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MU Health Care expands with new ambulance base in west Columbia
The new ambulance base located at 101 S. Fairview Road aims to provide faster response times and emergency services into the surrounding communities.
Banijay Entertainment Heats Up Dating Slate with Temptations Under the Sun
Media and entertainment group, Banijay Entertainment, today announces it has acquired the global rights to French-Canadian dating format, Temptations Under the Sun. Expanding the group’s strategy-led reality-dating portfolio, the title is a spin-off of Canada’s longest-running reality romance show Occupation Double, which has aired for more than 20 years. Created by Productions J, the French […]
Will P&G’s (PG) New Science-Led Head & Shoulders and Oral-B iO Push Change Its Narrative?
In recent months, Procter & Gamble has rolled out new Head & Shoulders formulations featuring the HydraZinc Complex and expanded its Oral-B iO line, emphasizing clinically tested scalp and oral care technologies now available across multiple product collections in the U.S. market. These launches highlight how Procter & Gamble is leaning on science-led product innovation to reinforce its brands and support its broader shift from pricing-driven growth toward offering more tangible consumer...
Personnel note: Abigail MacIver, Genevieve Collins join Ace Political
The additions bring together three Americans for Prosperity veterans as the firm expands its work in Florida and Texas.
German business activity grows in September, PMI shows
By Maria Martinez BERLIN, Sept 23 (Reuters) - German business activity expanded solidly in September despite firms facing increased inflationary pressures, a preliminary business survey showed on Wednesday. The S&P Global Flash Composite PMI Index fo...
German business activity grows in September, PMI shows
By Maria Martinez BERLIN, Sept 23 (Reuters) - German business activity expanded solidly in September despite firms facing increased inflationary pressures, a preliminary business survey showed on
New Mac Mini Has Two Storage Downsides, Including Unremovable SSD
As confirmed by the website "Expand Mac mini," NAND storage in the new Mac mini models with the M6 and M5 Pro chips is soldered to the logic board, whereas the previous models with the M4 and M4 Pro chips have removable storage that can be upgraded. In other words, the new Mac mini does not support aftermarket storage upgrades.
NYC health officials expand outreach efforts in Bronx Legionnaires' cluster
Merck Life Science Expands Bengaluru Manufacturing with €13 Million Investment
Merck Life Science is expanding its manufacturing capabilities in Bengaluru with an investment of approximately €13 million, strengthening the company’s ability to supply critical materials to customers across India and the wider Asia-Pacific region. The expansion at Merck Life Science’s Jigani site in Bengaluru will introduce biological buffer manufacturing alongside the facility’s established chemistry capabilities. The investment is designed to enable faster and more reliable access to critical materials used by customers across research, diagnostics, biotechnology and biopharmaceutical manufacturing. The development further advances Merck Life Science’s “in-region, for-region” approach, under which the company is expanding manufacturing capabilities closer to the markets and customers it serves. By adding biological buffer production in India, the Jigani expansion will broaden the site’s manufacturing capabilities while strengthening Merck Life Science’s regional supply infrastructure for the rapidly developing life sciences sector across India and Asia-Pacific. The company said the expansion reflects both the contribution of its teams and its collaboration with government and industry stakeholders. Merck Life Science acknowledged the support of India’s Department for Promotion of Industry and Internal Trade (DPIIT), the German Embassy New Delhi, and Invest India in helping strengthen life science manufacturing capabilities in the region. The investment comes as India continues to expand its role across pharmaceutical, biotechnology, diagnostics and biomanufacturing value chains, increasing demand for dependable regional access to materials supporting research and manufacturing operations. The Bengaluru expansion reinforces Merck Life Science’s focus on building manufacturing capacity within Asia-Pacific and supporting customers through a more regionalised supply network.
Mobile eyes expansion of open-alcohol entertainment districts
Mobile City Council members on Tuesday expressed support for a proposal to expand the downtown entertainment districts, but some voiced concerns over lax enforcement of the rules regarding alcohol outside.
Maui Wildfire Exposure Study gets $6M in federal funding to extend post-fire health tracking to 2031
Two grants from the National Institutes of Health will allow a critical post-wildfire University of Hawai'i study to continue and expand.
Ernst Names Small Business of the Week, North Lumber & Home Center
Read the release on Sen. Ernst's website HERE. Throughout this Congress, Chair Ernst plans to recognize a small business in every one of Iowa’s 99 counties. RED OAK, Iowa – U.S. Senator Joni Ernst (R-Iowa), Chair of the Senate Small Business Committee, today announced her Small Business of the Week: North Lumber & Home Center of Decatur County. Throughout the 119th Congress, Chair Ernst plans to recognize a small business in each of Iowa's 99 counties. “North Lumber & Home Center has truly gotten to the root of what it means to be a hardworking, dedicated small business” said Chair Ernst. “For more than four decades, this family-owned and operated business has continued to branch out by providing quality services and staying actively engaged in its community.” In 1980, current owner Sally Dykes and her family purchased North Lumber. As the family continued to expand their inventory and operations to better serve its customers, they renamed the business to North Lumber & Home Center. In 2002, they opened a second store in Lamoni, Iowa. Today, Sally continues to run the lumberyard and building materials supplier business alongside her son, Tony Dykes. Stay tuned as Chair Ernst continues to recognize outstanding Iowa small businesses with her Small Business of the Week award. ###
Downtown Mobile Entertainment District may be expanded
Downtown Mobile Entertainment District may be expanded
Atrium Health expands in NC after controversial merger with WakeMed gets local approval
Atrium Health is set to expand into the Triangle after Wake County leaders voted 5-2 to approve the WakeMed merger, though federal review is still ahead.
DHR Health Enhances Ear, Nose, and Throat Care with Addition of Dr. Tess Hill
As part of its ongoing commitment to expanding access to outstanding healthcare throughout the Rio Grande Valley, DHR Health is pleased to welcome Dr. Tess Hill to its growing team of physicians. Dr. Hill joins DHR Health as an otolaryngologist (ear, nose and throat physician) and looks forward to providing compassionate, patient-centered care.
Newport News ship repair business plans to add 400+ jobs
S23 Holdings is investing $180 million and adding 414 jobs to expand its ship repair and fabrication operations in Newport News.
