Lengthy Sleeves on Doctors&#039 White-colored Jackets May Spread Germs

North Park — Doctors might want to roll-up their sleeves before work, literally. New research shows that lengthy sleeves on the doctor’s white-colored coat can become contaminated with infections or any other pathogens that may then be transmitted to patients.

Within the study, they had 34 healthcare workers put on either lengthy- or short-sleeved white-colored jackets when they examined a mannequin that were contaminated with DNA in the “cauliflower mosaic virus.” Herpes infects plants and it is harmless to humans, but it’s transmitted in a manner that is comparable to those of other, dangerous pathogens, for example Clostridium difficile, a bacteria that triggers severe diarrhea, stated Dr. Amrita John, a contagious disease specialist at College Hospitals Situation Clinic in Cleveland, who brought the research. John presented the study here on Friday (March. 6) in an infectious disease conference known as IDWeek 2017.

The care workers used mitts when they examined the mannequin, then removed the mitts, washed their hands and set on the new set of mitts before analyzing another, clean (non-contaminated) mannequin. Following the healthcare workers had finished analyzing both mannequins, they swabbed the workers’ sleeves, wrists and hands, and tested the samples for DNA in the cauliflower mosaic virus. Each one of the 34 participants completed test two times (once putting on short sleeves and when putting on lengthy sleeves), for as many as 68 “simulations.” [6 Superbugs to take into consideration

They discovered that, once the healthcare workers used lengthy-sleeved jackets, a quarter of the simulations led to contamination of the sleeves or wrists using the virus DNA marker, in contrast to none once the healthcare workers used short-sleeved jackets.

Additionally, about five percent of healthcare workers who used lengthy sleeves contaminated the clean mannequin using the virus DNA marker, while no healthcare workers who work short sleeves contaminated the clean mannequin.

These results provide support for any recommendation “that healthcare personnel put on short sleeves to lessen the danger for virus transmission,” John stated. [10 Deadly Illnesses That Jumped Across Species]

This type of recommendation already exists within the Uk — in 2007, the nation’s department of health introduced a “bare underneath the elbow” insurance policy for hospitals, which suggested that healthcare personnel put on short sleeves. Within the U . s . States in 2014, the Society for Healthcare Epidemiology of the usa stated that healthcare facilities might think about the adoption of the “bare underneath the elbow” policy.

Some U.S. facilities have subsequently adopted this insurance policy inside their institutions, and also the new findings claim that “more and more people should think about it,” stated study co-author Dr. Curtis J. Donskey, a contagious disease specialist and professor of drugs at Situation Western Reserve College in Cleveland.

Still, the insurance policy continues to be met with a few resistance, with a few doctors with more evidence showing that lengthy sleeves do increase the probability of transmitting pathogens. The brand new study provides some evidence, but additional, bigger research is still needed before some hospitals may adopt the insurance policy, John stated.

Additionally, future scientific studies are still required to reveal that a brief-sleeve policy really reduces the amount of infections spread inside a hospital, they stated.

But John stated the research has altered her personal preference for a way she wears her white-colored coat. “I role up my coat sleeves above my elbow,” John stated.

The research has not yet been printed inside a peer-reviewed scientific journal.

Original article on Live Science.

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Even Jellyfish Require a Nap

Humans are hardly alone within their requirement for sleep—as any cat owner knows. What about other, completely different creatures?

“In considering this…we desired to make use of an transformative argument to determine what’s the simplest animal to rest.Inches Ravi Nath, a graduate student of biology and bioengineering at Caltech.

“We made the decision to approach it from the conservation perspective, how conserved the sleep condition is. And looked into the animal tree and particularly checked out jellyfish.” Claire Bedbrook, additionally a biology and bioengineering graduate student at Caltech.

Jellyfish don’t have any nervous system. “They will have neurons—their central nervous system is a kind of loose group of neurons that control the animal’s behavior. There isn’t any control center.”

Nath, Bedbrook and the remainder of their team labored having a species referred to as upside-lower jellyfish. “Unlike jellyfish that we’re most likely most accustomed to seeing within the wild, these jellyfish really rest their bell around the seafloor, or perhaps in our situation the tank bottom, plus they pulse in position.Inches These habits chose to make this jellyfish simple to observe.

