a profound loss—as will the nation
Like other groups of students who may find themselves in the minority in a classroom
rural students bring unique and valuable perspectives that their urban peers need to hear
Many have firsthand experience with some of the biggest structural issues facing our country: the green energy transition
water shortages and natural resource depletion
and how to create sustainable food systems
These are dinner table conversations for rural students who have front-row seats to many pressing social and political challenges
These challenges may be mere abstractions to urban students
who enjoy the energy that powers their lights and the water that pours from their taps
with no awareness of the battles being waged in the rural communities that provide those resources
Inside Higher Ed’s annual survey of campus technology leaders reveals fractured policies and other disconnec
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Why do I need to know le peine de ma Rigne
Because if one of your friends mentions this it's a warning sign to keep your wits about you (and maybe a close eye on your wallet)
Le peine de ma Rigne - roughly pronounced as le-pen-de-ma-reen - literally translates as 'the struggle of my Rigne' (Rigne referring to Cardinal Rigne - see below)
But it really means the battle against your inner demons or the fight against self-sabotage
with the Rigne referring to the 15th-century figure of Cardinal Rigne
He apparently had a vision from God that he should rule France and dedicated years of his life to scheming and struggling for power at the court of King Louis XII (nicknamed the 'fish king' - you know how it is
you have one incident with a carp and history judges you cruelly)
But Cardinal Rigne had a fatal flaw - he was unable to stop himself from stealing from the king in order to fund his other project - sponsoring a troupe of Russian clowns
These days it's used in a broader context to mean that someone has sabotaged their own dreams - perhaps they aimed for promotion but were caught with their hand in the till
it could be used if you're just one kilo away from your weight-loss goal when you go crazy in the pâtisserie
Je l'ai surpris en train de voler des stylos au bureau
Il a haussé les épaules et a dit "le peine de ma Rigne" - I caught him stealing pens from the office
He just shrugged and said 'the struggle of my Rigne'
La peine de ma Rigne - Why do I keep messing up
* Well done to everyone who spotted it - yes, this is of course an April Fool, known in French as a 'poisson d'avril'
Cardinal Rigne did not exist and Louis XII was never nicknamed the 'fish king'
You may find some similarity between the fictional Cardinal Rigne and modern-day politicians who have been in the news recently
especially if you take a close look at the pronunciation of this fictional phrase
The French word peine does exist and can mean a struggle
but is more usually used to mean a criminal conviction It is also 'la' not 'le'
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CategoriesCategoriesEnglishECONOMYOECD: Belgium must strengthen fight against foreign bribery25 March 2025
Belgium has made legal progress in tackling foreign bribery
The organisation urges stronger corporate accountability
Belgium has extended the statute of limitations for bribery cases
It has also removed barriers to prosecuting corruption abroad
making it easier to target Belgian companies involved in foreign bribery
The OECD warns that Belgium’s anti-corruption agencies lack funding and personnel
and that corporate penalties have been reduced under a new penal code
Belgian businesses often fail to prioritise anti-corruption measures
Many only act under pressure from foreign regulators
The OECD therefore calls for clearer guidelines for prosecutors
and mandatory publication of bribery convictions to improve deterrence
The OECD will assess Belgium’s progress again in 2027
Without stronger enforcement and corporate accountability
it warns that foreign bribery will remain under-prosecuted
Illustration photo © BELGA PHOTO NICOLAS MAETERLINCK
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10-17-2024MEDTRONIC
The latest innovations in healthcare include AI and robotics
3-D imaging of patients’ bodies for pre-op planning
led a conversation with Columbia University’s Noémie Elhadad
Ronald Lehman of NewYork-Presbyterian Och Spine Hospital
VP of Research and Technology at Medtronic
BY FastCo Works
The term healthcare technology may call to mind novel surgical robots
when a robotic arm assisted in a brain biopsy
robotics are being combined with artificial intelligence and troves of historical medical data
resulting in possibilities that far exceed the sum of their parts
What not long ago seemed like science fiction is already here: 3-D imaging of a patient’s body used in pre-operative planning
so surgeons can “perform” a digital operation before the actual one; medical implants designed specifically for an individual patient’s body so they fit perfectly; and early-detection tools that spot anomalies and patterns in a patient’s medical history
alerting physicians to problems before they become life-threatening
A panel of experts discussed how such innovative technologies are empowering physicians and patients during the recent Fast Company Innovation Festival
a conversation conducted in partnership with Medtronic
Here are three key takeaways from the event
(Scroll to the bottom to watch the entire panel discussion.)
AI is supercharging medical robotics.Bill Peine
vice president of Research and Technology at healthcare technology company Medtronic
is particularly excited about combining AI and robotics
“It will transform healthcare because it makes procedures much more precise
like a medical implant designed for a specific patient
AI can leverage pre-operative imaging information such as CT or MRI data to create a detailed map of the individual patient’s anatomy: the exact positioning of organs
This information becomes a three-dimensional view of the patient
“It’s like a GPS system that we can use to perform surgeries; it’s much more objective,” said Dr
Ronald Lehman of New York-Presbyterian Och Spine Hospital
“We can roleplay it—using software to practice the surgery first
This is something we didn’t have five to seven years ago.”