Vandalia Health celebrates grand opening of Mon Harrison Neighborhood Hospital
BRIDGEPORT, W.Va. – A new two-story emergency and inpatient care hospital has officially opened in Harrison County. Vandalia Health announced via press release that the new Vandalia Health Mon Harrison Neighborhood Hospital officially as part of a ribbon cutting hosted on Tuesday. The ceremony to open the new $26 million hospital aimed to expand access…
Disney’s Cathleen Taff Expands To Entertainment Studios & Consumer Products President
Disney has set Cathleen Taff as president of its newly combined Disney Entertainment – Studios and Consumer Products team.
Poitras Center to fuel early careers of 50 young scientists dedicated to psychiatric disorders research
Patricia and James Poitras launched a fellowship program for MIT graduate students and postdocs studying major mental illness, expanding their philanthropy to directly support early-career scientists.
UF Health opens 99-bed Durbin Park hospital in St. Johns County
UF Health celebrated the opening of its Durbin Park campus on Sept. 17, expanding access to advanced medical care in one of Northeast Florida’s fastest-growing areas.
Trump administration announces more than $45M to upgrade rural healthcare in Missouri
The investment would support hospital infrastructure improvements, expand behavioral and maternal healthcare access for Missouri.
VIRTUE Asia strengthens strategy leadership as the agency expands into culture, entertainment and IP
Singapore - 22 September 2026: VIRTUE Asia has appointed Cherish Lee as strategy director and promoted Marie Lee to strategy director,
Nearly $17 million awarded to expand mental health and addiction services across Kentucky
Kentucky has secured nearly $17 million in federal grants for 988 crisis services, youth mental health programs and addiction recovery support.
Motorola's Android 17 rollout is bringing a helpful feature to more devices
As Motorola continues its roll out of Android 17, the brand is also expanding access to this helpful feature.
Expanded Medicaid dental coverage is improving oral health in Utah
The expansion has made an essential health care service available for tens of thousands of Utahns.
Will JPM's $20B QIA Partnership Strengthen Asset Management Business?
JPMorgan's $20B QIA partnership spans public and private markets, expanding asset management capabilities and creating scope for longer-term fee-based growth.
Newsom signs bill expanding mental health options for veterans
A state budget trailer bill with funding for psychedelic therapy research to help veterans has been signed into law by Gov. Gavin Newsom, Sen. Brian W. Jones, R-Santee, announced Tuesday.
IU Health Expands Fishers, Indiana Hospital To Meet Growing Population, Care Needs
See how IU Health used evidence-based design and Lean methods to expand its Fishers campus for one of Indiana's fastest-growing communities.
Turkish military pension fund OYAK eyes foreign partnership on energy as it expands business
Turkish military pension fund OYAK is in talks with a major global energy company over a strategic partnership in fuel distributor Guzel Enerji, with the outcome expected to become clear by early next year.
Caesars Entertainment expands remote gameplay portfolio with launch of Remote Roulette™ inside Tropicana Atlantic City
Caesars Entertainment, Inc. (NASDAQ: CZR) ("Caesars") announced the launch of Remote Roulette™, powered by Evolution’s Dual Play Roulette, a new gaming
Lindsay Clancy case could spur state action on postpartum mental health
Lindsay Clancy’s mistrial is renewing debate over postpartum mental healthcare as states consider expanded screening, home visits and insurance coverage.
$10M Ill. fire station puts firefighter health, safety at center of design
Buffalo Grove's new Fire Station 25 features cancer-reduction measures, sleep-focused bunk rooms, expanded apparatus bays and a larger fitness area
Teal Health Raises $22 Million Series A to Expand Access to the Most Accurate FDA-Authorized At-Home HPV Cervical Cancer Screening
/PRNewswire/ -- Teal Health, creators of the Teal Wand™, the first and most accurate FDA-authorized self-collection device for at-home HPV cervical cancer...
Censys Shifts To Channel-Only For New Business, Aims To Expand Internet Intelligence With Partners
Censys unveiled an expanded channel program Tuesday that includes a major shift in its sales strategy in the direction of partners, with the aim of accelerating growth for its Internet intelligence platform through the channel, Censys CRO Sarah Ashburn tells CRN.
$7,000 grant to expand access to mental health services in Saginaw County
Child and Family Service of Saginaw County has received $7,000 grant from MyMichigan Health to support the organization’s Hope Counseling Scholarship Fund.
Xpeng’s Tech-Licensing Expansion Meets a Core Auto Business Still Losing Money
Xpeng Inc. (NYSE:XPEV) is looking to expand its technology partnership with Volkswagen by pursuing similar deals with other automakers. The move follows a quarter in which services and other-business revenue nearly doubled, with the Volkswagen deal providing the key boost. However, the same results also highlighted growing pressure on the company’s core vehicle business. Its […]
Fiserv Expands Clover Footprint in Canadian Sports and Entertainment
Winnipeg Blue Bombers Select Clover to Support Game-Day Commerce MILWAUKEE, Sept. 22, 2026 (GLOBE NEWSWIRE) -- Fiserv, Inc. (NASDAQ: FISV), a leading global provider of payments and financial services technology, today announced that the Winnipeg Blue Bombers of the Canadian Football League (CFL)
Fiserv Expands Clover Footprint in Canadian Sports and Entertainment
Winnipeg Blue Bombers Select Clover to Support Game-Day Commerce MILWAUKEE, Sept. 22, 2026 (GLOBE NEWSWIRE) -- Fiserv, Inc. (NASDAQ: FISV), a leading global provider of payments and financial services technology, today announced that the Winnipeg Blue Bombers of the Canadian Football League (CFL)
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
New crisis center aims to expand mental health care in Lansing
A new crisis care center is opening Tuesday in Lansing, offering an alternative to hospitalization for people experiencing a mental health or substance use crisis.
URochester developing Doctor of Physical Therapy program amid broader health sciences expansion
The University of Rochester is developing a doctor of physical therapy program to expand its health sciences education and research offerings.
Is 50 the new 60?