They recorded the animals’ behavior throughout the day and also at night, to find out if these jellyfish met the scientific criteria for sleep. “Those three behavior criteria are, first, the animal experiences a time period of quiescence where they’re less active. The second reason is that in this quiescent condition, the creatures aren’t as attentive to ecological stimulus. And also the third is this fact quiescent condition is really essential for the animal’s well-being and survival.”

The observations says these jellyfish do actually sleep. That’s an issue because for scientists “there was this assumption locally that you simply needed to possess a certain degree of complexity”—namely a main nervous system—“to really sleep. And i believe this research really challenges that assumption.” The finding is incorporated in the journal Current Biology. [Ravi D. Nath, Claire N. Bedbrook et al, The Jellyfish Cassiopea Exhibits a Sleep-like Condition]

What exactly performs this study inform us about why creatures sleep, and just how sleep evolved? Bedbrook states that although more work must be done, they’ve ideas. “One hypothesis that people enjoy is the fact that any animal which has neurons have a sleep condition, which sleep may be an important property of neurons.” Nath concurs. “So neurons have a big metabolic cost, and thus maybe this era rest is a time period of consolidated energy conservation which has evolved with neurons basically.”

So nerves may be holding you back up at night—but getting nerves is what’s most likely putting you to definitely sleep.

—Annie Sneed

(The above mentioned text is really a transcript of the podcast)

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Earthquakes! Fires! Shootings! Storms! How Tech Might Help Ease ‘Disaster Fatigue’

Among the first a few things i do every day after i awaken is look into the latest news on my small smartphone. Within the last couple of days alone, which means — like a lot of others — I’ve began your day with probably the most terrible news imaginable: full of shooting, devastating storms, terrible wildfires. It’s taken a toll on my small overall well-being — and incredibly likely yours, too.

“We’re seeing more ‘disaster fatigue,’” states Dr. Mary McNaughton-Cassill, a professor of psychology in the College of Texas at Dallas that has studied the bond between media consumption and stress. “In digital age where research has shown some three from four people check their smartphone before you go to bed and very soon after getting out of bed each morning, it’s getting harder to not feel overwhelmed.”

I’ve been calling it “the not so good news blues,” which is simply a general sense of “how really this could all of us take” whenever a stream of tragic news alerts hit my smartphone or social networking feeds. Sure, it can make me wish to help, it makes me sad. And overwhelmed. Dr. McNaughton-Cassill states that’s an ordinary reaction when bad situations are happening from our very own community, where are going to little to assist individuals in need of assistance. She stated people may also experience a rise in stress, depression, exhaustion, sleep issues, anger and growing cynicism.

For many people already vulnerable to anxiety or depression the toll could be a whole lot worse. “There are obvious increases in panic disorders, including cutting and self-harm, and suicide rates,” states Dr. Stephen Hinshaw, a professor of psychology in the College of California, Berkeley. “The barrage of ever-present ‘bad news’ — and, for youthful people, the barrage of social-media-related permanent records of negative social interchanges — is really a factor.” Experts say you will find things you can do to assist fight…

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Trump to Scrap Critical Healthcare Subsidies, Hitting Obamacare Again

WASHINGTON — President Trump will scrap subsidies to medical health insurance firms that assist in paying out-of-pocket costs of low-earnings people, the White-colored House stated late Thursday. His plans were disclosed hrs following the president purchased potentially sweeping alterations in the nation’s insurance system, including sales of cheaper policies with less benefits and less protections for consumers.

The dual hits towards the Affordable Care Act could solve President Barack Obama’s signature domestic achievement, delivering insurance costs soaring and insurance providers fleeing in the health law’s online marketplaces. After Republicans unsuccessful to repeal the law in Congress, Mr. Trump seems going to dismantle it by himself.

With no subsidies, insurance markets could rapidly solve. Insurers have stated they’ll need much greater premiums and could pull from the insurance exchanges produced underneath the Affordable Care Act when the subsidies were stop. Referred to as cost-discussing reduction payments, the subsidies were likely to total $9 billion in next season and nearly $100 billion within the coming decade.