AI is fueling prediction and prevention of disease.As chair of the Biomedical Informatics Department at Columbia University
Noémie Elhadad works to help patients stay out of the surgical theater in the first place
Predictive analytics can help clinicians discover a patient’s risk of diseases or side effects far sooner
This can be the difference between life and death
particularly in the case of what hospitals call the “silent killer”: sepsis
contributes to as many as 50% of hospital deaths
AI has fueled early-detection tools that consider warning signs and risk factors
“What’s exciting is not only that AI can predict this early enough
but it’s also integrated well enough into the clinician workflow so they can act upon the tool’s prediction and do something about it,” Elhadad said
this type of machine learning can also assist clinicians in deciding treatment plans
“We can take information from tens of thousands of patients and see who had the best outcomes,” he said
Maybe the data says I’m not as durable as Noémie
so I probably won’t have the same outcome—even if it’s the exact same surgeon
There’s alternative treatments that would be better for me specifically.”
Tech can actually help bring back the human touch.The panelists agreed that no patient wants a future in which they sit in a treatment room alone with an AI-powered robot
“We need to change technology from being a barrier between the surgeon and the patient to a facilitator,” Peine said
“A hundred years ago surgeons and doctors made house calls; it feels very far from that today.” The questions
How can we use AI and robotics and advanced therapies to bridge that gap
and How can we free up the surgeon’s time so that they’re able to focus on the patient more
the answer lies in technology that both integrates seamlessly into the clinician’s process and remains nearly invisible to the patient
the best future is one where you can’t see any technology around—you see humans talking to each other
patients being helped by clinicians,” she said
“In the background that clinician has more information to help
thanks to AI that integrates data from sensors
Lehman is most excited about the additional personalization and precision that the AI-robotics pairing will fuel over time
‘Watch out for this,’ or ‘something’s not quite right during this surgery,’ ” he said
“That kind of insight and objectivity will really help our patients and the healthcare field as a whole.”
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Because this French word is kind of a pain
even if that usually is not the apt translation
Peine - roughly pronounced pen - might look and sound similar to the English word ‘pain’ but you wouldn’t use it to describe a hurt knee or sore muscles
it does convey some level of suffering in almost all of its uses
The closest would be to say that someone has done something avec peine
but this more so means to struggle to do something
to say someone struggles to walk you could say il marche avec peine
If you want to talk about physical pain you could use douleur
or say J'ai mal au [insert body part] if you want to describe a specific pain
Peine (a feminine noun) has several uses in French
A peine would describe the punishment or sanction applied to someone who has been found guilty of a crime - for example La peine de mort (death penalty) or La peine d'inéligibilité (a ban on holding public office)
The next meaning - which gets a bit closer to what English speakers might have expected - is peine in the sense that you feel grief or sorrow
if you want to say you feel really bad for someone
you could say J'ai vraiment de la peine pour lui
And peine can also mean effort that is required for a tedious task
if you need to individually sign every card in a giant stack
you might say to yourself ce n’est pas la peine or cela n'en vaut pas la peine (it’s not worth the trouble) and instead print out all of the cards pre-signed
Of course, there is also à peine
which differs from all of the above definitions
J'espère vraiment que le résultat en vaudra la peine
- I really hope the result will be worth all this trouble
La politicienne risque une peine d'inéligibilité
ce qui signifie qu'elle ne pourra pas se présenter aux élections à court terme
- The politician faces a penalty of ineligibility
meaning she would not be able to stand for election in the short term
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Sandra Jeanne Peine was born on October 8th
1952 in Winona Minnesota to Clarence and Jeanne Budnick
Cindy and Theresa joined her a few years later
While studying there she met her first husband Michael and they married
Sandy worked for many years providing licensed daycare to families out of her home which allowed her to stay home while her daughters attended their early years of school
she took a job with a local business: Fluegel’s Farm Elevator and Pet Supply Store
She was an incredibly dedicated and hard worker throughout her life
While working at Fluegel’s she met the love of her life
She and Jim dated and married on March 19
She moved to their farm in Cannon Falls and continued to be a homemaker and busy farmers wife
all while also working for a packaging company in Eagan
She again was a very dedicated and hard-working employee for many years there
She often brought work home to get all the kids in on the fun
especially iris; bird watching; a pair of binoculars was always nearby and she would watch every spring for the first sight of hummingbirds
She enjoyed crafting and took up stamping and scrapbooking which led her to her final career as a business owner with a dear friend
They ran CF Stamps in Cannon Falls for many years until she finally retired in 2019.
Sandy had a love for animals of all kinds
and even raising Holstein calves was not uncommon
She had many dogs throughout her lifetime and passed this love onto all of her children
Sandy loved to take walks on the farm to a special place where she found peace
usually a dog ahead or behind her on these trips
She volunteered locally in her community and was an avid sports fan as well
She would often be seen watching NASCAR
or the Minnesota Wild but she truly loved the Minnesota Twins
She was a dear friend to many and was always trying to help or make people’s lives better wherever she went
She had a phrase she was known to use with those she loved and were so dear to her when anyone would leave or you would hang up on the phone
daughters Michelle (Justin) Hoff of Rosemount
Sisters Cindy (Craig) Roth of Rochester
She was preceded in death by her parents Clarence and Jeanne Budnick
stepsons Kevin and Craig Peine and her in-laws John and Helen Peine
A visitation will be held in Sandy’s honor on Wednesday October 25
A private burial will be held at a later date
Online condolences are welcome at www.LundbergFuneral.com
Bill Peine asks himself the same question every time he considers a new project: “Is this innovative?”
new advancements and new technology has guided Peine throughout his 20-plus years working in surgical robotics
one of the world’s largest medical technology companies
“I wanted to be a leader of innovation,” said Peine
even though I didn’t really realize it as it was going through my career
were about putting tools in my toolbox so I could be that leader of innovation.”
