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Results for " OTA " 6,928 found 🔀 AI-powered Shuffle

Meccha Chameleon Fans Bring The Hide-And-Seek Game To Real Life

The painted prop hunt game has escaped the digital space and entered the real one

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Jun 29 • 9:49 AM EDT • Technology • kotaku.com
Amazon Is Awash With AI-Written Guideslop For Unfinished Games

Buy your novel-like, image-free, hallucinated guide to Alien: Isolation 2 today!

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Jun 29 • 8:00 AM EDT • Technology • kotaku.com
Leaked A20 Pro Image Hints at iPhone 18 Pro Performance Gains

An alleged image of the iPhone 18 Pro motherboard has leaked online, showing the A20 Pro chip will use a new packaging technology that should offer notable performance gains over the previous model. The leaked image, which has been shared by the accounts "WHYLAB" and "Ice Universe" on Weibo, appears to show the A20 Pro chip integrated into TSMC's new packaging architecture, known as Wafer-Level Multi-Chip Module (WMCM) technology.

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Jun 29 • 7:57 AM EDT • Technology • macrumors.com
How South Dakota schools are shifting to 'science of reading'

South Dakota is retraining teachers in the 'science of reading' to help students master foundational skills. Here’s how.

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Jun 29 • 7:01 AM EDT • Science • argusleader.com
Danny White earns big bonus for Tennessee bowl, NCAA tournament toward $3.3M pay

Tennessee athletics director Danny White earned $577,500 in annual bonuses to push his total compensation past $3 million as one of the highest paid ADs in the country.

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Jun 29 • 5:03 AM EDT • Sports • knoxnews.com
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Rural Fosston moves forward in its quest to relinquish control of local hospital from Essentia Health

A northwestern Minnesota community is seeking to regain local control of its hospital, arguing Essentia Health has failed to meet local health care needs. A recent court ruling allows Fosston to take its case to arbitration.

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Jun 29 • 5:00 AM EDT • Health • mprnews.org
Quality coffee, Ojibwe bonds build a business on the Fond du Lac Reservation in NE Minnesota

At a roadside kiosk on the reservation, Jackson Ripley and his family blend great coffee and Ojibwe culture together with a bit of magic. In the process, they’ve built new community ties, and they’re hoping to do more.

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Jun 29 • 5:00 AM EDT • Business • mprnews.org
Notable Rutgers grads and former students

Some notable Rutgers alumni include James Gandolfini, Chris Christie, Eric LaGrand and more.

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Jun 29 • 4:12 AM EDT • Entertainment • northjersey.com
2027 NFL Draft Summer Scouting Report: DJ Lagway, QB, Baylor

Could a change of scenery help rebuild the draft hype of DJ Lagway? Check out his 2027 NFL Draft summer scouting report!

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Jun 29 • 12:10 AM EDT • Sports • sports.yahoo.com
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2027 NFL Draft Summer Report: Drew Mesetmaker, QB, Oklahoma State

Is Drew Mesetmaker the wild card in the 2027 NFL Draft? Read his summer scouting report to learn more.

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Jun 29 • 12:06 AM EDT • Sports • sports.yahoo.com
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Baker Mayfield Drops Clear Message on Kyler Murray

As Kyler Murray seeks a fresh start in Minnesota, former teammate Baker Mayfield defends the polarizing quarterback, predicting a dominant resurgence fueled by a much-needed change of scenery.

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Jun 28 • 9:35 PM EDT • Sports • sports.yahoo.com
These Were the Biggest Losers of Vikings Offseason

The Minnesota Vikings had some vivid “winners” this offseason, including center Blake Brandel, who is on tap to start at […]

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Jun 28 • 8:15 PM EDT • Sports • sports.yahoo.com
Rory McIlroy

The Travelers Championship is the final signature event of the 2026 PGA Tour season, with a total purse of $20 million.

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Jun 28 • 5:19 PM EDT • Sports • sports.yahoo.com
Laredo Public Health issues summer food, pool safety reminders

Laredo Public Health is reminding residents of food and pool safety steps as warmer weather increases the risk of foodborne illness.

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Jun 28 • 5:01 PM EDT • Health • kgns.tv
Justin Jefferson lands inside top 10 of CBS Sports Top 100 list

Justin Jefferson represented the Vikings near the top of Pete Prisco’s CBS Sports Top 100 players list, landing at No. 8 overall.

