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Lisa Renzi-Hammond – University of Georgia

Lisa Renzi-Hammond, an assistant professor in the College of Public Health, conducts research that seeks to change how our society understands and supports people living with age-related neurodegenerative diseases.

Where did you earn degrees and what are your current responsibilities at UGA?I am a proud Triple Dawg. I earned my B.S. in psychology with high honors from UGA, and my M.S. and Ph.D. in psychology, with a concentration in neuroscience and behavior, followed shortly after. I left UGA for my postdoctoral fellowship at the University of Texas at Austin Institute for Neuroscience and Center for Perceptual Systems after completing my Ph.D. I also served as a visiting scholar at the USDA Jean Mayer Human Nutrition Research Center on Aging at Tufts University, worked as a manager in global research and development in the industry world, and made it back to UGA as a faculty member in the College of Public Health in 2017. I am currently an assistant professor in the Institute of Gerontology and the department of health promotion and behavior. I am also the director of the Human Biofactors Laboratory and have recently joined UGAs Interdisciplinary Neuroscience Program faculty.

When did you come to UGA and what brought you here?I came to UGA in 1999 as a student. I have to be honest; I intended to go elsewhere. As a Georgia native, I wanted to leave my home state and explore. After touring UGA in high school, I fell completely in love, mailed in my acceptance and joined the UGA Honors Program.

I never anticipated returning as a faculty member, but UGA has excellent opportunities for interdisciplinary work and truly excellent students. It is a joy to mentor students who are where I was 20 years ago and to feel like I am doing for them what my mentors did for me so long ago.

What are your favorite courses and why?My background covers psychology/neuroscience, nutrition, sensory science and life-span development. As a member of the College of Public Health, I now have the opportunity to combine these disciplines and apply them all to big problems in our community. I have taught a number of courses at UGA in each of these individual areas, but my favorite course is a new course that I just added to UGAs online graduate and undergraduate course catalog called Cognition and the Aging Brain. This course has a little something from every one of these disciplines. More importantly, though, one of my goals is to change how our society understands and deals with people living with age-related neurodegenerative diseases. Despite the magnitude of the problem for health care, we can solve this problem, but the solution needs to include education of tomorrows health care providers. That goal is one that I hope to start to meet in this class, in this community.

What are some highlights of your career at UGA?I have been at UGA in multiple capacities and have experienced some wonderful things in each of them, but my most recent highlight has been watching my doctoral advisees each meet exciting milestones in their graduate careers. I could brag on them for hoursthey are really quite extraordinary. At the Institute of Gerontology, the faculty have worked hard to create a warm, collegial atmosphere, and student mentoring is a big deal for us. We are so proud of our advisees!

Another related highlight has been developing close working relationships with my fellow gerontology faculty members. We have big plans and big ideas for growing the institute into a world-class, interdisciplinary research, clinical and outreach hub for gerontology. Thanks to our clinical partners, our community partners and research collaborators from across campus, we believe that we can set a new standard for studying, diagnosing and caring for people who live with dementia and their care partners.

Lisa Renzi-Hammond (Photo by Peter Frey/UGA)

How do you describe the scope and impact of your research or scholarship to people outside of your field?We are all patients in a health care system. Most of us know someone who has been touched by an age-related neurodegenerative disease such as Alzheimers disease, age-related macular degeneration, Parkinsons disease, etc. There are gaps in communication between researchers and clinicians, and between clinicians and patients, and most patients certainly never hear from a researcher. Closing these gaps is essential. In our laboratory and our institute, we are not only studying the disease processes themselves, but we are also studying how people living with these diseases communicate with their health providers and act based on the information they receive. If you want to make a difference in the world of neurodegenerative disease, you have to see it all the way through to the patient experience.

How does your research or scholarship inspire your teaching, and vice versa?Many of my undergraduate students will leave the College of Public Health and go straight to medical school. My goal is that these students begin medical school with a view of their profession that is different from the typical model. Doctors should be health care providers, not disease managers. I try to help my students understand the difference. We collect data in local clinics and in our institute with patients who have a long history of health care consumption. Our students have the chance to really hear those patients and strategize how to communicate differently with them.

With respect to how my students have shaped me, I can actually picture one of my doctoral students reading this interview and laughing. My students very much set the research agenda in my laboratory. For example, our health communication initiative would never have happened without students who saw it as a problem and did the hard work to establish all the right relationships in the community.

What do you hope students gain from their classroom experience with you?Students come in to my classes expecting a traditional neuroscience or health psychology course. My hope is that they leave those classes with a different philosophy about behavioral medicine, with a belief that big problems in health care are actually solvable, with the conviction that behavior matters, and with an entrepreneurial spirit.

Describe your ideal student.For the past 16 years, I have asked students about what they hope to learn at UGA, and why they decided to come to college. Each day on the first day of class, students get asked this question in a questionnaire. Until recently, the answer was commonly, To figure out my passion, or To understand the world. Lately, it has been To get X job, or To get in to X graduate school. I think our students feel immense pressure to go to college to be able to do something, rather than to become something. To me, an ideal student can, for the duration of my class, be truly present. The time spent in the classroom is a time to get rid of social media, grade pressure, and preconceptions about health and society. The ideal student has a few hours a week to spare to find out who to become, instead of just what to do.

Favorite place to be/thing to do on campus is Health Sciences Campus is a pretty great place to be. I have spent most of my career on main campus, and now that I work primarily on health sciences, I wish I had started spending more time there as soon as we had access to it. The grounds are beautiful, the entire campus is walkable, were surrounded by good food, and the bike rental system is pretty amazing. I love using the campus rocking chairs in fall, with a nice, warm something to drink.

Beyond the UGA campus, I like to spend time with my animals! I travel a lot in my faculty role, representing UGA at conferences and educational events, so I have to confess that my favorite spot is actually home. My husband, who is also faculty here at UGA, and I have a mini-herd of goats and a dog who loves to chase them. Scratching goats is realits not digital, you cant scratch them on a screen, and they dont care if a journal review was unreasonable.

Lisa Renzi-Hammond (Photo by Peter Frey/UGA)

Community/civic involvement includes I am a proud volunteer for the Georgia Chapter of the Alzheimers Association, which is one of my favorite community partners. In the future, well be working with the Alzheimers Association to deliver support to persons living with dementia. Our institute also works closely with the Athens Community Council on Aging, and our students and faculty spend a lot of time delivering Meals on Wheels and working with the fantastic crew at the ACCA to deliver programming. I also volunteer on the Parent Council at the University Childcare Center.

Favorite book/movie (and why)?This is a really hard question for me, actually. I have favorites from each genre of book and movie, and its so hard to pick just one! I can say that one of my favorite movie moments of all time happens at the end of Charlie Chaplins City Lights. I was introduced to this film in graduate school, and I will never forget the watching the expressions on Charlie Chaplins and Virginia Cherrills faces in the last few moments of the film. There is a scene (spoiler alert!) when she realizes that the tramp on the street is really her benefactor. She has never seen him, but she recognizes him by the touch of his hand. I have never seen two people say more without words, and I think about that scene so often.