Subscribe TL;DR: Younger generations are showing signs of worse health compared to earlier-born cohorts at the same age This backward “drift” is showing up both in mortality risk and chronic disease Worsening trends in obesity and diabetes are the most consistent signals Taking the long view, we’ve made astonishing gains in health and life expectancy in the last century. Global average life expectancy has more than doubled from 32 years in 1900 to 73 years in 2024. (But don’t forget, there were still old people when life expectancy was 32). As people lived longer, they also generally lived healthier along the way. It turns out that avoiding things that can kill you early, like malnutrition and lots of childhood infections, also keeps you healthier later in life. In a classic 2004 paper, Finch and Crimmins proposed that cohorts of children who benefited from fewer early life infections had less lifetime exposure to inflammation and cardiovascular disease later in life, accelerating mortality improvements at older ages. Poor nutrition in the womb has also been linked to a higher risk of later chronic disease. The upshot is that improvements in childhood health can pay dividends many decades later. The combination of better living conditions (nutrition, sanitation) and medical advances (antibiotics, vaccines, blood pressure meds, etc) meant that people’s healthy lifespan generally expanded, even as they lived longer. Aging researchers call this best-case scenario “compression of morbidity”—meaning we delay the onset of disease and disability even faster than the years of life we are adding. During my 20+ year research career, we could generally bank on the idea that younger generations would not only live longer but also keep getting healthier along the way. “60 is the new 50” as they say… Enter “Generational Health Drift” Sadly, this expectation of steady progress may be changing. You’ve probably heard that US life expectancy gains have slowed to a crawl in the past couple of decades. Mortality improvements are also slowing (though less dramatically) in many other high-income countries (you can read more about that in a review paper I wrote here). Mortality is a very blunt health measure, but it is often a good barometer for the broader population health trends happening underneath. And we are now seeing that younger generations may be in worse health at similar ages compared to earlier born cohorts. My collaborator Prof. George Ploubidis at University College London coined this worsening health in more recently born cohorts “generational health drift.” “Generational health drift” is bad news on multiple fronts. Most obviously, we don’t want our health progress to go backward. But the timing is also bad, since our populations are aging. In demographic terms, “population aging” means that the proportion of the population at older ages (i.e >65 years) is increasing. Fun demography fact: Current population aging is not due to the recent declines in the birth rates making the news, but declines in fertility decades ago, after the “baby boom.” As baby boomers reach older ages, the smaller cohorts behind them mean the percentage of older adults will increase. For example, the share of the population age 65 and older in the US increased from 12.4% in 2004 to 18.0% in 2024. This story of population aging was written long ago. Many worry that population aging will put pressure on health care and pension systems. But if people reach older ages in better health than in years past, those fiscal pressures would be less dire than projected. Healthy older people can also continue to contribute to society in many valuable ways, including paid work, caregiving, community service….even high political office 🤷. On the flip side, if younger generations reach retirement age in worse health and with more disabling conditions, this could magnify the societal challenge of population aging. Evidence for worsening generational health A recent paper that I LOVED in the Proceedings of the National Academy of Sciences by Dr. Leah Abrams and colleagues examined which birth cohorts (aka generations) were behind worsening US mortality. Behold the Lexis diagram (cue swooning demographers). Calendar time is on the x-axis, age on the y-axis. Birth cohorts can be followed over time as they age on the diagonal lines moving up and to the right. This figure plots the year-on-year % change in all-cause mortality at a given age. Green shading indicates mortality improvements over time, white is stagnation, and gray shading indicates worsening mortality. Following the diagonal line for those born in 1950, you can see a noticeable shift from green to gray that follows this cohort for most of their lives. This gray shading shows generally worsening mortality for the 1950 to 1959 birth cohorts compared to their predecessors across all ages. Concerningly for my GenX and elder millennial peeps, there was also a deterioration in mortality for birth cohorts born in the 1970s and 1980s, visible as dark gray areas at ages 30 to 45 during the 2010s. While some of these mortality changes reflect specific shocks such as the opioid epidemic, most deaths still occur from major causes of death such as cardiovascular disease and cancer. For cancer, the gray in the top left corner of the figure below reflects the legacies of smoking for older cohorts, followed by a period of green with improvements in cancer mortality as smoking rates declined. But the white/gray shading in the bottom right corner highlights a stagnation and reversal of the cancer trends, with cohorts born around 1970 to 1985 experiencing worsening cancer mortality. This deterioration was most noticeable for colon cancer mortality, possibly linked to obesity or dietary factors. Not just dying more, but less healthy along the way. A recent paper by Dr. Laura Gimeno of University College London (of which I am a co-author), found evidence that more recently born cohorts in Great Britain have stagnating or worsening health. A stylized picture of what“generational health drift” might look like: The review paper found: Rates of childhood overweight and obesity were highest among Gen Z. Rates of diabetes in the 40s almost doubled from 3.1% among the Baby Boomers to 5.9% in Generation X. Gen Z reported higher rates of poor mental health in adolescence compared to earlier-born groups. These UK results are consistent with studies showing worsening health across generations in the US as well. A 2021 US study found that more recently born cohorts had worse biological markers (like blood pressure and blood sugar) than earlier generations at the same age. A separate 2022 study of Americans aged 50 and over found that more recently born generations had a higher number of chronic diseases, with younger age of disease onset. A 2024 Lancet paper found that in the US, women born in 1945 had 33% obesity prevalence at age 50, rising to 48.2% for women born in 1970 turning 50. So what’s going on, and can we turn it around? We don’t have a definitive answer for what’s causing the deteriorating health of younger cohorts, but circumstantial evidence points to worsening trends in obesity and diabetes in both the US and UK. Remember that cohort trends reflect lagged effects of early environments, and younger generations have faced both earlier onset and more severe obesity across their lifetimes. Despite these very concerning trends, the future is not set in stone. We’ve reversed poor generational health trends before: drops in smoking are a major reason cancer and heart disease deaths fell so dramatically in recent decades. GLP-1 drugs may finally turn the tide against rising rates of obesity and diabetes, though it is still early days. But things could also get worse…for example from a return to higher levels of childhood infectious diseases that can have a lasting impact on health. See for example: [ ](https://jenndowd.substack.com/p/dont-you-forget-about-measles-the) [ Don’t You Forget About Me(asles): The Virus That Erases Immune Memory ](https://jenndowd.substack.com/p/dont-you-forget-about-measles-the) Jenn Dowd, PhD · March 24, 2025 [ Read full story ](https://jenndowd.substack.com/p/dont-you-forget-about-measles-the) Even as an optimist, emerging data on the “generational health drift” has my full attention. For most of my research career, we took it for granted that each generation would be healthier than the last. But if present trends continue, **50 could be the new 60….**and Gen Z celebrities will soon look older than Paul Rudd :). Stay well, Jenn Share the Health! If you found this post useful, please share it with a friend. Share