The Run-Up

The podcast which makes sense of the very most delirious stretch from the 2016 campaign.

“The government cannot legitimately result in the cost-discussing reduction payments,” the White-colored House stated inside a statement. It figured that “Congress must repeal and switch the disastrous Obamacare law and supply real relief towards the United states citizens.Inches Inside a joint statement, the very best Democrats in Congress, Senator Chuck Schumer of recent You are able to and Representative Nancy Pelosi of California, stated Mr. Trump had “apparently made the decision to punish the United states citizens for his lack of ability to enhance our overall health care system.”

“It is really a spiteful act of vast, pointless sabotage leveled at working families and also the middle-class in each and every corner of the usa,Inches they stated. “Make no mistake about this, Trump will attempt responsible the Affordable Care Act, however this will fall on his back and that he pays the cost…

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A Condom-Maker’s Discovery: Size Matters

Condoms obtain a bad rap as a bad wrap. Men frequently complain of discomfort, reduced sensation and poor fit. A current federal study found merely a third of yankee men rely on them.

Now, changes through the Fda and industry-standards groups have opened up the doorway towards the condom same as bespoke suits. A Boston-based company has started selling custom-fit condoms in 60 sizes, in mixtures of 10 lengths and nine circumferences.

Will the event enhance the benefit of condoms, the only real birth-control way in which protects against most sexually transmitted illnesses? Public health professionals are unsure.

Many suggestions for improving condoms have fizzled, sometimes stymied through the costs of testing needed to fulfill the F.D.A., which views condoms to become medical devices. A contest backed through the Bill and Melinda Gates Foundation searched for suggestions for more enjoyable condoms in 2013 but hasn’t yet introduced someone to market. Although some winners continue to be going after prototypes, others have provided up. Because the custom-fit condom company, Global Protection Corp., pressed the F.D.A. and industry standards associations for changes, a vital priority was smaller sized sizes, stated their president, Davin Wedel. Until lately, standard condoms needed to be a minimum of 6.69 inches lengthy, but studies discover the average erection is roughly one inch shorter. “The idea could it have been needed to be lengthy enough to suit most men, and excess length might just be folded,” stated Debby Herbenick, an intimate health expert at Indiana College. She and her colleagues printed research of just one,661 men living through the U . s . Claims that discovered that 83 percent had male organ lengths shorter than standard condoms. The typical length was 5.57 inches.

In studies, some guys have complained that “condoms have a tendency to slip off,” stated Ron Frezieres, smoking president for research and evaluation at Essential Access Health, a nonprofit. And often bigger condoms really felt tight because ”shorter men…

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Cancer “Moon Shot” Effort Nets New Funds with NIH–Pharma Partnership

WASHINGTON — The Nation’s Institutes of Health on Thursday announced a $215 million public-private partnership with 11 pharmaceutical companies with what the company bills like a significant next thing in the cancer moonshot.

Their Bond for Speeding up Cancer Therapies, or PACT, is really a five-year agreement to push ahead with research that seeks to “identify, develop and validate robust biomarkers — standardized biological markers of disease and treatment response — to succeed new immunotherapy treatments that harness the defense mechanisms to fight cancer,” the company stated.

The Reason for National Institutes of Health, a congressionally established nonprofit that manages public-private partnerships relating to the NIH, will oversee the initiative.

“We have experienced dramatic responses from immunotherapy, frequently eradicating cancer completely for many cancer patients,” Dr. Francis Collins, the NIH director, stated inside a statement. “We have to bring that sort of success — and hope — for additional people and much more kinds of cancers, and we have to get it done rapidly. An organized approach like PACT will let us to be successful faster.”

Each one of the industry partners will lead $a million annually towards the initiative, for as many as $55 million, as the NIH will give you $160 million in support within the next 5 years.

The pharma companies participating are: AbbVie, Amgen, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene Corporation, Genentech, Gilead, GlaxoSmithKline, Janssen/Manley &amp Manley, Novartis, and Pfizer.

The recently installed acting secretary of health insurance and human services, Eric Hargan, attended the big event alongside Collins, a slate of pharmaceutical executives, and Dr. Douglas Lowy, the nation’s Cancer Institute’s acting director.