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Jun 28 • 4:05 PM EDT • Sports • sports.yahoo.com
Efzimfotase alfa demonstrated improvements in bone health in treatment-naïve pediatric patients with hypophosphatasia achieving median difference of 1.67 vs placebo in RGI-C Score at week 25 in MULBERRY Phase III trial

Positive results from the MULBERRY Phase III trial showed that efzimfotase alfa (ALXN1850), an investigational enzyme replacement therapy, demonstrated a statistically significant and clinically meaningful improvement in bone health in children (2 to

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Jun 28 • 3:45 PM EDT • Health • astrazeneca-us.com
I Put Apple CarPlay In My Wife's 2006 Toyota 4Runner And I'm Never Looking Back

Despite its 300,000 miles we're not getting rid of the 4Runner anytime soon, so it was worth making a small investment to bring its infotainment into the 2020s.

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Jun 28 • 3:25 PM EDT • Technology • jalopnik.com
Suns trade Grayson Allen, Royce O'Neale for Miles Bridges

The Suns have agreed to trade two key rotation players and a 2033 first-round pick for Hornets forward Miles Bridges and future draft capital.

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Jun 28 • 2:14 PM EDT • Sports • arizonasports.com
AI As Conscious As That Toy Bird Is Thirsty

OpenAI and the like are using our fantasies about technology to bilk investors, if we want to protect the public we need to establish the difference consciousness and something mimicking it

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Jun 28 • 1:28 PM EDT • Technology • kotaku.com
Sanford Health to highlight best practices for AI adoption at national leadership conference

Sanford Health’s Dr. David Newman will speak at two HIMSS AI conferences in Boston this week, discussing AI adoption, governance and clinical workflows.

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Jun 28 • 1:00 PM EDT • Health • kotatv.com
Rabid bat confirmed in Shawano County, health officials urge caution

Wausau Pilot & Review SHAWANO — Health officials are urging residents to use caution around bats and other wild animals after a bat in Shawano County

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Jun 28 • 12:13 PM EDT • Health • wausaupilotandreview.com
Xbox Pre-Order Sales For GTA 6 Break Records Despite PS5 Blitz

Microsoft says Xbox pre-order sales have broken records

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Jun 28 • 12:04 PM EDT • Technology • kotaku.com
Sarasota Business Awards honor innovation, entrepreneurship and the American spirit

The Greater Sarasota Chamber of Commerce recognized businesses in the community across 10 categories.

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Jun 28 • 12:00 PM EDT • Business • yourobserver.com
Linux 7.3 To Introduce DRM "Color Format" Property With AMD GPU Driver Support

While the Linux 7.2 kernel merge window is only ending later today to cap off the feature work on this next version of the Linux kernel, already for the Linux 7.3 kernel cycle later in the year there is one notable feature on the way: the DRM color format property is being introduced and being first supported by the AMDGPU kernel graphics driver.

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Jun 28 • 9:34 AM EDT • Technology • phoronix.com
Important Penn State prospect makes notable physical transformation

Penn State star Max Granville’s career has been stunted by injuries so far, but his body transformation is sure to excite fans.

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Jun 28 • 8:02 AM EDT • Sports • sports.yahoo.com
Famitsu review scores - June 28, 2026 - Star Fox for Nintendo Switch 2 and more

The latest Famitsu review scores for the week of June 28, 2026 are as follows: Star Fox – 8/9/9/8 The Last Salvage Squad – 8/7/8/7 Mousebusters – 7/8/8/6 Note that for each review, four editors gave out scores. The final total in the Famitsu review is there for out of a total of 40 points. For previous Famitsu scores, check...

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Jun 28 • 8:00 AM EDT • Technology • nintendoeverything.com
Pokémon GO Events This Week: June 29

Pokémon GO’s June 29 – July 5 week sees us enter the second month of the season of Forever Forward! We end June and kick off July with 10th Anniversary celebrations and Sobble Community Day! Plus the weekly rotating Raid Hours, Spotlight Hour, Dynamax Battles and Mega Raids. ⭐Highlights Raid Boss Change (July 1): Articuno, Zapdos, Moltres and […]

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Jun 28 • 6:35 AM EDT • Technology • pokemongohub.net
Hunter Goodman smashes three home runs vs. Twins

Colorado Rockies designated hitter Hunter Goodman hit three long home runs against the Minnesota Twins on Saturday. Goodman crushed two no-doubters — solo shots in the first and third innings — in his first two at-bats against Twins starter Mike Paredes. Then, after grounding out in the fifth, Goodman came up with two runners on base and the Rockies leading 3-2 in the seventh.

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Jun 27 • 9:53 PM EDT • Sports • sports.yahoo.com
Black Hills Renaissance Fair draws crowds for weekend of medieval entertainment

The kickoff of the Renaissance Festival started on Saturday

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Jun 27 • 9:39 PM EDT • Entertainment • kotatv.com
Timberwolves Re-Sign Jaylen Clark to Three-Year Contract

Minnesota brings back its defensive specialist on a team-friendly deal during a summer full of roster turnover.