Jiang Feng: The Unravelling of German & European Politics
A state election in eastern Germany has become a revealing test of the changing political landscapes of Germany and Europe, writes Jiang Feng, Professor and Chairman of the Council of the Shanghai Academy of Global Governance and Area Studies (SAGGAS) at Shanghai International Studies University. His analysis follows the decisive victory of the Alternative for Germany (AfD) (which has been classified as right-wing extremist by German authorities)in the state of Saxony-Anhalt on 6 September, in which it finished far ahead of its mainstream rivals. Jiang previously served as Minister-Counsellor at the Chinese Embassy in Berlin. The following article was published on 8 September 2026 on huanqiu.com, the online platform of the Global Times. On 6 September, the results of the state election in Saxony-Anhalt, Germany, were announced. The Alternative for Germany (AfD), classified as far-right by German authorities, made history by becoming the largest party in the state parliament, winning 43.8 per cent of the vote — twice its share in the previous election. The Christian Democratic Union (CDU), which had governed the state continuously for 24 years, won just 17.2 per cent, its worst result ever in Saxony-Anhalt. On the night the results were announced, the atmosphere at the CDU gathering was unusually calm. There was neither shock nor argument, as if the defeat had long been expected. Several veteran party members who had spent years working in the state government said: “Defeat is not a bad thing. It is time to make changes.” This state election has not only upended Saxony-Anhalt’s political landscape, but also laid bare the deep tensions between Germany’s traditional party structure and model of governance, on the one hand, and an increasingly polarised society on the other. Its repercussions are already being felt at the federal level, making Saxony-Anhalt a useful case study of the broader trend towards political polarisation and realignment in Europe. Governing Difficulties after Electoral Victory The most immediate consequence of the election is a historic setback for the mainstream party order that took shape in post-war Germany. In Saxony-Anhalt, the AfD has leapt from a peripheral party to the largest political force in the state. Its electoral base has expanded beyond the traditional category of “marginal protest voters” to take on the characteristics of a cross-class coalition. The party has not only consolidated its support in rural areas, but also attracted many middle-class voters and even members of the social elite with stable jobs, their own homes, and substantial incomes. It has thus evolved from a “protest party” into one with the potential to govern. Despite its commanding lead in the vote, however, the AfD faces an institutional obstacle to governing the state: the mainstream parties’ long-standing “firewall” against it. Neither of the two potential routes to forming a government appears likely to break the current political deadlock. The first would be a coalition of establishment parties, led by the CDU and bringing together the Social Democratic Party (SPD), the Greens, the Left Party (Die Linke) and the Sahra Wagenknecht Alliance (BSW) in a cross-camp government. In terms of parliamentary arithmetic, such a coalition could prevent the AfD from forming a government and preserve the outward stability of the traditional political order. Yet these parties are fundamentally divided over key issues including immigration, the energy transition, economic management, and cultural and education policy. Coalition negotiations would therefore be extremely difficult, and even if a government could be formed, it would most likely prove short-lived. More importantly, an alliance of establishment parties aimed at keeping the largest party out of government would play directly into the AfD’s narrative that “political elites are suppressing public opinion”. It could deepen perceptions of political unfairness, further strengthening the AfD’s political capital, and creating a dynamic in which “the more it is suppressed, the more people vote for it”. Ulrich Siegmund, the AfD’s candidate for state premier, has said that if efforts to form a government fail because other parties refuse to cooperate, the AfD will push for a fresh election, which he believes could deliver the party an absolute majority of seats. This points to more intense political battles ahead. The second option would be a coalition between the AfD and the BSW. Together, the two parties would command a simple majority in parliament, making this, on paper, the quickest route to forming a government. The BSW is the only elected party that has not ruled out cooperation with the AfD, and the two parties share some common ground, including on policy towards Russia. There is therefore a degree of political basis for cooperation. Were such a coalition to materialise, Germany would see its first state government jointly formed by a party defined as far-right and one with a far-left background, creating what might be called a “bipolar anti-establishment alliance”. Such an outcome would fundamentally break with the ideological boundaries of post-war German party politics. It is worth noting that even if the AfD ultimately fails to enter the state government, its roughly 47 per cent share of parliamentary seats would give it a powerful blocking minority. Without its consent, major decisions requiring a two-thirds majority — including constitutional amendments, significant budgetary adjustments, and state-level institutional reforms — would be extremely difficult to pass. Therefore, whoever ultimately forms the government, the AfD will be an unavoidable force in Saxony-Anhalt politics, with a direct influence on the state’s legislative process. Systemic Failures in Germany’s Governance Model The Saxony-Anhalt election result reflects a systemic failure of Germany’s post-war mainstream-party model of governance to adapt to rapidly changing socioeconomic conditions. It stems from multiple, mutually reinforcing structural tensions and highlights the existing political system’s difficulty in adapting to “an increasingly polarised society First, collective anxiety has replaced individual material hardship as a central driver of political mobilisation. The rise of the AfD can no longer be explained simply by poverty or social marginalisation. Its increasingly cross-class electoral base suggests that what is driving voters towards the party is, above all, concern about the broader direction of society. This anxiety about the future of the political community goes beyond individual gains and losses. In political discourse, economic anxiety has become closely intertwined with immigration, while immigration and refugee issues are, in essence, questions of social fairness. This perception turns conflicts over the distribution of social resources into negative assessments of governing parties, providing