Reed Cordish, who in the role within President Trump’s American Office of Innovation has centered on issues including biopharmaceutical manufacturing and also the opioid crisis, also attended.

It’s the second major public-private collaboration announced through the NIH within the last month. Collins made an appearance alongside Stephen J. Ubl, the Chief executive officer of the profession group PhRMA, in Nj on Sept. 18 to announce a partnership that aims to uncover non-addictive options to discomfort treatment considering the nationwide opioid crisis.

Also Thursday, another (but overlapping) number of pharma companies announced a coalition to check new mixtures of their immunotherapy drugs. The numerous studies, to become conducted at scientific research institutions over the U.S. and Canada, will test mixtures of drugs from rival companies having a objective of expanding the amount of patients who react to immunotherapy. Merck, Bristol-Myers Squibb, and Genentech will give you funding to aid the trials.

Republished with permission from STAT. This article originally appeared on October 12, 2017

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The Imperative for Learning Health Systems to deal with Health Literacy


By Cindy Brach, MPP, Senior Healthcare Investigator, Agency for Healthcare Research and Quality and Bernard Rosof, MD, Chair from the National Development of Sciences, Engineering and Medicine’s Roundtable on Health Literacy

“Learn or perish” could be a slogan for health systems today. The speed of alternation in healthcare is high. Technological advancements, research, innovation, and market dynamics all drive the soaring complexity from the healthcare system. To live, health systems must learn to adapt, and along the way – we argue – address health literacy. 

Integrating Understanding into Practice 

Taking care of of the learning health system (LHS), based on the charter and vision from the Institute of Medicine’s (IOM) Roundtable on Evidence-Based Medicine, is “to generate and use the best evidence for that collaborative healthcare selections of each patient and provider.” Which means that integrating new understanding into practice, the area of the learning cycle portrayed above that’s highlighted through the red arrow, requires adaptation towards the unique context of patients as well as their families.  

The present type of converting understanding into practice includes clinicians checking up on the study literature, talking to the practice norms of the community, deciding which care is suitable (i.e., “choosing wisely”), prescribing tests and treatment, hoping that patients is going to be compliant. As clinicians more and more work with large health systems, care is becoming more standardized. Evidence reviews inform the introduction of clinical decision support tools, and gratifaction metrics enable physicians to higher understand their personal practice patterns and improve where necessary.  

Underneath the emergent LHS model, however, clinicians elicit patient goals and preferences, use data to tailor evidence towards the patient, and interact in shared making decisions. This involves physicians and also the healthcare team to become obvious communicators who engage and support patients and families as integral partners in medical decisions.  

Wish To Engage Patients? Be Health Literate 

Engaging patients in their own individual health insurance and healthcare essentially depends on health literacy—that is, remarkable ability to acquire, process, communicate, and understand fundamental health information and services. Because many Americans have a problem understanding health information as presently delivered, LHSs must lessen the cognitive demands put on patients and also the complexities from the healthcare system. To disrupt what’s been known as periodic crisis care, brought on by the failure to provide understandable information and simplify healthcare tasks, LHSs need to:  

  • Structure their delivery systems to consider health literacy universal safeguards, i.e., think that all people are vulnerable to lacking the knowledge of. 
  • Educate their workforce in communication, engagement, and shared making decisions skills to enable them to clearly convey tailored evidence which help patients make informed choices which are congruent using their values and goals. 
  • Collect data to evaluate whether or not they are now being health literate organizations making it simpler that people navigate, understand, and employ information and services to consider proper care of their own health. 

Making certain The Body Has “Good Bones” 

Clinicians cannot provide health literate care without structural support. LHSs need to provide innovative solutions and restructure systems to really make it simpler for evidence-based choose to be delivered. For instance, any adverse health system that learns to share clinical information digitally could make the referral process simpler for patients and for referring and receiving clinicians. Clinicians’ need to exercise leadership and champion the restructuring a LHS to hard wire health literacy universal safeguards.  