The one UGA experience I will always remember will be Over the now 20 years that I have spent off and on at UGA, I have had a lot of memorable experiences. One of my most recent memorable experiences was participating as part of Team Harmonized in the first cohort of the UGA site for the National Science Foundation Innovation Corps program, through Innovation Gateway. Because of that experience, I now see my research in terms of not only what we can learn, but in terms of what we can build. I see my work not just ending in research publications to share with my peers, but in products that can enter the marketplace and impact the public directly. The program changed my thinking completely about the value of our work for society.

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Lisa Renzi-Hammond - University of Georgia

Singapore announces its first brain bank – BSA bureau

The brain bank aims to be a research repository for brain and spinal cord tissues from donors who have passed away

Nanyang Technological University, Singapores (NTU Singapore) Lee Kong Chian School of Medicine (LKCMedicine), in partnership with National Healthcare Group (NHG) and National Neuroscience Institute (NNI), is launching Singapores first brain bank.

Hosted at LKCMedicine, the brain bank aims to be a research repository for brain and spinal cord tissues from donors who have passed away.

Setting up a national brain bank resource for Singapore is a vision shared by researchers and clinicians in the neuroscience community. Conceptualised by a joint team from LKCMedicine, NHG, and NNI, the brain bank will open up new research possibilities that will generate new knowledge of brain diseases.

NamedBrain Bank Singapore, the joint research centre is co-funded by the three partners.

Tissue donations from both healthy donors and from those with neurodegenerative conditions and neurological disorders will be stored and used for ethically approved research.

This research, which falls under one of LKCMedicines key research pillars Neuroscience and Mental Health will facilitate greater understanding of the underlying mechanisms and symptoms of brain-related illnesses so that more effective treatments and cures can be developed.

Brain Bank Singapore has recently begun brain donor recruitment after receiving approval from the SingHealth and NTU Institutional Review Boards. Over the next four years, the brain bank aims to recruit about 1,000 brain donors.

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Singapore announces its first brain bank - BSA bureau

Around The World, Family May Be Most Important Motivator – PsychCentral.com

An international study that included 27 countries found that caring for loved ones is what matters most to people.

An international team of researchers led by evolutionary and social psychologists from Arizona State University surveyed more than 7,000 people from 27 different countries about what motivates them and the findings go against 40 years of research, according to the researchers.

People consistently rated kin care and mate retention as the most important motivations in their lives, and we found this over and over, in all 27 countries that participated, said Ahra Ko, a psychology graduate student at Arizona State University (ASU) and first author on the paper. The findings replicated in regions with collectivistic cultures, such as Korea and China, and in regions with individualistic cultures like Europe and the U.S.

The study included people from countries ranging from Australia and Bulgaria to Thailand and Uganda, covering all continents except Antarctica.

The ASU researchers sent a survey about fundamental motivations to scientists in each of the participating countries. Then, the researchers in each country translated the questions into the native language and made edits so that all the questions were culturally appropriate.

For the past 40 years, evolutionary psychological research has focused on how people find romantic or sexual partners and how this desire affects other behaviors, like consumer decisions. But study participants consistently rated this motivation called mate seeking as the least important factor in their lives.

The focus on mate-seeking in evolutionary psychology is understandable, given the importance of reproduction. Another reason for the overemphasis on initial attraction is that college students have historically been the majority of participants, said Cari Pick, an ASU psychology graduate student and second author on the paper. College students do appear to be relatively more interested in finding sexual and romantic partners than other groups of people.

In all 27 countries, singles prioritized finding new partners more than people in committed relationships, and men ranked mate seeking higher than women. But, the differences between these groups were small because of the overall priority given to kin care.

Evolutionary psychologists define kin care as caring for and supporting family members, and mate retention as maintaining long-term committed romantic or sexual relationships. These two motivations were the most important, even in groups of people thought to prioritize finding new romantic and sexual partnerships, like young adults and people not in committed relationships.

Studying attraction is easy and sexy, but peoples everyday interests are actually more focused on something more wholesome family values, said Dr. Douglas Kenrick, Presidents Professor of Psychology at ASU and senior author on the study. Everybody cares about their family and loved ones the most which, surprisingly, hasnt been as carefully studied as a motivator of human behavior.

The motivations of mate-seeking and kin care were also related to psychological well-being, but in opposite ways. People who ranked mate seeking as the most important were less satisfied with their lives and were more likely to be depressed or anxious. People who ranked kin care and long-term relationships as the most important rated their lives as more satisfying, according to the studys findings.

People might think they will be happy with numerous sexual partners, but really they are happiest taking care of the people they already have, Kenrick said.

The research team is now working on collecting information about the relationships among fundamental motivations and well-being around the world.

The study was published in Perspectives on Psychological Science.

Source: Arizona State University

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Around The World, Family May Be Most Important Motivator - PsychCentral.com

Science Can Explain Why People All Over The World Like The Same Songs, Says A New Harvard Study – Inc.com

Absurdly Drivenlooks at the world of business with a skeptical eye and a firmly rooted tongue in cheek.

You need music to work to.

Just ask thehordes of wise tech people who sit all day at work with their headphones maskingtheir personality.

You also need music to sell.

How often, indeed, do stores and restaurants spend hours contemplating what sort of music will get people's credit cards to feel looser?

And then there's the ads that plague TV with seemingly every hit song ever created.

Surely, then, it would be good to know precisely what it is that makes a song popular.

Popular everywhere, that is. All brands want to be global, don't they?

Naturally, some extremely erudite types decided to discover just what makes certain types of music cross boundaries.

Even more naturally, the idea to do it came from Harvard types. Specifically, froma fellow of the Harvard Data Science Initiative,a graduate student in Harvard'sDepartment of Human Evolutionary Biology anda professor of anthropology at Pennsylvania State University -- who used to attend Harvard.

It's the very assumption that music is universal that these scientists wanted to question.

How, though, to make such a study unbiased?

Well, they persuaded 30,000 listeners -- found by crowdsourcing -- to participate.

They used an algorithm -- because of course all algorithms are unbiased -- to find notable patterns in different types of music.

They limited themselves to six questions:

Does music appear universally? What kinds of behavior are associated with song, and how do they vary among societies? Are the musical features of a song indicative of its behavioral context (e.g., infant care)? Do the melodic and rhythmic patterns of songs vary systematically, like those patterns found in language? And how prevalent is tonality across musical idioms?

Their conclusions were, perhaps, reassuring. Or, depending on your level of self-confidence, obvious.

Across the 60 societies they studied,they concluded that lullabies,healing songs, dance songs, and love songs share the same fundamental patterns.

As the researchers put it:

For songs specifically, three dimensions characterize more than 25 percentof the performances studied: formality of the performance, arousal level, and religiosity. There is more variation in musical behavior within societies than between societies, and societies show similar levels of within-society variation in musical behavior.

There's surely something soothing about knowing that, all over the world, people are merely human and have many of the same creative triggers and responses.

There's something uplifting to learn that we're all just humans trying to get by.

It would truly be bizarre to encounter a society that managed to do without music.

Still, now you can feel sure that the music in your your ads will likely work around the world.

You also have scientific permission to enjoy the most obscure music you can find on YouTube.

It may be K-Pop. It may be the classic Welsh stylings of Edward H. Dafis. It may be Mongolian throat singing or Indonesian Pop Minahasa.

Know that you are not alone.

In essence, if you're in a certain mood but in an unfamiliar place, you can still find music that'll harmonize perfectly.

Now, if only sciencecould solve some of the world's other problems.