a broad social basis for far-right political narratives. Second, regional disparities and East German identity have undermined the strategy of addressing eastern Germany’s structural challenges at the regional level. More than three decades after German reunification, eastern states such as Saxony-Anhalt have experienced periods of economic growth, but their underlying economic structures remain weak, and household incomes and wealth remain significantly below those in western Germany. At the same time, they continue to face population outflow, an ageing population, labour shortages, and other structural challenges. At a deeper level, historical experiences — including the collapse of the former East German economic system, mass unemployment during the transition, and the westward shift of decision-making power over major issues — have left some residents with a sense of being “second-class citizens” and of being excluded. For years, the German government treated the “syndrome” of reunification as a regional problem to be gradually addressed at the local level. That approach is becoming increasingly unsustainable, as regional development disparities emerge as a core structural factor shaping national politics. Third, the erosion of institutional trust is perhaps the most decisive factor. AfD supporters tend to distrust establishment institutions, including parliament, government, and the mainstream media. Their concerns about economic security, pensions, and social fairness are significantly greater than the social average. Increasingly, their support for the AfD reflects not an expectation that the existing system can be improved, but a search for an alternative to the current political order. Such a systemic deficit of trust will be extremely difficult for the traditional parties to repair in the short term. Fourth, a generational shift in political mobilisation has amplified political polarisation. Unlike traditional parties, which rely heavily on offline rallies and mainstream media coverage, the AfD has developed a social-media mobilisation strategy built around “raising an issue — identifying who is responsible — offering a simplified solution — building a shared identity”. It turns complex social tensions into concise political narratives, rapidly channelling public sentiment into political support. The contrast on the eve of the election was particularly telling. The establishment parties, together with trade unions and churches, organised an offline march attended by more than 10,000 people, but its reach was largely confined to those present and to traditional media coverage. The AfD held a much smaller indoor event, yet livestreaming on TikTok, YouTube, and other platforms, combined with the involvement of online influencers, gave it a reach and mobilising capacity far beyond that of the march. The contrast illustrates how the traditional parties’ methods of political mobilisation are increasingly struggling to keep pace with a political environment transformed by changes in media technology. A Microcosm of Structural Political Change in Europe The shockwaves from the Saxony-Anhalt election quickly travelled beyond the state to the federal level. Calls for political accountability followed immediately after the results were announced. The governing CDU and SPD are now under enormous pressure, while Chancellor Friedrich Merz and Vice Chancellor Lars Klingbeil face an unprecedented test. Political polarisation in Germany is no longer simply a regional phenomenon. The post-war model of multiparty government by establishment parties is breaking down and being reshaped. Viewed in a broader European context, the Saxony-Anhalt election is part of a continent-wide wave of party polarisation, mainstream-party decline, and rising right-wing forces. Far from an isolated phenomenon, it is a microcosm of the structural political changes unfolding across Europe. Weak economic growth, cultural tensions over immigration, and declining trust in institutions are fuelling the rise of right-wing forces in several countries, challenging the liberal internationalist order established in post-war Europe. As a core member state of the European Union, Germany’s ability to adapt its political system and the direction of its politics will have profound implications for both European integration and the evolution of the international order. Subscribe [ Pekingnology China’s Germany watchers take stock of Berlin’s uneasy turn On 7 December 2025, nearly 50 Chinese scholars and policy researchers gathered in Beijing for the 2025年德国形势年终研讨会 “2025 Year-End Seminar on the Situation in Germany… Read more 9 months ago · 31 likes · 1 comment · YIRUI LI and Yuxuan JIA ](https://www.pekingnology.com/p/chinas-germany-watchers-take-stock?utm_source=substack&utm_campaign=post_embed&utm_medium=web&embedding_publication_id=1151841) [ Jiang Feng on Germany's 2025 and beyond: no easy exit ](https://www.eastisread.com/p/jiang-feng-on-germanys-2025-and-beyond) Yirui LI and Yuxuan JIA · Jan 24 The following is an op-ed by Jiang Feng, published on 29 December 2025 at Shanghai Observer 上观新闻, the digital platform of Jiefang Daily, the official newspaper of the Shanghai Municipal Committee of the Communist Party of China (CPC). [ Read full story ](https://www.eastisread.com/p/jiang-feng-on-germanys-2025-and-beyond)
Coachella expands business, entrepreneur resource center
COACHELLA, Calif. (KESQ) - The Greater Coachella Valley Chamber of Commerce and the city of Coachella will expand services at the Coachella Community Business and Resource Center, giving local businesses and entrepreneurs greater access to training, workspace and other resources, it was announced today. "This partnership gives us the opportunity to take what we
Bipartisan bill aims to expand health protections for wildland firefighters
A bipartisan bill backed by Utah Sen. John Curtis promises to expand health and safety protections for wildland firefighters.
Mobile to expand downtown entertainment districts
Mobile could soon expand two of its downtown entertainment districts, including adding the new Regions Arena site.
Yellowtail Drive Could Be Expanded To Accommodate Hi-Tech Business Parks In Sheridan
One road on the north side of Sheridan could soon be widened, in anticipation of increased motor vehicle traffic in the area. At its recent board meeting, the Sheridan Economic and Educational Development Authority (SEEDA) approved a motion to begin preparing bids to add 5-foot gravel shoulders on Yellowtail Drive, from the Weatherby building northward […]
Sen. Gary Peters appointed new Center for the Political Future director
The Michigan lawmaker plans to expand CPF’s activities at USC’s Capital Campus in Washington, D.C.
Mobile council to consider expanding entertainment district around Regions Arena
Hiscox USA names a new finance chief from Liberty Mutual
The hire comes as Hiscox USA continues expanding its specialty insurance platform
SpaceX Seems to Expand 'Free' Starlink Mini Perk to All Residential Plans
Starlink quietly tweaks language about the 'Optional Mini Kit' perk, which used to only be for the Residential Max plan.
Akron launches program meant to expand small business access to city contracts
Akron officials unveiled the Small Business Enterprise program Monday. It's aimed at making it easier to compete and secure contracts for public projects.
Evaluating Bobby Webster's First Offseason In Expanded Role
The long-time Raptors executive has the team back on track to contention.
Craven County Community Health Center cuts ribbon on Havelock expansion, adds VA clinic and pharmacy
Craven County officials celebrated the opening of an expanded community health clinic Monday, bringing essential medical, pharmacy, and behavioral health care closer to home for eastern county residents.