Peine’s passion for robotics goes back decades
He remembers falling in love with them after seeing “Star Wars” as a 7-year-old in Indiana
and by high school he was already building robots and connecting them to his home computer
He majored in electrical engineering at Purdue
and all of my uncles were mechanical engineers from Purdue
but I saw electronics and computers as the brains behind the magic of robotics,” he said
“And I fell in love with robots and knew I wanted to work with them.”
Were it not for random chance, Peine might never have pursued his Ph.D. in engineering sciences at the Harvard John A. Paulson School of Engineering and Applied Sciences (SEAS)
Peine arrived in Cambridge hoping to check out neighboring MIT
he took a few extra stops on the Red Line to look into Harvard’s engineering program
“Harvard Yard was all trees and people playing Frisbee
and it felt a lot more like Europe,” he said
“I walked into the main office at Pierce Hall
and the first line was ‘Harvard prides itself on multidisciplinary research.’ That just spoke to me
I saw Rob Howe was doing projects in robotics
Harry Lewis and Marlyn McGrath Professor of Engineering and Applied Sciences
Harvard became Peine’s first foray into surgical robotics
as he began to research concepts such as haptic feedback
a thoracic surgeon then at Massachusetts General Hospital
attending numerous surgeries to better understand the emerging market of minimally invasive surgery
“They’re about extending life and making people better
Those early research initiatives turned into some of Peine’s first start-ups
With his labmates he founded Pressure Profile Systems
a company based around the tactile sensor technology developed at SEAS
then applied the same technology to a catheter with a spinoff company
where Peine is senior director for the surgical robotics department
Turning academic research into one company
and you’re going to get skills from it that allow you to go after the next big idea,” he said
Peine joined endoVia Medical as a senior research scientist in 2000
It was Peine’s first time developing a surgical robot
and his first time leading a development team as a manager
“We developed the surgical robot and got it certified within three years
“What I got out of this was medical device experience
how do you take something all the way through the regulatory process.”
this time as an assistant professor of mechanical engineering
He’d spend his next three years developing surgical robotics and medical technology in an academic setting
“I loved the teaching and knowledge acquisition,” he said
“I brought a lot of the skills I’d learned from industry into the academic setting
But it was also difficult for me because I wanted to develop products
I wanted to do technology that would truly make an impact in people’s lives.”
Peine eventually took a sabbatical from Purdue to do research and development with a surgical robotics company in South Korea
which gave him a better understanding of the global industry
Additional career choices continued to build Peine’s skill set: He spent more than three years developing hand-held surgical robotics with Cambridge Endoscopic Devices
then another 21 months designing non-surgical medical diagnostic devices with T2 Biosystems
All that paved the way for Peine to join Medtronic as director of surgeon user interfaces in 2013
“I’m starting to drive the robotics strategy for Medtronic
which is an exciting opportunity,” Peine said
When asked if all his career choices were part of a deliberate plan
Peine laughed and described it as “more of a random walk.” Still
it’s easy to connect each of Peine’s decisions
from coming to Harvard 30 years ago to where he is now
to his overall goal of constant innovation
and now I really manage managers,” he said
“My advice is to look for opportunities where you can learn
Always be challenging yourself and strive to become a leader of innovation.”
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Daniel Peine, 56 year old resident of Little Falls, MN, passed away on Friday, February 14, 2020 at St. Otto’s Care Center in Little Falls. A Mass of Christian Burial will be held at 11 AM on Monday, February 24, 2020 at St. Joseph's Catholic... View Obituary & Service Information
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who recently earned his degree as a non-traditional student from the University of Minnesota’s Hubbard School of Journalism
has joined the Pierce County Reporter in Prescott as a sports reporter
which is where he graduated from high school
He went on to earn a degree in psychology from the University of Minnesota before pursuing careers as an airline pilot and real estate agent
He recently returned to school at the age of 35 to pursue his dream of being a reporter
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Metrics details
The aim of this work was to develop and evaluate the reinforcement learning algorithm VentAI
which is able to suggest a dynamically optimized mechanical ventilation regime for critically-ill patients
validated and tested its performance on 11,943 events of volume-controlled mechanical ventilation derived from 61,532 distinct ICU admissions and tested it on an independent
secondary dataset (200,859 ICU stays; 25,086 mechanical ventilation events)
A patient “data fingerprint” of 44 features was extracted as multidimensional time series in 4-hour time steps
including a reward system and a Q-learning approach
to find the optimized settings for positive end-expiratory pressure (PEEP)
fraction of inspired oxygen (FiO2) and ideal body weight-adjusted tidal volume (Vt)
The observed outcome was in-hospital or 90-day mortality
VentAI reached a significantly increased estimated performance return of 83.3 (primary dataset) and 84.1 (secondary dataset) compared to physicians’ standard clinical care (51.1)
The number of recommended action changes per mechanically ventilated patient constantly exceeded those of the clinicians
VentAI chose 202.9% more frequently ventilation regimes with lower Vt (5–7.5 mL/kg)
but 50.8% less for regimes with higher Vt (7.5–10 mL/kg)
VentAI recommended 29.3% more frequently PEEP levels of 5–7 cm H2O and 53.6% more frequently PEEP levels of 7–9 cmH2O
VentAI avoided high (>55%) FiO2 values (59.8% decrease)
while preferring the range of 50–55% (140.3% increase)
VentAI provides reproducible high performance by dynamically choosing an optimized
individualized ventilation strategy and thus might be of benefit for critically ill patients
VentAI dynamically develops an optimized mechanical ventilation strategy for the individual patient state
architectural overview of the VentAI algorithm and independent testing on eICU dataset
a VentAI estimated performance return on both datasets (MIMIC-III and eICU) versus clinicians’ performance return with variance in MIMIC-III dataset after the exposure of the policies to 500 models
b Relation between VentAI performance return and estimated 90-day mortality risk in the MIMIC-III dataset
c Relation between VentAI performance return and in-hospital mortality risk in the eICU dataset
The test set includes 36,225 decision time instances and the designed model facilitates 343 action bins in the action space
The relative number of action changes (ideal body weight-adjusted tidal volume (Vt)
and fraction of inspired oxygen (FiO2)) is shown in relation to the number of mechanically ventilated patients at each 4 h time step
Clinicians action changes are shown in blue while the VentAI action changes are shown in red
Visualization of two representative case studies in 4-hour intervals. Both patients died within the observed 90 days. Clinicians’ actions are shown in blue while the VentAI actions are shown in red.