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Jun 27 • 5:55 PM EDT • Sports • sports.yahoo.com
As free agency nears, the Wild have business to attend to beyond Dylan Larkin

Larkin is the player the Wild want, but they will also need to re-sign or replace players like Mats Zuccarello and Vladimir Tarasenko.

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Jun 27 • 5:49 PM EDT • Business • nytimes.com
3 million Americans have dropped Obamacare health coverage over past year, after Republicans let federal subsidies expire

KFF expects the total number of people in the government healthcare program to continue to decline throughout the year, potentially to a low of about 17.5 million from 19.2 million now.

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Jun 27 • 4:21 PM EDT • Health • fortune.com
Is Tencent Music Entertainment Group (TME) A Bargain Following Its Sharp Pullback?

Tencent Music Entertainment Group (TME) has drawn fresh attention after recent trading left the stock down about 9% over the past month and about 11% over the past 3 months, which has sharpened the focus on its current valuation. See our latest analysis for Tencent Music Entertainment Group. At a recent share price of $8.39, Tencent Music Entertainment Group has posted a year to date share price decline of about 53% and a 1 year total shareholder return decline of about 55%. However, the 3...

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Jun 27 • 4:12 PM EDT • Entertainment • simplywall.st
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Flyers hope to hit on another fifth-rounder from Minnesota high school level

The Flyers have had some success with fifth-rounders from the Minnesota high school level. They’ll hope Kent Sauer adds to it.

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Jun 27 • 2:57 PM EDT • Sports • nbcsportsphiladelphia.com
Strike out the Stigma initiative partners with teams for veteran mental health

A North Dakota insurance company is stepping up to the plate to promote mental health.

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Jun 27 • 2:43 PM EDT • Health • kfyrtv.com
Burcum: Sanford Health got what it wanted. Now comes the moment of truth.

From columnist Jill Burcum: The South Dakota health system has spent a decade trying to crack the Twin Cities health care market. With the North Memorial deal, it now has a chance to prove itself.

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Jun 27 • 2:30 PM EDT • Health • startribune.com
A Clover Health Director Sold Over 67,000 Company Shares. Here's a Closer Look at the Transaction.

This healthcare technology firm, focused on Medicare Advantage plans, reported a notable insider sale amid muted stock performance.

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Jun 27 • 1:33 PM EDT • Health • finance.yahoo.com
NHL Rumors: 3 Red Wings Who Could Be Traded Next

The Detroit Red Wings made a notable trade on Friday, as they traded top goalie prospect Sebastian Cossa to the Utah Mammoth in exchange for the 23rd overall pick of the NHL Entry Draft. The Red Wings then used that pick to select forward J.P. Hurlbert.Seeing Cossa get traded by the Red Wings is not […] The post NHL Rumors: 3 Red Wings Who Could Be Traded Next appeared first on HEAVY.

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Jun 27 • 7:28 AM EDT • Sports • sports.yahoo.com
Apple A20 Pro motherboard leak hints at notable memory and packaging upgrades

A leaked package layout of Apple's A20 Pro hints at several notable upgrades for the iPhone 18 Pro series. The next-gen SoC is said to feature a wider 96-bit memory interface, a redesigned packaging approach for improved thermals, and a larger Neural Processing Unit (NPU).

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Jun 27 • 4:33 AM EDT • Technology • notebookcheck.net
Could the Vikings eventually be forced to trade Justin Jefferson?

Is there a scenario where the Minnesota Vikings are forced to trade Justin Jefferson?

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Jun 27 • 12:17 AM EDT • Sports • sports.yahoo.com
Testing gives science-based data for Fairmont lakes

FAIRMONT— A partnership between the city of Fairmont and Minnesota State University-Mankato will result in comprehensive scientific data on the Fairmont Chain of Lakes. The $25,000 contract started on April 1 and will go through Dec. 31 of this year. Fairmont’s Water Resources Coordinator, Hannah Neusch, acknowledged that while the water treatment plant in Fairmont […]

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Jun 26 • 8:00 PM EDT • Science • fairmontsentinel.com
State Street Eating House owner wins women-owned business award at Sarasota ceremony

Owner says she was unprepared for the recognition at the Frank G. Berlin, Sr. Sarasota Business Awards.

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Jun 26 • 7:31 PM EDT • Business • mysuncoast.com
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‘A total fairytale’: Former Watergate prosecutor reacts to Vance’s comments on the scandal
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Jun 26 • 7:06 PM EDT • Politics • cnn.com
Politics Unusual: Co-chairs of NYC-DSA, Rep. Malliotakis

In this episode of Politics Unusual, FOX 5 NY's political reporter Morgan McKay sits down with the co-chairs of New York City's Democratic Socialists of America to discuss their success on primary night. Also, a conversation with Rep. Nicole Malliotakis about the rise of democratic socialism and the direction the Democratic Party could take in the coming years.