Engaging Frontline Clinicians 

For LHSs to become effective, they need to engage their frontline clinicians, both convincing these to change their practices and providing them the abilities to do this. Fortunately, you will find health literacy tools that will help LHSs get over the task of altering practice. Included in this are: 

Allow the Data Show You ways 

LHSs are data driven. Causes of data that may inform any adverse health system and guide practice transformation include: 

  • Health literacy business self-assessments which help the LHS identify and gain consensus about its weaknesses and strengths within the delivery of health literate care. 
  • Patient surveys that offer feedback you can use to focus on quality improvement efforts. 
  • Operational measures that monitor whether new health literacy practices and policies are actually being adopted. 

Many health literacy data collection instruments and measures are catalogued inside a paper commissioned through the National Academy of Medicine’s Roundtable on Health Literacy with support from Agency for Healthcare Research and Quality (AHRQ).  

Health Literacy, Trust, and also the Quadruple Aim….A Path towards the Future 

Important the connection between your patient and also the healthcare team may be the establishment of mutual trust. That bond helps you to ensure better care, improved outcomes and aligns the incentives of. An obstacle towards the evolution of this trust is poor communication. Embracing health literate practices to speak better enables shared making decisions, patient and family engagement, maximum patient satisfaction…and indeed clinician satisfaction. The Nation’s Academy of drugs LHS series volume Patients Charting the program: Citizen Engagement and also the Learning Health System underscores the centrality of communication strategies that take into account and interact individual perspectives, needs, preferences, understanding, and support essential to mobilize change. This alignment of health literate practices to boost communication and trust facilitates experienceing this quadruple aim – enhancing patient experience, improving population health, reducing costs, and increasing the work existence of medical service providers. 

Embracing Health Literacy to offer the LHS Vision 

LHSs wish to deliver patient-centered care, reduce medical errors, enhance quality, and improve health outcomes, and lower cost to attain affordable healthcare. Healthcare leaders more and more notice that this involves fully engaging patients in prevention, decision-making, and self-management activities. Addressing health literacy is a vital prerequisite to engaging patients. As mentioned within the above-pointed out NAM LHS volume, “the vision for any learning health system requires a broader view by looking into making informed patients a main system goal. Accomplishing this goal requires medical evidence to become given to patients inside a form that’s understandable and actionable, according to patient preferences, expectations, health issues, and health literacy.” The earlier LHSs embrace health literacy strategies, the earlier they are able to achieve this vision. 


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In New Test for Obamacare, Iowa Seeks to Abandon Marketplace

WASHINGTON — With efforts to repeal the Affordable Care Act dead in Congress for the time being, a vital test for that law’s future is happening in a single small, conservative-leaning condition.

Iowa is seriously awaiting the Trump administration to rule on the ask that is packed with implications for that law’s survival. If authorized by the federal Centers for Medicare and State medicaid programs Services, it might permit the condition to jettison a number of Obamacare’s primary features the coming year — its federally run insurance marketplace, its system for supplying subsidies, its concentrate on helping poorer people afford insurance and health care — and may open the doorway for other states to complete exactly the same.

Iowa’s Republican leaders think their plan would save the state’s individual insurance market by looking into making premiums cheaper for everybody. But critics repeat the affordable prices come at the fee for much greater deductibles for a lot of with modest incomes, which approval from the plan would add up to a way of undermining what the law states. Already the administration has slashed funding to promote and outreach to help individuals join insurance, and President Trump is getting ready to issue a professional order allowing more use of plans that do not satisfy the law’s standards.

Contributing to the uncertainty, the Washington Publish reported a week ago that Mr. Trump in August requested Seema Verma, the government official responsible for reviewing Iowa’s plan, to reject it. Some supporters from the law saw that like a deliberate effort to help keep premiums high Mr. Trump frequently cites dramatically rising premiums as proof the health law is failing. Neither C.M.S. nor the White-colored House would discuss whether Mr. Trump had pressed for that application to become denied. A spokeswoman for C.M.S. stated that the program remains under review. In Plusieurs Moines , Gov. Kim Reynolds told reporters that her team is at constant connection with the…

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Hurricane Damage in Puerto Rico May Fuel Drug Shortages

NEW You are able to, March 10 (Reuters) – The mind from the U.S. Fda stated the nation may begin to see a small amount of drug shortages within 2 or 3 days because of delays in restoring manufacturing operations in Puerto Rico, where 10 % of medication prescribed within the U . s . States are created.