Relative weight of each feature using out-of-bag feature weight analysis
represented by an increase of the mean squared error
a Ideal body weight-adjusted tidal volume (mL/kg)
we built VentAI based on 11,943 events of mechanical ventilation in order to dynamically support the attending physician in choosing an optimized mechanical ventilation policy for the individual patient state with the highest probability of 90-day or in-hospital survival
The algorithm provided reproducible high performance (on two independent datasets) in choosing the optimal ventilation policy
the number of recommended action changes proposed by VentAI per mechanically ventilated patient consistently exceeded the number of action changes chosen by the clinicians
This indicates that VentAI might be of benefit in dynamically supporting the clinician’s decision making on individualized mechanical ventilation settings of the critically ill patient in order to achieve a personalized medicine within the ICU setting
It is important to acknowledge that a large part of the clinicians’ daily routine is covered by evaluating up to 1000 data points per patient per hour
also in order to choose the correct ventilation scheme
An algorithm evaluating those factors in a structured and reasonable manner
could potentially significantly cut down this time
hence free time for actual patient care (and ventilator adjustment) and reduce the burden on the treating medical personnel
that VentAI iteratively re-evaluates the optimal mechanical ventilation strategy throughout the course of the treatment while exploring a larger space of actions (Vtset
FiO2) to find an optimized mechanical ventilation regime for the individual patient
It is important to underline that the used data from the MIMIC-III database includes data from 2001–2012
As the learnings from the mentioned trials are now broadly implemented into clinical practice
the physicians’ performance is likely to be closer to the VentAI algorithm with a newer database
It is crucial to recognize that all these studies
some of the laboratory and clinical values retrospectively available to the algorithm
might not be immediately available in a prospective setting
these findings clearly highlight the advantage of the usage of a computational algorithm like VentAI in the clinical routine
as the numbers of features that have to be taken into consideration clearly exceed the surveillance capacity of the treating physician or nurse
This is because VentAI is developed to optimize the probability of survival at 90 days
might differ from the actually observed mortality rate
Addressing the high effect size in potential mortality reduction
we want to underline that from our perspective
this is not only the result of the correct ventilator settings alone but instead the result of an adapted
taking into account the whole status of the patient and the disease progression
it is important to acknowledge that we apply a modern ventilation regime onto older datasets
Applying VentAI on a recent dataset would potentially show a smaller effect as modern guideline-adherent regimes are more widely adopted into practice
this study demonstrates the potential (on two independent datasets) of the application of VentAI
in particular in solving the complex and dynamical challenge of choosing the optimal mechanical ventilation regime
Rising computational power enables physicians to base medical decisions on patient-individual data patterns instead of simplified scoring systems
This might be particularly true for complex decision patterns
because numerous clinical observations and data points must be considered when deciding on an optimal ventilation strategy
Special care must be taken when implementing decision-making tools based on RL algorithms into clinical routine
Patient safety can only be guaranteed with extensive clinical testing
emergency situations and clinical particularities
Continuous monitoring of algorithmic performance must be implemented in order to maintain quality assurance
Until the long-term benefits and safety have been proven
the final decision on a complex task like mechanical ventilation will be in the physician’s hand and an algorithm like VentAI will stay a suggestive tool
thus highlighting the synergy between human and machine intelligence
will help to evaluate data fingerprints on a patient-individual basis and will likely be useful tools for decision making at the patient bed in intensive care medicine
This time window has been chosen based on the mean length of stay 6 (MIMIC: 3.1days (IQR 1.6–6.1); eICU: 3.0 (1.71–5.9)) in order to cover the majority of cases
a mechanical ventilation event has been defined by applying the following criteria: The presence of a documented Vtset starts a new ventilation event
or FiO2 during two sample periods (8 h) continued the event
The documentation of an extubation or the initiation of non-invasive ventilation and/or supplemental oxygen supply ends the current event
If multiple ventilation events were present during one single ICU stay
only the first event was included in the analysis
we collected a patient data fingerprint of 44 features for each patient included in the study (e.g
demographics) from both the MIMIC-III database and eICU database
extracted as multidimensional discrete time series in 4-hour time steps
the features were selected according to their representativeness of the patient status and on clinical evidence towards the problem
Outliers were sorted out with univariate statistical approaches (Tukey’s range test) and frequency analysis (90% confidence interval)
The observed primary outcome was the patients in-hospital or 90-day mortality
The extraction process has been performed by customized scripts (queries) of Standardized Query Language (SQL) for MIMIC and eICU on the object-relational database system PostgreSQL
processing and release for the eICU database has been granted by the eICU research committee and exempt from Institutional Review Board approval
We projected our problem as MDP defined by the 4-tuple <S
The goals of a mechanical ventilation regime are the reduction of VILI while maintaining adequate oxygenation and decarboxylation
we focused on a total of three parameters to be included in the action space
influencing these overall goals: Ideal body weight-adjusted (target) Vtset
Ideal body weight-adjusted Vt was calculated relative to a predicted body weight for males as 50 + (0.91 × [height in centimeters − 152.4]) and for females as 45.5 + (0.91 × [height in centimeters − 152.4])
A is the finite number of possible actions at any given state based on a combination of the three aforementioned parameters: Vtset
we divided the action space into three dimensions of seven treatment levels (bins)
each representing a specific range of ventilator settings
This results in a multi-dimensional action space of 343 discrete actions
It is worth mentioning that there was no option of a zero policy and the algorithm always had to decide towards one ventilation policy