The opinions expressed here by Inc.com columnists are their own, not those of Inc.com.

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Science Can Explain Why People All Over The World Like The Same Songs, Says A New Harvard Study - Inc.com

Conflict Prevention: Utilizing the Historical Reasonable Person of Common Law – Mediate.com

Being reasonable[1], a criterion of common law, is used by many nations to conduct fair judgements[2] and to safeguard communities from non-balanced behaviors. This idea suggests that unreasonable behaviors are the ones that cause harm and injury. Integrating the reasonable man question to daily life, to behaviors in organizations and to education systems, allows one to awaken the notion of standard of care[3] as defined by law, which could be interpreted as that deeply embedded humanity in oneself. While creating rules and laws does put societies in order, and does give guidelines to whats lawful and to whats not, emphasizing this faculty is a building block to peace.

Commitment to the reasonable man theory, a building block to many constitutions, is a commitment to ones higher self, rather than to instinct. Training individuals to act in a way thats reasonable, makes checks and balances internal[4] as one consults with ones inner knowledge before acting. To many nations, the reasonable person theory serves as a judiciary guide as a jury generally determines whether a defendant has acted reasonably[5].

On many occasions, judges use this theory post-conflict to assess whether a persons behavior was justifiable or not. Though widely used, one may question its reliability as this concept seems to some both subjective and abstract. Despite those disadvantages, it makes sense to use this concept to differentiate whats considered to be normal, from whats considered to be radical. However, introducing this concept merely post-conflict may help in implementing justice, but will less likely prevent conflict from taking place, as an average citizen will probably have not heard that concept unless he or she has been involved in a case as a plaintiff or a defendant[6].

Given the above, it may make sense to try to integrate this concept to our societies to minimize conflict. At first glance, developing this quality, of being reasonable, seems difficult, for locating this attribute within oneself is like trying to find a thread within a knot. Unless it is nourished and mended over and over again, it will less likely grow and sustain. Yet, what makes that possible is that this thread, though hidden, does exist. Its that solid knowledge of its existence that pioneers of ethics ought to constantly seek and build upon, without suspicion.

Societys capacity to diffuse conflict, lies within mans ability to make reasonable decisions. There are three advantages for using the reasonable person test with oneself before acting:

1. Pacing oneself: While the reasonable man question is highly subjective, it may pace one and make people take calculated risks rather than jump into matters that could have consequences to themselves and to others. Asking oneself that central question if what one is doing is reasonable enhances both: focus and awareness. What shall most likely happen when one asks and contemplates that question is a state of slowing down and of becoming more contemplative and reflective rather than impulsive.

2. Moderation: It is more likely for that faculty, to give middle non-extreme answers. After asking that question to oneself, answers will mostly neither harm oneself nor others. In that way, one will less likely find oneself, pulling oneself or others to places that are neither necessary nor safe. Middle and less emotionally charged solutions that create and duplicate hate will less likely emerge. Nevertheless, this moderation, makes matters negotiable. What usually makes matters negotiable is two things: firstly, the related person will become approachable, having consulted with that moderate part of oneself, and Secondly, the related person will get further from extreme points of view.

3. Social stability: Last but not least, consulting with this faculty makes one stray away from decisions that are merely interest-based. While no reasonable person will self-sabotage oneself on purpose, one will be less likely to take rash decisions to save oneself, while being totally non-mindful of others, unless the main intention is to harm others. Thats why, it is safe to say that most decisions that do not require self-defense, as self-defense sometimes may cause inflicting harm on others, will be peaceful and much less likely be offensive.

Having determined that being reasonable is a necessary quality for building a healthy society, this quality could be enhanced among people through three ways:

1. Integration to Education Systems: While there has been controversy whether classes of ethics are important, and would make any difference in human behavior, it can at least, with time, create a new norm[7]. Integrating ethics into education systems helps youth and adults get acclimated to that concept and to that way of thinking[8]. For this sense, the sense of reasonability, to become solid, and easily extractable, it ought to be constantly mended through repetition and practice[9]. The more this faculty gets trained and used, the more it becomes second nature.

2. Inclusion in Assessment Tests: Ethics assessment tests for entrance to any institution, whether educational or not, are as important as any non-ethics assessments. Through ones career, it has been proved by some research[10] that good performance impacts ones ethical behavior. For ethics to not be the mere result of good performance, entrance assessment tests are necessary. This way, one will have ethics ingrained deeply independent of ones situation. While some research[11] have been done on the effectiveness of assessment tests for the recruitment process, few have been made for the purpose of directing the general behaviors of employees and students to embrace ethical behaviors through their career or through study at the university. Creating assessment tests that involve material on ethics when recruiting new individuals in public and private institutions emphasizes to candidates the significance of this criterion, and reminds them of its importance. Repetition of this material within assessment tests, whether in public or private institutions, and to educational institutions or work-related institutions, shall create that state where individuals constantly prepare to pass those tests, and independently train themselves on how to achieve desired results.

3. Creation of Ethics Departments: Furthermore, an ethics department in public and private organizations should be seen as a necessity and not a luxury. Such departments may conduct constant trainings and assessments, to ensure that being reasonable and dealing with conflict effectively are becoming well-rooted traits among its members. While business institutions at times are reluctant to emphasize or invest in ethics linking ethics with financial losses, doing so may create opposite results. Ethics could minimize short term results but more likely ensure the type of constancy which most likely allow organizations to thrive and flourish[12].

In conclusion, training individuals to act in a way thats reasonable, creates checks and balances within oneself. Some may argue that its a very abstract approach to create such decisions in such a manner and thats why those decisions may not be accurate. With practice and integration, this faculty becomes more and more reliable. The reasonable person theory ought to not only be used post-conflict by judges after catastrophes arise, but also could be used for conflict prevention and to create humans that are moderate, objective and humane.

[6] The plaintiff is the party filing the lawsuit. The defendant is the party upon which the lawsuit is filed.

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Conflict Prevention: Utilizing the Historical Reasonable Person of Common Law - Mediate.com

Edward Snowden on the Dangers of Mass Surveillance and Artificial General Intelligence – Variety

Getting its world premiere at documentary festival IDFA in Amsterdam, Tonje Hessen Scheis gripping AI doc iHuman drew an audience of more than 700 to a 10 a.m. Sunday screening at the incongruously old-school Path Tuschinski cinema. Many had their curiosity piqued by the films timely subject matterthe erosion of privacy in the age of new media, and the terrifying leaps being made in the field of machine intelligencebut its fair to say that quite a few were drawn by the promise of a Skype Q&A with National Security Agency whistleblower Edward Snowden, who made headlines in 2013 by leaking confidential U.S. intelligence to the U.K.s Guardian newspaper.

Snowden doesnt feature in the film, but it couldnt exist without him: iHuman is an almost exhausting journey through all the issues that Snowden was trying to warn us about, starting with our civil liberties. Speaking after the filmwhich he very much enjoyedSnowden admitted that the subject was still raw for him, and that the writing of his autobiography (this years Permanent Record), had not been easy. It was actually quite a struggle, he revealed. I had tried to avoid writing that book for a very long time, but when I looked at what was happening in the world and [saw] the direction of developments since I came forward [in 2013], I was haunted by these developmentsso much so that I began to consider: what were the costs of silence? Which is [something] I understand very well, given my history. When you see the rise of authoritarianismeven in Western, open societiesand you see how closely it dovetails with the development of technology that create stable states rather than free states, I think that should alarm us, and that drove me quite strongly in my work.