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Jun 26 • 6:28 PM EDT • Politics • fox5ny.com
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House Republican reacts to changing politics under Trump

Republican Rep. Dusty Johnson spoke to NBC News' Garrett Haake about his recent loss in the primary to become the governor of South Dakota, and how he feels about the current political environment under President Trump.

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Jun 26 • 6:02 PM EDT • Politics • nbcnews.com
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Jun 26 • 5:31 PM EDT • Science • gettysburg.edu
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Registration open for 2026 Behavioral Health & Children and Family Services Conference | Health and Human Services North Dakota

Registration is now open for the sixth annual Behavioral Health & Children and Family Services Conference, scheduled for Sept. 14-17 at the Bismarck Event Center and online through a livestream option.The main conference will take place Sept. 15-17, with optional pre- and post-conference sessions offered Sept. 14 and Sept. 17.More than 1,400 in-person attendees and hundreds of virtual participants are expected to take part in keynote presentations, breakout sessions and networking opportunities focused on behavioral health, child welfare, suicide prevention and youth development.

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Jun 26 • 4:35 PM EDT • Health • hhs.nd.gov
Essentia again ranks among Minnesota's best for quality care

Minnesota Community Measurement (MNCM) — a statewide resource providing timely, comparable information on healthcare quality, costs and equity — once again ranks Essentia Health as a quality leader in its annual Health Care Quality Report.

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Jun 26 • 2:35 PM EDT • Health • essentiahealth.org
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PlayStation Is Deleting Terminator 2 And 550 Other Movies

Movies like Rambo: First Blood, Bridget Jones' Diary and The Deer Hunter are all being unceremoniously removed

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Jun 26 • 2:00 PM EDT • Technology • kotaku.com
PlayStation hardware sales fall to their lowest May total since 2000

Price rises hit Sony's console sales, but 007 First Light and Switch 2 help US game spending to grow 3%

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Jun 26 • 1:37 PM EDT • Technology • gamesindustry.biz
Epic's Tim Sweeney Keeps Inventing Solutions To Problems That Are Already Solved

Quick, someone tell him what Discord is

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Jun 26 • 1:00 PM EDT • Technology • kotaku.com
2027 iPhone 18 and iPhone 18e to Get 9GB RAM and A20 Chip

The lower-end iPhone 18 models set to launch in spring 2027 will feature 9GB DRAM, up from 8GB, according to Apple analyst Ming-Chi Kuo. Kuo says the A20 chip Apple plans to use for the devices will have 1.5GB x 6 dies for a total of 9GB RAM, instead of 2GB x 4 dies as the current lower-end iPhone 17 models use. By lower-end iPhones, Kuo is likely referencing the iPhone 18 and the iPhone 18e, both of which are rumored to be coming around March or April of 2027.

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Jun 26 • 12:57 PM EDT • Technology • macrumors.com
Falco In Star Fox Is Every Toxic DPS You've Ever Played With

‘I could use some of that teamwork!’

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Jun 26 • 12:00 PM EDT • Technology • kotaku.com
Last Chance To Fix Destiny 2 Delayed After Bungie Lays Off Devs

Bungie is running out of chances to set things right in its sci-fi MMO before it's left behind for good

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Jun 26 • 11:00 AM EDT • Technology • kotaku.com
Dragon's Dogma 2: Dark Arisen: What We Learned In Capcom's Showcase

Kento Kinoshita, Dragon's Dogma: Dark Arisen's original director, is returning for Dragon's Dogma 2: Dark Arisen

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Jun 26 • 10:31 AM EDT • Technology • kotaku.com
Where QBs landed in Prisco's Top 100 NFL players of 2026, plus two notable snubs

Not only did Myles Garrett dethrone Patrick Mahomes as the No. 1 overall player, but the Chiefs star fell behind three other QBs in Prisco's 2026 list

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Jun 26 • 9:48 AM EDT • Sports • cbssports.com
How Brad Pitt appears in “Jackass: Best and Last”: 'It was wild,' says Steve-O

The "Inglourious Basterds" actor shows up in the latest "Jackass" movie via archival footage from 2001.

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Jun 26 • 9:30 AM EDT • Entertainment • yahoo.com
Is AMC Entertainment Holdings (AMC) Undervalued Or Is Its Recent Rally Already Priced In?

AMC Entertainment Holdings (AMC) is under renewed scrutiny as investors weigh its recent share price swings and ongoing losses against reported revenue of $5,031.8 million and a market value of about $1.5 billion. See our latest analysis for AMC Entertainment Holdings. At a share price of $1.89, AMC Entertainment Holdings has seen sharp swings, with a 7 day share price return down 33.22% but a 90 day share price return up 99.33%. The 1 year total shareholder return is down 37.42%, indicating...