Hurricane Maria slammed in to the Caribbean island on Sept. 20, knocking out electricity and causing prevalent harm to homes and infrastructure. Almost three days later, just 16 percent of electricity service continues to be restored towards the U.S. territory.

Drugmakers will work to obtain facilities fully online, but face an uncertain power and difficulty acquiring materials utilized in the manufacturing process.

“Most companies say they are online, however they essentially get one of 5 lines running at 20 % or 80 % or 50 %,Inch Food and drug administration Commissioner Scott Gottlieb told Reuters within an interview in New You are able to. “They aren’t manufacturing at full capacity. They’re manufacturing well lacking that.”

“It’s unclear when they will have the ability to bring that as much as full capacity,” he stated.

Requested when U.S. hospitals and pharmacies might see shortages consequently, he stated: “You may see some within the next 2 or 3 days should there be likely to be additional shortages appearing out of this case.Inch

The Food and drug administration has cautioned of 40 drugs produced in Puerto Rico that may face shortages, including treating cancer, rheumatoid arthritis symptoms and Aids, but hasn’t named specific medicines.

Most major drug companies have manufacturing facilities around the island, including Merck &amp Co, Manley and Manley , Amgen Corporation, Bristol-Myers Squibb Co, Eli Lilly and Co, Pfizer Corporation, AstraZeneca and GSK

The Food and drug administration leader stated he wants drugmakers to supply the general public with increased details about the level from the problems they’re facing. He stated the plants counseled me counting on backup generators for electricity, most of which weren’t made to operate for sustained amounts of time.

“I am likely to ask a few of these companies to be more transparent around a few of these issues,” he stated, adding that enhancements may likely come gradually, with potential setbacks on the way. “In the future, we are likely to see secondary impacts such as the generators could start going lower.”

Gottlieb stated he was “troubleshooting for individual companies” every day and dealing using the U.S. Federal Emergency Management Agency and also the Department of Homeland Security to deal with issues this type of fuel shortages and shipping issues that could stall operations.

The majority of the companies contacted by Reuters stated they’re trying to avoid product shortages.

Bristol-Myers stated it’s started again limited operations to ship warehoused products. “Currently, no product supply impact is anticipated, however we still measure the challenging operational conditions around the island,” spokesman Ken Dominski stated.

Amgen, inside a statement, stated it had been “getting ready to resume manufacturing in a variety of plants within the next several days” and didn’t anticipate an effect on supply to patients.

Merck has one factory around the island. “We’ve introduced power back online via on-site generators that will permit most operations to proceed,” spokeswoman Claire Gillespie stated.

From the listing of drugs being carefully monitored by Food and drug administration, 14 medicines are sourced exclusively from Puerto Rico, Gottlieb stated.

He stated the company was dealing with drugmakers and would consider approving manufacturing sites far away, for example Mexico, Canada or Ireland, to ease possible shortages if companies have plants there.

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California Governor Signs Drug-Prices Transparency Law

(Reuters) – California Governor Jerry Brown on Monday signed condition legislation requiring drug companies to report certain cost hikes for prescription medicines inside a move that may set one for other states could follow.

What the law states, which aims to supply more transparency around pharmaceutical and biotech company prices means of their medicines, requires drug manufacturers to provide a 60-day notice if costs are elevated greater than 16 percent more than a two-year period. What the law states also requires health plans and insurers to file for annual reports outlining how drug costs affect healthcare premiums in California.

“Californians possess a to know why their medication pricing is unmanageable, particularly when pharmaceutical earnings are soaring,” Brown stated inside a statement on his website announcing the brand new legislation.

The balance continues to be emphatically opposed by drugmakers, who reason that wholesale cost increases not to reflect the particular prices compensated for medicines after discounts and rebates.

Biotechnology Innovation Organization, the key industry trade group, issued an announcement condemning the balance and quarrelling that it wouldn’t serve its intended purpose.

“This law will neither provide significant information to patients nor lower prescription medication costs,” the audience stated, adding the law “seriously jeopardizes the way forward for California’s leadership within this innovative industry.”

California hosts countless biotechnology companies of any size.

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