we analysed the effect of adding respiratory rate in the action space
Results related to the analysis of this added dimension are shown in the Supplementary
R is the given reward signal representing feedback received after the transition to a defined state (Supplementary Discussion)
We modeled sequences of actions and states
using a reward/penalty system based on the patients 90-day mortality or the in-hospital mortality
Positive reward points of +100 were given to the trained model
is computed by assigning the +100 or −100 values on the s0 dimension corresponding to a terminal state
this three-dimensional matrix is multiplied with the transition matrix T(s
a) and summed over the dimension s0 to obtain R(s
This reinforcement learning algorithm fits well with our problem as it is a model-free algorithm
thus it does not require to learn the model of the environment
Q-learning seeks to maximize the expected overall reward by tuning the treatment policy (Supplementary Discussion)
we estimate the value for the random policy
The selected final model maximizes the 95% confidence lower bound of the AI policy among the 500 candidate models
All data was processed on the computational infrastructure of the Rheinisch Westfälische Technische Hochschule (RWTH) Aachen University and the University Hospital RWTH Aachen in accordance to European Union data protection laws
Further information on experimental design is available in the Nature Research Reporting Summary linked to this paper
The data that support the findings of this study are available from the corresponding author upon reasonable request. Access to the MIMIC-III and eICU database may be requested via: https://mimic.physionet.org/ and https://eicu-crd.mit.edu
The full code generated to produce this work is available via the dedicated VentAI-website https://ventai.org
Mechanical ventilation in sepsis: a reappraisal
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This work has been funded by the European Institute of Innovation & Technology (EIT-Health 19549) and by the German Federal Ministry of Education and Research (BMBF) under grants 13GW0280C
and 13GW0280E as part of the IMEDALytics project
The funding institution of the study had no role in study design
data interpretation or writing of the report
We thank Osman Alenbey for his technical and administrative assistance during the project
Open Access funding enabled and organized by Projekt DEAL
These authors contributed equally: Arne Peine
Department of Intensive Care and Intermediate Care
Chair for Integrated Signal Processing Systems
Research Area Information Theory and Systematic Design of Communication Systems
Joint Research Center for Computational Biomedicine
Harvard–MIT Division of Health Sciences & Technology
provided input on the methodology for analyzing the data; A.S
carried out the mathematical analyses and provided the figures/tables; A.P.
All authors read and approved the final submitted manuscript
had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis
are chief executive officers of Clinomic GmbH
is chief executive officer of William Harvey Research Limited outside of the submitted work
received restricted research grants and consultancy fees from BBraun Melsungen
and Sphingotec GmbH outside of the submitted work
received consultancy fees from Sphingotec GmbH
All remaining authors declare that they have no conflict of interests
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations
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Louis-Area Affordable Communities Feature a Combined 522 Homes
WENTZVILLE, Mo., Nov. 6, 2018 /PRNewswire/ -- CAPREIT
a fully-integrated real estate operating company responsible for the ownership and management of more than $5 billion of multifamily assets
today announced it has acquired Peine Lakes and O'Fallon Lakes
CAPREIT previously had taken over the management responsibilities of the tax-credit communities and assumed ownership in October
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The communities are situated in fast-growing
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and we're delighted to officially add them to our portfolio," said Stephen Catarinella
vice president of acquisitions and business development for CAPREIT
Louis metropolitan area is becoming increasingly popular
and the demand for quality affordable housing is following suit
We're eager to take care of the local community by offering a high-quality
Peine Lakes is about 45 miles northwest of Downtown St
Louis and O'Fallon Lakes 34 miles in the same direction along Interstate 70
Each community also features prime access to US-61
a primary north-south thoroughfare that stretches from Minnesota to New Orleans
which boasts a low 3 percent unemployment rate
Peine Lakes includes 205 affordable and 51 market-rate apartment homes
Wentzville is home to a General Motors assembly plant that includes about 3,300 employees
and is on pace to be Missouri's fastest-growing city for a second consecutive decade
O'Fallon Lakes is a garden-style community situated at 9300 O'Fallon Lakes Drive
less than 10 miles from the largest employer in the submarket
O'Fallon is also home to the operations center of MasterCard Worldwide and True Manufacturing
which specializes in refrigerator products
the three companies contribute about 9,000 employees to the local workforce
2- and 3-bedroom apartment homes ranging from 802 to 1,157 square feet
Apartment interiors at the pet-friendly communities include walk-in closets
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About CAPREITAs one of the nation's leading housing companies since its inception in 1993
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Let’s be clear: I’m a food writer—as far as the gut goes
nutritionists and dietitians have been telling me that gut bacteria is the hottest area of research right now
The idea is that the food we’re eating is throwing the bacteria in our guts out of whack
and we need to stabilize it to make everything work properly
John Peine was a Target executive when he and his wife were on vacation in Florida a couple years ago
“It was the most painful experience of my life,” he told me
she rushed him to the ER because of acute pancreatitis stemming from gall stones
“My pancreas was almost double its normal size and my body stopped producing enzymes properly,” he says
Peine started doing research into probiotics and enyzmes
so he already knew a lot about supplements
But “the power of enzymes is often overlooked,” he says
Enyzmes are active proteins that break down food
Many are naturally produced thanks to the stomach
He came up with a product called FRISKA—he’s launching now
as dietary supplements were deemed essential
But marketing this when people aren’t going to stores as much
“The biggest wildcard will be the impact of the consumer,” he told me
“Retail traffic to stores is down significantly
but interest in self-care and wellness products has never been higher.”