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Jun 26 • 9:19 AM EDT • Entertainment • simplywall.st
North Dakota State Fair 2026: Food, Entertainment, Pride of Dakota Festival, Contests, and More

MINOT, ND (KXNET) — There are now three weeks until this year’s North Dakota State Fair kicks off, and the Fair is including America’s 250th birthday. The fair is an official partner of…

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Jun 26 • 8:19 AM EDT • Entertainment • kxnet.com
Sweden and WHO launch new long-term initiative to transform Ukraine’s health system

WHO and the Swedish International Development Cooperation Agency (Sida) have launched a new multi-year cooperation project to support the long-term recovery and transformation of Ukraine’s health system. The new project, “Ukraine’s Health System Transformation Initiative: Strengthening Health Governance, Health Financing and Service Delivery for Long-Term Recovery”, was launched at the Ukraine Recovery Conference 2026 in Gdansk, Poland on 26 June, and will run from June 2026 to 2029. Sweden will contribute approximately US$ 26 million (240 million Swedish krona) to support this project. This contribution forms part of Sweden’s broader support to Ukraine through the Team Europe approach, which brings together the European Union, its Member States, and key partners such as the European Commission’s Directorate-General for Enlargement and Eastern Neighbourhood and Enabel, and WHO as lead health agency, to support Ukraine’s recovery, reform agenda and European integration.“Ukraine’s health recovery cannot be measured only by what is rebuilt, but by whether people can count on the health system when they need it most. The scale of the task is immense, with health reconstruction and modernization needs estimated at US$ 19.4 billion over the next decade. Sweden’s US$ 26 million contribution to Ukraine’s Health System Transformation Initiative is a timely investment in the institutions, financing and services that will support Ukraine’s long-term recovery and European integration. WHO remains a trusted partner of the Government of Ukraine in advancing this process. I am deeply grateful to Sweden for its consistent support and partnership,” said Dr Hans Henri P. Kluge, WHO Regional Director for Europe. More than 4 years of war have placed unprecedented pressure on Ukraine’s health system, creating 3 interconnected challenges. The first is responding to the immediate consequences of the war and the urgent health needs of the population. The second is recovering and modernizing health services today. The third is continuing reforms and aligning the health system with European standards in the context of Ukraine’s future accession to the European Union. The war has led to large-scale population displacement, an increasing need for trauma care and rehabilitation, and shortages of health workers. High out-of-pocket payments in Ukraine make access to health services more difficult. Around 46% of total health expenditure is paid directly by individuals, placing a significant financial burden on many households and underscoring the need for reforms in health financing. Older people, persons with disabilities, women, children and veterans continue to face the greatest difficulties in accessing health services. “Ukraine is demonstrating that health system transformation can continue even during war. Ukraine is also continuing to align its health system with European norms and standards. WHO is committed to supporting Ukraine on this journey. We provide technical support, help coordinate partners’ efforts and support the institutional changes needed to strengthen the system. We are grateful to Sweden for its support. Through this partnership, we can help Ukraine build a more resilient, accessible and people-centred health system,” said Dr Jarno Habicht, WHO Representative in Ukraine. About the Health System Transformation InitiativeThe new initiative will support Ukraine through 3 interconnected areas: strengthening governance and coordination of health sector reforms through more inclusive coordination platforms and structured policy dialogue; transforming service delivery by reinforcing a primary health care-centred model that integrates family medicine, nursing and midwifery; and improving financial sustainability by supporting reforms that ensure the long-term viability of the national health system and reduce out-of-pocket payments for households. Overall, these reforms are expected to make the health system more coherent and easier to navigate, improve the quality and continuity of care, and ensure more equitable access to services, particularly for those who need them most. They will also support Ukraine’s progress towards a more modern health system aligned with European standards. “We are convinced that long-term recovery is not possible without strong, high-quality, person-centred health services that are accessible to everyone. Our partnership with WHO is designed to support deep and lasting systemic changes. Investments in human capital especially autonomous midwives, whose role for maternal, newborn and adolescent sexual and reproductive health cannot be understated, stronger governance, digital transformation and the financial sustainability of the health system are investments in Ukraine’s future. We are proud to support this process,” said Malin Perhult, the Head of the Ukraine Unit at Sida. Focus throughout implementation will be given to the most vulnerable population groups, including older people, women and children, and persons with disabilities, who have been affected by the war and face greater health-care needs. The initiative will be implemented in close cooperation with the Ministry of Health of Ukraine, the National Health Service of Ukraine, the Public Health Centre of Ukraine, regional authorities and international partners. This project will help Ukraine move towards a system where everyone can access the health care they need. It will strengthen primary care, make the health finance system more stable and predictable, and reduce the out-of-pocket costs that Ukrainians face when using health services. As a result, the Ukrainian health system will become more aligned with European standards and more sustainable in the long run.