Snowden used the example of the changing nature of surveillance. Before 2013, he noted, there were specialists, there were insiders, there were intelligence officers, there were academics and researchers who understood all too well the possibility of mass surveillance. They understood how our technologies and our techniques could be applied to change the world of intelligence gathering from the traditional methodwhich was, you name a target and you monitor them specifically. You send officers into their homes. They plant a camera or a listening device. You have officers on the street who follow them to meetings, in cars and on foot. It was very expensive. And that created a natural constraint on how much surveillance was done. The rise of technology meant that, now, you could have individual officers who could now easily monitor teams of people and even populations of peopleentire movements, across borders, across languages, across culturesso cheaply that it would happen overnight.

At the NSA, he continued, I would come to my desk in the morning and all the information was already there. This was the burden of mass surveillance. Now, as I said, specialists knew this was possible, but the public was not aware, broadly [speaking], and those who claimed that it was happening, or even that it was likely to happen, were treated as conspiracy theorists. You were the crazy person [in] the tin foil hat. The unusual uncle at the dinner table. And what 2013 delivered, and what I see the continuation of today, is the transformation of what was once treated as speculationeven if it was informed speculationto fact.

Returning to the theme of whistleblowing, Snowden reaffirmed his belief that mostly it is a moral obligation. Its not about what you want, he said flatly. Its about what we must do. The invention of artificial general intelligence is opening Pandoras Boxand I believe that box will be opened. We cant prevent it from being opened. But what we can do is, we can slow the process of unlocking that box. We can do it by days. We can do it by decades, until the world is prepared to handle the evils that we know will be released into the world from that box. And the way that we do that, the way that we slow that process of opening the box, is by removing the greed from the process, which I believe is the primary driver for the development of so much of this technology today.

He continued: We should not, and we must not, ban research into machine learning and artificial intelligence techniques that have human impact. But we can, and we should, ban the commercial trade in these technologies at this stage. And what that will do is it means that academic researcherspublic interest organizations, the scientists and researchers who are driven by the public interest [and] the common goodwill continue their work. But all of the companies that are doing this now hold it from these that are pursuing these capabilities to amplify their own power and profits, they will be deterred, because they will have less incentive to do these things now.

Warming to his theme, Snowden reserved the full blast of his disdain for the likes of Google, Amazon, Facebook and companies such as Cambridge Analytica, that track our digital footprints and use algorithms to grab our attention. What is happening is that we are being made prisoner to ghosts, he said. We are being imprisoned by models of [our] past behavior that have been determined by machines. We are being used against the future. Our past actions and activities are being used to limit the potential of human behavior, because decisions are being formed based on past observations and these models of past lives.

[This kind of information] cant be misused, he stressed. It must not be misused to decide who gets a job, who gets an education, who gets a loan, who gets [medical] treatment. But if we dont change the direction that we see today, if we allow Facebook and Google and Amazon to pursue these models and to apply these models to every aspect of human decision-makingas they are very, very aggressively striving to [do] today. We will find [that] we have become prisoners of a past that no longer exists.

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Edward Snowden on the Dangers of Mass Surveillance and Artificial General Intelligence - Variety

Wake up, it’s time to leave the cave – The Herald Journal

It is an indisputable fact that we are the products of our surroundings to a certain extent. It is often unclear why we make the decisions that we do. This fact is illustrated by the accident of birth phenomenon, the idea that the biggest predictor of religious affiliation is the geography which one is born into. Our decisions are largely the result of genetic, sociological, and psychological factors. While the task can seem overwhelming, trying to understand these factors and their influences can provide one with greater clarity into ones life and enables them to have a level of agency that would be unattainable otherwise.

I knew a young man who was planning to serve a mission for his church to Europe. This mission, a two-year trip in the young mans religion and culture served as a rite of passage, and some young women within his religious paradigm would not even consider the thought of dating a member of their church who did not serve one. One of this young mans friends asserted that the motivation behind this young mans decision to serve a mission was his desire to reproduce. The friend said that the mission was a reproductive strategy, and that this young mans religious beliefs were only a means to that end. Regardless of what this young mans motivations actually were, his friend brought up an interesting point. The psychologists Sigmund Freud and Arthur Schopenhauer believed strongly that the desire for self-propagation was the fundamental motivator of human behavior, often referred to as Schopenhauers Will. While not entirely applicable to every situation, to view ones own behavior and the behavior of others through this or other lenses can be incredibly enlightening. If this young man was really serving a mission for the sake of reproduction, his cognitive mind would never realize it, unless he first questioned the validity of his own consciousness.

Paul Tillich, a Protestant theologian, once said that you could learn all you needed to know about a man by asking one question: What do they worship? In my own life, Ive started to ponder what I worship and I have learned a lot. I realized very quickly that some of my motivations were not what I thought they were. Immanuel Kant defines enlightenment as the individuals emergence from their self-imposed minority, meaning the inability for one to think for themselves. This form of transcendent thought can only be attained by understanding the processes that motivate our decisions and behavior. I'll end my article with a quote that my English high school teacher had plastered in his classroom, a reference to Platos allegory of the cave: Wake up, it's time to leave the cave!

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Wake up, it's time to leave the cave - The Herald Journal

‘You Knew the Risks and Did It Anyway’ – Virginia Connection Newspapers

Thanks to his new attorney filing a motion appealing his conviction, former teacher Norman Achin is currently free on bond. But on Nov. 15, he was sentenced to seven months in jail for using a communication device to solicit a minor.

For 30 years, Achin, 52, was a respected FCPS teacher. He taught Latin at Westfield and West Springfield high schools in 2017-2018; before then, he did so at Chantilly and McLean high schools. He even tutored often in students homes. But when he solicited an undercover police office online, thinking he was a teenage boy, Achin was arrested, July 23, 2018, and suspended from his job without pay. He was later convicted, Aug. 21, following a nonjury trial in Fairfax County Circuit Court, and returned Nov. 15 for sentencing.

Up until these events began, you lived a pretty decent life, said Judge Michael Devine. But then your life took a different turn. Its difficult to reconcile you acting completely out of character, but people do that, all the time.

During Achins trial, a male police detective with the FCPDs Child Exploitation Unit testified against him. When they connected via the Grindr app, the detective was posing online as a teenager named Alex, hoping to catch predators preying on children. To protect his undercover status, this newspaper is not revealing his identity.

THE DETECTIVE told Achin his father was gone, his mother lived out of state, and his aunt who worked nights watched him. He also said he was in high school and would be 15 very soon. I used abbreviations, misspellings and emojis, like teens do, and was kind of emotional. The court heard a phone call between them, saw transcripts of their text messages and Grindr exchanges and also saw a 2-1/2-hour video of the detectives interrogation of Achin following his arrest.

Achin used his middle name, Mike, during their online conversations, which ran from July 11-23, 2018. Im very concerned about your age, Achin told Alex. Achin also asked if they could meet and talk in person. Just talk? asked Alex? Replied Achin: Well, maybe more.

Ive never done this before, so Im nervous, said Alex. To which Achin answered: Me, too. I could get in trouble, even for what weve done so farIm taking a big risk. They arranged a meeting in a park where, instead, police arrested Achin.