with additional ingredients to support immunity
LEAVE A COMMENT
Mali — The G5 Sahel Force was conceived to enable greater coordination among five countries in the Sahel region of West Africa in fighting jihadist groups and to strengthen regional administration and development while relieving the United Nations mission in Mali of those burdens
Yet ever since the group — Burkina Faso
Mauritania and Niger — launched its military operations in July 2017
it has been defined more by what it lacks than by its actions
A damning report by the United Nations Secretary-General published earlier this year and highlighted in November by the Security Council
said that the force has been hampered by a lack of funding
a devastating attack that killed five people and destroyed most of its military headquarters in Mali in July and a bias toward military solutions
a French-led initiative backed by the UN but resisted financially by the United States
Each G5 country cannot deal with the security problems alone
and everyone in the region can benefit from more coordination among the countries
Although the alliance is also set to enhance development and trade
the actual steps taken in these directions remain vague
The substantive measures that are being promoted
favor more military solutions to multifaceted problems and do little to address the lack of basic social services in the region
These are enormous basic services: like access to pumped-in water into people’s homes and other essential sites; and electrical grids
The UN report argued that “a military solution alone is not enough to create durable peace and stability,” and warned that “if the international community does not sufficiently invest in addressing the root causes of the conflict and support recovery and development in northern and central Mali
peace and security will remain elusive.”
Some of the G5’s operations were originally announced by the French defense minister
the force has been from the start a French-led plan
Like the French military mission Operation Barkhane in Mali and
the G5 Sahel serves European interests more than African ones
France is keen to get the G5 Sahel off the ground because it views the force as a way of relieving some of the work that its own army does in the region and hopes to mitigate jihadist attacks on its own soil by relegating the battle against terrorists to countries in the region
“French military and some government officials largely do not envision Barkhane or French forces drawing down any time soon
but it seems clear that many hope the G5 can be one possible long-term security solution for the region,” said Andrew Lebovich
a research fellow at the European Council of Foreign Relations
One problem is that the G5 Sahel builds on the faulty Algiers Accord
the Malian peace agreement signed in 2015 that has yet to be carried out fully
and on a fundamental difference between the Malian and French governments’ views of who is a terrorist
When French forces intervened in Mali in 2012 to help drive a coalition of jihadist groups from the towns they occupied
But the French did not want Malian soldiers to enter Kidal
the bastion of the MNLA Tuareg rebel group that is at the heart of the conflict
While France considers jihadist groups like Al Qaeda in the Islamic Maghreb to be the main enemy
Tuareg separatists like the MNLA are the biggest threat to the country’s fragile existence
Moreover, the Algiers Accord outlined the construction of basic infrastructure and social-service pledges like roads, schools and hospitals. Those pledges have not been met. (A crowd-sourcing campaign launched in December by France is soliciting donations to finance projects.)
Almost six years after the French intervention, the French military conducts joint missions with former rebels in regions where the Malian state is a sworn enemy. Moreover, the violence has spread to other regions and countries. Not only do the northern regions of Mali continue to be attacked regularly, central Mali has become a target: 40 percent of the violence occurs in Mopti
has experienced more than 200 terrorist attacks since January 2016
The G5 Sahel force has missed many of its funding targets but has procured half of its military budget
According to the UN secretary-general’s report
about $225 million of the $469 million pledged has been received
President Emmanuel Macron of France has been sensitive to criticism that the force has materialized so slowly
“We always see what’s not advancing
Don’t be so critical,” he said to the BBC in July
adding that French troops will remain in the region “for as long as necessary.”
Although the Trump administration — through Ambassador Nikki Haley at the UN Security Council — has rebuffed funding appeals by Macron
the US is now a key donor to the force through direct and bilateral deals
“Since our initial pledge of $60 million in October 2017
assistance has nearly doubled to approximately $111 million in direct security assistance to the Joint Force,” said a State Department spokesperson
The money comes from the State Foreign Assistance and Department of Defense program funds and “provides equipment
training and advisory support,” the spokesperson added
the United States Africa Command based in Stuttgart
“has two operational planners in place at a G5 Sahel Joint Force HQ,” and is still determining its future involvement in the force
“Any direct support we provide will be conjunction and in coordination with those respective host nations and other UN and international partners
who have had a longstanding military presence in the region,” Reho said
Macron found another backer of the project in Saudi Arabia
a nation that not only killed and dismembered the American-based journalist
but also encourages the spread of extremist religious ideas throughout West Africa in the Wahabbi mosques and religious organizations it finances
The Saudis pledged about $100 million in December 2017 to the G5 Sahel Force
and that financial commitment along with the billions of dollars in defense contracts between France and Saudi Arabia implies that Macron has refrained from taking steps to end the crown prince’s atrocious war in Yemen and hold him accountable for the murder of Khashoggi
Although G5 soldiers are carrying out missions in almost all the countries concerned
violence in the Sahel is spreading at alarming rates
It is unclear what effect the force will have on regional security
but the allocation of resources questions the value of military solutions to increasing serious security problems
John Bolton, the US national security adviser, has just unveiled a rather unimpressive US strategy for Africa
including his vocal support for the G5 force
But Bolton was emphatic that no money for it would come from UN budgets
(A donor conference this month elicited approximately $28 million from Germany.)