Hayden Panettiere remembered at Malibu memorial service
Hayden Panettiere attends the Los Angeles premiere of Netflix's new film 'Blonde' at TCL Chinese Theatre on Sept. 13, 2022, in Hollywood, California. (Jon Kopaloff/Getty Images)Hayden Panettiere was celebrated over the weekend at a memorial service held in California, her representative confirmed to ABC News.Around 80 friends of the late Nashville star, who died on Aug. 16 at the age of 36, gathered in Malibu on Saturday to share "an evening of music, memories, laughter and tears."“We wanted to honor Hayden in the best way we knew how—with as much love as possible," Panettiere's representative, Kasey Kitchen, said in a statement with a group of the actress's friends, who jointly organized the memorial.The statement continued, "It was a beautiful and intimate ceremony where friends came together to celebrate her life and honor the beautiful, magnetic light and love she infused into the world.”Panettiere's Nashville co-star Connie Britton and other celebrities, including Evan Ross and Ruby Rose, were photographed attending the memorial.Panettiere died after she was found unresponsive and in cardiac arrest at a Greenville, South Carolina, apartment.The actress's official cause and manner of death have not yet been announced.An investigation into her death has expanded from South Carolina to Los Angeles, and investigators are focusing on the role drugs may have played in her death, sources told ABC News last week.Kitchen, Panettiere's representative, said in a statement on Sept. 15 that her death "remains under investigation pending toxicology results.""As we await the answers we are all seeking, may we also remember Hayden for the incredible legacy she leaves behind — the light she shined on mental health and postpartum depression, and the voice she gave to those who felt unseen and unheard," Kitchen said. "The answers we are all seeking will come."Copyright © 2026, ABC Audio. All rights reserved.
WV to allocate nearly $300,000 in Rural Health Transformation funds to expand nursing workforce
The state will contribute $291,403 of its federal Rural Health Transformation funds to the WVU Medicine Center for Nursing Education.
Kentucky secures nearly $17 million for mental health, addiction services
Gov. Beshear says healthcare is a basic human right and his administration is taking action to expand and protect access to essential services that save lives.
Seattle startups DexCare and Mila Health combine to expand AI patient scheduling
Seattle health-tech startup DexCare has acquired fellow local startup Mila Health, an AI agent developer that automates patient calls and texts for appointment scheduling. The deal, whose terms were undisclosed, integrates Mila's rapidly deployable AI communication tools into DexCare's patient-access platform serving 57 million patients nationwide.
New entertainment zones expand locations for to-go alcohol e...
Sacramento has expanded its entertainment-zone program to 11 areas, allowing participating businesses to sell to-go alcohol during approved special events in do...
Memorial Healthcare System Names Shane Strum President & CEO
Board of Commissioners confirms permanent leadership following a two-year interim tenure marked by record growth and expanded access to care HOLLYWOOD, Fla., September 3, 2026 — The South Broward Hospital District Board of Commissioners has voted to name Shane Strum President and Chief Executive Officer of Memorial Healthcare System, confirming a role he has held on […]
Bergen New Bridge, Ramapo College partner to bolster state’s health care workforce
Bergen New Bridge Medical Center and Ramapo College are expanding their partnership to bring more students into real-world clinical settings.
Rochester Public Schools expands mental health teaching
In accordance with a new Minnesota mandate, Rochester Public Schools (RPS) is incorporating additional instruction and support for mental health into the school curriculum and environment.
Dawn James Named Inaugural Executive Director of the Texas Energy Buyers Alliance - CEBA
AUSTIN — The Texas Energy Buyers Alliance (TEBA) is pleased to announce Dawn James as its inaugural executive director, bringing an experienced Texas energy and business leader to the helm as the alliance expands its work on behalf of large energy customers across the state. “This is a critical moment for Texas. We face unprecedented […]
Chulalongkorn University and AIST Sign MoU on Quantum Technology
Thailand’s Chulalongkorn University and AIST sign an MoU to expand quantum technology research, training and ecosystem development.
Academy Sports wants to turn Western wear into a bigger business
After expanding Ariat beyond work boots and into apparel, the sports retailer is giving the brand dedicated spaces as demand for Western and lifestyle products grows.
Seattle’s Talkspace deal for youth therapy falls short
Amid a mental health crisis, Talkspace pledged to expand young people’s access to therapy. Data shows few were served while the tech platform raked in millions.
Made in Arizona: Cactus Corn bets on partnerships, tourism for sustained growth
Phoenix-based popcorn brand Cactus Corn expands beyond Chase Field with retail partnerships and corporate gifting to diversify revenue streams.
Glacial risk zones identified in Nepal after flood
A flood on the Nepal-Tibet border highlighted glacial disaster risks in the Himalayas, High Mountain Asia and Peru, where expanding glacial lakes threaten nearby communities.
Research: The True Cost of Corporate Scandals? Talent.
New research tracking millions of career moves shows that corporate misconduct carries a significant hidden cost: voluntary employee departures. An analysis of 735 large public companies found that regulatory violations equal to 5% of annual revenue were associated with a 3.9% increase in departures. Turnover rises sharply when violations are geographically widespread, occur in rapid succession, or expand into new categories of misconduct. Employees who leave also tend to join companies with cleaner regulatory records, giving responsible competitors a recruiting advantage. Companies should treat compliance as a talent issue, monitor patterns of misconduct alongside attrition, and respond to violations with credible accountability to protect their workforce and reputation.
PPG appoints Alex Lopez vice president, investor relations, operational finance
PPG (NYSE: PPG) today announced that Alex Lopez, currently PPG director, investor relations, has been appointed PPG vice president, investor relations and operational finance, effective Oct. 1. Lopez will continue to report to Jamie Beggs, PPG senior vice president and chief financial officer. Alex Lopez has been appointed PPG vice president, investor relations and operational finance. In this expanded role, Lopez will continue to lead investor relations while assuming responsibility for enterprise operational finance, with a focus on strengthening capital discipline, productivity governance and operational finance effectiveness. Lopez has held a variety of finance roles of increasing responsibility during his 20 years with PPG, including business-specific finance leadership as well as corporate roles. Prior to assuming the investor relations role in 2024, Lopez served as global finance director, Automotive OEM Coatings. He also supported the growth of PPG Comex when he relocated to
DeFi Technologies' Subsidiary Valour Launches Valour Funds SPC, a New Business Line, and Introduces Its First Hedge Fund, Smart Crypto Fund SP, Powered by Neuronomics' Proprietary AI Strategy
Valour launches Valour Funds SPC, a new business line expanding its offering beyond exchange traded products into actively managed digital asset investment...