Achin said he wanted to tell Alex he was too young to do this. I was also talking with other people [on Grindr and Tinder] and I got confused between the sites I was on. I didnt want anything from him 18 or 19 years old, fine but not a kid. He said he worried that Alex might kill himself, so he wanted to talk to him, maybe as a father figure, because I thought this was a fragile, young man.

However, Achin also sent two photos of himself to Alex one showing his bare torso and abs, and the other, his penis. Saying he could only access Grindr on his phone, not his computer, he told the detective, I couldnt see the pictures I sent, at times, so sent the wrong pics to the wrong people at the wrong time.

He said he thought hed sent the penis photo to a man, not Alex. But Assistant Commonwealths Attorney Elena Lowe noted that Achin never apologized to Alex or said hed sent it by mistake. When he sent the picture, he knew who he was talking with, consistent with their text messages, she said. His statements [about] trying to help this boy were just a cover.

At Achins sentencing, defense attorney Thomas Walsh said hed filed a motion to set aside the courts verdict regarding his client. But, said Devine, Im satisfied Mr. Achin was properly convicted of the offense and is guilty as charged.

The state sentencing guidelines for this case were three to six months in jail, and Lowe requested Achin serve at least three months because the offense includes sending a pornographic picture to a minor and arranging to meet him. It shows no good intention. His actions were inconsistent with normal, human behavior with a child.

Walsh read statements from some teachers and a student saying what a good teacher Achin was and his interest in helping students. I dont believe incarceration is necessary in this case, said Walsh. And the probation and sex-offender registry will be a nightmare for him, for the rest of his life. Seeking a suspended sentence, Walsh added, Hell never be a teacher again, and losing his profession after 30 years has been a pretty hard sanction.

THEN, VOICE BREAKING, Achin stood and told the judge, Much has been made about the fact that this is not normal behavior. But it is normal behavior for me to care, just like my teachers cared about me when I was growing up. I want to protect children, too. I would never do anything to harm anybody.

Devine, however, was unmoved. I believe you cared about students, but I dont believe you felt that way about Alex, he said. Its not how you see yourself, but your actions were not to save this person and vulnerable kids like this are exploited. After he said, I will be 15, you told him, I dont want you latching onto me. That tells me you were looking for your own gratification at the exploitation of a vulnerable minor.

You had plenty of chance not to do this kind of offense and you did it anyway, continued the judge. You knew the risks and even said so. And I dont think you should be treated any differently from any other person who commits this same crime.

Devine then sentenced Achin to three years in prison, suspending all but seven months and placing him on two years active, supervised probation. Achin must also register as a sex offender and comply with whatever his probation officer requires him to do. Devine said he could continue his supervised release while his case is being reviewed by the state court of appeals.

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'You Knew the Risks and Did It Anyway' - Virginia Connection Newspapers

Who is a Jew? DNA home testing adds new wrinkle to age-old debate – The Jewish News of Northern California

Part one of our three-part PAST LIVES series on Jewish genealogical research. Parts two and three will be available next week.

Jennifer Ortiz has a screenshot saved on her computer. Its an image that captures a moment that changed her life.

Right there on the screen: Stewart Bloom is your father, she said, describing the message she received when she logged in to see the results of her home DNA test.

Ortiz is one of millions of people who have taken a DNA test like the ones sold by 23andMe or Ancestry.com. Ortiz, who grew up Catholic in Utah, found out from the test that she was 50 percent Ashkenazi Jewish a result that led to the discovery that she was the child of Bloom, a Jewish photographer in San Francisco, and not the man who raised her.

Thats when my world changed, she said.

But what is 50 percent Jewish?

The question itself is a new wrinkle in the age-old debate of just what it means to be Jewish, which has been given a kick in the pants from the commercialization of a field of science that says it can tell you something new: For a price, you can now choose from one of seven commercial genetic tests to find out just how Jewish you are (among other things).

Its a very interesting, different and complicated and morally ambiguous moment, said Steven Weitzman, director of the Katz Center for Advanced Judaic Studies at the University of Pennsylvania and former director of the Taube Center for Jewish Studies at Stanford University.

In the past few years, commercial gene testing has taken off, driven by aggressive advertising that purports to tell the real story behind your ancestry. The magazine MIT Technology Review analyzed available data to estimate that more than 26 million people had taken at-home tests since they first went on the market more than a decade ago.

Its really beginning to seep into peoples consciousness, Weitzman said.

Sunnyvale-based 23andMe and Ancestry.com, headquartered in Utah, will ask you to spit in a tube and then, several weeks later, will give you a pie chart that might say, for example, 20 percent Swedish, 8 percent Greek and 11 percent German. Or, perhaps, 39 percent Ashkenazi Jewish.

But is there such a thing as 39 percent Ashkenazi? Yes, according to professor of epidemiology and biostatistics Neil Risch, director of UCSFs Institute for Human Genetics.

Its very easy to identify someone whos Ashkenazi Jewish, said Risch, who also does research on population genetics for Kaiser Permanente Northern California.

Thats because there are genetic markers distinct to the Eastern European Jewish population, partly due to a population founder effect, a way of saying that they descend from a small number of ancestors. Also, Jews in Europe tended to marry other Jews, making them endogamous.

Jews were not allowed to intermarry, Risch said. He added that on top of that, there were other external factors; for centuries, Christian churches forbade their flock from marrying Jews.

Ashkenazi Jews share a genetic profile so distinct that even commercial tests can spot it, unlike the difference between, say, Italians and Spaniards, who share a more diffuse Southern European profile. Risch said that although commercial genetic tests will show a percentage of your heritage from very specific regions in Europe, these results should be taken with a grain of salt.

Those kinds of subtle differences are challenging and have to be looked at with some skepticism, Risch said.

I call it entertainment genetics, said Marcus Feldman, a Stanford biology professor and co-director of the universitys Center for Computational, Evolutionary and Human Genetics, when you go and find out where your ancestors came from.

But for Ashkenazi Jews, heritage is pretty clear. Pick a street, Feldman said. Then pick any two Ashkenazi Jews at random walking down it.

Theyd be fifth to ninth cousins at the genetic level, Feldman said. Ashkenazi Jews are actually that closely related, all descended from a small group of people.

But what about Sephardic Jews looking to get a quantitative peek at their heritage? Theyre out of luck. 23andMe communications coordinator Aushawna Collins said that the company hasnt collected enough data on those populations yet to be able to pinpoint what makes them unique in terms of genes. Risch said its because genetically they are not distinct enough from other Mediterranean peoples.

But even if science can determine whether people have Ashkenazi genes, can one extrapolate from that how Jewish they are?

What is 39 percent Jewish? Thats nonsense, said Weitzman, a former professor of Jewish culture and religion at Stanford, where in 2012 he started an interdisciplinary course on Jewish genetics with biology professor Noah Rosenberg. You cant be half Jewish. Youre either Jewish or not Jewish.

Rabbi Yehuda Ferris of Berkeley Chabad would agree.

You cant be part kosher, you cant be part pregnant, you cant be part Jewish, he said.

However, even Ferris and his wife, Miriam, have done at-home DNA tests although they did it to find relatives, not to figure out their Jewishness.

It was extremely shocking, Ferris said dryly. Im 100 percent Ashkenazi Jewish and shes 99 percent.