As a centerpiece of Macron’s Africa strategy
the G5 Sahel Force was supposed to alleviate the stresses for French soldiers in the Sahel
their biggest military mission since the Algerian war of independence ended in 1962
As violence in the Sahel region continues to spread almost daily
this strategy has failed communities in the Sahel
He graduated from McGill University in Montreal and speaks English
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By the World Coalition Against the Death Penalty
The World Coalition Against the Death Penalty
ACAT-Germany (and their partner organization Federal Association of Vietnamese Refugees in the Federal Republic of Germany)
Citizens United for Rehabilitation of Errants (CURE International)
Coalition Marocaine Contre la Peine de Mort
German Coalition to Abolish the Death Penalty (GCADP)
Japan Innocence & Death Penalty Information Center
Lifespark – movement against the death penalty
Society for Human Rights and Development Organisation (SHRDO)
Southern Methodist University (SMU) Human Rights program
The Institute for the Rule of Law of the International Association of Lawyers (UIA-IROL)
Together Against the Death Penalty (ECPM) and Witness to Innocence
strongly condemn the end of the unofficial moratorium on executions in Myanmar
which goes against the international trends towards abolition of the death penalty
The World Coalition and the 32 co-signatories organizations call on the Member States of the Association of Southeast Asian Nations (ASEAN) of which Myanmar is a member
to take measures to prevent further executions
including by opening an investigation into human rights violations and imposing sanctions on high profile military generals connected with human rights abuses in Myanmar
The World Coalition and the 32 co-signatories express its solidarity with Human Rights Defenders and the abolitionist community in Myanmar
as well as to the families and relatives of those who were executed
to the murder victims’ families and to the more than 100 people still facing the death penalty
https://www.amnesty.org/en/latest/news/2022/07/myanmar-first-executions-in-decades-mark-atrocious-escalation-in-state-repression/
Malaysians Against Death Penalty and Torture (MADPET)
ECPM (Together Against the Death Penalty) and Transformative Justice Collective:
https://cpjp.org.au/wp-content/uploads/2022/07/Myanmar-media-release-clean.docx.pdf
https://www.fidh.org/en/region/asia/myanmar/myanmar-junta-reaches-a-new-low-with-shocking-executions
https://www.hrw.org/news/2022/07/25/myanmar-junta-executes-four
https://www.icj.org/myanmar-execution-of-pro-democracy-activists-following-a-closed-door-trial-by-military-tribunal-violates-the-right-to-life-and-is-the-ultimate-cruel-inhuman-and-degrading-punishment/
Parliamentarians for Global Action (PGA):
https://www.pgaction.org/news/myanmar-executions-2022-07.html
22nd World Day Against the Death Penalty – The death penalty protects no one
the World Day Against the Death Penalty unifies the global abolitionist movement and mobilizes civil society
public opinion and more to support the call for the universal abolition of capital punishment
Helping the World Achieve a Moratorium on Executions
the World Coalition made one of the most important decisions in its young history: to support the Resolution of the United Nations General Assembly for a moratorium on the use of the death penalty as a step towards universal abolition
A moratorium is temporary suspension of executions and
For a world free from the shadows of the gallows
48th UPR Session Highlights Growing Calls for Death Penalty Reform
Judicial Influence on Death Penalty Abolition: Global Legal Perspectives at the Biennial High-Level Panel
Joint Statement on the Rights of Women and Gender Minorities Facing the Death Penalty
The Moroccan Coalition Against the Death Penalty (CMCPM) brings together seven NGOs: -the Moroccan Prison Observatory
-the Moroccan Organisation for Human Rights
-the Association of Lawyers’ Bars in Morocco
-Amnesty International – Moroccan Section and -the Centre for People’s Rights
Abolitionist in practiceDeath penalty legal status
criminal policy at the heart of abolition
World Coalition welcomes the success of its 15th General Assembly
Morocco is working to break down the political barriers to the abolition of the death penalty
World Coalition elects new decision-making bodies
MassDevice
The Medical Device Business Journal — Medical Device News & Articles | MassDevice
May 16, 2022 By Sean Whooley
Speaking on the “Road to a robot: Designing technology to address unmet needs & barriers” panel at DeviceTalks Boston last week
taking up a lot of space and that they eat a lot
When customers came to Medtronic about 10 years ago asking them to consider building a surgical robot
the excessive size and price of maintenance applied to those systems
“We looked at the current state of robotics going back 10-plus years
and we realized there was an opportunity for us to come in,” Stow said
could you make something more flexible that fits better into our rooms and into our hospital setting?'”
The third comparison of surgical robots and elephants was slightly different
as Stow said that surgeons described sitting at the console of such a system as “putting their head in the rear end of an elephant.” It was big
and while the view was “pretty spectacular,” the surgeons lost all peripheral vision
we set out to build a robot with this belief statement in mind
which is that patients around the world deserve access to quality care
and we can expand access to that care,” Stow said
Medtronic’s road to the robot got a kickstart with the 2014 acquisition of Covidien and has culminated, at present, in the Hugo robot-assisted surgery (RAS) system. Hugo received CE mark approval for urologic and gynecologic procedures in October 2021
and the company is working toward getting the system approved in the U.S.
but can’t share much info as the process is ongoing
Medtronic’s Senior Engineering Director of Surgical Robotics Bill Peine explained that
essentially starting out with a blank piece of paper and trying to pinpoint where to begin
“We had a very clear definition of what a surgical robot was
we assembled the right team,” Peine explained
“A surgical robot is multidisciplinary
there’s a lot of mechanical and electrical design
but human factors and the user interfaces are just as critical and important.”