U.S. Sen. Gary Peters to lead USC Dornsife’s Center for the Political Future, named Warschaw Chair
The Michigan Democrat will serve alongside Republican strategist Mike Murphy, bringing a record of bipartisan lawmaking and plans to expand the center’s presence in Washington.
Mount Nittany Health Opens Expanded Dermatology Practice
Mount Nittany Health has expanded its dermatology services with a new, larger location designed to improve access to care. The new dermatology practice
Hoosiers need easy access to qualified health care providers
While physicians discuss the perceived threat of expanding professional roles, Hoosiers face a greater threat: inaccessible, unaffordable healthcare.
UK's JD Sports expands into Mexico through Grupo Axo partnership
British sportswear retailer JD Sports on Monday announced its expansion into Mexico through a long-term franchise partnership with fashion retailer Grupo Axo, betting on strong demand from Mexico's growing young population.
Q&A: How AI can expand mental health support beyond the clinic
USC’s John Blosnich tells how AI finds opportunities for mental health support in “industries of disruption” — places people turn to during difficult moments.
Culturally Relevant Cardiovascular Disease Prevention and Care Strategies
(Feature Impact) Driven by rising rates of obesity, diabetes, high blood pressure and other risk factors, cardiovascular disease has surpassed cancer as the leading cause of death among Hispanic adults in the United States. googletag.cmd.push(function() { googletag.display('fixed-big-ad-top-asset'); }); Hispanic people represent nearly 1 in 5 of the U.S. population and are the nation’s largest ethnic minority group, yet many continue to face barriers to achieving heart health and accessing high-quality healthcare. A new scientific statement published in the American Heart Association’s flagship journal, “Circulation,” revealed how social, economic, cultural and environmental factors contribute to persistent disparities in cardiovascular health, calling for culturally tailored prevention strategies, equitable access to care and greater representation of Hispanic populations in cardiovascular research.“Hispanic populations in the U.S. are incredibly diverse even within their own communities with differences in genetic ancestry, language, cultural traditions and social experiences that can significantly influence cardiovascular health,” said Johanna Contreras, M.D., M.Sc., FAHA, director of the Division of Heart Failure and medical director of the Hispanic Heart Center within the Mount Sinai Health System. “Yet Hispanic people remain underrepresented overall in the research that guides prevention and treatment strategies… Without better representation and more detailed data, we risk overlooking important differences that can help us improve care and save lives.”Hispanic Cardiovascular Health by the NumbersCardiovascular risk factors – obesity (nearly 46%), type 2 diabetes (15.5%) and high blood pressure (approximately 44%) – are prevalent among Hispanic adults and often emerge at younger ages and occur more frequently among Hispanic adults compared with white adults.According to the report, only about 1 in 5 Hispanic adults achieves ideal cardiovascular health as defined by the American Heart Association’s original Life’s Simple 7 metrics. Updated analyses using the Life’s Essential 8 framework demonstrated persistent disparities for heart and brain health, as well as suboptimal dietary quality, sleep patterns and levels of physical activity.Social and Economic Barriers MatterBiology alone does not explain cardiovascular health disparities. The environments where people live, work and age, along with social and economic challenges, impact heart health. In fact, approximately 17% of Hispanics live below the federal poverty threshold, compared with 8.2% of white adults. googletag.cmd.push(function() { googletag.display('fixed-big-ad-middle-asset'); }); “Many Hispanic adults face obstacles that extend far beyond the doctor’s office,” Contreras said. “Limited health insurance coverage, language differences, food insecurity, environmental exposures and concerns related to immigration status can make it more difficult to prevent disease, manage chronic conditions and receive timely treatment.”Contreras emphasized the cultural values and practices of Hispanic people also influence how they perceive their health and healthcare options.“Family plays a central role in many Hispanic communities and can be an extraordinary source of strength, support and resilience,” Contreras said. “At the same time, family members are often called upon to translate medical information, navigate health systems and help make healthcare decisions for loved ones. Those responsibilities can shape how health information is understood and acted upon.”An Action Plan for Improving Hispanic HealthThere are practical opportunities to achieve equitable cardiovascular health and reduce disparities through community engagement, culturally responsive care, inclusive research and policies that address the underlying drivers of health.“Reducing cardiovascular disease among Hispanic populations demands action at every level,” Contreras said, “from improving access to culturally responsive care and expanding research participation to addressing the social and environmental conditions that shape health.”By addressing both medical risk factors and the social conditions that shape health, experts believe there is an important opportunity to reduce disparities and help more people live longer, healthier lives. Learn more at Heart.org.Photo courtesy of Shutterstock googletag.cmd.push(function() { googletag.display('fixed-big-ad-bottom-asset'); });
Culturally Relevant Cardiovascular Disease Prevention and Care Strategies
(Feature Impact) Driven by rising rates of obesity, diabetes, high blood pressure and other risk factors, cardiovascular disease has surpassed cancer as the leading cause of death among Hispanic adults in the United States.Hispanic people represent nearly 1 in 5 of the U.S. population and are the nation’s largest ethnic minority group, yet many continue to face barriers to achieving heart health and accessing high-quality healthcare. A new scientific statement published in the American Heart Association’s flagship journal, “Circulation,” revealed how social, economic, cultural and environmental factors contribute to persistent disparities in cardiovascular health, calling for culturally tailored prevention strategies, equitable access to care and greater representation of Hispanic populations in cardiovascular research.