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Jun 26 • 8:00 AM EDT • Health • who.int
Introducing: Breguet Celebrates the 225th Anniversary of the Tourbillon with Four New Releases, And the Return of a Collector Favorite (Live Pics)

A revived and revised version of the Roth-designed caliber 558.1 movement (significantly improved) headlines four watches to celebrate the patent date of one of Abraham-Louis Breguet's most notable achievements.

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Jun 26 • 4:00 AM EDT • Technology • hodinkee.com
Real Madrid’s summer spending spree creates unexpected Champions League problem

Real Madrid have been one of the busiest clubs in the transfer market, but their impressive recruitment spree may have created a technical issue.Notably, Jose Mourinho has already welcomed four new si...

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Jun 26 • 3:40 AM EDT • Sports • sports.yahoo.com
Children's Minnesota doctor warns of Benadryl challenge dangers
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Jun 25 • 11:45 PM EDT • Health • cbsnews.com
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Lionel Richie postpones concert at United Center in Chicago following health scare at Minnesota show

Lionel Richie has postponed his concert this week at the United Center in Chicago following his health scare at during his first performance in a tour with Earth, Wind and Fire.

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Jun 25 • 7:46 PM EDT • Health • abc7chicago.com
Valve Deletes 4K 60FPS Claim From Steam Page After Reviews

Some have struggled to hit consistently high framerates on the new hardware

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Jun 25 • 7:00 PM EDT • Technology • kotaku.com
40+ Steam Summer Sale Games That Are Just $10 Or Less

You can get Dead Island 2, Devil May Cry 5, The Witcher 3, and Ghostwire Tokyo for just $20 right now on Steam

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Jun 25 • 6:38 PM EDT • Technology • kotaku.com
Palmetto Sports Daily: Hornets star Lamelo Ball traded to Minnesota, Lamont Paris talks NIL negotiations

On the latest episode of Palmetto Sports Daily, the crew discusses the blockbuster trade sending LaMelo Ball to the Minnesota Timberwolves, and SC men’s basketball coach Lamont Paris discusses NIL contracts.

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Jun 25 • 6:25 PM EDT • Sports • wistv.com
Making Our Own Luck