For zero dollars we could have told you the same thing, Miriam Ferris added.

As an Orthodox rabbi, Ferris goes not by percentages but by the matrilineal rule in establishing Jewishness.

If your mother is Jewish, youre Jewish, he said. Thats it.

The concept of matrilineal descent is an old one, but genetics are giving it a new twist, especially in Israel where the Chief Rabbinate has used gene testing to weigh in on the crucial question of who is a Jew. (In Israel, immigrants must prove their Jewish status to marry, be buried in a Jewish cemetery or undergo other Jewish life-cycle rituals.)

Thats an interesting and disturbing new phenomenon, Weitzman said.

The way the rabbinate has used gene testing is by examining mitochondrial DNA, which gives much less information than testing of the more extensive DNA in the cell nucleus, which is what home tests do. But unlike nuclear DNA, mitochondrial DNA is almost always passed from mothers to their children. This dovetails nicely with the notion of matrilineal Jewish descent, and rabbis in Israel have now begun accepting mitochondrial DNA testing for people, primarily immigrants or children of immigrants from the former Soviet Union, who have inadequate documentation of their Jewish status.

The test can identify Jews descended from four founder women ancestors. However, it can be used only to prove a positive, as half of Ashkenazi Jews dont have the characteristic mitochondrial chromosomes at all. Still, for people who have no paper or eyewitness proof of Jewish descent, genetic testing can be the deciding factor.

When you dont have enough information, it might be the linchpin, Ferris commented.

The rabbinates use of mitochondrial DNA testing is controversial, with some critics calling it humiliating. The Yisrael Beiteinu party, which represents Russian-speaking immigrants, is trying to challenge it in Israels Supreme Court.

Outside of Israel, too, not everyone is comfortable with using science to figure out who is a Jew. Its something the world has seen before.

People were also using science to figure out who people were. We called that race science, Weitzman said.

And the people who did it?

I mean Nazis, he clarified.

Genetics have been used against Jews in the most virulent way, said UCSFs Risch. But he thinks that Jews are inclined right now to trust the science because its a field filled with Jewish researchers. We love science because were all the scientists! he said.

In the past two decades, there has been a rash of research on the genetic components of Judaism, a boom coinciding with the Human Genome Project, which ran from 1990 to 2003. Much of it was done by Jewish scientists. The initial research on mitochondrial DNA in Ashkenazi Jews was done in 2006 by Israeli geneticist Doron Behar; he is now CEO of genetic analysis company Igentify.

In 1997, a study of traits in the Y chromosome, passed only from father to son, found that more than 50 percent of men with the last name Cohen (or Kahan or Kahn or other variants) had a certain marker, giving some support to the idea of a hereditary Jewish priesthood.

In 2010, medical geneticist Harry Ostrer did work that found various communities of Jews shared a common Middle East ancestry. And in 2009, Feldman, who is also director of Stanfords Morrison Institute for Population Biology and Resource Studies, studied to what degree Jewish groups in different places were related. (This last topic has been studied further, including by Risch.)

But Feldman himself has experienced firsthand how his own research has been twisted for what he called racist conclusions when economists drew inferences from his work with fellow Stanford professor Rosenberg to suggest theres a genetic basis for economic success.

We were outraged because those two people were using our data to make these quite racist statements, Feldman said.

Feldman said its common for the public to seize on genome research and try to use it to explain everything from intelligence to criminality; he said scientists have a responsibility to be on alert all the time.

Theres been too much emphasis on the genetic basis of a lot of human behaviors, he said. When genetics is your hammer, everything becomes a nail, he said. So it doesnt matter what human trait youre interested in.

Even if geneticists like Feldman consider home testing kits entertainment, their popularity shows that people are interested in using genetics to figure out who they are, including how Jewish. Weitzman said it might be connected to how hard it is for most Ashkenazi Jews in this country to trace their roots; Jews in Central and Eastern Europe didnt have last names until the 18th or 19th centuries.

A lot of us, we dont know a lot about our ancestors prior to our grandparents, Weitzman said.

So in searching for ancestors, people are turning to the companies that promise results. 23andMes Collins told J. theyd sold 10 million kits in total, and Ancestry.com in May issued an announcement claiming to have tested more than 15 million people.

Cantor Doron Shapira of Peninsula Sinai Congregation in Foster City is one of them. He was always into Sephardic music and food. As a percussionist, he felt drawn to the rhythms.

People have very often asked me, Are you Sephardic? he said. And I always said, Not to my knowledge.

Last year he saw an ad for Ancestry.com, got his DNA testing kit and sent it in with his sample.

It comes back 94 percent no surprise Russian Ashkenazi Jewish European roots, he said.

But the test also revealed 6 percent of his roots were other, including from Southern Europe and the Iberian Peninsula. Maybe Shapira had a Sephardic ancestor after all?

He started to think about which side of the family it could be and considered asking his mom to get tested. It wasnt that the result suggesting a Sephardic ancestor changed his perception of who he was, he said, but it validated something about himself that he and others had always noticed.

I got a little bit excited, he admitted.

And then he got an email update from Ancestry.com.

It says, scratch that, youre now 100 percent Ashkenazi Jewish, he said with a laugh.

But even with the change in result, Shapira says hes not against using home genetic testing to get a peek into his ancestry.

Im inclined to do another one, he said. Just to see if its consistent.

Many others are taking the tests and their results very seriously. People are making life decisions now on the results of this test, Weitzman said. Theyre deciding whether theyre Jewish or not.

Thats what Ortiz has done. If you ask her now if shes Jewish, the 53-year-old has an answer.

Yes, I am, she said. Ill say yes.

She had never been told that the father who raised her was not her biological dad, and when she confronted her parents, they denied it. But she knew it was no mistake when the DNA testing company delivered a startling message with the name of her biological father thats the screenshot shes got saved on her computer.

Ortiz immediately made contact with Stewart Bloom and flew down to San Francisco last year from her home in Portland to visit. There was a lot to process, of course, but for Ortiz its been a wonderful thing and that includes embracing Jewishness, something she said shed always been drawn to.

When I found out Im actually 50 percent, on one level it didnt surprise me, she said.

Now shes converting that number into something deeper: Shes planning a ceremony in Portland with a Jewish Renewal rabbi not a conversion, but something to celebrate her new identity.

It would help me take a step into Judaism, she said. Not just from a biological level but a little more than that.

Thinking about Jewishness in terms of biology is something that bothers Emma Gonzalez-Lesser, a Ph.D. candidate at the University of Connecticut and the author of an article titled Bio-logics of Jewishness. If being Jewish is something in the genes, then that excludes people who have come to Judaism in other ways.

People who convert may not be seen as legitimately Jewish as someone who has 30-something percent ancestry from a genetic test, she said.

And beyond that, she added, there are some ideas underlying the current fascination with genetics that arent being questioned, like the question of whether Jews are a race.

I think part of our societal fascination with genetic testing really rests on this assumption that race is really this biological function, she said.

(Prominent researchers like Feldman, Rosenberg and Risch have been caught up in the sensitive question of whether studying the genomics of populations leads to a biological definition of race; the issue has been written about at length and remains controversial.)

Weitzman said the interest in ancestry reflects a trend around the world of turning to biology, genetics and race as a way to encode identity.