What Medtronic employed to develop Hugo was called the “spiral development” process
That entails beginning with nothing and answering big architectural questions upfront
building a quick prototype to evaluate it and putting it in front of customers to get feedback that helps to define particular pieces of the architecture or design
Peine said they then repeated that process “over and over again.”
Medtronic’s spiral development process took about three months per cycle
and the company went through about 13 cycles
working for close to three years with thousands of interactions with customers
the engineering team loved this,” Peine said
“It was so much fun for them because they got to do something quick
getting that market feedback from customers
The R&D team has partnered very closely with the marketing team
all the different subsystems would integrate their products or their individual parts into the working system.”
3D visualization and Medtronic’s cloud-based surgical video capture and management solution
to offer a multi-quadrant platform designed for a wide range of soft tissue procedures
Despite the success of Hugo so far and the potential for U.S
Peine said that there are parts of the development process that could have been done differently
but it was an enjoyable process that put Hugo in a position to grow
I would say there’s more we could have done
There are things that I definitely would want to go back and change,” Peine said
as an engineer leading innovation in this environment using that spiral development process
and I think we got to a really good spot.”
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The outdoor competition season in northern Europe kicked off in style on May 6-7 at the Peine Highland Gathering in Lower Saxony
The Saturday pipe band contest was the largest for years
drawing 18 bands from the usual mix of Germany
with a mix of cloud cover and sunshine in the morning giving way to a pleasantly sunny afternoon
there was no repeat of the 30-degree heat that proved so challenging for competitors and spectators alike at the 2022 World Pipe Band Championships in Glasgow
The three-band Grade 5 contest was won by a combined band of the Clan Pipers – Frankfurt & District Pipe Band and their near neighbours Moguntia Pipes & Drums from Mainz
as three collaborations of bands competing together featured prominently in the upper echelons of the 13-strong field
The Riverside Alliance Pipe Band (Antwerp & District and the Wallace Pipe Band)
Bragi Pipe Band (combining with fellow Danish outfit Holbaek) and German Thistle (Berlin Thistle and Baul Muluy from Hamburg) finished second
While the bands ranked second through fifth were separated by just a handful of points after four evenly-matched performances
the grade was comfortably won by Beatrix Pipe Band from Hilversum in the Netherlands
long one of the region’s strongest bands at this level
Photos can be clicked and will open at a larger size
The march music played in Grade 4 is often quite different from what UK-based pipe band followers are used to nowadays
While some bands choose to follow the RSPBA’s prescribed list of 2/4 marches
bands in this part of Europe are not required to do so
resulting in a broader range of time signatures
harmonies and overall musical treatment that was once common before the RSPBA rule change to Grade 4 playing requirements
Beatrix continued their winning streak in the Grade 4 MSR
run closely by Bragi (whose drum corps were in excellent form all day
claiming another first) and Crest of Gordon from Bremen
It was a decidedly mixed day for the two Grade 3 bands – Concord from the Netherlands and Nutscheid Forest from Germany
Concord swept the board with straight firsts in the Grade 3 medley event
while Nutscheid Forest were beaten to second place by the Grade 4 Heather Pipes & Drums from Copenhagen
who along with Bragi played in all four events they were eligible for throughout the day
The four bands playing up from Grade 4 mostly gave a very creditable account of themselves
with Riverside Alliance putting in one of the more spirited performances of the day that went down very well with the crowd
Nutscheid Forest went on to claim first prize in Grade 2 and the Open Grade ahead of Concord
who kept up their serial winning streak in the drumming standings
The Heather Pipes & Drums completed the Open Grade prize list
the top prizes in the Grade 2 and Open light music events went to Stefan Linder and Aaron Langwiesner
with Niklas Helmcke the sole entrant in Grade 1
Philip Burchardt won the Urlar and Dagmar Pesta won the Piobaireachd
Stolz and Kes Kunze won the Advanced/Former Winners MSR and Hornpipe & Jig respectively in the solo snare drumming
Staschel winning the Open Tenor and Bass events
while much has changed in the piping and drumming scene in this part of Europe in the last few years
there are no longer any active Grade 2 bands in mainland Europe outside of Brittany
and it was noticeable that the two Grade 3 bands competing at Peine only fielded seven pipers on the day
But while the upper echelons of the pipe band pyramid are depleted
the standard of Grade 4 continues to improve
the significant number of joint entries in Grades 4 and 5 meant that twenty pipe band organisations in total were represented
more than turn up to some minor contests in the UK
The harsh reality is that bands in the top two grades come and go all the time
and only a healthy grassroots level provides a strong foundation for the future
The newly-formed National Youth Pipe Band of Germany
which performed before the massed bands and prize-giving at Peine
offers potential for raising the standard at a more institutional level in this part of the world
it is telling that a German professional football club
but two pipe bands (Grade 4 and 5) within its organisation – just the sort of thing the famously maverick second-division side would do
no Scottish football team can boast an equivalent pipe band all of its own – now there’s an idea…
Stuart Milne was a very important part of the Piping Today magazine team from 2014 till it ceased publication in 2020
Stuart had a wide breadth of knowledge of the pipe band scene and his insightful
skilful writing always brought out the human story behind the pipes and drums. Stuart is now living and working as an English teacher in a German university
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