We are cross-posting a piece that former NIH official Kris Willis wrote for Macroscience. Kris is now the President and Founder of the Woodley Park Institute, for which I’m a board member. Picking winners or hedging bets? Federal science agencies have long wrestled with the question of how to ensure their billions of dollars of grants and contracts result in maximum benefits for Americans. On the surface, it might seem that a goal-oriented, interventionist style of management would be the best policy: prioritize our most pressing problems and distribute funding accordingly.This top-down strategy creates a unique hazard, though: bad choices can send resources in the wrong direction, resulting in slow progress that impedes the delivery of tangible benefits to citizens. Moreover, if decision makers pursue an applied advance when the underlying scientific principles remain poorly understood, they risk costly failures and a loss of support for the research enterprise at large. Examples include Nixon’s 1971 War on Cancer, undertaken on the premise that a cure could be achieved in less than a decade, the drive to build an operational commercial fusion plant by the mid-1990s, and the National Plan to Address Alzheimer’s Disease, which failed to produce the effective treatments and prevention strategies promised by 2025. The contrasting laissez-faire approach is to hedge your bets. If the path to an advance is impossible to predict, then the wisest choice might be to distribute funding to as widely as possible. The main risk of this strategy is that spreading funding thinly may limit the resources available to the most promising research, resulting in the same negative outcomes as the interventionist approach: limited support for the most promising topics, slow progress, and delayed returns. In reality, at science agencies like the National Science Foundation and National Institutes of Health, program managers navigate between these two extremes, setting some funds aside to target high-priority areas and using the rest to cover the widest possible range of meritorious proposals. This middle path seems like the most rational way to proceed, but it still requires making choices. How much should be set aside for high priority topics? What should those topics be? How should we define merit? Expert opinion can provide a helpful guide, but leading experts can have remarkably different opinions about what matters and what should be prioritized. Moreover, experts and administrators alike can be risk averse, giving an edge to high-profile, well-established concepts. What’s really needed is a data-driven framework to help guide decision-making, one that doesn’t simply repackage prestige or incumbency. Recognizing breakthroughs years in advance Many breakthroughs fail to attract funding or recognition at the earliest stages of development. Katalin Karikó, for example, spent years struggling to win grants for work on mRNA that would eventually win her and Drew Weissman a Nobel Prize. Similar stories can be told about Jim Allison’s groundbreaking studies leading to the development of cancer immunotherapy, Stan Pruisner’s demonstration that prions can self-replicate without DNA, or Robin Warren and Barry Marshall’s proof that Helicobacter pylori, not stress, causes ulcers. Yet at some point, the scientific community recognizes and responds to transformative breakthroughs like these. How does that change happen? And what if science funders could identify the areas that are on the cusp of a breakthrough? Those questions led my collaborators and me to study how scientists responded to past breakthroughs. Based on patterns in that data, we developed a means of predicting future breakthroughs, using biomedicine as a proof of concept. It’s worth taking a moment to describe how our approach works. Briefly, our prediction process begins by grouping the 18 million or so peer-reviewed papers in PubMed, the authoritative database of biomedical research, into roughly 50,000 unique topics. A small subset of these topics are so widely acclaimed as breakthroughs that they have been recognized with a major prize like a Nobel or a Lasker Award. We theorized that studying the development of these outliers over time, especially before they gained acclaim, was the key to identifying future instances of them. After defining topics, we chose 21 representative breakthroughs and asked what they looked like before they won prestigious prizes. To answer that question, we re-ran our topic-mapping algorithm repeatedly, winding back the clock one year each time, stringing together the years to follow the progress of each field as it grew and advanced. We found that in each case, the years leading up to a discovery followed a pattern: a burst of papers on a new, rapidly evolving topic, many of which quickly became influential. These characteristics—the percent of papers that are new, the percentage of papers that are brought in from other topics, and the influence of each individual paper—can all be measured separately for any given topic. Together, they act as a predictive signal that is detectable an average of five years before a transformative discovery is made, and up to thirty years before the discovery receives a major prize. Scanning the current research landscape for topics that display this signal allows us to predict what work will likely produce a future breakthrough. Each year we analyzed includes four or five signals, a number that appears to have remained constant across a twenty year time frame. In their classic work on the sociology of science, Bruno Latour and Steve Woolgar established that the desire to participate in a major discovery is an important motivator for scientists as they consider whether they should take up (or abandon) a research problem. Although further work is needed, the simplest explanation for our results is that this behavior is widespread enough to detect at scale. A foundational advance, or something like it, draws the attention of scientists and causes them to change the direction of their research. They vote with their feet, staking their own reputation and careers by publishing on and citing the new idea. That upswell of interest is the foundation of our breakthrough signal. What kind of research does our model identify as a breakthrough? After building a model based on the patterns in our 21 preselected breakthroughs, we tested it by identifying all early signals of discovery from 1994 through 1997. Of the 18 signals we found in that time period, 17 can be traced forward in time to a breakthrough. Examples include super-resolution fluorescence microscopy (see the image above), the directed evolution of proteins and enzymes (Chemistry Nobel, 2018), and sequencing the human genome (National Medal of Science, 2008). The discovery of the role of leptin signaling in obesity is a particularly interesting case study. Around 1950, scientists noticed the existence of a type of lab mouse that suffered from a unique inherited form of obesity. When given the freedom to choose their own diet, these mice ate more than normal and preferred food that was high in fat. Researchers had few clues as to why the animals overate; early experiments pointed to the existence of a soluble ob factor found circulating in the bloodstream that regulated appetite, but its identity was unknown. In 1994, Jeffrey Friedman and colleagues identified and sequenced the ob gene, noting that the protein it encoded appeared to fit the profile of a circulating factor. A year later, a trio of high-profile publications demonstrated that ob was a hormone that regulated body weight and fat deposition by regulating appetite. One of these was co-authored by Friedman, who christened it leptin from the ancient Greek word for thin. Using our model, the data from 1996 make it clear this advance would become a breakthrough. Scientists had flocked to study the biology of the new hormone, generating the flurry of new papers and citations required to produce a signal. One of these demonstrated that serum