Part of whats going on in the Jewish world right now is a reflection of a broader revival of ethno-nationalism, Weitzman said.

In addition, at a time when American Jews are less likely to go to synagogue or practice rituals in the home, they face more questions about what it means to be Jewish. That may incline them to trust in science to determine their identity, especially when they have only a few dusty boxes of papers, if that, to show their family history. That makes Jewish genes a door into the past.

Theres something hiding inside of you that is preserving your identity intact, Weitzman said. To me, thats part of the appeal.

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Who is a Jew? DNA home testing adds new wrinkle to age-old debate - The Jewish News of Northern California

In a Wisconsin village, the doctor makes house calls and sees the rarest diseases on Earth – USA TODAY

Country doctor James DeLine talks about his work with the Amish

In 33 years at the La Farge clinic, Dr. James DeLine has gained the trust of many Amish. He understands their beliefs and their financial limitations, and he leaves the medical decisions to the families.

Mark Hoffman, Milwaukee Journal Sentinel

MILWAUKEE, Wis.It is 5 degrees below zeroand a light powdering ofsnow swirls across the roads of Vernon County.Afew horses and buggies clop through the chillmorningair, but Perry Hochstetler leaves his buggy at the family farmand has a driver take him to his doctors appointment.

TheHochstetlersare Amish. With no health insuranceanda modest income, they cannot afford most doctors.

They can afford James DeLine, once the lone doctor in the western Wisconsin village of LaFarge. Population 750.

When he became the village doctor in 1983, DeLine had no experience treating the Amish and no idea the crucial role they would play in his work. Today, about 20% of the doctors patients are Amish or Old Order Mennonite, part of a Christian population called Plain People. They are known for their separation from the modern world and adherence to a simple lifestyle and unadorned dress.

Something of a throwback himself,DeLine, 65, is a short,bespectacledman with a walrus mustache, a doctor who carries a brown medical bag to house calls. For years, he carried his equipment in a fishing tackle box.

He knows the families on every local farm and their medical histories. He knows whos beenborn,andcalls on the mothers and infants to make sure they are healthy. He knows whos dying, and looks in on them in their final days, sitting by their bedside, talking in a gentle voice, making sure they have what they need for pain.

Amish farms are clustered together along Highway D between Cashton and La Farge.Mark Hoffman / Milwaukee Journal Sentinel

As a young doctor,DeLine never imagined he would find himselfsomedaywith one foot planted solidly in medicines past, the other in its future.

The doctor who makes housecallsalso collaborates with English and American geneticists studying some of the rarest diseases on Earth. Some occur at much higher levels among the Amish, Mennonites and other closed communities that dont allow marriage to outsiders. This prohibition increases the likelihood that when a rare, disease-causing mutation appears in the community, it will take root and pass from generation to generation.

It has taken DeLine and his staff years to gain the trust of Plain People, some of whom are wary of medicine and technology.Often,theyfear that going to a hospital or clinic will mean surrendering the decision-making to doctors who neither respect their beliefsnor understand their financial limitations.

DeLine, not a religious man himself, accommodates the beliefs of patients and parents; he has always viewed them as the ultimate decision-makers.

At first glance, Hochstetler seems an unlikely candidate for a rare disease or a health problem of any kind. Work at the local sawmill and his family farm has given the 26-year-old father of two a lean muscular frame. Beneath the skin lies another story.

He has the vasculature of an 80-year-old smoker,DeLinesays.

He inherited the genetic mutation that causes an illness most people have never heard of: sitosterolemia. Only 100 cases have been described in the medical literature, but DeLine has 13 patients with the condition, including four of Hochstetlers 10 siblings and their father.

The disease prevents the body from getting rid of lipids from vegetable oils and nuts, causing them to build up and clog the arteries.

Since diagnosing the disease,DeLinehas treated Hochstetler with a cholesterol-lowering drug called Zetia.

Without diagnosis and treatment,Hochstetlercould by now havesuffereda heart attack, a trauma that Zetia should delay, thoughfor how long isuncertain. There is no cure for sitosterolemia.

Im not afraid, he says. If I die young, I guess Im going to die young. I cant do much about it. I cant say I ever get low and have the blues about it.

Saving grace: The story of an Amish community and the fight for their children's lives

A blizzard almost kept the doctor and village from their appointment.

It was February 1983. DeLine drovehis familyover hilly country roads, staring out the windshield into flurries and fearingtheir carmight not makeit to LaFarge.

DeLinehad just completed his residency at the Wausau Hospital Center. Now, a10-membercommitteeof localswas recruiting him to fill LaFargesvacancy for a doctor. Thevillage had beenwithout one for a couple ofyears.

The doctor liked the friendly villagers, a welcome change from the suit-and-tie types hed interviewed with in other places.

He was 28 years oldwith a bad car, a growing family and $30,000 in unpaid student loans. The average salary for a family doctor in America was then around $80,000, enough to settle down and beginpaying offhis debt.

But the people of LaFargewantedDeLine needed him. Their offer: $20,000.

That would have to coverDeLinesannual salary, the salary of an assistant to answer the phones and handle billing, plus all the clinic equipment andexpenses. .

DeLine took the offer.

The photo of country doctor Ernest Guy Ceriani, made famous in a groundbreaking Life Magazine photo essay by W. Eugene Smith, hangs on James DeLine's refrigerator door at his home in La Farge.Mark Hoffman / Milwaukee Journal Sentinel

DeLinegrew up in New Lenox, Illinois, a farming community outside Joliet.

The village of 1,750 was mostly cornfields. DeLine remembers it asthe kind of place where children grew up building forts during the day and watching bonfires at night. DeLine had twin sisters five years younger than him. Their father owned a restaurant.

From an early age, though, itjust seemed like Id be going to medical school. It was meant to be.

DeLineremembers nights when he could hear his mother struggling to breathe. He could hear his father, too, trying to persuade her to go to the hospital.

She had rheumatic heart disease and took blood thinners starting in her 30s. She sometimes joked about needing a valve job.

DeLinewas 17 when his mother went in for the procedure.

He saw her once after surgerybut I didnt like how she looked.About the third day, his mother suffered cardiac arrest. She was resuscitated but had sustained a severe brain injury. Days later, the family shut off life support. She was 42.

One week after her death, JamesDeLineset out to become a doctor,leavinghome for the University of Illinois in Urbana-Champaign.

Physician James DeLine eases into his work day starting at 5 a.m. at his home in La Farge.Mark Hoffman / Milwaukee Journal Sentinel

University life was hard.DeLineremained so miredin grief that when he ate, he suffered terrible abdominal pain and had to lie on his stomach for relief.

Still, he took on a demanding schedule.Driven students tended to enter the more advanced honors program in either chemistry orbiology. DeLine, a physiology major, enrolled in both.

He paid for college through restaurant jobs and financial aid.

He went on to medical school, first in Champaign, then at the University of Illinois campus in Chicago. He lived in the citys Little Italysection on the nearwestside. There he met his future wife, Ann Doherty, who worked in a print shop.

DeLinegraduated from medical school on June 7, 1980. The next day, he and Ann married.

A week later, he started his residency in Wausau.

He would work a 24-hour shift, take 24 hours off, then head back for another 24 hours at the hospital. By the time Id stagger home for some rest, he says, I was sleep-deprived, hungry, with a headache.