“Hispanic populations in the U.S. are incredibly diverse even within their own communities with differences in genetic ancestry, language, cultural traditions and social experiences that can significantly influence cardiovascular health,” said Johanna Contreras, M.D., M.Sc., FAHA, director of the Division of Heart Failure and medical director of the Hispanic Heart Center within the Mount Sinai Health System. “Yet Hispanic people remain underrepresented overall in the research that guides prevention and treatment strategies… Without better representation and more detailed data, we risk overlooking important differences that can help us improve care and save lives.”Hispanic Cardiovascular Health by the NumbersCardiovascular risk factors – obesity (nearly 46%), type 2 diabetes (15.5%) and high blood pressure (approximately 44%) – are prevalent among Hispanic adults and often emerge at younger ages and occur more frequently among Hispanic adults compared with white adults.According to the report, only about 1 in 5 Hispanic adults achieves ideal cardiovascular health as defined by the American Heart Association’s original Life’s Simple 7 metrics. Updated analyses using the Life’s Essential 8 framework demonstrated persistent disparities for heart and brain health, as well as suboptimal dietary quality, sleep patterns and levels of physical activity.Social and Economic Barriers MatterBiology alone does not explain cardiovascular health disparities. The environments where people live, work and age, along with social and economic challenges, impact heart health. In fact, approximately 17% of Hispanics live below the federal poverty threshold, compared with 8.2% of white adults.#placement_976606_0_i{width:100%;max-width:550px;margin:0 auto;}var rnd = window.rnd || Math.floor(Math.random()*10e6);var pid976606 = window.pid976606 || rnd;var plc976606 = window.plc976606 || 0;var abkw = window.abkw || '';var absrc = 'https://ads.empowerlocal.co/adserve/;ID=181918;size=0x0;setID=976606;type=js;sw='+screen.width+';sh='+screen.height+';spr='+window.devicePixelRatio+';kw='+abkw+';pid='+pid976606+';place='+(plc976606++)+';rnd='+rnd+';click=CLICK_MACRO_PLACEHOLDER';var _absrc = absrc.split("type=js"); absrc = _absrc[0] + 'type=js;referrer=' + encodeURIComponent(document.location.href) + _absrc[1];document.write('');“Many Hispanic adults face obstacles that extend far beyond the doctor’s office,” Contreras said. “Limited health insurance coverage, language differences, food insecurity, environmental exposures and concerns related to immigration status can make it more difficult to prevent disease, manage chronic conditions and receive timely treatment.”Contreras emphasized the cultural values and practices of Hispanic people also influence how they perceive their health and healthcare options.“Family plays a central role in many Hispanic communities and can be an extraordinary source of strength, support and resilience,” Contreras said. “At the same time, family members are often called upon to translate medical information, navigate health systems and help make healthcare decisions for loved ones. Those responsibilities can shape how health information is understood and acted upon.”An Action Plan for Improving Hispanic HealthThere are practical opportunities to achieve equitable cardiovascular health and reduce disparities through community engagement, culturally responsive care, inclusive research and policies that address the underlying drivers of health.“Reducing cardiovascular disease among Hispanic populations demands action at every level,” Contreras said, “from improving access to culturally responsive care and expanding research participation to addressing the social and environmental conditions that shape health.”By addressing both medical risk factors and the social conditions that shape health, experts believe there is an important opportunity to reduce disparities and help more people live longer, healthier lives. Learn more at Heart.org.Photo courtesy of Shutterstock
Grammy Camp Is Expanding in 2027 With a New Perk for Aspiring Musicians
The annual camp is also adding a fifth city to its 2027 program.
CHOMEX Expands Commercial Focus as Demand Grows for Portable Office Buildings and Mobile Workspaces
United States, September 20, 2026 -- Commercial deployments across Arizona, Texas, Colorado, Nevada and California drive increased focus on por...
NYC Health expands Legionnaires' disease outreach area in South Bronx as testing continues
The NYC Health Department is expanding its South Bronx Legionnaires' disease outreach into two additional ZIP codes following a recent uptick in cases.
Bass, Raman praise Newsom's signing of bill to expands film and TV tax credits
Local officials celebrated after Gov. Gavin Newsom signed a bill that creates a first-of-its kind tax credit to support entertainment workers.
Mobile to look at expanding entertainment districts
The proposed expansion would include the new Regions Arena
Verily Health Secures Investment From NVIDIA And CU Healthcare Innovation Fund To Expand Precision Health AI Platform
Verily Health has secured new investment from NVIDIA and existing backer CU Healthcare Innovation Fund II as the precision health technology company expands its data and artificial intelligence platform. The financing extends Verily’s March fundraising. The company did not disclose the size of the additional investments. Verily’s existing investors also include Alphabet, Series X Capital and UCHealth.
Play'n Go partners with Ember Entertainment to expand portfolio
The renowned online casino game provider announced a new partnership to power titles in West Virginia, with two other states planned in the near future.
Litchfield County cancer screening program focuses on health risks facing firefighters
Fifty firefighters received cancer and health screenings Saturday as organizers work to expand a program designed specifically around the risks firefighters face on the job.
President Expounds on BRICS Summit Achievements
TEHRAN (Tasnim) – Iranian President Masoud Pezeshkian outlined the achievements of his recent visit to India and participation in the 18th BRICS Summit, emphasizing the need to strengthen multilateralism, expand economic and trade cooperation, and counter unilateralism.
Business Bulletin: AlignLife expands; AAA Translation rates; MU Health Care earns
Catch up on local business awards, acquisitions and donations.
Stanford scientists transplanted human brain tissue into mice missing most of their cortex; within months, it grew to occupy more than 90% of the space
Stanford scientists have created a new model for studying human brain development by transplanting lab-grown human brain tissue into mice that were engineered to lack most of their cerebral cortex. Within months, the human tissue not only survived but expanded to occupy more than 90 percent of the cortical space, forming working connections with the mouse brain and spinal cord.
Millions of funds from Rural Health Transformation program earmarked for Coast efforts
Mississippi is awarding more than $104 million to modernize and expand rural healthcare. The funding is part of the state’s Rural Health Transformation Program. George County is receiving multiple awards for hospital and healthcare upgrades, including new patient monitoring, lab and maternal health equipment, cybersecurity improvements, and other technology. Memorial Health System is also receiving millions for projects in Stone...
Popular Florida cafe chain coming to Mass. for first time
Pura Vida Miami opens its first Massachusetts location in Harvard Square on Oct. 22, expanding the Florida-based wellness café brand into New England.
Ovarian Cancer Awareness Month recognized in Laredo
An Ovarian Cancer Awareness Month proclamation in Laredo highlighted the importance of early detection and expanded access to specialized care.