leptin concentrations reflected the amount of adipose tissue in the human body, providing clinical validation of the earlier mouse studies. Before the identification of leptin, scientists were unable to point to a specific molecule that controlled appetite and adiposity, so that it was impossible to rule out non-physiological causes of obesity; its characterization fundamentally changed our concept of weight gain. In 2010, Friedman and fellow pioneer Douglas Coleman were awarded a Lasker for the discovery. Our work also identifies breakthroughs in clinical practice and behavioral and social sciences, even though these areas are less likely to draw the attention of major prize committees. One example that falls into this category is the introduction of endovascular aneurysm repair, a minimally invasive surgical procedure for the treatment of abdominal aortic aneurysm, a leading cause of death among Americans over the age of 65. Relative to the previous standard of care, it reduces in-hospital mortality by almost four-fold. In 2017, Timothy Chuter received the American College of Surgeons’ prestigious Jacobsen Innovation award for his multiple refinements to the technique. Another under-recognized breakthrough identified by our model is the development of standardized survey instruments to assess the quality of life for HIV+ patients. The antiretroviral cocktails introduced in the mid-1990s reduced AIDS mortality, but treatment came with serious side effects. The new evaluations showed that patients whose disease progressed had worse physical functioning than Americans with other chronic diseases, while those who were asymptomatic maintained a health-related quality of life on par with the overall US population. This evidence made it possible for patients and activists to argue that even in the absence of a total cure, and in spite of the side effects, alleviation of symptoms was a worthwhile priority for clinicians. My colleagues and I have failed to identify any significant recognition for the physicians and health policy experts who pioneered this advance, although in 2016, researchers called for the World Health Organization to set targets for good health-related quality of life as part of its framework to end the AIDS pandemic. From forecasting to funding How should science funders use our predictions? Any serious discussion of what we should do with this new capability needs to begin with an understanding of its limitations. We can’t (and shouldn’t) invest all of our resources in the small number of topics predicted to produce breakthroughs. Innovative new fields are born from existing ones; they rarely arise de novo. If funders don’t maintain a diverse portfolio, the breakthroughs of tomorrow will have no antecedents. Think of this as eating the seed corn, or killing the goose that lays the golden egg. There are also multiple goals of funding beyond basic scientific discovery, including translating discoveries into clinical practice, developing new technologies, supporting economic development, and training new scientists. The investments needed to accomplish these goals are likely different from those required to support emerging breakthroughs. Finally, we must be aware that we may not capture every instance of a breakthrough. The concept is fuzzy, and not every significant discovery is recognized with a major award. Further, breakthroughs are rare, meaning that our dataset is, by necessity, small. This makes formal estimates of accuracy challenging. Although our overall success rate appears to be high, any one signal may turn out to be a false positive. We found one apparent example: the development of the third generation COX-2 inhibitors, Vioxx and Celebrex, which were much celebrated in the early 2000s as effective but non-addictive pain relievers, meets all the algorithmic criteria of a breakthrough. Five years after it received FDA approval, researchers demonstrated that Vioxx was associated with serious cardiovascular complications, and the manufacturer voluntarily pulled the drug from the market. Celebrex remains available, although like other NSAIDs, it carries an FDA warning for increased cardiovascular risk. Decision makers who were overly focused on the breakthrough potential of this research might have wasted substantial resources nurturing an area that ultimately proved to be a failure—but so would those who relied on expert opinion at the time. That said, the potential benefits of funding the next mRNA vaccine or cancer immunotherapy years earlier than we might have are large. When we can’t assume the outcome of an action, it’s worth conducting an experiment. Can targeted support for areas that are poised to produce a breakthrough increase the return on scientific investment without cannibalizing future advances? With the necessary administrative infrastructure in place, conducting this experiment would be straightforward. First, identify all the breakthrough signals between 2018 and 2023, select half at random, and commit to a decade of investment. For biomedicine, a six year window should yield about 30 topics with the potential to produce a breakthrough. Providing strong support to half of these might be accomplished for $300 million a year. That’s roughly half of the recent annual budget of the NIH Common Fund or around 20% of the fiscal year 2025 budget for ARPA-H. After five years, then again at ten, compare to see which group — the one that was actively managed, or the control — produced more breakthroughs, and on what timescale. Although we used biomedicine as an example, the same experiment could just as well be run for physics, materials science, or any other discipline. Any attempt to undertake such an experiment should keep three points top of mind. First, we can predict the topic of future breakthroughs, but the people and vision for how to move the work forward are still important. In practice, this means success requires active program managers with the expertise to develop the science and the authority to do so, including by recruiting investigators. Second, we would be wise to learn from the failures of past attempts to fund transformative research. High among these are funding modestly repackaged work, confusing the genuinely novel with the merely unfamiliar, and relying too much on incumbent investigators. All of these risks can be mitigated by thoroughly and intelligently integrating high quality data into portfolio management. Finally, we need to have patience. Even with strong funding support, producing a breakthrough takes time. If supporting breakthroughs is the best way to nurture the birth of new fields, we also need to accurately describe and properly manage the other two stages, so that we invest wisely throughout the productive lifetime of ideas and divest once they reach the point of diminishing returns. We would benefit from more study of all of these phases, especially the transition from one to another. More research could answer questions like: When does a breakthrough become an established field? How do the availability of funding, the size and characteristics of the available workforce, and the accumulation of evidence that disagrees with prevailing models affect a field’s decline? Exactly how do old ideas give birth to new ones, and can we speed up the process? The more we understand about the dynamics of scientific progress, the better we can maximize the odds that our curiosity leads to results. I’d call that finding a way to make our own luck.

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Jun 25 • 4:48 PM EDT • Science • goodscience.substack.com
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Online violence against women in politics: what shapes political party responses to technology-facilitated gender-based violence?

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Jun 24 • 2:08 PM EDT • Politics • odi.org
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Jun 24 • 1:55 PM EDT • Sports • sports.yahoo.com
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