The schedule bothered his wife. She missed him.In his next job, she would see even less of him.

Physician James DeLine checks on Dean Pease at Vernon Memorial Healthcare in Viroqua. Pease was admitted to the hospital for breathing difficulties.Mark Hoffman / Milwaukee Journal Sentinel

In LaFarge,DeLineworked harder than he had in his residency.

He was on call 24 hours a day, seven days a week. To make ends meet, both for his family and the clinic,DeLineworked five shifts a month in the emergency room at Vernon Memorial Hospital in Viroqua.

Some days he would work 9 a.m. to 5 p.m. at the clinic, then drive to the hospital and work 6 p.m. to 8 a.m. in the emergency room. He would return to the familys home just in time to shower and get to the clinic by 9.

There were times when he was tired, but it didnt slow him down, Marcia Bader, his now-retired office managersays. It was that deep-seated caring that kept him going.

After a morning of driving around visiting patients, physician James DeLine, right, updates the staff at his clinic.Mark Hoffman / Milwaukee Journal Sentinel

It was his wife,AnnDeLine, too.

The woman who had dreamed of being a mother did everything for the couples four children, all born within a five-year span. She washed cloth diapers and hung them out to dry. Shecooked, cleaned, took the children for walks, helped with school and play, and accepted with grace all the times when her husband was called away from holidays and birthday parties.

"The calendar of holidays does not apply," she says. "He helps people when they need him like the volunteer fireman races off when the alarm sounds; like the farmer plants and harvests when the ground and weather are ready."

"Life is lived by needs, not calendars and time slots."

This drawing is a gift from an Amish patient. James DeLine keeps it on his desk at home.Mark Hoffman / Milwaukee Journal Sentinel

Villagers embraced their doctor. Patients said they were accustomed to physicians who talked at them most of the time;DeLinelistened.

The clinic struggled financially in the early years. Not everybody paid their bills, Bader recalls. But the doctor wasnt going to send them to collection firms, and he wasnt going to stop caring for them.

The doctor and his wife became fixtures ofcommunitylife. They went to their childrens cross country meets and other school events. They attended the annual Kickapoo Valley Reserve Winter Festival.

But it was his presence in the homes of area residents that endeared him to them.

My father was diagnosed with colon cancer in 1994. The thing that always struck me was that Dr.DeLinestopped in to see my mom and dad one night after a basketball game, recalls Bonnie Howell-Sherman, editor and publisher of the weekly Epitaph-News in nearby Viola.

That was just unheard of. My mom is going through dementia now and out of all of the people shes met since shes been here, hes the one she remembers.

The villagers didnt just likeDeLine. They depended on him.

They worried about him, too.

Theres been two things about Dr.DeLinethat the whole community has been concerned about, Steinmetz said. One was, how do we keep him? The other was that hestayhealthy.

From time to time, rumors spread that the doctor was sick, even dying.

In 2007,DeLinehad noticed a problem. He would urinate, only to discover a short time later that he needed to go again.

It was prostate cancer.

Courtesy of the Viola Epitaph-News

Feeling, as he put it, reflective, maybe anxious too,DeLineapproached the Epitaph-News editor. He asked to write a series of columns for the newspaper describing his illness and treatment. He would counter the rumors with transparency. He called the column, From the Other Side.

I decided early on that I was comfortable sharing my experience with our community, he wrote in the first column. After all many of you have shared your concerns, fears and symptoms with me for nearly 25 years. Each of us knows that our turn must come for illness and eventually death.

He discussed his fears about surgery to remove his prostate Would I be able to jog again?He evensharedthe frustration of phoning to make a doctors appointment and going through endless computer prompts before reaching a live human voice.

His columns took readers through his surgery, recovery andreturn home.

The way the whole village shared the doctors illness and treatment, thats part of small-town life, explains Howell-Sherman, the newspaper editor.

Its been 12 years sinceDeLinessurgery. The cancer hasnot returned.

An Amish teen pulls farm machinery down a road in La Farge.Mark Hoffman / Milwaukee Journal Sentinel

Of all the relationships the doctor built in LaFarge, the most challenging involved his Amish patients.

DeLine found his medical work was affected by a deeply held principle among the Amish, expressed in the German wordgelassenheit, which means yielding oneself to a higher authority. Among the Amish, the word encompasses a calmness and patience, as well as a belief that individualism must take a back seatto the good of the community and the will of God.

A sign warns motorists they may encounter horse-drawn vehicles on Highway D between Cashton and La Farge.Mark Hoffman / Milwaukee Journal Sentinel

While some Amish visit hospitals and accept modern medical techniques, others prefer natural methods and traditional treatments: herbs, vitamins, supplements and home remedies. In the LaFargearea, it is not unusual for an Amish family to turn to these methods beforedecidingto see DeLine.

Such was the case with Abie and Edna Yoder when their 8-year-old daughter, Barbara, first grew sick in spring 2015.

The girl had little appetite and suffered from a terrible stomachache and bloody diarrhea. Barbara weighed 38 pounds 19 pounds below average for an 8-year-old.

The Yoders took her to a so-called non-traditional doctor used by some of the Amish; these tend to be herbalists, specialists in natural medicine and others, all of whom lack medical degrees.He viewed her blood under a microscope and told the family she might have colon cancer.

The parents worried terribly about their daughters survival, but worried too about putting her in the hands of a traditional doctor. The scenario that haunted them had happened to a 3-year-old Amish boy with leukemia. The boy was given chemotherapy, they say, despite the excruciating pain andultimate failureof the treatment.

He begged to be released to go to Jesus, Edna Yoder recalls.

The Yoders approached a midwife, whosent her husband to speak with DeLine. The husband explained to the doctor the circumstances and the familys hesitation. Then the Yoders brought their daughter.

"Dr.DeLinemade it really clear that he would respect our wishes,Edna Yoder recalls.

Their daughter was admitted to American Family Childrens Hospital in Madison.DeLineconsulted with a pediatric cardiologist hed worked with at UW, Amy Peterson.

Dr.DeLinehad noticed that she had interesting looking bumps on her arms and on her legs, Peterson recalls. They were deposits of cholesterol. Dr.DeLineand I started thinking along very similar lines very quickly.

Genetic testing confirmed their hunch. The girl had extremely rare sitosterolemia, the same illness that would later be diagnosed in Perry Hochstetler.

Treatment lowered the girls sitosterol levels and helped her gain weight.

DeLineand Peterson have since foundamong the local Amisha dozen othercases the second largest cluster of the disease in the world.

An Amish farmer makes his way to work on a fence along Highway D between Cashton and La Farge.Mark Hoffman / Milwaukee Journal Sentinel

Almost 200 diseases are found in much higher proportions among Plain People. Scientists have developed a special Amish genetics test that screens the blood for more than 120 of them.

DeLine has seen patients with more than 30of the diseases on the testand has at least two patients with diseases neverdescribed in medicine.

Across the globe, there have beenonly20 to 30 cases of a disease called BRAT1; DeLine has seen six. Babies with the illness are born rigid and are prone to frequent seizures.

When the baby is born you cant straighten the baby, DeLine says. The eyes are jerking, face twitching. Some moms say they have felt things that suggest the babies have been seizing in the womb.

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In a Wisconsin village, the doctor makes house calls and sees the rarest diseases on Earth - USA TODAY